HomeMy WebLinkAboutPermit Building 2004-6-30
__ LIl" OF SPRINGFIE,LD.
Building/Combination Permit
PERMIT NO: COM2004-00797
ISSUED: 06/30/2004
APPLIED: 06/30/2004
EXPIRES: 1213012004
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5310 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1803034000300
Eugene
TYPE OF WORK: CeU Tower-
Communication Tower
TYPE OF USE: Addition
PROJECT DESCRIPTION: Wire Cell Site Generator
Owner: MACAULEY EDWARD L
Address: 76563 MARTIN CR RD COTTAGE GROVE OR 97424
I CONTRACTOR INFORMJ\.TION I
THIS P~.MIT o$.HALI~YQloc:o/c_ '1i'.Jr
Contractor , AUT Ie UI :!,-~Irauun 'JJlathVOWil)one
SCOFIELD ELECTRIC . rr"~? ~ ND~R THIiZ&ffiMsT IS N(pjlI-686-8612
BUILDING INFORJ\\fAri1J~N~ Elf. IJ /'\Dt\I~UUNtU tUR
-..- iIIIr PERIOD.
Contractor Type
Electrical
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Prim!\1jelllmallitO\f~ law requIres you. ~O Water Type:
SecoMW fldll$ru:kiple1lYil,;:the Ofegon Utility Range Type:
# O~f.oomllm Center. Those fules are set forth Energy Path:
in OAR 952-001-0010 through OAR 952-001- Sprinkled Building: nfa
. . .' ... _~__ _......... _.1.....,.. ....\.
VU;:JU. IVY IllUl J..,~....". --r-'~- -
calling the center. (Note: the telephrowELOPMENT INFORMATION I
number for the Oregon Utility Notification
Front yard sJiloo:lar is 1-800-332-2344). Overlay Dist:
Side 1 Setback:' , # Strect Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
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:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pa2e J of2
Value
Date Calculated
.
. CITY OF SPRINljJ<!J!,LJJ
Building/Combination Permit
PERMIT NO: COM2004-00797
ISSUED: 06/30/2004
APPLIED: 06/30/2004
EXPIRES: 1213012004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$21.00
$14.70
$21.00
$189.00
6/30/04
6/30/04
6/30/04
6/30/04
Receipt Number
2200400000000000875
, 2200400000000000875
2200400000000000875
2200400000000000875
Total Amount Paid
$245.70
I Plan Reviews I
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.
I Reouired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complcte.
Electric Service: Approval required prior to utility company energizing service.
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.
~ ~V20;?J;;fO~ (ffLt[~)
6 /'JiJl ~ (J75 Y-
. I I
Date
,
Owner or Contractors Signature
Paee 2 of2
225 Fifth Street
S'pringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00797
COM2004-00797
COM2004-00797
COM2004-00797
Payments:
Type of Payment
Check
6/30/2004
.
RECEIPT #:
S:P.~'I!~~~FJ~ ."..,__._ .,'..
wrr. ;
--', I
.w' ;
- '
,Ii;l.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200400000000000875
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% Slate Surcharge
+ 10% Administrative Fee
Paid By
SCOFIELD ELECTRIC
Received By
njm
Page 1 of 1
Date: 06/30/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
028540
By Mail
Payment Total:
1:23:49PM
Amount Due
189.00
21.00
14.70
21.00
$245.70
Amount Paid
$245.70
$245.70
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . F~~(HM.:26-3689
ELECTRICAJr PERMIT.APPLICATlON . Jf3IS- PERMIT SHALL EXPIRE IF THE WORK
City Job Numbe~ {JIY-f - {}d797 Date ()~/3 0/ dOCAi:!ir140RIZED UNDER THIS PERMIT IS NOT
".",,,,",,,,,,,,,,,,=,.=r,CO,MME,~.C.E.D,,OR,lSi'J3AIiQQ!@.lQll""""""'''1
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A. o.;NelV.'Residi':ntial'o,Single,'orM,(U;. '-ilylp'edhvelliirgHlliit:;niii,jl
I'....~.".,.~._-"-:!l:~~""',.~~'"..j.."'-,~'-.,.""I..,I:."\. "..:M..,.....;:;~~......, is,.,,., _:..."-"~.....+c<.,,-..,,..;_. ,,,,,,._,_,_,_'j.,'jo;;,JJ.;l
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-<t. 01):' 0, is'&
Service Included "/~ 'II" -..~ "6",.
olj<o '- y'''Ii: J'~
1000 sq. ft. or less <"..O'~, '" (7 .. 4T~00
Each additional 500 sq. ft.iWII<1:t, '"C. ,""/~/I~"lo
portion thereof "-..:t ,~ $ 19 .6tr.>0', ~Oh-,
~~~."'.(9
Each Manufact'd Home or
, Modular Dwelling Service or 00
Feeder
..'.~ if'<~""''''''.~I~.-...,.~"j.''''''''.'-''i''''''',"''CI'l''.''''"'''I\'. 't~':l"".\'. ,.,. ~r<'.""~"r'..".>" '\'C_i-._,'~._._. '.'. ~,_..,,,,,x~.'" ......"..'''.''.k..~._.','..,.....
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~1:;; '''2,'\l;i".., l";!.W ,'n": ~'''i~P'''I.".(,t-'I' ':,.. '1))~: .. ~"'~""ltl';V':",{".-i. ',<>1 i,,,:":::,' ':2~1.~,:;,~.. . ~''';''. """J'~:r,~:',("..:'<' "':~<"'ii"~
B. ~}Seb;ice's'ioitFeeuel:s~SdIls6Hhltioii~~Altelia'tio'rl'5,'0 ',- 'elocfiti(fn';~~,'*i
<;,-ii!:\0m.1Jh'{:'1~!'iI~,:g~:~;b:i~t!liltIi:~;..1.l'<i'!i;C~t:.::~:E~dLrlJ.:t~/~}:C~l-2!bh.:Jj;.:j~;~;2;tJ:~i0.':::S::~irl,\:st~"'::~~if.J:8:'f.~~~~:l1~
1. flB~J~~~~llilr~~~IQifinl~
5310 FRANKLIN BLVD
LEGAL DESCRIPTION
JOB DESCRIPTION
WIRE CELL SITE GENERATOR
Permits are non-transferable and expire If work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~i,\'t:l1f.f~~f:?:~:''!1.''\l~'l<!f;l?l;':i{~iJ:H,"r,~~:~''5.~i;!:;f;;fr1~',~]].f,lli~l:':t.1!!)v;:l',~e:H9.3;i,:.';";'?'
1,;'C0NTRACTOR"lNSTALI:AFIONONLY',';
2. rj,jiJ,t1,';'j~fj!.Jl:k'!!.'i.;j!JL?J~:it.i!:!i?Ei~~~J.mL!~~~~U!:t.'t!Qi:;,1ill::!~.s;:kkt';ji:!rr~:it'i
Electrical Contractor
SCOFIELD ELECTRIC CO.
Address PO BOX 2765
CityPTT("'1\1F: OR Q7402 Phone lil1li-l1li12
Supervisor License Number
<;011-<;
Expiration Date
10-1-04
Constr. Contr. Number
38702
Expiration Date 12-21-05
Signature of Supervising Electrician
i/Z,~fr 1~
,
Owners N."me EJ)~CJ.eD L, mo.c.Gt0 ce~
Address t (p S'(P 3 rY\LvTV1) (' l'2..' fL)!
Cit0::, fuL~ &2o~one
ATTENTIOO: Ofe~requtresyoutD
oWi\i;;llY~A'tSi9~\iw the Oregon Utility
,:'cation Center. Those fules are set forth
The insrWV~~~"-l;t~~~l'a'tffi~S~ch
is not ~ter85dn'afy'ti&t~~i't'c8pf6gtOf the rules by
O \'''S''''<l the Genter. (Note: the telephone
wners 19natiire. U '1' N 'f'_+"'A
[,cJr.lber for the Oregon tllty oti I...........
Center is 1-800-332-2344).
Inspection Request: 726-3769
200 Amps or less
20i Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN oIls
Reconnect Only
'3
1.8' Cj
$ 63.00
$ 75.00
$125.00
$i63.00
$375.00
$ 50.00
bS::';:j!,W';::';'!l.eW-~~;:ti!.'~~~if~"j'r;<}.~[':~~~1*~.I~':i;1~~~1';;~"'1f~.~~e$.'E:'f~'~-f:'1::."l
c. ~.emporn r.v"Sen1cesforiJf eeders$i:f;~h~~IDJ.'t-t.~1~i'-4h"~[g~t7i:;~t~J.;~';)~
;,o;i.~~2!~J..\U.,..:.;,~~!:.'o.::;,~::!.:i"..-<:':~clo<i..i.e-~~}1.,.;;!0:ii.:,.1t:"k;tt')",;'",2,-"'-""'~;i;~;;;..;L3'Ji~~:g
Installation~ Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
or 1000 Volls see
$ 50.00
$ 69.00
$100.00
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
"7
'Z--f
W~~~'Pf;~~~;[:1-&.:~:J:::~~~~jr;.;14'f~~::r~t~1Ix"1.i~~"":)'~~fe~~0q:S:~~-:.\::f'',~~j1-r~~~1~;1~
E. ~~~~#J!~~!!~e,~,H~h(~,S!}yg$1f~~2!!L*:?JliES,!~,~~~)i.,~~es9:t~~~)ilJ1i:~R,M',~
<. .~....:.:.=-,=...~..,....~...--",---=~~.:=~,=--.ul>>,.,.~-----"'" .-"-- "",~~....."::::::.",t:l
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Snrcharges
v.t,g~',~~1~;m-~s"iW~~~'F~~'
4. r{,SffBTOFAE!OEi~O,
~\":;i:=;:,i.$i,. 'i1!;l''1fi~1~;m~''''''S'~'''J'}:';;'ld,!~il\'L'\7n-f.'~~~'
..~,,,,.....;:.'if"..r..=,w:.:.:;.t,:,;i.I,i,.;~,~,,=., ......
;;(IO.OD
lJV. .,0
7A. ~()
7% State Surcharge
10% Administrative Fee
TOTAL
'~'l4 5,.7D
Shared Drive(T:)IBuilding FormslElectrical Permit Application l-03.doc