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Home My WebLink AboutPermit Electrical 2007-10-3 Date ZON CJl INITIALS r}A _ ~ . DATE (() .'~.U ' SOURCE ~\. ~ L..-/ ~ \\2; -0'3-0'"1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL P.~IT APPLjf(ATION City Job Number , ') \, ~~\ l ClA60~ -t:\,~-D ~~ ( .. S ~=-. ~ Each Additional Circuit or with \ 'lOr. '"'\ . Service or Feeder Permit Owners Name V \JVlL) ACl~tydre\ ~f-(~ tt\? j\~h~ne ~l2.... 4ft) E. l\'liss~l~~neous (Ser~ice/feeder not included) -Each Iilstallation '-lJ.Y ^ ..J '\ Y._tt~ Pump or irrigation $ 50,00 Si$.iOutline Lighting $ 50,00 ~IQih(":EnergY/Residential $ 25.00 Mi~.J.'.!..f.t.. ..~. 00.. R.~....~~..~E.SJ.rIf~~~*,V1'noJ 1';Nf~8'dljAYPER~ONEP FOR 'I) W J 8% State Surcnarge . \""1 J riL 10% Administrative F ee ~ 7-.~ 5% Technology Fee \ , .w 2.-10.ld) l.iR:.C4.TiO~EiNST.j' L4TI()N:{' \r5\\)- .. \J\)\( ...... ~yc;_uj\. L~~~~b CJ6 3dJ J~i1Fs~~ l.l) I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ; .CONTRACTQRii'ls'TAiiATION9NLY- , ,. " ' ,. .' . '-"/ . ,.,~ " ,.~-, " . - ' ' -. .' - , Electrical Contractor Ri_A_; \JQj',<;:' t:::\.e.ck~c Address \ '1' S' yVl 0.. J~ ~ 0.."\ S-\. Phone i-/q,~ -09 d~ City ~ lA:f -112 - Supervisor License Number .-505 f.o S Expiration Date I 0 } I \ 2-00 J L-\ ?- 9 iO Constr. Contr. Number Expiration Date \ 7_ I, Q \ 2-0 \:) '1 - , Signature of Supervising Electrician OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~I~:,~::~ 3. "CO~MPtETE FEE SCHEDULE BELOlV A. .~e;!Resident,~al-. SjJ!~gle oj"l\'Iulti-Family p~rdwelli;lg unit: Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 B.Sei':vi~es()r F~ed~rs':: InstaU~ti~n, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only ATTEN"nQN:Oregonlaw requir~s YQU.t() fo!l6W rUiIi~~bIY~t>,M~~}.Jtfltty , Notification Center. Those rules are set forth In OAROOilOOibtQ,OOldflr~UJQb~~~~01. 0090. 1&JJi! <6blaJ~ copies of the rules by calliqg t e enfer. (Note: the telepb.oclI:lI numitEi( P\lffetti~~drrmility Notification 40bMUW \9 <10e~2-2344).. $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel A '1. cD One Circuit \ $ 43.00 ~;:) ~ ~ ~q$ 3,00 \\\.dJ TOTAL Shared Drive(T:)/Building Fanus/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01227 ISSUED: 10/03/2007 APPLIED: 08/20/2007 EXPIRES: 04/03/2008 VALUE: $ 16,531.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 21ST ST ASSESSOR'S PARCEL NO.: 1703250000802 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial PROJECT DESCRIPTION: Pallet rack installation Owner: OL YMPIC LLC Address: PO BOX 26125 EUGENE OR 97401 , Phone Number: 541-521-1004 Contractor Type General I CONTRACTOR INFORMATION' Contractor License MA TERIAL FLOW & CONVEYOR SYSTEM 99999 BUILDING INFORMATION I Expiration Date 06/15/2008 Phone 503-684-1613 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M S-1 VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS. Street Improvements: AIIt:NT10N: Or~gon law requires you,',O Sidewalk Type: I dopted by the Oregon Utility Storm Sewer AvailablJ.oII?W ru esCa t r Those rules are set forth DownspoutslDrains: S 'I ' Notification en e . 1 pecml nstructlOn: In OAR 952-001-0010 thrO~gh OAR 952-00 . 0090 You may obtain copies of the rules by Notes: caliin the center. (Note: the tel~pho~e NOTICE: K ~~MIa:r for the. OrAoon ~;~i~'~~Jtlficatlon "fl~~,~ OFQflnlT ~HALL EXPIRE IF THE WOR_ Center is 1 "'VOl&. L.V"I". . AUTHORIZED UNDER THIS PtHIVlI1 \" I~\ll Valuation Descri COMMENCED OR IS ABANDONED FOR $ Per Sq Ft Square FooNftV 180 DAY PERIOD. Description Type of Construction , Value Date Calculated or multiplier or Bid Amount Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01227 ISSUED: 10/03/2007 APPLIED: 08/20/2007 EXPIRES: 04/03/2008 VALUE: $ 16,531.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 16,531.00 $16,531.00 $16,531.00 08/20/2007 Total Value of Project Fees Paid J Fee Description Plan Review CommlInd/Public Amount Paid Date Paid $116.16 8/20/07 Receipt Number 1200700000000001063 Total Amount Paid $116.16 I Plan Reviews I Fire Department Review 08/28/2007 09/30/2007 OK GRG Plans Review: Rack storage in storage room. Job #COM2007-01227. Rack elevations show the rack storage not to exceed 12 feet. Plans appear to meet code requirements. Initial Review Structural Review 08/21/2007 08/22/2007 08/22/2007 09/07/2007 APP WI LLH JMP Received 8/28/2007 with 4 applications and a heavy backlog. Approved per email to Gilbert dated September 7, 2007. See attached documents Structural Review 10/03/2007 10/03/2007 APP JMP To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reauired Insoections I Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Sp,rjI1gfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00557 COM2007-00557 COM2007-00557 COM2007-00557 COM2007-00557 Payments: Type of Payment CreditCard c Receint 1 RECEIPT #: 2200700000000001538 Date: 10/03/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 903021 Phone Payment Total: Page 1 of I 7:20:24AM Amount Due 43,00 177,00 11.00 17,60 22,00 $270.60 Amount Paid $270,60 $270.60 10/3/2007