HomeMy WebLinkAboutPermit Electrical 2014-09-02SPRINGFIELD -
225 Fifth St
' CITY OF SPRINGFIELD
Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01879
enwi.springfield-orgov
permitcanter@springfield-ocgov
'..
PROJECT STATUS: Issued ISSUED: 09/02/2014
EXPIRES: 02/28/2015
STATUS DATE: 09/02/2014 APPLIED: 09/02/2014
SITE ADDRESS: �Q�SR-6T, Springfield, OR 97477
SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: , 170335310'}50 TYPE OF STRUCTURE:
Commercial
PROJECT DESCRIPTION: Install light fixtures on exterior and conduit
OWNER: CITY OF SPRINGFIELD
Phone Number:
ADDRESS: 344 NORTH A ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
Electrical Contractor ,Tmmy�„� ✓`Y�,t fr ..-..t—�\� CCB
IVV ` �•1
116329 08/21/2016
INSPECTIONS REQUIRED
Inspections
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical
Final Electric: When all electrical work is complete.
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. --
w er or Contra ,tot-5ignature Date
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 1.800.332-2344).
TRIS PERMIT SHALL EXPIRE IFTHE WORK
!!I IHORIZED UNDER THIS PERMIT IS NOT
I;U1J[v1ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 9/2)2014 9:31:12AM Page 1 of 1
4999 Final Electrical Final Electric: When all electrical work is complete.
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 Date
Springfield Building Permit 9/2/2014 10:22 56AM Page 1 of 1
225 Fifth St
L,SPRINGFIELL
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 641-726-3753
OREGON Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01879
wrvr.spnngfield-or.gov
permitcenter@spnngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/02/2014
EXPIRES: 02/28/2015
STATUS DATE: 09/02/2014 APPLIED: 09/02/2014
SITE ADDRESS: 220 STH ST, Springfield, OR 97477
SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353101100 TYPE OF STRUCTURE:
Commercial
PROJECT DESCRIPTION: Install light fixtures on exterior and conduit
OWNER: CITY OF SPRINGFIELD
Phone Number:
ADDRESS: 344 NORTH A ST
SPRINGFIELD OR 97477
OWNER: CITY OF SPRINGFIELD
Phone Number:
ADDRESS: 225 5TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type
Lic No Lic Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB
116329 08/21/2016 541-686-1628
INSPECTIONS REQUIRED
Inspections
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical Final Electric: When all electrical work is complete.
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 Date
Springfield Building Permit 9/2/2014 10:22 56AM Page 1 of 1
SPRINGFICLD
225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR97477
. vay
Phone: 641-726-3753
OREGON Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01879
mm.smingfield-ocgov
permitcenler@springrield-or.gov
,
PROJECT STATUS: Issued ISSUED: 09/02/2014
EXPIRES: 02/28/2015
STATUS DATE: 09/02/2014 APPLIED: 09/02/2014
SITE ADDRESS: 230 4TH ST, Springfield, OR 97477
SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353101500 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Install light fixtures on exterior and conduit
OWNER: CITY OF SPRINGFIELD
Phone Number:
ADDRESS: 344 NORTH A ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
Electrical Contractor THORNTON ELECTRIC INC CCB
116329 08/21/2016 541-686-1628
INSPECTIONS REQUIRED
Inspections
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical Final Electric: When all electrical work is complete.
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 Date
Springfield Building Permit 9/2/2014 9:36'41AM Page 1 of 1
L,Ev�
NGIELD CITY OF SPRINGFIELD
- -225 Hth St
TRANSACTION RECEIPT Spnngfield,OR 97477
srJ541-726-3753
OREGON 811-SPR2014-01879
% m .springfield-orgov 230 4TH ST permitcenter@springfield-or.gov
RECEIPT NO: 2014001907 RECORD NO: 811-SPR2014.01879
DATE: 09/02/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Balance of Minimum Electrical Permit Fees
224-00000-426102
1004
20.00
Branch circuits without service or feeder - 1st circuit
224-00000-426102
1004
62.00
Electrical Continuing Education fee
224-00000-425606
1032
2.50
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
PAYIYICNL I:YPt `. FAYUK - OASHIER:RHOLMAN=UUIVINILN 15 nlnv�nrr rnr�,..
Credit Card Rocklin R Thorton / Thorton Electric Inc 98.44
112003
TOTAL PAID: 98.44
Electrical Permit Application gpNINGF1eLD'
225 Fifth Street* Springfield, OR 97477*PH(541)726-3753*FAX(541)726-3689 -' •�
DEPARTMENT USE ONLY
Penn it no.: < "1
Date: q t� '
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
❑ Govenunent
Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:,) / 5
City_:j _/=r
State: ��
ZIPS
Reference:
Taxlot.:
DESCRIPTION OF WORKS
J09 4)( �) / dei b/ J
O
PROPERTY OWNER
Name:
Address:
City:
State:
ZIP:
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: K/1P 70P C
Address: B C,7c9 tP
City: r- --Z"f (o
Stat
ZIP: t
Phone:
Fax:
E-mail:
CCB license no. -.//6
BCD license no.:
Signing supervisor's license no.:/ 30[7-5
Print name of signing supervisor: TO Vy T7\ U!
Signature of signing supervisor
F
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)
$161.00
$
Each additional 500 sq. ft. or portion
thereof
$ 2g,00
$
_ Limited_energy_(2)
—$-36.00--$
Each manufactured home or modular
dwelling service or feeder (2)
$ 71.00
$
Services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 91.00
$
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)
$527.00
$
Reconnect only (2)
$ 71.00
1 $
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)
1
$ 62.00
$6,Z
Each additional branch circuit
$ 7.00
$
Miscellaneous fees: service or feeder 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)
Q "
$O(�
(B) Enter 12% surcharge (12 x [A])
$ G
(C) Technology Fee (5% of [A])
$ lit 91
(D) Continuing Education Fee $2.50
$2.60
TOTAL fees and surcharges (A through D):
$ '