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Home My WebLink AboutPermit Electrical 2007-4-10 .; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION (' fi"rh Q.oo'l- O~..J- 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each ~.Q;rfu~ra:Home or - Modu!firiPY~'!iI1.MlqiijHI\tL EXPIRE IF THE$%Q,~K Suspended for 180 days. Feede}\UTHORIZED UNDER TI1I~ t't:KMI ( IS NOT 2 ~~lWMaORt.lNST~N1o~ ,B.~SW[\!rZe~~r~,..' ,ilii,'~~~W;rnl$i:rti'm~'tr~~ .' -. '~,t\~~~"'t1'U;"~...o~~~~~":Ob~' .E.\\hANy''''~ro~~~,J''n'.l'>1M1!..''!ol~~~''''~~ ElectricalContractor CiT'f'<!-SublJr1"u E.IC:CTI,ILo 200 Amps or less ,'$63,00 ' 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps / $125.00 /~S.OD 601 Amps to 1000 Amps $163,00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 City Job Number 1. ''ill'OGATioN.:OE1Ns'TAtJI!A:TI~, 'll! ~,.,.,:,.-.~. '~.~~._~ ~, ~t~;;:}~~~ 3150 mAR colli kc LEGAL DESCRIPTION i -10;:,. 101 nCfJ ~ITD JOB DESCRIPTION 1611900 It'''1fl i=-e-e.Of-f2. l~o(G /\'ICe. . Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Address J :27D W. f1i~ Wi'll( City J.ebMON Phone 5'11- 541-51009 ..2 3 ("Is, Expicition'Date" /c1 /;;J. /09 COnStr.'c~~;,:,ii~mber '"A:H 10 U ' .l '" ~ : 11/3/08 Supervisor License Number Expiration Date' Signature of Supervising Electrician /Jc:~~~ OwnersN~e OREGo,.) ,bIt>. h",,,,b~r Address .3 q 5 () fY) A /l.CO l...A 1(]) PRo 0 1" 1.S CitySP.;~q 1O;"I.~ Phone_'>I1I- 7'1-"" ',2531 OWNER INSTALLA nON The installation is being made on property I own which is not intended fo~ s~le, lease or rent. 0wrierS'Sign'at8re: Inspection Request: 726-3769 f,__;:~._.....!::t~l~"=:""~~~~1 3. ,CO~Ip3.:!:1Ji~!~.wRQ7ifA!Jr!;Q.F" _:..; " ,': .',' ~~""""'~~';_=~C"""''l!i'I>_'__~_'''~''''''g A' 'N "Ri"'''d'' "t-l'~"'S;";"\'ii~'.~iM 'Iti"'F"-;:;"I.'7!~ '''''''d'''II.M-'''''!., .' ~&~Sl en la~.~,d~~~ ...~m~.y""p.~)\t~nl ';-. , Service Included $106,00 $19.00 ~2'yr.""",,f.""""'~=;:1~~\lio,"iXi.~-qlWi;~~ c. ~pi:'a.p:~s..e,~',iS:~Feeo"r!. ',~~~'lffl'~~~ $)<!,OO I II"" . - oJ New At!\S!:.aJ~o'?&!::Ji:!!t~J1s!dJil'er P.sl)eI9(; 01 ~he rules One CircuiJallir~i ttlCl center. (l'!ot:e: In'" n3\O.61ona Each Additional~~ircuit'or<,}with~~ "en Utili "/ ,. !(J!l1. ::..::.:;~. J .IU!H..._..........;.o!o-_..,. ~$300 Service or Feeder P~t ; .' -.Rr:~" nl"'l... r.(..:! .:, V'O.H~rIS I ....", _ ~- ... ',' ~r..;=<It:>>.~-if.,...:'li~,~~'j:'<,...,~~~....",Q<l'.-n'''''t'7~~.'~.,...tt-~ E. ~!tl!~9t<!~~~(~~~i~.~~q~!]All}it~m~!~~~:1~ Pump or irrigation $ 50,00 Sign/Outline Lighting , $ 50,00 Limited Energy/Residential $ 25.00 Limited Ener~/Commi:rcial $ 45,00 .":", . ' .. . , Minim~m Electric Permit Inspection Fee is $45.00 +Siii-charges .. . " O(!f?.l<~M.l':H;"~.;r~S;~~~' ,"'"'-, 4. ~Sf:IBTOTAlJ\OEABOVE' ~;~~~~~~~{i:t.~~>i:"'~~J!~t.' /'-5.00 , /0,00 1'-.50 8>/0 Stat. Surcharge 'FlO% Administrative Fee + 5'10 Te.d. F-ec.. TOTAL (0" ;L~ _/1; =l. 7L.. Shared Drive(T:)/Building Fonns/ElectricaJ Pennit Application 1..Q3.doc v;i '71;/&. _~I!!~W~~; . I; , . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00524 ISSUED: 04/10/2007 APPLIED: 04/10/2007 EXPIRES: 10/10/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3950 Marcola Rd ASSESSOR'S PARCEL NO.: 1702190003500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: 600 amp feeder for MCC. Owner: Address: ORE INDUSTRIAL LUMBER PROD INC PO BOX 1442 SPRINGFIELD OR 97477 ru~-;I~~. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNOER THIS PERMIT IS NOT . - ,- -- .- or ,- "'-3'I~n r"n vUIVllv~LI'tuL.U Vi, 11.,,) rtU1(illu f I...w ....I'.! I CONTRACTOR INH)RM;\\I10N~IPERIOD. Contractor Type Electrical Contractor CITY AND SUBURBAN ELECTRIC License 94611 Expiration Date 11103/2008 Phone 541-451-5609 BUILDING INFORMA nON 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: Rauge Type: Energy Path: Sprinkled. Building: ,;1 I FI\IT" 0"" , - . --, -.. .-... '-...."".......;) \ I DEVELOPMEN;PINFORMA:rrI0N"I)~ the Ore . : ""'"''''''"un venter. Tho'e rul ,gorREQUlRED PARKING I!l a!\l~ 952' "es are Sr.I ''-'' Overlay,DDlSt: -00 1-001 0 through OAR 9:1'otal:. Ut/,'i ;/r.', "", b' ,)c::,",II) # Street'Trees'Rqd:ay 0 tam copie~ of Itle Handicapped: ....!':w, "~" o,J _ I J'IIAS Paved Drive Rqu:~ center, (i'!ore: tlla ~pl Compact: ., fC' ',ro'""". ,,,, .. epnon~ ,.0 ot,eo.erage:,..6 Or"'''('o Utilit' "'f' C., - . .' ~~'..". . j i :(J!l/~3::(J,1 elhM IS '-8(;(.-'332 ''',.:dl Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupaut Load: n/a Frontyard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Set hack: Solar Sethacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsillrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00524 ISSUED: 04/10/2007 APPLIED: 04/10/2007 EXPIRES: 10/10/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P"irll Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 401 to 600 amps Amount Paid Date Paid $12.50 $6.25 $10.00 $125.00 4/10/07 4/10/07 4/10/07 4/10/07 Receipt Numher 2200700000000000517 2200700000000000517 2200700000000000517 2200700000000000517 Total Amount Paid $153.75 I Plan Reviews I 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 Re()'\irerllnsned~ Electric Service: Approval required prior to utility company energizing service. 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 of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-1i6-3759 Phone Job/Journal Number COM2007-00524 COM2007-00524 COM2007-00524 COM2007-00524 Payments: Type of Payment Check ' cReceintl RECEIPT #: . T;Q~,'uo", : Wtit. '. ~'. ' - 'L . . ., ~. Cwf Springfield Official Receipt ~opment Services Department Public Works Department 2200700000000000517 Date: 04/10/2007 Description Perm Serv/Fdr 401 to 600 amps + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CITY & SUBURBAN ELECTRIC lNC Item Total: {;heck Number Authorization Received By Batch Number Number How Received ddk 7516 By Mail Payment Total: Page I of I 9:28:02AM Amount Due 125,00 6,25 10,00 12.50 $153.75 Amount Paid $153,75 $153.75 4/10/2007