HomeMy WebLinkAboutPermit Building 2001-11-19
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Ii ."
SPRINQFIELD
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01.01108-01 I
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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.
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-
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
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/ ..
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
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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/
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Si~
Date
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.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
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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
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I Job# 01-01321-01 I
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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
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I Job# 01-01321.01 I
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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-