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Home My WebLink AboutPermit Electrical 2014-10-02SPRINGFIELD -- ' CITY OF SPRINGFIELD oREcorl Building / Commercial Permit PERMIT NO: 811-SPR2014-02133 w .spnngfield-orgov 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcanter@springfield-orgov PROJECT STATUS: Issued ISSUED: 10/02/2014 EXPIRES: 03/31/2015 STATUS DATE: 10/02/2014 APPLIED: 10/02/2014 SITE ADDRESS: 6452 A ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: SCOPE: Electrical Only 1702344204000 TYPE OF STRUCTURE: Commercial E- New building- Addition to assisted living facility OWNER: MCKENZIE LIVING LAND LLC ADDRESS: 178 COMMONS DR Phone Number: EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name LIG Type Lie No Lie Exp Phone Electrical Contractor LIVEWIRE ELECTRIC INC CCB 56697 05/16/2016 541-344AS28 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 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 Slate 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 Cor}If#tor Signature ATTENTION: Oregon lana requires yet' to follow rules adopted by the Oregon Utility Notification Center. Those rules are sot 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). Dale E WORK I()IORIZFID UN)ER THIS PERMT SHLL EXPIRE IF IIT IS NOT "IENCED OR IS ABANDONED FOR (",0 DAY PERIOD. Springfield Building Permit 10/2/2014 10:43:47AM Page 1 of 1 SPRINGFIELD 6nREGON v .spdngfieldocgov TRANSACTION RECEIPT 811-SPR2014-02133 6452 A ST CITY OF SPRINGFIELD 225 Fifth St Spnngfield,OR 97477 541-726-3753 permitoenler@spdngfield-or.gov RECEIPT NO: 2014002175 RECORD NO: 811-SPR2014-02133 DATE: 10!02/2014 Branch circuits with service or feeder each circuit 224-00000-426102 1004 217.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 36.96 Technology fee (5% of permit total) 100-00000-425605 2099 15.40 TOTAL DUE: 362.86 04261G TOTAL PAID: 362.86 Electrical Permit Application SVIeINGtIELO -- vis 225 pink SlreeteSprhlgfield, OR 974770 PH(544726-3753oL1X(54g726-3689 oaEGorl DEPARTMENT USE ONLY Permit no.: 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 Nvork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL _ Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION _ ❑ Residential I ❑ Government I I Commercial JOB SITE INFORMATION AND LOCATION Job site address: l !j'T City: 5w I State: d I ZIP: 97t / O Reference: I Taxtot.: DESCRIPTION OF WORK Mew ro 660 _lj�S15ff0 ru PROPERTY OWNER Name: Address: City: State: ZIP: Phone: - - Fax: - - E-mail: This installation is being made on residential or farm property owned by me m• a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.500(1). Signature: CONTRACTOR INSTALLATION Business name: L�V�r✓%/C LLMC j7$�G- //v`G, Address: [ d(p City: (JL/J �_ State: �j– ZIP: 'Mb P la - L' -mail: Jilt U� r Cil CCB license no._ BCD license no.: Z-o'-ci"e Signing supervisor's license no.: 7 j T3.� Print name of signing supervisor: ,j-°(rCr t_O' Signature ofsigning supervisor: 440.2584) (4/0112013/CUM) SCHEDULE _FEE Number of inspections per item ()Cost ca. Total I cost Residential, per unit, service Included: 1,000 sq. fl. or less (4) $147.60 $ .. Each additional 500 sq. fl. or portion thereof $ 27,60 $ Limited energy (2) S 35.00 $ Each manufactured home or nodular dwelling service or feeder (2) S 69.00 —Is Services at, feeders: installation, alleralion, relocation 200 amps or less (2) S 89.00 S 8 ,p 201 to 400 amps (2) $ 104.60 $ 401 to 600 amps (2) $174.00 $ 601 to 1,000 amps (2) $225.50 $ Over 1,000 amps or volts (2) $616.00 $ Reconncetonly(2) L S 69.00 $ Tem pornry services or feeders: installation, aheralion, relocation 200 amps or less (2) $ 69.00 S 201 to 400 mops (2) $ 96.00 S 401 to 600 maps (2) 5138.60 S Over 600 amps or 1,000 volts, see services or feeders section above l3rmnch circui(s: noir, alteration, eelenstonperpanel a. Fee for branch circuits with purchase of service or feeder fee: Each branch circuit $ 6.60 b. Fee for branch circuits without purchase ora service or feeder fee: First branch circuit '2)s 60.60 s Each additional branch circuit S 6.60 S Miscellancons fees: service or feeder not lochnded Each pump or irrigation circle (2) $ 69.00 S Each sign or outline lighting (2) $ 69.00 S Signal circuit or a limited -energy panel, alteration, or extension (2) $ 80.00 $ Each additional inspection: (1) $80.00 $ APPLICANT USE (A) P.ntersubtutal orahove lees (hlhdnutm Permit Fee $80.00) $ (B) Enter 120A S rcharge (,12 x [A]) $ (C)'feehnology Fee (6% of (A)) $ TO'T'AL fees and surcharges (A through C): $ —_—