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Home My WebLink AboutPermit Plumbing 2008-4-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01305 ISSUED: 08/30/2007 APPLIED: 08/30/2007 EXPIRES: 08/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 780 HARLOW RD ASSESSOR'S PARCEL NO,: 1703223402800 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Temporary service and 2 circuits - Lift Station Commercial Owner: SUN RETIREMENT CORPORATION Address: 735 COMMERCIAL ST SE SALEM OR 97301 I CONTRACTOR INFORMATION. Contractor Tvpe Electrical Plumbing Contractor OLSSON INDUSTRIAL ELECTRIC EMERY & SONS CONSTRUCTION INC License 63473 312 Expiration Date 01/26/2009 11/24/2009 Phone 541-747-8460 503-769-7751 BUILDING INFORMATION. # 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' Frontyard SetbackNOTlCE: SH~ll EXP1RE \fi;t"~~9~~ Side 1 Setback: THIS PERMI~ UNDER THIS p~d~l~l~Vs'Rqd: Side 2 Setback: AUTHORIZE BAND~OOive Rqd: Rearyard Setback: COMMENCED OR IS DA % of Lot Coverage: Solar Setbacks: ANY 180 DAY PERIO . I PUBLIC IMPROVEMENTS' REQUIRED PARKING Total: Handicapped: Compact: . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: ATTE~' .QrgMA.lftY'! requires you to follow rules ~dopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Pae:e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 401 to 600 amps + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Backflow Device Fixture Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid $11,80 $5,90 $9,44 $8.00 $110,00 $34.00 $40,80 $17,00 $132,00 $70,00 $138,00 $22,60 $27.12 $11.30 $48.00 $112.00 $50.00 $16.00 8/30/07 8/30/07 8/30/07 8/30/07 8/30/07 1/3/08 1/3/08 1/3/08 1/3/08 1/3/08 1/3/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 Total Amount Paid $863.96 I Plan Reviews' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01305 ISSUED: 08/30/2007 APPLIED: 08/30/2007 EXPIRES: 08/05/2008 VALUE: Value Date Calculated Receipt Number 1200700000000001121 1200700000000001121 1200700000000001121 1200700000000001121 1200700000000001121 1200800000000000008 1200800000000000008 1200800000000000008 1200800000000000008 1200800000000000008 1200800000000000008 2200800000000000432 2200800000000000432 2200800000000000432 2200800000000000432 2200800000000000432 2200800000000000432 2200800000000000432 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. l..Reouire~nsoections I Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pae:e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01305 ISSUED: 08/3012007 APPLIED: 08/30/2007 EXPIRES: 08/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete, Electric Service: Approval required prior to utility company energizing service, Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete, Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 ;P;;C""2ic~ </-/0- o;i Owner or Contractors Signature Date Pal!e 3 of 3 225 Jifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01305 COM2007-01305 COM2007-01305 COM2007-01305 COM2007-01305 COM2007 -01305 COM2007-01305 Payments: Type of Payment Check cRecemtl RECEIPT #: DescrIptIOn FIxture Backflow DevIce Water Lme - 1st 50 Feet Water Lme - Each Addtll00' + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By EMERY AND SONS CONSTRUCTION City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000432 Date: 04/10/2008 Item Total; Check Number AuthOrization Received By Batch Number Number How Received dJb 48164 In Person Payment Total: Page 1 of 1 10:03:03AM Amount Due 11200 4800 5000 1600 11 30 2712 2260 $287,02 Amount PaId $287 02 $287.02 4/1 0/2008