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HomeMy WebLinkAboutPermit Electrical 2014-09-08SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 lir Phone: 541-726-3753 -- OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01930 www.springfield-ongov permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 0910812014 EXPIRES: 0310612015 STATUS DATE: 0910812014 APPLIED: 0910812014 SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477 SCOPE: Store ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial —PROJECT-DESCRIPTION, nstalLinteriorwaILsign_for-Mauricas OWNER: GATEWAY MALL PARTNERS Phone Number: ADDRESS: 1114 AVENUE OF THE AMERICAS NEW YORK NY 10036 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone Electrical Contractor RAMSAY SIGNS INC CCB 63422 01/12/2015 503-777-4555 INSPECTIONS REQUIRED Inspections 4610 Electrical Sign By signature, I stale 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 nstruction. Owner q&ontractor Signature Date ATT'ENT'ION: Oregon Inv., reauirs you to follow rotes adopted by the Oreynn Utility Notification Center. Those rules are et forth in OAR 952-001-0010 through OAH 9J2-001- 0090. You may obtain copies of the rules I,y calling the center. (Note: th; tol .nhone numbor for the Oregon (itility 10hiication Center is 1-800-332-2344). TI.i`. PERMIT SIIAI,I, EXPIRE IF THE'WOHM I1r)lil/FU L1ItIDEIi IRIS PERMIT IS NOT (�ICFD Olt IS ArAiflDONEO FOR I D1�1' P i,l(lll. Springfield Building Permit 9/8/2014 10:68:47AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD t 1 �= 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-S P R2014-01930 w v.spdngfield-oraov 3000 GATEWAY ST permits nter@spdngfieid-or.gov RECEIPT NO: 2014001950 RECORD NO: 811-SPR2014-01930 DATE: 09/08/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Sign or outline lighting 224-00000-426102 1037 71.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 _...... _ .... __...... Credit Card Joe Gibson / Ramsay Signs Contact Patty Whalen 98.44 218085 TOTAL PAID: 98,44 Electrical Permit Application NO SPH INGf1ELb . 225 Fifth Sueel0Springiieid, Oil 974770P11(541)726 -375301A\(541)726-3689 oaecui4 I DEPARTMENT USE ONLY I Permit no.: Sill " 0 1 `-I _I This permit is issued under 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 I ❑ Government I Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: State: ZIP. Reference:'M)3--MQ Taxlot.: $ DESCRIPTION OF WORK r7x�� n Services or feeders: installation, allemHon, relocation PROPERTY OWNER Name: , Address: (p� City:'—' \ State: Z[P: p'3f- Phone2/L-$5o"5�3� Fax: - - E-nraiI:1DqA. yAU(' O This installation is being made on residential or farm property owned by me or a member of my immediate family. This properly is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: Address: D S& 74 %Ae City: State:le-Ve- ZIPT7 Z 10 Phone5141-3N2 Mb Pax: E-mail: U VVAA) e 51 . L � CCB license no.: (p'3 9AD, I BCD license no. Signing supervisor's license no.: 1j Print name of signing sopervisot: Signature ofsigning supervi�iot:. 440-2584-J (4/01/2013/CONI) FEE SCHEDULE Number of inspections per item ()Qty. Cost Total I cost Residential, per unit, service Included: 1,000 sq. 0. or less (4) $147.60 S Each additional 500 sq. A. or portion $ 27,60 thereof $ Limited energy (2) $ 35.00 $ Each nanufaclured home or modular $ 6200 dwelling service or feeder (2) $ Services or feeders: installation, allemHon, relocation 200 amps or less (2) S 80.00 $ 201 to 400 amps (2) $ 104.60 $ 401 to 600 amps (2) $174.00 $ 601 to 1,000 amps (2) $226.60 $ Over 1,000 amps or volts (2) $516.00 $ Reconnect only (2) $ 69,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 69.00 $ 201 to 400 maps (2) $ 96.00 $ 401 to 600 amps (2) $138.60 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: nem, alteration, erlension per Panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I I S 6.60 $ It. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 60.60 $ Each additional bmndt circuit $ Miscellaneous fees: service o•feeder not included Each pomp or irrigation circle (2) $ 69.00 $ Each sign or outline lighting (2) $ 69.00 $ Signal circuit or a limited -energy panel, alteration, or extension (2) $ 80.00 S Each additioual inspection: (1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minituin PermitFee $80.00) $ (B) Enter 12% surcharge (.12 x [A]) S (C)'Fechnology Fee (6% of [A]) $ TOTAL fees and surcharges (A through C): S | ) ( \ �k k \\3 a3 �k z d � \ \ U Y r d O o Ep O6 to � � w w z n N C� ry O C 2 (i 0 M n U Y r d O6 to � � w w z G u O N_ u N9 7i N�2 0 0 n r O, 10 w w