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Home My WebLink AboutPermit Electrical 2008-2-8 fl._' ..,..-. iiii ZON . \ ~ y. ~ 1& ~ INIlIAL~ N M ~- ~ DAre c)/2:K"- a'f ~ ....... SOURer ~fl1.L- (CIWlf ,@Jt SFmlN1:GllFmL1IJ, O!R1E(]ON I ~ _ _ ~ ' 22HIFrIJ S UU 1.\.1 0 SI'RIN('HI.\.LO, 01(97477 0 PII (541)726.37~1 . tA" (~41)726.3689 ELEC1'RICAL PERMIT .llPPLICA1'lON City Job Numbcr Co &A-'\ !.- 0 0 g- - 0 0 7 ( I Datc 2. f3 06 I. LOCATION OF INS1'ALLA110N: 3. COjl1PLElEFRESCHEDULEBELOW - - t 3420 l3/h-LW v/~~1I~ 8(1I1G../J!Y:Y}ll tup LEGAL DLSCRIP liON A Nc\\ RLMdcnti.lI- Smglc or Mullt-FlIImlJ pt! d" dlmg tlmt. I 7 - 0 .; ~?d- /ld I OCt) Set vice Indlldcd JOB DESCRI[> nON 1000 ~q n or Ic~s ':r:(Vvl(\(.,"~T\oi0 OF" v~.:rx. C"chuddltlonaI500~q n 01 CHf'I\i.1f..1L. ,-rf2.e.e r.OA}fJr>1 r:"".12 \ilJi/fttJ. 'Fll:ltf( 1'0111011 thclcof ~ 117 00 $ 2100 "crll1lt~ at C 1I01l-tl an~fcr.lble and CXJlII e If \\ 011< 1\ 1I0t ~tal ted within) 80 davs of I~~uunce 01 If work I~ Su'pcnded for 180 du)'~ Fuch Malll1l.lcl'd 1I0llle 01 Modular Dwclllllg SCI vice or Fcedcl $5') 00 CONI RAG1 OR INSTALl.,A'rION ONI.Y B "'trVILC~ III "cuICl'i -lu'itdl/.ltwn, . \.Jb.~I.ltlUm or RcloL.tt1Cl1I 2 Cher'J (I ~ Elecl: '-'Z...4 s+ c C ~ ~ ..,c.. rtcClIll.ul ContraLlor 200 Amps or b, 201 Amp~ to 400 Amp, 401 Amp~ to 600 Amp~ 601 Amp~ 10 1000 Amp~ [>hone S' 0 3 .~! 5"6 ~ ~.1tt(J t11~ l/lJflst~W"-ufres Y I How ruhJ~)q!ldG_ b · -.oa 0 Notification Center: Th y the Oregon Utility ""1 . In 0 · ose rules ara ~At f rth .~ -r fJ I S. AA 952-o~fO fj;tol)~'ho...{'J!j.ll~T!r 0 ~ "'ou b ~ VIU1 iS2-001- vucru.'l may 0 tain coM'es Oflttl ' calling ~eMNMr., I~ltil!.l ~on_o' <;Ml.U ~ by number t · V'IO . me e/ephone oorthe.10Fegon Ut/llty Not/tical. CentefJ1$'t'600.-$l!1~2344). un 401 Amp, 10 600 Amp, OVC! 600 ^mp~ or 1000 Volt~ 'LC "lJ" ,Ihuve I) fh 1lI11.b CI rClllt~ $ 70 00 'Ii 83 00 ~ 138 00 $ 11\0 00 $4 n 00 $ 55 00 JSc;(., "ddrc~~ City 5<., ) ern oR. , ~lIpeIVI~ol [ILI..IN_ Nllmbel I u / r- J I / Zu' 0 , r rXplr,lllun D.III.. 'Ii 5'5 00 'j; 76 ()O $[10 00 9/ b ~ 8 ( on~h Conlr NUIllI)(.1 ;z / 2,~//) 9 I xpll.lllon 1),111.. ">lgn'lllIIL of ">Upll v"lIIg [lcl..lIlLl.ln ~'V- {2 . at2L Ncw .\1101,111011 1II E\tclIslUlI ['t'r (> me! One CIIl.l1I1 , Llch Addlhon<ll ( IIclIIl 01 wllh o;;CIVltC 01 ] cedcl PClIlIll '18' ~Hj I~ 06 '" 4800 ') 400 't' OWIIC!~ N,lIne P 1:Z1\ 0F111r. 1(.111 Addrm ':2-;;~1 ft!.'/"-I.'1\J tlltlll,..IL wil'j CltY~l\"lV. f~)~L-/') Phonc ::if,?-:"::;-ZI!l/7 Ii: l\11~ccllal1cou, (Scfvlcc/fccdcl not Includet!) -I!:..ch Il1~tallntl(ln Pump 01 IIllg,11101I "lgnlOulllIIl.. Llghllng 1.lnftGTI~{c~ldl.l1ll..1 Lnnr: ~Sn~~Mrr$HAll EXPIRE 'F~@lWORK f\I1111 III II IJJ.\ ': ffl{jRfLttl 'tlW~~lffftS "P~Mlt'IShNm: 4 SVEoi'rot~~l:tf8~~s ABANDONED EQj tf 00 120/2\~wef8IAhrrw PERIOD 7 48 I 00/" '^~lll1Il1I~t1.ltrvc' he. (p .., (} 'i% I echnology rLci -:a. <> 8/~ 'l> 'i5 00 $ 55 00 'li 2X 00 OWNI~R [N1-. I AI.I.A I ION I he n"I,!lI..lIonl~ bClIIg 1ll.lde on (llo(lclly I own whlLl! " not IIllcmkd fOI ~,llc, IL,I\C or rcnt O\Vllcr~ <;,gPa.!lIIc tf /J atuL) fl! OfAhf!() ,- r In~llcchon Rcqllc~t. 726-3769 10lAL <;1\11<<1 DflH( I )/Ihllldllllll 0111,,11 !lllm 1ll'<fIllll i\JlJlh< .11011 I Ill! du< CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00711 ISSUED: OS/23/2008 APPLIED: OS/20/2008 EXPIRES: 11/23/2008 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Sprmgfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme SITE ADDRESS. 3420 Baldy View Ln ASSESSOR'S PARCEL NO' 1703220001000 Sprmgfield TYPE OF WORK Commercial Miscellaneous TYPE OF USE New PROJECT DESCRIPTION' Rlverbend Central UtilIty Plant VRTX filter Overlay Dlst. # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage NOTICE~ pUBLImf\lIiRtoomMl"~ EXPIRE IF THE WORK COMMENCED OR IS A~~I~~~1tI$~OT ANY 180 DAY PERIOD. 'IYoWfiW,flJ&rams Owner PEACEHEAL TH Address. PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Tvpe Architect General Electncal Mechamcal Contractor License KPFF CONSULTING ENGINEERS WILDlSH CONSTRUCTION CO 695 MORROW MEADOWS CORP 91668 HARDER MECHANICAL CONTRACTORS I 74 I BUILDING INFORMATION I ATTENTION Ore 0 # ofUmts follow rules ad g n I;$Wf~J~$ you to Pnmary Occupancy GrOUP:otlflcatlorreen~ptet bl:Jtij~()~~E1tIfifY Secondary Occupancy Grdiip1AR 952lf:h1_0e~1O ~OlttyfWet:UmtYetforth Pnmary Construction Typt09_O YoU HJ%y obtamt /waHl~~52-o01. Secondary Construction Typecllmg the center (N~~e>~ru'es by # of Bedrooms number for the Oregon j\i1fl8rtefaPhone Center IS 1-800 . !~2 tBoatlq Yes -33'~-234~ I DEVELOPMENT INFORMATION I Frontyard Setback Side 1 Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable Special Instruction Notes' Pa2e 1 of 3 Commercial ExpiratIon Date Phone 541-684-4902 541-485-1700 503-399-7609 503-281-1112 10/22/2011 07/0112008 04/10/2009 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 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme DescriptIOn Tvpe of Construction Estimate Estimate Fee Description ~Mechamcal Issuance Fee~ + 10% AdmmlstratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Buddmg Permit Mlmmum/ Adjustment Mechamcal Plan Review Comm/Ind/Pubhc Plan Review Fire & Life Safety Plan Review Mechamcal (25%) Total Amount Paid I Valuation DescrlOtion I $ Per Sq Ft or multlpher $100 Square Footage or Bid Amount 10,00000 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00711 ISSUED: OS/23/2008 APPLIED: OS/20/2008 EXPIRES: 11/23/2008 VALUE: $ 10,000.00 Value Date Calculated Total Value of ProJect ~ Amount Paid Date Paid $10,000.00 $10,00000 OS/20/2008 $20 00 $23 26 $27.92 $11 63 $48 00 $1600 $11864 $50 00 $77.12 $47 46 $12 50 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 5/23/08 Receipt Number 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 2200800000000000743 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. $452 53 I Plan Reviews I ~eouiredJnSDections I Pae:e 2 of 3 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00711 ISSUED: OS/23/2008 APPLIED: OS/20/2008 EXPIRES: 11/23/2008 VALUE: $ 10,000.00 By signature, I state and agree, that I have carefully exammed the completed applIcation and do hereby certify that all mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY wIll be made of any structure without permission of the CommuDlty Services DIvIsIOn, BUlldmg Safety I further certify that only contractors and employees who are m complIance with ORS 701 005 wIll be used on thiS project I further agree to ensure that all required mspectIons 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 remam on the site at all hm~d??a;~At;a Owner or Contractors Signature Page 3 of 3 6 . 27 ~ 6"/z' Date 225 Fifth Street Sprlligfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield Official ReceIpt Development Services Department PublIc Works Department Job/Journal Number COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 COM2008-00711 Payments Type of Payment CredltCard cRecelOt 1 RECEIPT #: 2200800000000000743 Date: OS/23/2008 DescriptIOn Plan RevIew CommlIndlPubhc Plan RevIew FIre & LIfe Safety BUlldmg PermIt Mmlmum! Adjustment MechanIcal ~MechanIcal Issuance Fee- Plan RevIew MechanIcal (25%) Add, Alter, Extend CITC Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By PEACEHEALTH Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 066451 In Person Payment Total Page I of I 2 54 42PM Amount Due 77 12 4746 11864 5000 2000 1250 4800 1600 II 63 27 92 2326 $452 53 Amount Paid $452 53 $452 53 5/23/2008