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Home My WebLink AboutPermit Building 2008-6-10 ~~~ at ~~QIV Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 230 4th St ASSESSOR'S PARCEL NO.: 1703353101500 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/01/2007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 Springfield TYPE OF WORK: Office TYPE OF USE: New Public PROJECT DESCRIPTION: Springfield Justice Center - This permit is valid only for the area of the north side of A Street to the south side of B Street between Pioneer Parkway East and 4th Street. Owner: CITY OF SPRINGFIELD Address: 344 NORTH A ST SPRINGFIELD OR 97477 Phone Number: 541-726-3672 I CONTRACTOR INFORMATION I Contractor Type General Electrical Fire Contractor Low Voltage Electrical Plumbing Sewer Contractor JOHN HYLAND CONSTRUCTION INC C & SELECTRIC OMLID AND SWINNEY MORROW MEADOWS CORP INTERSTATE MECHANICAL INC MORSE BROS INC License 46071 3849 62730 91668 55190 2101 Expiration Date 07/11/2008 09/01/2008 12/15/2011 07/20/2009 11/07/2009 08/10/2008 Phone 541-726-8081 541-741-2236 541-741-1775 (503) 566-5600 503-233-7171 (541) 928-6491 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A3 B IB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: 61,900 31,317 13,860 I DEVELOPMENT INFORMA nON I REQUIRED PARKING Total: AI 11:NT10N: Oregon lawamA~~eMOu to follow rules adopted bYd!h%,QJtt~on 'Utility Notification Center. Those rufeS are set forth In OAR 952-001-001,0 throug~ OAR 952-001- nnon Vnll mav obtain copies of the rules by NOTICE" I PUBLIC IMPROVEMENTS ~alling the center, (Note:, ~ne tel~~none . Plumber for the Oregon Utility Notification Street ImproUlMlnli'fRMIT SHALL E'x'PIRE IF THE WORK S~ ~00-332-2344). Storm Sewerl)..4,Ili'OO~ED UNDER THIS PERMIT IS NOT Downspouts/Drains: Special Instrk4\MNIENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Notes: Pal?:e 1 of9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Encroachment Permit ~Mechanical Issuance Fee- + 1 % Seismic Fee + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Addressing Assignment Air Handling Unit 10,000 & Ovr Air Handling Unit Up to 10,000 Building Permit Fire SF Fee - Non-Residential Fixture Furnace - Unit Heater Gas Outlets 1-4 Gas Outlets 4+ Miscellaneous Mechanical Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Sewer - 1st 50 Feet - Storm Sewer Each Addtll00' Thermal Unit Vent Fan Water Line - 1st 50 Feet I V aluation DescriPtio~ $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 22,395,060.00 Total Value of Project ~ Amount Paid Date Paid $45,786.42 $28,176.26 $130.00 $10.00 $734.24 $8,567.53 $3,894.53 $6,231.25 $31.00 $60.00 $32.00 $73,027.65 $7,784.60 $4,284.00 $108.00 $4.00 $6.00 $18.00 $1,681.55 $1,034.80 $45.00 $2,458.91 $3,234.23 $14.00 $10.00 $44,236.51 $4,214.80 $514.90 $4,903.78 $44,199.80 $10,019.43 $45.00 $14.00 $594.00 $174.00 $45.00 2/1/07 2/1/07 3/2/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 5/24/07 Pal?:e 2 of9 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/01/2007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 Value Date Calculated $22,395,060.00 $22,395,060.00 OS/24/2007 Receipt Number 2200700000000000151 2200700000000000151 1200700000000000228 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 1200700000000000623 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line - Each Addtll00' + 10% Administrative Fee FLS Safety Systems Review + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps + 10% Administrative Fee FLS Safety Systems Review + 10% Administrative Fee FLS Safety Systems Review + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee FLS Safety Systems Review Low Voltage - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/01/2007 EXPIRES: 12110/2008 VALUE: $ 22,395,060.00 $14.00 $12.00 $120.00 $648.40 $324.20 $518.72 $2,268.00 $45.00 $375.00 $2,646.00 $900.00 $250.00 $210.00 $2,100.00 $156.60 $1,566.00 $5.00 $46.74 $6.00 $2.50 $467.40 $50.00 $5.00 $6.00 $2.50 $50.00 $5.00 $6.00 $2.50 $50.00 $20.00 $24.00 $10.00 $200.00 5/24/07 8/16/07 8/16/07 11/28/07 11/28/07 11/28/07 11/28/07 11/28/07 11/28/07 11/28/07 11/28/07 11/28/07 12/18/07 12/18/07 2/1/08 2/1/08 2/8/08 2/8/08 2/8/08 2/8/08 2/8/08 2/8/08 4/7/08 4/7/08 4/7/08 4/7/08 4/14/08 4/14/08 4/14/08 4/14/08 6/10/08 6/10/08 6/10/08 6/10/08 1200700000000000623 1200700000000001049 1200700000000001049 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001743 2200700000000001857 2200700000000001857 2200800000000000144 2200800000000000144 2200800000000000175 2200800000000000171 2200800000000000175 2200800000000000175 2200800000000000171 2200800000000000175 1200800000000000315 1200800000000000315 1200800000000000315 1200800000000000315 1200800000000000350 1200800000000000350 1200800000000000350 1200800000000000350 3200800000000000391 3200800000000000391 3200800000000000391 3200800000000000391 $309,437.75 I Plan Reviews I Initial Review 02/02/2007 02/02/2007 APP LLH Structural Review 02/02/2007 02/02/2007 10 LLH Dave Puent will deliver plans to Tom Rogers the week of February 5, 2007. SUB Review 02/02/2007 02/02/2007 10 SKG Steve Graham delivering set of plam to Springfield Utility Board SUB Review 02/09/2007 02/09/2007 WE JF JMP left a voice mail at the office of Heery International requesting the missing energy code forms. Pal?:e 3 of9 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: cOM2007-00157 225 Fifth Street, Springfield, OR ISSUED: OS/24/2007 541-726-3753 Phone APPLIED: 02/01/2007 541-726-3676 Fax EXPIRES: 12/10/2008 541-726-3769 Inspection Line VALUE: $ 22,395,060.00 SUB Review 03/12/2007 03/12/2007 APP JF Fire Department Review 02/02/2007 04/13/2007 APP GRG See attached document for Fire Department Plans Review comments. Public Works Review OS/23/2007 OS/23/2007 APP JHJ Attached SDC Worksheet. (JHJ) Structural Review OS/23/2007 OS/23/2007 APP DJP Plans reviewed by Tom Rogers, Rogers Engineering, under contract with the City of Springfield. Fire Department Review 08/15/2007 08/15/2007 OK GRG Plans Review: Underground fire line stub up for sprinkler system. Job #COM2007-00157. Plans show a six inch fire line of approximately 10 feet in length coming from a future 12 inch public water main and valve to a 90 degree ell with stub-up from ground. Plans appear to meet code requirements. Initial Review 11/29/2007 11/29/2007 APP LLH Received plans from Om lid and Swinney for FM-200 System. Forwarded to Gilbert Gordon, Fire Marshals Office for review. Pal?:e 4 of 9 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 12/14/2007 12/14/2007 OK Pal?:e 5 of 9 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/01/2007 EXPIRES: 12/1012008 VALUE: $ 22,395,060.00 GRG Plans Review: Sprinkler/standpipe system for Area B/Phase I (Police/Courts building) of Justice Center. Job #COM2007-00157. Designer: Shawn Fenneran. Contractor: Omlid and Swinney. Note: This project is being reviewed under the 2004 Oregon Structural Specialty Code, 2004 Springfield Fire Code, 2002 edition of NFP A 13, Standard for the Installation of Sprinkler Systems and the 2003 edition of NFP A 14, Standard for the Installation of Standpipe and Hose Systems (the building plans were submitted prior to April 1, 2007 when the 2007 OSSC/OFC went into effect for the State of Oregon). This proposal features a manifolded system with an indoor backflow preventor valve and two OS& Y valves with a wall mounted FDC. There are four risers. The first riser will feed the future Area AlPhase II jail building. The second riser feeds the police/courts building wet/manual standpipe system. The third riser is the police/courts building wet sprinkler system. The fourth and last riser is the dry system riser for the corridor between the police/courts building and the future jail. The system is primarily hydraulically calculated for a .10 gpm/sq. ft. light hazard occupancy (being primarily offices) while the third floor mechanical penthouse/broiler room is classified as an Ordinary Hazard Class I at .1: gpm/sq. ft over 1500 sq. ft. The light hazard areas were calculated with a reduced square footage because of lower ceiling heights, use of quick response sprinklers and a wet system as allowed in NFP A 13-2002 edition, Section 11.2.3.2.3. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 02/07/2008 02/07/2008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/01/2007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 The standpipe portion is a wet manual system controled by the fire department engine company. 1. Per meeting with Deputy Chief/Fire Marshal Al Gerard, Deputy Fire Marshal Gilbert Gordon and Shawn Fenneran, NICET Level III CET, Omlid and Swinney, standpipe hose valves shall be relocated to the intermediate stairway landings below the second and third floors. Will verify on inspection. APP GRG Pal?:e 6 of 9 Plans Review: Clean Agent system installation for server room. Job #COM2007-00157. Designer: Steve Francalancia. Contractor: Omlid and Swinney. The proposed system is a Chemtron FM-200 heptafluoropropane system. The system includes Gamma Series 150 lb cylinder and associated appurtenances, piping and two discharge nozzles protecting approximately 3740 cubic feet. The associated alarm system includes a hazard panel tied into the fire alarm system, two photoelectric and two ionization smoke detectors. 1. Provide and install a horn strobe for the computer server room. 2. Field verify drop down panels are clipped. 3. Field verify HV AC shutdown upon trip test of clean agent suppression system. CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/0112007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 04/21/2008 04/21/2008 APP GRG Plans Review: Revised submittal-Clean Agent system installation for server room. Job #COM2007-00157. Designer: Steve Francalancia. Contractor: Omlid and Swinney. The proposed system is a Chemtron FM-200 heptafluoropropane system. The system includes Gamma Series 150 lb cylinder and associated appurtenances, piping and two discharge nozzles protecting approximately 3740 cubic feet. The associated alarm system includes a hazard panel tied into the fire alarm system, two photoelectric and two ionization smoke detectors. The revised submittal shows the installation of a horn/strobe in the IT room and the Gamma Series cylinder relocated. Will field verify clipped ceiling panels and HV AC shut down. 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. ~e<luiredJ nsnectioIUJ SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Pal?:e 7 of 9 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/0112007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Roof Sheathing Firewall: Located and constructed according to plans. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/N ailing: Before covering sheathing with finish material. Ceiling Grid: After drywall approval but prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Fire Department Clean Agent System: Coordinate inspection with City Fire Marshal's Office Fire Department Kitchen Suppy System: Coordinate inspection with City Fire Marshal's Office Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Underslab Gas: After line is installed and required testing and capped if not attached to an appliance. Underslab Mechanical. Prior to insulation or decking and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Pal?:e 8 of 9 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00157 ISSUED: OS/24/2007 APPLIED: 02/0112007 EXPIRES: 12/10/2008 VALUE: $ 22,395,060.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU 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 Pal?:e 9 of9 City of Springfield Electrical Authorization To Begin Work E-maded To: s.a.Ians@OREGON-ELECTRIC.COM Receipt # EC531732 6/9/2008 4:36:29 PM Check on status of permit By Phone: (541)726-3753 or Emad: permltcenter@ci.sprmgfield.or.us ~*TYRE70F WORKi~, " IJ>"'"Hk$iitty ~~Ij'.m, D Addition/alteratIOn/replacement I I I I TOTAL PERMIT FEE $254 00 I * rl~' r_f' ~ ..""....b'~'>U- Lu....dl t1.u(nIJl ~,ocaJ Technology Fee COM;,:;rfh-1" i)(?/57 . ; RCPT#' ~~(\1}7(' - ~~ \ ! DATE PROCESSED: (s.~ IX] New constructIOn D 1 or 2 family dwellmg D Multl-famlfy IX] CommefCIal / Industrial I "~Jilltil ':JOS'Sf'TE'INF,ORMATIONANO'j;;OCAiio'NAlW\\" "'-'!ffiJlli" " ,,1WW'n~,I'"~'" "'C ~1i'lld~M= ~~Iri~lmd60::rt->::" ~J0'iilNI,Lv", 24,%:%Wnldii''t ~,ttJ;;... I Job no ] 8676 I Job address, 14A.. ~ 2.:~D ~.\+- I CIty/State/ZIP' SPRINGFIELD, OR 97477-4604 I SUlte/bldg /apt no , 1 Project name: SprIngfield JustIce Cntr Cross street/dIrectIOns to Job sIte PIOneer Parkway I SubdivIsIOn, I Tax map/parcel no' 1703353 I 02400 I ElectrIcal for SprIngfield Justice Center I Lot no.. I Name Mark Talsey I Phone (541)747-0811 IEmall' IFax, lEI hc no.. 26-95C I CCB hc no 203 I Busmess Name' OREGON ELECTRIC CONSTRUCTlON 1NC I Contact. Shirley Lans IAddress, 1010 SE 11TH AVE I CIty/State/ZIP PORTLAND OR 97214-2507 I Phone (503)2349900 I Fax None I Emall sa lans@OREGON-ELECTRIC COM I Metro hc no I CIty hc, no , I Supervlsmg electrICian's hc no' 3006S I Supervlsmg electrICian's name, GARY LEE PEOPLES Upon review and approval by your local JUrisdiction, your permit Will be e-malled or faxed Within one bUSiness day, With instructions on how to schedule your inspection NO'TE, 'ThiS AuthOrization 'To Begin Work expires Within 180 days If a permit IS not obtained 'The local bUilding department may determine that an AuthOrization To Begin Work IS null and VOid If It does not meet apphcable land use laws and local ordinances, ThiS AuthOrization To 'FEE!SCHEDUte'\!llI';i&Y'! , '\! " "'1~!1:J~I~ Y:'~t,,- I DescriptIOn I Qty, I Ea, I Total '.-V'Q .~ '~"i1'T'dwellin ulni1~IDcl 1if~ldenha Y "!!;!'tT_, '1'1 :attae"e!!II~~"m,' fllfllllr, , !l,OOOsqftorless I 1 Ea addl 500 sq ft or portIOn 1 I-Limited energy, reSidential (WIth above sq ft) I-Limited energy, multifamily reSidential (With above sq ft) I-LImIted energy, commercial (With above sq ft) I - Stand-alone limited energy, reSIdentIal I - Stand-alone limited energy, multi-famIly I - Stand-alone limited energy, 4J $50001 commercial I*Serv\ ice~mOR\i'eeders jn~filll:tion,'alteraHll'~~'1\:ND/OR'r'l!\lrcatlOn , ~ '0, Whiill%l.lk":t'-~~~ ~'<dlii('<", ,,~,<JX1'1j1ii1.,1I11,'" , ~,~t::;;"J:fl"", - I', 1200 amps or less 20 I amps to 400 amps 401 amps to 599 amps TEMPORARY seNi }- ft~'>%.i W%' ~ 6~/OR're!!!$i~J~~ 1 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps IIIBrancb ci;(!lfi;'tlJr,TEW, aItJf~'tlllliMR exten~ioli~per panel 'ifdI0:j\~,*,<<<o ,"'~I<~'I~,IIMht i> If"dl',W'\.,," I 'Ii< A Fee for branch Circuits WIth service or feeder fee, each branch CIrCUIt B Fee for branch CirCUIts WIthout servIce or feeder fee, first branch Circuit, 1 each add) branch CIrCUIt 1!~eI\8neons r "~ 'i+&>>\ljjl#f' 1 ,. I ServIce reconnect only I Each manufactured or modular dwellmg, service and/or feeder I Pump or lITIgation Circle 1 Sign or outlme IIghtmg Signal ClrcuIt(s) or IImlted- energy panel, alteratIOn, or extensIOn $200 00 not offered online at thIS JUrISdictIOn Subtotal State Surcharge (12% ofpenmt fee) City Of Sprmgfield fees · $200 00 I $24 00 I $30 00 I h'ermlt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00I57 COM2007-00I57 COM2007-00I57 COM2007-00157 Payments: Type of Payment ONLINE CHGS cRecemt1 RECEIPT #: 3200800000000000391 DescnptlOn Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/10/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS NJM Page 1 of 1 ONLINE OREGON Online ELECT CONST Payment Total: 7:23:15AM Amount Due 200 00 10 00 2400 2000 $254.00 Amount Paid $254 00 $254.00 6/10/2008