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Home My WebLink AboutPermit Electrical 2014-10-03E, SPRINGFIELD w .spdngfield-ocgov CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-02158 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 10/03/2014 EXPIRES: 0 410 112 01 5 STATUS DATE: 10/03/2014 APPLIED: 1010312014 SITE ADDRESS: 1700 WEYERHAEUSER RD, Springfield, OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802030000601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add manual transfer switch OWNER: WEYERHAEUSER NR COMPANY ADDRESS: PO BOX 9777 Phone Number: FEDERAL WAY WA 98063 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor CAMP CREEK ELECTRIC LLC CC8 164877 06/09/2015 541-746-1471 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 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 construction. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopieci 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 1.600-332-234x1), r"l 10 F-: PERMIT SHALL EXPIRE IF THE WORK P.UTHORI7-ED UNDER THIS PERMIT IS NOT "�OfJrVIENCED OR IS AL;ANDONED FOR !Y 1 SO DAY PERIOD. Springfield Building Permit 10/3/2014 2:00:12PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR97477 OREGON -726-3753 811-SPR2014-02158 w .sp6n9field-or.gov 1700 WEYERHAEUSER RD permitcenter@spnngfeld-ocgov RECEIPT NO: 2014002188 RECORD NO: 811-SPR2014-02158 DATE: 10/03/2014 13IN Branch circuits with service or feeder each circuit 224-00000-426102 1004 28.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 Slate of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 14.28 Technology fee (5% of permit total) 100-00000-425605 2099 5.95 TOTAL DUE: 141.73 Michael L Brye / Camp Creek Electric L 239737 TOTAL PAID: 141.73 Electrical Permit Application "" ."' JPRINGFILLIJ ' 225 Fifth SIreeIii Sprbmgnetd, OR 974774P11(541)726-37530FAX(541)726-3689 F oaEaoN DEPARTMENT USE ONLY Perini( 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 work is suspended for 180 days, LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential I ❑ Government I i2rconiniercial JOB SITE INFORMATION AND LOCATION Job site address: i _ D Q l� City: 5 FI D I Stale -'o I ZIP: ) /79 Reference: 4?—®3G® Taxlot.®tl DESCRIPTION OF WORK !i D0 MNAvA1 4; fRYI5f•er� i-tC1- PROPERTY OWNER Name: Address: City: State: ZIP: Phone: Fax: E-mail: This installation is being made on residential or farm property owned by nue 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(! ). Signature: CONTRACTOR INSTALLATION Businessnone: CAM Cl %F% F1Go1rtG Address: ,o, 80,/yyl OD City: E06-81) State: (7p I ZIP: OpYR Ph0ne:5/11-7y(- P171 I Fax: Y11 -7Y] 206 E-oaail:!)WAY,1e-0 Cilem E , coM CCB license no.: /(,Z/g7'T I BCD license no.: Signing supervisor's license no.: *7 Print name of signing supervisor: Signature of signing supervisor: 440.2584-J (4101/20INCOM) FEE SCHEDULE Number of inspections per item ()Qty, Cosl ea. Total cost Residential, per unit, service included: 1,000 sq. R. or less (4) $147.60 $ Each additional 500 sq. B. or portion thereof $ 27,60 $ Limited energy (2) $ 35.00 $ Each manufactured hone or modular dwelling service or feeder (2) $ 69.00 $ Services or feeders: Installation, aleration, relocation 200 amps or less (2) $ 89.00 $ Bpa 201 to 400 amps (2) $ 104.50 $ 401 (a 600 amps (2) $174.00 $ 601 to 1,000 mnps (2) $226.60 $ Over 1,000 amps or volts (2) $616.00 $ Reco aecl only (2) $ 69.00 $ Temporary services or feeders: installation, alteration, relocation 200 mnps or less (2) $ 69.00 $ 201 to 400 amps (2) $ 96.00 1 $ 401 to 600 amps (2) $138.60 1 $ Over 600 mnps or 1,000 volts, see services or feeders section above Branch circuits; neat alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.60 $:2G,bb b. Fee for brmreh circuits without purchase of a service or feeder fee: Firs(bmnch circuit (2) Each additional branch circuit $ 6.60 $ Miscellaneous fees; service or feeder not included Each pump 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 $ Each addifloonl luspeclion:(1) $00.00 $ APPLICANT USE (A) Enter subtotal of above fees (alininnun Permit Pee $80.00) (B) Enter 12% surcharge (.12 x [A]) $D (C) Technology Fee (6% of [A]) TOTAL fees and surcharges (A through C): $ r 515 M '