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Home My WebLink AboutPermit Electrical 2005-6-6 . .~ 225 FIFTH STREET, SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C~Z-OO~-~OS~e,Date b-b -6J.- '" Go ,#r.0, (! C;)'( G;;~,~0 3. ~'eoJiliiiilii'EIFEE!SeJiEjjfHm<.liEfJ1 ~1'::I.l>.~,~.-:.,",~",,.,.,~,m-;.l~~J:""~_'~1 ...0 ro . ,..~~ 00 A. !'N~*1D'@'lli~ffli~1'1if:sill~~~; ,. ,i1i1" 1''f.;>.A!\, rJ\lW'iilfilflUl!JfM1Ja ~~:!'~"''''''''"''Woht~;..-t""g~, ;":t.y..aer..","..&.;;s;.~..gi::-,,...~ (." ~ ~ 0: ~ou Service Included .~' ,...,S' o~ "\) ('.0/ ..,?',~' ,~ 1000 sq. ft, or less.,,'< '^ <; $106.00 /. Each additional 500 sq, ft. or ;;<. "~" ref ~ portion thereof ,) \,' $ 19,00 . \" Pump or irrigation $ 50.00 ~ign!Outline Lighting $ 50.00 OWNER INST ALLA TION Limited EnergylResidential $ 25.00 The installation is being made on property I own which Limited Energy/Commerc~1 $ 45.00 is not intended for sale, lease or rent. . Mlnlmu~~Il'-.'t\f ~e~jj,f~~~ctlon Fee Is $45.00 + Snrcharges "Q1\C~. :I 'O\-J~r~T.tV1l}jfi(,"'tt""'<fy1l1"i'i~.r,l;~~1~W'lX~1 Vb '1\1\'0 t'r.\\WI\ D~~~~\~""~~2~~~~~~~i-\'l 7 t>.\\'I't\O~~~~D 0\\ \~l's~':;~ Su~charge ~ Z 'Z CO~~ \)Q Ofl-'1 t'r.t'I\ffi,! Administrative Fee If (,0 fl-\'l TOTAL 5"3 82. I. !t!UeAitiJ.iv.'(j.F:fNST".j:t;r~~!- !I:.~'~t"'.~~::Y!:'I1~ol~'=';.l~' W" ' &~ 7b'S: It ~ LEGAL DESCRIPTION I 7D3.3 5"( 2- JOB DESCRIPTION 04 boo 2 GICOo\.+--. f?--. '&-i It:(\.. Permits are non-transferable and expire If work Is not started within 180 days of Issuance or If work Is Suspended for 180 days. wel"i.."':IDiw"'...;~~mO<>..~~."vNi~mr". "'il' 2. ~1';,~~~~.ii.tr\'-W~~t'Nn:m,.~ Electrical Contractor 01~l~ 8lJ e::9 r'l C Address 2- \ ':) 1 ~ ~. City ~r(~fl1ld Phone l'i.\G?-'-Ic..slo Supervisor License Number ~ ~ '5 S Expiration Date (O-l-O\" Constr, Contr. Number ~6/2q Lt. 2-'!-Oj.. Expiration Date Signature of Supervising Electrician c7~ ,r/ ) Owners Name W'/{Att-t.AIANl:< ?/ii-k-i KcL So M ,t! <". f-' Phone 7'3 b _l( (;) 1ft( Address 2C> 0 City S pF \... Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Atf!ltmOJla':e~~r ' ,., $50,00 I:IIfCAWU!" ." nlqIJIr- r"~ ..,." . "" 1~--'~'::l'I!lmI" . ,'" ~ " ,.. , " '*.' ". t, ;"'~~.(jE:Ke bean6 In . II...... "'. ".",.....~ .. '''''' '~l'ffi.uiI::t.Jr;:' "- f gh OAR 952..C)Ot- ClO9O~~ ~ copies of the rules b 63.00 ca!611e.Mte ~~te: the tefephoR9 75.00 ~rf\jllitlJasdllra!J1PA Utility Nt'm;~~,,'m$125.00 601 ~tM18~.2344\. $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only .-- $ 50,00 ':1.. . C. filf~!mi1!rJ!...~'s~F)lI'tc;.'lWiF:~~II~~t.~~\I'~.,!f"'1~ 10:01-1.. - !.h;:""".u--t.,...~.....~I'!.a,I."'"~~~~tS~~t5~~:_ Installation, Alteration or Relocation 200 Amps or less . 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Am~s or 1000 Volts see "B" above. D. 1\jJt1Ii(~lt!llCo1j!S~i!~}lMJII':~\:I'Il~~4Jj~~~:ti'lij;l.l.!iilt>~JI*''fliiillif/li~4iI!if 2h:..w.1dlI:1~'Ill,..I.IV-...~~.~,.-"..,lill{&Ul:ll~'H.t:~r'"(."..:,ILtf~t"""~1~'M.,,~iit:~~~1ilf:a New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Additional Circuit or with I Service or Feeder Permit $ 50.00 $ 69.00 $100,00 $ 3,00 1(3 ~ E. r.~Mij~iii.'6'~'A'tlfc 's~~, RW..r~'(dgtji'ijf~lli'c;l\lli~H.'\iEli~hW~ttir~flcifI!J :':li!l:llt.::Ol.:l'.siT~iSI".-1';~."!!;;lt\i.;fiurJ!l' '~1:-1 :.:'I~:.:"J;t.:E-i.~:tI:;;~~I~I~~;z:':'lt.1J"2t:~fS".0f.!:tW',r'i:~fi Shared Drive(T:)IBuilding FonnsIElectrical Permit Application 1-03,doe '-i~~R_" '... . WIt!lt . " ,-'!,l, ," [ ..."" --'.." ,~..,. . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00538 ISSUED: APPLIED: EXPIRES: VALUE: 05/06/2005 12/0112005 $ 82,800.00 SITE ADDRESS: 765 A ST ASSESSOR'S PARCEL NO.: 1703354204600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Boiler replacement. Owner: WILLAMALANE PARK & RECREATION Address: 200 S MILL ST SPRINGFIELD OR 97477 Contractor Type Architect General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instr~ction: Notes: Phone Number: 541-736-4044 I CONTRACTOR INFORMATION I Contractor License ROBERTSON/SHERWOOD/ARCHITECTS LEBANON SERVCO INC 40395 J K GUCKENBERGER ELECTRIC INC 45129 I BUILDING INFORMATION. Expiration Date Phone 541-342-8077 10/22/2006 541-451-5090 04/2412006 541-746-4656 A3 B VB # of Stories: Height of Structure Type of Heat: Water Type: ' Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING .:Overlay Dist: . . # Street Trees Rqd: Paved Drive Rqd: % of Lot Cove~!'.&~to la'll requIres yuu\\llhI -'L'"'' nr"oon ~__,,,,n U "Y fo:\~:;~~;S a~=:B.tn;1Mr\~~'If.}rlst +\ n ce. tI lll'\r"! - Notilica:"O -001-0010 ttlro~g tll\8 rules bV Sidewalk Type: In O~ 3~ may obtain COPI~~~ teleptlOne 0090. ,0 'ef INote. "'."""1'1 calling tl\8 cen. ; ~ on UtilitY Nothl~. number lor \tIe.O ~o()-332.2344). Center IS 1 "liCE' m: \~ 1\-11: '-NORK ~~\S PI:RM\1 S\-Itll~ E{;\~ pI:RM\1 IS 1'101 . {\l:ll\-10RI1E.O ll~~~S {\\lI\NOONI:O ~OR ~~~~~i~~~~ PI:RIOO. Total: Handicapped: Compact: DownspoutslDrains: Page I of3 . Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description 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 Total Amount Paid Fire Department Review 05/09/2005 Initial Review 05/09/2005 Plannine Review 05/09/2005 Public Works Review 05/09/2005 Slructural Review 05/09/2005 Structural Review OS/26/2005 Structural Review 06/01/2005 SUB Review 06/06/2005 SUB Review 05/10/2005 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00538 ISSUED: APPLIED: EXPIRES: VALUE: 05/06/2005 12/0112005 $ 82,800.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 82,800.00 Value Date Calculated Total Value of Project $82,800.00 $82,800.00 OS/26/2005 FpPo. V'>ilIJ Amount Paid Date Paid Receipt Number $314.44 $4.60 $3.22 $43.00 $3.00 5/6/05 6/6/05 6/6/05 6/6/05 6/6/05 2200500000000000542 1200500000000000770 1200500000000000770 1200500000000000770 1200500000000000770 $368.26 I Plan Reviews I 05/09/2005 05/1112005 05/1112005 APP SKG APP EMM APP SB Boiler Replacement. No SDCs, No new Sq. Footage. No new plumbing fixtures. See attached 5 structural comments faxed to John Bramwell. WI. Received response from John Bramwell. WI. Received horsepower for boiler from John Bramwell. JMP received 11 page fax from John Bramwell of energy code forms and faxed them to Jack Foster. JMP called John Bramwell and he said that he has requested the energy code forms from the engineer and they will be coming soon. 05/13/2005 WE JMP OS/2612005 10 JMP 06/01/2005 to JMP 05/18/2005 WE JF 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. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00538 ISSUED: APPLIED: EXPIRES: VALUE: 05/06/2005 12/0112005 $ 82,800.00 I R..nuir..d Tns,r..ctinns , Foundation: After forms are erected but prior to concrele 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. By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and aU 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 tbe 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 tbe approved set of plans will remain on the site at all times during construction. I ' Owner or Contractors Signature Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone " . "~~;,:.' Iit.,'-J City of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00538 COM2005-00538 COM2005-00538 , COM2005-00538 Payments: Type of Payment CreditCard '( I , '( 'r ; , '( '( 6/6/2005 RECEIPT #: 1200500000000000770 Date: 06/06/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By JEFFREY GUCKENBERGER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 061844 In Person Payment Total: Page 1 of 1 lO:48:09AM Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount Paid $53,82 $53.82