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HomeMy WebLinkAboutPermit Electrical 2010-2-1 .. '.. I DEPARTMENT USE ONLY I ~~~t:oOO J 3 ~ I Date '2 - / - I 0 Electrical Permit Application ~~,..,"=."~...~' ~, K~tY'~:! '0n~(i~';ortil!t~'~"''''i~3rorO"ii~C~~':,.. \=;l~,,,~.~~~OW~dNJ~m*c;," '. 225 Firth Street tSpringfield, OR 97477 .1'11(541)726-3753. FAX(541)726-3689 ',H'HlN{WI,,1..0 ~, This permit is isslled ull~cr OAF- 91S-309-0000. Permits 1ll'CnontnHlsferublc. Permits expire if work' is not started within 180 days ofissllllllce 01' if work is suspended for 180 days." , I LOCAL GOVERNMENT APPROVAL I FEE SCHEDULE I I Z~H1il1g approval verified? DYes D No I Number o{inspecliolls PCI' item'() IQty, \ Cost I I CATEGORY OF CONSTRUCTION en, I I I ~ I Residential, per unit, service included: I o Residential D Government t:::'J'Lommercial I JOB SITE INFORMATION AND LOCATION I I 1,000 sq. f1.orless(4) $ I I Job site address: 3315 Marcola Rd I \ ~hae~.1~~?ditionaI500 sq. ft. or P5lrtiGn $ 1 1 City: Sprinqfield I State: OR 1 ZIP: ';7'17.31 1 Limitedel1ergy(2) $ I I Subdivision: J70z..3coO .ILotno,:OI i/7 I I Each mal1Ufllct,ured home or moctular I I DESCRIPTION OF WORK I dwdling service or feeder (2) S I Pole Lights I .1 Services,oot' fcedcl's: jusrol/o/ioll, altera/ion, relocalion I I I 1 200 ,Imps oi.less (2) 1 $ 81.00 $ 81 I I PROPERTY OWNER I 1 201 to 400 amps (2) $ 95,00 $ I 1 Name: Kingsford I 1401 to 600 "i1PS (2) $158,00 $ I 1 Address: 3315 Marcola Rd 1 160t;0 1,000 mnps (2) $205,00 S I I I OR 1 I' lOver t,66'O 'llllpS or volts (2) $469,00 $ I City: SnrinafieldSlate:. ZIP:. I I 1 1 Reconnect only (2) $ 63.00 $ I Phone: Fax: 1 E-mail: I I Tempollll v sCI\lcesy*ff'ftIS: IIM/allwwH, ,dlel(!/Um, IdoClllHm \ TIllS 1n$tnll,I;lOn IS being made on lesldent,,1 01 1'a1l1lJ':;sJi];[l', 0119blll~:~il\ 0\1\\\'1 $ 6300 $ I o\Vne.d by 11ll,;' 01 <-lmembel ofl1~Y Immcd:~lc !(I~~E'fIlJ\;'UN. do )\$dtb\b~~ 111 set ion!, $ 8700 $ I plopeily IS not Intended fOI sdle, exchange, Ie'll:.;: 1~\Kl'UYeSJ8; ",,,n,,,,~ -9S~-vU ,- I 479540(1) and 479 560(1) 1V ;Ca\.\Ol\cel\\ II. ~11DM I r':Y $12600 $ Slgnatwe NO~M:a 952.00'-10 1\l~~~Wi\~otl\n~iee Se<V"'S al feed", ,"C\lm1 .,bow I ~ )b ,.,.1" ' .....IS'" I I CONTRACTOR INSTALLATI 'l'OU",a., V.tl"I'll!l\e~e\lI,,"'"'''' . IOlll"''''''"''!''''''''''; I Busmessname, Olsson Industria ~l\AQ:;tjl~;~;''e~~~l~J14~~IS\V\thPI''ehaseofaSetVlCeolleedet tee I ,I Addless 1919 Laura Street "u",\)e{..~~t'l! i$ t-iMtl/b'i'an::i,';-"cuH 11 I $ 6001 $ 6 I I City: Sprinqf ield I State: OR I ZIP: 974"77 I b. Fee tor branch circuits without purchase ora service or' feeder fee: I I Pirone: 541 747 8460 I Fax: 5~1 Cf47 4846 I I First bmoch e;lcuit(2) I I $ 55001 $ I 1 E-mail: I I Each additional branch circuit';.- ;:. $ 6.~O $ I CCB license nD.: 63473 I BCD license no.: 2 0- 241 ell Miscellaneous fees: ,~er"ic" or/eerier /.10/ im:/llded I \ Signillg supervisor's license no.: 33348 ] Each PUll!P or irrigation circle (2) $ 63,00 $ I I PrintlHlI11C of signing supervisor: DOUiji Heer I Each sign or outline lighting (2) $ 63.00 S I I Si,gn<lturc of signing supervisor: /f 1 /.. ot""'7~ I Signal cirelli I or lIlimilcd-encrgy poncl. S 63.00 $ I --"" 1-../;.. 'VI /' nltenltion, or extension (2) / I ~nch additional iIlSpCC~~,(I) $ I I _"",'Mp.plileA'NTUSE I . (A) Eotet slIbtalal ofaJop'f~WOR" " N01\eE. . M I i I II , P\~G'\t$~~~ie. MOi, 1\-1\5 I'ERM\ 2TtI~Gh~~~~;~R .,'-', l\\)ll10R12E1 J ~~~~\~I'1'A]) - ' COMI'AE\-\vl\f ,~ nnd SlIlChlUges (A lluolIgh c), I\\-\'{ ~ COO D,;;Y-? - Total cost $134.00 $ 25,00 $ 32,00 $ 63.00 $58.00 ~Ay 0 ~~ '40.258'.J (9~CO,* ~:.. A~\\ \~ $ 87 $10,44 $ lf~1 $ ~4-J-- lot '!L CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00135 ISSUED: 02/01/2010 APPLIED: 02/0112010 EXPIRES: 08/01/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3315 MARCOLA RD ASSESSOR'S PARCH NO.: 1702300001917 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJEc:T DESCRIPTION: Pole lights Owner: KINGSFORD MANUFACTURING CO Address: PO BOX 24305 A TTN TAX DEPT OAKLAND CA 94623 ..--...,..,.- I",;" ,_ _ I C,ONTRACTOR INFORMATION. Contractor'Type -' -Contractor License Electrical OLSSON INDUSTRIAL El"I:/J;:~'~ 63473 AmtmON: Olegoo ':~~tMNA)RMATlON I toIlOW rules adopte!.wJ:Nrer.:rr"AY. _'1 f\ , -"'on Center. IIIOS ",lI.C,i.no1. # of UllItS: 1'10\11\...... ,001..Q010thlOUghl<Jll1'''101 ~. by , Primary Occupancy fAe~ 952 BY obtain copiesntl!(Dt' eucture Secondary Occupan<$09a.u~ m center. (Note: .t~t ~ tllI5n Primary Constr;uction ~ ': the Olegon U\II~~ ~~ ype: Secondary constructi~cenler \8 t-80Q-332-RI}t~!'Type: # of Bedrooms: Energy Path: Sprinkled Building: n/a I DEVELOPMENTlNFORMATlON I ~. .. ", Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Ii Streei Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Com'mercial Expiration Date 01/261201 I Phone 541-747-8460 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS.ly,,~;'if~,,:f1i~,,;;,,;".f,;,.:, ~Oi\C~~ ' l~'~\'\"t \f1\4i~~~~yte: , 1\-1\S PERMI'T S,","; I:.l\ 1\\15 \'E~9'~~!f:!prains: 01\-10\\121:.0 UNtl ~B~~OO~Et) ,.,..",;:'0r ~~~~:~~~~ ~~i~OD. _,','r'~": ' , Street Improvements: Storm Sewer Available: Special Instruction: Notes: I V ~Iuation Descriotion I Description Tvpe of Coustruction $ Per Sq Ft or mnltiplier Square Footage. or Bid Amonnt ;lv'i Page 1 of 2 :.J'. Value Date Calculated ';'., 're', CITY OF ~rKll'lLrl'lJ',LD Status Issued Building/Combination Permit PERMIT NO: COM2010-00135 ISSUED: 02/01/2010 APPLIED: 02/01/2010 EXPIRES: 08/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~~ P~i~ I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number Total Amounf Paid $10.44 $4.35 $6.00 $81.00" $101.79 2/1/10 2/1/10 2/1/10 2/1/10 1201000000000000090 1201000000000000090 1201000000000000090 1201000000000000090 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 R,eollired Insnections . Rough Electric: Prior to Cover Electric Service: Approval require~ prior to utility company energizing service. Final Eleetric: When all electrical work is complete. By signature, I state and agree, that I have carefully ex~mineil the completed application and do hereby certify that all information hereon is true and correct, and I furtherte'rtify that any and all work performed shall be done in aceordallce with the Ordinances of the City of Springlield 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. 1 further certify that only contractors and employees who are iu 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 Page 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 135 COM20 I 0-00 135 COM20 I 0-00 135 COM2010-00135 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1201000000000000090 Date: 02/01/2010 1 :23:57PM Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 81.00 6,00 10.44 4,35 $101.79 Item Total: Check Number Authorization Paid By Rec~ived By Batch Number Number How'Received OLSSON INDUSTRIAL ELEC djb 006381 In Person Payment Total: Amount Paid $101.79 $101.79 . '. ; \ ~, .i,~ ~ I Page I of I 2/1/2010