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Home My WebLink AboutPermit Building 2004-04-07Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-007 62ISSUED: 0410712004 APPLIED: 08/1512003EXPIRES: 1212312004VALUE: $ 932,300.00 SITE ADDRESS: 400 S 32nd St Springfield TYPE OF WORK: Site Work Only ASSESSOR'SPARCELNO.: 1702310000503 TYPE OF USE: New Public PROJECT DESCRIPTION: Community Park, Planner is Kitti Gale, Journal Number ZON 2003-00016. This application includes the construction ofartifical turffield, parking, and walks. Issue temp electric only 091703.D8. Additional Paving Permit issued 31512004 Owner: CITy OF SpRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 PhoneNumber: 541-726-3753 License Expiration DateContractor Type Applicant Architect General Electrical Plumbing Sewer Contractor WILLAMALANE PARKS SATRE ASSOCIATES, PC JOHN HYLAND CONSTRUCTION INC LANTZ ELECTRIC TWIN RIVERS PLUMBING INC HAROLD PRIMROSE EXCAVATING 46071 84679 17695 07nu2004 07n4t2004 03nU2005 Phone s4t-736-40s0 s41-736-40s0 541-726-8081 541-726-0659 54t-688-1444 54r-485-0587 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I 357,925 546 ,3,754.00 B VN 13.00 nla REQUIRED PARIflNG Total: Handicapped: Compact: n law uires to Center. Those rules are set forth Street Imrtr1b't1"dH: Storm sewgffi feP{f,,1 i r s H A Lt- r.xP i li E I t- I li i: !1,'.i,' ^spec*r""Afflll0RrZED tiirLLil tiis i-rhiiiil ls ir.rl Notes: C0Mf''iENCED 0R lS AliAi',iUUitttJ FUH ANY 1BO DAY PEFIIOD. in OAR g5[-ffifttWtPirough OAR 952'001' 0090. Yourrnilsgbkifinffil3p of the rules by calling the cehter. (Note: the telephone number for the Oregon Utility Notilication Center is 1'800332 -23441. DEVELOPMENT INFORMATION Page I of5 a- L t: LUI\ II(AL I I, U rLr,rN G rN i UKlvr,q.!!!r1l l F Status Issued 225 Fifth Street, Springfield, OR 54L-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-007 62ISSUED: 0410712004APPLIED: 08/1512003 EXPIRESz 1212312004VALUE: $ 932,300.00 Description Estimate Paving Paving Type of Construction Estimate Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 79,000.00 12,300.00 841,000.00 Value $79,000.00 $12,300.00 $841,000.00 $932,300.00 Date Calculated 02t06t2004 02t23t2004 02t2312004 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0oh Administrative Fee + 77o State Surcharge Temp Power 200 amps or less + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Backflow Device Fixture Paving Perm Serv/Fdr 201 to 400 amps PIan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Plan Review Comm/Ind/Public + l0o/o Administrative Fee + 7oh State Surcharge Annexed 1979 or Before Fixture Inspections - Other Plumbing Paving Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement Amount Paid Total Value of Project Date Paid Receipt Number 1200200000000001938 1200200000000001938 1200200000000002148 r200200000000002148 r200200000000002148 220020000000000r5s0 22002000000000015s0 2200200000000001550 2200200000000001550 2200200000000001550 2200200000000001550 2200200000000001550 2200200000000001ss0 2200200000000001550 2200200000000001550 2200200000000001s50 2200200000000001ss0 2200200000000001550 2200200000000001550 22002000000000015s0 2200200000000001550 2200200000000001550 2200400000000000106 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 22004000000000002r0 $1,933.04 $1,189.56 $s.00 $3.50 $50.00 $354.29 $39.83 $9.00 $8.00 $14.00 $28.00 $2,973.90 $75.00 $-1,189.56 $45.00 $84.00 $2,374.43 $47,488.66 $45.00 $196.00 $45.00 $28.00 $3r4.44 $14.33 $7.07 $-13s.72 $s6.00 $4s.00 s42.25 $143.00 $740.03 $973.52 $10.00 $s0.93 8/11/03 8/11/03 9lt7l03 9n7t03 9n7t03 9/18/03 9n8103 9n8t03 9/18/03 9n8t03 9/18/03 9/18/03 9lt8l03 9/18/03 9n8t03 9/18/03 9/r8/03 9/18/03 9n8t03 9fi8t03 9n8t03 9n8t03 2t6104 315t04 315t04 3t5t04 3t5t04 3t5t04 3tst04 3tst04 3t5t04 3t5t04 3t5t04 3t5t04 tr'pes Peid Page 2 of5 t :L. Valuation Descrintion I OF Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-007 62ISSUED: 0410712004 APPLIED: 08/1512003 EXPIRESz 1212312004VALUE: $ 932,300.00 SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Refund - CtllP Plan Review + l0o/o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less s74.79 $4.85 $101.96 $79.05 $17.92 $325.76 $45.00 $-120.09 $15.90 $11.13 $33.00 $126.00 3tst04 3t5t04 3tst04 3lsl04 3t5t04 3t5t04 3t5t04 5n9t04 6124t04 6t24t04 6t24t04 6t24t04 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 2200400000000000210 22004000000000002r0 2200400000000000210 voucHER # 76330 22004000000000008s1 2200400000000000851 22004000000000008sr 2200400000000000851 Total Amount Paid $58,775.77 Plan Reviews Fire Department Review 08/15/2003 09t04t2003 0K GRG Fire Department Review 0210612004 03t03t2004 0K GRG Plan Review: development of vacant lot to soccer fields. Job #COM2003-007 62. Artifi cial turf. No structures at this time (phase 1). Plans appear to meet code requirements. Plan Review: Restroom facility for soccer facility. Job # COM 2003 -007 62. Construction type: V-N, Note: thr walls (concrete block) Occupancy classification: B. Sq ft: 546. Provide fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet oftravel distance. The top ofthe extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Manufactured restroom building. Manufactured restroom building. Restroom to be built per plans and conditions of Discretionary Use Site Plan Review ZON2003-00016 (Planner Kiiti Gale). 8127103 - Plans received and assigned to Steve Barnes to review. KJV Initial Review Initial Review Planning Review Plannine Review Public Works Review Public Works Review 08n2t2003 02t0612004 08/15/2003 02t06t2004 08/15/2003 08t27t2003 08/15/2003 08127t2003 02n3t2004 08t20t2003 08t29t2003 LLH RJB EMM EMM APP APP APP APP APP APP SB SB Paee 3 of5 ry Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-007 62ISSUED: 0410712004APPLIED: 08/1512003EXPIRES: 1212312004VALUE: $ 932,300.00 Public Works Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 08/r5/2003 02t06t2004 02t06/2004 02n812004 APP SB 08/15/2003 0812912003 wE JMP 09t0312003 09/03/2003 APP JMP 02t06t2004 02n712004 wE JMP 02t23t2004 0212312004 wE JMP Manufactured restroom building. SDC's added. MWMC credit applied. Emailed Rick Satre on812912003 with progress report and request for information on 3 issues. Received information from Jeff Bond comparing differences between the site plan review drawing set and the construction documents. Manufactured restroom building. JMP called Jeff Bond at Satre and asked for a letter stating: The units have state labels; a description and cost value for any additional site work and or labor for the utilities and hook ups not previously included with the contractors performing that work; and how the roof drainage is being addressed. Called Jeff Bond to ask him to provide for roof drainage and address the building being set on a gravel pad as a foundation. Manufactured restroom building 08t2212003 02n0t2004 APP APP DH DH To Request an inspection call the24 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. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. Final Fire Department. After all requirements of the Fire Department have been met. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underground Plumbing: Prior to filling the trench and including required testing. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Temporary Electric: Approval required prior to Utility Company energizing pole. SUB Ceiling Grid: Interior Lighting 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 Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 4 of 5 Reorrired fnsneefions -T La, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00762ISSUED: 0410712004APPLIED: 08/1512003 EXPIRESz 1212312004VALUE: $ 932,300.00 Storm Sewer Line: Prior to filling trench. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. 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 Springlield 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,card is located at the front of the property, and the approved set of plans will remain on the site at all times Owner or Signature Date Paee 5 of 5 m L- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone , tity of Springfield Official Receipt _ evelopment Services Department Public Works Department RECEIPT #: 2200400000000000851 Date: 0612412004 3:12:40PM Job/Journal Number coM2003-00762 coM2003-00762 coM2003-00762 coM2003-007.62 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l}Yo Administrative Fee Amount Due 126.00 33.00 I l.l3 15.90 Item Total:$186.03 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Check SATRE ASSOCIATES dlm 7tzt In Person $186.03 Payment Total: -$iEBldF 6/24/2004 Page I of I aPn,l{o?l&Lt Amount Paid LEGAL DESCRIPTION /702 3t Do,foj JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. co rrRACToR INSTALIATIAN ONLY Electrical Conrractor L Aru tZ- 6l-r.-CffZtc Address LllSl tE' S:f ciry S!B1N€E!BQ_ rhone 5{l^ 726'OGSQ Supewisor License Number 3\q 2-s Expiration Date Consrr. Contr. Number ZO . 3a3 C- ExpirationOate tOl rl O Signature of Supervising Electrician Owners Name Address 2?5 iT' City W vr,on" Z2:IZEI OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Min o*,*qlJfiEi", 4. THISPERMIT SHAL-I= EXPIRE IF THE WORK -AI,TT{ORI'ZEO UruOTR THIS PERMIT IS NOT n ANY 180 DAY PERIOD. Inspection Request: 726-37 69 C. Temporar.v Sen'ices or Feetlers Installation, Alteration or Relocation $ s0.00200 Amps or less 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $ 100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 Dot L $63.00 l^Gr $ 7s.00 $ 12s.00 $ 163.00 $37s.00 $ s0.00 ll $3.00 3a- $ 50.00 $ 50.00 225FIFTH STREET o SPRINGFIILD,OR 97477 o PI1,:(541)726-3753 oFAX: (541 E LECTRICAL PERMIT AP PLICATION city.rob Nunrber 14Z ^rl,j -AClf ), out" I. LOCATION OF INS'TALIATION 3. COTIPLE'rE FEE A. n*en-Rcsidentiat - Single or Multi-Farnily per Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Du,clling Service or' Feeder $ r 06.00 $ 19.00 $50.00 B. Sen,ices or Feeclers - Installation, Allerations or Relocation: o"ru 4nhs @ , E. Miscellaneous (Sen'ice/feeder not included) -Each lnstallation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Pump or inigation Sign/Outline Lighting Lirn ited Energy/Residential Li $ 25.00 $ 4s.00to i$Surcharges ffiffiffim;,'JllHl:set forth 952-00 n copies of the rules b r. (Note: the telePhone on Utility Notification oo otAL center is 1-800-332-2344) Sharcd Drivc(T:)/Building Fonns/Elcctrical Pcnnit Application I -03.doc F PRIN Building/Combination Permit PERMIT NO: COM2003-00762ISSUED: 0911812003APPLIED: 08/1512003EXPIRES: 03/1812004VALUE: $ 841,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 400 S 32nd St Springfield TYPE OF WORI(: Site Work Only ASSESSOR'SPARCELNO.: 1702310000503 TYPE OF USE: New Public PROJECT DESCRIPTION: Community Park, Planner is Kitti Gale, Journal Number ZON 2003-00016. This application includes the construction of artifical turf field, parking, and walks. Issue temp electric only 091703.DB Owner: CITy OF SpRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 PhoneNumber: 541-726-3753 Contractor Tvpe Applicant Architect General Electrical Contractor WILLAMALANE PARKS SATRE ASSOCIATES, PC JOHN ITYLAND CONSTRUCTION INC License Expiration Date 07fiU2004 07n4t2004 Phone 541-736-40s0 54r-736-40s0 s4t-726-8081 s4t-726-0659 46071 84679 CONTRACTOR INFORMATION LANTZ # of Buildings: Primary Occupancy Group Secondary Occupancy Primary Secondary #of Frontyard Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: *# of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: 357,925 Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ImperviousSurfaceArea:,3,754.00 REQTIIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Notes: Pase I of3 \o. ^s-(r-d' GV Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00762ISSUED: 0911812003APPLIED: 08/1512003 EXPIRES: 03/1812004VALUE: $ 841,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 841,000.00 Total Value of Project Amount Paid Date Paid Value $841,000.00 $841,000.00 Date Calculated 08/15/2003 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0oh Administrative Fee + loh State Surcharge Temp Power 200 amps or less + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Backflow Device Fixture Paving Perm Serv/Fdr 201 to 400 amps Plan Review Fire & Life Safety Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid Receipt Number 1200200000000001938 1200200000000001938 1200200000000002148 1200200000000002148 r200200000000002148 2200200000000001s50 2200200000000001550 2200200000000001550 2200200000000001550 2200200000000001ss0 2200200000000001ss0 2200200000000001550 2200200000000001550 2200200000000001sso 2200200000000001550 2200200000000001550 220020000000000rss0 2200200000000001550 2200200000000001550 2200200000000001sso 2200200000000001550 22002000000000015s0 $1,933.04 $1,189.56 $5.00 $3.50 $s0.00 $3s4.29 $39.83 $9.00 $8.00 $14.00 $28.00 $2,973.90 $75.00 $-1,189.56 $4s.00 $84.00 $2,374,43 $47,488.66 $45.00 $196.00 $4s.00 $28.00 8/ru03 8/11/03 9fi7t03 9n7t03 9n7t03 9/18/03 9tr8t03 9/18/03 9n&t03 9/18/03 9/18/03 9/18/03 9n8t03 9n8/03 9/r8/03 9/18/03 9/18/03 9t18t03 9/18/03 9/18/03 9/18/03 9/18/03 $55,799.65 Fees Pa Plan Reviews Fire Department Review 08/15/2003 0910412003 OK GRG PIan Review: development of vacant lot to soccer fields. Job #COM2003-007 62. Artificial turf. No structures at this time (phase 1). Plans appear to meet code requirements. Initial Review Plannins Review Public Works Review 08fizt2003 08/15/2003 08/15/2003 08/15/2003 08t27t2003 APP APP LLH EMM Paee 2 of3 m-i Yafuation Oescrintil Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-007 62ISSUED: 0911812003APPLIED: 08/1512003EXPIRES: 03/1812004VALUE: $ 841,000.00 Public Works Review Structural Review Structural Review SUB Review 08t27t2003 08t29t2003 APP SB 08/1sl2003 08t29t2003 WE JMP 09/03/2003 09/03/2003 APP JMP 08/15/2003 08t2212003 APP DH 8127103 - Plans received and assigned to Steve Barnes to review. KJv Emailed Rick Satre on812912003 with progress report and request for information on 3 issues. Received information from Jeff Bond comparing differences between the site plan review drawing set and the construction documents. To Request an inspection call the24 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 Site Inspection: To be made after excavation but prior to setting forms. 2 Erosion/Grading Inspection: After all erosion measures are in place. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Rough Grading: After gravel is in place but prior to placing concrete. 5 Final Paving: After paving is complete. 6 Underground Plumbing: Prior to filling the trench and including required testing. 7 Water Line: Prior to Iilling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 9 Storm Sewer Line: Prior to filling trench. f0 Temporary Electric: Approval required prior to Utility Company energizing pole. nsnections 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 to ensure that all required inspections are requested at the proper time, that each address is readable from the permit card is located at the front of the property, and the approved set of plans will remain on the site at allstreet, that times 4 7 Owner or Signature Paee 3 of3 4 225 FIFTII STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (541)726'3689 E LE CTRICAL P ERMIT APP LI CATI ON CiryJobNumber (LcM Zaoz *CO-( bL Date 1.3. c.{oo s' 323 $oHrJ P ehPsl,A) LEGAL DESCRIPTION t1 o?-SiooooSo'3 JOB DESCRIPTION * Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 ElectricalContractor LAnnz-- El-E<TIz( Address city SeErl(E1e+ o._Go Supervisor License Expiration Date Constr -323L qe' Signature Electrician Owners Name C € q ^ r? ^03 Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only D. $106.00 $ r9.00 $s0.00 $ 63.00 t $75.00 7sg $ 125.00 $ 163.00 $375.00 $ 50.00 $ 69.00 $100.00 qoL $ s0.00 $ 50.00 $ 25.00 $ 45.00 g.qo 1e"za Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. 7%o State Surcharge I0% Administrative Fee TOTAL A. .B. ( C.z.s 61F OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit 5 $ 3'oo Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Ener gy I Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges gr og 5.BB Address LZS f ir Tr\ S!(z€.E{ ;'!' ..: :E. Miscell.aneous (Sen'ice/feeder not included) -Each lnstailatiori City 5f rz-t*qrwi-D phsns-IZ(e -3'153 Inspection Request:' 7 26-3769 4. Sharcd Driv(T:/Building Fonns/Elcctrical Permit Application I 43.doc k-ri\l-f. f,6f 1-- { a\ ^\j \& as* 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Officidl Receipt Development Services Department Public Works Department Receipt #; 2200200000000001550 D&ter 09/18/2003 11:47:13AM coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 coM2003-00762 Addressing Assignment Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Fire & Life Safety Paving Fixture Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Water Line - I st 50 Feet Water Line - Each Addtl 100' Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Backflow Device Perm Serv/Fdr 201 to 400 amps Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Administrative Fee 8.00 47,488.66 2,374.43 (1,189.56) 2,973.90 28.00 45.00 84.00 45.00 28.00 45.00 196.00 14.00 75.00 9.00 39.83 354.29 Item Total:$52,61855 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check Check WILLAMALANE SATRE ASSOCIATES, P.C. j-p jr.tp 48404 6122 In Person In Person Payment Total: $52,520.27 $98.28 $52,618.55 ( submitted require specil ha$ the tollowll"':r c iand us€ 225FIFTHSTREET o SPRINGFIELD, OR97477 o PII:(541)726-3753 oF. E LECTRICAL P ERM IT AP P LI CATI O N City Job Number CLttcl Zc't: 3'OO 767 Date 1.LO CAT I ON O F IN S'TALI,AT'I O N 3. Lloo ?rD Zoning ,/o LEGALDESCzuPTION OZ OO p6$) JOB DESCRIPTION -rahP -S tc e Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . CONTRACTOR INSTALI,ATION ONLY L. Electrical Contactor LFF-^ -L El-ff 1s,. Address q\31 E ST City Sfl3rr..f(F fg1O Phone 7Zdob{7 Supervisor License Number 3 q q?!- I ExpirationDate ro/rloq Consfr.Contr.Number Z o' 3 Z3 <- Expiration Date to / tlo3 Signature of Supervising owners Name C;L cr-l :=fr=\ Address ZZ'{:+ >Pil Phone 726 - 37s3 A. New Residential - Single or Multi-FaInill' pcr drvclling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 $ 19.00 $s0.00 B. City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: q^n ^03 Date Pump or irrigation Sign/Outline Lighting 7%o State Surcharge l0% Administrative Fee TOTAL $ s0.00 $ s0.00 ffi= Electrician $ 63.00200 Amps or less 201 Amps to 400 Amps $ 75.00 401 Amps to 600 AmPs $125.00 601 Amps to looo Amps - ,. a,+ \\OB'fu:.oo over l00o AmnsA/olm r "?\i\t tl ' ^.r t tS \t$ls.oo Reconnect ontp ' ,;,-,r,lS,PLH;$)B $ s0.00 . , \,i' rr 16,lrl{uur"-C. t"-p9}{gis"F$fo}idnFeeders ' " '1-"t t'cH\uu' Instoltati6il, Alteration or Relocation 200 Amps or less I $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits l New Alteration or Extension Per Panel One Circuit i' $,4:.OO Each Additional Circuit or with Service or Feeder Permit $ '3'00 5o o9- E. Miscellaneous (Sen'ice/feeder not included) -Bach Installation Limited Energy/Residential $ 2s.00 Limited Energy/Commercial $ 45.00 Minimum Elcctric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOW 5o"e 3ry 500 Inspection Request: 726-3769 Sharctl Driv{T: /Building Fonns/Electrical Pennit Application I -03.doc AS Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-007 62 ISSUED: APPLIED: 08/1512003EXPIRES: 0311712004VALUE: $ 841,000.00 SITE ADDRESS: 400 S 32nd St Springfield TYPE OF WORK: Site Work Only ASSESSORTSPARCELNO.: 1702310000503 TYPE OF USE: New Public PROJECT DESCRIPTION: Community Park, Planner is Kitti Gale, Journal Number ZON 2003-00016. This application includes the construction of artifical turf field, parking, and walks. Issue temp electric only 091703.DB Owner: Address: CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 License Expiration DateContractor Type Applicant Architect General Electrical Contractor WILLAMALANE PARKS SATRE ASSOCIATES, PC JOIIN IIYLAND CONSTRUCTION INC LANTZELECTRIC 46071 84679 0711u2004 07n4t2004 Phone 541-736-4050 541-736-4050 541-726-808r 541-726-0659 CONTRACTOR INFORMATION \r1 K T# of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: #of Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: 357,925 Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ;3,754.00 REQUIRED PARIilNG Total: Handicapped: Compact: \S N0 t0RNID Sidewalk Type: Downspouts/Drains DEVELOPMENT INFORMATION Notes: Page I of3 lrt\ CITY Building/C ombination Permit PERMIT NO: COM2003-007 62 ISSUED: APPLIED: 08/1512003 EXPIRESz 0311712004YALUE: $ 841,000.00 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 841,000.00 Total Value of Project Amount Paid Date Paid Value $841,000.00 $841,000.00 Date Calculated 08/1s/2003 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + l0Yo Administrative Fee + 7Vo State Surcharge Temp Power 200 amps or less Total Amount Paid $1,933.04 $1,189.56 $5.00 $3.s0 $s0.00 $3,181.10 8mt03 8/11/03 9n7t03 9fi7103 9n7t03 Receipt Number 1200200000000001938 1200200000000001938 1200200000000002148 1200200000000002148 r200200000000002148 Fees Pa Plan Reviews Fire Department Review 08/15/2003 09t04t2003 0K GRG 08t29t2003 APP SB 08/1s/2003 08t29t2003 wE JMP 09t03t2003 0910312003 APP JMP 08115t2003 08t22t2003 APP DH Plan Review: development of vacant lot to soccer fields. Job #COM2003-007 62. Artifi cial turf. No structures at this time (phase 1). Plans appear to meet code requirements. 8127103 - Plans received and assigned to Steve Barnes to review. KJV Emailed Rick Satre on812912003 with progress report and request for information on 3 issues. Received information from Jeff Bond comparing differences between the site plan review drawing set and the construction documents. Initial Review Planning Review Public Works Review Public Works Review Structural Review Structural Review SUB Review 0811212003 08/1s/2003 08/15/2003 08t27t2003 08/15/2003 08t27t2003 LLH EMM APP APP To Request an inspection call the24 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. Paee 2 of3 I Valuation Descriotion I U Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-007 62 ISSUED:APPLIED: 08/1512003 EXPIRESz 0311712004VALUE: $ 841,000.00 nsnections I Site Inspection: To be made after excavation but prior to setting forms. 2 Erosion/Grading Inspection: After all erosion measures are in place. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Rough Grading: After gravel is in place but prior to placing concrete. 5 Final Paving: After paving is complete. 6 Underground Plumbing: Prior to Iilling the trench and including required testing. 7 Water Line: Prior to filling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 9 Storm Sewer Line: Prior to filling trench. 10 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Page 3 of3 laoFrEa-D 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #: 1200200000000002 148 coM2003-00762 coM2003-00762 coM2003-00762 + lYo State Surcharge + l0o/o Administrative Fee Temp Power 200 amps or less 3.50 5.00 50.00 Item Total:$58.s0 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check LANTZ ELECTRIC djb In Person Payment Total: s58.50 $58.50