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Home My WebLink AboutPermit Electrical 2008-12-19 , ,~ 3. ZON INITIALs! M DATE ~.\'1..1)9) ~ SOURCE ~\~~I~ Date / Z-/I ~/O r COMPLETE FEE SCHEDULE BELOW SPRINGFIELD 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S41)726~3689 .ElectricalContractorOlsson Industrial Electric, Ine. 200 Amps or less 1 $ 73.00 73.00 201 Amps to 400 Amps $ 86:00 401 Amps to 600 Amps $143.00 601 Amp's to 1000 Amps $186.00 Over 1000 AmpsNolts $426.00 Reconnect Only $ 57.00 . ~ENT10N: Oregon laW requires'you to . . follow mles adonfqd by the Oregon Ut'I!'lty c. fcmpev-.ar.v :Services or Feedcr~ . ,"uI1flcaflon'Center. I nose rules are set.forth . In OAR 95?--001-0010 fbrough OAR 952.001- Inst.lI.t"',n,-Alter.tlOn Oyf Reloc.hon, f th ! b vvV'u. YUl.1 rlla Ui..lli:l.lll copies 0 e ru es y 200 Amps Q];~e)islg, the center. (.~Into' tho ~Gz..$9'OR~ 201 AmpslftI.HIIJO<t\n\pS the Oregon Utilif" ~jiZ?,.,Qgai;nn 401 Amps to 600 AGfpster is 1-800-332-23$.li)~.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch CirC'uits ELECTRICAf1~ER1l!IT, APPLICATION City Job NumberWfl12lf7J'/ - nl-J:53 LOCATION OF INSTALLATION: 1. ".:to -6-8+- S. 67th Ave Springfield, OR 97478 LEGAL DESCRIPTION: S. 67th Pump Station JOB DESCRIPTION: Moving 200A service to new location _ on Dron~rt.v_ Permits are non-transferable and expire if work is notstarted within 180 days of issuance or if work is .Suspended for 180 da}"s. - ,.---~---"- -- -.. 2. CONTRACTOR INSTALLATION ONLY Address 1919 Laura Street City 130rinQf ie1d Phone 541-747 - 84 6 0 Supervisor License Number 3334S Expiration Date 10 I 0 1 / 0 9 ConstL ContL Number 63473 Expiration Date 01/26/09 Ising Electrician Owners Name Sprinqfield Utility Board Address 202 S. 18th. Street City Sorinqfield Phone 541-746-8451 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 ~ ---,:.. .- A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $12 LOO $ 22.00 Each Manufact'd Home or Modular Dwelling ~ervice or ----Peeder--- ~ . -"- - - . _. $57.00-- B. Services or Feeders -lnstallation,IAlteratiolls or Relocation: New Alteration or Extension Per Panel One Circuit 1 Each Additional Circuit or with Service or Feeder Permit . $ 5.00 !-InriGE: livP'l<t IF l\-1t WORK . E. MlSce, lIaneOn' r,5aVlt.U'eo (:). dbIIPcl~derl)\""'"eiTInst"lI.tion ": \1;'; j.'t:rll"'"' v.. 1\-1\S pt\'llVlrr iY'" ., "r:\QI7FD UNDER . NtD ~nR Pump or imgati9P_i) OR Ie:: 1\\3/\NDO $' 5'tOo Sign/Oiitii~~rr]i~]jB~ tRIGO. $ 57.00 Limi.ted'En'e?I&/!il&ldfntlal $ 29.00 Limited Energy/Commercial S 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges $ 50.00 50.00 4. SUBTOTAL OF ABOVE lfO I. 8". <:,.qo 4~ :3 Ii . (;;Iu 1,0 1')".:1 ('I() 12% State Surcharge 10% Administrative Fee 5% Technology Fee p' -,-. ..l..-::t. ,'0 1? ,0 .6....1-5 ...--'!:-56-0,2-;b- TOTAL Sh,,,d DriVe(T:l/BUild;ng. Fonns/Electrical P"mit APPliC'q q':oOrp _.s~!U!:!!!!i!~~'~ . ., ;':, ',' ~:' --.' -t '-"".~ ':1"'~" CITY OF SPRIN\JJ11J<,LD ' Building/Combination Permit Status In Review PERMIT NO: COM2008-01753 ISSUED: APPLIED: EXPIRES: VALUE: 12/09/2008 06/18/2009 $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 625 S 67TH ST ASSESSOR'S PARCEL NO.: 1802031106700 SPRINGFIETYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Public PROJECT DESCRIPTION: New shack for control equipment Owner: CITY OF SPRINGFIELD/SUB Address: 202 S 18TH ST SPRINGFIELD OR 97477 Phone Number: 541-726-2396 I CONTRACTOR INFORMATION' Contractor Type Designer Electrical Contractor DESIGN SOLUTIONS LLC OLSSON INDUSTRIAL ELECTRIC License Expiration Date Phone 541-744-9280 01/26/2009 541-747-8460 63473 I, BUILDING INFOR~A T10N I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd'Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 37.026 120 U-I n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: "~!T[NTlON: O'n,,~" L I PUBLIC IMPR0,V,E'ME~Ts'ied b)~ih~c6~:es you to .., VMI1 <"S~ . Thoon '''/0 gon Utility 0090 ,," ~-UO 1-00 10 lhlSiilewall{lIlyp~tforth . TOllmayO"_' uughOAR9~ calling the c o,,"n C(DOWnspoutsf1rtE-MQl~ nUmber f~r the:oter. (Note: th~ t~;;PhU es by I eo on un one Center is l-BOO-332,lty NotificatIon -2344). .~. Total: Handicapped: Compact: Street Improvements: Storm.:l'ill'l'r ~vailable: Spe~ta'JIIh'st;,ijction: THIS PERMIT SH No~nHOR/ZED UN~~~ EXPIRE IF THE WORK COMMENCED OR IS A~HIS PERMIT IS NOT ANY 180 DAY PERIOD, ANDONED FOR . Paee I 01'3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2008-01753 ISSUED: APPLIED: EXPIRES: VALUE: 12/09/2008 06/18/2009 $ 10,000.00 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Iy aluati~,n Descrintio~ , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fp'f" P'\ilU Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Nnmber $79.87 $7,80 $9.36 $3,90 $5.00 $73.00 12/9/08 12/18/08 12/18/08 12/18/08 12/18/08 12/18/08 2200800000000001722 . 1200800000000001237 1200800000000001237 1200800000000001237 1200800000000001237 1200800000000001237 Total Amount Paid $178.93 I Plan Reviews I Fire Department Review Structural Review 12/12/2008 12/12/2008 ,) Initial Review Public Works Review 12/12/2008 12/12/2008 12/12/2008 12/12/2008 APP APP LLH RP Planning Review 12/12/2008 12/15/2008 APP EMM BP Review only per previous notes from Tara Jones in parcel files. 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 wMkd~ . ~n~rlln~ne('tions I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete, Pa~e 2 of 3 Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY 01' ~nuNGFIELD . Building/Combination Permit PERMIT NO: COM2008-01753 ISSUED: APPLIED: EXPIRES: VALUE: 12/09/2008 06/18/2009 $ 10,000.00 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 iu accordance witb 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 Paee 3 01'3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01753 COM2008-0 1753 COM2008-0 1753 COM2008-01753 COM2008-01753 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Depar~ment RECEIPT #: 1200800000000001237 Date: 12/18/2008 Description Penn ServlFdr 200 amps or less . Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received OLSSON 1NDUSTRlALELECT NJM 008036 In Person Payment Total: Page 1 of 1 2:27:25PM Amount Due 73.00 5.00 3.90 9.36 ?:SO $99,06 . AmountPaid $99.06 $99.06 12/18/2008