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Home My WebLink AboutPermit Electrical 2004-9-16 . ~,,',.-'.- /1," ~'~ ," fa · @ " ... - ~ l!: ~ ~ ...." , '-0 . ~.;. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541Y1!26-368?"'{ "',,0' :.o~ ~ Q 9:' . ELECTRICA}r PERl!..!IT A!'PLICATION , ""v~ '" ~". ,"'.. ""'co,,,, CityJObNUmbe~-OrJ/~te r/IC:t/;;)fftJ<f O"""'O'<\), ~ . 0/'''':::6~.;" 'i.:<"!:..,...:~...""'~'VJl:/v.~~".,."t:'r;:r~'-'~.'''':E.-N~'''''';:'.'''''i~':'"..'i~:':~'?d:'''~.:! . ~'r\......;..:--t:'\'Il.>:r........~.~.."Jt':..'~.....:;:,:o...."""'V>l:t:n:'"N.f<l~k""" ~;t., '. ..-" ._~. '~0'1~Ht..",:,f-'J', 1. "EOCATION:;OPINSTALEATIONiJf/~tF~'i;" 3.~COII'IPLETEFEE'SCHEDU1:IvJ~ 01 ..;." 'fi~,<i:,~",':!;j;~'~~ 5 oD"Tm;;;;;=;;;;; 'l;J"~"'"'ti7 L/-7 7~"L,""'~"_~~~"~'.~"'>= -%,~. . ,.. . ,~,,"~:'r~~;~:""' LEGAL DESCRlPT10~.5ly)~~W ";%lJ f/K~) A. it'N.~~.R~i~~itil,'i~ffi-..m",;re~~Rftj:'f'-.;fu ''Vp''C ~" ',. ~.~,,":?Jrt~1~i VI ~l ~..~~- .,..... "~""~"...\~~~1.~:C.c.liof;A.":>O:l?'\..:;':,;,~._ ..l.;' "', '" .... .\:.w.~..l.;'r.~ /703/5 4000 ~1J7J JOB pESCRlPTION . tV UlL. j) I~( ~ PIk-711/1th I7.t1 I/; / 'f- iI> ^ / _ / /.tf' New Alteration or Extension Per Panel _ ,.:;7'~ /~ ~ One Circuit ( $ 43.00 - /.' , h (}; Each Additional Circuit or with;;., - Owners NSam5h~JtJJ 1ft; ~f ~~I~v ~S;:;::':::::'~<<,"~"~~~_'H_:~:~'~'~#~''''''~_ Address 00 LlJf.c"tYl1tTlrmlH_ I/VIT / E. ~~,S~!,\g,,=(~~!'i.~~~,2"0~W=~.!!)~f~~1-l,',~t!,\!!,iJi2.~ City .5 p{.Jj) 87 '-/-77rhone 7'-17,9(){)/J I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is .Suspended for 180 days.' . ~"lt"'~(9';<::<'>l\;~~~\~~~~....:.-:J",..;,~I'-'-~~!T'?t~::'!,~ ~CONTRACTOR'INSTAJJE'ATIONiONEYI'~ 2. tti!i~:.t,":;.~~~~",,,'.,M.1.fti'."':'~.:i,,~~~,~~4:~ * 6DzBecnical Contractor L. R. Brabham, Inc. Address 68 West "Q" Street City Sofld. 97477 Phone 747-6638 4944S Supervisor License Number /0/1/0'1- Expiration Date Constr. Contr. Number 8699 Expiration Dale /~//j J~t/- I Signature of Supervising Elecnician -.., .' OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, Iesse or rent. Owners Signature: Inspection Request: 726-3769 Service Included '. 1\.1TFNJION: Oregon law requires you 1000 sq. ft. or less d 'e' d by th~ n,~nrm I $10" 0 ff:1II......W rr pt3.C a Ql)l _ _ _ .... \.h... J Each adi:!l!Ion~1 500 sq. ft. Olrhose rules are set forth ,"()'tlif,~ot;,;n eel,ter, I . t HI.qO portion ereol"', -h "'.0 z-w in OAR 952-001-001 0 thro~"l. - ,. , (l5 EachM.')pJ.fIjCJLPI\iS'f~~~ain copies of the rules by MOdUI". c!:rlm~~i~~e"roifl;p,r (Note: the tele~~:oo ' Feeder umber for the OregofIlJti+Hy I~""" n. ~~,,",J;''''''1!\I'''Jt'Ct>...w~' ' " l'2!Jl~'~'W~Wr"1:"~'~''''~~~' B.~~e6;ic,esQr.~M~FS:- s I1lffi'fi!?i\nera ioh~&riB.~J.Q.ci!lio;;:'~' 'IR'~~w.~~~ . :.Il\:i:~r~::ont-i':::'~M.'\l~"Ab":~ 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 ,'."'rl"t:. Over IOOOAmpsA'olts $375,00 Reconnlc'tib"hiyERMIT SHALL FYPIOI: II: i\.~.OOOr." ~",~!!~/l~).~n;,2~ - . I vv '" C. lIir!,J!11?(}!,al.'Y,l~e'I'ms~~ ' , ANY 180 DAY PERIOD Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Pump or irrigation Sign/Outline Lighting Limited EnergylResidentiaI Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~'~msrn,.""""!,,,,,,~'~e!:l~~-''''~''~fu''\'?I!ii'--13 - 4. ".SUBTOTAL'OE~OVEIg';~!"~~~"E'l~* h~~~"':~~fl~~~~~;1~~}~'}~'~~~~ . 3,43 Lf.&lO S7.33 7% State Surcharge 10% Administrative Fee TOTAL Shared D~ve(T:)IBuilding Fanus/Electrical Permit Applicntion I-Q3.doc '.l . _ Ll1 i' OF SPRINGFIELD Building/Combination Permit Status Issued I' PERMIT NO: COM2004-01I49 ISSUED: 09/16/2004 APPLIED: 09/16/2004 EXPIRES: 03/16/2005 VALUE: _..,.oQ voU to -. .-."'... nrp.<10n ,,,.. . -8 - _~n Illilltv Springfield ~f~f;:.Qi<; weR'KP 'illlf~~~eh\\io}'..C()~mtn o ;' ation cent~r. lho h OA.R 952.6'b~- ~0~~9!-lIl!SFJ: 01 0 ~W~~ofthe rtltilfumt,rcial \~090 YoU may obtain ~~re' the telephone :"_7 .hp. center. ( L,:"....,1\\n~licatlon Y- - the ur,,\,!"" :... ) number lor . 80Q-332-2344 . Center IS 1- 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 500 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000600 PROJECT DESCRIPTION: Wire Digi-Pac Machines, #1 & #2 Owner: SAFETY-KLEEN SYS INC Address: % BURR WOLFF PO BOX 27713 HOUSTON TX 77227 Owner: Address: SHOREWOOD PKGING CORP OF ORE % INT'L PAPER CO-TAX DEPT 6400 POPLAR AVE T210-192 MEMPH 38197 NOTlGt: 4 ~~~~~ FARM RD ROSELAND NJ 07068 THIS PERMIT SHA~. - IF THE WOHK AUTHORIZED UNDEh I HI. ,RMIT IS NOT SHOREWOOD PACKAGING CORP COMMENCED OR IS ABANfJuNED FOR 500 INTERNATIONAL WAY SPRINGFIELD OR 97{..7,7Y 180 DAY PERIOD. Owner: Address: Owner: Address: Owner: CIT GROUP EQUIPMENT FIN INC Address: % PROP TAX - RICHARD JASINESKI PO BOX 490 LIVINGSTON NJ ( Owner: SHOREWOOD PACKAGING CORP Address: 500 INTERNATIONAL WAY SPRINGFIELD OR 97477 Owner: COMPASS GROUP USA INC Address: PO BOX 1600 ROWLETT TX 75030 I. CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construcllon Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1s1 Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carporl Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Resryard Setback: Sotar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lol Coverage: REQUIRED PARKING Total: Handicapped: Compact: Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Noles: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project F pp~, P'1 \IiU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.90 $3.43 $43.00 $6.00 9/16/04 9/16/04 9/16/04 9/16/04 Total Amount Paid $57.33 I Plan Reviews I . Lll}' OF ~rKll"\.d'I~LD Building/Combination Permit PERMIT NO: COM2004-01149 ISSUED: 09/1612004 APPLIED: 09/16/2004 EXPIRES: 03/16/2005 VALUE: Sidewalk Type: Downspoulsmrains: Value Date Calculated Receipt Number 3200400000000000247 3200400000000000247 3200400000000000247 3200400000000000247 To Request an inspection call the 24 hour recording at 726-3769, All inspection 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, IRPn~ Rough Electric: Prior to Cover Final Electric: When all electricat work is complete, Paee 2 of3 . - Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF ~rKll~u1<u..LD Building/Combination Permit PERMIT NO: COM2004-01149 ISSUED: 09/16/2004 APPLIED: 09/16/2004 EXPIRES: 03/16/2005 VALUE: By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all informalion bereon is Irue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of tbe City of Springfield and Ihe 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, Building Safety. I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projecl. I further agree to ensure that all required inspections are requested al 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. ~~~& hLJr N\(9.J. Owner or Contractors Signatu~ Pa!!e 3 of3 f\...:j,M cy f Ic.ol ~croq , \ Dale 225 Fifth Street Spri"ngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01149 COM2004-01149 COM2004-01149 COM2004-01149 Paymenls: Type of Payment Check 9/16/2004 . RECEIPT #: iDt4 1iiY of Springfield Official Receipt .elopment Services Department Public Works Department 3200400000000000247 Date: 09/16/2004 1I:43:53AM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% Slate Surcharge + 10% Administrative Fee PaId By L.R. BRABHAM Amount Due 43.00 6.00 3.43 4.90 $57.33 Item Tolal: Check Number Authorization ReceIved By Batch Number Number How Received njm 31128 By Mail Payment Total: Amount PaId $57.33 $57.33 Page I of 1