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