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Home My WebLink AboutPermit Electrical 2008-3-14 c.t(.~\06~ ~\ \ -r' (\ {l \'f tr\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00360 ISSUED: 03/14/2008 APPLIED: 03/14/2008 EXPIRES: 09/14/2008 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Limited energy - Relocating nurse call and chart ready equipment. Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLA METTE ST #106 EUGENE OR 97401 Commercial I CONTRACTOR INFORMATION I Contractor Tvpe Low Voltage Electrical Contractor INTEGRATED ELECTRONIC SYSTEMS License 165599 Expiration Date 07/1312009 Phone 541-485-4456 BUILDING INFORMATIO~ # 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 Path: Sprinkled Building' n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street ImprKv~@~Ilrs:;)N: Oregon law reQuires you to NOnCe' Sidewalk Type: S ~RlIOW rUbEis adopted by the Oregon Utility T' . tor~ Se ot~~~W6n Center, Those rules are setforth HIS PERMIT SH~t.~P?R~~'1W~:WORK SpeclalInrnr(J~W~52-001-0010thrOU9h OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT Notes: 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note:, t.he tel~~ho~e ANY 180 DAY PERIOD "''''7'nc.r fnr the. nyj:~(lnn l.lt1litv NnWisihon . , Center is 1-a00-332-234f). I , Valuation Description Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Pa2e 1 of2 Value Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00360 ISSUED: 03/14/2008 APPLIED: 03/14/2008 EXPIRES: 09/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 3/14/08 3200800000000000163 $6.00 3/14/08 3200800000000000163 $2.50 3/14/08 3200800000000000163 $50.00 3/14/08 3200800000000000163 Total Amount Paid $63.50 I Plan Reviews I 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. ReQuired Insoections , Low Voltage: Prior to cover. 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 Date Pa2e 2 of 2 (;; 0 ..t)( 1"7/\ -{ ~ \,-..; ,rI'/ \~Z>V 225 FIFTH STREET Cl SPRINGFIELD, OR 97477 . PH:(541)726-3753 .. FAX: (541)726-3689 : /;\ i '\~ J(i( ~_;I :}~:{~J vt.f t 11;'j)! i{_~-i'~"~()..'('- City Job Number d. (JD [( - ro3JOcJ 1. k(tf'~J!;_~"~ ()] J\J-~'j'~;!~!J!()/V \ tThl d(1JJ(\ ~ ~ LEGAL DESCRIPTION \I03?~ 33 COquD JOB DESCRIPTION ~u~ Pej~i~s are non-transferable and expire if work IS not started within 180 days of issuance or if work is Suspended for 180 days. 2. C, ) '>/FU:ACl'Oti: }/\;:;;TilUA'110N OlYLY ElectrIcal Contractor r (\ h" (, r ,,_4-t.l \ ( tr I Ir-;., '\, L- <' :) j,\ :>-\< l......~, \ r"-L..,. Address 1/'(," 't.x.1){ Il'<{, City ~0r,-~ .}"\..A- .j Phone Lt4-,'")- - Lj Y. 5-'(,.. ExpIratIOn Date \ '01 t \ C),.; S I () ~ (' U r\ SupervIsor LIcense Number Const! Contr Number II.:- C:;c; '1 (ll ExpiratIOn Date -, 'L' 1 Signature of Supervl~ll1g ElectrICIan ~ ~ ~ Ownm ~011^^m~ I'Y\J&- Grvz- LLc.. Addless5iLJ ~ ~lt In.rYVf-k.-- ,q-- ~<p E. Clty<2Q ~ I1ah./IQ ~ ('Vl/ Phone O' q 1 vo \ OWNER INSTALLATION The Il1stallatlon IS bell1g made Ol2.propertv I own which IS not ll1(end't1ttBGsG~$tOO~hj, mrA9lUaO UO!l'BO!I!lON A1!mn u06aJO alll JOJ Jaqwnu O\VI~~RUMl~41 :a10N) 'J9lUaO elll 6u!II'BO ,(q saini a41 JO seldoo U!'B1qo ^ew nOA '0600 .~00-GS6 t:l'v'O 46no141 0 ~OO-~00-GS6 t:lVO ul lIl.101l6S ere SelflJ l:I::iUY.L Ac,~uc,0 i..iJ!i~~!lf.oN N!I!m U069JO alii Aq pSJdope satn.. MonOI Ins6UcmJ~ M~UB.El~ Af'N_~9b\?JO :NOIJ.N3llV Date R-, I ~.-oy . , 3. C{)\'(PUJ: J.Ll' 1.:( }frO'i. U_ m LOl\' A. \ '-.. :~:')ILuHIJ" - I)~l'.?j" {~! \:l,h~-ft~nlj~ r.h..h (i,d.,ql 1:.! Ltla Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $106 00 ~ 1900 $50 00 B. \t.J'l~t">-oi ~t~t1el,-lnfi{"ILl"iGn \it(-,i"tt{~n~(p 1~'\.ioL.t\i~IP: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63 00 $ 75 00 $125 00 $ I 63 00 $37500 $ 50 00 c. ~r..'~IJHit 11', ~-.tl\llt''''~P r'~~~! ,.... Installation, Alteration or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50 00 $ 69 00 $100 00 Ov.~r 6DRJbfjt~:1000 Volts see' B" above D. :~l .~~ 11 c ~~~U,.l; THIS PERMIT SHAl,j.. ~PIRE IF THE WORK ~~: ~~~mtj~rft6erJlWERrf~MrpER~n b~ NOT Each A~~tMlM1~R~h>oQ81/~ AftANuuNED FOR ServlceAJjln{e~cRORdAVttPERIOD. $ 3 00 \! ' , ,I H jell.... ;'~ ( ;: ~ ; , , ' , "; ~ I ~l l', I q ~ \ t. 11 I .' ' I\. Pump or IrrIgation Slgn/Outlme Llghtmg LlI11I ted Energy/Res Iden llal LIl111ted Energy/CommercIal l $ 50 00 $ 50 00 $ 25 00 $ 45 00 " Mimmum Electnc Permit InspectIOn Fee is $45.00 + Surcharges 6~ c"JU o. ~.SO eo--c)lJ ~< 00 4. I' ~ ! ~:.1.~;, 1 t; ~ II -: " ...)"' ft 8% State SUI charge 10% AdmlImtratlve Fee 60 ~~. TOTAL Sh31ed Dflvc( r )/BUlldll1g Fonm/ElectlllJI Pell11lt Apphcatlon 1-06 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00360 COM2008-00360 COM2008-00360 COM2008-00360 Payments: Type of Payment CredttCard cRecemtl RECEIPT #: 3200800000000000163 Date: 03/14/2008 DescriptIOn Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstrattve Fee Item Total: Check Number AuthonzatlOn PaId By Received By Batch Number Number How Received INTEGRATED ELECTRICAL nJrn 026257 026257 In Person Payment Total: Page 1 of 1 2:25:27PM Amount Due 5000 250 600 500 $63.50 Amount Paid $63 50 $63.50 3/14/2008