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Home My WebLink AboutPermit Electrical 2009-2-24 Electrical Permit Application "7'; ~ I ~." _ I Permitno: (!Yt'"'~~0 I Date: ?..:-- 24--0 1 DEPARTMENT USE ONLY I CITY OF SPRING~IELD, OREGON 225 Fifth Street+Sp.-ingfield, OR 97477+ PH(541)726-3753+ FAX(S41)726-3689 Tbis permit is issued under OAR 918~309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE !Qty.j I Total I cost I I I 1 I 1 I I I 1 I I 1 I I I I I 1 1 I I I 1 I 1 I 1 , $ \\~'L4 $~\l"~ $\'O".~ $ \1>'l.A..~ I LOCAL GOVERNMENT APPROVAL I I Zoning approval verified? 0 Yes 0 No "/.A I IV '1 N umber of inspections per item ( ) I CATEGORY OF CONSTRUCTION I I I I I I Residential, per unit, service included: o Residential 0 Government IIiI Commercial I JOB SITE INFORMATION AND LOCATION. I 1 t,000sq,ft.orless(4) I Job site address: ,250 <j I/A" IN Sr, I I ~~~~afditionaI500 sq, ft, or portion 1 City: 5 P I{ ," q FIE L D I State: 0 R. 1 ZIP: 97"177 1 I Limited energy (2) I Subdivision: I Lot no:: I I Each manufactured home or modular I DESCRIPTION OF WORK I dwelling service or feeder (2) I I I Services or feeders: installatio", alteration. relocation Re f'P-J ANn RePlAce IOOoKvA r,.U'SF~I!;'U<. AAI/J 1 1 I 200 amps or less (2) $ 81,00 $ SUl/rCf./(ie"R Wlnf /SOOI(VA T'l...ns"'A.MtI</S~'TCH'''R I PROPERTY OWNER' I 1 201 to 400 amps (2) / $ 95.00 $ I Name: (l.os8o!:u t..L,C I I 401 to 600 amps (2) / $158,00 $ 1 Address: PO, Box 20 1 1601 to 1.000 amps (2) Z $205,00 $ 1 City: SP/l.INt;~/eLD 1 State: OR 1 ZIP: 97'1-77 1 1 Over 1.000 amps or volts (2) I $469.00 ,$ 1 Phone:54/-]3(,' 2/d I Fax:541-14(; 7 Z Z. 4 1 I Reconnect only (2) $ 63,00 $ I h / @ 1 I Temporary services or feeders: installation. alteration, relocation E-mail: ,'OhW ,,--, e... ~ JroS hol"o. COIvI This instal1ation is being made on residential or fann property I 200 amps or less (2) owned by me or a member of my immediate family, This 1 201 to 400 amps (2) property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1), I 401 to 600 amps (2) $126.00 I $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above /!.o S I >hI" (). L L .C. I .INSTALLA TION I Branch circuits: nelv, alteration. extension per panel I Business name: Ros bOM L I-. cia. Fee for branch circuits with purchase of a service or feeder fee: I Address: 250 9 IUA ''>1 _ )r. 1 Each branch circuit I $ 6,00 1 $ I City: SP,/J.IN'4FIEL../) I State: OR.. I ZIP: '17477 1 h, Feeforbranch circuits without purchase ofa service or feeder fee: I Phone:.54/-7J.s' ZII f} I Fax:S'II-71{,- 7224 I First branch ci,cuit (2) I I $ 55.00 I $ E-mail: ,'onwhee/el< (iJro Sbof'o . r::OM 1 I Each additional hranch circuit $ 6,00 I $ CCB license no.: 1 BCD license no.: I I Miscellaneous fees: service or feeder not included 1 Signing supervisor's license no,: II I 4 psi I Each pump or irrigation circle (2) $ 63,00 1 Print name of signing supervisor: Ch/'Idol)j,._~ L. M'LLeR I I Each sign or outline tighting (2) $ 63.00 I Signature of signing supervisor: /.,-~/ ~ './ ~._..~__ I I Signal circuit ora limited-energy panel, $ 63.00 $ t- ?" /" v.r ...T -'../7..-.............- ~. alteration, or extension (2) I Each additional inspection: (1) $58.00 I $ I APPLICANT USE I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) 1 (B) Enter 12% surcharge (,12 x [AJ) 1 (C) Technology Fee (5% of[AJ) 1 TOTAL fees and surcharges (A through C): Cost ea. $134.00 $ 25.00 '$ $ 32.00 $ 63.00 $ 63,00 I $ $ 87.00 1 $ $ $ 440-2584-J (9/08/COM) w ~ ~^ ~rf\ ~'() $ $ $ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line pTY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00246 , ISSUED: 02/24/2009 , APPLIED: 02/20/2009 EXPIRES: 08/24/2009 I VALUE:- SITE ADDRESS: 2509 MAIN ST ASSESSOR'S PARCEL NO.: 1703364102300 Springfield TYPE OF WORK: Electrical Work Only Industrial PROJECT DESCRIPTION: , TYPE OF USE: Alteration Refeed and Replace 1000KV A Transformer and Switch Gear with 1500 KV A Transformer/Switch Gear ' Owner: Address: ROSBORO LUMBER CO PO BOX 20 SPRINGFIELD OR 97477 I ~ONTRACTOR INFORMATION I License , Contractor Type Electrical Contractor OWNER BUILDING INFORMATION I 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 I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setba~k: Side 2 Setback: Rearyard Setback: , Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: _ I' Trot \I~QI;\'" ' .,.' ~ ,";. ""I'll'\:: I. :,. IS ~Q\ Storm Sewer Availabl~: I \\.:t... ,1' S\-\i\Ll eel' '1'\:1'\\\11\, Special Instruction: 0 ,'\'i-. ?1-p,I,;\' UIlDER \\-\IS Ql'o\E\) 1'01'\ ',,"f(\-\OHIlcu 1'\ IS /I.\.)/I.\'l\) Notes: ," ,,"'EI'ICE\) 0 010\) "O,"W' ^,' OtD . 'u ,nr\ f'\1-\' r f\\~\ ,- I Valuation DescriDtio~,' .' Description Tvpe Of:_}o~struction $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa2e I of2 Expiration Date Phone , 'Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq,Ft Basement: Sq Ft Garage/Carport Sq,Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: , , OU to I 'oN reqUlIeS Y ATTENTION: Orego\a th~ Oregon Utility fnllnW nlles adopte~k~YOO r!!les are set lo~\h NotificatIon v~"'c" 0 t\lrough UN' "J~OV' , O^R 952-001-00i ' '0'. of the rules by In " \ t \n COplvo ~9.e!o\Ca]kHyP~l' 0 )_a Note: the te\e~h~~e r.RI\inq thece~t~~, lon Utility NotlliCa.dOn Downspouts/Drams:, eg ~3? ""'44) nurrHJ~' lv" . i .800~" _~~v . center IS _ Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Pee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 1000 amps/volts Perm ServlFdr 201 to 400 amps Perm ServlFdr 401 to 600 amps Perm ServlFdr 601 to 999 amps Total Amount Paid Amount Paid $135.84 $56.60 $469,00 , $95.00 $158.00 $410.00 $1,324.44 CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2009-00246 ISSUED: 02/24/2009 APPLIED: 02/2012009 EXPIRES: 08/2412009 VALUE: Total Value of Project: Fees Paid I II II. i .. I ' Plan Reviews I Date Paid 2/24/09 2/24/09 2/24/09 2/24/09 2/24/09 2/24/09 Receipt Number 1200900000000000127 1200900000000000127 1200900000000000127 1200900000000000127 1200900000000000127 1200900000000000127 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. ' I Reolli~~d I ~snections I 2-24 01' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and 1 further certify that any and all ~ork performed shall be done in acco,dance with 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 alhequired inspections are requested at the propel' 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. . 40'~::&/ Date I Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , \ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00246 COM2009-00246 COM2009-00246 COM2009-00246 COM2009-00246 COM2009-00246 Payments: Type of Payment Check cRcceintl RECEIPT #: 1200900000000000127 Date: 02/24/2009 Description Perm Serv/Fdr 20 I io 400 amps Perm ServlFdr 40.1 to 600 amps Perm ServlFdr 60 I to 999 amps Perm ServlFdr 1000 amps/volts + 5% Technology Fee. + 12% State Surcharge Paid By ROSBORO Item Total: t:heck Number Authorization Received By Batch Number Number How Received njm 366694 In Person Payment Total: Page I of I 2:08:08PM Amount Due 95,00 158,00 410,00 469,00 56,60 135,84 $1,324:44 Amount Paid $1,324.44 $1,324.44 2/2412009