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HomeMy WebLinkAboutPermit Building 2001-11-19 . Ii ." SPRINQFIELD ~ 225 North Fifth Street Springfield, OR 97477 - I Job# 01.01108-01 I . Page 1 of3 TRANS#:01-0007286 DATE:NDV 19 2001 ANT RECD:2 $ 1625.13 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Location Of Proposed Site: 1024 Harlow Rd Spr Assessors Map#: 17032200 Lot: Block: Addition: Owner: Verne Whitaker 1327 Post Ave Ste H Phone Number: 310-328-6300 City/State/Zip: Torrance, CA 90501 Address: Scope Of Work: Tenant Infill Cricket Communications Tenant infill for Cricket Communications , -- .~#"'A... ,M'(, , ~- Contractor R,e~ist~on~~iration Date Gresham Smith and Partners #~ 9,<<'<(1. ~ 1400 Nashville City Center, Nashville, TN.,..... ~C::) &~ 00000 ~. C::)~'f'''.'v<<'<?- ~ Hardesty and Associates 1~f...~'V(,<?:-~~ ~~~Q2~. 1991 Village Parkway Ste~~'ei~~<;)a ((,~a CA92024 ~\,#.<<~G_.;;:.<( , _r__....~". "v - Ottlt;,g-us",~' Land Use: # Zoning Code: Bedrooms: Range: Contractor Type Arch itect General Contr Quad Area: # Of Units: Constr. Type: Water Heater: New Job Number: 01-01108-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 02305 Subdivision: Value: $38,750 Phone 615-770-8100 2/1/2003 760-944-0499 # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Office/Profession< To request an inspection call the 24 hour recording at 726-3769. All inspections,i'equested before 7:00 a.m. will be made the same working day, inspections requested after 7:~~:a:m(,.wili'~E(:.'made the following working day. ~0(i, 0<::J,o(Co .e\ \0 "v \~'Il O~ ~e" ,n.''::''' .. R . d I -". .~0 ' "" ,~" "''' eqUlre nspectJons u,v "-~ - .,\"'- ,.,J'" ~ ~\.l'J at Or (V 0 I ,.-; Building" -('(\0'" -hQj'(\ 0\ \'(\0 ~'(\o(Co. o(Co -Prior to cover. 4'; ';.." u\e'i> v f:>.\0" \0\'(\" ~\i!;'" ..,,\e\\~\c'O-\~ . ~'~, 00 .(;)0 . <;,co ; .'.~' ~l.l - Prior to tapmg. \o\'.o\C'O-\\O~'/,.J:;,\)\ o'Q\'O-~ ~O-~\~~'\ ~t>Po,\. ~o\'~ ~ 9J~ <\,'0-'\ f:>.\"~' .y,o(Co ~~'I:'I:- . 01" -{o-> 0c?i"O~e CO- ,(Co ,,(;). . ,,\~ .~\~. v~ C\(;)'" ,\\\(Co'" ,0' " \'" - When all Fire Department'requirements have been met. -When all required inspecticfn's hMe'been approved and the building is complete. Framing Drywall Ceiling Grid SUB - Ceiling Grid SUB. Final Final Fire Final Building Underfloor Plumbing Rough Plumbing Final Plumbing I Plumbing - Prior to insulation or decking. - Prior to cover. -When all plumbing work is complete. . - I Job# 01.01108.01 I Required Inspections Mechanical ... l. Rough Mechanical SUB. Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups:Office/ProfessionaIlRest # Of Buildings: # Of Stories: # Of Bedrooms: Current Units: Handicap Access? 0 Census Code: Does not apply iArea (Sq. Feet) I Main: Accessory: Total: Fee Paid On Receipl# Plan Check 10/09/2001 6938 Commercial Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbin!! 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Alter/Add to ea AppJ Unit or System Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development Grand Total System Development 11/19/2001 7286 11/19/2001 7286 11/19/2001 7286 Plan Check Type Checked By Date Completed Comment Initial Review-C/I/P Engineering-C/J/P Lisa Hopper Pam Ownby 10/12/2001 10/18/2001 . Height (feet): Proposed Units: Page 2 of 3 Value/Quantity 38,750 38,750 9 1 1 27 27 Fee Amount $199.10 $199.10 $306.30 $21.44 $24.50 $352.24 $.00 $126.00 $8.82 $10.08 $144.90 $9.00 $3.60 $6.00 $30.00 $10.00 $3.15 $61.75 $50.77 $576.99 $438.48 $1,066.24 $1,824.23 . - / .. Job# 01-01108.01 I Plan Check Type Checked By Date Completed Structural-C/I/P Tom Rogers 10/19/2001 Fire Marshal-C/I/P AI Gerard 10/16/2001 SUB - Comml'nd Jack Foster 10/24/2001 . Page 3 of 3 Comment approved as noted. Plan Review - tenant Infill BIM occ, 2310 sq ft 1. Provide 1 fire extinguisher with a minimum rating of 2A 1 OB:C, Ensure the maximum travel distance does not exceed 75', mount with handle between 3' and 5' above finished floor 2. Provide address numbers clearly visible from the street 3. If fire sprinklers movedlmodified provide as-built drawings - if greater than 20 heads are moved or modified then a full fire sprinkler plan submittal must be provided for fire marshal approval. Pass code review with no conditions By signature, I state and agree, that 1 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 701.055 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 appz:lov set of plans will remain on the site at all times during construction. . C- ~ J)-/~- 6/ - -. Si~ Date , , .i . AlTACHMENTA . CITyWRINGFIELD SYSTEMS DEVELOPMENT CHARG _ KSHEET JOURNAL OR JOB NUMBER 01-01108-01 NAME OR COMPANY: CRICKET COMMUNICATIONS LOCATION: 1024 HARLOW ROAD MAP & TAX LOT NUMBER: 17-03-22-00 02305 DEVELOPMENT TYPE: TENANT INFILL USE# I NEW DEVELOPED BUILDING AREA (S,F,): EXIST DEVELOPED BUILDING AREA (S,F,): TOTAL DEVELOPED BUILDiNG AREA (S,F,): ITE: ITE: LOT SIZE (S,F,): 3123 3123 I STORM DRAINAGE PAID WITH BUILDING IMPERVIOUS SQ, FT, o x $ 0,273 PER SF TOTAL STORM DRAINAGE SDC: 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 27 x S 21.37 PERDFU x S 16,24 PER DFU 27 , $ , $ 576.99 , $ 438.48 TOTAL LOCAL WASTEWATER SOC: '$ 1,015.47 '\ TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 3,123 x 40,67 x S 16.26 PER TRIP x 0,75 NTF 1$ 1.548.92 B. IMPROVEMENT COST: 3,123 x 40,67 x $ 71.75 PER TRIP x 0,75 NTF 1$ 6,834.86 EXISTING A. REIMBURSEMENT COST: -3,123 x 40,67 x $ 16,26 PER TRIP x 0,75 NTF I $ (1.548.92) B, IMPROVEMENT COST: -3,123 x 40,67 x $ 71.75 PER TRIP x 0,75 NTF I $ (6.834.86) TOTAL TRANSPORTATION REIMBURSEMENT SOC: TOTAL TRANSPORTATION IMPROVEMENT SOC: TOTAL TRANSPORTATION SOC: 4 SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's 3,123 x $95,10 PER FEU B. IMPROVEMENT COST: NUMBER OF FEU's 3,123 x $9,95 PER FEU EXISTING: A, REIMBURSEMENT COST: NUMBER OF FEU's -3,123 x $95,10 PER FEU B, IMPROVEMENT COST: NUMBER OF FEU's -3.123 x $9,95 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SOC: SUBTOTAL (ADD ITEMS 1.2,3, &4) 5_ ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) x 0,05 $ $ $ I $ 297.00 1$ 31.07 I $ (297,00) 1$ 1$ (31.07) ?.-.& J7. t!I..J.If' SDC COORDINATOR ComBuildSDC2001 TOTAL SDC CHARGES 10/18/01 DATE I : , $ 814 814 " . - ~ .~ '-I t'ii& ,,<:> - 'i1l93- . ~ -- '$1,~ 50,77 '" , $ , $ 1 ,066.24 ~ JULY 2001 . - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT" DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDSIETC, INTERCEPTORS FOR SAND/AUTO WASHIETe. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER ST A TlONIETC, RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHER/ETe. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD I 2 2 2 NUMBER OF EDU'S' UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS= +EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinll:le family dwelling (20 DFU) set at 167 gallons per day .. ,- DRAINAGE FIXTURE UNITS o I 6 o o o 3 o o o o o o 3 o o 2 o 12 o o o o 27 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $ 4,92 1990 $ 2,06 1980 $ 4,83 1991 $ 1.64 1981 $ 4,77 1992 $ 1.45 1982 $ 4,64 1993 $ 1.31 1983 $ 4.47 1994 $ 1.13 1984 $ 4,30 1995 $ 0,97 1985 $ 4.09 1996 $ 0.82 1986 $ 3,78 1997 $ 0.63 1987 $ 3.41 1998 $ 0.41 1988 $ 2.98 1999 $ 0.22 ,1989 $ 2,52 2000 $ 0,04 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE x =1 $0.00 IMPROVEMENT (IF AFTER ANNEXATION DATE) x =1 $0.00 CREDIT TOTAL $0.00 ComBuildSDC2001 JULY 2001 :;4 oJ . I Job# 01-01321-01 I . Page 1 of2 TRANS#:01-0007438 DATE: DEC 06 2001 AMT RECD:2 $ 137.50 CHANGE: CASHIER:032 SPRINGFIELD ~. CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01321-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1024 Harlow Rd Spr Assessors Map#: 17032200 Lot: Block: Addition: Tax Lot #: 02305 Subdivision: Owner: Address: Cricket Communications 1024 Harlow Road Phone Number: 541- - City/State/Zip: Springfield, OR 97477 New Value: $720 Scope Of Work: Sign Cricket Communications Sign Contractor Type Electrical Contr Contractor Registration # Expiration Date Martin Brothers Inc. 3165 Commercial Street SE, Salem, OR 97302 Martin Brothers Inc. 3165 Commercial Street SE, Salem, OR 97302 Phone 503-364-2211 Sign Contr 503-364-2211 Quad Area: 1 CNW # Of Units: C<onstr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 working day. Sign Electrical Required Inspections I Electrical I -After connection is made, but prior to energizing. I Silln I Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete. Final Sign Nor/CE: ~~:~~~~SHALL EXPIRE IF THE WORK COMMENCED~NDER THIS PERM/TIS NOT ANY 180 DAY PE:/~;BANDONED FOR -After all required inspections are conducted and approved and the sign installation is complete. :.1 ....::,iI 1..,1.'....J. ~'f\JI"C.!~ ..:4...."':.~~. -' tollow rules aC;cpt.3d by tht: 0, "yon UtilitY Notification Center. Those rules are set (J,.:', in OAR 952-0C1.:J(J 10 through OAR 952-0C - 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Or::lgon Utility Notification Center is 1-800-332-2344). ,0 ..~ ;.. . I Job# 01-01321.01 I . Page 2 of2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: , Sign District: rSign Dimension:: I Vertical: 2' Height (Above Grade): 13' Sqr. Footage: 12. Illumination? 0 Community Comm Type of Sign: Wall Sign Face Type: Single Face Horizontal: 6'1 Thickness: From Grade To Bottom: 11' Sign Material: Aluminum & Lexan Comments: Fee Paid On Receipt# Electrical 12/06/2001 7438 12/06/2001 7438 12/06/2001 7438 12/06/2001 7438 Value/Quantity Fee Amount Minimum Electrical Permit Fee Each Sign or Outline Lighting State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 1 $.00 $50.00 $3.50 $4.00 $57.50 Sign Permit - 0 - 35 Square Feet Sign Application Plan Review Total Sign Grand Total Silln 12/06/2001 11/29/2001 7438 7367 720 1 $80.00 $40.00 $120.00 $177.50 Plan Check Type Checked By Date Completed Comment Sign Kaye Wilson '11/30/2001 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of () PI[;~e~O~ ~ita: ,aljeS during the installation of the sign(s). \:)., --1:2./-;, / () / ~ Signaturll ' / Date ..--.,. t. .' k",." ~:: ,-, "I Items Cost ,Sum ", ,'. ' ~'~;~:'^'~';'-'~ ~ . \ '1 t.~".." JOB DESCRIPTION I 1000 sq. ft. or less $106,00' r;:;';~; La <..,/ V t> I firs ('.J Each additional 500 -;-:-, ~'1'l\i',:'~ {o 1 sq. ftorportion ~''''';'i.'.'~. f" :..! Permits arc lIon-transferable and expire thereof j $ 19.00 I,;,'j ~:~,;~S:51 ~f ~'~~:~~~~I~:~~1,7~~k':~t~~~p~~~:;j~r ~~~~:l~~~~~l~;mc or ,t>:' \ :<~ .>! riX~; 180 days. 12:,;; , ServIce or Feeder / :,." . $ 50,00 ", l'i.~>;i t\',..~~ /i /:~:~~. :'_.~ :1. ~ ..~,:A".; 1':,::',',:,;.1 2, CONTRAC;rOR INSTALLATION ONLY B. Sen'ices or Feeders /:' ' " --: ". '.' \ :" J'j },,~".". j':<l J::,:\ Installa~ion,Altera,tionsor. . . ,.~. r-:.'\ '0'" Eleclrical'c::on!\acto[~lAcliS. RelocatIOn: i"" "';.: ''Y "', <,':"" \,.,,\,.' ~~t;~ Address I~n~.:~l~ r~ ~lJMV< Iv<~ ~0.~", 200ampsorlesl:~::!" ,... :....~~{h3~~).c>~:'!I; j" i ........'.. ...... '. , l'~''':'l 1':' \ f...'~ \ - /- .:. 'i.... 201 ampsto~O:9mnpS:'<~$75.00'; :.I:\\"i City ~.mlu:r-~' :;' PllOne ~f}:l-.~OS"'n ~,,40 I amps t'l600'amps " ",. ~ $125.00 -,--1 ~;;t;;:! I "" \'. ", ( /-., . .. " " .. '9Q! amps 101000 amps" $16rOO ---.:.: ,;, ,.." Supervisb~ 6c~r.s,etN,' unlber 2~ C) :;;t;J J....F- OVer 1000 amps/volts . $375,00, .~ "" :~"j t' .:, II, .' .'''-", .. '. , RCCOhne~i Onl\" .' ~ $.50.00:- i !:::':<,..~:.l 2~iratio'.'~ Daie~"~,', lo/t} I! hlJ,n'~ . . ,/ ' '. ~::-C:-':. --:-,"Jj ~'.' l..;~' - " " " c.. Tcniliori,ry Services or Feede;'s. " t~1;:l '<:ons~r_~:?,n ~ :~.:r~ ", " " ,Inst:'II'.'!iOn, Alteration,orReloeation' ,,; .:.,;!J t~j>~~: .'~:' ';~E~iration Date nl17"'~-':'~~ -~l!..-~-.,.o" J 't, .:,.=~O~ aJlnps'orJe~s " <'. , '>, ~,$~O.OO.,~~~ "y""". oJ;'. . " . ~. .' 201 amps to 400 amps" "$69.00,'. 1 r::"~~:~~'::"sigii;lti;reof Supervising Electrician ~oYer 40 I to'600 amps" '. - $106.00"""""'t r;~ ~~i~~l~ ".A>..:~",~\;~;-<:---, .~:,.::(~~ Ov~600.amp's'or 100.0 volts s'~e .;r -;-:-; ',' '" -' "'~t "",,, ....,. ,..'. :A--..11 ~ "B"abo\'e ~. . ,.J p.,". , '., ",':, <lLl\,..A';;;Ac~~" (} ~ ~ A .-. ,. ! t):1f: t;:.':, :::,~:-~;' :~;:' ~'. :"\. ' " D. Branch Cire.uils, I." : " ! ~"'tt::" ./ow'l;irs'N'a'm~';.1btc..:r/: " :-1Ji:;J~ k NCWi. Alteration Ojr,EYlenSiOn Per pane.!,' ,; 'i ~t'~~~~J~~~;t~~~8 goo fi!~;~'i;,~,,,w,,~:2~!~'~ :::,J rr,<~~t.:~/..:,. "., _ {<_~:.:..;: ':,f".~,:p~,,:..t~'.T": .' J or,F7ed.~r"P~rI111t.~__1U~ ~.$ 3.0~; ~.<:1 b:,;,,~(., '\OWNERINST;\i.1;ATiON>~}:':'f 11/.'. ~'h:!f.r .....;i \ ,., ',..c'..,'i, ... ~.....1 .~~. - .....' j ft' "h,'I;":;:~-i'--1"} \O:<i<"'."..':"~'r-"'': ~,','./'c, ;.::,", ,'The i,gs.talla.ti.bn,is,\lie.i~g niadeon~' ('. E. Miscellaneous (ServieC/feeder not included) ",,' <. .."'; .0 o. .. ..' tIt: '....,..,...,1'.'.'.'1"...,.,\"..;, \_<,.., ",,,....'.....,, ~~}.~~,.,?'.<tP~C?perty to5v~,~:lyc~.i~,/1~~i;J.1~end~d '~" (; fEact\J~Jrsalla~~pr';:,;"~'~ f\ < >', ..',' '~~'~'~':.~' ' >:'}.:";~/. ;for'sale,:lease or renti.:;-':; .:~. '-'~'. .c_:~, ~.:\~\ ~ Pllnip-'or.~irrigatii::m. "':.:....r /'. '\:$50:00 '. :;~'''r-::j :~-. ,<;."::~{~~;~I.':'>~" :~,'~~.:~ .;;<~;~_.~~:~~~~<,.~,~~.::;L.~~.j:: ~;~~',,,;~~' ~ ~"~g~8U~fi~~e,~i.~11tt~gU / / =t$~O.09'_ ':.' I.' ~~ ~" " ,"" >OWllers'Slonature"'" ',' , 'q '''' t L~~:Jte~;.E,;~,gyfR~;":"i:) ~ $25.0()'~i' ~i!;~,_"..'..~,,:.\..:~:.';.'..,'.::',.., ; ~:: <":;:(,~!,"':,'..1. ~,tli/~~.>:.',~~~:~.~:',~.~,',::~.'~,~:,.i~t:,.i~,t\". ~."~~]11ltedEnergy(Coml!.1:' . ~ ~ $45.00.~.--. r' . . ~. .' } ;~~'~'Jtr~~.~ .: .:;.: \",,.::-- ;': .::' ',:'.< '.:'~, 190:/13Ii-lS\1:J,::, 'co, ".. ':'\;. .l..,' ", MinimuinElcctricPermit Insp'ectilln Fcc is S45.00 + Snrcharges 89.L:;$:39N\1H5'.,....., ".... .,,!I,.~~.>:. l.:: \ ':". ~y 6ti'$.:t'Q:tj~ lW\1'~,: ...,,~::}f\" '.:,' . .. 4. SUBT6;ALbE~BOVIit' Ii <:"::~. TOOG!to~:.Ba;31\-Ja): . ..".;., . " i" \. 7% Sta{~'S~I:ch;,rge: }:' '_' OOlJlO,OO'-.-W;1tSN\13.F: "'. ' ,'," " . 8% Ad~jniStrali\. :: : " r ,.. -.., .. ". '.' '.' ,.";.~\ - to" ,;.:. :0:,.,,;.;',: . ,,,:','''..< -:;.') c'.' . ,~, 1~;:;(.::J '<;.-:':~.~' '~:?!,)~~._:~~ ::.~.~~;.~~::~.." "'~~_~2~~~i~.:~:~~.~'2\ TOTAL I - :..~,., _ T.OWI~gproJe.."!.a~~ubmlttedhasthetollowin . '. .' lC::,,;' l,..22),~IFTH ~~,ET r:lz'l!'lrygi\an~ .~oe.. rot require specitic[,and use %~ECTRICAL P.EfUyllT APPLlC~\ION c. r;' "'i.\ {'SPRlNGFIEUD OREGcMA.l'!~t1.7l,.. JJI J , " ", PI', ..' .' l. ..... .:' ",' : '), , ,', t:....",:-~. ,INSPECTION REQUEST: "726:mf? (1;.0 C' I! ! :c~y \Joh ~nn','he.. c5 J .:....0 (/0 g ~ 0.1' \:t:.:'.\ 'OFFICI::: ?~i;.~7?9,.\f 'd~t~ I 'j h~ln 91 J' j !.!),: t-. ';., . . '. ',' c . r-:U.1..r ! ni ",1!H\'. ~~~cl:tll \ I \ ~Y' " ESCHEDl!LEBELO~V '. \' '\'1L'.'11. LOCATION~'INSTALLAtlfl~t~re, J'I -. .,1 ^ "J I :.'.., , , . . '.' '. \:. .,." ,.J 'l( .-" f'" \ I {-". . /v "H' ...{' ", 'I 'II ~ ../ . .,.' . . ,---.' ... 1/'1~? ' '"'" '/-" ~ -,.; ~o. ~ "--'--1 'A-'N' , 'R 'd t' I S' I W:_~ ' (.-I (J "^'" __ n.. CW CSl en Ja - mg C or- ...- Multi-Family per dwelling unit. Service Included: ";f , \. :\". LEGAL DESCRIPTION 170~ ?70'e:, 02JCI" 5f~ 12/05/01 WED 14:09 FAX 5417263669 CITY OF SPRINGFIELD . T~e Aing proiect as submitted has the tollowing , .2 fl- O~ 1$ J . 62 " ~::.: ~,:~m_ t:rr!~"S~ ~,Dnl~g. '~~~ ~~~r~'lt'q m.... ef;l'c la'l)l~~~, E~E9,~' :'E~~iAAPUQX1;lql{~.;~:.;:: ;':. ,_ ~!l :'. 'O:;ZSP~EIELD ORE~~4':N ",.; --~-;. ;,~! . :L: '::~.;:i.~-::;; (i" .~ I!~"=.;;~~ "';.T'i"";- ,-,:. \ ,~ ',!$"\~'~ :;,,~ ,,,.~;'t,~ H 'h'.I~ ~'..~' {H~ ~~ ~'__ ,.7,\ .'~.' .; ,_ . <' .- \~ ,;1;,.'.~' ,~_ '~~~i ,;::.r-~~:";'""r-_ :~=~"Zi~ :'.~;0:'~'\ ' '., t;:'"t~':..1 ':y,;;:!~, :f.;:~1?P~~TI.,__\5~'.:RERp1;g.~~7~",>; '. _..,~.,,:, _ ,:, ""......~.~obN".1i1~.~.~. "";'~':'?" 'J'..:(~, _ ,,_,~ ,__"'_ ~ _'_. ,_ "'_-"';"-~__. _..,.I,_~.. ~ x- '.~l ~:: ...."'",~-".'n."...._... __ . ,,~. -..... lr..:... ';.:'\..";:';.~~~ \,.:,.0FFrCE'~:7.2e::37,59.':{':jH,'tai~ ~:~,- ",.;if'" . r. _ ~};.' i'."' ",}'!", ....':':.i,~~'...."'....."";..li:..f.(~:lv.-'"':.'.~ 1..i:'RfHC, v J;-'''-'''''i. " '. .", "::;1!'~.:, _!'~"' ~ __~' :'..-" "" "~~t?, ~_" ,_,: ~ ,'::"'--'1- ~ ~. ~'_ ._' -,,' ;."~~',~. ):;',;":''';~ -. - ,':.. ~J ',~,' I' ~,~..,.f~,~:: ~ ''i;~"''t"",l''':.~" _"", ..:;oo,?::' 0;-; ':~;~';:;i,' ,~.,: -'.' ~~:" .;: _ ~S';:( ;-~- ~; . ~-, COMPLBTE FEE;SGFlEDUDE;};iEI:O\v';;-'.f':7fX< : ,'~.~;:;~?:~~;~ i' ",',p ;,,1",_,', -.,~. _.' -, ,','-, l?il:,tbbr1z~ ,Sil'i11atur,*~~ l " ..,-~' ~ ',_,l',,~r' ,,";-_-~:~.'V:..,., ',-,"l: ~,..';-.'1ti;r.~',: W' !~:-')''''''< tl\",',' ~::"_,(;.~""-=-: ~,.': J, LOCA'FION ,6F'INST:AL . mON ~;;, :,.~,;~'~~~i' ., "'~;Ir~ ';M~;t::.::. ~;:';'~~~""1.1!~~~~~;~~~::."~~;.:.;~~"",,4.e';-~~:,,;;-,~ ~.r,"~ ,~:~7i\"II:i~~/ ~.:.>;.-.'" Ii', "~I."- ~,;!Ji "J _"- ~""ll "~I ~""" ;:t. . ',' ".~" ..- '-'l"".~,,,,~;.' ~'",,, ,,'1"-,I,.I._"':d1. '~r. t"' ,',.' "'~'I.l',1 ,'I: I' " J () 2.,- HA.r tJW 1l'"t2: - ".:' .~--":".:.": Nelv-ResideJltiill~Si:ri:glC-clr~w -.I~ ,'-~~, ~~ '.._..':.:;;:_l:.:.~ :.c!:~"',i :.~~~~\~~~!:~~~~ Multi-Family per dwelling unit. i,I:"~':', Service Included: ..;'_.d7.......(~. Over 600 uB" 3b~xe iifh ..... f D. Branch cjjf~iiit~'. i;c, ~ I j,,,, New~.::oo,',.""!ion oI!~'tension Pe;1' <'"f':~''''''''' ~~ . }'~1':" lj.~.~:-~:",~::!:1;~;':,~f~;1 :'liLi1l1he~~EiibHr ...,.,C~ ':~; 2 $45:()ot,Rbi~O~ 11~I~J"~~"":ti*~:I'q; :'::JltttllJ...,,,,,m";?fJ ~O\:029,,;;,:,,'~i~1fj~\:;,.,..,..~ . "-;';'-':':Ji<".,~-~""}"-' c, :-J'L, 7% StateSur.:Fiiffgl ;.', /'. ,"to I- G1~~~ ':iJ:!\i}i'~~:! :)7lJ"~'..~~ ,:-- r', .:.H'i;~~'~y';.~"\: 't-.-~..:,. 8~ Au..i.'f:;;:.~:~~~,~ ~r.' ~F /1::;~;. '-. '7 2.-0 . .. f: ~\:VL6:~:ttir~!~~~~~~]wI~G~~~{ A;~ihr~l~j~~~~~~):\ T~T:!~S 'a;'r:~;lt' r ~ --- ~ IO>~ .'j.,."". ~,~'. Ai:;~~ ~~{~~ih . ~~~~~, II f; .}, :~~ (aJ001 LEGAL DESCRIPTION 17d -='-270-0 023.0$""" Items Cost JOB DESCRIPTION . A I. _ _cav,,- ~~IN\ Permits are ~~on-ttansfemb]e and expire llwork is no~'started within 180 days of issuancc6iiif work is su.<pcnded for 180 days. jJ~~~ : 2. CON1'f&,tCrOR INSTALLATION ONLY .$;~~~~~j; .~H:., . E1ecU'ical8iil~Ctor~PT ~ ;~,:f;~~ lib ., J ~f~j: Address ;~'~ .oo' 15 ~ t'llI. ' '~r.q;:f~H. City &~~~f ::P~rvi~~~ii~!::,~(I~f:~;' :d;'~~(~iL!~~lt ""F.,.'\-piratioll D~te -"~i':7'.;;.t:,!, 1000 sq.ft or less Each additional 500 sq, ft or portion thereof Each Manui'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $ 50.00 B. Scrvices or Feeders In~tnllation, Altcr, Reloc~tion; A E. The feng project as submitted has the tol/owin . ;'~., - f":225, FIFTH ;>ptEET ~:'r1g, 'f~d 10esnlo,t rtqUife,:spiicifiC land use g ELECTRICAL PERlv!lT APPLICATION' . T r'::.\SfRI!'lGF~LD, ORE\iUN ~~~77! .:.....C r r: 11 j i ,_,!,; '. ' , ''-, , i I INSPECTION REQUEST: 72&:~B9 I,~, { r= I I ,. n,' .Iob Number 01- 0 110 g- - 0 I . \" \! ~Fi.CE: 7?6-nS? \b~t~ ~,! i, ~~(~~l! i I (' ~ ,;! ". . ~".) ':; ~. ~ "', . I ~, , \ AJt~onzeo $~tu.rd. U . ,:COlvIPLEHHEE SCHEDULE BELOW \. ' f i '1. LOCr\T~ON,O~STAI,I;ATION 'u" t', i ~:., I I ," " '0. .. ... I ~ .l L.:J ... _1 ..... ~~ ~_ . ~./. . . . loz..q I oiJi r'2-d A. NewRcsldeutHlI-Smgleor'.-....-H ------. Multi-Family per dwelliug unit. Sen-iec Included: JOB DJ::SCRIPTI<W I fl /1 I" I (LUV G- -h0- -r:;",.I,.., 1- I;.tr II \ , Permits are non-transferable,and expirc ' if work is not!started within 180 days of issuance bi 'if work is suspel'd'ed 'for . 180 days, o" ,', , f ; ,...1. . QONTI0<:::fOR IAFALLA TION ONI. Y B. SC'TiecS or Feeders ,I. "'" }'" Installation, Alteeations or J '.\ J"), /. . Electrical',C,ontiactofA'/Z.r E:/I!c".+-,:e. Relocation: /,. " ... ";~; , r', , '~Ii\ /.,"" / . \:, ' Address ~S'7r1 ,lIwl c;q ~ r.-H. 'J'.,. 200 amps or less i' ,! .) f: " /../.:~ 20 I amps to ~O~ a~ups'. . . I':': CIty [.,:!eAd, r, ,P]lOne 7l./1-~Y~r':~~i '".401 ampst<j6pOamps 7~: " sup~rvisbrLiceI~~c)Numb~r ~7 i;~;;~:>,/ ..', ~,~~I:ci;J~I~~~'~::;s [:; l ' . .1':. V; ~~)u'-: /;' 'i.,;,.f'.},rt~i~cconne~t?nIY " ,),,, ,..' '"~I ExplratlOnDate I'?"O/ /,,'q 5' ';"":.,,;;,/.,,:'''~'' ".:;".),.,,~( ,; \ " '.:; tfonsir,~~~~.N~~~ei;'~; ;~S ;i9;<~ ; ,~" itAr~&~:fj,:~;b;;,~~:i:~'~:i~~t;~:II:calion I.;..,:;L,,~ . --~i;:"~'->""> ''', ~;'>'"'), ,,~;~~ftf'_':"~'<::';')i:';;"'~ ~ ;"i. :,,:: ,;:-Expiration Date 7/;0-/"_ 'Z ",";)"';;,h'.j,1,i ';:;"200 amps'orless t ~' 1 I " .' . \ ',' 4" c.'<.X l. ~ .. ,~, J<\ " /,,/.. ~'/'" -. " '-'" . D: Branch Circuits ' . ;,,' ~,:.'>:. OwVcrs Name tJ,U:..~- Il/kf'4iML ' New/Aite;~tion or,Extension Pe/P~nel' [f..;:,..,. .Ad,d,~es~js~.~,i\,.:'~A:J~,k\ s&f/ oll~,1Ir,puit\" fl (~ $43.00 ,.,.. "", ,,'., III' ,)}", - I ,. 'cit;T;<i:~' C Ph';~~ 3/0;1 3Z8' - b3.0D ifdl~;Addition~1 Cir~uil or with '~eivice, '~:: ;'~. " ., " ,'"..; fi.F~~dir P~~;;;it--:;:~'" 3<:1 $ 3.00 rt:'-~?/ ", 'OWNERINSTALLAtION( If"':. ,. ),:/,.-.,.ri '\, ..t ~:':~;'. ' The installation is'being madc'on. E. Miscellaneous (Servieclfccdc'r uot included) . :.' : ~or'-'".:.~".piopertY I,o~~nwl;iCh is,notintendect' I' I-Eachin.sttij.latibh," .'., , \ ' .,<>~::~ ": .;' ~for~sal~. leas'e or.f~nt\ - .'....,, ,. ....: . '. e hlIlip'b'r(~ig~tibh .,'-~:~~"I ,l \ ----.J.'$59.00 --:. . . if Sig'!-(Qutlinetigl!ting' ': ~5000 ~ : \~'.. Y(~h~'ncl"s:Sig~iture:~, ,'.~ ! ,~.: i: Lj~l~!tedEnergy(R~s ";.: _$25.00,~ : ,; .. ',Liinited Energy/Comill $45,00 .. . -: , '. . ", ,t" " t ",. . ~ . '.', :'. " " .... I\'1inimu'm Elec~..ic Pe~mit Inspection Fec is $45.00 + Surcharges ".'/ (:. " ,.', . '\ '.. 4. SU~'T~+ALOFABOVE" /,,?-j~'-oO 7%Staie'Surcbarge : : /0-7/ ~'" 8% Ad@nistra;,i\'~ ~~e( / :J.....;:;-f " ~/7-b:9S- l:9(j; 8JIHB\18 : 39N\lH8 Ij6 'gH,$ Z:a::l3~ UN.;..' 100~90 83G;31\:!O . 6\:i;1kDOO~ 10:jjSN\ilU .' .-V ,'-'t, -,', .;.',t'.., I,' . , , ,":~. I,~," , r', t':;;,:,';' i :",\;;.\" , '.:\. j: LEGAL DESCRIPTION 170 ~ 2..2..0 0 OZ30S- Items COSI Sunl ,,' 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder /~ . $106.00 , $ 19.00 - , / I . . , '/', j ~' $ 50.00 ;.S II , :.?J ." ~(, 1f"' ..(~ ."'1,_'(1; "', .~,.I ~. I \~ .J-:. . ,\. '1 _' .. ,,' " . " " ". ... ",1. ':, 0 L $63.9o~$.:r.~ , '--..:: $ 75:0~"'p;; , ~$12)..Opj---Ir ." . $163.00 ". ----:- $375.00 -:--, , ',$50..00- " " '\ .'~' " $50,00 , ' . $69.00 --:-' ---.l$100.00 -, --:--1 ., J " . ~ . L' ..... ~. ,e. ,'. .... "', "'j. ~ t . .,~ ,'... ~, " "I' . ,~~ '; . :..{, '" -' ~~>v " ''1' TOTAL .,.. "1" ~. '~.. ' -- -'~ -':." '.:.,~-' ,:- --- ..1- _.~_~_. The following project as submitted has the following zoning. and does not require specific land use approval.. . CG Zonmg - 225 FIFTH STREET Dall' /'J..~OI O~ SPRINGFIELD, .OREGON ':J74// INSPECTION REQUEST/luth1,l~3'1~ture K OFFICE: 726-3759 1. LOCATION OF INSTALLATION IflCJ</ Ifar/o?,) PA LEGAL DESCRIPTION /7, 0:='1 ."22 ~ tJOO ;;t30s- (( JOB DESHRIPT~ON ~ \ (lh'r>}../- .LV t>'M./ iJrlJ I ) ,0 ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number (J\.()\~2J.D I 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to. 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contracto~~~~ J'3~~,~~ Address~~r.-t~ (J ~<.j.se.. . Ci ty ~a 10..-...-. Ph on e..o/3 - 3'-st -.;t;ll / Supervi.sor License Number '3i:!C;-Slfp Expiration Date 1t:>.k,1 -e Ii!e.-f>r c,d r Constr Contr. Number~-~3 e.LS hw /~ jl-~,/ 7'1 .3/~~ Expira tion Date //;/0_1 200 amps. 'or less 201 amps to 400 amps s.ignatfZ~~f upervising Electrician Over 401 to 600 amps Over 600 amps or 1000 - /' '\ 1/ 1\ '. ",,"^^M''''': /",.J.' D. Branch Circuits Own~an\'e \"U{\ Yo + \...l,.\!JU\Vl\.ICW\0f6 r\__. ~ New, Alteration or Extension Per Panel Address \tf)A ~). \ n. L) 'U...I.U..L- ,.."cIlM $ 35.00 Ci ty~~\\ 1\. ~Phone OVNER INSTALLATION $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders . Installation, Alteration or Relocation Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting--L-- Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE ~~ State Surcharge ~~ Administrative Fee TOTAL . $ 40.00 $ 55.00 $ 80.00 volts see "B" above ,. $ 2.00 not included) $ 40.00 _ d.{)i) $ ~.OO ~<V $ 20.00 $ 36.00 ~~O.og ~.S A\-.~~ ~. -if- 1$0 :2.0 M-