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Home My WebLink AboutPermit Electrical 2014-08-29SPRINGFIELD -` .� OREGON w .springfleld-or.gov Building / Commercial Permit PERMIT NO: 811-SPR2014-01870 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@springfeld-or.gov PROJECT STATUS: Issued ISSUED: 08/29/2014 EXPIRES: 02/24/2015 STATUS DATE: 08/29/2014 APPLIED: 08/29/2014 SITE ADDRESS: 3000 GATEWAY ST, SPC# 510, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703220002300 TYPE OF STRUCTURE: Commercial OWNER: GATEWAY MALL PARTNERS ADDRESS: 1114 AVENUE OF THE AMERICAS Phone Number: NEW YORK NY 10036 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone Electrical Contractor CCB 138643 12/11/2015 INSPECTIONS REQUIRED Inspections 4610 Electrical Sign 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. 1 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-23,14). 9 Date 'IS PERMIT SHALL EXPIRE IF THE WORT: i,t!1 I;ORIZED UNDER THIS PERMIT IS NOT 4ENCEp OR IS ABANDONED FOR 80 DAY PERIOD. Springfield Building Permit 8/29/2014 9:31:18AM Page 1 of 1 SPRINGFIELD- CPPV OF SPRINGFIELD - _ 225 Firth St 1 TRANSACTION RECEIPT Spnngfield,OR97477 �' OREGON 811-SPR2014-01870 541-726-3753 wm.spdngfeldar.gov 3000 GATEWAY ST. SPC 510 permitcenler@spdngfield-ocgov RECEIPT NO: 2014001901 RECORD NO: 811-SPR2014.01870 DATE: 08/29/2014 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 William McKibbin 177689 TOTAL PAID: 98.44 Electrical Permit Application f 225 Fifth StreeloSptingfield, OR 9747101 I I(541)726-37530FA\(541)726-3689 �;. 0,r46pq DEPARTMENT USE ONLY amt This permit is issued order OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not starter) within 180 days or issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential 0 Government Conunercial JOB SITE INFORMATION AND LOCATION Job site address: '(,jsz) G'/dF@,t.UYN 6 10 - —City: ; y\ C , ( State: . ZI1-1�%ZF7 ") Reference: aTaxlot,: DESCRIPTION OF WORK _15A', t C1!n fMa S PROPERTY OWNER Q,✓ Address: Nv( g City:PlQ t,3 tL State:N ZIP: V)t0`3 Phone: Fax: c malli 0, r: TI iS ittsIlRPd,4TIs4b n' t mad `m i sic r iro et1 ot�gedl�Y4t�19 4315�1fVcliofhl�Eilil� nil f� 1011is prop214jiShol OAR d79;5�f06Of.iiic�s��9��io�f). SignTiur`dO D/\Y PERIOD. CON RACTOR INS7 ATRON Business name: (JLC C L Addie, '`' Ly' _ City: 201 to 400 amps (2) Pilo E-mail' c� CCB license no.: D license n 601 to 1,000 amps (2) Signing supervisor's license n ,� $226.60 S _�, Print name of signing supervisor: Signature of signing supervisor: � � G3 440-2531-J (410120131COM) FEE SCHEDULE Number of hnspertimrs per incur OQ(y, Cost C Total cost Residential, per unit, service included: 1,000 sq. 11. or less (4) $147.60 S Each additional 500 sq. 0. or podion$ thercol' y7,60 S Limited energy (2) $ 35.00 S Each manufactured home or nodular dwelling service m' feeder (2) $ 00,00 $ Services or feeders: Installation, allerarlot, relocation 200 amps or less (2) $ 80.00 $ 201 to 400 amps (2) S 104.60 S 401 to 600 amps (2) $174.00 S 601 to 1,000 amps (2) $226.60 S Over 1,000 amps or volts (2) $616.00 S Reconnect of i • Temporm'3' fCr 41Ift"At4b17tE,2/PrIN n✓tk11Se(s}to�a:erdchiiUry top maps r1aR{i3)tiion Ceptor. Tr use a :.' y- r ` r or 201 to 4001n - - 401 to600a,enter. Joie t$1ad.6b s)[le, over 60o muprypp�Q710fOlitlth2eCdY�C'its`6�Jb�tfS'Ultsrts13iv2Nblfi-t,lf tfdP Branch cireultst rout 9 91ST& ens on per pate) a. Fee for branch circuits with purchase of a service or feeder ree: Each branch cncuil $ 6.60 S b. Fee fur branch circuits without purchase of a service or feederfee: First branch circuit (2) Cneh additional branch circuit Miscellaneous fees: service o ftedernot Rebated ,Each pump or irrigation circle (2) $ 60.00 $ ach sign or outline lighting (2) $ 60.00 $ ignal circuit or a limited -energy panel, ai tion, or extension (2) S 00.00 _ S Bach addition al inspection: (1) $00.00 S APPLICANT USE (A) Entersubtotalofabove fees (Minimum Pernit Fee $80.00) /, (C) Technology Fee (6%of[m) TOTAL fees and snrchmge A through C): S