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Home My WebLink AboutBuilding Electrical 2014-09-08SPRINGFIELD -- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 6nREGON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 641-726-3769 j Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01927 w .spnngfield-or.gov permilcenter@spnngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/08/2014 EXPIRES: 03/06/2015 STATUS DATE: 09/08/2014 APPLIED: 09/08/2014 SITE ADDRESS: 1024 HARLOW RD, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703220002305 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION, Installing a newou wer pod for Century Link. OWNER: BIG 5 SPORTING GOODS #201 INC Phone Number: ADDRESS: GATEWAY MALL LLC NEW YORK NY 10036 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Electrical Contractor TONY KOTH CCB 59748 05/19/2016 541-688-8996 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder By signature, i state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature -11IIS PERMIT SHALL EXPIRE IF THE VJUf 0iVINIENO D OR 11ABANDO NEDI F0' AHY 190 DAY PERIOD. Dale y I.I"ail IOtd: Oregon law require8 you to on Utility oVt-Jr"" adopted by the Oreg otifit �ilioll Center- I hose rut pAR 952-001- u1 OAI t 952-001-0010 throug opic 0090. You may oblainNote: telephone y calling the center. nulnbef tort ntelr is rego 33on 2-234till 4 Notification Springfield Building Permit 9/8/2014 10.06:59AM Page 1 of i RECEIPT NO: 2014001948 RECORD NO; 811-SPR2014.01927 DATE: 09/08/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 91.00 10.92 Technology fee (5% of permit total) 100-00000-425605 2099 4.55 TOTAL DUE: 108.97 PAYMENT TYPE PAYOR . CASHIER: RHOLMAN COMMENTS IAMOUNT PAID 7809 TOTAL PAID: 108.97 CITY Oh SPRINGFIELD iq TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 811-S P R2014-01927 541-726-3753 mm.springfield-or.gov 1024 HARLOW RD permits nter@spdngfield-or.gov RECEIPT NO: 2014001948 RECORD NO; 811-SPR2014.01927 DATE: 09/08/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 91.00 10.92 Technology fee (5% of permit total) 100-00000-425605 2099 4.55 TOTAL DUE: 108.97 PAYMENT TYPE PAYOR . CASHIER: RHOLMAN COMMENTS IAMOUNT PAID 7809 TOTAL PAID: 108.97 � ' • 1 1 1 CITY ,OF SPI2I IG I LD OI GONi 1 I DEPARTMENT USE ONLY Permit Date: This permit is issued tinder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL - Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Goverment \ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 107 ( LO e,<) City: State: ZIP: Reference: Taxlot.: DESCRIPTION OF WORK ' , U� 201 to 400 amps (2) PROPERTY OWNER Name: 7/ M"'t`t G Address• t 0 F 7L(c �t City: // State: ZIP:%UUT Phone: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: U Address: P-0 City: e- w/� I State:6),1. I ZIP: Photf� E-mail: CCB license no.: BCD license no.: Z/1 —2155 - Signing supervisor's license no.: -$ Print name of signing supervisor: G N v lG e, 7W Signature of signing supervisor: La 1-4 440-2584-J (5/21/2014/COM) FEE SCHEDULE . Number of inspections per item O Qty. Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. ft. or portion $ $ thereof 2g,00 mitc&cnergy ( 6.0 Each manufactured home or modular $ 71.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 01.00 $ r 201 to 400 amps (2) $106.00 $ 401 to 600 amps (2) $178.00 $ 601 to 1,000 amps (2) $230.00 $ Over 1,000 amps or volts (2) $627.00 $ Reconnect only (2) $ 71.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 71.00 $ 201 to 400 amps (2) $ 98.00 $ 401 to 600 amps (2) $142.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit 1 1 $ 7.00 1 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2) $ 71.00 $ Each sign or outline lighting (2) $ 71.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ 82.00 $ Each additional inspection: (1) $82.00 $ APPLICANT USE; (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $ (B) Enter 12% surcharge (.12 x [A]) $ 0 (C) Technology Fee (5% of [A]) $ t. (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D):