HomeMy WebLinkAboutPermit Electrical 2008-5-21
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Date
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INITIALS NhA.
4!M,. DATE. t') -;:) I --t) '6
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5/2.-1 J 0 ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ;< r:;u ?(... 007 J_ 0
1 LOCArTION OFtNSTA1}LAfioN:
_.... P"k ;- Be<< .... '"
New AlteratIOn or ExtensIOn Per Panel
One CirCUIt
Each AddItional CirCUit or With
~L (-S ServIce or Feeder Permit 92 $ 400 368 00
;; "'$ "Y~/~J \;: X'<.-:.." '. t.. '-<'\,'1#\ ",~rf%
E l\'hscelIallcous (SerHce!fced~r~ Il~t mcluded) ::-Each In:stalhitI~it'
NOnCE: -"
PUl1)Pn9B1rpe'RNflT SHAll EXPIRF IF THE WOOK
Slgl}.\'(W~URf~~tT~NDER THIS Pt=RMJl$l~N~T
Llmern'vlfflff.WdW1s~ltS ABANDONED FlJROO
Llm}.(fW:nmy~p.aHeD. $ 50 00
Mlmmum Electric Permit InspectIOn Fee IS $50 00 + Surcharges
4 ~SlTBTOTM, OF'AB*OVE~' , ,,<,
~,,>>.<,~;- 5",..; 0:& ~:{ '" <::'- 1872 00
12% State Surcharge 224 64
10% Admmlstratlve Fee 187 20
5% Technology Fee 93 60
Super~or Lumber Co
LEGAL DESCRIPTION
1651 SOUTH F STREET SPRINGFEILD
OR
JOB DESCRIPTION
PermIts are non-transferable and expIre If work IS
not started WithIn 180 days of Issuance or If work IS
Suspended for 180 days
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CONTRACTOR INSTA:I5LATION ONLFik
t ~\-....~%> ~ ~ ?-"ff :::)t$ SJ
2
Electncal Contractor
IES Industr~al, Ine
Address
2250 Av~at~on Dr~ve
City
Roseburg
Phone
541 672 8100
4726S
SupervIsor LIcense Number
ExpiratIOn Date
10/01/10
Constr Contr Number 104388
ExpIratIOn Date
3/1/09
SIgnature of Supervlsmg Electnclan
Jt~/4)~~
Owners Name me /La.> 2J (7 -H)VbJI'
Addre~D SO)L ... \ 9
City $.() I " d,j Phone
'U'D {!/ q
OWNER INST ALLA TI6.;Jn
The mstallatlOn IS bemg made on property I own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIOn Request 726-3769
3 ~1;OMPiETE'FEE SCHEEJ[.ILE BELOW ~""z;;' ~d ,~"' ,
;::"" ,,\h,.( v.. '< -" "'>" /'v
A
"'~V1> ~~1t.#v ....~.... -.. "h, ^"" >><::'%~,,~ :z
Ne", ReSIdential'::" Smgle or MuItl-Famd} per dwelImg'urut !JiW!
f:it% ;< '.1"~ww*,
Service Included
1 000 sq ft or less
Each addItIOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$11 7 00
$ 21 00
$55 00
ry:,."... ,...,.,."t' ,,- <' ;0'~ ~ ,'<. Uj:~~4w '>.:"'i
B Ser';Ices oriF!!etfen -lnstaIIatIon,'A!tl1rat!2ns;0~ Relocation
@' fp /", < Y "", <<04~""..&<w':'- ,"<;.... ~
200 Amps or less $ 70 00
201 Amps to 400 Amps $ 83 00
40 I Amps to 600 Amps 1 $13800 138 00
601 Amps to 1000 Amps 3 $18000 540 00
Over 1000 AmpsNolts 2 $413 00 826 00
Reconnect Only $ 55 00
'\,,\ -..
C Temporlif)j$ervlces OJ; F;eeders, imv<fu/ " ;~ '"
/ j> -,,:<i,
~J~~l:rQt'khQreqpn law reqUIres you to
InstallatIon, 1oliowtJ.rUle~ a~3~n9B~y the Oregon Utility
200 Amp~ or~flcatlon Center Those rulles~a set forth
20 1 Amp~ toiil'P~AA052-001-001 0 througl$ ~952:0~1.
401 Amps toOOQ(3\mp,u may obtain cople~q>f &tm rUles _D1
"!:llijfl!t;thA $;ent~r {Note: the ter';jJIIVI,O
Over ~OO ~~~n1' l~: f~~e~,O~gal1omlllty N,9!1~lc~tlon
D > Bra,l!ch E~~~~l~ Oenter is ,1;800<:332-2344).'1"\', Vi
,;,
, "
$ 48 00
TOTAL
2377 40
Shared Dnve(T )/BUlldmg Fonns/Electncal Pennlt ApphcatlOn 1-08 doc
~ 2:f77 1~ NM.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00720
ISSUED: OS/21/2008
APPLIED: 05121/2008
EXPIRES: 11/21/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1651 SF ST
ASSESSOR'S PARCEL NO 1703350000300
Spnngfield TYPE OF WORK Electrical Work Only
TYPE OF USE New
Industnal
PROJECT DESCRIPTION Veneer Dryer - Veneer Stacker
Owner MCKENZIE FOREST PRODUCTS LLC
Address. PO BOX 719
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor License
IES INDUSTRIAL, INC 104388
BUILDING INFORMATION.
ExpiratIOn Date
03/01/2009
Phone
541-672-8100
# OfUllltS.
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIon Type
# of Bedrooms.
# of Stories Lot Size.
He~,.Q1;~fJ;~cture Sq Ft 1st Floor
Ty fI~:li1' Sq Ft 2nd Floor
Wa H1~~RMIT SHAll EXPIRE IF ment
Ra~l11@~IZED UNDER THIS PER~1 tge/carport
En~J1f'hl:'NG~D OR IS ABAJ\IDONE r
SPJ:t~Ifl~ud~f!J>ERIOD, '"'ill ant Load
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
Side 1 Setback.
Side 2 Setback.
Rearyard Setback.
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd
Paved Drive Rqd'
% of Lot Coverage
ATTENTION. 0 , .
f" II.. , " i':4'- - . J regon aw re5u,res Vpll tl"l
I PUBLIC IMPRmmNmtt..(ti'S!;n~lt:Th uy me reg on UtIlity
III Vl'\n t10~- ol-orsia;:~~re set forth
0090. You may obta,n co les of R 952-001-
calling the cent~o'tN~uf@l~ules by
numberCfor the Or~gon UtIlity Notlfl~~n
enter IS 1-800-332-2344).
Total'
Handicapped
Compact
Street Improvements
Storm Sewer AvaIlable
SpeCIal InstructIOn'
Notes.
I Valuation Description I
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00720
ISSUED: OS/21/2008
APPLIED: OS/21/2008
EXPIRES: 11/21/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Paid _
Fee DescnptlOn
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Amount Paid
Date Paid
Receipt Number
$187 20
$224 64
$93 60
$368 00
$826 00
$13800
$540.00
5/21/08
5/21/08
5/21/08
5/21/08
5/21/08
5/21/08
5/21/08
2200800000000000725
2200800000000000725
2200800000000000725
2200800000000000725
2200800000000000725
2200800000000000725
2200800000000000725
Total Amount Paid
$2,377.44
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 followmg
work day.
LReouired Insnections I
Rough ElectriC Pnor to Cover
ElectriC Service. Approval required pnor to utIlIty company energlzmg service
Fmal ElectriC When all electrical work IS complete
By signature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certify that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of any structure Without permission of the Commulllty Services DIVISIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m complIance With ORS 701.005 Will be used on thiS proJect
I further agree to ensure that all reqUired mspectlOns 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 remam on the site at all
tImes durmg constructIon
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00nO
COM2008-00nO
CO M2008-00nO
COM2008-00nO
COM2008-00nO
COM2008-00nO
COM2008-00nO
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000725
Date: OS/21/2008
DeSCriptIOn
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 601 to 999 amps
Perm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmllllstratIve Fee
Paid By
KEITH KELLER
Item Total
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How ReceIVed
JMM 057047 In Person
Payment Total
Page 1 of 1
1 54 21PM
Amount Due
13800
540 00
826 00
368 00
9360
224 64
18720
$2,377 44
Amount Paid
$2,377 44
$2,377 44
5/21/2008