HomeMy WebLinkAboutPermit Electrical 2003-3-20
~'!"f~ ~Q225 FIFTH STREET r~ !~ ~,.." ~ '~~ r"'l'~. EbEtI1-CAE1PERMIT;''APpJ::ICATIOmg''i''
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~\ ~""fSPRINGFIEDD, OREGON..9147~ ~:~-., J"J ""-~-'''l Tr ,';,":~ fiit-.< :.:.:.~':"'.;.. li.H).'....b;t\.~.~ vi:f7:1r ~ti,4?;~:~.
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"~"I""OFFICE:"'726'37.S9(\\" t~j f.' ;'~ :1 "." ;. t, f,d t:."./~~..:.;.,._..;.,;;."".~";,'t:....,._:.;~,
~.J: ~'r r;fi21 r"J ~ ~:; ~i>' ~(-: ~ f:~(.~COMr,L~1'EFJE~~CHEDUtEI:liLOW:,' ::'~~y~ - '
~~Jf~ :;3 1 LOCATION'OFiiNSTAE~-'l TioN- hi ~t~& r.~t'.~}';q~~.t':~",11 [~~"~~tR;;:.ft::-~ !".';->~~,"~';:V~~
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-:c:./ -; L-' ,-,,.V\ ~ c"'- '- V - A7"New Resldenlial:Smgle'or -...<
Multi-Family per dwelling unit.
Service Included:
IOIIO..l'l\\I
,,0 \I'e 6 o,)oe
JOBDESCRJPTION, ~. \"09I',,\CI"" 1000sq.ft.orless
W / (2y M 1/1(1- W fJ (2..f::: !.I; ~~~gec additional 500
O\'d(.- ~0,",'" .
,. "(\e) 9~ (\o\ s. r portIOn
. . < ~H:&$
PemulS are non-trans':if.\l ""plre lereo
if work is n6tstarted ~~~ days 'k0 / I Manufd Home or
of issuance[;~iifwork i~~end<ll!>'f\j'? / Modular Dwelling
180 days.l,tf, . Service or Feeder
;~t.. 'a\U~
,,~ ,%, o,,\e ",\\1"
2. CO~SlOR IN,,ST~~l'I~ ONi. Y B. Services or Feeders . ..
. ~~4 ~~'." ~ Installu!ion, A1tera~~i?t"~(::. ;r1;,,,
ElectnCaI'Pontr!lctor~.,... . S Ft.~~ ~C- RelocatIOn: J:~~.1t~:1&1;.'.;
~~~ 1r)~ ~. '. &';';:~r;~ :f./f!4;;{,~;;," .~ ' .;
"<.3"1 Address ;t':J~ vftl,p.,,~ ^~I . '1';;";' , 200 amps or le~~<~;~<t, ':!,;:" .:" ,~'~~""lli::t,$~63;0.0:,~'f; ,
:~j,~~ 12~~;:~~\ t~,j~\ //,.,:.' >:~~'>,.::~'~ ". 201 amps to 4dO':~mpsf.~~.\/'..~f~.~~:~' .-~~$l-75~o6'2:w~3~~' "
~~;'~.~ city~h<:, ti<,:;lhone 7"':7"!i~1.:.?"<::-''';' '"" 401 amps to~~OQ:.~mps'';;::'; ,;~~,~,'Z1:>$125;QO~';S,~,'
,.r C. '.'"''''\ }",., 'l .1:6" ':',,", ",. '''''''' ,.', "-"'"60] "'10"00"" .........".""",,, "~c<'-~6~"'O 0"'''>'''''1
:'\')~';'~ '. ff,"' '~~"f*,\ ..., ".' , ',' c!,;,::""-':;<!','"'~:"'--:-;"""'1. ,'( amps tQ,i~ , . "a~ps..-t,: ..;,;: "/;1;:::' ,:.:<' c" ',;.\~1_3~... ~ ,,...~~~ .::ft.
~:~:; superviSQ!}'L,,~4~.i!1l1se~4ITtb.' er.~..',I' 7, ,~7;!l is' ,"s':.r~'",':~::: :~~<~',.": lIeF; _er.,l OQ((;'.-~f;~Y..- 9i!5I;",:~{>-~:'~'.~:_\,;~r~.,:~~,:<;'):'" .":t$,' "3~~~9b~--~
;:~
~.~~~ t.:~jl'.~"'3r, ",~' " .\)j;,,.; ";'" M:.~:',,~;.if".'_:;'S"j t.(-<> ,;.. :R'" ,.~, /. -f:li>h,;;;..flj .:'t". '", "'. ~!;:-~.:~ :.'1"k"~;~:Tf' ($' 's' O:'otto" -~'i;";: ,;0,,'
~,?~ . .~?~:t~r~~;~.. -"',,:/> ':1'13:":. :";', '-\::;"'~r,t;::~:;,:;r~i.,:i\, _.'. .'~-"..~'. ~.C~DI..1~?t~~~\li~,":~~",)~i~"- ~~'::;:.;."~'. ~:':~/ . ",,9,.,:'~rf:
~~ Exp.tl?~?t;1:1:~tetI6,>: <?~'.:~~':-1 ~o ~:~,~{:~~::;,:,;~;t?:;:"M i\ .,_ r>~:~ ~~~ :.:,\~f:\;j~l~^X;~~'t%:~.;r' ;~ '1~;~J;~:/' ~'t;<:J5 ';~B.;~t~
~:~;t~ tft~,;':~~~~~'/7:~~~.'6' ~9D.:!7."l~~~tt~s,:.:'::;,1~j!#f3:r~)g.t ,,~)~~p'~!a.rf~S.e~~~h9t~!~ee:d~t~t'~~;~r:~' y.~~~, , ".' ~~
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. '~~\,~b~ .. -~(.!~~~":I$-:O~':'-":~ ~;:,:,:-',~~~~#~<;~'j;."~ ':}./i~~~_ . ''<.. '.,~.:'::~J~';i', y.;,~'.~'{r?:~,~>: ,.;-f{:".~ /.':~'~.;-J'(/:?~-:._il.~~
!€I;;:;';':'.,""'-r:xplratlOn Date r-u;. - IM_ ~1~:-4 "".'" :'+!'>;' '''~. : <. .. \ ',&0.0 amps,or,lesS ~ ~-!":'I>:. '" e ~;.',~'.~~O:PQ"~]..' "'"
i~~~('-r.i'''t, -'~k-~~?!.> -'~:,,",-'::'1.."'Ci6f' 'tl"I"" ':C''4o(f .~-:- ....'",,, -- ".' :,I- i\~ lI~ -::: '1l'\:$69~OO'{'."-~~'~'-r4
~~ .~,~;,,4 :f,,~--'.1i~';b-~ . JSt' ~ ~~)~~:':". ""~;f'~.,.. 'Q;' ,,?WP~" ~":.:",.,.J.~ps",<~.;':...:2;:''f,;f.~.':.- "'~.:' .'';; ..... _i",'f:: - .
~:~~~~~:,t,1~.-.-'.'~tgn~~~r~~ fSupervising Electr~~ian ~ O~ ~~' ~~.S. '~~~~~'!912g~~~..J!1~s~~';r"~ ..:.~~'.-;~ .'~t._t~.o~..o}~0,_O.~~9,.~:!.::?:3
~-.i."$.Q~;'" ~t....:,-~...._.:;I~~C~~ ,..':'- ~'\; ~ .....,.,. _"\ ,..,. ~Over600~ampsor.IOOO-volts'seef\:.~';.;!.o :~._~,.'i"'~~l,-f~,
te~ n. ,,'- " .... ...,.....f..- -' .. 1..)' ~ "\.i ' \ ,,::\' """ .., ' """"",' ,r: '.' .', "f'~'..".~:"^"~
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W'. :.o.~"~ f;~%,'l\'.;o '0:.~"..;r~..>... ',"tn> >':$;+'F~.;;'~~' c0l~ '-;{...,,( l;}\."'\Branch CircUits :rY't~':~'."~'
,~n ....<,:+'. "'"..c,:"';~'A{f,;i;;v._,... ,.;~~.::it~>>~,~r(;,-.1'L"'" ~An.\t2. ~X:.:.:' i".,.'>t'.9"'i'- r:-~:'*'~'ti;f+'\
". ',;'.'.'..YJI,e.'r...S;Nil me','>u'!!:f..i)'lX,.... '~.J;;'~_.."..., ~r.";<,~ . ,x, c;y 'NewM. :!~rau..o.no]r,E~tensionp er"p3, el:'"
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~~~f;~~:;:.~:].;:~':'~J~~~~JS\'~,,'t~\~Q;~~;~~J}f~~~.~r-rri' ., '. OneGit~J~~; -::'7 ~.,~ '.:;
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,,,:'~A';''.,,'"'~ -, ""~~~iff.~r'::21=-;~.'" "A,"':J;.~'!'J..."-"':'t.~--;-'.};,,: : ... . "(.~~,~_":",,,,,;r.) _-.i". ..\.\..~! ~'lf{'" ~~
n~t,f,~~";';)~_:"'c- "-""~~~.t;~","p.Ii~i:.",;..... ".;' E".h~'Ac,,"'~.?'~::;~ I'~--'; "'t\, s,~,....'>..:f"'~' ' ',,::;g
,!'1'i":':;'~1~'.'" -: Ity~""".,.~.,., ""'.' '. ~\i"'," '. qn",V;:j~i:J' ,ac. " 'c!,,!p-OIja .'. 1J!l..1lf em,,'>.!!"" t..~.
.~~Ji)f'..+''';-''?",'''i''''''-'_''''~''!'('':!''"i''~~':--'\.''~'''''''L"'-~, .:::tF'-'k"'!1d""'~'~'" ....,~-,~)\, ('\, .liitJt~'~$'300- ~,
,.~,~~.~~,r"~~~'f.;::;.."~'~lC.rr:"t;.~'7;3;~~.,,,~~:ft~'5'. ~"'~.!f" 9ft;~ t!1", .~' 0.' ,i ~v Ui....4..~ ..:.:....,~~-,1J
;0,;. ~.Et ..,.., OWNE. R'INSTAI!,EAtI,ON~1>:;~'.'1 ' . 11,,'\,(1'\0;<.. ~'." 'ii'''''',1$;' .. '."''''fi~
~~;'l'~::~:~6~ti~;~ati~n':;rti~ini~~~~~~4.' ' E. Mis~eW~~\~~' . / ~drr ~ot inc1uii~t)~~ .1
~'~.,;,-",,~;propeitY':r;'o~~,~1ii.'~IlJs.;\oti,ii'ten'aea!:\'... 4\t'(.'-I~%t~~stlifi.' D"t!~~ ~
.i. ,~,$.-' ":fi". ""'!ar" C:'I:2!A}''''''''''Vl<''''.':~;;-'"' ,,,,,.,JilI ...\\)' ox.'\'l}),.,~- -~.~,. ,,~~ ' ~ 50'00''''' '.
~'. ,~~t'~:'}?L~"e~.,~ease~ ^ ';"''''~~l'f'~ :.,,'<o~'J:<"f"flo ,~ ~S,,,,,J.t,_,. . ~~~l'i ~"",....,; .:::......-
','::J'j;':;.,c" ,. ..,'-.":.1'''...'... ,\'0 ",->.l0f .!. ~'1Ire i'g1ftingo'i;l f>! '$5,O,'c.~.ow.'''.,;.''A.,.~~.'f.f.
"."0'0 ' '\\"~~' p;," "'Wi:I",. - ....-.,'---.------,.
, OW-hers '<' ~" .\\' ~'fWi! 'En~rgytRe~"'l.~( $i5:00"H;;;.';~;;;r~~:
t"~\"'~it dE"'''''''1dc",e-.,,,; - $45'OO~":'!I!"~'
\J~"~\:1-'1!~r ~i:?~% !'~~.VUJ} J - ':::~~'!-!J.."::::":.'~,~~~\~:1.'
~\... r~.'iF_~ *,;i;',~",~".. ,. '~'."~~~',
tiI';rt.~,," t!~; ~...;:b~-,&Z ~ 1" " '~'_.;"";,,,,"':<)"_::~t
l\-linimum'Elel'h'ic Perini(Inspection Fee is 545.00 + Siii-ch';IT-'ges
~ ;..,"'..."."~~.'.~. l:~.t\;,' ".' \<i'.~~;:w;
J."r!i ~~"'~~i-i~'O .".i...... ~ ~-- )i;p)~
4. SUBTbTA'ljioi;;U;OVE~.r 10 "ji'4t;'
7% StaK~;ri-Eii~!lf;';;' 70'';('1
80/0 Adliliiifftral@~~'( " 10"1''f.
~~f I 2.77 ,~
LEGJ\L l?ESCRIPTION
1'60~O~,-{O
00500
Items Cost
$106.00
$ 19.00
TOTAL
.
. CITY 01< ~rKmlJ1<IELD
Building/Combination Permit
PERMIT NO: COM2002-01229
ISSUED: 03/1212003
APPLIED: 10/18/2002
EXPIRES: 09/12/2003
VALUE: $ 180,000.00
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5170 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803034000500
Eugene
TYPE OF
Warehouse
TYPE OF USE:
New
Commercia'
PROJECT DESCRIPTION: Mini-Warehouse
Owner: FRANKLIN PARK LLC
Address: PO BOX 1548 EUGENE OR 97440
I CONTRACTOR INFORMATION'
Contractor Type
Architect
Eleetrical
Owner
Contractor
KEATING ENGINEERING
MITCHS ELECTRIC INC
FRANKLIN PARK LLC
License
146745
Expiration l)ate Phone
541-726-9995
01/18/2005 541-747-4483
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
BUILDING INFORMATION I
". \
.- ~ . ~ .
# of Stories: . .'
- " . "')- t;,.j~ ','
,Height c:>~" r..:':::;' ..
"T ,\.- fH'" "".'
:.;;--. ypeo ~ eat: c v'
,,:.' O. " C>;- ,z,~
VN ,~ 'l> WatenType:,' ^f,>,
" ~" ""J .....\)0..- r'" (S.~ ~
,f)'.~ n,R~nge,Typ~;f' ~c
<P""" ,vE-'-' "P" r~
. ,:..)' }..e'V ",0'" .nen:y'!.tb:'I~J
\:'>. {, ..0(" to .n'" n.~ ,,'\.'
0'" . 0". . t\S' ~-~ ..~~I .~~'-'
. .~ 9'!~ ....0'" l>..~ rP',..:.~ ....,... t.~'
/:~'~'\,~"'~S,0~'I'DEVEi;oPMENT'INFORMAT10N .
\' ~\J"" '~O~:W\;j^'l''''''' ~"~e~Cj~(J'-'
,~~,v 'Ii ,,, c,c (' c.
,,>,'i" \1'~~o'" 'S'e ,if' :.Qvei'lay Dist:
.",On.\)' ".;:..~ \0' :-...(,'\#StreetTrees
'\, "'-J ~.., A C' .
~" c:7' .~o cl- Paved Dl'lve Rqd:
,....'
.;:..'
10
B
I
11.60
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
10,320
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
REQUIRED PARKING
Total:
Street
Storm Sewer Available:
Special Instruction:
~~ed:
~'\~K\~~
.. ~~~\~~~~ ,,<\:J~
IPUBLIC lMPROVEM\';MrjSI ~ ~\\~~~~ '\~~~\:l\J\'
..\\) \. ~~~ \ls'l~ ~~ .
Partially Improved \" \\\~ ~ ~1.~ c.(\ ~~~'5l'pe.
No '\ ~'\\\~,,~~C.'rr~~poutslDrains
~ ~~\~' ~ \:l'f.
C; ,,\'11
~~
% of Lot Coverage:
Notes:
I of 5
olH!AINGF.1BLD .
-~;.
.~,-"
Status: Issued
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: COM2002-01229
ISSUED: 03/1212003
APPLIED: 10/18/2002
EXPIRES: 09/1212003
VALUE: $ 180,000.00
I Valuation Descriotion I
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Footal!e
180,000.00
Value
$180,000.00
$180,000.00
Date Calculated
10/18/2002
Total Value oCProject
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review CommlIndlPublic $536.67 10/18/02 1200200000000000091
-Meehanicallssuanee Fe..... $10.00 3112/03 1200200000000000819
+ 10% Administrative Fee $122.97 3/12/03 1200200000000000819
+ 7% State Sureharge $86.08 3/12/03 1200200000000000819
Addressing Assignment $8.00 3/12/03 1200200000000000819
Annexed 1999 $-15.67 3/12/03 1200200000000000819
BackfIow Device $14.00 3/12/03 1200200000000000819
Building Permit $825.65 3/12/03 1200200000000000819
Copies - Ea AddU @ 50 Cnts Ea $2.50 3/12/03 1200200000000000819
Copy 1st @ 75 cents $0.75 3/12/03 1200200000000000819
Fixture $84.00 3112/03 1200200000000000819
Minimum/Adjustment Mechanical $39.00 3/12/03 1200200000000000819
Planning Final Ocey Inspeetion $110.00 3/12/03 1200200000000000819
Sanitary Sewer - 1st 50 Feet $45.00 3/12/03 1200200000000000819
Sanitary Sewer - Improvement $117.53 3/12/03 1200200000000000819
Sanitary Sewer - Reimbursement $154.63 3/12/03 1200200000000000819
Sanitary Sewer Each AddU 1 00' $28.00 3/12/03 1200200000000000819
SDC MWMC Administration $10.00 3/12/03 1200200000000000819
SDC MWMC Improvement $61.85 3/12/03 1200200000000000819
SDC MWMC Reimbursement $591.15 3/12/03 1200200000000000819
SDC Sanitary/Storm Admin $238.13 3/12/03 1200200000000000819
SDC Transpo Admin $122.95 3/12/03 1200200000000000819
SDC Transpo Improvement $1,824.95 3112/03 1200200000000000819
SDC Transpo Reimbursement $413.61 3/12/03 1200200000000000819
Storm Drainage Impervious Area $4,063.62 3/12/03 1200200000000000819
Storm Sewer - 1st 50 Feet $45.00 3112/03 1200200000000000819
Storm Sewer Each AddU I 00' $56.00 3112/03 1200200000000000819
Vent Fan $6.00 3/12/03 1200200000000000819
Water Line - 1st 50 Feet $45.00 3/12/03 1200200000000000819
Water Line - Eaeh Addt1100' $42.00 3/12/03 1200200000000000819
+ 10% Administrative Fee $109.20 3/18/03 1200200000000000848
+ 7% State Surcharge $76.44 3/18/03 1200200000000000848
Add, Alter, Extend Cire Ea Add $36.00 3/18/03 1200200000000000848
Perm Serv/Fdr 200 amps or less $756.00 3/18/03 1200200000000000848
Perm ServlFdr 401 to 600 amps $250.00 3/18/03 1200200000000000848
Temp Power 200 amps or less $50.00 3/18/03 1200200000000000848
Total Amount $10,973.01
2 oC 5
. . CITY OF SPRINGFIELD.
Building/Combination Permit
Status: Issued PERMIT NO: COM2002-01229
225 Fifth Street, Springfield, OR ISSUED: 03/12/2003
541-726-3753 Phone APPLIED: 10/18/2002
541-726-3676 Fax EXPIRES: 09/12/2003
541-726-3769 Inspection Line VALUE: $ 180,000.00
Plan Reviews I
Fire Department Review 10/18/2002 12/1 0/2002 OK GRG Plan Review-New
Construction-"Mini- W arehouses";
S-I; Type II-N construction; 2
buildings on site.
Provide "No Parking-Fire Lane
signs meeting requirement of
state-adopted Manual on Uniform
Traffic Control Devices spaced 25
feet apart along south curb parking
lot (Springfield Uniform Fire Code
901.4.5)
Initial Review 10/18/2002 10/18/2002 APP LLH
Plannine Review 10/18/2002 03/07/2003 APP EMM Waiting for Site Plan Review - in
progress - Colin Stephens planner.
Final Site plan OK on 3/5/03
Pub lie Works Review 10/18/2002 01/31/2003 WE PJO Waiting for Site Plan Approval.
Counter conferenee regarding
requirements 1/31/03
Public Works Review 01/31/2003 02/28/2003 WE PJO Keating called wanting approval.
Keating called asking for SDC
charges. I gave them to him on
2/28/03. He wanted to pay them. I
said no, not until he has an approved
site plan and approved building
building permit.
Public Works Review 03/06/2003 03/0612003 APP PJO Received final site plan 3/5/03.
Called and asked for building permil
copies. K said we had enough.
Structural Review 10/18/2002 WE DLM Plan Review comments were faxed
to engineer on 11-22-02.
Structural Review 12/13/2002 12/13/2002 10 LLH Steve Keating provided Fire
Department with new site plan
showing new fire hydrant location.
Please see fire department approved
plans for location.
Struetural Review 12113/2002 WE JMP Aecepted Keatings resnbmission on
items 1-4 but faxed him 12-10-02
that items 5-7 have not been
addressed satisfactorily.
Struetural Review 03/07/2003 03/07/2003 APP JMP Received final data from Public
Works end of the day. Left message
for Chuck Koehn that permit would
be assembled Wednesday, March 12,
2003 and fees would be adjusted for
changes received end of the day.
3 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2002-01229
ISSUED: 03/12/2003
APPLIED: 10/18/2002
EXPIRFS: 09/1212003
VALUE: $ 180,000.00
SUB Review
10/18/2002
10/18/2002
WE LLH
Applicant stated at counter he would
be bringing in all required energy
forms. We will fax to SUB as soon
as they are received. Ih
Received Building Envelope code
form only.
Pass energy code review
SUB Review
02/24/2003
02/17/2003
WE JF
SUB Review
02/28/2003
02/28/2003
APP 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.
, Reouired Insnections ,
I Site Inspection: To be made after exeavation but prior to setting forms.
2 Erosion/Grading Inspection: After all erosion measures are in place.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspeetion in conjunction with footing and/or
foundation inspection.
4 Foundation: After forms are ereeted but prior to concrete placement.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Wall Insulation: Prior to cover.
8 Ceiling Insulation: Prior to cover.
9 Roofing: Prior to installing auy roof eovering.
10 Drywall: Prior to taping.
II Firewall: Located and constructed aeeording to plans.
12 Roof SheathinglNailing: Before covering sheathing with fiuish material.
13 Final Fire Department. After all requirements of the Fire Department have been met.
14 Final Building: After all Conditions have been completed as required on Development Agreement.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Rough Grading: After gravel is in place but prior to placing concrete.
17 Final Paving: After paving is complete.
18 Underground Plumbing: Prior to filling the trench and including required testing.
19 Undernoor Plumbing: Prior to insulation or decking.
20 Undernoor Drain: Prior to cover or plaeement of concrete.
21 Rough Plumbing: Prior to eover and including required testing,
22 Water Line: Prior to filling trench and including required testing.
23 Sanitary Sewer Line: Prior to filling trench and including required testing.
24 Line to Septie Tank: Prior to filling trench and required testing.
25 Storm Sewer Line: Prior to filling trench.
26 Final Plumhing: When all plumbing work is complete.
27 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
28 Rough Mechanieal: Prior to Cover
29 Final Mechanieal: When all mechanieal work is complete.
30 Ufor Electrieal Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
31 Rough Electrie: Prior to Cover
32 Electrie Serviee: Approval required prior to utility company energizing serviee.
33 Final Electric: When all electrical work is complete.
34 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
4 of 5
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01229
ISSUED: 03/1212003
APPLIED: 10/1812002
EXPIRFS: 09/1212003
VALUE: $ 180,000.00
Status: Issued
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 carefuUy 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 wiD he
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 ptans will remain on the site
at all times during construction.
Owner or Contractors Signature
Date
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-01229
COM2002-0 1229
COM2002-0 1229
COM2002-01229
COM2002-0 1229
COM2002-01229
Payments:
Type of Payment
CreditCard
Paid By
Receipt #: 1200200000000000848
Date: 03/18/2003
Description
Temp Power 200 amps or less
Penn Serv/Fdr 200 amps or less
Penn Serv/Fdr 401 to 600 amps
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
djb
MITCHELL L PRATT
000020 017473
Page 1 of1
3/18/2003
2:06:54PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
50.00
756.00
250.00
36.00
76.44
109.20
$1,277.64
.
Amount Paid
1,277.64
$1.277.64
How Received
In Person
Payment Total:
cRecciplrpt