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Home My WebLink AboutPermit Electrical 2010-1-14 ~-.~ DEPARTMENT USE ONLY t;PFlINC."IE!l.O ~, Pennit no,: {Jit) - iJ7 Dnte 1/1 i / /0 This permit is issued under OAR 918-309-0000. Permits are Ilontrnnsfcrable. Permits cxpil'c.ifworl< is not started within ISO days of issuance or If wOI'I, is suspended 'for 180 days. I I I I JOB SITE INFORMATION AND LOCATION I Job site address: 9'g:'~oval Caribbean Way I City: Sprinqfield '1 State: OR I ZIP: 97477 I Subdivision: I Lot no.: I DESCRIPTION OF WORK I I I I ]'Jame: SUB Address: 202 S 18th Street \ City: Springfield State: OR I Phone:,54-1 226 2396 I Fax: I E-mail: LOCAL GOVERNMENT APPROVAL Zoning approvnl verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential J 0 Government j 0 Commercinl Reoair meterinq suooort PROPERTY OWNER I ZIP: 97477 This installation is being made on rcsidcnljal or farm property owned by me or Clll1ember of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1), Signature' I CONTRACTOR INSTALLATION I BlISlnCSSl1alllC: Olsson Industrial Elec I Address: 1919 Laura Street I City: Sorinqfield State: OR I ZIP: 97477 I Phone: 54.1 747 8460 I Fax. 54.1 ':/47 4846 I E-mail: 'I CCB licens_eno.: 63473 I I I 'I BCD license no.: 20-241C Signing supervisqj"slicense no.: 3 3 3 4 S Print name of signing supervisor: Do~as Heer Signature of signing sltperviso~L Pt- ~"- ~IJS)P ~ flV/\. VI) ~~o ,~~ ~ 440-2:'i84-J(9/0:-l/COM) II I I I I Rcsidclitiltl, per IIllit, service included: I 11,000 sq. fl,or Jess (4) I I Each additional 500 sq. 1'1. or portion thereof I I Limited energy (2) I I Each manufa_clured home or ll,lOdular I dwelling service or feeder (2) I I Services or feeders: inslal/Miol/. altcra/ioll. re!ocmiol1 I I 200 amps or less (2) S 81.00 $ I I 201 to 400 m"ps (2) 1 $ 95,00 $ 9 5 I I 401 10 600 amps (2) $158,00 $ I 601 to 1,000 amps (2) $205.00 $ lOver 1,000 amps or volls (2) $469.00 $ I Reconnect only (2) $ 63.00 $ I Temporary services or fceders: ills/al/I/fion, (l1/era/ioll, re/ocmioll I 200 amps or less (2) $ 63.00 $ I 201 to 400 amps (2) $ 87.00 $ I 401 to 600'amps (2) $126.00 $ lOver 600 amps or 1,000 volts, see. services or feeders section above FEE SCHEDULE IQty,1 Cost elL Total cost Number of inspections per item ( ) $134.00 I I I I I I I I I I I I I I I I I I I I I I I I I I I I $ 95 I S 11,401 $ 4.751 $ 111,151 s $ 25.00 , $ 32.00 $ $ 63,00 $ Drllllch circuits: ne\\'. ollenlliol/. eXlcll,I'iOlI per pallel a. Fce for brand} circuits with purchase ora service or feeder reI.:: Each branch circuit I $ 6.00 I $ b. Fee for branch circuits without rairchase ora service or feeder fee: First brnnchcircuit (2) Each additional branch circuit I I ~ 5::: I : Miscellaneous fees: service or/ceder 110/ im:fllded Each pump or irrigation circle (2) E!leh sign or outline lighting (2) Signal circuit or a limited-energy panel, allenllion, or extension (2) Each nddiliOlial inspection: (I) APPLICANT USE $ 63,00 $ 63,00 $ $ $ 63.00 $ $58;00 $ (A) Enler subtotal of above fees (Miuilllum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) I (C) Technology Fec (5% of [A]) I TOTAL fees lInd surcharges (A through C): , \ , _~!i!~.t'!l,~If.II;o!:!1 .-.-:,:.; ..'~' " r - Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINl:iHt<;LD Building/Com bination Permit PERMIT NO: COM2010-00057 ISSUED: 01/14/2010 APPLIED: 01/14/2010 EXPIRES: 07/14/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only SITE ADDRESS: ]000 ROYAL CARIBBEAN WAY ASSESSOR'S PARCEL NO.: ]703150001001 TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Repair metering support for pump station , I CO\11'tl~<mJ'mtw,u)4ff!Ol'Hres you to " , , '165 aaopted by the Orego Utilit Contractor Notlllcatlon Center. ThbiCeOW3 are ~IMf~tion Date OLSSON INDUSTRIAL~,~fc001-001O t\iBit'7~h OAR 952-dl#l6/2011 --." .::", ,.,L"c"", ':' "~" OTlne rules b BUI~~N/crtJj,\~"jf\R~Al'lO\'\'lthe telephone y ,(lfMber lor the Oregon Utility Notilicati # of St.wirll!er is 1.800.332-2344). (8PSize: Height of Structure Sq Ft ]st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Ra~ge Type: ' , "_, ., Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: ~'" - . Owner: RC,SPRINGFIELD 2007 LLC Address: 1050 CARIBBEAN WAY MIAMI FL 33132 Contractor Type Electrical # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Sidc 2 Setback: Rearyard Sctback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone 541-747-8460 I DEVEUO_PMENT INFORMATION' ' fHIS PERMIT SHALL EXPIRE REQUIRED PARKING "I' IF THE WORK '0,vlHf~.r@ UNDER THIS PERMIT IS NOITotal: @(s:t~MF~J\J:H)'tJII:!'IS ABANDONED FOR Handicapped: AlQye11RT'I'l'-lV''PERIOD Compact: 0/0 of Lot Coverage. . I PUBLIC IMPROVEMENTS I Sidewalk Type: ' Downsponts/Drains: I Valuation Descriution I $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Date Calculated Value Page 1 of 2 , ._~I!!Il!!?l!1I.?i'I.t~; i} L - '\ I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00057 ISSUED: 01/14/2010 APPLIED: 01/14/2010 EXPIRES: 07/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 201 to 400 amps Amount Paid DatePaid Receipt Number $11.40 , $4.75 $95.00 1/14/10 , 1/14/10 1/14/10 1201000000000000046 1201000000000000046 1201000000000000046 Total Amount Paid $11I.15 I Plan Reviews I To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 . R~f\~.~ted 1 nspect!~n~ I Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete. By signature, I state and agree, that J 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 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. y--'dr A.-. /Jr-- /-/C/-/O Owner or Contractors Signature Date Paee 2 of 2 v 225' F'ifth Street Srfr'ingri~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00057 COM2010-00057 COM20 I 0-00057 Payments: Type of Payment CreditCard cReceinlJ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: , 1201000000000000046 Date: 01114/2010 Description PermServ/Fdr 201 to'400 amps + 12% State Surcharge + 5% Technology Fee Paid By DOUGLAS HEER Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 009139 In Person Payment Total: Page 1 of 1 1:19:23PM Amount Due 95,00 11.40 4,75 $111.15 Amount Paid. $111.15 $111.15 1114/2010