HomeMy WebLinkAboutPermit Building 2005-6-30
.
i
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3333 Game Farm Rd
ASSESSOR'S PARCEL NO.: 1703220001000
Springfield
PROJECT DESCRIPTION: Construction Trailer Site
Owner: PEACEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
.11 Y OF SPRIl'it.-I'lJ!.LU
Building/Combination Permit
PERMIT NO: COM2005-00498
ISSUED: 06/30/2005
APPLIED: 04/28/2005
EXPIRES: 03/13/2007
VALUE:
TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Plumbing
Contractor
ECCOMPANY
TWIN RIVERS PLUMBING INC
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
License
49737
17695
Expiration Hate
01/15/2008
03111/2008
Phone
503-224-3511
541-688-1444
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber:
Occupant Load:
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Or0~':~ low -""',Ires you to
ronow rUler' . I PUBLIC IMPROVEMENTI' ,
Notification G - . .. .
InGAR 95? . 'CAR 952-001-
0090. YOl' :. ~ of the rules by
calling ~r.. c : tile telephone
nllmber f" . : I :y Notification
CC(hl.;.., ..:> I vvJ-..."j2 2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa!!e 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
'aOIH3d AVO OB~ AN f
HO:l 03NOONlf8lfSI HO 038N31.^,INO )
ION SIIIl^JH3d SIHl H30Nn 03ZIHOHIr d
}lHOM 3HI :ll 3HldX3lllfHS IlWH3d SI~ 1
:33110 ~ "
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 1000 amps/volts
Perm ServlFdr 601 to 999 amps
Plan Review Electrical (25%)
Temp Power 200 amps or less
Temp Power 201 - 400 amps
Temp Power 401 - 600 amps
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 7% State Surcharge
Backllow Device
Not Covered Plumbing
Plan Review Plumbing (30%)
Water Line - 1st 50 Feet
. + 10% Administrative Fee
+ 7% State Surcharge
Backllow Device
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addt1100'
+ 10010 Administrative Fee
+ 8% State Surcharge
Backllow Device
Water Line - 1st 50 Feet
Water Line - Each Addt1100'
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Inspections - Partial Mech
Miscellaneous Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
.
~ll i' OF SPRI1'itJt<IELD
Building/Combination Permit
PERMIT NO: COM2005-00498
ISSUED: 06/30/2005
APPLIED: 04/28/2005
EXPIRES: 03/13/2007
VALUE:
I Valuation Descriotion J
$ Per Sq Ft
or multiplier
Amount Paid
$803.10
$562.17
$750.00
$1,141.00
$2,007.75
$1,400.00
$4,140.00
$600.00
$4.50
$3.15
$45.00
$15.70
$10.99
$14.00
$98.00
$55.11
$45.00
$17.70
$12.39
$14.00
$45.00
$90.00
$28.00
$16.00
$12.80
$28.00
$90.00
$42.00
$10.00
$9.00
$7.20
$45.00
$45.00
$15.00
$7.50
$12.00
Square Footage
or Bid Amount
Total Value of Project
Fpp<. P1WJ
Date Paid
5/2/05
5/2/05
5/2/05
5/2/05
5/2/05
5/2/05
5/2/05
5/2/05
6/30/05
6/30/05
6/30/05
1/20/06
1/20/06
1/20/06
1/20/06
1/20/06
1/20/06
2/28/06
2/28/06
2/28/06
2/28/06
2/28/06
2/28/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
4/24/07
4/24/07
4/24/07
Pace 2 of4
Value
Date Calculated
Receipt Number
1200500000000000554
1200500000000000554
1200500000000000554
1200500000000000554
1200500000000000554
1200500000000000554
1200500000000000554
1200500000000000554
3200500000000000406
3200500000000000406
3200500000000000406
1200600000000000061
1200600000000000061
1200600000000000061
1200600000000000061
1200600000000000061
1200600000000000061
1200600000000000214
1200600000000000214
1200600000000000214
1200600000000000214
1200600000000000214
1200600000000000214
1200600000000000332
1200600000000000332
1200600000000000332
1200600000000000332
1200600000000000332
2200600000000000695
2200600000000000695
2200600000000000695
2200600000000000695
2200600000000000695
2200700000000000573
2200700000000000573
2200700000000000573
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Refund - + 10% Administrative
Refund - + 5% Technology Fee
Refund - + 8% State Surcharge
Refund - Add, Alter, Extend Ci
Refund - Add, Alter, Extend Ci
Refund - Low Voltage - Commerc
Refund - Temp Power 200 amps 0
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
Initial Review
04/28/2005
.
"'11 i' OF ~rKll~tJl'IELD
Building/Combination Permit
PERMIT NO: COM2005-00498
ISSUED: 06/30/2005
APPLIED: 04/28/2005
EXPIRES: 03/13/2007
VALUE:
$43.00
$12.00
$45.00
$-15.00
$-7.50
$-12.00
$-43.00
$-12.00
$-45.00
$-50.00
$50.00
$7.80
$3.90
$6.24
$15.00
$63.00
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/24/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
2200700000000000573
2200700000000000573
2200700000000000573
2200700000000000574
2200700000000000574
2200700000000000574
2200700000000000574
2200700000000000574
2200700000000000574
2200700000000000574
2200700000000000573
2200700000000000578
2200700000000000578
2200700000000000578
2200700000000000578
2200700000000000578
$12,303.50
I Plan Reviews I
04/28/2005
APP LLH
Temporary Electrical Plan Review
approved by Clair. See attached
documents for information.
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.
I R~~prtinn~, I
Temporary Electric: Approval required prior to Utility Company energizing pole.
Low Voltage: Prior to cover.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee30f4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
~ll r OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00498
ISSUED: 06/30/2005
APPLIED: 04/28/2005
EXPIRES: 03/13/2007
VALUE:
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 during construction.
Owner or Contractors Signature
Page 4 of 4
Date
City of Springfield
ectricat Authorization To Begin work.
E-mailedTo:williamc@e-c-co.com
Receipt # EC510632
4/24/20073:34:01 PM
'~
~,: .
Check on status of permit
By Phone: (541)726-3753 or Em.i1: permitcenter@ci.springfield.or.us
TYPE OF WORK
FEE SCHEDULE
Description 1 Qty. Ea. Total
Residential SINGLE4 OR multi-family dwelUng unit. Includes
attached garage ^^ .
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or ponion
. Limited energy, residential
(with above sa. ft.)
- Limited energy, multifamily
residential (with above SQ. fU
Services OR feeders Installation. alteration, AND/ORrelocatlon
I 0 New construction
I
lXJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
10 1 or 2 family dwelling 0 Multi-family [Xl Commercial/Industrial
JOB SITE INFORMATION AND LOCATION
jJobno.: 71806-00-435 IJobaddrus: 3333 GAME FARM RD
ICitylStatelZlP: SPRINGFIELD, OR 97477-7521
I Sultelbldg./apt.no.:
I Project name: TURNER CONST. JOB TRAILER
Cross street/dilutions to job site:
I Fax: (541) 974-2335
200 amps or less $63.00
20 I amps to 400 amps
401 amps to 599 amps
I TEMPORARY 5enices OR feeders installation, alteration.
ANDIOR relocation
200 amps or less
20 I amps to 400 amps
40 I amps to 599 amps
Brancb circuits - NEW. altemlioD, OR extension, per panel
A. Fee for branch circuits with 5 $3.00
above service or feeder fee,
each branch circuit.
S. Fee for branch circuits
without service or feeder fee,
first branch circuit.
each addl branch circuit
Miscellaneous
$63.00
I Subdivision: 1 LoI no.:
I Tax map/parcel no.: 1703220001000
I DESCRIPTION OF WORK
200 AMP OR LESS SERVICE FOR JOB TRAILERNOTE: CITY JOB NUMBER:
COM2oo5.00498
$15.00
I
I Nam" GLEN ANDERSON
I Phon" (541) 974-2335
I Email: glena@e-c-co.com
SITE CONTACT
CONTRACTOR
I EI. lie. no.: 22-15C I CCO Iic.no.: 49737
1 Business Name: EC COMPANY
I Contact: WILLIAM COBURN
IAddress: 32758 OLD HWY 34 5E
City/StatefL)P: ALBANY OR 97321-0343
IPhone: 5419264266 IFax: 5419264268
I Email: williamc@e-c-co.com
I Metro lic no.: ICily lie DO.:
I Supervising electrician's lic. no.: 32575
I Supervising electrician's name: WILLIAM R COBURN
Service reconnect only
Each manufactured or modular
dwelling. service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
not offered online at this jurisdiction
ELECTRICAL PERMIT FEES
I
I
I
I
. City Of Springfield
Subtotal $78.00
Slate Surcharge (8% of~nnit feel 56.24
Ci~ Of S~rin~field fees. $11.70
TOTAL PERMIT FEE $95.94
100/0 Local Admin Fee; 5% Local Technology Fee
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires wtthln 180
days If a permit Is not obtained.
The local building department may determine that an
Authorization To Begin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Filth Street
Springfield, Oregon 97477
541-726-3759 Phone
· WirtJ~.~~
' ~.;
-. -
. -
Cwf Springfield Official Receipt
~opment Services Dei>artment
Public Works Department
RECEIPT #:
2200700000000000578
Date: 04/25/2007
IO:24:43AM
Job/Journal Number
COM2005-00498
COM2005-00498
COM2005-00498
COM2005-00498
COM2005-00498
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
ONLINE CHGS ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk ONLINE EC Online
Company
Payment Total:
Amount Due
63.00
15.00
3.90
6.24
7.80
$95.94
Amount Paid
$95.94
$95.94
cReceintl
Page I of I
4/25/2007