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HomeMy WebLinkAboutPermit Building 2008-4-1 l,C/ t; 'ft' r~"O Q'V \i\{f J CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00442 ISSUED: 04/01/2008 APPLIED: 04/01/2008 EXPIRES: 10/01/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2355 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254101002 Springfield TYPE OF WORK: Bank TYPE OF USE: New Commercial PROJECT DESCRIPTION: Data communications cabling Owner: CITIZENS BANK Address: PO BOX 30 CORVALLIS OR 97339 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor HEINS COMMUNICATIONS INC. License 139068 Expiration Date 12/23/2009 Phone 541-926-5035 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 Path: Sprinkled Building' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard 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 I Street Improvements: AI I l:NTlONtt&r.agmwlaw requires you to follow rule~~d9p.ted 9tV. the Oregon Utility Stor~~rttY.ailable: Notification-'CelifE}P.orH6~nrnffs are set forth Specl~ J;I~tr'd~ron: In OAR 952-001-0010 through OAR 952.001- ,~ PERMIT SHAll EXPIRE IF THE WORK 0090 v. AUTHO . .ou may obtain copies of the rules by Notes, RIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCEr> OR ,~ llS.~.NgQNrD rOIl ' number for th~ OrMn.tl.1)tilitv t\I~nn ANY 180 DAY PERIOD (, "I Center is 1-800-332-2344). . _ ValuatIOn DeSCrIptIOn Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00442 ISSUED: 04/01/2008 APPLIED: 04/01/2008 EXPIRES: 10/01/2008 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' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 $6,00 $2,50 $50,00 4/1/08 4/1/08 4/1/08 4/1/08 3200800000000000197 3200800000000000197 3200800000000000197 3200800000000000197 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. Reouired 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, Buildmg 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 remam on the site at all times during construction, Owner or Contractors Signature Date Page 2 of2 City of Springfield Electrical Authorization To Begin Work E-maded To: nch@heinscommunications,com Receipt # EC528004 4/1/20089:32:25 AM Check on status of permIt By Phone: (541)726-3753 or Emad: permltcenter@ci.sprmgfield,or.us FEE ;SCH~DULE ., ,II ' DesCrIptIon I Qty. I Ea. I Total . Re~jd\;nii~1 SI~(a;E:: 6R0mll.ltl~family~weliing uDlt.IIn~lu.des ~a'tt~'c~~(fg~rr~g~<'< I I:, ( I'r' i" ~u <l"'1 % "11 \ ' 11,000 sq ft or less I Ea addl 500 sq ft or portion I.~~~~t~~ ~~~.~ .">." I-Limited energy, residential (with above sq ft) I-Limited energy, multifamily residential (with above sq ft) I-Limited energy, commercIal (with above sq ft) I - Stand-alone hmlted energy, residential I - Stand-alone hmlted energy, multi-family I - Stand-alone hmlted energy, commercIal ,silk-Ices 1 oR:~i~Qers 'installatlO~, "alteration; AND/OR reloCation , ~ffO '" ' "'f IJ , II"~"" ",,,I<, ,'" t-' W~ '"' I , , ' I I 1'1'1 , , 200 amps or less 201 amps to 400 amps 1401 amps to 599 amps TEMPORARY.senices.oR.feeders IDstallation, alteratIOn,. )ANb/Oifr'~'j~ciitionl" I*' <' ,11,i} '1<l1~>"~/ ~'I (1iilll>"I + ''1(1'' ,1' > ,,, 1200 amps or less 201 amps to 400 amps 401 amps to 599 amps .~~!I!1~ljip~cl!it~.;,N~W;alt'eratJ(;U;IOR eHeJISJon; per panel/i' A Fee for branch Circuits with service or feeder fee, each branch circuit B Fee for branch CircUits without service or feeder fee, first branch Circuit, I each addl branch Circuit I Miscellaneous' I Service reconnect only I Each manufactured or modular dwell mg, service and/or feeder I Pump or IrngatlOn Circle I Sign or outlme hghtlng Signal C1rCUlt(S) or hmlted- energy panel, alteratIOn, or extensIOn I I Subtotal $5000 I State Surcharge (12% of permit fee) $600 I City Of Sprmgfield fees · $7 50 I I TOTAL PERMIT FEE $63 50 I · City Qt:Sonngfield 10% L()r.al~, 5% Local Technology Fee COM,!itJ7JO - OO~Lj~ RCPT #.0- ~{;( (J{J ~ - / ~ 7 -</-o/~()~ I. TYPE OF WORK ;'1 ",/ ('\ <') , ')', D New constructIOn [K] AdditIOn/alteratIOn/replacement ~ "~ ' J ) ,-,' ", M ~ ~ ' " ~ " ",,"~.s,~TE~ORY'OF CONSTRUCTION;',1h ['I' ';k";,,,:, D 1 or 2 famIly dwelling D Multi-family [K] Commerclal/1ndustnal I" I JOB SITE INF'ORMAiI6N;ANDU)'C~!~9N:~J\;Jjl:;:::J': Job no. IJob address 2355 OLYMPIC ST City/State/ZIP' SPRINGFIELD, OR 97477-3465 I SUlte/bldg /apt no I Project name CitIzens Bank Cross street/directIOns to Job site I SubdiVISion I Tax map/parcel no I I Lot no.. 1703254101002 DESCRIPTI'd'N OF WORK'" f I "" j' Data CommunicatIOns cabltng I . , Jr:i:SITE ~ONT~CT ;. r' , " 'I I ~, , 1\" I Name Rich HeinS I Phone. (541) 926-2383 Ext 303 I Emall helnscom@yahoo com I lEI hc. no' 22-176CLE I CCB hc. no I BUSiness Name' HEINS COMMUNICATIONS INC I Contact IAddress' PO BOX 517 I City/State/ZIP' ALBANY OR 97321 IPhone (541)9262383 I Emall: HEINSCOM@UCI NET I Metro hc no I Supervlsmg electriCian's hc no I Supenlsmg electriCian's name I Fax' (541) 926-2383 Ext 303 " . , pbNTRACT9R.:,. ,p' , " r I f <<I /i ' 139068 I Fax' (541 )9269274 I City hc no.. 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 Within 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. It; I" $5000 $5000 not offered online at thiS Junsdlctlon , " ~LECTRICAL PERMIT FEES. (cfJ~a\"\:d by a Permit ! 225 Fifth Street . - Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00442 COM2008-00442 COM2008-00442 COM2008-00442 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 3200800000000000197 Date: 04/01/2008 DescriptIOn Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm ONLINE HEINS Onlme Payment Total: Page 1 of 1 1:15:07PM Amount Due 5000 250 600 500 $63.50 Amount Paid $63 50 $63.50 4/1/2008