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Home My WebLink AboutPermit Electrical 2019-10-18OREGON Web Address: www.springfi eld-or. gov Building Permit Commercial Electrical Permit Number: 81 1-19-O02365-ELEC IVR Number: 8LL07L735449 City of Springfield Development and Public Works 225 Fifth Streel Springfield, OR 9747i 54L-726-3753 Email Address: permitcenter@springfield-or.go\ SPRINGFIELD '9b Permit Issued: October 18, 2019 TYPE OF WORK Category of Construction: Commercial Submitted Job Value: $0.00 Description of Work: New circuits - Benchmark Physical Therapy Type of Work: New JOB SITE INFORMATION Worksite Address 5707 MAIN ST Springfield, OR 97478 Parcel L702334400800 Owner: Address: MCKENZIE CROSSING PARTNERSHIP LTD PO BOX 1328 EUREKA, CA 95502 LICENSED PROFESSIONAL IN FORMATION Business Name CL COOTS ELECTRIC INC . Primary License ccB License Number L87739 Phone 503-910-8828 PENDING INSPECTIONS Inspection 4999 Final Electrical 4500 Rough Electrical 4999 Final Electrical 4250 Branch Circuits Inspection Group Elec Com Elec Com Elec Com Elec Com Inspection Status Pending Pend ing Pend ing Pend ing 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 i nspections at www. buildingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-282L use IVR number: 81L071735449 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. Att provisions of laws and ordinances governing this type of work wilt be comptied 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 law regulating construction or the performance of construction. ATTENTIONT Oregon taw requires you to fottow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OOIO through OAR 952-0O1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-19A7. All persons or entities performing work under this permit are required to be licensed untess exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O2O (plumbing). L. Permit Number: 811-19-OO2365-ELEC Page 2 of 2 Fee Descraptaon Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Quantity 11 Fee Amount $169.00 $8.4s $20.28 $t97.73Total Fees: Printed on: lO/18/19 Page 2 of 2 C: \my Reports/reports//production/01 STANDARE PERMIT FEES SPRINGFIELD # OREGON /'/ww. sp ri n g fi e ld-or. gov Worksite address: 5707 MAIN ST, Springfield, OR 97478 Parcel:'1 702334400800 Transaction Receipt 81 1 -1 9-002365-ELEC Receipt Number: 472721 Receipt Date: 10/18/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield-or.gov Fees Paid Iransaction date 10t18t19 10t18t19 10t18t19 Units 11.00 Qty 1.00 Ea 1.00 Automatic Technology Fee Description Branch circuits without service or feeder State of Oregon Surcharge - Elec (12o/o of applicable fees) Account code 224-000004261 02-1 033 82 1 -00000-2 1 5004-0000 20 4 -00000 - 42560 5-0 00 0 Fee amount $169.00 $20.28 $8.45 Paid amount $169.00 $20.28 $8.45 Dayment Method: Check number:2863 Payer: CL COOTS ELECTRIC INC Pavment Amount:$197.73 3ashier: Katrina Anderson Receipt Total:$197.73 ,rinted: 10/18/19 8:38 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr t CITY OF SPRINGFIELD, OREGON Electrical Permit lication DEPARTMENT USE ONLY Permitno.: t(-Oo2bb{ Date: tO \B lq This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. &, 225 Fifth Street.Springfield, oR 97477oPH(541)726-3753.FAX(541)726-36E9 LOGAL GOVERNMENT APPROVAL Zotingapproval verified? E Y"r E No CATEGORY OF CONSTRUCTION E Residential I Govemment ppommercial JOB SITE INFORMATION AND LOCATION Job site address;5]13] lVlAt{ gi- Citfl5=12t$€<fr,3-D State: Ulz ZIP: Reference:Taxlot. DESCRIPTION OF WORK nFa^nD z I PROPERTY 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(t) and 479.560(l). Signature: CONTRACTOR INSTALLATION Business name Addressp.p ,B"X 3t Ia Citll:-T1 , (ZaEv(-State:6YL ztP€\+j29, Yhoneffi-\tO-%A?3 Fax: E-mail: Cl-r r*>*A-A.T1Z;L /A Cryt*l l, Uv^ CCB license no.?3 BCD license S s license no.:5 Print name of Signature of signing rupe.vir( 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 $ Each manufacfured home or modular dwelling service or feeder (2)$89.00 s Services or feeders: installatiou, alteration, relocation 200 amps or less (2)$l 12.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)s285.00 $ Over 1,000 amps or volts (2)$654.00 $ Recorurect only (2)$89.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2)s89.00 $ 201 to 400 amps (2)s122.00 $ 401 to 600 amps (2)$177.00 $ Over 600 amps or 1,000 volts, see seryices or feeders section above Branch circuits: new, alteration, extension 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)$89.00 sg) Each additional branch circuit /o $8.00 w Miscellaneous fees: serru'ice or feeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)s89.00 $ Signal circuit or a limitcd-cncrgy pancl, alteration, or extension (2)$89.00 $ Each additional inspection: (1)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)'tlfr (B) Enter 127o surcharge (.12 x [A])s (C) Technology Fee (5% of [A])$ 0.4,9 TOTAL fees and surcharges (A through D):$ I Last edited 7/1/2019 BJones \q?.'a 7 I