HomeMy WebLinkAboutPermit Electrical 2019-12-31OREGON
Web Address: www.springfield-or.gov
Building Permit
Commercial Electrica!
Permit Number: 81 1-19-OO2802-ELEC
IVR Number: 811097216753
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54r-726-3753
Email Address: permitcenter@springfield-or. gov
SPRINGFIELD
ofr
Permit Issued: December 3I,2Ot9 Project: Black Label LLC
TYPE OF WORK
Category of Construction: Commercial Type of Work: New
Submitted Job Value: $0.00
Description of Work: 600 Amp service 150 KVA Transformer 16 Branch Circuits
JOB SITE INFORTTIATION
worksite Address 4" *d-t'tt-LtJ'720 35TH sr UNIT A l:w'' - -
Parcel
t7023L2L0260t
Owner:
Address:
BLACK LABEL LLC
79 CENTENNIAL LOOP
EUGENE, OR 97401
Springfield, OR 97478
LICENSED PROFESSIONAL INFORMATION
Business Name @
EXCEL ELECTRIC LLC - Primary
License
ccB
License Number
223496
Phone
54L-952-L492
PENDING INSPECTIONS
Inspection
4999 Final Electrical
4220 Electrical Service
4500 Rough Electrical
Inspection Group
Elec Com
Elec Com
Elec Com
Inspection Status
Pending
Pending
Pending
SCH EDULIl{G 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.
Sched ule or track inspections at www.build ing permits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LL097216753
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 18O Days ofissuance or if work is suspended for 1EO Days or longer depending on
the 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 pnesume to give authoriw to violate or cancel the provisions of any other state or local law
regulating 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-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3)
232-L987,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.O10
(StructurauMechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O20 (Plumbing).
printed on: t2l3vtg Page 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-OO28O2-ELEC Page 2 of 2
Fee Description
Branch circuits with service or feeder each circuit
Electrical plan review
Services 600 amps
Services 201 to 400 amps
Technology Fee
State of Oregon Surcharge - Elec (l2o/o of applicable fees)
Printed on: 12l31/19
Quantity
16
Total Fees:
Fee Amount
$ 1 28.00
$ 120.00
$221.00
$ 131.00
$30.00
$s7.60
$687.60
1
1
Page 2 of 2 C :\myReports/reports//production/01 STANDARD
PERMIT FEES
SPRINGTIE
Transaction Receipt
81 1 -1 9-002802-ELEC
IVR Number: 81 1097216753
Receipt Number: 473417
Receipt Date:12131119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
perm itcenter@springfield -or. gov
,rfr
OREGON
www.springf ield-or. gov
Worksite address: 720 35TH ST, UNIT# A, Springfield, OR 97478
Parel: 1702312102601
Fees Paid
Account codeTransaction Units
date
12t31t',19 1.00 Ea
't2t31119 1.00 Ea
12t31119 'r6.00 Ea
12131t19 1.00 Ea
12t31t19 '1 .00 Ea
Description
Services 201 to 400 amps
Services 600 amps
Branch circuits with service or feeder
each circuit
Electrical plan review
State of Oregon Surcharge - Elec
(12o/o ot applicable fees)
224-OOOOO- 4261 02- I 033
224-00000 -4261 02-1 033
224-00000- 4261 02- 1 033
224 - 00000 - 426 1 02- 1 033
82 1 -00000-21 5004-0000
20 4 -00000 - 42560 5-0000
Fee amount
$131 .00
$221.00
$128.00
$120.00
$57.60
$30.00
Paid amount
$131.00
$221.00
$128.00
$120.00
$57.60
$30.0012t311191.00 Automatic Technology Fee
Payment Method: Credit card
authorization: 09336d
Payer: EXCEL ELECTRIC
LLC
Payment Amount:$687.60
Cashier: Katrina Anderson Receipt Total:$687.60
Printed: 12131/19 10:00 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr
lr
OREGON
Web Address: www.springfield-or. gov
Building Permit
Commercial Electrical
Permit Number: 81 1-19-OO28OO-ELEC
IVR Number: 811013958376
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGTIELD
b
Permit Issued: December 3t,2Ol9 Project: Black Label LLC
TYPE OF WORK
Category of Construction: Commercial Type of Work: New
Submitted Job Value: $0.00
Description of Work: 800 Amp Service 75 KVA Transformer 10 Branch Circuits
JOB SITE INFORMATION
Worksite Address
720 35TH ST UNIT B
Springfield, OR 97478
Parcel
17023L2tO260t
Owner:
Address:
BLACK LABEL LLC
79 CENTENNIAL LOOP
EUGENE, OR 97401
LICENSED PROFESSIONAL INFORMATION
Business Name
EXCEL ELECTRIC LLC - Primary
Onc-M":f License
ccB
License Number
223496
Phone
54t-952-L492
PENDING INSPECTIONS
Inspection
4999 Final Electrical
4500 Rough Electrical
4220 Electrical Service
Inspection 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: 811013958376
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy,
All provasions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
cranting 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.
ATTENTION3 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-t987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(structural/Mechanical), oRs 479.540 (Electrical), and ORs 693.010-020 (Plumbing)'
printed on: l2l3lltg page 1 of 2 c:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-OO28OO-EtEC Page 2 of 2
Fee Description
Branch circuits with service or feeder each circuit
Electrical plan review
Services 601 amps to 1,000 amps
Services 201 to 400 amps
Services 201 to 400 amps
Technology Fee
State of Oregon Surcharge - Elec (L2o/o of applicable fees)
Printed on: L2l3tl79
Quantity
Total Fees:
Fee Amount
$80.00
$2ss.0o
$285.00
$524.00
$ 131.00
$63,7s
$L22.4O
$1,461.15
10
1
4
1
Page 2 of 2 C: \myReports/reports//production/0 1 STAN DARD
PERMIT FEES
SPRINGFIELD
#Transaction Receipt
81 1 -1 9-002800-ELEC
IVR Number: 81 1013958376
Receipt Number: 473416
Receipt Date: 1213'1 119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri ngfield-or. govOREGON
www. springfield-or. gov
Wo*site address: 720 35TH ST, UNIT# B, Springfield, OR 97478
Parcel: 1702312102601
Transaction Units
date
12t31/t9 4.00 Ea
12t31t'.tg 1.00 Ea
12t31t19 10.00 Ea
12t31t19 1.00 Ea
12t31t19 '1 .00 Ea
12t31119 1.00 Ea
Description
Services 201 to 400 amps
Services 601 amps to '1,000 amps
Branch circuits with service or feeder
each circuit
Services 201 to 400 amps
Electrical plan review
State of Oregon Surcharge - Elec
(12o/o oI applicable fees)
224-OOOOO -4261 02- 1 033
224-00000- 4261 02- 1 033
224-00000 -4261 02- 1 033
224-00000 -4261 02- 1 033
224-00000- 4261 02- 1 033
821 -00000-2 1 5004-0000
204-00000-425605-000012t311191.00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$524.00
$285.00
$80.00
$131 .00
$255.00
$122.40
$63.75
Paid amount
$524.00
$285.00
$80.00
$131 00
$255.00
$122.40
$63.75
Payment Method Credit card
authorization: 09336d
Payer: Christopher Dame Payment Amount:$1,461 .15
Cashier: Katrina Anderson Receipt Total:$r ,46r.15
Printed: 12131/t9 9:54 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr
\r