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Home My WebLink AboutPermit Electrical 2008-5-9 ~, CITY OF SPRINGFIELD, OREGON 3. 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 1:OM z..o 0 8 - 00 Z4 -, Date 1. 3:J II g.\vt:L.'6~ LEGAL DESCRIPTION, I 70) zzc:>0 U ./; eJ~ (3, _OGlC- r;, C6 5 JOB DESCRIPTION: \IL 00 'Oz. A. , V : /8 ' ~~~1';~ >~Y'~n;?f~1 ~UJ!JNj OB~}, B:' ~ "t';;;ia~iJ~ 'v;J~~";;,,t:;:~1~1 '....1 \/ ~ /J (1 r' 0090~Jo.JC:-UO' -00 1 0 t'1r es are Set forth Electrical Contractor I ''''mY) _~61:S....~-?:ca: OU2U01j\mp~Clffi ~sg~9h OAR 952-001 \..,---.-, -r 'LTeY/ t'"'iUf ,o~~~R/ th . Address ~O ~ q I qCO numbe~:orf~t/::~::~/~~~~et;i~~~~ by er IS-l-Rnn...~~I/IY NotlflOation 60 I AmpsL'rl....[~W;_4). Over 1000 AmpsN olts Reconnect Only OA./ geLL fowt5'7? otfV( 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. City Ev c;,I!'::....1/6 Phone 7q& I LJ 7/ Expiration Date SO;;Z.sS /6;; /.,r;OlO / / Supervisor License Number Constr. Contr Number Irdc.ly77 Exprration Date t:. rp009 Signature of Supervising Electrician 4...--. ;/..:;::7 .- - ____ OwnersName ?eA~ ~~{+L Address j> c> tl c y /Cf7 , City ~(;...67U e Phone OVVNERINSTALLATION The installatiOn is bemg made on property I own which is not intended for sale, lease or rent. Owners Signature Inspection Request: 726-3769 Service Included 1000 sq, ft or less Each addItional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling ServIce or Feeder $117,00 $ 21.00 $55.00 >l '" ~ ~% $ 70.00 $ 83.00 $13800 $180 00 $413,00 $ 55 00 c. Installation, Alteration or Relocation 20..9 .Amps or less $ 55,00 201 Amps to 400 Amps $ 76,00 NOTIt!~! Amps to 600 Amps $110,00 THIS P . s or 1000 Volts see "B" above AUT~ 2~~MENBf3.1~fS>~n~ {fiBiBMI'l't16IJv61. , 18~~~JO NDONED FOR / $ 4800 Each AddItIonqt CirCUIt or WIth Service or Feeder PermIt $ 400 E. Pump or lITigation $ 55,00 SIgn/Outline Lighting $ 55,00 Limited Energy/Residential $ 28 00 LImIted Energy/CommerCIal $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges I c-O 4. J' , J% State Surcharge 10% Admimstrative Fee 5% Technology Fee b3~ TOTAL Shared Dnve(T )/BuIldmg Forms/Electncal Permit ApplicatIOn 7-07 doc CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/19/2008 EXPIRES: 11/06/2008 VALUE: $ 3,048,000.00 Status Issued 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 PROJECT DESCRIPTION: OHVI 3rd floor Completion project TYPE OF USE: New Commercial Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMA nON. Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License BERRY ARCHITECTS JOHN HYLAND CONSTRUCTION INC 46071 E C COMPANY 49737 NA TIONAL NETWORK SERVICES OF ORE054300 FM SHEET METAL INC 89710 TWIN RIVERS PLUMBING INC 17695 I BUILDING INFORMATION' # of Units: # of Stories;es you to . r I <:.\~I re0.')" , Pnmary Occupancy Group: f -- - r:r 'TB" J ()r "'(:0 Height o~~Jqt'ilttJtlhtY Secondary Occupancy Group:t 1('\1 I H\r,; _ 3.dO;Jt8d'f1i?~no1-\W:aVe set forth Primary Construction Type Nc/: \\CctIJJ, Cenwf T~fC~~(ij~R 952-001. Secondary Construction TyP% OAR 9S2-001-0010R~ge~~Ym1he rules by # of Bedrooms: 0090, You may obtal'E.R~~er *M4~Iepho~e calling the center. ~8R'th\\1~~t'on n/a ....;.l~,':'. ~nr the.?~egJ I ...,...;;'-l: l1l. Ce'll'DE'V-E~6PMENf INFORMA TION . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date Phone 541-338-7696 541-726-8081 503-224-3511 541- 726-9209 541-726-3000 541-688-1444 07/11/2008 01/15/2010 02/10/2009 03/15/2009 03/11/2009 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOT1CE~ Ulna\( , HIS PERM\T SHALL EXPIRE If T~WlBSPOJIts/Drams: IUTHORIZED UNDER THIS PERMIT \S NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 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 Comm/Ind/Public 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 or less Perm Serv/Fdr 201 to 400 amps + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Plan Review Electrical (25%) + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,048,000.00 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/19/2008 EXPIRES: 11/06/2008 VALUE: $ 3,048,000.00 Value Date Calculated Total Value of Project ~ Amount Paid Date Paid $3,048,000.00 $3,048,000.00 02/19/2008 $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 $279.25 $5.00 $6.00 $2.50 $48.00 $2.00 2/20/08 2/20/08 2/20/08 2/20/08 2/20/08 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 4/23/08 4/23/08 5/5/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 Receipt Number 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000583 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 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. $27,754.73 I Plan Reviews I Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/1912008 EXPIRES: 11/06/2008 VALUE: $ 3,048,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reauired Insoections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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, 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 or Contractors Signature Date Pa2e 3 of3 225 :Fifth'Sfreet 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 COM2008-00247 Payments: Type of Payment CredltCard cRecelOt 1 RECEIPT #: 2200800000000000634 Date: 05/09/2008 DescriptIOn Add, Alter, Extend Clrc Mmimum/ Adjustment Electncal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By CAMP CREEK ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 590077 In Person Payment Total: Page I of I 8:54:02AM Amount Due 4800 200 250 600 500 $63.50 Amount Paid $63 50 $63.50 5/9/2008