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HomeMy WebLinkAboutPermit Electrical 2005-05-17Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line F'IELI) Building/C ombination Permit PERMIT NO: COM2005-00581ISSUED: 0511712005APPLIEDz 0511712005EXPIRES: llll712005 VALUE: SITE ADDRESS: 307 S sTH ST ASSESSOR'S PARCEL NO.: 1703350000302 PROJECT DESCRIPTION: 400 amp service for Boiler Building Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Industrial Owner: Address: Contractor Type Electrical SPRINGFIELD UTILITY BOARI) 202 S 18TH ST ATTN SPRINGFIELD UTILITY BRD SPRINGFIELD OR 97477 PhoneNumber: 541-746-8451 Contractor OLSSON INDUSTRIAL ELECTRIC License 63473 Expiration Date 0U26t2009 Phone s4t-747-8460 CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type oflleat: Primary CoATi[E[lh lq][er t e go, I i dw r'eq u I t cs Yl#Atet type: secondary Oo$anrulo"'iffi ted by t h e O re go n i{tilEy rip.' # of Bedrrf(sfitication Center. ThOse rules are sllCQ$lpxll,t in OAR 952'001-0010 through OAH gS?rfHiled Building: calling the center. (Note: number for the Oregon Uti lity n Frontyard Setback: Center is 1-800-332'2344). Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback Paved Drive Rqd: Rearyard Setback: ohofLot Coverage: Solar Setbacks: Street OTICE: Special Instruction: IS PERMIT SHALL EXPIRE IF THE WORK tHoRtzro UNDER THls PERMIT ls NoT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. $ Per Sq Ft or multiplier nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0ccupant Load: Storm Sewer Notes: Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: Handicapped: Compact: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated C3 Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00581ISSUED: 0511712005 APPLIEDz 0511712005EXPIRESt 1111712005 VALUE: Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Perm ServBdr 201 to 400 amps Total Amount Paid Amount Paid $7.50 $s.2s $7s.00 $87.7s Total Yalue of Project Date Paid 5n7t05 5n7tos slt7l05 Receipt Number 2200500000000000596 2200s00000000000s96 2200s00000000000s96 Plan Reviews 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. Electric Service: Approval required prior to utility company energizing service. Reouired fnsnections 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 Springfield and the 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 further certify that only contractors and employees 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 Prse 2 of 2 Date r ees raro 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt rvelopment Services Department Public Works Department RECEIPT #: 2200500000000000596 Date: 0511712005 tt:46z42tWl Job/Journal Number coM2005-00581 coM2005-00581 coM2005-00581 Description Perm Serv/Fdr 201 to 400 amps + 7o/o State Surcharge + l0% Administrative Fee Amount Due 75.00 5.25 7.50 Item Total:$87.7s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check OLSSON INDUSTzuAL ELECTRIC dlm 39940 In Person Payment Total: $87.7s $87.75 5/1712005 Page I of I 3Ft$latllt.o 225 FIFTH STREET . SPRINGFIELD, Ox.97477 . PH:(541 E LEETRI CAL PERM IT AP P LICATTON CiryJob Number l.LOCATION O F INSTALIATION 3O7 South 5th )726-37s3 Date o FAX: (541)726-36E9 ," BELO14/ {asaa&ff!.${}. i;itlIr'- :'. t. 19.00 $50.00 75.00 $ 43.00 $ 3.00 3. A.LEGAL JOB DESCRIPTION SUB 40O amp Service Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Olsson Industrial Electric Address P.O. Box 70413 City Eugene Phone 54L-747-8460 Supervisor License Number 3334S Expiration Date 10-1-O7 Constr. Contr. Number 63473 Expiration Date L-2ffi9 Signature of Electrician Owners Name Address B. Services or Feeders - Installation, Alterations or Relocation: : $ 63.00 $ 75.00 $ 125.00 s163.00 $37s.00 $ s0.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 1 City les adopted bY th'ffieffi1re Oregon Utility E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00loll owuE[mHmN0€xltEorilho se ru les are set lorth The 1-001 ls calling ownenEBtpitfrIrt9 Genter is 1-800-332-2344\ oAR 952-001- Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00{wnrr&i6v the telephone Minimum Electric Permit Inspection Fee is $45.00 * Surcharges r the Oregon UtilitY Notilication 75.OO 7%o State Surcharge l0% Administrative Fee TOTAL 5.25 7 50 87.75Inspection Request: 72G37 69 4. Shared Driv(T:)/Building Forms/Electrical Permit Application l -03.doc OREGON