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Home My WebLink AboutPermit Building 2013-8-12 SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 {t t,-•-• Phone: 541-726-3753 "OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01487 www.springfeldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/12/2013 EXPIRES: 02/07/2014 STATUS DATE: 08/12/2013 APPLIED: 06/28/2013 SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 SCOPE: Shop ASSESOR'S PARCEL NO: 1702310001101 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: STR-Prosper Park-Warehouses OWNER: PROSPER PARK LLC Phone Number: ADDRESS: 34801 MATTHEWS RD EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1020 Zoning/setbacks 1059 Final Paving Final Paving: After paving is complete:' 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and • other equipment items are in place but prior to concrete. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum • board, interior and exterior are in place, but prior to plastering. 1550 Firewall Firewall: Located and constructed according to plans. 1620 Roofing Roofing: Prior to installing any roof covering. 1996 Final Inspection—Planning 1999 Final Building Final Building: After all required inspections have been requested and approved and • the building is complete. 1996 Final Inspection—Planning ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the teleph.,:tc. number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR , e Center is 1-800-332-2344). 8/12/2013 9:32:481 t Y 180 DAY PERIOD. Page 1 oft Springfield Buildin Permit • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ti Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01487 www.springfield-or.gov permitcenter @spri ngfield-or.gov 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 construction. / CF-7/22/(3 Owner actor Signature Date • • • • • • Springfield Building Permit - 8/12/2013 9:32:46AM Page 2 of 2 SPRINGFIELD-• CITY OF SPRINGFIELD Y;1 •(0/1.. " 225 Fifth St � TRANSACTION RECEIPT Spdngfeld,OR97477 541-726-3753 811-SPR2013-01487 www.springfield-or.gov 945 28TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001740 RECORD NO:811-SPR2013-01487 DATE:08/12/2013 ( 1*.ttaliAl llitLI Praiaf i-Z- akiL ig'4 42 .' ACCOUNT CODE/TRANSCCODE'W-SAMOUNTDUE`.;vF • Address Assignment, each new or change 224-00000-425602 1020 42.00 Building Permit Fee 224-00000-425602 1002 5,706.82 Commercial Fire(.10 Per Sq Foot) 100-00000-424005 9112 1,478.40 Plan Review Adjustment-Commercial 224-00000-425602 1060 2,112.47 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 • 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 131.28 SDC: Improvement-Transportation SDC 447-00000-448027 1174 7,355.39 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 474.66 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 7,736.25 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 9,346.09 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 2,018.11 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 972.52 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 591.53 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 6,415.89 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 423.45 SDC:Total Sewer Administration Fee 719-00000-426604 1175 72.36 SDC:Total Storm Administration Fee 719-00000-426604 1180 788.10 SDC:Total Transportation Administration Fee 719-00000-426604 1190 468.68 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 684.82 Technology fee(5%of permit total) 100-00000-425605 2099 393.06 TOTAL DUE: 47,221.88 PAYMENT+FYPE It:PAY,OR casxiEWCARPEHTER,,,,,_, dOMMENTS AMQUNT'PAID tnregininFINA Check PROSPER PARK LLC 47,221.88 0427 TOTAL PAID: 47,221.88 ' • • -s SPRINGFIELD- CITY OF SPRINGFIELD 225 Fifth S TRANSACTION RECEIPT SpringfieldtOR 97477 ' 541-726-3753 OREGON 811-SPR2013-01487 www.springfleld-or.gav 945 28TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001394 RECORD NO:811SPR2013.01487 DATE:06/28/2013 901 4o1-lt• [ol`t_-';:=_+LE.jatt Tt.. g1<. a :t'ACCOUNT CODE/TRANS CODE6.:" .._.. . AMOUNTiDUE '},J Structural Plan Review Fee Commercial 224-00000-425602 1060 1,596.96 TOTAL DUE: 1,596.96 trI AYMENTaTYPEW P.AYOR CASI668:;neOwLSar _ COMMENTS - n _ AMOUNT..:P.AID -O Check prosper park Ilc 1,596.96 0414 TOTAL PAID: 1,596.96 • s Structural Permit Application SPRINGFIELD iPDEPARTMENT.4USE ONLY2;j CITY OF SPRINGFIELD, OREGON „" Permit no 5I? — 0 144 7 cr- 225 Fifth Street•Springfield,OR 97477•PH(541)726-37531 FAX(541)726-3689 ' OREGON / Date: ✓/eFor-//3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;.�i ukkLOCAL£GOVERNMENT APPROVAL-v:s„`.=:V;y;;t r�,:,71-ir;J„ 4 ^A F,EE SCHEDULE, PIntn This project has final land-use approval. - 1'Valuatitin nfotrnation9` ;KT.2SAT, _,;;.e ;-*, '1 Signature: Date: (a)Job description: G/ /4/0E t5e This project has DEQ approval. Signature: Date: Occupancy 17-I Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: (I l-nL( ` y x r CATEGORY O CONSTRl1C lO r h= a ++., Cost per square foot ' , ¶3 i ❑Residential ❑Government Nf Commercial .Other information: - -`•max �y'�,� ,JOB SITETINFORMA,'TION ANDhLOCATION;r ,r� _, Type of Heat: t.11ff. ' Job site address: /% vt-, '7`) Gf ,�y�Energy Path: 9 City: 46)P-06k PO State: EA.- ZIP: 4171--)1/ anew ❑alteration ❑addition Subdivision: Lot no.: 0//0/ (b)Foundation-only permit? ❑Yes o I u a. P Reference:/702 310 0 Taxlot: i -Y v Total valuation: s Cs7-0W ."ti.. m.., `? t :. ,r!PROPERTYjOWNERI ti; R ...Z3n.,; >2f;Buddi fees c i M?'. m'r” 'lt1:7 t R- Name: Lao 49 , -rips-4-roc-i9 (a)Permit fee(use valuation table): $c/2)&11 Address: g`�9I rl 1-PtLlrs.I4 vJ (b)Investigative fee(equal to[2a]): $ Fy City: ]t State: 6� ZIP:114 / (c)Reinspection($ per hour): A (number of hours x fee per hour) $ Phone:&41 i .�3^ `I Ip��t,, ' F,ax:.�•- - E-mail: L i� •T o P•./C�t.�e. -i t al (d)Enter 12%surcharge(.12 x[2a+2b+2c]): b 1. (e)Subtotal of fees above(2a through 2d): $ Building Owner . •wner's agent authorizing this application: I�3lYPla re iew fees�`f' ^` s "" kks'�.� -';' 1i a..d-m Falb . t.—*3�mi ;PPP` (a)Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee[2a]): $� ❑This install. on is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing s.4I0Mts ell nexus feeaN"r` 5 -' i'J"r'S'�r-�-s`r''. sn= requirements under ORS 701 010. '3eSa. k rL r:.. a`* (a)Seismic fee, 1%(.01 x permit fee[2a]): $ 1, EY-"(r.,,,,, tJ' CONTRACTOR&INSTALLATIONS +�., +?'1 (b) o (.05 p [ ]): S0 b Technology fee,5% 05 x emdt fee 2a $ Business name: �'m f� r TOTAL fees and surcharges(2e+3c+4a+4b): $/n'7�!(PK% Address: 7� City: _ State: ZIP: Phone: - - Fax: - - E-mail: / CCB license no.: Print name: Signature: ]n. h .. [ SUB C ONTRACTOR INFORMATION I ENr Name - CCB License# Phone Number Electrical Plumbing Mechanical SPRINGFIELD - 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 e. OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01490 • www.springfield-or.gov permitcenterQspringfield-or gov PROJECT STATUS: Issued ISSUED: 08/12/2013 EXPIRES: 02/07/2014 STATUS DATE: 08/12/2013 APPLIED: 06/28/2013 SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 - SCOPE: Shop ASSESOR'S PARCEL NO: 1702310001101 • TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PLM-Prosper Park-Warehouses OWNER: PROSPER PARK LLC Phone Number: _ ADDRESS: 34801 MATTHEWS RD • EUGENE OR 97405 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor BARNES HIGH TECH PLUMBING INC CCB 83311 02/17/2014 541-726-9854 INSPECTIONS REQUIRED Inspections • 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line • 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 3999 Final Plumbing Final Plumbing: When all plumbing 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 construction. , ,60 41 - /e.� I//Z/,% Owner or ontractor Signature Date ATTENTION: Oregon law requireon Utility K -Notification Center. Those rules are set forth < f ICE: in OAR 952-001-0010�co ',es of the rules by THIS PERMIT SHALL EXPIRE ERMIT SNOT 0090. You may AUTHORIZED UNDER calling the center. (ontUtil ty Not.tiiCation COMMENCED OR IS ABANDONED FOR number for the Oregon PERIOD.Springfield Building Deriter is 1-600-332-2344). 8/12/2013 s:37:soAtvi{ 180 DAY PE Page 1 of 1 SPRINGFIELD—ad, CITY OF SPRINGFIELD 6; 225 Fifth St TRANSACTION RECEIPT Springgeld,OR 97477 �� 541-726-3753 O0.EGON 811-SPR2013-01490 www.springfield-or.gov 945 28TH ST permitcenter @springfield-or.gav RECEIPT NO: 2013001739 RECORD NO: 811 SPR2013-01490 DATE:08/12/2013 DESCRIPTION S -, .d n-h- .*: .?' t t r's' n - v ill ., r.,x.,--ACCOUNT CODEGfRANStCODE�::.: +>�----AMOUNT DUE ,,, Backflow preventer 224-00000-425603 1005 42.00 Catch basin or area drain 224-00000-425603 1005 147.00 Floor drain/floor sink/hub 224-00000-425603 1005 21.00 Hose bibb 224-00000-425603 1005 21.00 Sanitary sewer 224-00000-425603 1005 83.50 Sanitary sewer-each additional 100 feet or portion of 224-00000-425603 1005 42.00 Sink/basin/lavatory 224-00000-425603 1005 42.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 108.18 • Storm Sewer 224-00000-425603 1005 83.50 Storm Sewer-Each additional 100 feet or portion of 224-00000-425603 1005 252.00 Technology fee(5%of permit total) 100-00000-425605 2099 45.08 Water Line . 224-00000-425603 1005 83.50 Water Line- Each additional 100 feet or portion of 224-00000-425603 1005 42.00 Water closet 224-00000-425603 1005 42.00 TOTAL DUE: 1,054.76 P.AYMENTaTYPE' PAYOR casMEigrea RP, NTER :COMMENS AMOUNT4PAID ., 4`_ ..41 Check PROSPER PARK LLC 1,054.76 0427 TOTAL PAID: 1,054.76 • Plumbing Permit Application DEPARTMENT USE ONLY ■- z , SPRINGFIELD " "lifi 7D+ R NGFSLEGD, QREGO_, Permit no.: Si?- / Ye/9 225 Fifth Street ♦ Springfield,OR 97477 • PI R5-11)726-3153 • FAC(54i)7253689 i0 250N Date: lji / 3 ( This permit is issued under OAR 918-780-0060.Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Description Qty. Cost Total ea. cost Sanitation approval verified? ❑ Yes ❑No New residential • CATEGORY OF CONSTRUCTION I bathroundl kitchen(includes:first I ❑ Residential ❑Government Q-COmmercial 100 feet maker, underroorl hose $262.00 $ €of bibs, ice maker, underfloor low-point JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) t t �7 O7 2 bathrooms/I kitchen $411.00 $ Job site address: / !� r } C!p/'t ^ (J� 2772 3 bathrooms/1 kitchen $483.00 $ t City: QI` / f/ State: "LIP: Each additional bathroom(over 3) $104.50 $ � Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) _F y,bz s.-•-- e . _. r_--C c_r-c--/ 0 to 2,000 square feet $80.00 $ i Q 2.001 to 3.600 square feet - $128.00 $ 3 PRrOPERTY OWNER 3.601 to 7,200 square feet $192.00 $ i Name: tZ t-!� 7.201 square feet and greater $255.00 $ i Manufactured dwelling or pre-Tab(circle one) , Address: Connections to building sewer and I , water supply $80.00 $ City: State: ZIP: ? Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fcc $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ owned by me or a member of my immediate family,and is Miscellaneous fees I exempt from licensing requirements under OAR 918-695-0020. 100'storm,sewer,water line 4 /G $83.50 $ Signature: Each fixture,appurtenance,and piping i,3 $21.00 $27. I CONTRACTOR INSTALLATION �t! Storm water retentionidetention facility $21.00 $ Business name: /?nvt ' A',�ry /�7 /vim, ,>r Irngalion systems 2, $21.00 $y 2 l _/ Piping or private storm drainage Address: 02, 40/0 !r, r•G--27 2 systems exceeding the first 100 feet $21.00 $ �7 Specialty fixtures $21.00 S I City: —�� tote: ZIP:Q l Y77 Reinspeclion(no.of hrs.x fee per hr.) $80.00 S Phones Tic 985( Fax/ct(-7ctie 6573 Special requested inspections(no.of $80.00 S I E-mail: 70e 67 4.74.7CC/ir ^ naiset-Ulm Ms.x fee per hr.) CCB license no.: ,yr33/i BCD license no.: Each additional inspection: (I) $80.00 $ t p Plumbing license no.: `3 ZVo J / Medical gas piping Minimum fee S Print name: �� . � j)rQ5 Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature:i�/ / /r fr/ APPLICANT USE '. ' '. (A) Enter subtotal of above fees 9 (Minio m Permit Fee$80.00) $gar (13)Investigative fee(equal to[Al) $ (C)Enter 12%surcharge(.12 x[A+B]) $r��1� (U)Technology Fee(5%of[Al) S Q TOTAL fees and surcharges(A.through D): $ri�S"Y t I 440-2500-J(4/1/20 13(COM) ' ' A SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Sphngfield,OR 97477 '.K+ = Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01489 www.springfeld-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 08/12/2013 EXPIRES: 02/07/2014 STATUS DATE: 08/12/2013 APPLIED: 06/28/2013 SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702310001101 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: MEC-Prosper Park-Warehouses OWNER: PROSPER PARK LLC Phone Number: ADDRESS: 34801 MATTHEWS RD EUGENE OR 97405 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 541-741-1499 INSPECTIONS REQUIRED • Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical 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 construction. 77° � C5— /3 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- `?OTICE: 0090. You may obtain copies of the rules by i HIS PERMIT SHALL EXPIRE IF THE WORK calling the the Oregon on U: the toeph:tio \UTHORIZED UNDER THIS PERMIT IS NOT • •number for the Oregon Utility Notification Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, • Springfield Building Permit 6/12/2013 9:35:54AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St E�oN TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 811-SPR2013-01489 www.springfieldor.gov 945 28TH ST permitcenter @spnngfield-or.gav RECEIPT NO: 2013001738 RECORD NO: 811SPR2013-01489 DATE:08/12/2013 DESCRIP-TIONtS ; S it i `& "!T. ill ..° ACCOUNTiCODErrRANS CODE-t eE nw,. ' o Mechanical Permit fee(based on value of work) 224-00000425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 BAYMENSaTYP.E. PAY.OR cASXIER:egurexra COMMENSS MOUNT{PAID' Check PROSPER PARK LLC 93.60 0427 TOTAL PAID: 93.60 • • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 " Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01488 www.springfieldor.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/12/2013 EXPIRES: 02/07/2014 STATUS DATE: 08/12/2013 APPLIED: 06/28/2013 SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702310001101 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: ELE-Prosper Park-Warehouses OWNER: PROSPER PARK LLC Phone Number: ADDRESS: 34801 MATTHEWS RD EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EASTSIOE ELECTRIC INC CCB 117770 10/04/2013 . 541-741-1499 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 wiltbe 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 Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE' Notification Center. Those rules are set forth THIS in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the Notification t ctci COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 8/12/2013 9:34:19AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD S �, St a'! TRANSACTION RECEIPT 225 Fifth St 97477 OREGON 541-726-3753 811-SPR2013-01488 www.spdngfield-ar.gov 945 28TH ST permitcenter @springfeld-or.gov RECEIPT NO: 2013001649 RECORD NO:811 SPR2013-01488 DATE:07/29/2013 'r' u ,E -1-1141Z: ACCOUNT CODE/TRANSONDJ ,*AMOUNT DUE Fil Branch circuits with service or feeder each circuit 224-00000-426102 1004 156.00 Services 201 to 400 amps 224-00000-426102 1004 104.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.26 Technology fee(5%of permit total) 100-00000-425605 2099 13.03 TOTAL DUE: 304.79 RL}YAYMENTaTYP.E _ RAYOR CASHIER:.JLARSON COMMENT S ` ` ,AMOUNT�P,AID_' ;,- „I Cash EASTSIDE ELECTRIC INC 304.79 01488G TOTAL PAID: 304.79 Electrical Permit Application DEPARTMENT USE ONLY SPFINGFIELD.- J skrioart..ir ric wv+3sWia... ...�1\Th.):5-!•,,ti ?s.°tr4.s.+ s"w'5'.Z`23i47gni t' ,� ; i C OF PRING�1'LLD _REG-61N- s73 - o ) y f l 's - . - 4%,,: tz..-"° .' '^ `4i-pw,v, .o ti +� .4,`- Permit no- 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 Vr Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 7-LOCAL GOVERNMENT=APPROVAL <:' _; '•, , '-= _ , FEE;SCHEDULE ,' &_ '- ` Zoning approval verified? ❑ Yes ❑No .Number`of inspections.p1'e-' er item () Qty LCost Total',' CATEGORY:,1OF„ CONSTRUCTION . ':.' ;ea. ,_,c_OSt...; Residential, per unit,service included: ❑Residential ❑ Government o 'Commercial JOB SITE..INFORMATION'AN D LOCATION , ' 1,000 sq. f. or less(4) $147.50 $ Job site address: ?y S Z - S hereof additional 500 sq.ft.or portion $ 27.50 $ City: 5 2,-.0 State:C.'(L. ZIP:9 7L(77 Limited energy(2) $ 35.00 $ Reference: / 702- 3/co Taxlot.: Of/U'( Each manufactured home or modular $ 69.00 $ :DESCR ON_'' F WORK:-i = dwelling service or feeder(2) IPTI _56171-0 GLr- Ci/G..-L:- - Services or feeders: installation,alteration,relocation 200 amps or less(2) $ 89.00 $ `, .PROPERTY cO NER r, _ 201 to 400 amps(2) / $ 104.50 $/QV J o Name: f�p r,�-� 1. -(C L" -C— 401 to 600 amps(2) $174.00 $ Address: '3 Cleo/ 714 AI PLOWS 1� 601 to 1,000 amps(2) $225.50 $ City: Lu (TL%VCS State: C L. ZIP: 97C/Qr Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - Reconnect only(2) . $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above _ ctr;CONT.RACTOR;,I NSTALL-AT,IOppN .e::: Branch circuits:new alteration, extension per panel Business name: E P$T S i OE ELE(7/Z I C a.Fee for branch circuits with purchase of a service or feeder fee: // Address: 3S)43 $OSCKGC Li\NE Each branch circuit y $ 6.50 $ /S . City: S P i.D State: 0 K ZIP:'\7 V 78 b.Fee for branch circuits without purchase of a service or feeder fee: Phone: -i I c '5 g,� 15 Fax: O 34 y y'6 0 First branch circuit(2) $ 60.50 $ E-mail: RO K OA / @ y 4N00,Cb M Each additional branch circuit $ 6.50 $ CCB license no.: ( I 7 7 7 0 BCD license no : )C) •V 0S'C Miscellaneous fees:service or feeder not included Signing supervisor's license no.: 4 7.a 7 S Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: 1ZO G FA k N 6 Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: .N-K"y. _ _ _ $ 80.00 $ _ _ alteration-or extension(2) -- - Each additional inspection:(I) $80.00 $ L3 tJrCR APPLICANT :USE . . '"`, v e.:3 (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ 76 (7 CCI---- Enter 12%surcharge(.12 x[A]) - $ . (z!,6 (C)Technology Fee(5%of[A])- $ /3 0.3. TOTAL fees and surcharges (A through C): s'oy' 75 440-2584-J(4/012013/COM)