The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2014-6-4 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01208 www.springfield-or.goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/04/2014 EXPIRES: 11/30/2014 STATUS DATE: 06/04/2014 APPLIED: 06/04/2014 SITE ADDRESS: 801 42ND ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702290002903 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: EL-New battery and UPS building OWNER: IP EAT THREE LLC Phone Number: 541.510.9849 ADDRESS: PO BOX 2118 MEMPHIS TN 38101 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OLSSON INDUSTRIAL ELECTRIC INC CCB 63473 01/26/2015 541-747-8460 INSPECTIONS REQUIRED II Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4550 Limited Energy 4999 Final Electrical Final Electric: When all electrical work 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 or 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. Tr' Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001 AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by AUTHORIZED ED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1500-332 2344) • Springfield Building Permit 6/4/2014 10:51:10AM Page 1 of 1 Electrical Permit Application - DEPARTMENT USE ONLY "+ r: v SPRINGFIELD sCITY`OF SPRI `NGFIELD,OREGONr 1 `I Permitno.: 5/ i /� t 225 Fifth Street♦Springfield,Olt 97 477H1t(54f)726-3753•FAX(54I)7263689 OREGON /�t/V Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? mit Yes ❑ No Number of inspections per item() Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: ❑ Residential ❑Government kit Commercial 1,000 sq. It.or less(4) $147.50 $ _ JOB SITE INFORMATION AND LOCATION Each additional 500 sq. ftt or portion $ 27.50 $ Job site address: 801 42nd Street thereof City: Springfield State: OR ZIP: 97478 Limited energy(2) $ 35.00. $ 1 Reference: Taxlot.: Each manufactured hone or modular • $ 69.00 $ dwelling service or feeder(2) DESCRIPTION OF WORK New Recovery UPS System Building Services or Feeders: installation,alteration,relocauion 81 200 amps or less(2) 4 $ 89.00 PROPERTY OWNER 201 to 400 amps(2) 1 $ 104.50 $ t• -t.. S None: International Paper Company 401 to 600 amps(2) - $174.00 $ 601 to 1,000 amps(2) $225.50 $ Address: 801 42nd Street City: Springfield - State: OR ZIP: 97478 Over 1,000 amps or volts(2) $516.00 $ Phone:54f501 0798 Fax: - _ Reconnect only(2) $ 69.00 .$ E-mail: Temporary services or feeders: ii stallation,alteration, relocation ., jeff@olssonelec.com •200 its»ps or Icss(2) - ' $ 69.00 $ • This installation is being made on residential or farm property - - owned by me or a member of my immediate family.This 201 to 400 amps(2) .. ' • - $ 96.00 $ property is not intended for sale,exchange, lease,or rent. OAR 479.540(I)and 479.560(1). 401 to 600 amps(2) • , - i $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above • CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel Business name: Olsson Industrial Electric, Inc. a. Fee for branch circuits with purchase of a�service or feeder fee: r Address: Each branch circuit lh•,,,/�1►t' ,•'�0 1919 Laura Street City: Springfield Stale: OR ZIP: 97477 b.Fee for branch circuits without purchase of a service or feeder fee: Phone:541-747 8460 Fax:541-747 4846 First branch circuit(2) �� •=.6 e, E-mail: Each additional branch circuit E '. 6, 0 idigl CCB license no.: 63473 BCD license no.: 20-241 C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 3334S Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor:Dotgl s Hoer Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: ��. i Signal circuit or a limited-energy"panel, $ 80.00 $so Signature .�2� nitermiou,or extension(2) 1 Each additional inspection:(I) $80.00 $ . •• . , APPLICANT USE ( -e , Z • . (A) 'Enter subtotal of above fees $ 9 � ,. - (Miniimun Permit Fee$80.00) $ �' eu. .. ... A(B)Enter l2%surcharge(.12 x IA] _ a j. :t., i s• • (C)Technology Fee(5%of[AI) liginra. 440-2584-i(4/01/2013/C0M1) • • TOTAL fees and surcharges(A through C): $ ;, 49l r,i f r 709 . .;1 ZS ' SPRINGFIELD' -' CITY OF SPRINGFIELD 225 Fifth St °" Gr -4),- TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811-SPR2014-01208 www.springfieldar.gov 801 42ND ST permitcenter @springfield-or.gov RECEIPT NO: 2014001218 RECORD NO:811SPR2014.01208 DATE:06/04/2014 LDESCRIPTION `' 'ACCOUNT CODEITRANS'CODE°,„- AMOUNTLDUE Branch circuits with service or feeder each circuit 224-00000-426102 1004 140.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 364.00 Services 201 to 400 amps 224-00000-426102 1004 106.00 Signal circuit(s)or limited-energy panel, alteration, or extension 224-00000-426102 1004 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 82.80 Technology fee(5%of permit total) 100-00000-425605 2099 9.19 TOTAL DUE: 784.49 PAYMENT TYPE `.'i`�,PAYpR :`cast♦ieR:ccaereNreR :- .COMMENTS - `' 7=AMOUNT PAID ` -� -�.'.T;:.j Check OLSSON INDUSTRIAL ELECTRIC INC 784.49 66616 TOTAL PAID: 784.49 a SPRINGFIELD. ,.._ CITY OF SPRINGFIELD V '+, "t 225 Fifth St { (S4a TRANSACTION RECEIPT SpnngfieIQOR97477 ' ns OREGON 541-726-3753 811-SPR2014-01208 www.spry199614-or.gav 801 42ND ST permitcenter @spnngfield-ar.gov RECEIPT NO: 2014001219 RECORD NO:811-SPR2014-01208 DATE:06/04/2014 (DESCRIPTION .. . ACCOUNT CODE/TRANSCODE? AMOUNTDUE-'1 Technology fee(5%of permit total) 100-00000-425605 2099 25.31 TOTAL DUE: 25.31 LPAYMENT TYPE -'PAYOR. 'cnsrilEe:ccnevENTER "- COMMENTS , .• `��. -:°- - - 'AMOUNT PAID;' :',>;.. Credit Card DOUGLAS HEER 25.31 214094 TOTAL PAID: 25.31