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Home My WebLink AboutPermit Electrical 2005-11-01Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line Building/Co mbination Permit PERMIT NO: COM2005-01545ISSUED: 1U01/2005APPLIED: 11/01/2005E)GIRES: 05/0112006 VALUE: SITE ADDRESS: 200 S MILL ST Springfield TYPE OF Electrical Work Only ASSESSORTS PARCEL NO.: 1703353207801 TYPE OF USE: New Commercial PROJECT DESCRIPTION: 200amp service and circuit for sump pump adjacent to Willamalane building Owner: Address: Contractor Type Electrical Contractor OLSSON INDUSTRIAL Expiration Date 0u26t2009 Phone 541-747-8460 WILLAMALANE PARK & RECREATION 200 s lurl,I, sT SPRINGFIELD OR 97477 License 63473 Frontyrrd Setbrck Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: 1r) Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: N 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: REQTIIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or muftiplier Square Footage or Bful Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Descriptbn Tvpe of Construction lof2 Value Date Calculated \ (-rI\ r r(Ar- r (rK rNrgSl\iIA,!!!2I\_l nol # of Unib: Primary Occupancy Secondary Occupancy Ptimary Construction Secondary Construction # of Bedrooms: \s1 ICE: PRIN Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fa;x 541:7 2647 69 I ns pe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-01545ISSUED: 1110112005APPLIED: lll0ll2005E)PIRES: 05/0112006 VALUE: Fee Description + l0o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $6.60 $4.62 $3.00 $63.00 $77.22 Total Value of Project Date Paid tuy0s tltLt05 tult05 11fit05 Receipt Number r200500000000001647 1200500000000001647 1200500000000001647 1200500000000001647 Plan Reviews To Request an inspection caII the24 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. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon 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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCT PAI\CY will be made of any structure without permission of the Community Services Division, - Building Safety. I further certiff that only contractors snfl smployees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections 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 remain on the site at all times during construction Owner or Contractors Signature 2of2 Date r ees raro I _Keourreo tnsDecuons I 225 Fifth Street Springfield, Ore gon 97 477 541-726-3759 Phone ,City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000001647 Date: lll0ll2005 11:41:56AM Job/Jurnal Number coM2005-01545 coM2005-01545 coM2005-01545 coM2005-01545 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 63.00 3.00 4.62 6.60 Item Total:$77.22 Payments: Tlpe of Payment Paid By Received By uhecl( Number Batch Nunber Authorization Number How Received Amount Paid Check OLSSON INDUSTRIAL ELECTRIC djb 41175 In Person Payment Total: $77.22 $77.22 tr/U200s lofl leuaf,3"e I 225 FIFTI{ STREET . SPRINGFIELD, OR 91477 o PH:(541)726-J753 r FAX: (541)726-3689 r:L City Date I. I.OCATION OF INSTAI,IAT'ION 3.UL!1 T;:(:?'RI{:AI. I'ER[.|I'I' AT}T}IJ(.'A"I'IO,\' . . -robNumber Corn1oof - O/5YS Zoo S nArl,(S{- LECAL DESCRIPTION t7o 3i sj z - o7 8c\ll JOB DESCRIPTION 200A Serv'ice Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address l9l9 l,aura St Constr. Contr. Number 634-13 Expiration Date 0U26109 Signature of ns Electrician OrvnersName Springfield LJtility Board Address 202 S I 8th St City Springlield Phone 117-3751 OWNER INSTALLATION l'he installation is being made on property I own lvhich is not intended for sale. lease or rent. Orvners Signature: 201 A+trsTEFODl ,\ mps s to .10 I Amps to 600 Amps e O! zonrn9 A. New Rrsidential * iervice Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder per dwelli*g uriit. $ 106.00 $ re.00 $50.00 2. C{JNTIIAC'I]OR INS',{ALIATrON ONLY L.lectricalContractor Olsson Industrial Electric 200 Amps or less I $ (13.00 6.1 .00 re one - 6ot Nopi{iffitbo Ge$e city Springfield hone 541-747 -846Q over ro00 64ft46ft$01-001C Supervisor License Number #3334S C. Fixpiration Date 10101101 r. Those ru New Alteration or Extension Per Panel One Circuit Each Additional Circuit or rvith Service or Feeder Permit catlon Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits $ 41.00 $ 3.00 3.00 E. Miscellaneous (Service/feoder notincluded)'"-liach Inslallatior; Limited Energy/Commercial $,15.00 Minimum Electric Permit Inspection !-ee is $45.00 + Surchargrs SUBTO:{AL 66.00 1.62 FOR 6.60 Pump or irrigation Sign/Outline Lighting Limited F.nergy /Residential PEfrIS. s 50.00 s 50.00 $ 25.00 7 t .22Inspection Request: 726-37 69 Shared Drive('l'.)il3uilding Forms,[]lectncal Pernrrl Applrcittion I ()3 dot B, Seryices or F'eeders - lnstallation. ;\lterations or Itelocr{ion: bf ANY 180 oAY