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Home My WebLink AboutPermit Electrical 2005-5-18 SPl~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54I)~i~",-:> ~.~ ELECTRICAL PERMIT APPliCATION 0.. "/ "", ~'" .. "'?"& . %: ,...~. City Job Number CoIAA 7';'0 ~-"O (.,:3 Date 5 ~ H:..o..:r ~ "", ..~ ~~ ,).., -" "'Q) ""~ p. O/. is' ~ . 3. r<'COMi'ijiliii?FEEiSr;.:r", ':' ;~EE~~r~"~~?!:" I..."....,....,'-"""_\_.>;>=,..-''"',..-'t''''~-".~~~~ ~~~;~~.~~;:~...ho.~ ".. . & 19 - "'~ ~t9. 0'1 A. f1!~f~i1~.Si:-gf~~~~-hiti;'.? - 'faf11'!!fli~gk-li~~~ ~~'''VW'> -""-f""-"""'~"l\~_~ .~'...--.. "'1;):-:0; .-- ~~~);~A . -"" , 0' ~ Service Included Go", ">.; - .. ~ 1000 sq:ft. or less' ~ .00 Eac~ additiOnal500~~~ . porllon thereof.-. "!'"~~ \,)\\X<<t oM . ~ O""'~_se\W'.- . Permits are non-transferable and expire if work is ~ ~ '~.r..2!ele Ji3\'. . . not started within 180 days of issuance or if work is ~~\ &Wl~~ gfl~es '01 . $5000' , S~~:~:::~'~'~,"'___'_'_""'A~~"'~ ,--"__e. 2. ~'~~~~9!.{~re!!~1.nq,~2.~.x~~~.~~. e ~,,~,:~~"_-.~!,~!j~!'.~!iRelo~tion~~. Electrical Contractor .K.", t5/~11t.(,. 1:",(" ~\\:~~~~~~~ J- $63.00 12~:oO PO: ~~~~s~ . . $ 75.00 ~01~600Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00' Reconnect Only $ 50.00 1. ~rOeATiON:OEi'NST:4f!T;4fid.M';;'~~~ r.. .....~ ~v.~..~... 'r.-..i.'~::I;:::,;-:-." ....o,_,.._LI"V"," .23DO I*...IWS<JN I4\JC ~AA'''' 't (r~ " ~ CU-4C1 J LEGAL DESCRIPTION / ~O S. 0'3 J '3 c>os-tro JOB DESCRIPTION Nf/loJ 100 ,..~ ~/...4' IN IlCl S6~"I~ f<,-..... Address p.o. I30lt 7~c..S" City ~&v~. ~If.. Phone 5111- 4$9-7S~ Supervisor License Number 418 4- S Expiration Date }n - 01 - 1:>1 . Constr. Contr. Number . 1 4. 5 4 fJ B Expiration Date (,..3 0 . (I ", . ;;;Lre Il:i:ElectriCi~ Owners Name ?~ c;.~ ~I{;\c...k...[--., Address 9'){" PAM;tA 'i.I/...J City ~ ~. cA,hone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 c. ~"pi:moi;r~.~s~Wi~g~{eattst~~'t?(~~1'~~~~~~~~~ . _._P...__._..,~.... .."J.._,.._....~T....'-'=~"""".,~, <". ~,.~l'\,~. 1l; ,._i)_4'~!-i':;lr,;.,__ ~ ""'~ I~stallation, Alteration or Relocation , 200 Amps or less $ 50.000\,11 . . 201 Amps to 400 Amps - w ~69Jtb -61: . . 401 Amps to 6Q!J"Amps \ '- t'i..?\\\':_n'~rOO\OO~ lr\\\\'~' .". S\\t>:'- ~\\\'" r'-' "rOll- Over 600: \\mp&o.T\I,OliO' Volts.se?-"B" abov~t:v D. ~ii1lrC)WJita)"~f~~~flo:\';~'B.~1}~";j~'~~'~"'~';!I;~i9 . .~'~'''=''~'0'~' . ....\!;)l!",iJ.,; ,.,~. ....n,,~.' . ,-,~"'"1'ili."..,,,,,~ New Alteration!o~.'E'h~nsiOn\P1~~~nel \.iV". ().IJt"" One Circuit J\~'{ \'0 $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. ~~1iIi~~ii~ps~~~JJf~d~rfigr~r:ditr::;;EWi:h~i#Sltill:-t'i~il\~ fi1.,..-:>-=.:""'~",_""",;~ .."......J.~"''''~,~........,.,.''''''''"'.''", ~r~"'_ Cli:.'",,'Q.,~' __ 'cJ,f4!....-v,~."""'"".~ -~.:......~.....~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~~;";);:.l'U'e-"i''':';;J~' ~".,..~tii,""2W1~<i J<",~j':4.:';l!,"'~~~*!f:"".~;';;>:" 4. . SUBTOTAL:OPABO.llE .'{g"'~;,\i>".~: , . .;_ 'f'. "'~':di:~-:..".."th~-<:~~-o/~~. '''-'''.l,~\,~.MJ:lj:..,4~-- _/.%".DO as.( 7% State Surcharge 10% Administrative Fee IZbO /4. 71(3.. TOTAL Shared Drive(T:)/Building FonnslEJectrical Permit Application J -O).doc , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF M"Kll~GFIELD Building/Combination Permit PERMIT NO: COM2005-00173 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 11/16/2005 VALUE: $ 11,714.00 SITE ADDRESS: 2300 HENDERSON AVE ASSESSOR'S PARCEL NO.: 1803031300500 Eugene TYPE OF WORK: Cell Tower - Communication Tower TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Antenna collocation. Owner: PETERSON MACHINERY CO Address: 955 MARINA BLVD SAN LEANDRO CA 94577 Contractor Type Applicant General Electrical I CONTRACTOR INFORMATION I Contractor PACIFIC TELECOM SERVICES WIRELESS ALLIANCE INC K T ELECTRIC INC. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: C Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 146700 145488 BUILDING INFORMATION I # of Stories: U Height of Structure ATTENTIQl\l~rarlQllAft law requires you to VB follow Nwoo.~by the Oregon Utility Notilicati~iJb'plhose Nles are set forth In OAR 9~"4C)1through OAR 952-001- 0090. You_~~s of the rltlRi> by -..ll',ll:l.c'''- ",,'-!,.,!--;,_-f '~~~~~'--':"~ ;1.1.:,,- E' !J.,~:::::,~-::.-. - ~iVJ>~..oll~ion Center Is 1-800-332-2344). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Expiration Date Phone 206-464-4412 01110/2007 503-582-9938 06/30/2006 5413890660 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: NOn C E: DownspoutslDrains: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Page 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommllndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review CommllndlPublic SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Fire Department Review . 02/15/2005 . CITY OF SPRINul'H'..LD Building/Combination Permit PERMIT NO: COM2005-00173 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 11/16/2005 VALUE: $ 11,714.00 I ValuationDescrintion I $ Per Sq Ft or multiplier $1.00 Amount Paid $69.81 $12.30 $8.61 $123.00 $10.14 $0.21 $3.45 $0.78 $12.60 $8.82 $126.00 $375.72 Square Footage or Bid Amount 11,714.00 Total Value of Project Fpp< PIilLI Date Paid 2/14/05 4/19/05 4/19/05 4/19/05 4/19/05 4/19/05 4/19/05 4/19/05 5/16/05 5/16/05 5/16/05 I Plan Reviews I 03/14/2005 OK GRG Initial Review 02/15/2005 02/15/2005 APP SKG Plan nine Review 02/15/2005 04/1112005 APP EMM Public Works Review 02/15/2005 04/13/2005 APP SB Structural Review 02/15/2005 02123/2005 WE JMP Structural Review 03/18/2005 03/18/2005 10 JMP Structural Review 04/08/2005 04/08/2005 10 JMP Structural Review 04/13/2005 04/13/2005 10 JMP Structural Review 04/14/2005 04/1412005 APP JMP Paee 2 of3 Value Date Calculated $11,714.00 $11,714.00 04/08/2005 Receipt Number 2200500000000000164 2200500000000000444 2200500000000000444 2200500000000000444 2200500000000000444 2200500000000000444 2200500000000000444 2200500000000000444 1200500000000000626 1200500000000000626 1200500000000000626 Plan Review: Additiou of antennas to existing tower. Job #COM200S-00173. Plans appear to meet code requirements. Wrong parcel # originally listed: On other side of street. Added under parcel and changed on plan. SDCs added. No new impervious surface. See attached 5 structural comments faxed to Sean Bell. WE. Received response from Curtis Holloway to Item 2 of comments. WI. Sean Bell emailed contractor and cosUvalue data. WI. Received fax from Sean Bell addressing structural comments. Received final internal review. . . CITY OF M'KlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00173 ISSUED: 04/19/2005 APPLIED: 02/14/2005 EXPIRES: 11116/2005 VALUE: $ 11,714.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. L.RpolJirptI ~ Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Final Building: After all required inspections have been requested and approved and the building is complete. Electric Service: Approval required prior to utility company energizing service. By slgnalure, I state and agree, tbat I have carefully examined the completed application and do hereby certify tbat 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 ofany structure without permission ofthe Community Services Division, Building Sarety. 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 requesled at the proper time, that each address is readable from the street, thai 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 Page 3 00 225 Fifth Street Spl'ingfietd, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00173 COM2005-00173 COM2005-00 173 Payments: Type or Paymenl CreditCard ,I I 5/16/2005 . RECEIPT #: ~-.~~"~.'Y'.'!ILD...... ......'................:... ' - " . ,'-~ i 'IIJt'".1 City of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000000626 Date: 05/16/2005 Description + 7% Stale Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Paid By KT ELECTRIC Item Total: Check N umber Authorization Received By Bateh Number Number How Received djb 003358 In Person Payment Tolal: Page I ofl 8:30:4IAM Amount Due 8.82 12,60 126.00 Sl47.42 Amount Paid $147.42 $147.42