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Home My WebLink AboutPermit Electrical 2007-10-15 '\ ~ CITY OF SPRINGFIELD, OREGON , -:;-=-- ill ZON '1-\~ IN ITIA LS \.)\C"\ L-"- Ai: DATE \I}.\\l'oo-l -..... ... SOURCE Lk ~o...- \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753. FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Gf1YYl1...ot) { .... OOScY7 I. 3. 3'5~ 3- RlVelZ.(3~-vrLiJrz . , ' , LEG~L DESCRIPTIO}!: \llJ?:/!:2..l:x::J~. 6 .t:/'1JeIL4L 4bvz.. <;'vtnlJ liJffJlJ5 Service Included , , JOB DESCRIPTION: 7 '1A/&6vtyJAlftC-. -;t;f56 'S ,t?) 'l' P--\ ,-, , / ./'"'7'::"--""'--- ) , _ ~:::li)'~'~~~ ., City -6Jne.(\~ 'Ph~ne"W\'(~-\fcQ " Pump or irrigation , $55,00 ATTENTk)N: Oregon law requlres_ you~ t.o Sign/Outline Lighting ! $ 55.00 OWN'(JM%SJIU1-M-.a1tltl>~d by the Oregon UttfllttYth" ,. Limited Energy/Residential $28.00 , ' ; . .QM1tAr Those rules are se . or . .1Itn'II"~lh . ", ( . The l~tall~IQfbQQi/'lm~e 0!Ur08~t,)dgf'\"9~~1'81J1 ~ Llmlll!lau~oI----ommercIaI $ 50,00 IS notlm~.Ri~&lQ, rJage 9.rYeh?, of the rules by Minimum 1it\\Ia~MJl @)rrJAt,/IioliW'M1brt ~nrM1L>wes . 0090. You may o~taJn copies ,".'C: I.:^I""Tm:" :VV\:l1'l\o \ Owners ~iWltmQT<<he center, (Note: ,t,he tel~phone 4. ~ VD . " number for the. Ore~on ~;~I~ ~~tlf'catlon 8%" . ANDONED FOR ex. J fb " cemer l::i l-o{)O-",-.;... _3 , ,), 1 oo/MJi\hiha~aDA\tBfRIOD. J'O ' ::Lf) 5% Technology Fee ' C;-', to I~,% , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is' Suspended for 180 'days. {\ ~2. ~' Electrical Contractor CAmp C~ (~c.,-frz.)C- G Addr~ss Po ;go)(. ellC/O?) o r'6 City ft./66.r'l/ 6- , ~ ' ~ Supervisor Licens~ Number 15 0 ~'3$ /O!/~OIO Constr. Contr. Number l&,c/~7 7 GM I,p. OO~ I f Signature of Supervising Electrician ; Phone, '74t, /471 Expiration Date EXpiration Date ! Inspection Request: 726-3769 Date lOlls! 01 { , { . ,. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117,00 $ 21.00 Each Manufact'd Home or . Modular Dwelling Service or Feeder $55.00 B. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to)1000 Amps Over 1000 AmpsNoIts Reconnect Only . $ 70,00 $ 83.00 $ 138.00 $180,00 $413.00 ' $ 55.00 .7 () .og... c. Installation, Alteration or Relocation . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps. Over 600 Amps or 1000 Volts see "B" above, D. $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4,00 "3 ;;1. ,~ 8' E. TOTAL Shared Drive(T:)IBuilding FOOps/Electrical Permit Application 7-oidoc ,G Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00507 ISSUED: 04/10/2007 APPLIED: 04/06/2007 EXPIRES: 10/10/2007 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Hospital TYPE OF USE: Addition PROJECT DESCRIPTION: Underground pneumatic tube and fiber Duct installation Commercial Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor TURNER CONSTRUCTION COMPANY CAMP CREEK ELECTRIC LLC License 69988 164877 Expiration Date 11/09/2007 06/09/2009 Phone 541-988- 7240 541-746-1471 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1-1.1 B IIFR # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,A":EtITlen elO!:jUlI ii:iw re~' fo".~w r~les adopted by the . ~ROVEMENTS I Notltlcatlon Center: Th . Street Improyti~952_001 O' ose rules are set forth NnTICE Sidewalk Type: - 01 ~ through OAR 952-001- u. : . Storm sewer9Mai!liY'Rt1 may obtain copies of the r I h THIS PERMrr~A~t/D[..wP.s: Special InstrucA9"~ng the center. (Note: the telp.p~:s Y AUTHORIZED t:,\,..,RE IF THE WORK number for the Oregon Utilit',1 Not::"..: );~p, UNDER THIS PERMIT /S NOT Notes: ' Center is t"800-332-23',"~), .."c_~'oJ,l COMMENCED OR IS ABANDONED FOR ANY 180 DAY PER/OD. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Plan Review Electrical (25%) Plan Review Plumbing (30%) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Special Waste Connection + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00507 ISSUED: 04/10/2007 APPLIED: 04/06/2007 EXPIRES: 10/10/2007 VALUE: I Valllation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $72.00 $36.00 $57.60 $45.00 $11.25 $202.50 $45.00 $490.00 $140.00 $10.20 $5.10 $8.16 $32.00 $70.00 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 10/15/07 10/15/07 10/15/07 10/15/07 10/15/07 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000001591 2200700000000001591 2200700000000001591 2200700000000001591 2200700000000001591 $1,224.81 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. lJeouil:'edJnsoections I Final Plumbing: When aU plumbing work is complete. Special: See Plan Review and/or Inspector Notes. Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Pal!:e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00507 ISSUED: 04/10/2007 APPLIED: 04/06/2007 EXPIRES: 10/10/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00507 COM2007-00507 COM2007-00507 COM2007-00507 COM2007-00507 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001591 Date: 10/1512007 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAMP CREEK ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 463187 In Person Payment Total: Page I of 1 11 :40:24AM Amount Due 70,00 32,00 5,]0 8.16 10,20 $125.46 Amount Paid $125.46 $125.46 10/15/2007