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Home My WebLink AboutPermit Electrical 2004-12-9 ~ -.,.(1),- . ~ ~RINQP111LD ....._,J......... Ot.. J'~' . ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54~16i 689 ~ . ELECTRICAL PERMIT APPLICATION o~~ o~.;. . 6 D City Job Number C.OM ucJ'-\ _ Ol3"'15' Date "-.,, 0..( "'\!':9?, \ I. l-.tq,gtlQM9..t.:-!&I4@tjON.... 3. reO~LET!,FEE;~c;.H~D~E ' ~Rl=T11vv , ~ '3 '3 A. N~W:R~i'de'Ati.i-Siri'gle'ilrMui'H,~ '. '!~~" _J.415 ~/(~U.JX. OOc:..Oc. JOB DESCRlPTION P~/Ju loT Lll~ If'I'W4 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~GONi'RAcr6RW'ST.A1Li!4:.TION:ONi'Y)l 2. h. .1II4dl<'\~':if~...-::~-;L~""''.:~<;_.~;m'_Q.It. .0.;. t3I Electrical Contractor (, h tI Sf.4l5vY1 VeJ ll)/o Address Ia. '1 y e>L f1...t../ DILl v..!-- City ! IM1.l\.1.-1 ./ Phone t; ~ . (p I J-I Supervisor License Number Zo/ 0 1 ~ .5 10 I Ii cJ -, , Constr. Contr. Number ~ l:, # I , / Lj L Expiration Date -, ! I ! (I!.P ';.-~.." . M (2N':' 1",d.;:""J d,,,\;"^- ZVZ. ~ I-l-AaVM:, T c"J City <;..;> }<::CJ Expiration Date Address Phone OWNER INSTALLATION The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: ~ Inspectloo Request: 726-3769' o~I'1oL{1 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 $50.00 1.'1\u...~1J\~:"'\f.;< ',/ijf:iI>"",~~,ji,~",:...,iJ,:;f.;~'/"?'~':t'''!''',:~',~" ,""', ....f" .~) B. ISe~I~~~ }l~~~~l@!t~;:-~Instal!!I~~!t~e~~~~!!.~"S~~!t!-~!2~~~~~r,: ~ 200 Amps or less $ 63.00 201 Amps to 400 Amps ._~~ \ltllJ7'570o 4(}l Amps to 600 A~r~on Ia.VI fe<\U'~:~ $i.12S~OO 601 ~\~. lY/lred b~ tM ~'~~~rB I$Mj'Jo[ Ov:<Q~~'Wo lal. 1\10se \u::-"b.~f:t37~~0 ReiFoUfI~9 ce~ _00\ 0 ,,,,IOU,,," _. ,\ol,l $,SO.OOW o ,~,9 C\52-00_\~il'COP\"~ -~ "'~1'l\10ne C. I1tttt~~eT~~S~~\;!II~~~..tl!t~:'l_~ c.a.lling t\'le Olegon ~;? f.~tA). Installallon...A Ileflitlli'r or ReloCation....... n\lIlIIJC \el IS I-~- 200 Amps or lesCen $ 50.00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. _1Ji1tn"Cg!~i~c~~iS' .' , ,.~ New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Additional Circuit or with t'7 I Service or Feeder Permit c.- $ 3.00 ~.. -C' ,r.: ,tIIli"'T\ E. .'i\,i'i~f:lf:t~A~~\'.{S~~(~~f~~'it~iSi:Ji~li~r~~~j~..,~I'~t~I~~~~~ \~.~ \ \~- t-.~I\ ~DP;:; "~r"'.) _, rO Pump or irrigaP,'W3 \-'\:.1'\ \:'i) \l~\)'i:?- ~,\~~o.'OO:'i) Sign/Outline L~~~ng'J?-I~\,\:\) O~ I~ t'v' $ 50.00 Limited EnergYlReSide'J-ti~lp"V \,\:.\\\\JII. $ 25.00 . \JV" \' ", Limited Energy/~qQim\:\\\ra $ 45.00 Minimum Electric Permit Inspection Fee is 545.00'+ Surcharges 43. E" .....jo,~~'ibV"H..,;;;.~~...'tI'~'.;~i 4. iSVlITOTA'L.OF..:4'BOVE. . " ,'-;' ,.....--Jlrlli\~.....t.~,~.,. , ,,~i,,~i 4~.clO ~A~ 4.1'0 51.'31 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnsIElecmc111 Pennit Application I-03.doc . . LIl1: OF SPRINGFIELD . Building/Combination Permit PERMIT NO: cOM2004-01395 ISSUED: 12/08/2004 APPLIED: 11/12/2004 EXPIRES: . 06108/2005 VALUE: $ 93,673.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2425 HARVEST LN ASSESSOR'S PARCEL NO.: 1703243300200 Springfield TYPE OF WORK: Church TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Parking lot addition. Owner: NORTHWOOD CHRISTIAN CHURCH Address: 2425 HARVEST LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Archilccl General Eleclricnl Plumhing Contractor ARBOR SOUTH ARCHITECTURE JOHN HYLAND CONSTRUCTION INC 46071 07/11/2008 NEWWAYELECTRICINC 51088 06/27/2005 EMERALD EXCAVATING INC 14173 07/14/2008 BUlI!.DINGIIISFORMATlONI'IRE IF THE WORK THIS PEHM\ \ "n"L~ ~,.. S NOT #.of-Stories:EQ UNDER THIS PERMITt,oI.,Size: ~Mghl~f'Structur.J IS ABANDONED ~~lj;-t 1st Floor: "I "'JII"lr-I'.I\..lLU Oil Type of Heat:.w PEDIOD Sq Ft 2nd Floor: ~ r.1V ., KIIIJf'\l n . Water Tjipe: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: License Expiration Date Phone 344-3332 541-726-8081 541-686-2365 541-345-1505 # of Units: Primnry Occupancy Group: Sccondnry Occupancy Group: Primnry Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Fronlynrd Setback: Side 1 Setback: Side 2 Sethack: Renryard Setback: Solar Sclbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Covernge: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Ore~.ftmtf"'W~~BMENTS I Street Improvements: follow rules adopted by the oregpn. Wlt'~h . . . I C ter Those rules a.r~ ~~~ .9,\\ Stor~ Sewer A ~allableNotlflcat on en_, rou h' OAJ~. ~g2)}\l1: Spec13l1nstrucl1on: In OAR 952-001 0010 th . 9 gf the ry\@s 911 0090. You may obtain COPIE:lll . -,,- . f Noles: calling the center, (N01@;.lM 1\!1\!~h@f\€! number for the Oregon Utility N@!llieell@R Center is 1.aOO-332,l!@!l4), . Sidewalk Type: DownspoutslDrains: Paee I of 4 Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line Description Tvpe of Construction Estimate Payine: Estimate Use Bid Amount Fcc Description Plan Review Commflnd/Public Bnilding Permit Curhcut Permit Fixture Paving Plan Review Commflnd/Public SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddU I 00' + 10% Administrative Fee + 71X. State Surcharge Add, Aller, Extend Circ Add, Aller, Extend Circ Ea Add Total Amount Paid Inilial Review Planning: Review . . LH}' OF SPRIl'~u1'1~L1J Building/Combination Permit PERMIT NO: COM2004-01395 ISSUED: 12/08/2004 APPLIED: 11/1212004 EXPIRES: 06108/2005 VALUE: $ 93,673.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 12,266.00 81,407.00 Value Date Calculated Total Value of Project . $12,266.00 $81,407.00 $93,673.00 1112212004 11/22/2004 Fpp<. p"W Amount Paid Date Paid Receipt Number $221.91 $130.80 $75.00 $56.00 $495.45 $130.55 $347.89 $6,957.70 $45.00 $70.00 $4.90 $3.43 $43.00 $6.00 11/12/04 12/8/04 12/8/04 12/8/04 12/8/04 12/8/04 12/8/04 12/8/04 12/8/04 12/8/04 12/10/04 12/10/04 12/10/04 12/10/04 2200400000000001401 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001709 1200400000000001726 1200400000000001726 1200400000000001726 1200400000000001726 $8,587.63 I Plan Reviews I 11/15/2004 11/1512004 11/15/2004 11/17/2004 APP SKG APP EMM To be constructed as per approved Site Plan Review and Development Agreement. Planner was Ashely Deforest. Discretionary Use Site Plan Review ZON2003-00039 Paee 2 of 4 . . L11 l' OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01395 225 Fifth Street, Springfield, OR ISSUED: 12/08/2004 541-726-3753 Phone APPLIED: 11112/2004 541-726-3676 Fax EXPIRES: 06/0812005 54 i -726-3769 Inspection Line VALUE: $ 93,673.00 Puhlic Works Review 11/15/2004 12/07/2004 APP SB LDAP ISSUED. ADDED CURBCUT AND SDC'S FOR STORM DRAINAGE. "TAPPING" THE 12" STORM LINE IS NOT ALLOWED. TWO 12"'X 8" WYE CONNECTIONS ARE REQUIRED. STEVE GRAHAM WILL CONTACT EMERALD PLUMBING TO ENSURE CORRECTNESS. NO WORK OTHER THAN CURBCUT IS ALLOWED IN THE PUBLIC ROAD RIGHT-OF-WAY OR WITHIN PUBLIC UTILITY EASEMENTS, WITHOUT AN ENCROACHMENT PERMIT APPLICATION. Structural Review 11/15/2004 11/17/2004 WE JMP Called John Hyland. He said that Tim will fax the value of the job and the electrical contraetor when he is chosen. Structural Review 11/22/2004 11/22/2004 IO JMP WE. Received revised valuation. Still waiting on electrical contractor data. Structural Review 11/24/2004 11/24/2004 10 JMP WE. Brad delivered light pole hase/foundation drawings. Still need electrical contractor data. . Stnictural Review . 12/07/2004 12/07/2004 10 JMP WI. Met with Tim Harshbarger and he gave me the electrical contractor data. Structural Review 12/08/2004 12/08/2004 APP JMP Received Public Works and SUB approvals. SUB Review 12/08/2004 12/08/2004 APP JF SUB Review 11/30/2004 SUB Review 11/16/2004 11/19/2004 WE JF JMP called Brad at Arbor South to request energy code forms and information. Brad said that a Church member will be supplying this information in the near future. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I )?pflllirPfi Tn~nections I Foundation: After forms are erected but prior to concrete placement. Rough Grading: After gravel is in plaee but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Paee 3 of 4 . . CITY VI' ~rKlI~GFIELD c Building/Combination Permit PERMIT NO: cOM2004-01395 ISSUED: 12/08/2004 APPLIED: 1111212004 EXPIRES: 06/08/2005 VALUE: $ 93,673.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all elcctrical work is complcte. Curbcut - Standard: After forms are erected but prior to placement of concrete. SUB Final: After all required energy inspections have been requested and approved. SUB Exterior Lighting 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 ccrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to cnsure that all required inspections are requested at the proper time, that each address is readable from the strect, that the pcrmit card is locatcd at the front of the property, and the approved set of plans will remain on the sitc at all times during construction. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . . a"~_R~.~~EI~..__ '__.'_"0 "'. Wit. , .' -'~._.~-, Job/Journal Number COM2004-0 1395 COM2004-0 1395 COM2004-0 I 395 COM2004-0 1395 Payments: Type of Payment Check 12/10/2004 RECEIPT #: 1200400000000001726 Description + 7% Slate Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By Received By CHRISTENSON ELECTRICAL djb Page I of I ~y of Springfield Official Receipt . .velopment Services Department Public Works Department Date: 12/10/2004 Item Total: Check Number Authorization Batch Number Number How Received 1103 In Person Payment Total: 2:15:08PM Amount Due 3.43 4.90 43,00 6.00 $57.33 Amount Paid $57.33 $57,33