HomeMy WebLinkAboutPermit Electrical 2019-08-07SPRINGfIELD
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Web Address: www.springfield-or. gov
City of Springfield
Development and Public Work
225 Fifth Street
Springfield, OR 97477
541-7 26- 37 53
Email Addressr Dermitcente.@sDnnqfield_or.qov
Permit Issuedi August 07, 2019
TYPE OF WORK
Category of Construction: Other TyPc of work: New
Submitted lob value: $0.00
Description of Work: ROW-MISC Electrical for bus stations, South side of West trafflc circle and North side
between circles
JOB SITE INFOR]i,IATION
worksite Address
ROW-MISC
Springfield, OR
Parcel
Unknown
Owncr:
Address:
CITY OF SPRINGFIELD
225 5 ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL I FORTTIATION
Licen3e
CCB
(C) Electrical contractor
Business Name
CAMP CREEK ELECTRIC LLC
CAMP CREEK ELECTRIC LLC -
Primary
License Number
164877
c81
Phone
541-746-t471
54t-746-147r
PENDING INSPECTIONS
Inspection
4999 Final Electrical
4500 Rough Electrical
4220 Electracal Service
lnspection Group
Elec Com
Elec Com
Elec Com
Inspection Status
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811094892273
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Alt provtsions of taws and ordtnances gov€ming thlc type ot work will be complled wlth whether sPecified herein or not.
cran ng of a permlt does not presume to Clve authorlty to vlolate or canc€l the provlslons ot.ny other 6tate or local law
regulatlng constructlon or the perlormsnce ot construction.
aTTEtaTIOt{r Oregon taw requires you to tollow rules adopted by th€ orcgon utillty iotificadon center' Those rules are set
forth ln oaR 952-001-oolo through oaR 952-oo1-oo9o. You may obtaln copies of the rules by calling the center at (5o3)
232-L947.
aI pdsons of en tses pertorrntnc work under thls p€rmit arc requi.€d to b€ lic€nr€d unless cx€mpted by oRs 7o1 o1o
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O2O (Plumblng)'
wlred on a/7/r9 page 1 of 2 c:\nyReports/reportt/productron/01 STANDARo
Building Permit
commercial Electrical
Permit Number: a1 1-19-OOlaOa-ELEC
lvR Number: 811094892273
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permtts expii€ It work is not started wtthtn 18O Oays of issuance or lf work 15 susp€nded for 180 oays or longer dcpcnding on
thc lssuln0 agency's Policy.
Permit Number: all-19-OO18OA-ELEC Page 2 of 2
Fce Descriptlon
Branch circuits wath service or feeder each circuit
Services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (l2o/o of applicable fees)
Quantity
10
2
Fce Amount
$? 4.20
$224.O0
$r4.91
$35.78
$348.89Total Fees:
c: \myRe9orts/reDorts//oronuft on/01 sTAr{oaRD
PERMIT FEES
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Electrical Permit A plication
225 Fifth Srr.eraSpringfietd, OR 9?477 o pH(541)?26-3753. FAx(st l )726_3689
Number ofinspections per item ( )Qty Cost
ea.
Total
cost
Residential, per unit, senice included:
1,000 sq. ft. or less (4)s186.00 $
Each additional 500 sq. ft. or portion
thereof s.36.00 $
Limited energy (2)s{4.00 5
Each manufactured home or modular
dwelling service or feeder (2)s89.00 s
Senices or feeders: r4stallation. alterution. reloctltion
200 amps or less (2)).s112.00 $,JY"2
201 to 400 amps (2)st3l.00 $
401 to 600 amps (2)s22r.00 $
601 to 1.000 amps (2)$28s.00 $
Over 1,000 amps or volts (2):t6s4.00 s
Reconnect only (2)s89.00 S
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)s89-00 $
$
401 to 600 amps (2)s177.00 $
Over 600 amps or 1.000 volts, see services or tteders section above
Branch circuits: rre)r, altetation, exte sion per panel
a. Fcc lbr bmnch circuits uith purchase ofa service or leeder fee:
Each branch circuit /o $8.00 $8P
b. Fee for branch circuits without purchase ofa service or feeder fee
Fi.st branch cilcuit (2)s89.00 $
Each additional branch circuit $8.00 $
Miscellaneous fees: ,senice otfeeder not incluled
Each pump or irrigation circle (2)$89.00 $
Each sign or outline lighting (2)$89.00 5
Signal circuit or a limited-energy panel,
alteration, or extension (2)$89.00 s
Uach additional inspection: (1)$102.00
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)$3)y*
(ll) Enter 1270 surcharge (.12 x [A])$ 36,/8
(C) Technology Fee (5% of[A])$ /s;0
s355---;61
-{tq-t rdfPermit no
*-tz /t?Date
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ! yes E No
CATEGORY OF CONSTRUCTION
E Residential ! Govemment n Commercial
JOB SITE INFORMATION AND LOCATION
Job site address
City:State ZIP:
Reference Taxlot.:
DESCRIPTION OF WORK
PROPERTY OWNER
')Sfrtt)tName: f-4y-t4
Address: 33D L t7r^ Ay'e ,
CiE: Lzabn1 State: ()y ztp:?Ut93
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.s40(l) and 479.s60(l ).
Signatwe:
CONTRACTOR INSTALLATION
K
)
Business name:
Address:
City: f-a;a rnt State: Civ zth?7/o/
pholesllhb/?Z/Fax
E-mail:r& 4 c*,e<-rcef-e letntc, (ot ^
CCB license rut.: /(/{{) J BCD license rc.: / ft |
Signing supervisor's license no.
Print name ofsigning supervisor LPH C,L/
Signature of signing supervisor:N)
Last edited 7/l/2019 BJones
CITY OF SPRINGFIELD, OREGON
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days ofissuance or if work is suspended for 180 days.
aaaallofial"o
FEE SCHEDULE
201 to 400 amps (2)s 122.00
$
TOTAL fees and surcharges (A through D):
DEPARTMENT USE ONLY