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Home My WebLink AboutPermit Electrical 2008-2-8 3. ZON L.rYW INITIALS 1"3 Y\A Iib.-!) DATE 'J_r II ,.i)~ ~~ SOURCE~5 ~ ';r~ f CONIPLETE FEE SCHEDULE BELOVV [~P'_ -r--" _-.".-~] r -{..J.-~~V-:;;- ~r<-~"""'-'-..-'-t~......,_.r"":~ >.i~--rr;:-J~')'-~~' <; ",-'~ -. ;;'\..~ - ,;;-J....-i"~{!:.....f-~'"; r" ~J zi........:t-- .......J., '--l....~.."'''''-~'\-....~ ~ ...-.{~"'\ ~._,~..",.;<..... ..~ "'.,,_,-, l"-:-,, ' \ [t- Y Ur(,-~J-J,Jd,trr'JhL.LJ, Ui(r~()C.)r'r;-",' - -'~- - ~--"'::':_"-' ......>-> _ ...... _.>J___~~ _~:........__....- ~,_ __......"'-.~.:..~ --..........~ _...' ~ ~~ ..:..~ ............':1.. _ ..,__ SPR.NGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(54I)726.3753 . FAX' (541)726.3689 ELECTRICAL PERMIT APPL1CATION CIty Job Numbel CO~-z...o-<:> f'- Dc 0 S- Z 1. LOCATION,{JF INSTALLATION: 3/ { 0 r{~c..e ~(Uv~ I LEGAL DESCRIPTION 17 ~ 2.J 000 . 0(000 3110 Plerce Parkwav JOB DESCRIPTION wire Addition to OMS Buildinq 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. CONTRACTOR INSTALLATION ONLY E]ectncal Contractor Olsson Industrial Date A. New HeSldentlal - Single 01 ]VIu]tI-Family pCI dwellIng UllIt Service Included ] 000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modu]ar Dwellmg ServIce or Feeder $]]700 $ 2] 00 $55 00 B. SCJ"vices or Feeders - InstallatIOn, AJteratiom or Relocation. Electric200Am~or]eY 20] Amps to 400 Amps 40] Amps to 600 Amps 60] Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only In"tallationr Altfr~Wlfu%r.&oLowtion -,'-;-r.I\JT'ON: uregon aw 1::1..1 yvu. . . JJ!CV\; .ules ~~~Nrn lifylq~ Oregon Utility $ 55 00 ,i - .''''catlon C~lt@;mfi'lHg5l@(jliAetpalre set forth $ 76 00 ;~J6AR 952-oe~1~~~r~&ilAR 952-001- $]]000 ~Q20.. You m~~~I?f~~tp~~"~W:~" above. callmg t'1l. EB1r;wcJJ.; inwttt Notification number for the ure~ 11 ULIl Y Cen~1tt.OOa~~on Per Panel One CIrcUIt 01 $ 48 00 S 48, 00 Each AddItIOnal CIrCUIt or wIth ServIce or Feeder Penmt 33 $ 4 00 S 13 2 , 00 Address 1919 Laura Street CIty Phone 541 - 74 7 - 84 6 0 Snrinafield - - SupervIsor LIcense Number 3334 S ExpIration Date 10 /01 /09 Constr Contr Number 63473 ExpIration Date 1 /2 6 / 0 9 S'~4:E]~:n 02 $ 70 00 S 140_00.. $ 83 00 $] 38 00 $ I 8000 $413 00 $ 55 00 C. Tempol ary ServIces 01 Feeders Owners Name .QrP2'cm Mi 1 i r.::J ry Dppr Address1776 Mllltia Way (p o. box 143500~' Mlscellancous(Servlce/feedcrnotinc1uded)-Eac1JJnstallation City Salem 97309 Phone OWNER INST ALLA TION The mstallatlOn IS bemg made on property lawn whIch IS not mtended for sale, lease or rent Owners SIgnature Inspection Request: 726-3769 Pump or Imgatlon $ 55 00 SlgnlOuthne LIghtmg $ 55 00 LImIted Energy/Resldentlal $ 28 00 LImIted Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges NdTH~E'"BTOTAL OF ABOVE QRK THIS prnMl>T'S~~~R~~~~~TEI: NOT ~~~~rs~tJW'~~BANDQNED FOR ANY 1l8i)rGAY PERIOD. $406.40 Shared Dnve(T )/BUlldmg Fonns/Electncal Perml! Apphcallon 1-08 doc 5320_00 $ 38 40 $ 32.00 $ 16,00 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01130/2008 APPLIED: 01114/2008 EXPIRES: 08/08/2008 VALUE: $ 211,233.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3110 Pierce Pkwy ASSESSOR'S PARCEL NO.: 1702300001000 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Public PROJECT DESCRIPTION: Addition to Facility Maintenance Shop (FMS) Owner: STATE OF OREGON MILITARY DEPARTMENT Address: PO BOX 14350 SALEM OR 97309 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor WILDISH CONSTRUCTION CO OLSSON INDUSTRIAL ELECTRIC License 695 63473 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: ATTENTION: or~W~~eri~p~qUireS you to follow rules ado a8~\r gecregon Utility Notification Cente.:,,!lJ~ (rohi~ are set forth in OAR 952-001-0U1'UmMl(fQ"'tYttR'~52-001. n/a UUl:iU. YO \.!"'....' ',~ ';J'7..' ~~l calling t UN number for the Oregon Utility Notification Center is &~lkrt1lsf.344). # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 10/22/2011 01126/2009 Phone 541-485-1700 541-747-8460 Lot Size: Sq Ft 1st Floor: 2,772 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01/30/2008 APPLIED: 01/14/2008 EXPIRES: 08/08/2008 VALUE: $ 211,233.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 211,233.00 Value Date Calculated Total Value of Project $211,233.00 $211,233.00 01/17/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 1/30/08 1200800000000000087 + 10% Administrative Fee $169.29 1/30/08 1200800000000000087 + 10% Administrative Fee $173.90 1/30/08 1200800000000000087 + 12% State Surcharge $169.89 1/30/08 1200800000000000087 + 12% State Surcharge $175.42 1/30/08 1200800000000000087 + 5% Technology Fee $70.79 1/30/08 1200800000000000087 + 5% Technology Fee $73.09 1/30/08 1200800000000000087 Air Handling Unit Up to 10,000 $18.00 1/30/08 1200800000000000087 Appliance Not Listed $40.00 1/30/08 1200800000000000087 Building Permit $1,023.80 1/30/08 1200800000000000087 Fire SF Fee - Non-Residential $277.20 1/30/08 1200800000000000087 Fixture $112.00 1/30/08 1200800000000000087 Gas Outlets 1-4 $5.00 1/30/08 1200800000000000087 Gas Outlets 4+ $6.00 1/30/08 1200800000000000087 Inspections - Hrly Building $50.00 1/30/08 1200800000000000087 Inspections - Hrly Electrical $50.00 1/30/08 1200800000000000087 Inspections - Hrly Mechanical $50.00 1/30/08 1200800000000000087 Inspections - Hrly Plumbing $50.00 1/30/08 1200800000000000087 Plan Review Comm/Ind/Public $665.47 1/30/08 1200800000000000087 Plan Review Fire & Life Safety $409.52 1/30/08 1200800000000000087 Storm Sewer - Ist 50 Feet $50.00 1/30/08 1200800000000000087 Vent Fan $7.00 1/30/08 1200800000000000087 + 10% Administrative Fee $32.00 2/8/08 1200800000000000119 + 12% State Surcharge $38.40 2/8/08 1200800000000000119 + 5% Technology Fee $16.00 2/8/08 1200800000000000119 Add, Alter, Extend Circ $48.00 2/8/08 1200800000000000119 Add, Alter, Extend Circ Ea Add $132.00 2/8/08 1200800000000000119 Perm Serv/Fdr 200 amps or less $140.00 2/8/08 1200800000000000119 Total Amount Paid $4,092.77 I Plan Reviews I Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01130/2008 APPLIED: 0111412008 EXPIRES: 08/08/2008 VALUE: $ 211,233.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Review Comments 01/22/2008 01/22/2008 10 DJP This approval does not include the energy code review and/or approval. Permit holder is proceeding at their own risk if work continues beyond slab on grade. 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.Reouire~nSD~ctions I Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Masonry: Drywall: Prior to taping. Ceiling Insulation: Prior to cover. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Pa2e 3 of 4 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01/30/2008 APPLIED: 01/14/2008 EXPIRES: 08/08/2008 VALUE: $ 211,233.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 4 of 4 225 Fifth Street Springfield', Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00052 COM2008-00052 COM2008-00052 COM2008-00052 COM2008-00052 COM2008-00052 Payments: Type of Payment Check cRecelOt I RECEIPT #: 1200800000000000119 Date: 02/08/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Add, Alter, Extend Ctrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Paid By OLSSON INDUSTRIAL ELECTRIC Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received dJb 48523 In Person Payment Total: Page 1 of 1 11 :06:03AM Amount Due 14000 4800 13200 1600 3840 3200 $406.40 Amount Paid $406 40 $406.40 2/8/2008