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Home My WebLink AboutPermit Miscellaneous 2005-2-28 225 Fifth Street . Springfield, Oregon 97477 . v541..7'26-1-759 Phone . .JIity of Springfield Official Receipt .velopment Services Department' Public Works Department .A .... RECEIPT #: 1200500000000000261 Date: 02/28/2005 11:08:41AM Job/Journal Number COM2005-00242 COM2005-00242 COM2005-00242 COM2005-00242 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administriltive Fee Payments: Type of Payment Check Paid By OLSSON INDUSTRIAL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 39363 In Person Payment Total: Amount Due 63.00 60.00 '8.61 12.30 $143.91 Amount Paid . $143.91 $143.91 . '\ , ' .\ 2/28/2005 Page 1 of 1 / !: -l!"~!,~SJ,I!~~~,.,.."., ., ~ . . \ [l,. , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid . Total Value of Project Fees_Paid-l Amount Paid Date Paid . CITY OF SPRINGFIELU $12.30 $8.61 $60.00 $63.00 2/28/05 2/28/05 2/28/05 2/28/05 Building/Combination Permit PERMIT NO: COM2005-00242 ISSUED: 02/28/2005 APPLIED: 02/28/2005 EXPIRES:. 08/28/2005 VALUE: Receipt Number 1200500000000000261 120050000000~000261 1200500000000000261 1200500000000000261 ) $143.91 Plan Reviews I 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. . , I Re~ I~~Rtctions . . ',', Rough Electric: Prior to Cover . . Electric Service: Approval required prior to utility company energizing service. Final Electric:. ,When all electrical work is complete. ,. , " . By signature,.! stateand.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. 6fthe 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature , .' I' .. 1 " I Pal!:e 20f 2 . I . . Date , t. . t ., ' I,.'.' . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00242 ISSUED: 02/28/2005 APPLIED: 02/28/2005 EXPIRES: 08/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3600 COMMERCIAL AVE ASSESSOR'S PARCEL NO.: 1702311200600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: 200amp service and 20 circuits Owner: HILLSBORO FOREST PRODUCTS INC Address: PO BOX 783 SPRINGFIELD OR 97477 Phone Number: 541-726-1105 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OLSSON INDUSTRIAL ELECTRIC License 63473 Expiration Date 01/26/2009 Phone 541-747-8460 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: t,r,CI\Ij",r"lI\'..",__, ___ Notes: . _.~ _n."_'lV......~~.r-o.~uJ~.u,!... follow rules adopted by 1 D.E '. INFORMATION Notification Center. Those rules are set forth Front yard Seltia~Jf:.R 952-001-0010 through OABv.enlayJDist: Side 1 SetbaciP.090. You may obtain copies of ti#~tJt~sr~es Rqd: Side 2 Setback: calling the center. (Note: the te~t1~~~iv~ Rqd: Rearyard Setba'Cwmber for the Oregon Utility NOt'vfRfchRS,foverage: Solar Setbacks: Center is 1-800-332-2344). . I PUBLIC IMPROVEMENTS I NOT ICE: Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WORaownspouts/Drains:. AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of 2 . ." i -. ~;...;' ;.t,~"~'., : ,..... :.. ~~ H STREET · SPRINGFIELD, OR '7477 · PH:(s.cl)716-37S3 · F :wt.-J ldCAL PERMIT APPUCA110N ty lob Number' UlIN\ ZOo)' - 002.<1 Z. Date ~ _. "o,l!l", 2- Zg'-O S ~ ";,;. 01; , ~" ~ 0" ~. 3. tCbMP~Jf..flij~/l!1iP " '. ~'~V;~~iJ]lff~~~ . .......-- '", .. ~ . 0., is' ~.II.' ,~.........:fo .;..f;j 0", ~ "'0 ~iS' " ;.0 is' A. t~r~, t;'~6~~"le~ ~ .. -~~:..:.-..... -.:.-.no...... . " ~~ Service Included (J"'l!l 1 000 sq. ft. orless . '\.. Each additional 500 sq. ft. or portion thereof Each Manulact'd Home or Modular Dwelling Service or Feeder ; . ..~~'.~':.,.L~!"~" "'.: '. : . ;-. ',.', .. :.' .~...~. - ". i~.::" !~~.' '::":; .,. i :. ..'~' .::'!.::! . ::.:=-' .' "..", .r'i1 ." 1. ',' 'cATION:' '.E.':"'"~J]*q~~~~1 ~~~~~~\...... . ri:i 3600 Commercial Ave not started within 180 days of issuance or if ,,'ork is Suspended for 180 days. '~!l~o/dj(IiN,~~TIO,"N,ONLY~ 2. ~ __.'.....~ ....~'j.J.6. ~oR...~12tt::t:L~ LEGAL DESCRIPTION /'-.-/ -0 170L 311l. I..^-'CO ..li.illsboro L\lID.Dpr - Rp1Il.::ln ,"fo1ln Line JOB DESCRIPTION ?,cx:;Jfr > (2..\/,- I Zc:> C. I fL0-\.. :I-s. Permits are non-transferable and elpire if work is ","oa: '"~'i!I""u\.''''''''~.~.f,~Jt~.." ~ tio!!-!:o-:~eloca~~n.:.~ ~. Electrical Contractor Olsson Industrial Electric City Euaene Phone 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps ATTENTION: Ore~.t43mfSJ.ooa~ (5f8.~9~Jt4E!~Bt~_~~1itr u' ~ ~u~t,l\Jallvl t center. lM,.I!~~ .'fOfIIt In OAR 952.Q01-OO10through0AR852-4JOt- 0090. You may ~ ,1, ,134'i sall~ centei ftUmberforlle~ ~.. 1 . S 63.00 S 75.00 $125.00 S 163.00' " . .. $375;00 " .: $ 50~00 63.00 Address P;,O~ Box 70413 , . Expiration Date 10-1-07 .. ~. Supervisor License Number Expiration Date 1- 2 6 - 0 9 20 I Amps to 400 Amps 401 Amps to 600 Amps. , ~. S 50.00 , S 69.00 $100.00 Constr. Contr. Number 6347 :3 . . , ~,,:. New Alteration or Extension Per Panel ~ " tYr14- /h.... ~ . 'MOTICE: ~Circu.~ .. ..... $43.00 j / II I ~ T,lilS PERWSr!\~~~~~WS OGR~ 20 $ 3.00 60.00 Owners Name ,if .-1I <)Of,-/LO (-9~ PIJTHORIZE~ UNDER lHi~{M:tiIVIIT I N I Ad"'::':s's 4:>Da c) > 7 g" COMMElfCl :~~d~~~lMbi1aii~''i W~ l..) r- .) ANY 180 D.\~~~~~'-'1-"-~~"';;.'i City 51=> (~Phone Pump or irrigation S 50.00 Sign/Outline Lighting S 50.00 Limited Energy/Residential S 25.00 Limited Energy/Commercial S 45.00 . r . .... ,..P!""'..!'.'~"~..C .. ...--....' ..~. .... ..... .,~ . ,J..~..'........;,'::'::I --. .~.~~ .'.~~ OWNER INSTALLATION The installation is being made on ....~...erty I own which is not intended for sale, lease or rent Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges 4. ~.~b107:~Ait~DnYm~ . Iiiii~~r~ , ') ~ 00 ~.,---- ~a.. 6lL 12.30 Owners Signature: 7% State Surcharge 100,4 Administrative Fee .. . Inspection Request: 726-3769 TOTAL 14~,ql Shan:d Drivc(T:)lBuilding FonnslElcclrical Pcnnit Application I..Udoc