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Home My WebLink AboutPermit Electrical 2008-3-25 3. ZON \~ INITIALS N IV\. ~ DATE <3l2-1 Lat' ~.1/ SOURc~~,1 3h-r~ y I I COMPLETE FEE SCHEDULE BELOW SPRINGFIELD ., 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number c..." ""^ eo 0 g - () 0 Lf 03 1000 sq ft or less Each addItional 500 sq ftqu-\res 'IOU .\~ Comolete Electrical Installation portIOn.t~f~on \aW fe oregon Ut\\\~1~ $ 2100 Permits are non-transferable and expire if work is p..'rn~.t-~1~~~f3~~r~es are ~~~~01: not started within 180 days of issuance or if work is 10\\OW ~ ffiw~~h ~~iW~pp..R \ s '0"1 Suspended for 180 days. NotihC~ ~mr001.00~ 'eS ot the tU e $5500 \n op..R J ~a'/ obta\n cOf~. the \e\e.~hO~~n 2. CONTRAC,!OR INSTALLATION ONLY 0098. .'{~~ec~~~~ 'O\\\"'~'\~terations or Relocation: ca\\"'':::J t the Ot~~ -332-2.34..,. Electncal Contractor Olsson Industrial Elect:rl\~~.er f.$~-&OO $ 70.00 201 Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $41300 Reconnect Only $ 55 00 1. LOCATION OF INSTALLATION: 1550 N 42nd Street LEGAL DESCRIPTION /7D2- 3000 c::> 04 c.:s JOB DESCRIPTION Address 1919 Laura Street City Phone 541 - 74 7 - 84 6 0 Snrinafield - - SupervIsor LIcense Number 3 3 34 S EXpIratIOn Date 10 / 0 1 / 0 9 Constr ContI' Number 634 73 ExpIration Date 1 /2 6 / 0 9 SIgnature of SupervIsmg ElectncIan ~~ Owners Name Weverhaeuser Co. Address -=to 13 ~ lf7 77 CIty fei>~l tJJt.( Phone vA 9BC>6-S OWNER INST ALLA TION The mstaIlatIon IS bemg made on property I own which IS not mtended for sale, lease or rent. Owners SIgnature Inspection Request: 726-3769 Date A. New Residential- Single or Multi-Family per dwelling unit. Service Included $11700 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 55 00 201 Amps to 400 Amps $ 76 00 OOT!Gi:to 600 Amps $110 00 T~ I?~ SJ-tw.m~,,\f.,l~~ORK IAU>>{Q8t4fij;tJJ&jDER THIS PERMIT IS NOT ~M~lN ~$fJ ~{t\~~~o1~9tt~2 FOR ~ (!:t!'[lt · 1 $ 48 00 48 . 00 Each AddItIOnal CIrcUIt or WIth ServIce or Feeder PermIt $ 400 3 12.00 E. MIscellaneous (Service/feeder not included) -Each Installation Pump or lITIgatIOn $ 55 00 SIgn/Outlme LIghtmg $ 55 00 LImIted Energy/ResIdentIal $ 28 00 LImIted Energy/Commercial $ 5000 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE 12% State Surcharge 10% AdmInIstrative Fee 5% Technology Fee 60.00 7.20 6.00 3.00 76.20 /' Shared Dnve(T )/BuIldmg Forms/Electncal PermIt ApplIcation 1-08 doc TOTAL Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00403 ISSUED: 03/25/2008 APPLIED: 03/25/2008 EXPIRES: 09/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1550 42ND ST ASSESSOR'S PARCEL NO.: 1702300000403 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add alter 4 circuits Owner: WEYERHAEUSER COMPANY Address: PO BOX 9777 FEDERAL WAY WA 98063 Owner: RAINBOW WATER DISTRICT Address: PO BOX 8 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor License OLSSON INDUSTRIAL ELECTRIC 63473 !:JWHJDm(.r;\~~~RMA TION I . o~e90(\ \ \ne O~~ldv ' set ,on" # of Units: :rn;..\~\ ,O~\, dO?\eo 'o'l e {Ji€6f~~is~~OQ'\" Primary Occupancy Gf?~B~ tv\~S ~e(\\e{. \n~~ougtl~g~~\UluR){re Secondary Occupancy blmH}1\\\~\ \ -OO~ -OO~ ~ \ CO?\~~!&~~~e Primary Construction ~t~i\? 90'2. {1\a'l o'o\a$\l~O\e~fe~tmee.\\on Secondary Constructio~~l::'{ou ~e ce(\\e~. 0(\ \.R~ih1il\~pe: # of Bedrooms: 00.\\\(\9 \: \o~ \ne .o(e.~OO-3~fe'~y Path: nutn'oetCi(\tet \$ '\ Sprinkled Building' Contractor Type Electrical Expiration Date 01126/2009 Phone 541-747-8460 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: \\t \NO~\<. -tee- .., ~\,\"t ~~:~\1 \'3 ~O\ I P-JB~i1 - O~w $"\'6 ~O\..~~$ fOR l~:t~~~~v ~\)\\\O t.\) O~ \'3 Sidewalk Type: COW\W\t.~C ~'{ ?t.~\O\). ~~'{ "\ ~Q \) REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00403 ISSUED: 03/25/2008 APPLIED: 03/25/2008 EXPIRES: 09/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.00 $7.20 $3.00 $48.00 $12.00 3/25/08 3/25/08 3/25/08 3/25/08 3/25/08 1200800000000000273 1200800000000000273 1200800000000000273 1200800000000000273 1200800000000000273 Total Amount Paid $76.20 I Plan Reviews I 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. Reouired Insoections I Rough Electric: Prior to Cover 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, Buildmg 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 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3159 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00403 COM2008-00403 COM2008-00403 COM2008-00403 COM2008-00403 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000273 Date: 03/25/2008 DescriptIOn Add, Alter, Extend Clrc Add, Alter, Extend Ctrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By OLSSON INDUSTRIAL ELECTRIC Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 49025 In Person Payment Total: Page I of 1 2:54:24PM Amount Due 4800 1200 300 720 600 $76.20 Amount Paid $76 20 $76.20 3/25/2008