HomeMy WebLinkAboutPermit Electrical 2008-10-13
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726~3753 . FAX: (541)?26-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ( o.nll '2A01f"..-o I r Z4 Date
1.
Superior Lumber CO.
LEGAL DESCRIPTION:, J70:S3~--oCSC
1651 So. F Street, Springfield
JOB DESCRIPTION:
8' Veneer Lathe
October .1. 2001<
3.
OO'3GO A.
200 Amps or less I $ 73.00
201 Amps to 400 Amps $ 86.00
~401 Amps to 600 Amps $143.00
~ 60] Amps to 1000 Amps 3 $186.00 558.00
Roseburg, OR Phone 541-672-8100 t~Ttr#1illfl.qAmpSNOlts 'J.... $426.00 ..ES? on
oflo'&<1'fJ1W1~'f&!9gon I $ 57 00
.Notificar adoPted aw reqUlr
In O&:i'fl:~q'~e~?~'lll?Y[~f1~1!Ia ~~~-!t.()U;to,~a:i!l!:l!!fO{.Ji!!!!J!.--'" -tit
0090 . ,"''''lllIfuot. .S.'I"""" 0 ~.":\iiI'I't..ilI{uiliD'!il?1:'F"'b,, .x;
. Yo"'vtJ1" 107h."""R eSa,- .<:Jlllym~_.
ca/{jng,~ay' Ob!flitelhrC}ugh QiI~et fOrth
nUmb l!9IWer. (^~~'tlrJrlh J?1.b01_
eY@IA./hty;errifa'b,ole: the lei e rUles ~,
~l1J..lfiiristq~~ity Notfhone
401 Amps ~o 600V~2344).II~dItOn
New Alteration or ExtensioD Per Panel,'
One Circuit $ 50,00
Each Additional Circuit or with ,r- )
Service or Feede; Permit (01 $5.00 325.00
Owners Nam;O :~e;~ ~e Fares t Produc tlvOTl~E~EM~"tl,1il1J~\(S~'l1!il~':ri'iJ:r~1!i\l~i!a)'!~E~iifli.~6i'fu*ti'&'\Il
Address ';'HIS PEF{MtrS-'~H_0"'i#1ill""'-.""'-""'-_i",jj'a~.,."'''m'''''''''''''k''''''""'''-----
City Springfield ,OR Phone AUTHOR/tRf P1.~~l.tifJ<PIRE IF THE "'aRK $ 57.00
COMMEN't!f!B6Ut1IrlfBiilf/tlJ(g PERMIT IS' 'J $ 57.00
OWNER INSTALLATION , ANY 180 b~t#~d.$~i'lfD FOR' OJ $29.00
The installation is being made on property] own which Llmite;FB/Q/McoinmerciaI $ 52.00
is'TIot.intended for sale, ~ease or rent.
Permits are Doil-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
IES Industrial, Ihc.
Address
2250 Aviation Dr.
City
Supervisor'License Number
4726S
Expiration Date
10/1/2010
Constr. Contr. Number
104388
Expiration Date
3/1/2009
Signature of Supervising Electrician
.ll/~LILb~ '
Owners Signature:
Inspection Request: 726-3769
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 "
$121.00
$ 22.00
$57.00
B.
73.00
$ 57.00
$ 79.00
$114.00
D.
4.
1808.00
71.f1.qF,
.1tlO.tJO
90.40
2296,16
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Bliilding FormslE!ectrical Permit Application"7-08.doc
CITY OF SPR~NGFIELD
Building/Combination 'P~'rmit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008-01524
ISSUED: 10/10/2008
APPLIED: 10/10/2008
EXPIRES: 04/10/2009
VALUE:
Status
Issued
SITE ADDRESS: ]65] S F ST
A.SSESSOR'S PARCEL NO.: 1703350000300
Springfield TYPE'OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Veneer lathe electrical
TYPE OF USE: New
Commercial
Owner: SWANSON GROUP MFG LLC
Address: 1651 SF ST
SPRINGFIELD OR 97477
I CONTRACTOR ]NFORMATION ,
Contractor Type
Electrical
Contractor License
]ES ]NDUSTR]~_L, INC ]0438~
f~il~~~/-B(lJlID1NG ]NFORMATlON I
.'Valific8;i;'~~ 8do -"JUl) 18Wre ., .." '
~~~A~,952~OC;;~~~~~~fUr.,~9reOSn~uo/J to
. ~U ~fu -~M ~ty
C811ing th majf1ll8Ya01 i'l6a!J9h aS are Set t. I
nUmb e c""'- te/'t9A""; 'AR 9'" ortll
er for th;q,~r; W~es of the r~2-001_
Center iE:...lrpy/i/the teleph les by
''-'0 ':::.'JrYN t.. one
Sprin Ieil~S~:,nCatiOI1 nla
I DEVEL~PMENT INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Nn.,.,,.._
? - oGl.
I HIS PERM' I PUBLIC IMPROVEMENTS'
. AUTHO 'I ,jHAL
COMM RilED UNO L ExPIRE I~
ANY 18~~ED OR I%~;HIS PER;:'~E WOR/(
, AY PERIOD ANOONED r- IS Nor
. rOR
Expiration Date
03/0112009
Phone
541-672-8]00
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:,
Sq Ft Ga~age/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Speciallllstruction:
, Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation DescriDtiiln I
Description
Type'of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page] of 2
Value
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0I524
ISSUED: 10/10/2008
APPLIED: 10/1012008
EXPIRES: 04/10/2009
VALUE:
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~' P~irll
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm ServIFdr 601 to 999 amps
Amount Paid
Date Paid"
Receipt Number
$]80.80
$216.96
$90.40
$325.00
, $852.00
$73.00
$558.00
10/10/08
.10/10/08 ,
10/1 0/08
10/.10/08
] 0/1 0/08'
] 0/10/08
]0/10/08
220080000000000]497
220080000000000]497
2200800000000001497
220080000000000]497
2200800000000001497
220080000000000]497
220080000000000]497
't;.
Total Amount Paid
$2,296.]6
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. wilfbe made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I ,Re,'luired ,In~n~ct.ion~ .
Rough Electric: Prior to Cover
Electric Service: Approval required prio.r to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature,] state and agree, that I have carefully examined, the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 p~rtaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
] further certify that only contractors and employees who are in complianl'e with ORS 701.005 will be used on this project.
] 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 apliroved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 01'2
225 _Fifth iSt~eet
Springfield,Oregon97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1524
COM2008~0 1524
COM2008-0 1524 '
COM2008-0 1524
COM2008-01524
COM2008-01524
COM2008-01524
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Pern1 Serv/Fdr 200 amps or less
Penn Serv/Fdr 60 I to 999 amps
Penn Serv/Fdr 1000 amps/volts
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ IO%;Administrative Fee
Paid By
IES INDUSTRIAL ]NC
.2200800000000001497
City. of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/10/2008
2:42:35PM
Amount Due
73,00
558.00
852.00
325.00
90.40
216,96
180,80
$2,296.16
Item Total:
Check Number 4-uthorization
Received By Batch Number Number How Received
djb
.
Page I of I
1278
Amount Paid
In Person
Payment Total:
$2,296.16
$2,296.16
-
10/ I 0/2008