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Home My WebLink AboutPermit Electrical 2004-11-9 .., , . - r- . FA,\: (541)726-3689 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 ELECTRICAL PERMIT APPLICATION CIty Job Number COWl 'Z.OUL, -00 cO Z- L . -~ .. 1>(fJ}!>:iJ~~) 't-~I,'"\';_I'~~P;,i ;.\~~:~l>t'\;(d,^ 11"":;l1:,,'r'~);" "11 l1~.;......t'"#"'I;' ,,':;~"IApW~,n.,J~j1Tl.,{4~f1',f'(-':r-';"~:b 4,,.1.1 \~~a 'G!,I\....~,;'!"'.,jlj;l..'t" 2 ''':;.f,;Q~R4';~~!i?lY9.l#f:k~'!JI!N:9]\lI;J~;;j B ylSel1~lc~S ~~l'ee~e!) ~;Jns'1all:I",f.Il{tJ,~~tel~a,twn\ ?!~_Reto~~!H)ln :~~)) _,~_~~.c_~~ ~_~_=_~~=~_ ,~_i"". ~~. . -;-~o~la~trllqul\1)lIVllt~~l---~ _..L ___':bo~ --. _.-".Lc,~~' E1ectnca1 ConlJactor SCOFIELD ELECTRIc1.aiENTION 9J9~l:l'~~reg(m \J\:\I\V ? $ 63 00 I ~C; . , folloW rules aq~s.~5114a~~ !let j(1!~'1 $ 75 00 Notlficatlon Ceq~~lYmroL6ll0 iMl!5\;\J[jlHJ':l,1- ~ 125 00 In Ul\n 952-O~~~Seplll1!lt9~~e sflJlts ~y $163 00 0090. You may OM tA\~phtJfje Clty l'nICl'Nl'nTl q7Jill2 Phone fiRfi-Rfi12 -1l,"gthe&YlteIlO~~lhPsr\'oltstjl'!}~Il@11 $37500 ..... f tRe'9mgllll\lJbI~hty Nt') , $ 50 00 c~ number~~t~~ \S1~~~0:~:;~~~~1.1C~~;,'tr~~;:~";..~-~;t<" _-~__;<<~~,:~jt~..~~~, ':),uo C- C ,T€'IIlp'or31v,senlcesioQrrFeedels ,t,,~'~"i"~h~;"~~;;'1'.~~'~~l..,"':t,t,1r~'l-~~ J c;nR-S_~l':> I.,''''.i.''rl,{~-,-,..".A >.._''','I'j, 't>~~,,_'" "-",,,,1?(qL;'~,I,,~r"l",,,,J,[!.J'.E"1),_1.,~t'V"\ll\'::lJ..1.~.l:~ Pump or l!TIgatlOn $ 50 00 Slgn/Outlme Llghtmg $ 50 00 OWNER INSTALLATION Llmlted Energy/ResldentlOl $ 25 00 / The installatIOn IS being made on property I own wluch liCE" LUlllted Energy/CoFWIfffl; WOR\( $ 45 00 IS not mtended for sale, lease or rent N~\S ~!!l\\~[!'\AJ.P~~~~~f'fI\'SINfills $45 00 + Surcharges 1 (\fl.\'ZP~<$~B:JJilk'"'"~"\f.:n'l:{)R"'" ""'t.!?"'::C""'""r' Owners SIgnature f\1l1\1'4 .~~ ;r.{J~!;NI'O;YE;'h',,:r-r';i~t-~:i'tJ~~ - ~ / '1 8, COMMt~\:' c\,ln,:.""tr -wi.""':",~",,..~.{~/,:-::~.,!{82,':~ili..;N'" ~ I ~ , f\N'< 160 f)h'1;gfeI1!9rcharge It; ) 7.. 13 gb 10% Admmlstra!lve Fee Z-I--I.-rD I 9 8'"" t,b 2'3/ ~~7:J Date 1 ; j'jh""o'rr1t'" "'~1~\~" ~'l"\1 ~ ~ ,,\><r .~ "'--;, """~1(' ,.,.~"..tl'r,;;:t<;>~ "'6-._' J ~fgr;~41!/1~OZt!!i~1&11:!&lg~~~Ij&ri!~fj 171" f'li'f\l'l'li'f"TMT 6T lU Ul} LEGAL DESCRIPTION /70'] Z<;"3, Lf JOB DESCRIPTION OLl S-0 L WIRE CELL SITE GENERATOR Permits are non-transferable and explre If work IS not started w.thm 180 days of Issuance or If work IS Suspended for 180 days Addl es; PO BOX 2765 SupervIsor LIcense Number ExpIratIOn Date 10-[-04 /D--j-07 Constr Contr Number 38702 E"-prrarlOn Date 12-21-05 ~j i~1!:i(J Owners Name Otz-Jc'(L vI- r=tt:.-s. LoJ,c Lc-,^ L~,/l- ( dlvd -CbU CIty /701 s.p,.<:':,\ Phone Addre5' InspectIOn Request 726-3769 ,- - 11 -9-04 ' . hi'~p.1 ~~ t..~ f"}.'t,:-,,\,,,trIQ Tl t".'lCI\H'''lO ry'(,!(-r': ml 0'.. I ,~.. f,..' ~ ~'ll'" ~ ~ tW "'_ ~~~f' t ~~J,s.::~rsUnb:,,go",,,l'l\..>lo,l,\:......-:"'t lq!lfr1"~ :i-.:I ~ I....~' ~-i 3 ~i'CO]}IP.bEiJ1Jj.FHl?"8eflliD - cliELOW"" __~<'~"':~"-:",-"!,i>"rJ li~.E ....~~~ ~;?"C.WBt-::-~ =-~:r~"'.R :::st;,::t-.,.".-~t'-4~"" ..~~~ -=~_l....~~~~6..~~'l.:l! , ZQQuw I "l'~ ;."""~'l'" ."..~..;1";;tr ,0h~"5..~tl" ~"l\'.~"'~...r ,1'"''-'"'1'\. ~4.~~~'W.!"fft,.,- f' ~ ~t~<J.:..l-'" r;tr~~,!o-~l A ~ ~c"~'Re~idcllJlar-;::.SJllgle' o.r~.iV!!il!f-&1n!Jly, peJ_1 d~'clhng llmt4'..:11 ",,,,-e,,,"M.oI;J;'l;(':,,,~..,"" _;.,~I.;"..,. -,-__,!:,:;iJ,fuf,~\", '-" ;!t-.;:':l..tn._ ~-...l~.,...n..3' ''-''~*\~lS....... Servlcc Inc1~'i1!;{<:IgN'''''' ___ - ' l"<'.fft \4''' -- 1000 sq It orless Each addltJonal 500 sq ft or portIOn thereof .. - -. $10600 $ 1900 Each Manufact'd Home or ModulJf Dwellmg ServIce or Feeder $5000 Installation, AlteratIOn or RelocatIOn 200 Amps or less' 201 Amps to 400 Amps 401 Amps to 600 Amp. $ 50 00 S 69 00 $ 100 00 Over 600 "unps or 1 000 Volts see 'BOO above I ~ ";:""\'P-<>)~,..~~-'J;n;;~"''t- --r~'~'"5' ;~lt;;..r :(~"l11l'-'l"~""""~- \']i.q~'I~"' ~if ....",..:: "."\rr.",.;<l;:':~4. D r-Bl<lncll'ClrLult\~""'~I'i(- Ir"J"'J-~"'~,,, w7'l "'--~t~'j'1{ t" ~r~'lr!'[ J~'%""\..f' ': ~",""1.J)' r} I', d\'~"" l::..~\'tI'~~"""ilL'~~~ _ "~),l'!t. ,"" ~r{' '"~~~ .... _...~<'~~'\~,I '~r>1;,~.::::jJ New Alteration or ExtenSIOn Per Panel One CircuIt Each AddltIoual CrrcUlt or WIth ServIce or Feeder PermIt J 3' S 300 q $ d3 00 f"ic\ 1 '"l~f:r\l) "t'~y,lf}~:-;...f;;,",,').;U./J, )~" '",7 ~oj7' ~I~ .1. ~ ~:>\'< ~~"f4 ';.'".~ 1/' : ~t I'~ ' ''''I- 'l't' J E _~]\~~c~lla!,e~mJS~1 Ylcelje,,~!i,n-",( l'!ctild_~d)':;:.F:,~lj~I'!cs.tolllatl!W!~1 lo~--i.r:'>."",""" _<.,c~..::!!.S\~=-",...__u,~~..it ....~ ~,':;,._~~....-e-~"" =""..<-:J __t<L~~"rE.rh.~"'::o.,""" TOTAL Shared Dnve(T )/BUlldmg FonnsIElectncal Penmt Appl1cauon 1-03 doc CITY OF SPKll~u.HJj,LD . Building/Combination Permit PERMIT NO: COM2004-00622 ISSUED: 08/10/2004 APPLIED: 05/26/2004 EXPIRES: 05/09/2005 VALUE: $ 8,000.00 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS 1701 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703253404502 Sprmgfield TYPE OF WORK Pavmg TYPE OF USE PROJECT DESCRIPTION Add generator on eXlstmg concrete slah Owner ORDER OF ELKS LODGE #2145 Address 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I TlnN' Oregon law reqUires you \0 C1iliTRthor "'~" t"d by the Oregon Utility License DolloolIJ'J\!'@~U,,1I~se rules are set forth IW.iRiE!~F~~ru &t!6h. OAR 952-001-145637 ~EI5,HlP,k~X_ ~ MM'" of the rules by 38702 VU~~\Ii~;~h~-~e~tdr ~aINl'i INFpRMATlON I C b for the Oregon UI\ll(Y "v'",--- - nurn er ".... .) # ofUmts r... ter IS 1_80(jl.~6St""'eS' PrImary Occupancy Group 'US Height of Structure Secondary Occupancy Group Type of Heat Primary ConstructIOn Type VN Water Type Secondary ConstructIOn Type Range Type ~ # of Bedrooms Energy Path Sprmkled Bmldmg Contractor Type ArchItect General Electrical n/a I DEVELOPMENT INFORMATION I Front yard Setback SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AvaIlable Spec.allnstructIon' AddItIon CommercIal Phone Number' 541-484-8341 Expiration Date Phone 541-686-9796 07124/2006 703-904-7400 12/2112005 541-686-8612 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total Handicapped Compact SIdewalk Type NOTICE: Downspoutsffirams THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD Notes Pa2e 1 of3 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme DescriptIOn EstImate Tvpe of Construction EstImate Fee DescrIptIOn Plan RevIew Commllnd/Pubhc + 10% Admmlstratlve Fee Pavmg Plan RevIew - Plannmg Plan RevIew Commllnd/Puhhc + 10% Admmlstratlve Fee + 7% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less Total Amount PaId ImtIal Review Planmn2 RevIew OS/27/2004 06/02/2004 Pubhc Works RevIew 06/02/2004 Structural RevIew 06/09/2004 Structural RevIew 06/01/2004 I Valuation Descrmtlon I $ Per Sq Ft or multlpher $100 Square Footage or BId Amount 8,000 00 Total Value of Project Fpp<. pq!aJ Amount PaId Date PaId $49 53 $918 $9180 $71 00 $1014 $19.80 $13 86 $900 $18900 5/26/04 8/10/04 8/10/04 8/10/04 8/10/04 11/9/04 11/9/04 11/9/04 11/9/04 $463 31 I Plan Reviews I 06/0112004 06/0712004 APP APP 06/09/2004 APP 06/09/2004 APP 06/0212004 WE Pa2e 2 of 3 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00622 ISSUED: 08/10/2004 APPLIED: 05/26/2004 EXPIRES: 05/09/2005 VALUE: $ 8,000.00 Value Date Calculated $8,000 00 $8,000 00 06/09/2004 ReceIpt Numher 2200400000000000657 2200400000000001029 2200400000000001029 2200400000000001029 2200400000000001029 1200400000000001589 1200400000000001589 1200400000000001589 1200400000000001589 LLH EMM Abuts reSIdential zonmg dIstrict Screemng must be prOVided as per SDC 31 160 Emergency generator only to be used m the case of power outage ArchItect has stated the generator WIU have DO more than 30 dha at property hne NO SDCs Generator on eXlstmg pad Work m Pubhc Utlhty Easement would reqUIre Encroachment PermIt ReceIved emaI1 valuation and promIse of electrical work before electrIcal work IS done Clarified that aU work IS sIte work m phone call to Doug Cottel See attached structural review comments faxed to Douglas Cottel SB JMP JMP Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00622 ISSUED: 08/10/2004 APPLIED: 05/26/2004 EXPIRES: 05/09/2005 VALUE' $ 8,000.00 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LIDe To Request an IDspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a m wtll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Renuired Tn,nechnn,. Foundahon After forms are erected but prIor to concrete placement Rough Gradmg After gravel IS m place hut prIOr to placmg concrete Fmal Pavmg After paving IS complete Rough ElectrIC PrIor to Cover Fmal ElectriC When all electrIcal work IS complete ElectrIC ServIce Approval reqUIred prior to uhhty company energlzmg servIce By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done m accordance wIth the Ordinances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn oflhe Commumty Services DIVIsIOn, BUIlding Safety I further cerhfy that only contractors and employees who are m comphance with ORS 701 005 WIll he used on thIS project I further agree to ensure that all reqUIred inspectIOns are requested at the proper hme, that each address IS readahle from the street, that the permIt card IS located at the front oflhe property, and the approved set of plans WIll remam on the sIte at all times durmg construction. Owner or Contractors Signature Date Pa2e 3 of3 225 Fifth Street . . Sprmgfield, Oregon 97477 541-726-3759 Phone SPRINGFIELD ,. I , ~ rity of Sprmgfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number COM2004-00622 COM2004-00622 I COM2004-00622 COM2004-00622 Payments Type of Payment Check Change Job/Journal Number COM2004-00622 COM2004-00622 COM2004-00622 COM2004-00622 Payments Type of Payment Check Change 11/9/2004 RECEIPT #, 1200400000000001589 Date' 11109/2004 DeSCriptIOn Perm ServlFdr 200 amps or less Add, Alter, Extend Cuc Ea Add + 7% State Surcharge + 10% Admmlstratlve Fee PaId By SCOFIELD ELECTRIC SCOFIELD ELECTRIC Item Total <'::heck Number Authorization Received By Batch Number Number How Received dJb 29092 In Person dJb In Person Payment Total DeSCription Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 7% State Surcharge + 10% AdmmlstralJve Fee PaId By SCOFIELD ELECTRIC SCOFIELD ELECTRIC Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received 29092 dJb dJb In Person In Person Payment Total Page I of I 1 47 10PM Amount Due 18900 900 1386 1980 $231,66 Amount Paid $252 72 ($2106) $231 66 Amount Due 18900 900 1386 1980 $231 66 Amount Paid $252 72 ($2106) $231 66