The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2011-8-25 ~ DEPARTMENT USE ONLY Sl-'RINGFII!LO ".~' Pemlit no.: <;1I-r<'zCZcr Date: f 1 ( This permit is issued under OAR 918-309-0000. Permits UI'C nontnmsferable. Permits expire if work Is not started within 180 days of issuance D"if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes DNo CATEGORY OF CONSTRUCTION o Residential I D Government I ~ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 1160 Shelley St City: SprinGfield I State: OR I ZIP: 97477 Subdivision: V7~1:"\I-Y~ I LotnorrM1/L-o DESCRIPTION OF WORK AddinG panel for mixer PROPERTY OWNER Name: Toby I s Family Foods Address: i i &0 JH~LLI/V City: ,~ i'rLl) I State: I"hlL-l ZIP: q?'f'? / Phone: . . I Fax: . . E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: 01 s son Industrial Electric Address: 1919 Laura Street City: Springfield I State: OR I ZIP: 97477 Phone: 54~ 747 8460 I Fax:54J. 747 4846 E-mail: CCB license no.: 63473 I BCD license no.: 20-241C Signing supervisor's license no.: 3334S Print name of signing supervisor: Do'JJ\las Heer S~gnature of signing supervisor: A / A.-7e::::- /' #' 440-2584-J(9/08/COM) ~~\9\\ CO' ~~ ~~ FEE SCHEDULE Number of inspections pel' item ( ) Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each mllllufactured home or modulnr $ 63.00 $ dwelling service or feeder (2) Services or feeders: installatioll, (If/er(l/ion, relucatioll 200 amps or less (2) 1 $ 81.00 $81 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $156.00 $ 60] to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: il/slal/alion, af/eration, re/ocation 200 amps or less (2) $ 63.00 $ 20 I to 400 alllps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: lIew, altem/fOIl, ex/el/,\'iOll pel' pallef a. Fee for branch circuits with purchase of (l service OJ' tccder fee: Each branch circuit 2 $ 6.00 $ 12 b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service orfeeder I/O/ ille/llded Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit OJ' a limited-energy panel, $ 63.00 $ alteration, or extension (2) 1 Each Ildditional inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees (MinimullI Pel'mit Fce $58.00) $ 93 (B) Enter 12% surcharge (.12 x [AD $ 11.16 (C) Technology Fee (5% of [A]) $ 4.65 TOTAL fees and sUl'cluu'ges (A through C): $108.81 ... ; .' ..- '. CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01999 IVR Number: 811123913968 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/25/2011 08/25/2011 Issued 08/25/2011 225 Fifth St Springfield.OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfIeld.or.us EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 1160 SHELLEY ST, Springfield,OR 97477 ASSESOR'S PARCEL NO: 1703270000902 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 200A Panel and 2 circuits for mixer Phone Number: OWNER: ADDRESS: TOBYS FAMILY FOODS LLC 1160 SHELLEY ST SPRINGFIELD OR 97477 . . I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name OLSSON INDUSTRIAL ELECTRIC INC Lic Type CCB # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: o Lie No 63473 Lie Exp 01126/2013 Phone 541-747-8460 Lot Size: Sq Ft1 5t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 ATTENTIOtJi:JtiPan2YI~oii'drequires you to . . .. . follow rules adoptea by the Oregon Utility Electncal Specialty Code Edotoon'NotlflcatI3R1Center. Those rules are set forth Springfield Fire Code Edition: in OAR 952-001-0010 through OAR 952-001- Mechanical Specialty Code Editior.\990.. You may obtain copies of the rules by Municipal I Development Code: callmg the center. (Note: the telephone _ _ _ _ number for the Oregon Utility Notification Plumbing Specialty Code Edition: Center is 1-800-332-2344). Reside~tial Specialty Code Ed~tion: Structural Specialty Code Edition: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: . NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit \ B/25/2011 B:32:5BAM Page 1 of 3 ". _c. SPRIN..G... F IE.L~. .~ Y I,.~ ,z-::>" OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.U5 Building I Commercial Permit PERMIT NO: 811-SPR2011-01999 IVR Number: 811123913968 pe rmitcenter@ci.springfield.Of.US PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 08/25/2011 SITE ADDRESS: 1160 SHELLEY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703270000902 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 200A Panel and 2 circuits for mixer DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ DescriDtion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Amount Paid Date Paid Reciot # Sta~,D'!'Qreg~n ~u~harg~ l!~o/~ of applicable fees) $11.16 .,.--2_8/25/201~, _'' __ 2011002313 TechnologY,fee (~% ,,-'permittatal) _ __ _' ___ $4.65 08/25/2011. ,_,_ _ .2..011002313 Services 200 amps or less $81.00 08/25/2011 201-10623'i:i' BranCh~ircuits with service or f~ect-;;'-each crcUlt-- ----$~---~-,."'''.08i25/2''01~1---- -.--- 2011002313 _._____ __.,...".._.._...__.0,_,_______._,..~......__._~__.__ Total Amount Paid $108.81 Springfield Building permH 8f25f2011 8:32:58AM Page20f3 -. SPR. INGFI.EL~ .~ ~" ~ ....~ ,!':-\ OREGOt-l CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01999 IVR Number: 811123913968 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/25/2011 08/25/2011 Issued 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 1160 SHELLEY ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703270000902 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 200A Panel and 2 circuits for mixer Plan Review ~ Devartment Application Acceptance Received Due Date Completed Result 08/25/2011 08/25/2011 08/25/2011 Over the Counter Reviewer Chris Carpenter Comments: Over the counter permit Iriitial.Re\iiew . OB/25/2011 . 'OB/25/20101' OB/25/2011 i:-;;~m~nts~'\)-~~rth~';Ci.W.rn!eipe;mIL:,",f~." . ~ "t8,~c.:_'~~,<j_: .~~ ;~.. t..~~'.. .. c- ..> --. -""( '0- >.~.,~ " ,ic.'" ",.- '<-'","" "...__ '>', a'Yer the:C_ounter, ;,i:'~~ - ':T\. :..;: .1',"';"-- '. h': -" ~..:."..; INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder '~>,SQhri~,.Ca~ente-r,~'~ ' '" :v./i:""'::.~,~ "'" Ji>."= - ,'it- .7 ~~ ~ 'I "f'\. ;' " J . <....,..",,,"',,. '''''^' , ,><.f .;'C:,,'^.- 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 or 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 'OO_""~~it~~ Owner or Contractor Signature ~/L~)/) I Oate Springfield Building Permit 8125/2011 ID2:5BAM Page 3 of 3 .. :.. TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726-3753 www.cLspringfield.or.us 811-SPR2011-01999 1160 SHELLEY ST permilce nter@ci.springfield.or.us RECEIPT NO: 2011002313 RECORD NO: 811-SPR2011-01999 DATE: 08/25/2011 !bESCRi~TI6N~- _ "-'''ili'c -_."'-:5',,':.:- :,':' '::""___':':"ACC.OUNT"CODEC.:;.<,'" '~~'AM6uNT,DLiE".ts -,;:{ Branch circuits with service or feeder each circuit 224-00000-426102 12.00 Services 200 amps or less 224-00000-426102 81.00 _."i?!::!.e of Oregon Surcharge (12% of applicable fees) 821-00000-215004 11.16 ___!echnology fee (5% of permit total) 100-00000-425605 4.65 TOTAL DUE: 108.81 f.::.gAYM.~!H:;:1'fg~:gAy.6R"~;.C-ASHIER:~CARPENTER"'-i"" Credit Card OLSSON INDUSTRIAL ElECTF 015292 . ,,';~~'COMnnENfrS~ifC":;..~:=~~:""?;::'7i,if.00::;;";~"AIVIOUNTP AID;-::<Ek;::;;;f:-~~':~ ~,' :1 108.81 , TOTAL PAID: 108.81