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Home My WebLink AboutPermit Electrical 2005-9-26 I~~ --1 , I, . :.'.. . 'CITY OF ~r'RINGFIELD, OREGON 'o,' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72/i..3753 . FAX: (541)72/i..3689 ELECTRICAL PERMIT APPLICATION ~~/.' City Job Number CO.....ZOO~- 00';)'32' Date _ p~br 3. l!ie(fMPIiiiiiiiHii1&'1"eiiEDUtillIB.ffi'!'Q~~--<.1<l ~ -'''--M-.l~~~-_'''"'''-~''''''-''''' -,~ 1. ~<lG;4?ti(Q~lK.rt~T:t!1:UQN"'~ 76~ It ~i- LEGAL DESCRIPTION 17D1'3S"l{"L JOB DESCRIPTION Ol.ff:,oo 14dd L.{ Ctfc......-: K Permits are non-transferable and expire If work Is not started within 180 days oflssuance or If work is Suspeuded for 180 days. ~ '''''"'_. N~\:~~~~#~'~~~'m.f~. ,CQ " . "~,,,,.Ri . . i .'FlQ (ONJj;x. 2. ' ',)I:~."" '," ~,.,..r,;;"",~,~~-hir.:<::r~ Electrical Contractor :JK I.:> t::\~tG_ Address 2...\ '51 001\ ',":, t City ~rf Phone "146-405.(, Supervisor License Number 4S1t$ S Expiration Date 10 -I-Olp ~O ~~I"l-C Constr, Contr. Number Expiration Date T -I -olo Signature of Supervising Electrician ~/\ V Owners Name Wr/fAtfIIA-IAIIle- Address ZOo S::. W1iff "....? F i\ Phone 7 36 - I.{D'It{ - City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ A. ~~!!1i~'!!r~'M]iti~_i~~~~ill!trn.1i,t'q Service Included 1000 sq, ft. or less $106.00 Each additional 500 sq, ft. or portjer~roN: Oregon law mnuires vol$tIP.OO Each]Manufact1d Home'or:! by the Oregon Utility ~'\'!Jl1\'!diffi',!;1\i~SlinIiceTotoSe rules are set forth F~fP5AR 952-001-001 0 throuWr~"'? ':'~2$6eW '~;~~Ii~ B.I~1'~~~~~~I~i~~ 200 ..' ,~ho'lfN the Oregon Utility NotlflC$a6t3lo0no l\.rnps or ess, 33'"' "''"'.. A) . 201 Amps to ~60'1APthp~ 1-800- - -_. . . $ 75.00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 NOi!)Ujl!poo AmpsIVolts $375.00 ~H/~'I"e'RlMffS!flALl EXPIRE IF IH~ IfJ. ~50.00 UT~1&nm~~L'11A'Jao"..a,L"'iJ;~""'"""",'t4.~"""~ ~~~~~-&'~IlANDlrN[o~~"""~~~;"""f~ I!~QIlQ~P.fialilllpn or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D fjl":~:cli.'."rr.'-\~ts . [II;,,"'<'iM . 1~'!l'8ji;li"",Mj;!i""'1!"",~,"~l..jf,.t..~{l . I ..ran, ~_ ..u;~~J:...~~gt~~t-;l.l;~'i~~~~ New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Additional Circuit or with 7 Service or Feeder Permit .) $ 3.00 II "'S 7 fi!r,."__.;('.>.JI....';....~J.!f"-;;",~i'O'-AoUi~rn.c~,., ';"'''I-!,-Ofj''''.i.'::'l>'~'~''''':>''';'-''>lH~...,....,'''''i,.~ "':-' E. Mfticellaneous~(SernceJfee(j~~);;i;eincli1dea)~Eli"ch]Inst1lllati.rn:" , ,.~""""",,,,...,~.;~,~,..,,,,,>..,..,.a.;'~""~a2li~'.:' ,.:........-",."';,::~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residentia\ $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fe. Is $45.00 + Surcharges 4. ~S;~:~1%'j!3'i;;:Jrno1'fE1mimt~t!ii1i;-~ S Z ~~.~_I'il\;\,1-;;...,~,-o:.~..~f!(~~~f.;f"~~~~t~J;~~.~~~ :3bl( Szo bD8.!!.... 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Forms/Electrical Pennit Application I.03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 09/26/2005 APPLIED: 05/06/2005 EXPIRES: 03/26/2006 VALUE: $ 82,800.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 765 A ST ASSESSOR'S PARCEL NO.: 1703354204600 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Boiler replacement. TYPE OF USE: Alteration Public t~TENTION: Oregon law renuires you to o ow rulec: adooied h\l tho n"''''~'h_ I.. , . ,"UWlcallon Centr,- Tho _ _ ,~ - ~ ....., in OAR 952 Phone.Number: a541<73,~-:49f14 -001-0010 through OAR 952~001~ OO;~;i~~~h~a:'_~~_tai~.~oPies of the rules by - - . \' ........... "'~ It::lt::'jJllone I CONTRACTOR INFO~ATI'oN:')lr the Oregon Utility Notification lter IS 1-800-332-2344). License Expiration Date Phone 541-342-8077 541-451-5090 541-746-4656 541-451-5090 Owner: Address: WILLAMALANE PARK & RECREATION 200 S MILL ST SPRINGFIELD OR 97477 Contractor Type Architect General Electrical Plumbing Contractor ROBERTSON/SHERWOOD/ARCHITECTS LEBANON SERVCO INC 40395 10/22/2006 J K GUCKENBERGER ELECTRIC INC 45129 04/24/2006 LEBANON SERVCO INC IVOT[l.l!~ 10/22/2006 BUILDING INFORMA<froJ\l'.1IT SHALL E nJ I nUmZED U XPIRE IF THE W # of Stories: COMMENCED O~DER iIdi/8qeERMIT IS ORK Height ofStru~ 180 DAY IS ISiIW~O~rJtl9pp NOT Type ofHeat: PEP'!!)!)~q Ft 2nitFtbo',QR Water Type: Sq Ft Basement: Range Type: - Sq Ft Garage/Carport Energy Path: Sq Ft Oiher: Sprinkled Building: n/a Occupant Load: A3 B VB # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVElh.." 1 '" I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pal!e 1 of4 Status Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriDtion Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fe..... + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Backnow Device Boiler/Comp Up To 100,000 btu Building Permit Minimum/Adjustment Mechanical Minimum/Adjustmenl Plumbing Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY 0.. ~rRINGFIELD Building/Combination Permit: PERMIT NO: COM2005-00538 ISSUED: 09/26/2005 APPLIED: 05/06/2005 EXPIRES: 03/26/2006 VALUE: $ 82,800.00 I Val~ati?n Descrintion I $ Per Sq FI or multiplier $1.00 Square Footage or Bid Amount 82,800.00 Total Value of Project Fpp<. Pii/iLI Amount Paid Date Paid $314.44 $4.60 $3.22 $43.00 $3.00 $10.00 $4.50 $54.44 $3.15 $38.10 $14.00 $12.00 $499.35 $33.00 $31.00 $10.14 $199.74 $5.20 $3.64 $43.00 $9.00 5/6/05 6/6/05 6/6/05 6/6/05 6/6/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 8/29/05 9/26/05 9/26/05 9/26/05 9/26/05 $1,338.52 I Plan Reviews I Fire Department Review 05/09/2005 06/13/2005 OK GRG Initial Review 05/09/2005 05/09/2005 APP SKG Plan nine Review 05/09/2005 05111/2005 APP EMM Public Works Review 05/09/2005 05111/2005 APP SB Structural Review 05/09/2005 05/13/2005 WE JMP Paee 2 of 4 Value Date Calculated $82,800.00 $82,800.00 OS/26/2005 Receipt Number 2200500000000000542 1200500000000000770 1200500000000000770 1200500000000000770 1200500000000000770 1200500000000001257 1200500000000001258 1200500000000001257 1200500000000001258 1200500000000001257 1200500000000001258 1200500000000001257 1200500000000001257 1200500000000001257 1200500000000001258 1200500000000001257 1200500000000001257 3200500000000000574 3200500000000000574 3200500000000000574 3200500000000000574 Plan Review: Boiler replacement. Job #COM2005-00538. Plans appeal to meet code requirements. Boiler Replacement. No SDCs, No new Sq. Footage. No new plumbing fiXtures. See attached 5 structural comments faxed to John Bramwell. . . CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 09/26/2005 APPLIED: 05/06/2005 EXPIRES: 03/26/2006 VALUE: $ 82,800.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review OS/26/2005 OS/26/2005 10 JMP WI. Received response from John Bramwell. Structural Review 06/0112005 06/0112005 10 JMP WI. Received horsepower for boiler from John Bramwell. Structural Review 06/13/2005 06/1312005 APP JMP Received final internal approvals. SUB Review 06/06/2005 06/13/2005 APP JF JMP received 11 page fax from John Bramwell of energy code forms and faxed them to Jack Foster. SUB Review 05/1 0/2005 05/18/2005 WE JF JMP called John Bramwell and he said that he has requested the energy code forms from the engineer and they will be coming soon. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l...Bs.g.uirrrl Tl1snections I Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Rough Electric: Prior to.Cover Final Electric: When all electrical work is complete. Paee 3 of 4 . . CITY V" ~nuNGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: 09/2612005 APPLIED: 05/0612005 EXPIRES: 03/26/2006 VALUE: $ 82,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 tbe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of tbe 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 thaI all required inspections are requested at the proper time, tbat eacb address is readable from tbe 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 Contractors Signature Date Pa!!e 4 of 4 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone . a~~"'~J~~.~, '~.'''.''-~' 1...',. Ilk., " .', , "~"'-'~" { '!Q ,. -- ,-' ~ity of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Journal Number COM2005-00538 COM2005-00538 COM2005-00538 COM2005-00538 Payments: Type of Payment CreditCard :, '" , 'J 9/2612005 RECEIPT #: 3200500000000000574 Date: 09/26/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JEFFERY GUCKENBERGER Item Total: Check Number Authorization Received By Batch Number Number How Received njm 032114 In Person Payment Total: Page I of I 1l:31:17AM Amount Due 43,00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84