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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