HomeMy WebLinkAboutPermit Electrical 2009-8-11
Electrical Permit Appiication
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225 Fifth Street. Sprillgllclcl, on 97H7 .1'1-1(54] )726-3753. FAX{So.I ])726.]6119
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I DEPART~ENT USE ONLY
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This permit isissued lindeI' OAR 918~309-0000. Permits arc uOl1tnlllsfcrablc. Permits expire ifworl{,is notshu'ted within J80
'days of issuance or if wor)( is suspended for J 80 days. ,
I I FEE SCHEDULE
I' I Number of inspections per item ( ) ~l Qt~.1 ~~~t
\1 Residenti". pel' nnil, service i'lCh"Ie<I.
I 11;000 sq. ft. or less (4) fl
I [Each additiollfll 500 sq ft. or portion
thereof
I I Limited energy (2) $ 32.00 $ I
I '[ Each manufactured home,or modlllur [
I dwelling service or fceder (2) $ 63.00 $
I I Services or feeders: il1.\'[(/(/afiol/, ar/c/'{/(iuil, re/oca/ir)// I
I I 200 amps or less (2) 1 $ 81.00 $ 8'1 I
1 i -20 I 10400 amps (2) $' 95.00 j; I
I I 401 to 600 amps (2) $158.00 $ \
I 1 60110 1.000 "'nps (2) 3 $205.00 S 6151
97478 I IOvci.I,OOO<lmpsorvolts(2) 2 $469.00 $ 9381
'I I Reconnect only (2) $ 63.00 $ I
I I Temporary scrvic(1) ur feeders: iIlS{of/alion, aI/era lion, relocoliol1 I
I 200 amps or less (2) 5> 63.00 $ I
I 201'0400 ami" (2) I $ 87.00 $ I .
1 40] \0600 -mnps (2) $126.00 $ I
lOver 600 amps or 1,000 volts, see services or feeders section above 1
.1 1 Branch circuits: ne\\', (If/era/ioll, ex/ell.l.io/1 pel' paller 1
1 1 a. Fee for branch circllitswith pmclHlse of a service or feeder fee: I
I I Each bronch cireoi' 1121 $ 6.00 I $ 72 I
I ZIP: 97477 I I b:Fcc for branch circuits without purchase ofa service or Feeder fee: 1
I I Fi,,' b,aneh ei"cni, (2), I I $ 5500 I $ I
I I... Each additiona]'branch circuit $ 6.~0 $ 1
1 I Miscellancous fees: .w:rl'ice or/ceder lIolille/uder! I
I I Each pump or irrigation circle (2) $ 63.00 S I
Heer I I Ench sign' OJ' o.ut!ine lighting (2) $ 63.00 $ j
/~ ,/"'J/ I I Signfll circuit or a.llmited,-energy panel, $ 63.00 $ I
F V /'--' illlemtioll, or extension (2) .
1 Each,additiol1al'inspcction:'(l) 3 $58.00 $ 1741
I APPLICANT USE I
I (A) Enter stlblotal of above fees
(r\linillllJllI Permit Fce $58,00) $ 1880
/ (8) Enter J2% surchllrgc,(, 12 -x.fA]) $ 225 .,60
I (CI ~.~e~)'r1~2ce (5% of [A]) $ 94 I
I TOr;1k-t'f.~ni~llur(,!l!I~'I?CS (A through C): $2199.601
. ...~ , L HVIIT unALl tXt-'IRE IF THE WORK
. ~UTHORIZED UNDER THIS PERMIT IS NOT
'ANOyMME.NCED OR IS ABANDONED FOR
j 80 DAY PERIOD. r
I LOCAL GOVERNMENT APPROVAL
1 Zoning approval veri fled? 0 Yes 0 No
I CATEGORY OF CONSTRUCTION
I 0 Residential J 0 Government j Qg Commercial
I JOB SITE INFORMATION AND LOCATION
I Job sile address 801 42nd Street
I Ci'y Springfield I Sin," OR I ZIP: 97478
I Subdivision: 1 Lot 110.:
I DESCRIPTION OF WORK
I River Intake System
1
I Name: International Paper Co
I Address: 801 42nd Street
ICily: Sprinqfield I Sinw: OR I ZIP:
I Phone:541-74]" 5625 I Fax:.
) E-mail;
This installation is being made 011 residential or t~1nn pJ'Openy
owned by me or a member of my irnrllcdialc family, This
property is not intended for Side, exchallge,.1ease, or rent. OAR
479.540(J) und 479.560(1).
PROPERTY OWNER
Sigll<lll.lre:
I CONTRACTOR INSTALLATION
I Business name: Olsson Industrial Electric, Inc.
I Address: 1919 Laura Street'
I City: Springfield I Stnte. OR
I Phone:541- 749 8460 \ Fax; 54'],. 74-7 4'846
\ E-mail:
I,CCB license no,: 64373 i3CDlicense-llO.:.20-241C
I Signing supervisor's license no.: 33348
1 Print name ofsiglling-supervisor: D61J.qlas
I S;g'''''UreOrSigningS~,perVisYJ~'
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notitication Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
"O'258<~~9m9c1J"r)or the Oregon Utility Notification
venter IS 1-800-332-2344).
Total
cost
,
I
$134.00
$
$ 25.00
$
1"
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CITY OF SPRIl'oLil'lELD
,
Building/Combination Permit
Status
In Review
PERMIT NO: COM2009-0I055
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/22/2009
02/05/20 I 0
$ 3,000,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 801 42ND ST
ASSESSOR'S PARCEL NO.: 1702290002900
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: New
PROJECT DESCRIPTION: Mill water pump station, forced water main, electrical substation.
Commercia]
Owner: INTERNATIONAL PAPER
Address: 801 42ND STREET
SPRINGFIELD OR 97478
Phoue Number: 54]-741-5400
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
OLSSON INDUSTRIAL ELECTRIC
GREENBERRY INDUSTRIAL LLC
License
63473
182201
Expiration Date
01/26/2011
OS/22/2010
Phone .
541-747-8460
54]-757-8458
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Fl 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
SqFt Other:
Occupant Load:
1,762
VB
No
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Bide 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
,
J
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2009-01055
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Status
In Review
I Valuation D~scriDtio~ I
Description
Tvpe. of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,000,000.00
Estimate
Total Value of Project
"p~< P'WU
Fee Description
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Inspections - Other Electrical
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
Amount Paid
. Date Paid
7/22/09
8/11109
8/11109
8/11109
8/11I09
8/11109
8/11109
8/11109
$8,132.64
$225.60
$94.00
$72.00
$174.00.
$938.00
$81.00
$615.00
Total Amount Paid
$10,332.24
I Plan Reviews I
Structural Review
07/2412009
Initial Review
07/2312009
APP LLH
07/24/2009
Structural Review
08/04/2009
WE
KLK
08/0412009
P~anning Review
07/24/2009
EMM
08/05/2009
APP
Public Works Review
Structural Review
07/2'412009
08/05/2009
CTM
KLK
DON
WE
08/05/2009
08/05/2009
Fire Department Review
07/24/2009
08/1012009
WE
GRG
Paee 2 of 3
07/22/2009
02/05/2010
$ 3,000,000.00
Value
Date Calculated
$3,000,000:00
$3,000,000.00
07/2212009
Receipt Numb~r
1200900000000000822
1200900000000000897
1200900000000000897
1200900000000000897
1200900000000000897
1200900000000000897
1200900000000000897
1200900000000000897
Completed first review 7/30/09,
Missing the following: I) Special
Inspection Forms from Both (2)
Engineers, 2) Engineering
CalCulations and Specifications.
To be constructed per approved
Final Site Plan DRC2009-0002I.
. Calf Andy Limbird tor Final Site
Inspection at 726-3784.
2nd Structural Review Complete.
Provide Special Inspection Forms.
Waiting Internal: Planning, Public
. Works, Fire, LDAP
.Calf to Pete PetersoIl: info on
emergency generator; whether
MCC building is sprinklered. Left
voice message.
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Oil .
-II
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2009-01055
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/22/2009
02i05/20 10
$ ~,OOO,OOO.iJo
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. .
Reouired I "s"ectio"s I
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 r 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 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 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 3 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,0 1 055
COM2009-0 I 055
COM2009-01055
COM2009-01055
COM2009-0 1 055
COM2009-0 1055
COM2009-0 I 055
Payments:
Type of Payment
Check
cReceintl
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~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000897
Date: 08/11/2009
Description
.Perm Serv/F9r 200 amps or less
Penn Serv/Fdr 601 to 999 amps
Penn Serv/Fdr 1000 ampslvolts
Inspections - Other Electrical
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
. Paid By
OLSSON ELECTRIC
Received By
lIh
Page I of 1
Item Total:
Lheck Number "Authorization
Batch Number Number How Received
53152
In Person
Payment Total:
8:22:S8AM
Amount Due
81.00
615.00
938.00
174.00
12.00
94.00
225.60
$2,199.6U
Amount Paid
$2,199.60
$2,199.60
8/11/2009