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Home My WebLink AboutPermit Electrical 2008-4-23 Date ZON 'rnt~ INITIALS N ~ DATE 4"'-?4--D r ~OURC~""ft2 ./ tj-2J -06 225 FIFrH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C 0c.v1 z... 0 <::::> f? - 60 Z- '-\ -, 1. 3. ~tc6iipmTEFEj}'Seimiif!iiJE~BELJOW,~;,:':::~::'::i':~,::~':i~:' ~~lut kl,,'!"l"!!"l'l!..!'" E' JY' . <I'llwl' ~\!I{'Ju..!lU~"'1eH,U"JUhll'~'!d~':(M~' Wi~lllhl!l.Il!""!'~<lI~<I~~I~' $3 f ( f2. \ V t;IL ~6ic::l ~L ~ , '" '" ,",.,,, ""' - ,.,,"- ",.,-'. ", "" "'''' '" . LEGAL DESCRIPTION' 170'" Z?,.... 00 q^? A. J.~~~1'R~:~id~~ti;itJ.siiIg:;lil~~d~;tM~'iti~~fi~,;~p'~~:~J~iif~1'g'lii~~riil :~',:!::i~ . ~ '-'-"'0..... r ~ ~!W:U:II.ll.l:"l..,.:l.li~.:.-t~I'd'I~I" ,ll .!<ii...a:.!<'1~~"",h=..~t~WU'<'-!l.2tr..!E.dllll.~II~:uut:U.d.utlllu1t..l:u11111~I!Ii.. ,,::!k...I;L.tm<klff-$uw.at.~' oi-h) \ ~ f'rl F locr LJ:J("Y1 p) e..... -h ~ V1 Service Included JOB DESCRIPTION: 1000 sq. ft. orless $117.00 Each additional 500 sq. ft. or \)0 I~ f,ILV\.& h~ portion thereof $21.00 , \.,"' ), 1')!! may ol;>!~in.co~~s ofttle ~~6bV . c;' lI:(ig the c;muml~~:,,\~~RJlJ :Id'catIOD tllJll1bl:lr for ttw><<Dhkp uWty Notification Cente~~ k&.~9ta~A4i\}s 401 Amps to 600 Amps Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~f!'''rr''~;<nr, i'-'; I' . ';,i"'l" ',I ' j"~ ~l' '-wl h,,'I' ,~"ii-~~';," ""I H\ '.. ~f~" "I ~"i'l~'i.;r"I.'." f'<I,,1' l j ':;"<,,~l,,,-.,_ ,,' ,t., >1 -""J'1'i !~!i!'coNt1iAGt@'ifmsTJflMTibN:oN15;Y::l~!:' 2 ~"l~' ~ll "1'1""'1""1""'" II. rr!.l1"m,.~ ~lll".,"''' t ,,1"1'- cy'MII ,'e C"II",,,,,,,,,~"I,,,,, ',','1''', Il::,I!, I II,-',~ i!,,,~ . ~~~WIo~,..,~.!I,f,:I"~':"'''_'''''''l''''"''''}.':,_,,,<,f,,,.j<:_,~ Electrical Contractor 0D\.\-:/)Y\,^-\ ~f'J..wo rK. :::;ed:ce.5 Address 3DZ. <)'r,p I\hl S+.. SLA~k b City 'S.()s~I'\,.Q~f'\J Phone 5l.\\-71.b-'11D9 ...J Supervisor License Number 42..41 LE"A Expiration Date 10 -o~ Constr.Contr.~U[llber ;:51/300 Z- 00; Expiration Date t;l~~~mg Elecmcren ./V~ &I~~-, r ' r Owners If.!!1e -:Pe*c:~ tI e-;4.4 ~ Address ::PO 1?o~' 147'7 City ~tL C ..:~V C Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature' Inspection Request: 726-3769 ',~ Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 ~!F:Tlr;-?~.rTr<,~'I(:~'!'~;r~~~~;~ ;~,.;;, 'l"l'!J"'" ';!J1';d (I!~ll- 'i(:I'(I'li'ifY~7r.:,:, ,qlmm;~I!lr:W;;7,n~~'" ./r.\~'<frl ~.~;~jljF!;'-m;'hd~~~!iu, II ,Ip "';1111/, B. Lf~~i~!.~~I i~~~~~~t~:r::~~~~tV!:~~i,9,~!;:~~t.~f,~t.i,~'~,~:?,t;:~~1~f~~~,~~ f,;, ,:!!i, 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts ,-,; : Reco.nne-ct<On~quires you to 'r .', <;. (" .: Dt8d by the Oregon Utilit ....... If, "- ~.'I' J:~ _.-~)J 1lt $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. llT,"";'......:r..' 1['I!~I';I'1n?'i'f<l"'l':l!w<J'" ';n'r.i' D f B' """'h"C""",'..I"" . fe'" n'!n$,: : lr.,C~~:,:'; New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with SerVice or Feeder Permit $ 48.00 $ 4.00 N aTM! e"" :"4"""f''1'' ",..,..,' 7' ,."".- " , " , r ','-=;-T "'--"',,,, ,~""" ,. ,,,,,,,..... "ll -' --, ", . , .., " 'r, '" "l":(~~' 1,,"1 ' 'l't1 , 'J' ..', "IL '"<<,,, ""' j ','~'I~:"k'lllll~[,,,,I,,, ~: .\'I",'...l~, If,,' ,'If, :l!,~, ,1 'nl-~,~lt~ "I") "'~' . ,,~isce.!I' outiS~nr.ij:Wk.e,d,~'" 1;.:r clilded)'-'-EacIHri'stalIat" ,,,' THIS PE~:M""'5fl~t~~~f:!!lft:!:~!JXli~i~\"\\:U\\\i:h.i~""ll\:""i~~i~i'miI,:M,,:;' AUTHOit~q:D)lUNIgitl&JHIS PERMIT IS NOT $ 55.00 COMM~1IDli'elB~Bbg'JDONED FOK $ 55.00 ANY 1 ~ gfiik9.I&esidential $ 28.00 Limited Energy/Commercial $ 50.00 ~O Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ~"~r;r.r:,, ~ii;:i,l':ii:i'lwmtrl\ -.. 4. \"~q;B,,'fPf..' 0 ,1.'JII~ "l;~I!,II<lId"I"I.hJ ,1<'" ~ :<4<!.llll11ll hd",e,!l"It;,ur_~I"",< b 12% State Surcharge 10% Administrative Fee 5% Technology Fee S 2\",0 TOTAL bJ::: Shared Dnve(T )/BuIldmg FonnslElectricaI Penmt ApplicatIon 1-08 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/19/2008 EXPIRES: 10/09/2008 VALUE: $ 3,048,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 I CONTRACTOR INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor BERRY ARCHITECTS JOHN HYLAND CONSTRUCTION INC 46071 07/11/2008 E C COMPANY 49737 01/15/2010 NATIONAL NETWORK SERVICES OF ORE054300 02/10/2009 FM SHEET METAL INC 89710 03/15/2009 TWIN RIVERS PLUMBING IN~,:_TEN~/ON: 0f7~6n law rM..:~~03/1~/2009 - .-.. ....1":, :-1'1"\':'(.. b ,.9 )-... [v BUILDIN6)liNtE i .... - Y the Oregon Utility r, A 952-001-0010 ~~~~r~es are setforth # of sW~s: You may obtain . 9 Ot\!iBSiiiO01_ Height f0.f,ISt1g'1lttJutenter. (~~~':et~~ft t!wlftJIta16~or: Type li\Ufn.laff for the Oregon Uti"t ~~/PfilQ~d Floor: Water Type: Center is 1-800-332_134N~~ftQaSMment: Range Type: ~ Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building n/a Occupant Load: License Expiration Date Phone 541-338-7696 541-726-8081 503-224-3511 541-726-9209 541-726-3000 541-688-1444 Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing B IB I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of LotNta\f~5~ THIS PERMIT SHALL EXPIRE IF THE WORK I PUBLIC IMP",~~ul~nA~~~;~~~V~~b5RNu7 ANY 180 DAY PERro~walk Type: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Plan Review CommllndlPublic 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 01' less Perm Serv/Fdr 201 to 400 amps + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02120/2008 APPLIED: 02/19/2008 EXPIRES: 10/09/2008 VALUE: $ 3,048,000.00 I Valuation Description ~ $ Pel' Sq Ft 01' multiplier $1.00 Square Footage 01' 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 $5.00 $6.00 $2.50 $50.00 2/20/08 2/20/08 2/20/08 2/20/08 2/20108 2/20/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 4/23/08 4/23/08 4/23108 4/23/08 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000506 $27,411.98 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. ~e(]uirerUnSDections I Rough Electric: Prior to Covel' Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/19/2008 EXPIRES: 10/09/2008 VALUE: $ 3,048,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 propel' 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 Pa2e 3 of3 225 Fifth Str.eet 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 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000506 Date: 04/23/2008 DescriptIOn + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee Low Voltage - Commercial Indus Item Total: Check Number AuthorizatIOn Paid By Received By Batch Number Number How ReceIved NATIONAL NETWORK SRVC dJb 017171 In Person Payment Total: Page 1 of I 11 :04:32AM Amount Due 250 600 500 5000 $63.50 Amount Paid $63 50 $63.50 4/23/2008