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HomeMy WebLinkAboutPermit Electrical 2009-3-17 '--,. ~ ZON '...tl/ JNJTlALS l~ D!--TE. ,~, \-, 'v-:'\ S~URCE ---v ~ " March 3, 2009 , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726:-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION . City Job Number 20209{,O8<7 COH-(200 9-00 3S I Date 00300 1000 sq. ft, orless Each additional 500 sq, ft, or portion thereof 200 Amps or less 1 $ 73,00 ~O g I 201 Amps to 40"'6mPs $ 86,00 ~nll"l; 401 MJps\'to 62P:},Uj1ps 1 $143.00 .Yd:'OO _"01' \\l."6df,A1riI'~Sla,I'Wo()~ns 2 $186,OO.JR:"OO G).......:-'J "\\\v ~e;J.... 60\i; Phone 541:-,97:~.,-\8'1;gS,eo 'o'l~\'I>I!OO~'{\n:!psN'ol\r-1 1 $426,00 ~OO i'\\\O-'~u\eS "... let. \nORee,oJin~rRl1ll\u\es $ 57.00 \o\\o\f-J '01' eel' 00\0 \nlU 'es 0 :_IPonol'e \\\\Ca\\ n 00\- .;~ ~'m~,''l'i\~.,;1iw-~:'"'',"~'m!''''J1lF~;!ft-'"'- Supervisor License Number 4726$) _ ,>:\ gS~- _ n'l o'o'\l.c\~'U~~\~~@~~,ll';!E~~~~ooer";:J!l:Ik!,~",~iili"I!0'~il!rJ~'1!il '"?,, II' ~'a '101.\ P' cel'\et. o~U\\ ~~AA)' 10/1/2010 aa~ni\\1'9 \~~, \ne Ot~J,~'ift;)R, Alteration or Relocation ~\l('\\'oel 6~I'\e\ IS 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps - Over 600 or 1000 1. WftI!6GA,"TiON;oEiJNsTXilf:A?floN!~";iJJl1;;f) Eiii:'i.J:ic4!:.di;iifuIEi&t~4kLYYii'ii*=''''''"''''~'~''''0iE'.:tJhW;~JiiiiJ0~3.:dJ.g;- Swanson Group MFG, LLC \lM\ ~.f LEGAL DESCRIPTION: 1651 S F Strppt. JOB DESCRIPTION: /7D33S0C lay-up Line Permits are non-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 Industiral, Inc.. Address 2250 Aviation Dr. City Roseburg, Expiration Date Constr, Contr. Number 104388 Expiration Date 3/1/2011 Signature of Supervising Electrician fJL~t!~,~- G-r-...- ~ F- sf- OWllersName Sl.vt\-""~C)--- Address I b S' I ':> City c;.pf b Phone OWNERlNSTALLATlON The installation is being made on property I OWll which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Inclnded $121.00 $ 22,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $57,00 B. $ 57,00 $ 79,00 $114,00 D, IS8 I..{IO t.{ 6 cr New Alteration or Extension Per Panel I' One Circuit ,.~\!\~'(s 50.00 Each Additional Circuit or wiJh,~ W'C.1.-::: ~I'\'t ' . 90 \tt..e;eeder{t~\l\~ ~1\\i,\"{\<)~/'$'5,OO A-5':\)0 ~~"._.~'<. ~~~. ....., .._,,,...u.,,...,,....,..~ .., :1:...... . ,~~]............. ....N,,'" ....~.....~...".,......~.,h.....~,<""...."<...,,..,.,"m,,0-?<.. \'t rf.." "".."'~.. : ,,:~A{H_ "'JDiD'cludetl)J'0.EaCliHn'si~a'ti()tl~ 1 "';\~~:~~~-""t'"'"f~;'" \..",'M''''''' ,""',"'I$d"";""""",,,,,,,;',~1\;:"""~Um;;..z;"'1'''iii",'iii''i!~ I \"{'l\~~D. 01\ \ f>,'u.~~~~t'8'tI\\OD. $ 57,00 CIS ,\~~i!\1itlllg $ 57,00 'ted EnergylResidential . $ 29.00 Limited EnergylCommercial $ 52,00 Miniinum Electric Permit Inspection Fee is $52.00 + Surcharges ~oo 12% State Surcharge H(T.' 68 10% Administrative Fee WS'. 90 5% Technology Fee 52+. 45 TOTAL .; ~ ~~ Shared Drive(T)/Building Fonm/Electrical Pennit Application 7-08,dn\ \ l-\ ,,> 4. ,. Izog lliq~ bO.IiD _s,eR~~PIl.I:-I).1 ',.lI, ,J".., t Status Issued CITY OF SPRINGJ:<lJ<..LD Building/Combination Permit PERMIT NO: COM2009-00351 ISSUED: 03/1612009 APPLIED: 03/16/2009 EXPIRES: 09/1612009 VALUE: .. 225 Fifth Street, Springtield, OR 54l-726-3753,Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line SITE ADDRESS: 1651 SF ST ASSESSOR'S PARCEL NO.: 1703350000300 Springfield TYPE OF WORK: Electrical :Work Only TYPE OF USE: New PROJECT DESCRIPTION:. Electricallay-np line for Swanson Gronp MFG Indnstrial Owner: ' Address: ,0U \0 ~(\lilleS_~ \,)\i\I\''I.." (\ \0.\\'<.~;., O~lQ'='.-_ c.e\ '~:""i" . _\'. ole~O 0 'O~I 'CON'fRA0f.OR Il~FO. RMA nON I '.I'JI' A me , ' I' ,,' . I" "CovO\" ,\\00- XI V' I" ~ I"" ,,",,1.85 ~'el. \\Ioug ~\\\e XlO(\e . Contractor Type , :,r;.onJ~~cJ~rl\()\()\ ro21eS 0 w\e9, I"io(\ Ltcense Electrical ,',~\!ES\II'SJ~UST&A'IJ\'U~,<,\e', \\\.~, 'cl.O\I\iC'O- 104388 ill O~;'..~ou ~~~~e(\\~:,~IBuii::DiNG-INFORMATlON' ()() \l-\X\(\g \01 \\\e. \ ,\',vc' . # of Units: C u\\,'Oel Ce(\WI IS # of Stories: Primary Occupancy Gronp~ Height of Structnre . Secondary Occnpancy Gronp: T~pe of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Bnilding: SWANSON GROUP MFG LLC 1651SFST SPRINGFIELD OR 97477 Expiration Date 03/0112011 Phone 541-672-8100 Lot Size: Sq Ft Ist'Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga~age/Carport Sq Ft Other: Occnpant Load: nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION ~~ ~\)":~ R--~ \'t \ ~ \S ~ Overlay Dist~: . ~~'\S ~~~~\) 't\)~. # ~~t Tre . ",,'0\. '!:::I0~>;; \\~1l"~\~,<<* ~~ \>.~\>-~ ,i1s~\)~\~\) ~~~~\)\). . "\\' - ,(..v.c, "J Q>;; _",n\". . ,,.-,. 1 PUBLt'G-IMPMVEMENTS, 1"'- REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $PerSq Ft or mnltiplier Sqnare Footage or Bid Amonnt Value Date Calcnlated Page 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid 1 Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 1000 ampslvolts Perm ServIFdr200 amps or less Perm ServlFdr 401 to 600 amps Perm ServlFdr 601 to 999 amps. Amonnt Paid Date Paid $144.96 $60.40 $90.00 $469.00 $81.00 $158.00 $410.00 3/16/09 3/16/09 3/16/09 3/16/09 3/16/09 3/16/09 3/16/09 Total Amonnt Paid $1,413.36 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00351 ISSUED: 03/16/2009 APPLIED: 0311612009 EXPIRES: 09/16/2009 VALUE: Receipt.Number 1200900000000000193 1200900000000000193 1200900000000000193 1200900000000000193 1200900000000000193 1200900000000000193 1200900000000000193 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 b'~ made the following work day. ' I Renllired Insnectinns 1 Rongh Electric: Prior to Cover Electric Service: Approval requi~ed prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all in.formation hereon is true and correct, and I 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 O/:egon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre that all reqnired inspections are reqnested 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 ~emain on the site at all times-during co~struction. Owner or Contractors Signature Pa2e 2 of 2 Date 225 Fifth Street SpringficId, Orcgon 97477 541-126-3759 Phone , , Job/Journal Number COM2009-0035! COM2009-00351 COM2009-00351 COM2009-00351 COM2009-0035I COM2009-0035! COM2009-00351 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000193 Description Pem1 Serv/Fdr 200 amps or less Perm Serv/Fdr 40 I to 600 amps Perm Serv/Fdr 601 to 999 amps Perm Serv/Fdr 1000 ampslvolts Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By IES Received By <":beck Number Batch Number db J, Page 1 of 1 City of Springficld Official Receipt DcveIopment Serviccs Dcpartment " Public Works.Department ~ . Date: 03/1612009 Item Total: Authorization Number " How Received 028803 In Person Payment Total: 2:35:54PM Amount Due 81.00 158.00 410.00 469.00 90.00 60.40 144,96 $1,413.36 Amount Paid $1,41336 $1,413.36 3116/2009