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HomeMy WebLinkAboutPermit Electrical 2005-5-18 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(S41)7Zl>-3753 . FAX: (54ill26-;t689 ELECTRICAL PERMIT APPLlCArrON CRyj?;( 07)5 -DO'=' 7 s ~~,=-o.s' ~ ',1'-'); ~'O ..,~"_."l't.i(l~."~"~-'e"'''~'~.''''''-'~':lJ'~:;i~'!~''')!'1r-~' ... .,..".';::;[\'.".t",,,-,,,,,,,~ :(t:;:~' -.-,.-, :'I'" 3. t~Mf~~~~~~~1t\~~~}~~~~~~~i~rwtJ9~ q,& .~ _, O&.s-7&COlq pr~~':."''"''.:i'1ii~4v<<r~'_. ~"::;~~~.~:'~2:1~'~"';:~~":-i"'~;r"'. ;:;::r.:;;~:".~SL'~k:;i\.'~f:"''l. A. !~.J<I~;.RC$ide:ntiJllii.l' . ei.o 1J1li~ftij - -'-odw"''''; .:4InUi.',''': ~.,}.':\J'j.I;,...~.o:;,.~'~~";i.?~i;';';' '~'4'''C' '-~""""-.'~:EV.s;:.:;. '71~.. .~~G;,,-___,..'{;t~ .. ",' . . ~.. 0' ',' ,''''-' --,. i"~' <r~{'" .--..--.-'.'_......, -. Servlce Included.s)~ ~.o Q'~.. .,~" 61~. ~ 1000 sq. ft. or less -"r.. SIIl6.",lt.. < Each additionel 500 ftlf1t~TIOI.!' Or . ""o:=~ portion thereof ,-;'.,\;, ~ 9~UI",io' ~U to . fall_OW rules ~uc '. tli Oregon Utility ElICh Manufact.d HQ1!1<l.9/illon Center.' ule re set forth FM~lar Dwelhn~emff g!)2-001-001O I 1\' ftQ Q<:"-M1_ . eeu<r 0090. Yo . s "" B.lW.sp.,":~~<tt1"F~~;&f~~;;,;~qB\9.!~",n.i'<~,.\t~.. ~i!.6.t~~, jj;!{~. ,bV ,~ e"l-!O" "",,_ . "''''''''"''''''''''' ns.. on:i.s;: """..."'!!T"'",'d'"=~tfri1g~T2r'tlte'or~go;'; Ut;iiW'NOfjfi::o~ 200 Amps orless Centf" ,~ . ~Q~-3~344} 201 Amps to 400 Amps S 75.00 . 401 Amps 10 600 Amps 5125.00 601 Amps to 1000 Amps S 163.00 Over 1000 AmpsIVolts 5375.00 Rcconn,* ()nJy __ $ 50.00 T',,"':" C ~~f~-j'~'W;::f~:m-f<:m-&~1.S:;'1i~~4f;Ih';..~~ttH~~i:i~~5:~m:'~'~fl ;!;;~em.p.p.prY.,~~~;!!cest()...U'"CI:U~,S'<'""'~~"'~T;M. 1:~5...~."iii ~'-'':1..'1,~"P-,. . ;.~...,,",.r~""'''~~~.'''\''''''''~'~_..n.;-tu~~l.~'h'''''''''':_.:''''''''''''i-'':1'.t.:~~o::.''li' i<" u"'lCLJ Uiv,."-R ;~' ':'1:,/- THE V/O~' Imbtlbti.n;Alkr!l.!i1'\';"[,~I~tIO"IS ?E:Hf.,1! IS ,/1,( 200~~I;;'.ieSi) DAY Pt:R/~ f\BAYUtJ{\Ho'P~1 ,/i!:$ 0 201 Amps 10400 Amps liJD. $ 69.00" 401 Amps to 600 Amp' 5100.00 Over 600 Amps or 1000 Volts See "BOO above. -Bi!i"!tII'~~;;:::r~:\'l'",,,,,,,~,.."o-~"-I""':f:l~~. "\;"')' "'~'~~'..;:.;,,~,'~~"d~"".":l."""""'-"""""""'<I"~""~ .... D ':<: . <;.:;1 .;r.;~~ ',~. .~'1~bl~","~'~":~.""A:,,,;:~~ii;.;tii~~~!' -. ','-" ~~~t~:~:ft~,';';p.~~'t"'''''"9WJ. 'q . ~t..:..~~~~, ,. _..~'!;~H~F.:f,~~~~~t(ili<~i"~~;."ili!i~':~f$t!;~,Y~!J~-,gt.:i~qt;:i.l::~~'>'D~":;;tf ,~....,,~....... ", ........-.._~-.., '.."h~"'.~.._._.....~._..._.__._".__~#,........__.. t- 05/18105 MON 08:21 FAX 5417283889 , City Job Number .~~~~-iJ&' "1flJ ~'~~~~~.~.' ~'-~1-=.~~~:'"l::O:-:'t..~._~...:I'l1',;,:::::+~'R.. '~':""'.'.". .,.......,.,....' 1 -'(1;~...t)M01<;I.NS1;ALLA1.10M*'"''l'''"''' . ~t.l.lio,...,jtrr~~:~:o;o~r;.;:_Ii~);7l:i:.,,:;-.:.r.u,~~;1:f.:.~t:I'a LP...?o CJ~YJ.ftJl:: .srl?u-r LEGAL DESCRIPTION /7-()Z-~O JOB DESCRIPTION 0/936 ?#A..</2.ctA. ~&74r,o-u Permits are non-transrerable and czpire If work ill ;- not .tarted wilhin 180 day> or Issuance or if work is Suspended for 180 days. ".;'-I'r'l!:!'4lj:r.,,'=.V'..""'.~"""~"'t<"=.'-><~~"~'~~."_~""~~'_~' '>:'.... ,~ 'l!,,~..,.Y'_.:' _~,,"N'.~''''-' _"".......:.;-_."'...;lO;U-.. ~-."_..,,':"...,,...."':~..;.._.~r-:-... ._"'. ';; ,"COm-R'AttrQR'iNSTAET:A..TION;O . _,,, 2. !>~:!iFilmn.~.I.\b::i:~t.!Ii~h~.:~_-:;e"Til;'il~o:lE$~~I~~~:!,:,'i~];,~ EleclriC3l Contraetol ~l3 Addreso /00/ 1-14 II'; Sflleer City ~r:Lb Phone 7tJY-:::$708 Supervisor License Number Expimlion Date Constr. Conti'. Number Expiration Dale Signal\lre of Supervising Electrician Owner.lName ,*,€/vt;Sr-IIZU tII-./dY &:t Addnss /001 J4!-</h() .5/ City ~~21 Phone 7<1C/-3708 OWNER INST ALLA nON The instalJation is being m.ade on ,...... _.~ I own wbicb is not intended for sale. lease or ",.t. own~.' ture: L_,~. .........I Inspection Request: 726-3769 CITY OF SPRINGFIELD ~002 '-"".- &PAINDFU!!...O ~~;:= ~ ~t ~, ~'._ . ,..:'!rj~....tj' 51, ..&k.;kttd.il~~~/~rj...: 'f'~~-mti~. ~ ",'~!f."'J: I"_~\!!~"~>:..i!i. "...:F:i. . l\~~'i~;!.~kt.,~ . ~l;~ Dille ov New Alte.-atioD or Extensinn Per Panel One Circuit Each Additional Circuit or with Service 0.- Feeder Permit 543.00 S 3.00 i='lS1'J~;j~, . .......--<...+,>I:....:""'::r~.~:.....~"'::'O-1lIn-:"":*.,:".I:.,~~~t...~';:t,..,..~1::.:I'R!:'~. E. ~'~ns~en,\'.r~~if' .~';jtm'ffii~~ii~f~fii~d l;:j~1i'hfs'iaii;,1i~jjtJ 1<<~:d:.,.3~-;;;,,;:t;~..;~,lJ!.;;j~I;'~~'~':;:j.t~~1:!i~.~ilir.:-~.-..::.!.~";;;:~~.;V~:.::...ll"..=:."....:l',:,' Pump or iniga!ion $ 50.00 Sign/Outline Lighting 5 SO.OO Limited EnergylResidtntial $ 25.00 Limited Energy/Commercial S 45.00 Minimum Eleetrle Pennit Inspection Fee io $45.00 + Surcharges ~,!!\.c;F,. ~~~};:;r;;!'~~~~~;i;:-a-~~'-""k. .~..""'.'.:!f..';::~(:t,:~i'.t'~.,~~J.:~ 50 4. ."~StJ>>.IIVA-AL~tJRABO"'VF,:,-,,,,~~!i"~~j~!$"~'~'i;~t~"..?Il!,.'m;.' ~~~~~i1t-1t.U~";;t~'&~~i~~,t.iili~n~~~_~~(~~~~r.r ou 7% S1.8te Surcharge 10"10 Admiilisll'8tive Fe. .TOTAL SIwod Dmoc(T:)lBullding FomuI_lricoJ pcnn/t ^ppllCllllon I.oJ.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF ~t'Klr~l..1<U,LD Building/Combination Permit PERMIT NO: COM2005-00573 ISSUED: 05/16/2005 APPLIED: 05/16/2005 EXPIRES: 11/16/2005 VALUE: SITE ADDRESS: 2820 Olympic St ASSESSOR'S PARCEL NO.: 1702300001936 Springfield TYPE OF WORK: Electrical Work Ollly TYPE OF USE: use initials ATTENTION. lo/lr)\" ...,_ . Orenon /",,, ._ NOliliCation-c ~uupfed by the O~'"'''' YOu to In OAR 952-0 enter. ThOse rul regon Utility oo_~~:. You ma~l~~~~;~ t~rough ~A~~q~e;~~rth -"'''':III/e c . -,..."" Uf lh 1 JO.. ent,,. (N e rUles b 'CONTRACTORINPORMAmlQN_1 ate: the teleph y . , !JOn Un one ,",ent~r is 1-800_i':Q:':~~~tiliCBtion License ~J!n Date- Phone PROJECT DESCRIPTION: Marcola Substation Commercial Owner: Address: SPRINGFIELD UTITLITY BOARD 1001 MAIN STREET SPRINGFIELD OR 97477 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaUable: Special Instruction: Notes: Description Tvpe of Construction BUILDING INFORMATION I # of Stories: Lot Size: Height or Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water:Typ.e)~':~: Sq Ft Basement: RangeiW~e:r'I:KiI'.IT SHALL EXPIRE l~qt..!fI1J,a,~"KCarport Energy ~ath:,~ lLD UNDI:R T S Sq F\.Other: S . 1iI\I'O"Udl I' nI HI PE:o"", ''''tfi!JT d pnn L~II'II~,cI\N~~n nR Ie; A~!lWlml~f1u~~nD a: , DEVELOPMENT INFORMATIONJI REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsffirains: I Valuation Descriotion I S Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF ~rKll~l..t<l~LU; Building/Combination Permit PERMIT NO: COM2005-00573 ISSUED: 05/16/2005 APPLIED: 05/16/2005 EXPIRES: 11/16/2005 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 Fp.p.~ tlWU Fee DescrIption + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Amount Paid S5.00 S3.50 S50.00 Date Paid 5/16/05 5/16/05 5/16/05 Receipt Number 2200500000000000586 2200500000000000586 2200500000000000586 Total Amount Paid S58.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. L.Rp.nlJirp.rlln~ Temporary Electric: Approval required prior to Utility Company energizing pole. By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify tbat all information bereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of tbe City of Springfield and the Laws of tbe 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 furtber certify that only contractors and employees wbo 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 tbe approved set of plans will remain on the site at all times during construction. ~ "Ildj J liJuJJDvJ B ~ / (p --CJ"J Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street ~ Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00573 COM2005-00573 COM2005-00573 Payments: Type of Payment CreditCard 5/16/2005 . RECEIPT #: ~ WiL. ..kity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200500000000000586 DescrIption Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By SANDRA WESTON/SUB Date: 05/16/2005 Item Total: Check Number Authorization Received By Batch Number Number How ReceIved njm 080486 In Persoll Payment Total: Page 1 of1 9:59:14AM Amount Due 50.00 3.50 5.00 S58.50 Amount Paid S58.50 S58.50