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Home My WebLink AboutPermit Electrical 2019-09-13OREGON Web Address: www.springfi eld-or. 9ov Building Permit Commercial Electrical Permit Number: 81 1-19-002121-ELEC IVR Number: 811045383059 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97471 54t-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD ,s Permit Issued: September 13, 2019 Category of Construction: Commercial Submitted Job Value: $0.00 Description of Work: Low voltage Type of Work: New Worksite Address 2237 MAIN ST STE 3 Springfield, OR 97477 Parcel 1703364203190 Owner: Address: TTT RANCH IV LLC 2237 MAIN ST STE 1 SPRINGFIELD, OR 97477 Business Name DEVLOGIC TECHNOLOGIES INC - Primary License ccB License Number 161458 Phone 541-998-51 14 Inspectaon 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical Inspectaon Group Elec Com Elec Com Elec Com Inspectaon Status Pending Pending Pending 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. build ingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811045383059 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not stafted within 18O Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this Wpe of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to vlolate or cancel the provisions of any other state or local law rcgulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (5O3) 232-t9a7. All persons or entities performing work under this permit are required to be licensed unless exemPted by ORs 7O1.O10 (Structural/Mechanical), ORS 479.54O (Electrical), and ORs 693.O1O-O2O (Plumbing). printed on: 9/13/19 page 1 of 2 C:\myReporls/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-002121-ELEC Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Signal circuits or limited energy panel, alteration, or extension Technology Fee State of Oregon Surcharge - Elec (12% of applicable fees) Printed on: 9/13/19 Quantity Fee Amount $ 13.oo $89.00 $s.10 $t2.24 $119.34Total Fees: C :\myReports/reports//production/01 STANDARD I Page 2 ol 2 PERMIT FEES SPRINGFIELD {t OREGON www. sp ri n g field-o r. g ov Worksite address: 2237 MAIN ST, STE# 3, Springfield, OR97477 Parcel: 1703364203190 Transaction Receipt 811-19-002121-ELEC Receipt Number: 472386 Receipt Date: 9/13/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@springfield -or. g ov Fees Paid Transaction date 9113119 9t13119 9t13119 9t13t19 Units 1.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic TechnologY Fee Description Signal circuits or limited energy panel, alteration, or extension Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12% ot applicable fees) Account code 224-000004261 02-1 033 224-00000-426 1 02- 1 033 82 1 -00000-21 5004-0000 1 00-00000-425605-0000 Fee amount $89.00 $13.00 $12.24 $5.1 0 Paid amount $89.00 $13.00 $12.24 $5.1 0 Payment Method Credit card authorization: 08361g Payer: DEVLOGIC TECHNOLOGIES INC Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total $11 9.34 Printed: 9/13/19 2:07 pm Page I of 1 Fl N_TlansactionReceipt_pr CITY OF SPRINGTIELD, ORBGON Electrical Permit A cationa APFINGFIELD I db,, 225 Fifth Street 0 Springfi eld, OR 97 477 . PH(541)726-3753. FAX (54 l)7 2G36E9 This permit is issued under OAR 9f 8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for lEO days. LOCAL GOVERNMENT APPROVAL Zorung approval verified? ! Yes E No CATEGORY OF CONSTRUCTION n Residential ! Government p Commercial JOB SITE INFORMATION AND LOCATION Job site address: aa3? A-:r Sl $r1 3*i City: $,,.""(-1tr State: 4[ZtP: q'/q27 Reference Taxlot. DESCRIPTION OF WORK V" PROPERW 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.s40(r) and 479.560(1 ). Signature: CONTRACTOR INSTALLATION Business name: T)aJt- o,u Tor-t^i.,rl .S an- ,J Address: Po T1....* Vo{3t, City: f t).,eee-State:0{L ZIP: ct itlo4 Phone: 50!f3illl)Fax E-mail: Cwt,> 6.\orr ,r c-ldJr.i\ CCB license no.:tfu f hlrtsf BCD license no.: ,,:o -S3Aq-5 Signing supervisor's license no.: jk6jcEA Print name of signing supervisor: Cr^r. >De;c/c-< Signature of signing supervisor: Ct -4 FEE SCHEDULE Number of inspections per item ( )Qty Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$186.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 s Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2)$rr2.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to I ,000 amps (2)$285.00 $ Over I,000 amps or volts (2)$654.00 s Reconnect only (2)$89.00 $ Temporary services or feeders: instal lation, alteration, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 $ 401 to 600 amps (2)$r77.00 $ 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 $8.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2)$89.00 $ Each additional branch circuit $8.00 $ Miscellaneous feest service orfeeder not included Each pump or irrigation circle (2)$E9.00 $ Each sign or outline lighting (2)$r02.oo $ Signal circuit or a limited-energy panel, alteration, or extension (2)$102.00 $ Each additional inspection: (l)$r02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) t loL (B) Enter l2% surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D): DEPARTMENT USE ONLY 4<peBl-ePermit no.: v )olDate Last edited 7lll20l9 BJones t, $ttq.V'