HomeMy WebLinkAboutPermit Electrical 2000-4-14
. ,.
-
~.
-
Page 1 of 2
I Job# 00-00444-01 I
225 North Fifth Street,
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00444-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 123 International Way Spr
Assessors Map#: 17031500
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 03403
Subdivision:
Sony Disc Manufacturing
123 International Way
Phone Number: 541-988-7425
City/State/Zip: Springfield, OR 97477
Alteration Value: $654,000
Scope Of Work: Miscellaneous
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Install additional antrix asrs asile
Contractor
Hk Systems Inc
Po Box 45425, Salt Lake City, UT
84154-0425
L H Morris Electric Inc
483 Shelley St, Springfield, OR
97477-1966
Registration #
98443
Expiration Date
04/05/2000
Phone
801-530-4000
1838
06/08/1999
541-747-0811
llNW
Office Use
Land Use: Other Mise, Manufactori
Zoning Code: CI
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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
working day,
Structural Welds
Bolts installed in
concrete
Final Fire
Final Building
Required Inspections
Building I
- To be done during construction by State Certified Special Inspector. Provide inspection test res
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildin
-When all Fire Department requirements have been met.
-When all required inspections have been approved and the building is complete.
Cl'oo..-.q
,~ ...qOO""lJ,JO
I'" NO -(DC
.f' ~f"'l:Z"
, 0 ll"JecO::
~*OOI~
S.GFIELD I
.~.
,
I '
'.1
:r~L lC'Hr.'IoI'in0 r:~I);'!r:!:::o:: ~':.'~'!lltted has th^ foil I
~(J'Il',' <.IIIl,.. .. ... owng
. ~ u...,~.:. If~t Ithoju,lt;i ~ '.aclfle land us
b~~lo~al ~ e
Zoning 0<(4 :
Dale 4-1'1 -1Ti> ,
~?~rtzed Signature .,y../
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
I~?" ~--\e.r ('at~Q I i'a...y
LEGAL DESCRIPTION 0 '"
/?-I:J=!... /5'4'c:9 ~//~
~ JOB .o.ESCRIPTION -n
d,I"\_L(U~~ '~~L<...-
~
Permits are non-transferable and expire
if ~ork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number t!!Ib,C..:::J5t:>t!:>~1
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per d~elling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
Items
uni t.
Cost
$ 85.00
$ 15.00
.$ 40,00
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
/ Installation, Alterations
Elec trical Con t rac tor,/<. It:Nll'!6:; \::;IeC~CJ~r Reloca t ion:
200 amps or less
201.amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Ov~r 1000 amps/volts
Reconnec t' Only
Address 48~ o~'r-.., U, (J ~.o n r .
Ci tY~\'lb~ Phone""4.t- D8 I \
SupeL'Vlsor License Number ?m / (') S
Expiration Date 10-D\' 0'
Constr Contr. Number 0\<638
It,1~lo\
Expiration Date
Signature of Supervising Electrician
;JJ-/{2 .-;0 _
O~ners ~me ~ U
Address 1;:)3 .J...Y\tc9~n.Tk'~ ~
Ci ty'f).p-~~ Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: '-/-/L/,~Z?
RECEIPT 11: t?'.4>'L!:J../'?4"~
RECEIVED BY: ~,~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne~, Alteration or Extension Per Panel
.'
One Circuit I $ 35.00 35
Each Additional
Circuit or vith service~ ilL
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
1 '1'1. State Surcharge
3'1. Administrative Fee
TOTAL
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
L/q.OO
?'. 4 ':3
/. <i '1
s.~ , q ()
. ~'
"
.
.
(
~
TRANS~:01-0001249
DATE:APR 14 2000
AMT RECD:2 $ 53.90
CHANGE:
CASHIER: 004
Job: 00-00500-01
Address: 123 International Way
Owner: Sony Disc Manufacturing
Received: 3/31/00
Unit: BLDG:
FLR:
FEE DETAILS
Fees Value/Quantity Amount Due Amount Paid
Building
Subtotal
Building Permit Fees
Building Permit 25,000.00 170.50
SubTotal 0.00 170.50
~dministrative Fee
Building Administrative Fee
Building Administrative Fee 5.12
SubTotal 0.00 5.12
Surchar<le
Building Surcharge
State Surcharge For Building Permit 11.94
SubTotal 0.00 11.94
Total for Building 0,00 187.56
Electrical
Subtotal
Branch Circuits
Branch Circuits W/O Feeder or Service 1,00 35.00
Branch Circuits With Feeder or Service 7.00 14.00
SubTotal 0.00 49.00
:A.dministrative Fee
Electric Administrative Fee
Electric Administrative Fee 1.47
SubTotal 0.00 1.47
Surcharae
Electric Surcharge
State Surcharge For Electrical Permit
SubTotal
Total for Electrical
0.00
0.00
3,43
3.43
53.90
o?
w- /'7- DO
Page 1 of2
~
.
Job# 00-00444-01
Overlay District:
# of Street Trees:
.
Page 2 of 2
Land Use: Other Mise, Manufactorin
Pave Driveway? 0
Zoning: CI
FloodPlain? 0 Wetlands? ~
Journal numbers
1 :
Comments:
2:
3:
Planner:
Urban Growth Boundary?U
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Glenwood Area? C Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:
Occupa~cy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
03/22/2000 1008
Value/Quantity
Fee Amount
Industrial Plan Review
Total Plan Check
654,000
$1,016,60
$1,016.60
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Grand Total
Building
03/22/2000 1008
03/22/2000 1008
03/22/2000 1008
654,000
$1,564.00
$109.48
$46.92
$1,720.40
$2,737.00
Plan Check Type
Initial Review-CII/P
Engineering-CII/P
Planning-CII/P
Structural-CII/P
Fire Marshal-CII/P
Checked By
Lisa Hopper
Date Completed
03/23/2000
04/11/2000
04/11/2000
04/11/2000
04/11/2000
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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, I further state that only contractors and employees who are in compiiance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of tnoperty, and the approved set of plans will remain on the site at all times l
~ig CO:s:tion~ \) <- J . q ) / 1 () 0
"g,.l '6 D... I