HomeMy WebLinkAboutPermit Miscellaneous 2008-11-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01322
ISSUED: 11/13/2008
APPLIED: 09/03/2008
EXPIRES: . 05/1312009
VALUE: ' $ 77,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 1919 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271003200
Springfield TYPE OF WORK: Miscellaneons
TYPE OF USE: Addition
PROJECT DESCRIPTION: Electrical for conference room and Roof-top PhotoVoltaic Array
Indnstrial
Owner: OLSSON INVESTMENTS LLC
Address: PO BOX 70413
EUGENE OR 97401
I CONTRACTOR INFORMATION I '
Contractor Type
Electrical
Contractor License Expiration Date
OLSSON IN))UST.~~~!';I,;.E;~:r~n~,la~~r:~~~:~,,~~:~:~, 01/2612009
If,ilrBUlUDINGlINFORMATlON:13 set forth
NotlilcallUIl "0' ,"w ",", hOAR 952-001-
, AR c-~ ,-"1.!1~'i 0 throug. ,
In OWof Stones:. ^Op'les of the rules by Lot SIze:
O Y ,-v .....\f,....,""It.8\~ l~_ ~
009, Heiglft'ofStrtictur~, the telephone Sq Ft 1st Floor:
II" .-- tht:l r';rv..,tE'l ~I>lUl...... .
ca \I1rr:~P~ Vf .f'6~\jgoll Utility Notl1ica\ion Sq Ft 2nd Floor:
numbCwa'terl\pef_SOO,332-2344), Sq Ft Basement:
R;i~~eerype:' __ Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building;,~ n/a. Occu!'ant Load:
Phone
541-747-8460
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
\,
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
NOTIC!!1Street Trees Rqd: E WORK
"HIS PtPrl':vF.'f1y.W~'IJR,qtCl(PIRE IF TH
:\U1HORliOl&'dI~.5'~R'i\g4IS PERMIT IS NQT
~nMMFNCED OR IS ABANDONED FOR- .
JI,P.1tJBJ:)ICLiMP~tjV~MmNTS I
Street Improvements:
Storm' Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
. Date Calculated
Page 1 of 3
'. erry OF SPRINGfIELD, O!lliGON
ZON
INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726,3689
ELECTRICAL PERMIT APPLICATION
"..;:-. /,7 "'-,,:>-'
City Job Number G-". 0<-
1. ilrm~oMO':r:..~~t>N.:'I'~;"~~iiii:
~,........".......~.....~,..._."...".".,....., '. i1lll
/q/PJ L4t1!<fi
LEGAL DESCRIPTION:
j'lo"S :21/0 o:rj,nC)
JOB DESCRIPTION:
Permits are non-transferable and expire if work is
not started within 180 days of issnance or if work is
Suspended for 180 days.
.,;wg;:4ii\ifuffi;.w>>Nf#r"'::r*;aili1)iM~0":Atjt1yt'ii'#-1~lII%H&I!''l\%jjt9't''''Y''H~I>J,""
.OONiFRAeTORl:INS'J.':lfEffA5ElONrONb}{.'
2 ,",,,,..,"","d_;.""'"'''~''r''~';M,,.'''~'''''''''",0''''''"'''''''''''='''''''''",",,_;,=___,,'ci,,~G ,,,,,,",,,,-,","," .
. . - ""~, .,.~ ',,"-," -~'-~'-"""'""""'Wf1lli......1WIli,lWl1ZJl:''''''=~''''''-''''''''"'"''"''"''''''''"''''~"",~-"~,,,", .
Electrical Contractor (') LI c.JJ ~
Address
City Phone
Supervisor License Number
E~piration Date
Constr. Contr. Number
Expiration Date
Signature o/ervising Electrician
1/1 .?-!..--.-'/'''--
/1.--
Owners Name
Address
City
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
. Inspection Request: 726-3769
Date Itj;;~:/of:
3. ~.1i!mT;ii'l!J?E~eii1l5n~iBEOO~iI;~~1I:~"Ill!i!jl!JlII1j'~l!l
1~",'@,;1:';aiL~~-L,,"r:;""~-'''''''''''-'"'''_"'''''"''''':.'"''t'''''''''~''"'~_'_~~=^"""",.:lI1,.-,Y~
A.1~~~~1R~idrdtmit~~sig~~'A~~i.&]~JaWelll"~rfi.
^,~~P''fuTIt,li<<i''~''~'"';_Y6","~oV~i(i,jtm0.iE~"""""~.,,,,,_,1hiB'i0.''d'''''.~~",,<,..~g,,,,,,,,,,.;._ ~!
Service Included
1000 sq. ft. or less
, Each additiona1500 sq. ft, or
portion thereof .
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$121.00
$ 22.00
$57.00
B.
200 Amps or less
201 Amps to 400 Amps
.401 Amps to 600 Amps '
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
/ $ 73.00
$ 86,00
$143.00
$186.00
$426.00
$ 57.00
')j
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps, '.
401 Amps to 600 Amps
$ 57.00
$ 79,00
$114.00
D.
New Alteration or Extension Per Panel
One Circuit . $ 50,00
Each AdditioruiJ Circuit or with
Service or Feeder Permit (" $ 5,00
')d
"MillG\%iUil_' , 'illi~_' iJi4l\!i!l';';ilW!ifXW$'"'"illW'"iffi!!!U'I'~'J1lllit$%*,",,""""'*,J'=~"""~,;W"" ""'7Jim""'~'lN::l""""ffi$lR
E :M~ IIli' w"~(S~'~-~ff~S'i~",-""rt"""l"\f:i)'.WxE."-h't~~ta"'ift.
. i1'~,-;.~~,_,!~;R~;~~!~4>i~rL~iWi!!S~if )SB:,.""!~l,,!t~'""""_~Ml~Jl\
Pump or irrigation $ 57.00
Sign/Outline Li~ting $ 57.00
Limited Energy/Residential $ 29,00
Limited Energy/Commercial $ 52,00
Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
4. ~mBm:f1!741(jH?aQml~lm~JJJ
) "0' ""<'\&:!kr;;;0W1@ilii0~~^'4~'0m1.t~mfi~ /0 ]
12% State Surcharge I '). ') (.
10% Administrative Fee / ^ 7 ".
5% Technology Fee .<;' 5
TOTAL /'3 cJ 'in
Shared Dtive(T:)IBuilding FormslElectrical Permit Application 7.{)8.doc
Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
Fee Descriution
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Plan Review Comm/lndlPublic
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Total Amount Paid
Initial Review
SUB Review
Structural Review
Struchi ra) Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01322
ISSUED: 11/13/2008
APPLIED: 09/03/2008
EXPIRES: 05/13/2009
VALUE: $ 77,000.00
$1.00
, 77,000.00
09/10/2008
Total Value of Project
$77,000.00
$77,000,00
Fpp, PQi11
Amount Paid
Date Paid
Receipt Number
$39,50
$47.40
$19,75
$30.00
$365.00
$352.07
$54.16
$65.00
$27,08
$541.64
$8,00
$0.75
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
9/10/08
1I/13/08
II/13/08
1I/13/08 '
II/13/08
II/13/08
11/13/08
2200800000000001322
2200800000000001322
2200800000000001322
2200800000000001322
2200800000000001322
1200800000000000961
1200800000000001134
1200800000000001134
1200800000000001134
1200800000000001134
1200800000000001134
1200800000000001134
$1,550,35
i Plan Reviews, I
09/11/2008
APP LLH
09/11/2008
09/11/2008
APP JF
No energy code issues. No energy
code inspections required, See
attached documents.
09/12/2008
09/11/2008
WE CJC
Need claritication of wind uplift
engineering 8/17 /08cjc. Called
Engineer,left message to call me for
needed clarification 10/20/08dlm.
09/17/2008
11/12/2008
,
APP DLM
,
Received wind load calculations and
an explanatory letter from the
engineer; OK
11/12/2008
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~,irp:fi 'psnections I
Rough Electric: Prior to Cover
I
Electric Service: Approval required p'rior to utility company energizing service,
Paee 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01322
ISSUED: '11/13/2008
APPLIED: 09103/2008
EXPIRES: 05/13/2009
VALUE: $ 77,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete,
Special: See Plan Reviewer or Inspectors Notes for specific requirements,
Final Building: After all required inspections have heen requested and approved and the building is complete,
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 ofthe 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.
.~~?
,
/1 !fJ/?,3
~
--------
Date
.Owner or Contractors ,Signature
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
D~velopment Services Department
Public Works Department
Job/Journal,Number
COM200S-0 1322
COM200S,O 1322
COM200S-0 1322
COM200S-01322
COM200S,O 1322
COM200S,O 1322
COM200S,01547
COM200S,Ol547
COM200S-01547
COM200S,01547
COM200S,O 1547
COM200S-0 1547
COM200S,01547
RECEIPT #:
1200800000000001134
Date: 11113/2008
Description
Building Permit
Copy 6th @ 75 e'ents
Copies - Ea Addtl @ 50 Cnts Ea
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Plan Review Commllnd/Public
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Building Pennit
+ 5% Technology Fee
, + 12% State Surcharge
, + 10% Administrative Fee
Payments:
Type of Payment' Paid By
Item Total:
Check Number Authorization
Received By Batch Number Nuinber How Received
Check
cRcceintl
ADVANCED ENERGY SYS
cjc
In Person
Payment Total:
1405
Page.1 of 1
1:39:44PM
Amount Due
541.64
0.75
S.OO
27.0S
65.00
54,16
79.S7
73,00
5.00
122,SS
10,04
24.11
20.09
$1,U31.62
Amount Paid
$1,031.62
$1,U31.62
11113/200S