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HomeMy WebLinkAboutPermit Building 2013-9-19 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON 'Se* Permit no: 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON S l 3 -oz 1 I y Date: 47/).S//2 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. LOCAL GOVERNMENT APPROVAL Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No FEE SCHEDULE Property is within flood plain: ❑ Yes ❑ No 1. Valuation information CATEGORY OF CONSTRUCTION (a)Job description: Electric vehicle charging stations ❑ Residential ❑Government ] Commercial Occupancy N/A JOB SITE INFORMATION AND LOCATION Construction type: Job site address: 919 Kruse Way pad ad 24 s° x 10 16° Square feet: City: Springfield State: OR ZIP: 97477 Cost per square foot: Subdivision: Lot no.: 1700 Other information: Reference: /70 3 Z Z LO Taxlot: 1'7032220- . 07000 Type of Heat: N/A PROPERTY OWNER Name: GOPURA LLC Energy Path: Address: 840 Beltline Road, Suite 202 © new ❑alteration ❑ addition Springfield (b)Foundation-only permit? Ill Yes ®No City: State: OR ZIP:97477 Total valuation: S 90,000.00 Phone: Fax: - - E-mail: 2. Building fees (a)Permit fee(use valuation table): $ Mb' Building Owner.or Owner's agent authorizing this application: (b)Investigative fee(equal to 2a g B g PP O e ( 9 [- ]) S /�°/'/,t-J`,°57( (c)Reinspection(S per hour): D (number of hours x fee per hour) $ Sign here: LCI. p/Tp.I'� (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $g c�I ❑This installation is being made on reside ial or nn property owned by (e)Subtotal of fees above(2a through 2d): $O me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. 3.Plan review fees • ." CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[2a]): $ �(oZ 1°,5- Business name: (b)Fire and life safety(40%x permit fcc[2a]): S Address: (c)Subtotal of fees above(3a and 3b): $ Cit 4.Miscellaneous fees Y: State: ZIP: Phone: - - Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): $ 555.2 CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): S ligcl(j Print name: **Note: The fence needs to be 8'6" tall to Signature. screen/secure the cabinets which are 90"-94" SUB-CONTRACTOR INFORMATION tall . Name CCB License# Phone Number Electrical SPRINGFIELD '" CITY OF SPRINGFIELD et 225 Fifth St NS-OREGON TRANSACTION RECEIPT Springfield,OR 97477 `` 541-726-3753 811-S PR2013-02114 www 3pr4)041d-or.gov 919 KRUSE WAY permitcenter @springfield-or.gov RECEIPT NO: 2013002089 RECORD NO:811-SPR2013-02114 DATE:09/19/2013 rDESCRIPTION " ACCOUNT CODE/TRANS CODE e AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 462.65 TOTAL DUE: 462.65 ' AMOUNT PAID; LPAYMENT.TYPE +. PAYOR'':°-cpsweR:oeowt-sev, ° r,4COMMENTS , Je Check Black and Veatch Corporation 462.65 65202809 TOTAL PAID: 462.65 us BLACK&VEATCH BLACK&VEATCH CORCORPORATION Building aworld of difference! MELANIE PARROTT 30150 TELEGRAPH ROAD,SUITE 355 Bingham Farms,MI 48025 (913)458-6778(Phone) 1 (248)594-9337(Fax) PARROTiM @BV.COM September 13, 2013 VIA FEDEX OVERNIGHT DELIVERY City of Springfield Springfield Development and Public Works Department Attn: Chris Carpenter, Plans Examiner 225 Fifth Street Springfield, OR 97477 RE: Tesla Motors, Inc. - Proposed Charging Stations Site address: 919 Kruse Way, Springfield, OR 97477 Site ID: OR003 - Holiday Inn Dear Chris: Enclosed please find a completed building permit application, a completed Planning Division Information Sheet for Building Permits and two (2) 11x17 signed and sealed construction drawings (copies) for Tesla Motors, Inc. I am sending you the original "wet stamp" sets and you should have them on Tuesday. Tesla is proposing to install charging stations for their electric vehicles at the above referenced location. The fence height has to be taller than 6' to screen the equipment cabinets which are 90" - 94" tall and for security purposes. Also enclosed is a check in the amount of$462.65 for the building permit plan review fees. When the Building Permit fees have been calculated, please contact me and I will have a check issued. If you should have any questions, please feel free to call me at (913) 458-6778 or email me at ParrottM @bv.com. Thank you very much. Sincerely, BLACK&VEATCH CORPORATION • Melanie J. Parrott Sr. Site Acquisition Specialist Enclosures