HomeMy WebLinkAboutPermit 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