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Home My WebLink AboutPermit Electrical 2009-4-3 ~0V ~I G Electrical Authorization To Begin Work E,mailed To: CllUCKG@OLSSONELEC.COM Receipt # RC549503 4/3/20093:24:23 PM "City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I [KJ New {;onS~rUClion Description Qty, Ea. i Itcsidfiitial'-SiNCEE2;Olt :niillijtfamilidwcllingulUt. ~"""'''"''''''.-- -, Hi. _-i_~..." .....'~7'I?-'iff';"'..'..:.,.'i~ llI"" ., '''':cO ~O.".." 1 ~t,a"c,h~d;gar~g~0'''::-_'~~d~'f'' ~ ':;':-~~:; ,J, }':\ 11,000 sq. ft. or less [4] ( Ea. addl 500 sq. ft. or portion Tollll D Additionhllterationfreplacement 10 lor 2 family Jwell}ng 0 Multi-family [iJ Commercial/Industrial 11'}"~~;'.~::~';~?:~~:;,;;W- -JOSfSrrETI NFO'RMAii6N7k,'ND'n'::OCAT'ON. -~ .~'f;r:~2r~~;<~~~{\f?~_,~1 >.. .. ^ v '""'~:'" '.~.', ~''''"'~'''-'''''#:''''''r....,._-,.__.".w--:,,'J{;.~~'~-''''' ""w,""'.-"'-,--"....'......~.'.".......~J.... ,_....,..""'., ">:.,., '" 1./obno" 207.04AX IJnbaddress:.1IOo. .PiERCEPKWY C~ lOW) I 1 City/State/ZII': SPRINGFIELD, OR 97477 I 1 Suite/bldg./apt.no.: 1 I Project name: 1 Cross street/directions to job site: " '~;::,:"?..;,~ I-Limited energy, residential (with above sa. ft,) I - Limited'energy, multifamily residential (with above Sq, ft.) I - Limitcd cnergy, commercial (with above sq. n,) - Stand-alone limited energy, residential - Sland-,done limited energy, multi-familv 1 - Stand-alone limitCdenergy, commercial It~,e!:tis~~~~;d!~s"inst"!l!lUl~~~~~rl!i~3".~q79i~:-te.l~~!!!1(In!n~~~l 1200 amps or less [2] I I 1201 amps to 400 amps [2] I 140 I amps to 599 amps [2] I I 1::t!~I~]QI~JiY~~~!~~&R~,rce~~'~~;~~!~I!~~iOn;~a,lfe~t~!j.i>~~1 \^N!?/gliif~l~c~tt~'~?;''i'!7~~'::%'d'_;,:~7, ':~,~~:,; ~k}~" ~<';;;;..&t...:t Ii 1200 amps or less [21 1201 amps 10 400 amps [2] 1401 amps to 599 amps [2) 1'*hlTI~~~'!r~l!liS':'-~~1Y.:alt_e.r~ti,~'l::'PI5:~~~o~f'P~fp_~nfl.;.;~: I A. Fee for br.anCh circuits with service or feeder fee, each branch drclIl! I 8,Fee for branch circuits without service or feeder fee, first branch circuit f21 I each addl branch circuit not otl'ered'online at this jurisdiction I Subdivision: ITax map/parcel no.: ILot no.: 1702300001000 ~~~~ Install Solar Pole Lights I Name: Alton Halstead 1 Phone: (541)501-6507 jEmaiI: IF"" II<:I. lie, no.: 20-241C ICCll lie. no.: 63473 I Business Name: OLSSON INDUSTRIAL ELECTRIC INC I Contact: IAddres~: PO BOX 70413 1 City/State/ZIP: EUGE~E OR, 97401 IPhon" (541)7478460 I Email: CHUCKG@OL5S0NELEC.COM I Metro lie, no.: I Supervising electrician's lie. no.: 33345 I Supervising electrician's name: DOUGLAS M HEER $55.00 $55,00 $6.001 $12.00 I 2 I Servin: remnnt'CI onJy [2J I Each m,muflKtun:d or modular dwelling, service and/or feeder 121 I Pump or irrigation circle L2] I Sign or outline lighting [2] I Signal circuit(s) or limited- energy panel, alteration, or extension (2) , _ 1~-~.~~~~:r~;t~~i];'!'~~~~t~ifAr~~Rr!!ITi~~~~tS.~~.~i'":~ I Subtotal \ [ State Surcharge (12% of penn it fee) ~ ~ [ CilY or Springfield fee,s * I TOTAL PERMIT FEE \.... f\/ * 01) or Spnngficld fl.:cs 5% Technology Fee ~~$ fDeflllllinwllbelojllupecflonsallowedj ~~ ~,,2OtCJ - Oc45~ Oy..-03-QDj NV\^ IFax: None I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. $6700 $8,04 $3,35 $78.39 I NOTE: This Authorization:To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. o This Authorization To Begin Work must be posted at the job site until replaced by a Permit I ('(\ } ,,0\ l. r' ; ~ \ ,dO 4;rf ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00452 ISSUED: 04/06/2009 APPLIED: 04/03/2009 EXPIRES: 10/06/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3106 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702300001000 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Solar Light Poles Owner: Address: STATE OF OREGON MILITARY DEPARTMENT PO BOX 14350 SALEM OR 97309 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OLSSON INDUSTRIAL ELECTRIC License .63473 Expiration Date 0]12612011 Phone 541-747-8460 BUILDING INFORMATION I # of Units: Prim~lry Occupancy Group: Secondary OccupaneyGroup: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: . Height nf Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: LOl Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FtGaragefCarport Sq Ft Other: Occupant Load: nfa I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Selback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/u of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Tvpe: ATTENTION: Oregon law requires you to Storm Sewer Availahle: follow rules e!ilYi9~PQt!;t~fP.,Q1ij)s"gon Utility, Special Instruction: Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- Notes:THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AIITHnRI7Fn 11~ln~R THIe; P~RMIT Ie; ~lnT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED IIUti . .. ~"m~'~r TOr me. uregon UlIlllY I~Ollllcallon ANY i 80 DAY PERIOD, Valuahon Descnn~l~n I Center IS 1-800-332-2344). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued CITY OF ~nuNGFlELD Building/Combination Permit PERMIT NO: COM2009-00452 ISSUED: 04/06/2009 APPLIED: 04/03/2009 EXPIRES: 10/0612009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753. Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee. Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.04 $3.35 $55.00 $12.00 4/6/09 4/6/09 4/6/09 4/6/09 3200900000000000215 3200900000000000215 . 3200900000000000215 3200900000000000215 Total Amount Paid $78.39 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 Reouired Insneetions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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] further certify that any and an 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 described herein, and that NO OCCU P ANCY 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 he 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 Date Paee 2 01'2 225 Fifth Street Springfieid, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Nu~ber COM2009-00452 COM2009-00452 COM2009-00452 COM2009-00452 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: 3200900000000000215 Date: 04/06/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Tot.ll: Check Number Authorization Received By Blitch Number Number How Received nJm ONLINE OLSSON Online Payment Total: Page I of I 7:14:33AM Amount Due 55.00 12.00 3.35 804 $78.39 Amount Paid $78.39 $78.39 4/6/2009