HomeMy WebLinkAboutPermit Electrical 2008-3-10
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LEGAL DESCRlPTION. SD-, "'1 be 10{
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Jon DESCH.lPnON:
Date
3 / / D I D~
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.. ^:.-.J)o"J.x..:o-:-:"'-v: -- -.~-.c::--';__1~3'"'~ ~~$~1~~~~~~~%\~
uRCJ,'-t/l A. ~~~filT~~
s'-'. :.~ Included
200 Amps or less / $ 70,00 7 (j -
201 Amps 10 400 Amps '$ 83 00 't/ ~ ..
401 Amps IO/1ft $138.00
601 Amps 6' ~l ION: Oregon law $M~es you to
Phonef:>L1 \_q~{~~ <.,., Over 10 lfo ill 8 ~s adopted uy l~lc?oogon Utility
Reconnect: canon Center TI,u:;e rW~.ij@re set Torm
In AR 952-001-001U mrough OAM 952-001-
C'~'er.' oM:"t "eteep:one'
Instal1atio.f,l~IDoTtRii1~On UtIlity Notification
200 Amps or less Center is 1-800-33i~).
201 Amps to 400 AmP'S ~ 76.00
401 Amps to 600 Amp..~ $110.00
(jQ.p fJ) h C A-\{ c;t -\ ('I \ ("" C1 '-.f .
PermIts are non-transrerabJc aDd ~rebworkis
not started w1th1B 180 days ofJssuan(.C or lr wi}rk js
Suspended for 18ft days.
Electrical Contractor 'L - c... { (~'rY'- 0~n,...I
- 1\ \
Addms PD'~D K y~S
City Cl \ h~~" '-- '\
Supervisor License Nun1.ber
~A..S 'I S
EJlpiration Date 11"'\ I I t ~ uta
ConSlr. C'.ontr. Number
?~- \ S C
Expiration Date
TJ / I I ~ ,--"'In >?
Signature of Supervising Eleclrician
z
c--
ownersN~~_ A./A./.::t.L;
^5!,ft)&X )-</79
,
C' ./ ./ Ph(llle
OWNE ~1~'h~-2"i)
---
Th'c instllllation i~ being Inllde on property 1 ovm which
i~ not intended fur sale, lease or rcnt.
Ownl-Tll Signaturc:
1000 sq. ft. or less
Each adchlional :500 MJ. fl. or
portlOn thereof
Each Manufa.ct'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B. .
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D.;aBfi_~~i11:ttr~~
New Alteration or EJ:t~nsion Per r&ncl
One Cu-cuit I
Each ^ddition~l Circuit or wLlh <? I'
Service (lr F~er Permit (;,. IP' $ 400
$4800
4~"
g/.pq-
Pump or iITigatlon $ 55.00
SignlOLlllinc Lighting S 55.0n
Limited F.nergy/Residential $ 28.00
Limited Cnergy/Commercil\l :;.. $ 50.00 1 1)0 ....
Miuimum Rleettle Permit lusJ><<tion Fee is SSG.no + Surcbarges
~~}-",joI_.-"'- . ..
4.;' ..
~"'"
12% Stare Surcharg(l
10% AdminiSlralive l'cc
S% Technology Fee
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'1~4.D~
III.ID
SS......i2.
\ 4\~,S4
Ins,. ..~lOTiCE~; 726.3769
THIS PERMIT SHALL EXPIRE IF THE WORK
\UTHORIZED UNDER THIS PERMIT IS NOT
~~Jr\flI\f:HJCED OR IS ABANDONED FOR
'"y I R~ DAY PERIOD.
TOTAL
Sham! Driw(T:)/DviWi:ngFmasIlllttlIi.ai Pamit Applll.:AlIC1n~V1l.aOC -
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
PERMIT NO: cOM2008-00247
ISSUED: 02/20/2008
APPLIED: 02/19/2008
EXPIRES: 09/17/2008
VALUE: $ 3,048,000.00
SITE ADDRESS: 3311 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: OHVI 3rd floor Completion project
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
BERRY ARCHITECTS
JOHN HYLAND CONSTRUCTION INC
ECCOMPANY
FM SHEET METAL INC
TWIN RIVERS PLUMBING INC
License
Expiration Date
Phone
541-338-7696
541- 726-8081
503-224-3511
541- 726-3000
541-688-1444
46071
49737
89710
17695
07/11/2008
01/15/2010
03/15/2009
03/11/2008
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
B
# 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:
IB
" "
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees R4J;rENTlON' 0 Handicapped:
Paved Drive RJaYow noSes ~d re?on law reqLG~WV8ct:
% of Lot covOfi~tt!catlon Cen,oeP eTdhby the Oregon UUt'lto
In (jAR 9 t r. ose I Ilty
. OO_9~ Vn~,~~~~}~~~10 throIJ;~ ~^~e:;~~~forth
NOTICE: ~PUBLIC...I_VE~l'4"1f8*e cente~am COPIes of the rUle UU1-
TWIS PERMIT SHALL EXPI [If TII... L.L", r th n,.' (Note; the taleph s by
Street Improvel11'e'J't'tS: MIT IS NOT C ~'t(f~ lIJt.lnt\~ one
AUTHORIZED UNDER THIS PER enter IS 1-800_3::111111., Notification
Stor~ Sewer Ax:8rvWv~ENCED OR :,~ \D.^.~!DONED FOR Downspoul~~il~
SpeclalInstructJ.\!\W 180 DAY PEEiC'].
Notes:
Pal!:e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00247
ISSUED: 02/20/2008
APPLIED: 02/19/2008
EXPIRES: 09/17/2008
VALUE: $ 3,048,000.00
I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,048,000.00
Value
Date Calculated
Total Value of Project
$3,048,000.00
$3,048,000.00
02/19/2008
~
Amount Paid
Date Paid
Receipt Number
$1,117.67
$1,341.20
$558.83
$11,176.68
$7,264.84
$4,470.67
$111.70
$134.04
$55.85
$864.00
$100.00
$70.00
$83.00
2/20/08
2/20/08
2120/08
2/20/08
2120/08
2120/08
3/17/08
3/17/08
3/17/08
3/17/08
3/17/08
3/17/08
3/17/08
2200800000000000228
2200800000000000228
2200800000000000228
2200800000000000228
2200800000000000228
2200800000000000228
3200800000000000165
3200800000000000165
3200800000000000165
3200800000000000165
3200800000000000165
3200800000000000165
3200800000000000165
$27,348.48
I Plan Reviews'
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.
~eouireCUnsDections I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00247
ISSUED: 02/20/2008
APPLIED: 02/1912008
EXPIRES: 09/17/2008
VALUE: $ 3,048,000.00
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 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
Pal!:e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00247
COM2008-00247
COM2008-00247
COM2008-00247
COM2008-00247
COM2008-00247
COM2008-00247
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
3200800000000000165
Date: 03/17/2008
DescriptIOn
Penn Serv/Fdr 200 amps or less
Penn Serv/Fdr 201 to 400 amps
Add, Alter, Extend Clrc Ea Add
Low V oItage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
EC COMPANY
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
3751
In Person
Payment Total:
nJm
Page I of 1
1 :28:26PM
Amount Due
7000
8300
864 00
10000
5585
13404
111 70
$1,418.59
Amount Paid
$1,41859
$1,418.59
3/1 7/2008