HomeMy WebLinkAboutPermit Building 2008-4-1
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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