HomeMy WebLinkAboutPermit Electrical 2009-3-17
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March 3, 2009
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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
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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-\ ,,>
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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