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HomeMy WebLinkAboutPermit Building 2002-11-20 (2) .' . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 07/23/2002 EXPIRES: OS/20/2003 VALUE: $ 5,467,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 International Way ASSESSOR'S PARCEL NO.: 1703154000100 Spr TYPE OF Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Land Use: Professional Office Bldg, Zoning: CI, Foundalion & sitework for new office bldg. Building plans submitled for permits 8/8102 dim Owner: Pacific Source Health Plans Address: 250 Counlry Club Road Eugene OR 97401 Contractor Type Arcbitect General Electrical Mechanical Owner Plumbing Sewer # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Conslruction # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Pbone Number: (541) 686-1242 I CONTRACTOR INFORMATION I ( Contractor Robertson Sherwood Architecl 1996 LLC Builders Eleclric Inc Comfort Flow Heating Co Pacific Source Health Plans Twin Rivers Plumbing Delta Construction Co. License Expiration Date Phone (541) 342-8077 (541) 687-9445 (541) 485-0922 (541) 726-0100 (541) 686-1242 (541) 688-1444 (54 I ) 688-2233 BUILDING INFORMATION' B # of Slories: Heigbt of Type of Heat: Waler Type: Range Type: Energy Path: 592,416 60,928 2 II-N Lol Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GarageJCarporl Sq Ft Olher: Impervious Surface Area: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Disl: # Slreet Trees Paved Drive Rqd: % of LoI Coverage: Urban Fringe 1-\ \ 11::1'l IIUN:uregon law H:l4'IPUBLic.,ii\1PROVEMENTSI follDW rules adDpted by th.3 0 'd" L" > Street ., t'I'cation Center. Those rules are set IDr! ,~o I I hOAR 952-001- Storm Sewe~-Aviiiliilile:,)01-0010 throug ,,",, . .' fthe rules by SpeciallnsYJLC!i"":;U may obtain copies D calling the center. (Note: the tel~~ho~e Notes: number lor the Oregon Utility NDtlflCatlOn Center is 1_800-332-2344). Sidewalk Type: I of 7 N OTI (,ll!':wnspoulslDrains THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .' . CITY OF SPRING FIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 07/23/2002 EXPIRES: 0512012003 VALUE: $ 5,467,000.00 I Valuation Descriotion , Desc ription Bid Amount Bid Amount Type of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft $1.00 $1.00 Square Footage 5,467,000.00 837,000.00 Value $5,467,000.00 $837,000.00 $6,304,000.00 Date Calculated 11/14/2002 11/14/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt N urn ber Received By Fire & Life Safety Plan Review $1,184.36 7/23/02 10019 IIh Commercial Plan Check $1,924.59 7/23/02 10019 IIh Fire & Life Safety Plan Review $8,132.86 8/8/02 10241 IIh Commercial Plan Check $13,215.90 8/8/02 10241 IIh State Surcharge - Electrical $4.83 9/13/02 10598 IIh 8% Admin Fee - Electrical $5.52 9/13/02 10598 IIh Address Assignment $8.00 9/13/02 10598 IIh Backflow Prevention Device $14.00 9/13/02 10598 IIh Additional Driveway $35.00 9/13/02 10598 IIh State Surcharge - Plumbing $47.67 9/13/02 10598 lib 8% Administrative Fee - Plumbi $54.48 9/13/02 10598 IIh Planning Plan Review $55.00 9/13/02 10598 IIh Temporary: 201 to 400 Amps $69.00 9/13/02 10598 IIh Sanitary Sewer Footage $73.00 9/13/02 10598 IIh New Curbcut $75.00 9/13/02 10598 IIh State Surcharge For Building P $83.05 9/13/02 10598 IIh 8% Building Administrative Fee $94.91 9/13/02 10598 IIh Water Service Footage $115.00 9/13/02 10598 IIh Number of Fixtures $224.00 9/13/02 10598 IIh Storm Sewer Footage $255.00 9/13/02 10598 IIh Foundation Only $1,186.40 9/13/02 10598 IIh Paving $2,015.15 9/13/02 10598 IIh Gas Outlets 1-4 $4.00 11/20/02 1200200000000000275 IIh -Mechanical Issuance Fe.... $10.00 11/20/02 1200200000000000275 lib Heat Pump $12.00 11/20/02 1200200000000000275 IIh Air Handling Unit Up to 10,000 $16.00 11/20/02 1200200000000000275 IIh Furnace - up to 100,000 btu $24.00 11/20/02 1200200000000000275 IIh Boiler/Comp 3-15 HP $44.00 11/20/02 1200200000000000275 IIh Vent Fan $60.00 11/20/02 1200200000000000275 IIh Planning Final Occy Inspection $110.00 11/20/02 1200200000000000275 IIh + 7% State Surcharge $168.63 11/20/02 1200200000000000275 IIh + 8% Administrative Fee $192.72 11/20/02 1200200000000000275 IIh Perm Serv/Fdr 201 to 400 amps $300.00 11/20/02 1200200000000000275 IIh Perm Serv/Fdr 1000 amps/volts $375.00 11/20/02 1200200000000000275 IIh Perm Serv/Fdr 200 amps or less $504.00 11/20/02 1200200000000000275 IIh Fixture $1,134.00 11/20/02 1200200000000000275 IIh Add, Alter, Extend Circ Ea Add $1,230.00 11/20/02 1200200000000000275 IIh 2 of 7 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 0712312002 EXPIRES: 0512012003 VALUE: $ 5,467,000.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcbarge + 8% Administrative Fee Storm Drainage Impervious Area Building Permit $1,334.32 $1,524.94 $10,000.00 $17,767.75 11/20/02 11/20/02 11/20/02 11/20/02 1200200000000000275 1200200000000000275 1200200000000000275 1200200000000000275 IIh IIh IIh IIh Total Amount $63,684.08 I Plan Reviews , Engineering-CIIIP 08/29/2002 Appr PO Engineering-CIIIP 09111/2002 Pend PO Engineering-CIIIP 09/19/2002 Appr PO Fire Department Review 10/02/2002 09/30/2002 OK AG Fire Marshal-CIIIP 09/11/2002 Appr AG 3 of 7 Foundation & Site only Waiting for foundation plan to be issued 1. Fire department connection shall be mounted between 18 incbcs and 48 inches above grade. 2. Fire line shall be installed and tested per NFP A 24. 3. Call for piping inspection prior 10 backfilling. 4. Call for pressure testing and nusing of underground lire line, minimum 56 seconds at hydrant; verify minimum fire now requirements with now test. 5. Fire hydrant shall be fitted with a 5 inch storz type seamcr port fitting compatiable with City of Springfield Fire Department litting. 6. Combustible construction will not be permitted until the on site lire hydrant has been installed, tested, and approved. 7. Pipe under driveway shall be buried a minimum of 3 feet per NFPA 24. 8. Provide sign age at FDC. Foundation & site only Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Marshal-C/I/P . 09/23/2002 4 of 7 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 1112012002 APPLIED: 0712312002 EXPIRES: 0512012003 VALUE: $ 5,467,000.00 Appr AG Plan review - New Construction of a 65000 sq ft, 2 story, office building. Type II-N(sprinkled) conslruction. 1. Provide lire sprinkler plan submittal for review and approval by the City of Sprlnglield Fire Marshal's Office. 2. Provide submittal for review and approval by the City of Springficld Fire Marshal's Office of the FM 200 clean agent suppression system. 3. All Assembly rooms sball be shall be posted with the maximum occupancy load permitted In accordance with Art. 1007.2.6 of the 19980SSC, 4. Provide Special Inspection certification and testing documentation from an Oregon registered Electrical Engineer verifying egress lighting meets all requirements of Article 1003.2.9 of the 1998 OSSC. 5. Areas of Rescue Assistance shall be provided in accordance with Article 11 07 of the 1998 OSSC. Provide plan suhmittals and cut sheets specifying equipmenl, drawings, locations and othcr dctails specilied in Article 1107 of the OSSC for review and approval. 6. Rooms numhered 220,221,222 show an egress path through more than one intervening room. Please provide verllication that the design shown meels the requirements of Article 1004.2.2 of the 1998 OSSC or redesign to meet the requirements of this article. 7. Exit sign age shall comply with Ihe requirements set forth in Article 1003.2.8 of the 1998 OSSC. Occupancy will not be granted If Ihe requirements of this article are not met. For Instance, page E-2 of Ihis submittal does not show the rcquircd number of means of egress signs for the 1st noor Multi Purpose room. 8. Provide a fire alarm plan submittal for review and approval Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review-CIIIP Initial Review-CIIIP Plannlng-CI1IP Plannlng-CIIIP Revised Plan Review - Stru Revised Plans ReceivedIRo . 01/01/2005 10/15/2002 07/24/2002 08/09/2002 07/24/2002 10/15/2002 10/31/2002 . CITY V!' ~rRINGFIELD . Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 07123/2002 EXPIRES: 05120/2003 VALUE: $ 5,467,000.00 by the City Fire Marshal's Office. 9. All duct detectors within the building shall be monitored by the lire alarm panel. Please provide specilications and cut sheets for the duct detectors including mounting and manufacturers testing instructions with the fire alarm submittal. 10. FM 200 system shall be monitired by the Fire alarm pancl. 11. Provide address n's on the building clearly visible from the street and contrasting in color with their background. 12. Provide a Knox Box keyed entry system above the right front door jamb (or in a location approved by the Fire Marshal) the Knox shalll be supplied with a Master key for the building. Contact the City Fire Marshal's Office for a Knox box application. 13. The underground, lire line, on-site hydrant and other appurtenant equipment shall be Inspected, and approved by the Firc Marshal's Office In accordance with NFP A 24 prior to the commencement of combustiblc construction. 14. The lire lane shall be marked with signage or curb painting in accordance with article 901.4.5 of the 1997 Uniform Fire Code. Appr LH Appr LH Appr AD Plans for structure sub milled Needs LDAP prior to issuance of foundation permit. Corrective LDAP must be resolved prior to building permit issuance Response to Tom Rogers letter from Robertson/Sherwood Archltccts Fed Ex'd to Tom Rogers. Lettcr dated 10/15/02 from John Bramwell and Included structural calculations. See job file for copy of letter. Received from architect, engineer's response to plan review comment structural Item #4. Faxed to Tom Rogers. Pend AD 10 LLH 10 DLM 5 of 7 . i' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11/20/2002 APPLIED: 07/23/2002 EXPIRES: 0512012003 VALUE: $ 5,467,000.00 Structural Review 10/0 1/2002 10 DM Structural-CIIIP Structural-CI1IP 08/26/2002 Appr TR 10 TR SUB - Commllnd 08/20/2002 Walt JF SUB - Commllnd 08/2112002 Appr JF FedEx'd Exiting Plans for both noors to Tom Rogers 10/01/02 dim Foundation and site only Fed Ex'd plans and specs for building Building envelope and hvac pass. Lighting currently has failed. Calculations appear to indicate that the planned interior lighting load exceeds the budgeted allowable wattage by 2,697 watts. Have placed a call with Builders Electric to work out the lighting situation. Will notify building when matter is resolved. J. Foster Lighting Issues have been resolved for now and can pass the lighting portion of review To Request aD 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. I Reuuired InsDections I I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Underground Plumbing: Prior to filling the trench and including required testing. 5 Storm Sewer Line: Prior to lilling treuch. 6 Underground Electric: Prior to cover 7 Water Line: Prior to filling trench and including required testing. 8 Final Building: After all Conditions have been completed as required on Development Agreement. 9 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 10 Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line now test. II Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line now test. 12 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 13 Rough Grading: After gravel is in place but prior to placing concrete. 14 Final Paving: After paving is complete. IS Temporary Electric: Approval required prior to Utility Company energizing pole. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Framing Inspection: Prior to cover and after all rough In inspections have been approved. 18 Wall Insulation: Prior to cover. 19 Ceiling Insulation: Prior to cover. 20 Rooling: Prior to installing any roof covering. 21 Drywall: Prior to taping. 22 Firewall: Located and constructed according to plans. 23 Masonry: 6 of 7 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00881-01 ISSUED: 11120/2002 APPLIED: 07123/2002 EXPIRES: 05/20/2003 VALUE: $ 5,467,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 24 Ceiling Grid: After drywall approval but prior to cover. 25 Epoxy Anchors: To be done by Certllied Spcial Inspector. Provide Inspection results to City Building Inspector. 26 Structural Welds: To be done during construction by State Certilied Special Inspector. Provide Inspection test results to City Building Inspector. 27 Special: See Plan Reviewer or Inspectors Notes for specilic requirements. 28 Special: See Plan Reviewer or Inspectors Notes for specilic requirements. 29 Special: See Plan Reviewer or Inspectors Notes for specilic requirements. 30 Final Building: After all required Inspections have been requested and approved and the building is complete. 31 SUB Final: After all required energy inspections have been requested and approved. 32 Undernoor Plumbing: Prior to insulation or decking. 33 Rough Plumbing: Prior to cover and including required testing. 34 Final Plumbing: When all plumbing work Is complete. 35 Rough Gas: After line Is installed and required testing and capped if not allached to an appliance. 36 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. 37 Rough Mechanical: Prior to Cover 38 Final Gas: When all gas work Is complete. 39 Final Mechanical: When all mechanical work Is complete. 40 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 41 Rough Electric: Prior to Cover 42 Electric Service: Approval required prior to utility company energizing service. 43 Final Electric: When all electrical work is complete. 44 SUB Ceiling Grid: Interior Lighting 45 Curbcut - Standard: After forms are erected but prior to placement of concrete. 46 Curbcut - Second: After forms are erected but prior to placement of concrete. 47 Rough Electric: Prior to Cover 48 Electric Service: Approval required prior to utility company energizing service. 49 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 furth~agree to ensure that all required inspections are requested at the proper time, that each address is readable from the str t, t atthe.p mil card is located atthe front of the property, and the approved set of plans will remain on the site ataJrti'es ~~~//~ A.. II _or (' ~ ,~~___- ~ 1\~Zt7-DC O~,Jor Contracto-rs Signature - Date 7 of 7 , , " ~;J f\t:j;.:l" ELeroCALPERMIT APPLICATION,,';" . ' , - -' ~~~~ k~~1~~~\?X~~~,:.SI.f}~' ,:,t~~:~'t?;~~\t~'.~J:4t:';~~~~::i, ~") ~'~Cit,~tJoh Nu~lierJ'€Y/Z!,~.(j)(Ej~?:S:{c::>;,.~ite. tr.~".;,~..:t~:'. ~ ltw.i.o ~1.~.' ,~;;:t!;:ti:~~f.~:11~'.f'5:;';:,'';} ';:' :.;:.;~)J';.-,}~r~..,.pV;'(:::r:', .,~Yf' SI ;;r~ \;:.., ..,,';'.'............,'r'.'...'. "'_1 .~. .,\\.o'.I')l.-",.'~' '''f'- ....., .~ 3~,COMPLETE FEE 'SCHEDULE BELO\V',';:'\\!"'f ,~<',;~/~;-,. ' ,.~~"., 1 en"".., ,. t . f"'." '. ,. .,,:J\,.. '1'~1 . J' '" '. _ \'.0 ~,~ '-"1! '. l' - ,~\; ~~:.$:/,~;? \;,,"""'~';'t"I~~.'~'E~~~,'~:~,:' :~~..,~r~.~~-(J}' .L.~~. . .,.f','~,1" ....'.\"j"1 '~. ,,~~ ~~J~~,?ii~~idcntii:t~ii~g';r~~~'l"i'~: ~~/;\. :. '\..t:\:.'r:.,:,~:,;: ~.l,'l,f".',~~').:II;P~ r.'4., Multi-Family pcr dwclling unit. '::~~; LEGAL DESCRIPTION Scn'icc Includcd:':.'{,:>: /703, 154 0 C> 0/00 101l0""(\\>' ltcms Cost S~~~;':', q~~\j,; JOB DESCR(PTl~ON ,IIe6 \\~~~~i ~~e ft, or less $1 06.00{'~.' ~~';;~r k I PlLJ 1)( l ' . , C, e.~ ~\)O~0 s90C Each a . lOnal 500 .' .:.~:,'" /; .e,," -p. - eO' eo.ll'7 , ~,i:'.! nlOI (\01 I " ,or n ~~1l:; Permits are pou-transferable and ,~(\~ 60e' U the $ 19.00 _ ~~;,y ifworkisnot:startedwithiul8ll'~"~ ,,0'" ,ch ufdHOll1eor (, "I', S;:;:": of issuance 9r,ifwork is suspenll~1e ,/-o(\,(\\>' _ 0 ular Dwelling it ..' ,'.;::, ~'~:4-" 180 days. il't5 \ Illle Service or Feeder j;',;;-,,: . ":'; . $ 50.00 :'::: , > ~, '''I !~~~i~. '9~0 S\~'(\e. "', . 2. CONTRb:S"OR \~FALLATI8N ~~<? B, Services or Feeders . .,;..'. ".;:;~;.:,". t~~~; h:.~",~ . I?'. I'll , . Installation, Allerations or ,: ' ,;..,"". ,.': ' "., l~:~{:i,~' Electrical' Contractor',Bu I IcIe~ E: la:.J Y"t<: . Relocation: Y"; ,,:.'.' :. ~"...'. ',: ':., _ " ..'T. ,.;1"." f;.,....::)';ti.~ <'. _..,~ _ X~. .', \; " :. 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'I :,-" ".~" "~",;" ...... . t.: . '. . ,,~~S" "~~"r;.'JP...,:--J~1 "~'i.' k~qc\', ::~SBOlr:C().')tr.::I)!l.!'!2qer.r~.~7,l!Y,l-'-'.." :t, 'JI1!S,t!!!!:i!iol'; -:\I!~!":!!j~n;o!": Rclociit.ion ;2!/r'"N"~:;~/':':! \:':~ ~~;:1~,~ .. ~J"lJ;:;?-:"..t~~~~l,I;jiA ....:'..,.'?i.,..$..~:..' '::~-"" ~1$.~ittl-(~~:}"1.{r-~"\'!',!",~:",~",~~~~~, '~~V'': .""~'~,~ .....':. '\;1'_-!~.".r~';:::_;,~_\', ~h~~ '~.' ~-:"~:-~M___ ^~/"'Fk'!O" ~1ep.~;',"';;:~~:~,j';-:;':i:'I"~ ~ ',,!.l.t*~"T-'i~~:~ifl:.{"'~:J~f~r\,.;t;..'~'~: .." ..J~:"'l'~.'n~...'1-.:' -~V~":/~" !~'t'~t~F~piration Date lu - -. :.::4f~ """\~:'-}, ;. .:.,I ,;~t}1i-d"'20~.~"n'l'sqr.:les,s;~';;;,,,,:~i'_)':\"" \',: ;i,', i". '$,50:00~~ ft~J'~~. "J.~.:'.J, 'I!.;...t, ..L ':I\'.'~'~~"1.~.\t.':!;"~:~~;';'~':'~:~(201'arilps to'. 400-a'nlps .. :\\.:}'. ,,~.!..,.,{ "I;:l '," $6900' " . , . ~~~'~"'~i{"'-o'~. '~"").""':t ""'~-';:';l\~>l,jX/~~i-:t ,': ~ .' ,..<'r..I.~~l'. ",:.~~' ..' '.'~ :~":f:.'~~i~.~~~:1;":i:. ,Sign:. '. e, .f. SUllcn'ising Elcctdcian ..~... '.;\;Over.40 I to 600.ainp's~:~:..'f;'i~",t\~.~ \_,\,/1:' _J?r~'{f.'$)06..00' ~ I I. . '!.I..'..'....,.~" ~":J;" ,..:::~'-;~.JJ:O" .__" '\"', i.'" "",1-', '_ >';' ,~(,_ l-;..k'j~.,i,;-~~ 3i~f.' .;.;','..:r-:\ fP'~~'~+t.~ Over 60C)'nnips or 1000 vOlts'see -', ~"~~~,~'l'''';;.;'~' ..~...,: , .: . {f'~~ ~. .," (~',~' ~'~"i-''''''''"': '. -.,..' ,f'.., ':';)-'4'" "';'..,..,1.. \f~ ~":"'t', 1?(~~l~".:J,').~'~\m. ,>>1t-:t.. ~ "B"abovc i.' ....\II:.""'~;I'-;,!t.~".,:. ..t;U.:~)~~ '.'-Y.>' 'l'-.~~~f" _/ .::-,-:ti''/~. ( !.t~,;,}.'~::1,:\.....t'~'I.'.~ .'" ..,.. ~,~':.i-,r.,~, f ~\.li/.tl!,. ,-'-A'/i'l-.....". ~l';' : f1h.n.i .,~d--i\..~ '., ,'. ~.;~t:~I'4t,:#1~~;,;'.~"fi~Ji:$t~~i't~;';H;;~..." C' . D. n,.anch Cil!~;iiIS . .i.'~/~i(;:~.;;~F,({: it~};~):~~~;.: .O\~_nc.r.s:~iu~e.:~~~.. ,;1'0'<~~f.'0.~:~.. <~(J\..)yr f' Ncw:A-lteration or ~~Iension Per Pa~tel "./.' :~'" ~~. "i~ ',' !)$~' -i.ll,:"'"1...'1,: '~fI:;... '. ,.......~~~h"..'. ' "''1: . ,. ".., . ~' .. . '.' ,., '1'1' A'V::'..;,f". [l<"5, "'1.~'fo2"'<S"""'O-~i'iit.11~~, ""~'*Al;"~f: I ~d . i.,', '. ,. . , . , ':' ,.,. ,;: . .. '. ,p;~'~ k . .,tu"'''''sr-)jt". \j-'~"" ~"' .','.'" "., I ~:'Sl,J1.:~ps~~.A(]dress',.. _,-: . \.~:.t .'".A......., .... - l IA f..,::> , One Circuit _' $43.00 ~;'::'~'*'-~fi~llii;:;"a-'i..--:~..; .~'I':.J~'.-.'~';'" _H....~,,_~' 'r "..' .:..1:.', " . S~:~<fi~s~;.~:~~~~;;?":'"..;hO~{:~lQ; -12 Ii l Each Additionnl Circuit or with Service., ,. ". "'0' ~~/;" ".~t~t'f"~;I:~:',/~ ~~~"}':~ .~' .- ".>;.:,<',~'(; '-~(.':.:' or. Feeder PCfllllt ~ $ 3,?O !1..:::. >,:>,,'\!~OWNERINST&t~'JIII~N(',. . .... . . \~;'. i J~"i'r('Tjle 'in.stalla.iio~ is ,~/~Jnf.\ll~~)<w:~~n law reqUires IE~~f:\scellancous (Scn'icC/fecdel" nut inclnllcd) ,,:. .:."~:~:Jpropertij,O\\W!tri\ICIi.~"\l'),%rinllJniled by the Oregon Utility .Each installation .,. :,:'.: :~l);fo(sitl~,f)~~E'y~fe"rilqrrcenl~r:T~ose rules are set fort~P()mpor irrigatioa $50.00 \, ,:::;;'~\5)'w.:~.(~;.::"".:/.IW:,O'lf.fl,~9.?r.O.01,;Q9.JQt.hrP. U.9h OAR 952-001-Sign/Onliine Lighting $5(),00 ::; < :X~\j~~l~~l~;:s',~i~~'?b\.~Y,?-U r!}'8.y ~~1",in c6Pi~s of the rules byLimited EnergylRes $25.00 ,:i .~: "il~\~l :."':""F~"?J" c?lling\t~~center.(Note:,thetelephone LlIllIted Energy/Comm $~5,()0 ,.: '.':,:,~~,::> . .""~, ':',ntlmoor;fdrlhe'Oreoon titilitv Notification ''-,'.; . "-':.'f":~."'( "~""";':-:.'/l,".'" ,;.:E:eiiterifd-800"332.2344). Minimulll Electric Pennit"tnspcction Fee is S~~UIII + Surcharges '<N'o'Tl'~ir;::~!..~:.'~: y' '1'~:.;~'~';:,;: .:....-~: .: '...{ ~. SUBTOTAL OF ABOVE Z II 0'7 JHIS;PE'IiMiTSHAL( ExPj.RfiFTHE' WORK' . 7% State Surchargc I P. rs ~ ,AuTHORIZED UNDER THIS"PERMllISNOl " 8% Administrative Fcc / Y l 7Z. .. _~,' -, "''\'"' .,'" '," ~ ~'-; . ,-'''" ..' ,.'" _ ... . J '.'. 'COMMENCED OR,IS'ABANDONED fOR,' .,> \., . ANY'''SO' DAY PERIOD. . . .'. ." - . . ... , .", ",. ~'.' .-<U",,- . "'225 I'IETH,STREET ~" ,;,C ",".',Yi ..} .r::q\!~rll,. . ~"'"' ~ ;:'~"~ ~" " '~'. .. " .".' , ~,'.'\ f~A'''''':''1 ~'1 I~'\"~t. 'SPRlNGFIELD OREGON 9747..7 ;'V" .'l lf~",~@. ! INSPECTiON'illi'UE's'{':726~316~:~ i'lil 1:;:'!iir,:~17..'; r~ .':'n... ":~'~".' '".... . 'Q~1ffi,; /f.;h ~"" ~."~ .~ "Ii.t,. , O!j"FI\3r:<.iZ.f~;n.,5,9r.lI'" ~t.. .!&!~~; r. . 1.1' t~./i!,' ,~k", .i' ~ it' ~- 111m"': filS 1"'". I-'~l ,,, ~o. If' ./...." " 11 ,~., ,'.Qi"1j2. '~l. LQ,CATION OFINSTALDATION i!i' ."',).:~ ti~ -1-1 C) TI'YiSe.mo ,~'\i' n ~ TOTAL Z770~ . ---.----. .._u__.. __ . .-----.-----_.__.n._~_...__.n_h_.__..._....__~__ _ . ___'n_~n___..u____. ..h__________..._.__ "'1 .1 .1 , .' I '\ . . -----, --------"""