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Home My WebLink AboutPermit Electrical 2007-3-7 , ..:. \0 ZON INITIALS \'-llV'- DATE s-- i) - (jC" SOURCE \vl " 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COM z..e 0 ~ - b c> 4 B:! Date ~ - 7-0, 1. LOCATION OF INSTALIATION: 3. COAfPLETE FEE SCHEDULE BELOW 32..Co Q.JL ~rJW l-C\L \~:S~:TIO;; ,~~03 ,{~b~ L ob~ c> 0 A. se:;e :::::~~I_- Single or Mnlti-FamUy per dwelling mtit. -" '. "/, t~:~ ft' "0/ . '\);'; i ' . . . , ->iil.", Ne.~Alteration or Extension Per Panel ~ ( '.. ',',' " .-,~ ,",'5he':Cil'cwt'~i . ".Eacq"'Xddi1;i9;tM~t;;ircuit or with ~erVt&'m Feeder Permit ,,~<~\,.-".,. .'.'~ <~\ .' "~. l~lb~~flfu'~'~~t~~~;J~/feeder not included) -Each Installation /~,.,>~C)ji~ l,v}\:",; 'OJ;; ...,'Ptlinli!_qr itrigatiotr../; ,J/ $ 50.00 .' - > ", " I Sign/qlftHhe.hi$h~ $50.00 LimitedErtergy~~idential $ 25.00 !.. " Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges JOB DESCRIPTION: ~ A \\ l~,\!(J ('Vv L~') ~ \~"--) ,;a.u~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone , f://i! J,tL 1 /. Of Superviso, License Numb<< R lM:JI$ Expiration Date .') (O..ol-~e.b7 Constr. Contr. Number Expiration Date Signature of Supervising Electrician ...~ same Sp t\:r-Jft~.l) Address I ~, 6 ~'4 't. r.6 City st"~t.b Phone 'J 'fc.f-- c':>?S OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. --, Services or Feeders - Installation, Alterations or Relocation: I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 bJ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps 1(i Over 1000 AmpsNolts :Ji~1JON;t OOb/ti G::',4~t@l)pJ~~t;9;S8f~~~ Fe_eder~ 'Hld . -!:Ii ~ .0 OJI . DElL Insta~;til>~r&J?~Jfil:1~on 200 Amps or'l{i,s///f. &O!j../ OJ $ 50.00 201 Amps to 400 A'f&icj Sf, flIT $ 69.00 401 Amps to 600~../ '1-/../ $100.00 Over 600 Amps or 1000 ~cNs see "B" above. D. Branch $ 43.00 $ 3.00 4. SlIBTOTAL OF ABOVE b> ~ -0 "f bT~ ':J ' ,) 77 tf' 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T: )/Building FOIms/EIectrical Pennit Application 8-06.doc Status use initials 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00483 ISSUED: 08/06/2003 APPLIED: 06/11/2003 EXPIRES: 09/07/2007 VALUE: $ 56,332.00 SITE ADDRESS: 326 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703263406200 Springfield TYPE OF WORK: . School PROJECT DESCRIPTION: Batting cage cover TYPE OF USE: Addition Public Owner: SCHOOL DISTRICT #19 Address: 525 MILL ST SPRINGFIELD OR 97477 Contractor Type Electrical Engineer I CONTRACTOR INFORMATION I License Contractor OWNER GEOMAX ENGINEERING BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: . Notes: Expiration Date Phone 541-942-0126 # of Stories: Lot Size: A-4 Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: RangJitjr;U3NO '001/13 Sq Ft Garage/Carport rUlikSflt1Jj ONVSV d,,(Va~ft.oth~r: iltiOMIYtt 1~~~~~~~111~;,~~ a3:JN~~ Load I DEVELOPMENT INFoilMl4..llUW11.J.:ill/10Hlnv . IW/13d SIH. REQUIRED PARKING .3 r.L Overlay Dist: . :JUON Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: . ".,., 'lbt:>C>~ __ I PUBLIce~~~6"EM~i~~'ioe-l S! J9JU s C ''''/o!;l4' "/S'IJn So . amJ e4J J I.QION):J 'tSiUe.\V.3ll5! J~Re: OO-CS6 0 saldo GlUeo MIl 'U "'ILUnu fO) J e:i\:tO 46n 0 U!l?lqlJ~wn'yPh8~!lte~}ns: Ii I. as ele s OJ41 0 t elJJ no . ,rUn u06 am.! e804.' . OO-too-zr- ~ 0600 "'. "nt aJO ell r r.J.. :JeWe ;z6l::i\:tO . ~Clflnh '1J/1Q fJeJd a Uom~::J uf . ~! J1,,, ef U06 oPe semj !J!loN . $Jf):Mo Mal/OJ . /lN3.UJ:I Pa2e 1 of 3 CITY OF SPRINGFIELD. Building/Combination Permit Status use initials PERMIT NO: COM2003-00483 ISSUED: 08/06/2003 APPLIED: 06/11/2003 EXPIRES: 09/07/2007 VALUE: $ 56,332.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrivtion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 56,332.00 Value Date Calculated Description Total Value of Project $56,332.00 $56,332.00 08/04/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $54.60 6/11/03 1200200000000001494 Plan Review Fire & Life Safety $33.60 6/11/03 1200200000000001494 + 10% Administrative Fee $39.80 8/6/03 1200200000000001906 + 7% State Surcharge $27.86 8/6/03 1200200000000001906 Building .Permit $397.95 8/6/03 1200200000000001906 Plan Review Comm/Ind/Public $204.07 8/6/03 1200200000000001906 Plan Review Fire & Life Safety $125.58 8/6/03 1200200000000001906 SDC Sanitary/Storm Admin $37.22 8/6/03 1200200000000001906 Storm Drainage Impervious Area $744.48 8/6/03 1200200000000001906 Copies - Ea Addtl @ 50 Cnts Ea $3.50 2/2/05 1200500000000000135 Copy 6th @ 75 cents $0.75 2/2/05 1200500000000000135 Renew Building Permit $198.98 2/2/05 1200500000000000135 Replacement Plans per Hour $11.25 2/2/05 1200500000000000135 + 10% Administrative Fee $6.30 3/7/07 1200700000000000243 + 5% Technology Fee $3.15 3/7/07 1200700000000000243 + 8% State Surcharge $5.04 3/7/07 1200700000000000243 Perm Serv/Fdr 200 amps or less $63.00 3/7/07 1200700000000000243 Total Amount Paid $1,957.13 I Plan Reviews I Fire Department Review 06/13/2003 07/02/2003 OK GRG Plan Review: Batting cage next to gymnasium/cafe. Separation distance 34 feet. Occupancy classification: A-4. Construction Type V-No 3456 square feet. Provide a fire extinguisher with a minimum rating of2-A:10-B:C for every 75 feet of travel distance. Initial Review 06/12/2003 06/12/2003 APP LLH Planninl!: Review 06/13/2003 06/16/2003 APP EMM Public Works Review 06120/2003 07/09/2003 APP PJO Structural Review 06/12/2003 08/04/2003 APP TCM SUB Review 06/13/2003 06/20/2003 APP JF Pal!:e 2 of3 Status use initials CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00483 ISSUED: 08/06/2003 APPLIED: 06/11/2003 EXPIRES: 09/07/2007 VALUE: $ 56,332.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Reouired Insnections I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Electric Service: Approval required prior to utility company energizing service. 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 of the property, and the approved set of plans will remain on the site at all times dU?:;l:O~' ~ ;';tr~rs Signature --- 3/t)7 Date I Pae:e 3 of 3 225 Fifth Street Springfietd;Oregon 97477 541-726-3759 Phone c;.~:~t~f Springfield Official Receipt W~opment Services Department Public Works Department Job/Journal Number COM2003-00483 COM2003-00483 COM2003-00483 COM2003-00483 Payments: Type of Payment Cash Change Job/Journal Number COM2003-00483 COM2003-00483 COM2003-00483 COM2003-00483 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 1200700000000000243 Date: 03/07/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SPFD SCHOOL DIST 19 SPFD SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SPFD SCHOOL DIST 19 SPFD SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of I 1:14:57PM Amount Due 63.00 3.15 5.04 6.30 $77.49 Amount Paid $80.50 ($3.01) $77.49 Amount Due 63.00 3.15 5.04 6.30 $77.49 Amount Paid $80.50 ($3.0 I) $77.49 3/7/2007