HomeMy WebLinkAboutPermit Electrical 2007-1-26
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. a, CTTY'OF SPRlNGFIET2D', OR~60~;':' ,
SPAI.e:LD
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INITIALS
DATE
SOURCE
ll5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(54I)72~3753 . FAX, (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COl.N\ ZoO ~ - DO \"'3 't..
-
I-U-07
1. LOCA110NOFINSTAUA110N:
2300 Henderson Ave.
LEGAL DESCRIPTION:
I 80)0"320
JOB DESCRIPTION:
Underground for two gate motors
oDf:::l:>o
Permits are non-transferable and expire if work is
not started within 180 days of issuance Of if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Olsson Industrial Elec.
Address
1919 Laura Street
Supervisor License Number
,..
City
Eugene
Date
3. COMl'LETII nm SCHEIJUI..E BI,LOW
A. New Residcutial- Single or l\'lulti~Family per dwelling 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. St'rvices or Feeders - InstalJntion, Alterations or Relocation:
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
~ 601 Amps to 1000 Amps
City Springfield Phone 747-8460.. W~ Over 1000 AmpsIVolts
1fi/~A ~ ReconnectOnly
<0] ~ ~-
3334S 4",}O)~A ~f:> ~€. Tempol1lry Services or Feeders
. r '~~ ,,~;/ ,~~
Expiration Date 10/01/07 T.lru"" [("eft U~!~allation, Alteration or Relocation
_ - <V OJ U'r>-' F~
",)-... "IrA ~Ii 20.0Imp~"or less
Constr. Contr. Numb':;", 6'147.1 (C'-9, <f201 A'mps1'o400 Amps
/~VO~';V%-./~h: 'l/O<) 4Bi~A~p~~600)\mps
Expiration Qate QOl'126109 011,1._ . Ove;~60I~~ps.b~16Qo, Volts see "B" above.
v61',,g v~ -~ ~.", '~>> . /(l "-'2
Signature ofS erv'isin'~EleQici~?ct, .va) D. BranchC:irv.:iis4'O 'it
;~;?119 ~ ~V01.;\9-:- :(7e: .Vtv..o': New Alteratio~r Exf.nsion Per Panel
"""~~~Q.:;e::~V'n "'0, '>% 'h.. One Circuit 1
/ '-6l-'tl}. ".o'JI& '~/i) (~I'()< "ll. UI'S'.'/(g.s- Each Additional Circuit or with 1
'?1'lS>,..~O~ ~ ,...~, C'o.~ ,Y?1i ~i' i9o~ YO" Service or Feeder Permit
Owners Name p~t"jO."'~n"b~~~bln.er:T(rn~/o..- ! VJ. '0
"~-()n .~. u "'I~ v.s1 ~h'
Address 2300 Hende~soriI.Ave. 0/"" 'T ~(.. <)'" ~~E, Miscellanenus (Service/feeder nnt included) -Ench lostallntion
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Pho1r.o. 3Q;1~!99;'. V.
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OWNER INSTALLATION /O~
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
4. SUBTOTAL OF ABOVE:
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
46.00
3.68
4.60
2..::so
Shared Orive(T:}lBuilding FormslElectrical Pennit Application 8.06.doc
56.58
.
.CITY OF SPRIr'lt.l'lJ<.LlJ
Building/Combination Permit
PERMIT NO: COM2007-00132
ISSUED: 01126/2007
APPLIED: 01126/2007
EXPIRES: 07/26/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2300 HENDERSON AVE
ASSESSOR'S PARCEL NO.: 1803032000600
Engene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: nndergronnd for two gate motors
Owner: PETERSON MACHINERY COMPANY INC
Address: PO BOX 5258
SAN LEANDRO CA 94577
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OLSSON INDUSTRIAL ELECTRIC
License
63473
Expiration Date
01/26/2009
Phone
541-747-8460
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMA TJON I
# of S~!>?i;'~:L: E: Lot Size:
Heig~t,.~f,S~r~I\W,W S HAL L EXPI REI ~S~ ~~ IN(f.~o~r:
Type of,Heat: S~ Ft 2nd Floor:
Wate~q.~~~!RIZED UNDER THIS PEF'slIFtBil~~\11;nt:
Rang.,Ty'pe::NCED OR IS ABANDONS:q)I']i(Qarage/Carport
. Energy~l)a\hjO DAY PER I 0 D. Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street,Trees Rqd: ,~".' . '(I' .'Ie~ you Handicapped:
1'"\IIL.I\,II.vl..vl.....:8ull~yi:IC;,u.... bJ
Paved Dnve.Rqd:d t db t' 0 Ut.1 Compact:
0;' ttf'e'HPle" i1 op e '! 118 regen II.y
1~811T18alI8~eC'~,~ier. Those rules are set fort.
in OAR 952-001-0010 throuah OAR 952-00 I
I PUBLI4:HMPROVEMENTS,.n copies of the rules ?
vv,'" '::I "'V W"'V" (NotE!: the telephone
'lumber for the Oregon ~J~r,\"l!~J(?i\'~atjon
Cemer;~ 1-Pnn-DowDspouislDrains:
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee] of2
.
eu 1 l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00132
ISSUED: 01126/2007
APPLIED: 01126/2007
EXPIRES: 07/26/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ P3irl I
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$4.60
$2.30
$3.68
$43.00
$3.00
Date Paid
1/26/07
1/26/07
1/26/07
1/26/07
1/26/07
Receipt Number
2200700000000000117
2200700000000000117
2200700000000000117
2200700000000000117
2200700000000000117
Total Amount Paid
$56.58
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. .
I Rellllirerl In~n~
Rough Electric: Prior to Cover.
Final Electric: When all electrical work is complete.
By signature, I state and agree, tbat I have carefully examined tbe completed application and do hereby certify that all
information hereou is true and correct, and I furtber certify tbat any and all work performed shall be doue in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 inspectious are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plaus will remaiu on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Cwe Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2007-00132
COM2007-00132
COM2007-00 132
COM2007-00 132
COM2007-00132
Payments:
Type of Payment
Cheek
cReceinl1
RECEIPT #:
2200700000000000117
Date: 01/26/2007
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OLSSON INDUSTRIAL
ELECTRIC
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb
45200
In Person
Payment Total:
Page I of I
11:09:51AM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
1/26/2007