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Home My WebLink AboutPermit Electrical 2008-4-23 ZON ~ INITIALS N M DATEL1<~j -(J~ SOURCE 'rr\12<S ~) l.(-Z] - 06 225 FIFTH STREET. SPRINGFIELD, OR 97477 0 PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CaW'\ 7c>OY- 000 ~ Z. Date B. Services or Feeders - Installation, Alterations or Relocation: v A "~...w~<<",kdhi ~ ",<' ElectrIcal Contractor ~.....I ,4-<', ~ i-l1'J[ ~ :5:rl.<.e5 Address 3D2 5kllef 5\- 51,"';\.( L City $)( \Yv,.Q. e. \J Phone 5t.j 1- 7? b (12~1 · J -j,! ~~pp1)~Jif~i~'01PfJ'eeders i 00 "II') ~:J~t: a by the Oregon UtilitY.. J /) -/)9 ''',' ,] C~'~telnsl~~~@\Jtsri!lti@\l~t4ielocation - ',' )~"),;\'~.001.020@~~~R952-001- / 5'<1 J ~ 0 JI~:,~:: ,'l~O: may ol~()linA%lR~~8 4>& }h#r,q~~es by vc,),., ~ the center. (t'fore. th~ ete:Rnone 2 -DC number for the d~~H?tY'ql&iW8~t,on $110.00 7' G&nter 's6~~~~JOOO Volts see "B" above. D. Branch Circuits Signature of SupervIsing Electrician ~rd /k/4L~ 4.vH . 1 Owners Name sn4-re- tsP O~,J Address ~ V4)C II.( JSC J,t u..~ Phone 1\1 0 TI.C.E:- Pump or irrigation THIS PERMIT SHArt~~ltj~tm~ $ 55.00 OWNER INSTALLATION AUTHORIZED UNDffl"fflfuE~fr*Wt~e~i~j\ $ 28 00 The in.staIIatlOn is being made on property lG:@.fu'I~mpJ-cED OR Is~~4Jffij~J<2PRJ~9II I $ 50.00 ") 0 IS not mtended for sale, lease or rent A NY 1 80 DAY ~JtI1lY.l Electric Per~tllinspection Fee is $50.00 + Surcharges Owners Signature: 4. SUBTOTAL OF ABOVE ' "I'" ' '" SO (;. S" 'Z~o 1. LOCATION OF INSTALLATION: J 11 D P;>,\C ~ a~~ ~ I~hf LEGAL DESCRIPTION: J 702::50-0-0 CreeD JOB DESCRIPTION. j)~~ ~bl~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ~ '- ~>> ( ~ y , CONTRACTOR INSTALLATION ONLY ~" :::A > 4 'w ) ~~ j;, SupervISor License Number '/241 iFf! ExpiratIOn Date Constr. Contr. Number Expiration Date CIty Inspection Request: 726-3769 3. , "'''~ COMPLETE FEE SCHEDULE BELOW ~ ~" , , , ' , " ~, ~~ ',' 'H' 'p/,' A. New Residential - Single or Multi-Family per dweIling'unit ' " " ~} ", ,,~, ~ , Service Included 1000 sq. ft or less Each additional 500 sq. ft or portion thereof Each Manufact'd Home or Modular DweIlmg Service or Feeder $11 7 00 $ 21.00 $55.00 'lq<<, H' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $138 00 $180 00 $4 I3 00 $ 55.00 $ 55.00 $ 76.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with ServIce or Feeder Permit $ 48.00 $ 400 E. Miscellaneou~ (Service/feeder not inclnded) -Each Installation ,H ~, ,'~ ' , $ 55.00 12% State Surcharge 10% Admimstrative Fee 5% Technology Fee TOTAL b3~ Shared Dnve(T )IBUlldmg Forms/Electncal Permit ApphcatlOn 1-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01130/2008 APPLIED: 01114/2008 EXPIRES: 10/03/2008 VALUE: $ 211,233.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3110 Pierce Pkwy ASSESSOR'S PARCEL NO.: 1702300001000 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Public PROJECT DESCRIPTION: Addition to Facility Maintenance Shop (FMS) Owner: STATE OF OREGON MILITARY DEPARTMENT Address: PO BOX 14350 SALEM OR 97309 I CONTRACTOR INFORMATION' Contractor Type General Electrical Low Voltage Electrical Contractor WILDISH CONSTRUCTION CO OLSSON INDUSTRIAL ELECTRIC ROBERT LLOYD SHEET METAL INC License 695 63473 62476 Expiration Date 10/22/2011 01/26/2009 11/08/2009 Phone 541-485-1700 541-747-8460 503-838-3863 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 n/a . tit ~. n fctW reauirp.~ \/f'II I tn I DEVELOPMEl~ri:yINioiM~ TIONJ1Ut'lrty .. - _.~ "tforth . i ;;. J..-l)lJ I-OOi 0 through OAR 952-001- CGSIL y, ,I 1i''111 fl,IM"'Jn C~ Pr~erlay UlSf: copIes of the rules by adlri\l C1 e (';wT"fAr ~L"te' the t I h numb~" reef rees ~qo. . e ep one Jj?U'iYrR~ER'g>Jl: UtIlity NotIfIcation o 0 ~lIfr,Jtl,ifillQ~~2-2344). Lot Size: Sq Ft 1st Floor: 2,772 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: NOTrCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal!:e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description ~Mech Iss 2+ Appliances~ + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Ail' Handling Unit Up to 10,000 Appliance Not Listed Building Permit Fire SF Fee - Non-Residential Fixture Gas Outlets 1-4 Gas Outlets 4+ Inspections - Hrly Building Inspections - Hrly Electrical Inspections - Hrly Mechanical Inspections - Hrly Plumbing Plan Review CommllndlPublic Plan Review Fire & Life Safety Storm Sewer - 1st 50 Feet Vent Fan + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps 01' less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus I Valuation Description I $ Per Sq Ft 01' multiplier $1.00 Square Footage 01' Bid Amount 211,233.00 Total Value of Project ~ Amount Paid Date Paid $40.00 $169.29 $173.90 $169.89 $175.42 $70.79 $73.09 $18.00 $40.00 $1,023.80 $277.20 $112.00 $5.00 $6.00 $50.00 $50.00 $50.00 $50.00 $665.47 $409.52 $50.00 $7.00 $32.00 $38.40 $16.00 $48.00 $132.00 $140.00 $5.00 $6.00 $2.50 $50.00 $5.00 $6.00 $2.50 $50.00 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 1/30/08 2/8/08 2/8/08 2/8/08 2/8108 218/08 2/8108 4/7/08 4/7/08 4/7/08 4/7/08 4/23/08 4/23/08 4/23/08 4/23/08 Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01/30/2008 APPLIED: 01/14/2008 EXPIRES: 10/03/2008 VALUE: $ 211,233.00 Value Date Calculated $211,233.00 $211,233.00 01/17/2008 Receipt Number 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000087 1200800000000000119 1200800000000000119 1200800000000000119 1200800000000000119 1200800000000000119 1200800000000000119 1200800000000000316 1200800000000000316 1200800000000000316 1200800000000000316 2200800000000000504 2200800000000000504 2200800000000000504 2200800000000000504 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01130/2008 APPLIED: 01114/2008 EXPIRES: 10/03/2008 VALUE: $ 211,233.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $4,219.77 I Plan Reviews I Plan Review Comments 01122/2008 01122/2008 10 DJP This approval does not include the energy code review and/or approval. Permit holder is proceeding at their own risk if work continues beyond slab on grade. 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. ~eouire<UnSDections I Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortal', Grout, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Masonry: Drywall: Prior to taping. Ceiling Insulation: Prior to covel'. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to covel' and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Pa!!e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-00052 ISSUED: 01130/2008 APPLIED: 01114/2008 EXPIRES: 10/0312008 VALUE: $ 211,233.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Covel' Electric Service: Appl'Ovalrequired prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to covel'. 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 01' Contractors Signature Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00052 COM2008-00052 COM2008-00052 COM2008-00052 Payments: Type of Payment CredltCard cRecelOt I RECEIPT #: 2200800000000000504 Date: 04/23/2008 DescriptIOn Low Voltage - CommercIal Indus + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee Item Total: Check Number AuthOrizatIOn Paid By ReceIved By Batch Number Number How ReceIved NATIONAL NETWORK SRVC dJb 017171 In Person Payment Total: Page I of I 11:01:50AM Amount Due 5000 250 600 500 $63.50 Amount PaId $63 50 $63.50 4/23/2008