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Home My WebLink AboutPermit Electrical 2014-09-18SPRINGFIELD - 09/18/2014 225 Fifth St STATUS DATE: 09/18/2014 APPLIED: CITY OF SPRINGFIELD Springfield,OR97477 SITE ADDRESS: 3150 GATEWAY LOOP, Springfield, OR 97477 Phone: 541-726-3753 ` oR6soN Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 641-726-3676 PERMIT NO: 811-SPR2014-01998 ADDRESS: 740 PINE VIEW CRT w .springfield-or.gov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/18/2014 EXPIRES: 03/17/2015 STATUS DATE: 09/18/2014 APPLIED: 09/16/2014 SITE ADDRESS: 3150 GATEWAY LOOP, Springfield, OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703222003400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Limited energy for hvac units OWNER: HESCHELES LLC Phone Number: ADDRESS: 740 PINE VIEW CRT EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor JET INDUSTRIES INC CCB 3944 05/31/2015 503-363-2334 INSPECTIONS REQUIRED Inspections 4550 Limited Energy 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 Date ATTENTION: Oregon law requires you to follow ruins 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). f,rf fGC: 1115 PERMIT SHALL EXPIRE IF THE WORK AH 1-11ORIZED UNDER THIS PERMIT IS NOT ( 'K ]fLIIFNCED OR IS ABANDONED FOR /&!Y 180 DAY PERIOD. Springfield Building Permit 9/18/2014 2:09:43PM Page 1 of 1 FiORE190N D CITY OF SPRINGFIELD 225 Fifth Sl TRANSACTION RECEIPT Springneld,OR97477 541-726-3753 811-SPR2014-01998 wmv.springfield-orgov 3150 GATEWAY LOOP permits nter@sp6ngfield-or.gov RECEIPT NO: 2014002072 RECORD NO: 811•SPR2014.01998 DATE: 09/18/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Electrical Continuing Education fee 224-00000-425606 1032 2.50 HVAC 224-00000-426102 1004 82.00 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 Tim Kuntz / Jet Industries 98.44 008949 TOTAL PAID: 98.44 Electrical Permit Application 9419 Wb8iPVkuNdM� 1 1 ! 1 F 225 Fifth Street* Springfield, OR 97477*PH(541)726-3753*FAX(541)726-3689Y— 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, �. Zoning approval verified? ❑ Yes ❑ No r ❑ Residential ❑ Government ommercial Job site address: 150 City lr ( I State: z --) } Reference: Taxlot.: $ Limited energy (2) 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: $ 91.00 Business name: ;'0 '5' Address: b p )2D f City: (p— State ZIP 9 1 Phon ' ?;3 Fax .2,W -1Z E-mail: CCB license no.: BCD license no.: C Signing supervisor's license no.: Print name of signing supervisor: )rl/✓ol D//)E't 5t'— f� . Signature of signing supervisor: ///717'03 191-lq C 440-2584-J (5/212014/COM) Residential, per unit, service included: 1,000 sq. R. or less (4) $151.00 $ Each additional 500 sq. 0. or portion thereof $ 28.00 $ Limited energy (2) 6:0 Each manufactured hone 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 $ 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 1 $ Each additional branch circuit $ 7.00 $ Miscellaneous fees: service orfeedernot 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 $ (A) Enter subtotal of above fees (btinimum Permit Fee $82.00) $q D•� (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A)) $ (D) Continuing Education Fee $2.50 $ .50 TOTAL fees and surcharges (A through D): $