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Home My WebLink AboutPermit Electrical 2019-09-25OREGON Web Address: www.springfield-or.9ov Building Permit Commercial Electrical Permit Number: 811-19-OO0355-ELEC IVR Number: 811040903048 City of Springfield Development and Public Works 225 FiFth Street Springfield, OR 97477 547-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD '& Permit Issued: September 25, 2019 Category of Construction: Commercial Type of Work: Alteration Submitted Job Value: $0.00 Descriptaon of Work: (6) FEEDERS AND (4) BRANCH CIRCUITS FOR MDF RECONFIGURATION. Worksite Address 555 INTERNATIONAL WAY Springfield, OR 97477 Parcel 1703 1 54000700 Owner: Address: PACIFICSOURCE PROPERTIES LLC 110 INTERNATIONAL WAY SPRINGFIELD, OR 97477 Busaness Name MORROW MEADOWS CORP. Primary MORROW MEADOWS CORPORATION TRACE N THOMPSON License (C) Electrical Contractor CCB (S) Electrician, General Supervising License Number 37-620C 91668 57195 Phone 503-566-5600 503-566-5600 36 1-8902 Inspection 4999 Final Electrical 4500 Rough Electrical 4150 Underslab Electric 41 10 Grounding/Bonding 4220 Electrical Service 4240 Electrical - Feeder Inspection Group Elec Com Elec Com Elec Com Elec Com Elec Com Elec Com Inspection Status Pending Pending Pending Pending Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Sched ule or track i nspections at www. build i ngpermits.oregon. gov ^r$N" d TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permits expire if work is not started within 18o Days of issuance or if work is suspended for 1go Days or tonger depending onthe issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.Granting of a Permit does not presume to give authority to violate or cancel the provisions of any other state or local lawregulating construction or the performance of construction, ATTENTIoN: oregon law requires you to follow rules adopted by the oregon utility Notirication center. Those rules are setforth in oAR 952-oo1-oo1o through oAR 952-oo1-oo9o, You may obtain copies of the rules by calling the center at (so3)232-t9a7, All persons or entities performing work under this permit are required to be licensed unless exempted by oRs 701.o1o(structural/Mechanical), oRs 479.540 (Etectricat), and oRs 693.01o-o2o (ptumbing), Pr'nted on: 9/25119 Page 1 of 2 cr\myReporLs/reports//productron/01 STANDARD Permit Number: E1 1-19-OO0355-ELEC Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811040903048 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Page 2 of 2 Fee Descraption Branch circuits with service or feeder each circuit Electrical plan review Services 600 amps Services over 1,000 amps or volts Services 201 to 400 amps Technology Fee State of Oregon Surcharge - Elec (L2o/o of applicable fees) Printed on. 9/25/19 4 Total Fees: Quantity Fee Amount $29.68 $49s.92 $430.00 $1,270.00 $254.00 $123.98 $238.04 $2,84r.62 C : \myReports/reporLs//production/01 STANDARD 2 2 2 Page 2 of 2 PERMTT FEES 5PRINGFIELD {s OREGOI{ www springfield-or gov Worksite address: 555 TNTERNATIONAL WAy, Springfietd, OR 97477 Parcel: 1 703'l 54000700 Transaction Receipt 81 1-19-000355-ELEC Receipt Number: 472515 Receipt Date: 9/25119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 547-726-3753 permitcenter@spri ngfield -or. gov Fees Paid Transaction date 9t25t19 9t25t19 9t25t19 9125t19 9t25119 9125t19 9125t19 Units 2.00 Ea 2.00 Ea 2.00 Ea 4.00 Ea 'l .00 Ea 1.00 Ea 1.00 Automatic Description Services 201 to 400 amps Services 600 amps Services over 't ,000 amps or volts Branch circuits with service or feeder each circuit Electrical plan review State of Oregon Surcharge - Elec (12o/o ol applicable fees) Technology Fee Account code 224-000004261 02-1 033 224-000004261 02-1 033 224-000004261 02-1 033 224-00000426'l 02- 1 033 224-000004261 02-1 033 821 -00000-21 5004-0000 1 00-00000-425605-0000 Fee amount $254.00 $430.00 $1,270.00 $29.68 $49s.92 $238.04 $123.98 Paid amount $254.00 $430.00 $1,270.00 $29.68 $495.92 $238.04 $123.98 Payment Method Credit card authorization: 71581 Payer: trace thompson Payment Amount:$2,841.62 Cashier: Katrina Anderson Receipt Total:$2,841.62 Printed: 9/25119 3:19 pm Page 1 of 1 Fl N_TransaciionReceipt_pr CITY OF SPRINGFIELD, OREGON Electrical Permit ation 225 Fifth StreetoSpringfield, OR 97477o PH(541)726-3753. FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. FEE SCHEDULE Number of inspections per item ( )Qty Cost ea. TotaI cost Residential, per unit, service included: 1,000 sq. ft. or le ss (4)$186.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)s44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instal latiott, aheration, relocation 200 amps or less (2)$r 12.00 s 201 to 400 amps (2)2 $13r.00 $ 401 to 600 amps (2)L $221.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)Z $654.00 $ Reconnect only (2)$89.00 s Temporary services or feeders: installotion, alteration, relocotion 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 $ 401 to 600 amps (2)$177.00 S Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alter.ation, exlension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $8.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2)I $89.00 $ Each additional branch circuit 3 $8.00 $ Miscellaneous fiees: service orfeeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal.circuit or a limitcd-energy pancl, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$ (B) Enter l2Vo swcharge (.12 x tAl)$ (C) Technology Fee (S% of[A])$ TOTAL fees and surcharges (A through D):$,, B.{1, & h, DEPARTMENT USE ONLY Permirno: \4-OOE35t' Date tls )9 LOCAL GOVERNMENT APPROVAL Zoning approval verified? E Yes E No CATEGORY OF CONSTRUCTION E Residential ! Govemnrent {Commercial JOB SITE INFORMATION AND (OCANOH Job site address: city: SQNn^A'dt{nPqlq-r'+ Taxlot.:Referencei \) DESCRIPTION OF WORK PROPERW OWNER Name: address: \ \O jfr,".f<rn^*rY''n-J- l-^5 "rfcity$1.\6ep-|,e-t.^State:tQ,ZlP4r\q!+ Phone:\ - J Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(l) and 479.560( I ). Signature: CONTRACTOR TNSTALLATION Business name {\\91 .f crr^)\NVa/+rJs Address: City:State ZIP Phone: E-mail CCB license n.., Q1!G$BCD license no.: Signing supervisor's license no Print name of Signature of signing supervisor:G- Last edited 7/l/2019 B,Iones Fax: