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Home My WebLink AboutPermit Electrical 2010-5-14 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00583 ISSUED: 05/14/2010 APPLIED: 05/10/2010 EXPIRES: 11/14/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 937 SUMMIT BLVD ASSESSOR'S PARCEL NO.: 1703341105600 "1" 'Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Replace existing pumps & control system Owner: WILLAMALANE PARK & REC D1ST Address: 250 S 32ND ST SPRINGFIELD OR 97478 I CONTRACTOR-INFORMATION ~ Contractor Type Electrical Contractor OLSSON INDUSTRIAL ELECTRIC License 63473 Expiration Date 01/26/2011 Phone 541-747-8460 ,I BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water ;rype: "R~iige'Tfp~e: " " EnergY'PlIth: {."', Sprinkled "Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , DEVELOPMENT INFORMATION ~ J Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , " , REQUIRED PARKING Total: Handicapped: " Compact: Street Improvements: I PUBLIC IMPRO'VEMENTS ~TTENTlON: Oregon law requires you to lIow rules adopted by the Oregon Utility . NotifidiitlonOl9i11Jlne!fhose rules are set forth In OAaf!ll2:Qj),1...,QQtO'hr9u9h OAR 952-001- 0090. 'Wu'iTUi'yb'bt'~~ ~~pies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: SPesl~t Lh~truction: N'~i~~ PERMIT SHALL EXPIRE IF THE WORK 'u I HORIZED UNDER THIS PERMIT IS NOT .....-." ~. n...... ....'...,VIIVIL.1 ~ ANY 180 DAY PERIOD. Description Type of Construction I Valuation Description I ';.. '"., 'ji" $ Per'Sq'"iit'~'i':"' Square Footage or multiplier' ..,.,. or Bid Amount Value Date Calculated Page 1 of2 Status Issued ,. :;.. ,f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00583 ISSUED: 05/14/2010 APPLIED: 05/10/2010 EXPIRES: 11/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :,.,<'.l"'" Total Value of Project Fee Description + 12% State Surcharge .+ 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less 'i,.tH", Amount Pai~i;'h l..fees.P~id:.l : ,: . , !'" Date Paid Receipt Number $23.76 $9.90 $36.00 $162.00 5/14/10 5/14/10 5/14/10 5/14/10 2201000000000000496 2201000000000000496 2201000000000000496 2201000000000000496 Total Amount Paid $231.66 I Plan Revie"Cs ~; 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. Reuuired InsDections ~ ~.. . ..;"fo'L '" ~,,,,,.. J "',,,",' ..~j .~,."" ., ..' ';?_~~...f '~'1~'.:: ~.'t,~ .. ,-- j...t,~ l' By signature, I state and agree, that I have carefully ';~amined the completed application and do bereby certify that all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe 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 -: 3i~~~*f ~~~~.:4k;~;." " ,~'~:ll : Page 2 of 2 ;,1.. ..~. '.','! Electrical Permit Application ~'~r~~~)~10, +?f~~\'.11.1:~l"~~:.w<<tir~;~Cn~:nf'%:'W~~~1J~i:!tt~~:MTl MN~f~!....],~~.,l,,:>;M;~1 ~~'~;t(~l;;'tt1;~Hj,~~JH]~.J~"A,\,,;l;~I>..~~li!t~~~?ti~'-:!itr-"1 ,j~+"~..t-,-,.u.:J...._......... ~........ ,.u.::'--"'-"....l..:ld_.;..~L'""'~~.;,.J"~"-..,'.,L;)_ 22S Fifth Sll'cl'ttSpringl1c1d, OR 97477. PH(S41)726.37S3" FAX(S41 )726-3689 DEPARTMENT USE ONLY ~l-'n\NGFmLD tty, Permit no. (!/ 0-- S 8:5 Date: ...5--/0- jO This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if wOI'I\ is not started within 180 days of issuance 01' ifwol'l( is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes DNo CATEGORY OF CONSTRUCTION o Residential I 0 Government I D Commercial JOB SITE INFORMATION AND LOCATION Job site address: 937 Summit Blvd City: Snrinafield I State: OR I ZIP: 97477 Subdivision: I Lot no,: DESCRIPTION OF WORK Replace existina pumps & control system. PROPERTY OWNER Name: SUB J Address: 202 18th , S street , City: Springfield I State: OR I ZIP: 97477 Phone: 54-1 226 2396 I Fax: E~l1laiJ: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, leClse, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: Olsson Industrial Electric Address: 1919 Laura Street City: Springfield I State: OR I ZIP: 97477 Phone: 541 747 8460 I Fax:541 747 4846 E-mail: CCB license no.: 63473 I BCD license no.: 20-241C Signing supervisor's license no.: 33348 Print name of signing supervisor: DouSl.. Heer S;,gnature of signing supervisor: /~ ~?-- ./ 440-2584-J{9108/COM) FEE SCHEDULE Numbel' of inspections per item () Qty. Cost Total ca. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Elich ndditional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ $ , 32.00 Each manufactured home or modulnr $ 63.00 $ dwelling service or feeder (2) Services or feeders: iU.I'!aflalion, aftera/ioll, relOWlion 200 amps or Jess (2) 2 $ 61.00 $162 20\ to 400 amps (2) $ 95.00 $ 40 I to 600 <Imps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temponr.:y services OJ' fceders: ins/lIl/oriolJ. a{/eralion. !'e!ocwioll 200 amrs or less (2) $ 63.00 $ 201 to 400 <Imps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 f1mps or 1,000 volts, see services or feeders section above Branch circuits: nel\~ ((Iterafioll, extension pel' pallel a. Fee for branch circuits with pmchase of a service or feeder fee: Each branch circuit 6 $ 6.00 $ 36 b. Fee for branch circuits withOllt purchase efn service or feeder fee: First brunch circuit (2) $ 55.00 $ Each additional bnJnch circuit $ 6.00 $ MiscelhllleollS fees: .w'l'ic'e or/eeder 1/01 includeel Each pump or irrigation circle (2) $ 63.00 $ Elich sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additIonal inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees --,:LlI (IVIlnltlllllll Permit Fee $58.00) (B) Enter 12% s~lrcharge (. I 2 x [A]) 114.04 (C) Technology Fce (5% or[A]) $ 5.85 TOTAL fees and surcharges (A through C): $13 6 . 8 Iq1- J']-N q.ciO dJ/ Jii 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone s~~ Wi:. . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000496 Date: 05/14/2010 I :35:09PM Job/Journal Number COM2010-00583 COM2010-00583 COM2010-00583 COM20 I 0-00583 Payments: Type of Payment Check Check DescriptioD.t. Add, Alter, Extend Circ Ea Add ;1:( ~1'~:, Perm ServlFdr 200 amps or less .. + 12% State Surcharge ",",.,' ;~\ . + 5% Technology Fee t"_ " l' ~.:-;- Check Number Batch Number Item Total: Authorization Number How Received Amount Due 36.00 162.00 23.76 9.90 $231.66 Paid By OLSSON INDUSTRIAL OLSSON INDUSTRIAL Received By NJM NJM 55386 55232 Amount Paid By Mail In Person Payment Total: $94.77 $136.89 $231.66 Job/Journal Number COM20 I 0-00583 COM2010-00583 COM20 10-00583 COM2010-00583 Payments: Type of Payment Check Check cReceiot 1 Item Total: Check Number Authorization Received By Batch Number Number How Received Description Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less. + 12% State Surcharge . '. ., ., + 5% Technology Fee Paid By OLSSON INDUSTRIAL OLSSON INDUSTRIAL NJM NJM 'J. ' 'J '" ..... .""",~ .~' . " l":~..,'" " ~,.,. ,- .~h 1 ". .. " . '. ,.)1,_.. ~,:";.'-'~- , .. !~ Page I of I 55386 55232 Amount Due 36.00 162.00 23.76 9.90 $231.66 Amount Paid By Mall In Person Payment Total: $94.77 $136.89 $231.66 5/14/2010