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Home My WebLink AboutPermit Electrical 2003-3-4 .. ~ CITY OF ~_ .UNGFIELD. OREGON " -,' BIJj ~(m:+ +J:' 6 -;) 0 (Q6(L{C> ( 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number 0:;- ~/oal/-o / Date 1. LOCATION OF INSl'ALLATlON' \ q ;r() I--I,c'AJer"iOY\ LEGAL DESCRlPTIOl)l . r V)PIA') -Vy'S-IcL\\a:-\-:dYl JOB DESCRlPTlpN iSle c.- -\ r : c-<-<..l 3. The following project as submitted has the following ~.. t{ - D-3 zonmg. and does not require specific land use . ' approval.... ~ COMPLErEFEESCHEnfJilT """0'" .....,0 " ~'_(~-C>"'>\ Date W A. ' Ne'~ Reside~tial b-sill'gflgr~JlW!F.muy per aw~g U~II. . Service Included 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof $106.00 $19,00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder '.;'.:..' ,~,,::-,,~.', :,::.::..;t\'~i'i",'i"f'~h::.',;"~,llii~..,;'t':t:~;:,jr;~",\ '.. ~-'''1.;'',-'' . , '-r"" "'i''''\'t~'-'~'.'r-'' ~"I\..i"'-;(' . ,to;.- : 2..PO}vtRAc-roOR'~.;..~i:>(li(J~'O/'iLV'; ,B. se~v!~~or F.eder~-nJtillatlo~,'Alle'l:ati~ns ~i"ll.~ioi:ation: : , Electrical Contractor C ((^~, d EI,i?",J,. ic...., 200 Amps or less $ 63,00 '1 0 201 Amps to 400 Amps $75,00 Address -r D lJD f.... c::2l:SL( 401 Amps to 600 Amps $125.00 t:.J' 601 Amps to 1000 Amps $163,00 City AlhiAV1'1_ Phone-.JYl-tl')'\3bO Over 1000 AmpsIVolts $375,00 a Reconnect Only $ 50.00 $50,00 Supervisor License Number d./:J.() 5 JD-c>3 Constr, Contr, Number D ~ 8 Cj ~ 1 Expiration Date JO- Q3 ""/la,",' C.I(;'T~p'~,~aryServlces or Feeders ," " ,: ,'. '," ~ / . J Wee: J _ =-L-. I idv '1'lllI/Cdtl ~ Ooorea t,,- ,; if;:4U1r~_<... \"1 '.JA,h 0', Installation, Alteration,or ReIoC:ation , .'152_("" .~,. Inosp -''''!JonUti/" vUHu "0 200'AIDp~or lessrufes are 'IY . , U m~", 1I1~("'Ch '"' setto" Cal'in,c; the ~~loAJi,p~lt~~R?,;~~~S'R 952-0 ',.' $ 69,00 ,,,,.'/08'10 40tlAinps\,'5600'AriipsherUf U $100,00 . r th8 0.- \. Ie: ihp .~" es b , ,..-.,Oyer, 600rAmp~i8f~PlJ>Ocyblts,~ "B" above. D. Br:irial:Cii.,=u~~~~~'fiCat;OI? New Alteration or Extension Per Panel ,One Circuii ,/ &u:.h Additional Circuit or with q Service or Feeder Permit $ 50,00 Expiration Date Signature of Supervising Electrician \} :-,} Q; ,;, ~ (l6uur~ Owners Name ()S;:)oT Address 1;<(~ A ~ ( ~ r+: ~A . \) \cJf<,x E.MJ~cit1aDeous{Ser'vic~f~er riotinci~ded) ":'Eaeh Installation City :<)Ule rY\ Phone:503 -<1Z& -433~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 $43,00 LI3 in. CO $ 3,00 OWNER INST ALLA nON The installation is being made on property I own which is not intended for salel lease or rent. MininlUm Electric Permit Inspection Fee is $45.00 + Surcharges Inspection Request: 726-3769 TOTAL 7D.cD LI. qD 7()Q 7j1.0tJ Owners Signature: . . . . .... . , .' 4. ScmTOTALOF ABOvE. 7% State Surcharge 10% Administrative Fee "__'__' _'_ Shared Drive(T:}IBuilding FonnslElcctrical Pennit Application l-03.doc --'~--'._--'----------. '-. --.-.--. " ! . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01024-01 ISSUED: 03/04/2003 APPLIED: 08/26/2002 EXPIRES: 09/04/2003 VALUE: $ 11,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Henderson Ave B ASSESSOR'S PARCEL NO.: 1803032002800 Eug TYPE OF Accessory Building TYPE OF USE: New Public PROJECT DESCRIPTION: Land Use: Other Machinery,Equipment, Zoning: LMI, Detached WTS tower and equipment building! Owner: Oregon Department of Transportation Address: 885 Airport Rd SE b1dg X Salem OR 97310 Phone Number: (503) 986-4338 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Contractor OREGON DEPT OF TRANSPORTATION Crawford Electric Co Inc Oregon Department of Transportation License Expiration Date Phone (541) 812-1300 (503) 986-4338 II BUILDING INFORMATION I # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: U-2 SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: I DEVELOPMENT INFORMATION I 0.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: 10.00 ,'lv,1 I..)r, ')u' -I..' , "t;..,:' -_IU ~-... .-- ... -..- "" ""/Ill, (;':n~(pUBLlC'IMfR.();Y"'I~I~NTSI Street j. h ".'12'Ul>l-U010'i~:'" rUleS are setto; Sidewalk Type: vv>" "au 'r' "ough OAR 952 Stor~ Sewer A-:ailable: 'r" ':"" 'n:a)' Ohtaln Copies of the -00 _ Downspouts/Drains Speclll11nstruction: r,. ~ center. (Note' th t I fl1{1Ef1(5," ,OIS' 'nphe 0 ,e e efo/ffl~ ~. Notes: . . :., , ,r~~~n~Jtifjty Not;fJful1\~EH~WT SflAL 1 EXPIRE IF T - 32-2214). l./i'LtD UNDER THIS HE WORK COIl',: JENCED OR IS ' PERMIT IS NOT ANi 180 DAY PERlOtBANDONED FOR 1 of 3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01024-01 ISSUED: 03/04/2003 APPLIED: 08/26/2002 EXPIRES: 09/04/2003 VALUE: $ 11,000.00 . .,,.. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Estimate Type of Construction Estimate Square Footage 11,000.00 $ Per Sq Ft $1.00 Total Value of Project I Fees Paid I Value $11,000.00 $11,000.00 Date Calculated 11/27/2002 Fee Description Amount Paid Date Receipt Number Public Plan Review $74.88 8/26/02 10408 + 7% State Surcharge $8.06 12/4/02 1200200000000000332 + 8% Administrative Fee $9.22 12/4/02 1200200000000000332 Building Permit $115.20 12/4/02 1200200000000000332 Plan Review - Planning $55.00 12/4/02 1200200000000000332 SDe MWMe Administration 510.00 12/4/02 1200200000000000332 SDC MWMC Improvement $1.59 12/4/02 1200200000000000332 SDC MWMC Reimbursement $15.22 12/4/02 1200200000000000332 SDe Transpo Admin 55.13 12/4/02 1200200000000000332 SDe Transpo Improvement $61.79 12/4/02 1200200000000000332 SDC Transpo Reimbursement $14.00 12/4/02 1200200000000000332 + 10% Administrative Fee $7.00 3/4/03 1200200000000000768 + 7% State Surcharge $4.90 3/4/03 1200200000000000768 Add, Alter, Extend Circ $43.00 3/4/03 1200200000000000768 Add, Alter, Extend Circ Ea Add 527.00 3/4/03 1200200000000000768 Total Amount $451.99 Engineering-C/IIP Fire Marshal-CIIIP Initial Review-CIIIP Planning-C/IIP I Plan Reviews I 10/14/2002 APP PJO 02/18/2003 OK TCM 08/27/2002 Appr KW 10/14/2002 APP 2 of 3 not required Need additional information as per submittal requirements of SDC 32.130(3). Setback on tower OK'd by Gary Karp to be reviewed under building permit only (9/24/02). Received additional info on 10/10. Landscape at base of towers, poles and completely around equipment shelters. Lighting of towers shall be as required by the FAA. All other lighting must be deflected away from adjoining property per SDC 32.130(2)(b). . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01024-01 ISSUED: 03/04/2003 APPLIED: 08/26/2002 EXPIRES: 09/04/2003 VALUE: $ 11,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural-CIlIP Pend DM Faxed plan review comments to Rich Scanlan 9/30/02 dim. Sent plan review comment to Tom Rogers on 8-28-2002, addressing questions for Bldg C & B. Payment for additional fed ex on job 02-01400-01 Setback not height of tower. OK'd by Gary Karp for huilding permit only review. To Request an inspection call the 24 hour recording at 726-3769. AIl 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. IRpn~ 1 Final Bnilding: After all Conditions have been completed as required on Development Agreement. 2 Footing: After trenches are excavated. 3 Final Building: After all required inspections have been requested and approved and the huilding is complete. 4 Final Modular Set Up: After all required inspections have been requested and approved and project is complete. 5 Final Fire Department. After all requirements of the Fire Department have been met. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certil)> 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 he made of any structure without permission of the Community Services Division, Building Safety. I further certil)> that only contractors and employees who are in compliance with ORS 701.005 wiD 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. .fzv, nu..J h~~ ~ - L.f" 0 ? O~er or Contractors Sign~re Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number 02-01024-01 02-01024-01 02-01024-01 02-01024-01 Payments: Type of Pay men I Check Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000768 Date: 03/04/2003 Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee CRAWFORD ELECTRIC Received By Check Number Confirm No lkw 012167 Page I of! 3/4/2003 . 1:46:23PM . City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43.00 27.00 4,90 7.00 Line Item Total: $81.90 How Received Amount Paid In Person 81.90 $81.90 . Payment Total: cReceipt.rpt