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Home My WebLink AboutPermit Electrical 2008-5-20 3. ZON \ M'~ INITIALS 1\.) 1\....'\ DATE (; -'dl --r')j . SOURCE\l\~~~~ ~! M-:b -4, 2(1) K OOMl'EETE FEE SCHED~fEWW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX (541)726-3689 ELECTRIC4L1I;E~Ir. fl,PPLICATI?)T City Job NumbeL(l)1CU?,K - rr17//'\ 1. :r;OC4'!IONPF IN.~~'ALLi};nON:: 4~lQC) IT~tJUYl 1;LL/O LEGAL DESCRIPTION \IO~5~4:?,(jD&-U ~SCRIPTION. /\ 'f" . ) - Permits are non-transferable and expire if work is not started withm 180 days of Issuance or if work is Suspended for 180 days. , t.}~>\ ..~ :::}"l 2. CONTRAt;l vJ?. INSTALLATION ONLY: Electncal Contractor BURRELL BAOS. ElEOAIC P.O. Box 697 Wal\k;tville. UI' yJ~(,~ ~lil.747-2724 -I5'i one Address City Supervisor LIcense Number j} ., '/ J s '"1----/-A. ExpiratIOn Date 10 - / () /3 ~l}tJv ID - /0 , Constr Contr Number ExpiratIOn Date S,gonu;:n: El~'~~ Ownm Nl'lJ~. (tJ/ytl ~"-SlrJ(S5 Address_(h tff-i:A 7/((17 ~' City ~. li./ Phone OWNER ~~ALLA nON The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Owners Signature Inspection Request: 726-3769 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 Manufact'd Home or Modular Dwellmg Service or Feeder $117 00 $ 21 00 $55 00 , ' B. Services or Feeders - Installation, AI,terations or Relocation: 200 Amps or less . 'l\. 70~ AJrTI="-IT ('IN Or"qO'1 I..,;, reqLTires au 1~ 20 J Amps tif!l!OU'7\tJh5"" 0 'i;Jl1 U''''t tta!lnw ru'e~ adopted ':;y tho rt;8i Ull y 40 I Amps ~olVNc'inwISj ~C8nter. Tr0C:P r:.ule~Hit~~t forth 601 Amps lfl (9~flI~~.{J01-001 0 'throuqh C$iMbf0'02-001- Over 1000~/Wlltsmay obtam copies Qll4~{f~les oy Reconnect Ordallmg the center. (Note: tnElS~Eij0hum:l number for the Oregon Utility NotlflCi:lllUll C. Te~porary ServJ~6tetJ&Jl~OO.33?2344). ' Installation, Alteration or Relocation 200 Amps or less $ 55 00 20 I Amps to 400 Amps $ 76 00 401 Amps to 600 A~~s $110 00 Over 600 A~~!)r1!O~Mfft~~tI['e}tt\laE \F THE WORK D. BI'anch c1MU~fE EO UNDER THlS PERMiT \S NOT ',,!'r"' !('prL ED FOR New AlteratIOn or Exter~on&~fa~~,'\/NOON .J/~ One Circuit ::: ~-,':' D $ 48 00 '1'0 Each AdditIOnal Circuit or With ~ ') Service or Feeder Permit :;J:? $ 4 00 '7~::::-< E. Miscellaneous (Service/feedcdlot included) -E~ch Installation Pump or IrngatlOn $ 55 00 Slgn/Outlme Llghtmg $ 55 00 Limited Energy/ResidentIal $ 28 00 Limited Energy/Commercial $ 50 00 MimmumElectric Permit Inspection Fee is $50.00 + Surc~,arges cJ'L> 4. SUBTOTALOFABOVE ~/<<\, 12% State Surcharge ! ~I M 10% Administrative Fee J <-{ C~ 5% Technology Fee '{ (i U TOTAL 12 /77 Jo Shared Dnve(T )lBulldmg Fonns/Electncal Penn'iipphcat,on 1-08 doc 225 Fifth Street Springfield, Oregon 97477 541-72~-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00618 COM2008-00618 COM2008-00618 COM2008-00618 COM2008-00618 Payments: Type of Payment CredltCard cRecemt I RECEIPT #: 2200800000000000711 Date: OS/20/2008 DescriptIOn Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 10% AdmmlstratIve Fee + 5% Technology Fee Paid By JOSH BURRELL Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How ReceIved nJm 055138 Phone Payment Total: Page I of I 1:50:40PM Amount Due 4800 9200 1680 1400 700 $177.80 Amount Paid $177 80 $177.80 5/20/2008 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00618 ISSUED: 05/19/2008 APPLIED: 05/02/2008 EXPIRES: 11/19/2008 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4660 Main St Ste 440 ASSESSOR'S PARCEL NO.: 1702324200200 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: TI for Armadillo Roofing - tenant improvement Commercial Owner: HYLAND BUSINESS PARK LLC Address: PO BOX 7867 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor JOHN HYLAND CONSTRUCTION INC BURRELL BROS ENTERPRISES INC COMFORT FLOW DAVID SCOTT PERRY License 46071 136446 460 144871 Expiration Date 07/11/2008 08/20/2009 06/27/2009 06/27/2008 Phone 541-726-8081 541-747-2724 541-726-0100 541-896-0145 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB Yes I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: ATTENTION: Oregon law J!anJlh~l!PPoB:t Side 2 Setback: Paved Drive Rqd: follow rules adopted by th€;:"~;~t~ Ut I to Notf t ~ ~..t'~VII I I Y Rearyard Setbll~!i: % of Lot Coverage;. I Ica Ion Center. Those rules al e set forth Solar SetbacksNUT!CE: ~n OAR 952-001-0010 through OAR 952-001- TUI" rr- - . 090. You mRI/ nhbin "".....M -f.... - . . AUTHOR7Z~~ ~HALL EXPI~ItJ'~~\\\tl'moVEMEN.i[tir ~he center. (Note: ih~ t~i;~~~;elJY Street Impro*lrt~MsENCED ~NRDIESR THIS tHMIT IS NOT C~~~~~~bU3tl"ty NotlflcatlOn ANY ABANDONED FOR \;) 2-2344). Storm Sewer Av:iillCtQ:DAY PERIOD. Downspouts/Drains: Special Instruction: Notes: Paee 1 of 3 ._~AJ'N~IfJl:LD, ..,1. I . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00618 ISSUED: 05/19/2008 APPLIED: 05/02/2008 EXPIRES: 11/19/2008 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $20.00 5/19/08 2200800000000000693 + 10% Administrative Fee $26.15 5/19/08 2200800000000000693 + 12% State Surcharge $31.38 5/19/08 2200800000000000693 + 5% Technology Fee $13.08 5/19/08 2200800000000000693 Building Permit $161.54 5/19/08 2200800000000000693 Fixture $48.00 5/19/08 2200800000000000693 Furnace - up to 100,000 btu $14.00 5/19/08 2200800000000000693 Gas Outlets 1-4 $5.00 5/19/08 2200800000000000693 Minimum/Adjustment Mechanical $24.00 5/19/08 2200800000000000693 Minimum/Adjustment Plumbing $2.00 5/19/08 2200800000000000693 Plan Review Comm/Ind/Public $105.00 5/19/08 2200800000000000693 Sanitary Sewer - Improvement $102.02 5/19/08 2200800000000000693 Sanitary Sewer - Reimbursement $134.17 5/19/08 2200800000000000693 SDC Sanitary/Storm Admin $11.81 5/19/08 2200800000000000693 Vent Fan $7.00 5/19/08 2200800000000000693 + 10% Administrative Fee $14.00 5/20/08 2200800000000000711 + 12% State Surcharge $16.80 5/20/08 2200800000000000711 + 5% Technology Fee $7.00 5/20/08 2200800000000000711 Add, Alter, Extend Circ $48.00 5/20/08 2200800000000000711 Add, Alter, Extend Circ Ea Add $92.00 5/20/08 2200800000000000711 Total Amount Paid $882.95 Fire Department Review Planninl! Review 05/1912008 05/1912008 Plan Reviews I APP GRG APP EMM Structural Review 05/19/2008 APP DJB sprinkler requirements by other Proposed use must be a permitted use in the Light Medium Industrial Zoning District per Springfield Development Code 20.020 App'd by DJP Public Works Review 05/1912008 05/19/2008 APP JHJ SDC Worksheet. (JHJ) Pal!e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2008-00618 ISSUED: 05/1912008 APPLIED: 05/0212008 EXPIRES: 11/19/2008 VALUE: $ 15,000.00 225 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 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 work day. I ReQuired Insnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Final Fire Department. After all requirements of the Fire Department have been met. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 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. Owner or Contractors Signature Date Pae:e 3 of 3