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Home My WebLink AboutPermit Electrical 2008-7-29 ~:~~f,<f:fcn:y' '6F::};~$qFiELD~ q~GbN.',h:',.,:," -4~ w, (t:-- ~ ' fNlTIALS ~ "-'" , DATE ,-}...A /O( - SOURCE 0\ ~:'\0"O Date ~.O~ , 22, FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIt) Job "umber ctTl41 tD9~_::- 0 ) I Z 3. ~v ,..~" f''' t _ "- <:fr"'V,lt~~ ~ ~:t -jMNr~+ \>.:; ,,"I"~~!f> h,~~~ ~ ,",~,p"rl<l'1J'1~-;V<>)~""""iIlo"""l?t>>< .>1" ~~r~w 'I.>~ :::," -.~ 1 LOCA.f,1ON"O,Fj;N,$TA,f!;A, TLON,.,:JI\,:f,'lll, 3 COMPLETE'FEESCHEDUL'EBELOW.',,~~;;_".,. ',' _ ""_ ,..__ '''''''""f' ~.... "~"" ~.ozr...~ h.>>f('.~.....".,~ ~ ,,_ 'l~j;>i<\,.~~1<'1$!..~f;;..r~V~}r'h~,,, ~ _~,v'"1~"'- .. 2tSoCl tY\tt.ln ?tr~0( ~I irv.::,he~"'I'n1~"I,'-fl""~"'II'~'':'?;~''''''' ,".' F[(P ..,- ,.,,,' , LEG -\L DESCRIPTIOl':( J 703.3 1=>4 ( R-2.100 A ~ t!',~w }>es!de'\!)~!,"uS~,~l~2l~1'11'-f~~.'!~ ~~r ,d,,;:e}hng ~"'t ~ bOVD lLlm..~ \A) ServIce Included JOB DESCRIPTION 1000 sq ft or less " ~ Each additional 500 sq ft or \).00 A.tvo ~~S -h neW -. -.<1 portion thereof Permits are n:nMtransferable and expire If work IS ~ If\S Each Manufact'd Home or not stJrted wIthIn 180 days of Issuance or If work IS Modular Dwellmg Service or Suspended for 180 days Feeder $11700 $ 21 00 $55 00 2 ~ ~t~" ,~...~ ,,~., n,,'"t~~ :>~4,,<;r;:M' ~tfl},-";o~-'tF"'~...'i'''" CONTRACTOR,INSTALLATION ONEY, ~~ , d,~ "";.....~-.l.,Al ~d\~J.&'4~~'Lh.A:n ~I;. ;;...::" :r..J~1 f,.'~ ~"<'''"'''W ":l!.'i:)"1r~,%l" ); ;:'JZ\fr;:;n,~,(:tfr:;>,",~.~'Jt.?F;~!J~"",:c: :; ll<' ~ ~ ~ B ;$ervlces or;.Fccdcrs~ InstallatIon, <\lterahons 0" RelocatIOn "sQ.'*' ,{\~-.-",i~.~~"'io.~~_~\"l';;:V\ t'....1'}";;I'l'l.~,, "" I"J.V;:,,.~ ~ Electneal ContraOflfGnll, ~i CrrRII ~~ 200 Amps or less $ 70 00 PO B01:2237 /Ir~. 201 Ampst0400Amps $8300 r.d"CIJ( I)R g-1492 '.." '0": liQ'tv ~ 401 Amps to 600 Amps $13800 J__ ..j.... I 'url' VI 0, If! 0 /IOEl/fo eS ElC/, reg~1i 1 Amps to 1000 Amps $180 00 Phone ~o~~~;zriiitt~clfJt::._rr&fbfJ:!SNolts $413 00 CEI/I. __Ol.! 'l'1' t.OO 1111}.s~uuoetl>""8 I, $ 55 00 filii>- ~lIg th' 0 ElyO'-' 10th e rl.!l. '/'ego TotJ ~ "//jef" e ae:. ,::,IEI/II rO(/hl/ ~~ ~ti "'[1 ';!f/{tP:~"'~'''~''~''"''\l' ,'. '~"" ,'" I' ...;0: ~, Supel'lSor L,cense Number 13928 fjt:::: ~~:{j~"'':1'~~~'f1r:f;/lg~.~~~~rJ~fs,g;_''t,ar.:ei'"' s,;t' ,~ ExpiratIOn Date 10 -1-1 0 ~ f~~~~~~~~6}.ltJn or Reloe.hon , ~t.,,/iVIJj,' $5500 ConstrContrNumber C408 /181997 CCB 20IA<<pst~Amps $7600 -,_" 401 Ampsto 600 Amps $11000 I?/IO -\Cldress City 4-1~ 00 ExpiratIOn Date "'1/' I Over 600 Amps or 1000 Volts see "B" above j'f:l,,"I'>'7l"''''t~~''"' \~>:!.W;V{lrrl";:-~"-W~:"\~l- ,,,,,,:;.z,)~'f'7,\ w,y SI~nat"/re of Superv,smg ElectriCian D Branch GlrcUlts \~t4f.:}F ~~V-'\\o\'d~..' ~... "\~" '! 5- .. ~AI<t,,"" J_ ~ ,11 1~ t _'1.'" vJ"'_<';"~ .:t. :.\tc~", ~ ""'~. ~ <'J' r , 7 II 1 () New AlteratIOn or ExtenSIOn Per Panel ,lQ A~ J~ 1'Ll. / One CirCUit $ 48 00 , . - v "0"", Each AddltlOnal CirCUit or with () ,..,",':' 111!~ Co Servlce or Feeder Permit O"ners ....ame 'f-..~b Ll1 Y'V\.bc.v ' -\ddress 2er-3.~~t(MI:1-~ - ~ ..L E ~~Ml~J~li~~~~~ns~~~;~e7f~dh\(~bt~ncl~d;d)~EJ"Ch~lnstanatIon -:~WM~J~~f.l ~ '~~M'- ~~, x_ ~ ~ ~~ ,~~ 14. ~ c- 1 y ~!~, ~~ Clt\ ~^~()1/!tJf6~~ Pump or lITIgation $ 55 00 ::r~:~,qy A IS .48.~/S Pfll ~E'U-ls,gn/outl1ne Llghtmg $ 55 00 0\\ ,ER I'IST.\LLATION 'EIiIOo. i4NDOM '4?lrlS ~ted EnergylReSldent,.1 $ 28 00 The lOSlallatlon IS bemg made on propert; I own Whl'S,D fDIi N~\Ited Energy/CommercIal $ 50 00 IS not Intended for sale, lease or rent MIDlrnurn ElectriC Permit InspectlOD Fee IS $50 00 + Surcharges -Cj1l; ~ ,tl.l;7"' '\ ~~K'l '" ( "'~1 '""''tJii- ~)~!{~ ~"" ;J:f: 4 4 ,"'SUBTOTAL OF ABOVEc~~..\ I" :~ \1 y:ii"'};>.~'v.~~ "'~~ GNJ.c ,,'1< ..:~flZ"~.>>' ~;:t.vdl'k~ ~",..I;;-' 'il.":~~r~J\.J}~." / $ 4 00 Q. ~ State Surcharge 10% AdmlTIlstratlve Fee 5% Technology Fee l.\\300 \.(0( 50 4/.?O '20 .C,h C;?-L.\.0 1- Shared Dnve(T )!BuddlDg FormslEJecmcaJ Perrrul ApplicatIOn I 07 dO\. O\~ners Signature InspectJon Request 726-3769 TOTAL _~D ~'''''', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01123 ISSUED: 07/28/2008 APPLIED' 07/28/2008 EXPIRES: 01/28/2009 VALUE: Status Iss u ed 225 F.fth Street, Spnngtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe SITE ADDRESS 2509 MAIN ST ASSESSOR'S PARCEL NO 1703364102300 Spnngtield TYPE OF WORK Electncal Work Only TYPE OF USE New CommercIal PROJECT DESCRIPTION 1200 amp feeder to new dry kIlns Owner ROSBORO LUMBER CO Address PO BOX 20 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor OREGON ELECTRIC SERVICE LIcense 161518 ExpiratIOn Date 09/28/2008 Phone 541-343-1681 # of UUltS Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms BUILDING INFORMATION I 1'111:" "ui, UI"'\iJn law requires you to # of Stf6\lI€st rules adopted by the Orlt9Rrsh!~tty He.gJtt<Olf.fslill/oo~enter Those rules 11 FPUP tn.or Type'IJr<Mlilt952-001-0010through 0 ,Wlm'ill' hoor Wate9 e You may obtain copIes of ~ ~ ~ent Range!~g the center. (Note, the ; M9?dge/carport E g.n.. Ilr for the Oregon Ullhty clone ner yr '~enler Is 1-800.:332- . f fi r SprIDkled Bmmmg nla cupant Load I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback S.de 2 Setback Rearydrd Sethack Solar Setbacks Overlay D.st # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact Street Improvements Storm Sewer AvaIlable SpeclallnstrucllOn ~O!'J~~: . , . ^L".. Fl.rl';'~ It T1-I~ WORlt I PUBLIC IM~V;~DER THIS PERMIT IS MOl 'COMM~CED OR IS ~B~\lW FOR ANY 180 DAY PERIOQbwnspoutslDralDs Notes I Valu~ti~n DescriDtion I DeSCriptIOn Type of Construction $ Per Sq Ft or multIplIer Squ..re Footage or B.d Amount Value Date Calculdted Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01123 ISSUED: 07/2812008 APPLIED. 07/2812008 EXPIRES: 01/28/2009 VALUE: 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees Palll I Fee DescriptIOn + 10% AdmmlStralive Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 1000 amps/volts Amount PaId Date PaId Receipt Number $4130 $49 56 $20 65 $413 00 7/28/08 7/28/08 7/28/08 7/28/08 2200800000000001156 2200800000000001156 2200800000000001156 2200800000000001156 Total Amount PaId $524 51 Plan RevIews I To Request an inspectIOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7 00 a.m. wIll be made the same workmg day, mspections requested after 7 00 a.m will be made the followmg work day I ReoUlred rnsn~ct,jons I Electnc ServIce Approval reqUIred pnor to ulihty compauy energlZmg servIce By signature, I state and agree, that I have carefully exammed the completed apphcalion and do hereby cerlify that all mformatlOn hereon IS true and correct, and 1 furthe, certIfy that any and all work performed shall be done 10 accOl dance WIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure Without permISSIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety 1 further certIly thdt only contrdctors and employees who are 10 comphance WIth ORS 701005 wIll be used on thIS project I further agree to ensure thdt dIll equll ed mspectlOns are requested at the proper lime, that each address IS readable from the street, thdt the permIt card IS located at the front of the property, and the approved set of plans wIll remam on the SIte at all times dUring constructIOn Owner or Contractors SIgnature Date Paee 2 of2 225 FIfth Street Sprmgfleld, Oregon 97477 541- 726-3 759 Phone ~~~Q~- IlL, CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-01123 COM2008-01123 COM2008-01123 COM2008-01123 Payments Type of Payment Check cRecuot I RECEIPT # 2200800000000001156 Date 07/28/2008 DescriptIOn Penn Serv/Fdr 1000 amps/volls + 5% Technology Fee + 12% Slate Surcharge + 10% AdminIStratIve Fee PaId By OREGON ELECTR1C SERVICE Item Total Check Number AuthOrizatIOn Received By BatLh Number Number How Received dJb 5091 In Person Payment Total Page 1 of I II 27 22AM Amount Due 41300 2065 4956 4130 $524 51 Amount Paid $524 51 $52451 7/28/2008