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Home My WebLink AboutPermit Electrical 2008-7-22 . I ~'" \ "- . t - ~ _ ;I , '. CITY ,D~ SPRlt'J'O.LD; O~G0N ,'. '., SPRINGFIELD 225 FIFTH STREET' SPRINGFIELD. OR 97477 , PH (541)726-3753 'FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION Date I LOCATION OF INSTALlATION: h~~~ _",,~~~-",,",-----"_j ~ ^"" ___--" '3 3 J-? ?IVe;z.PeA-]> J::>/Z, LEGAL DESCRIPTION /7032200 3 _ ",...~ ~ -----..,,,P''"'' ,~ -,..., New Resldential- Single or Multi-Family per dwellmg umt I ~,",..;;;.."'~...;.w'\0-'~\", -' ~_.-I~~"" ~-,-",--J.,lt-'"- ___~J A 00 ,}02 Service Included 1000 sq It or less Each addItIOnal 500 sq It or portIOn thereof Each Manufac!' d Home or Modular Dwellmg ServIce or Feeder $11700 JOB DESCRIPTION . ,/ (;':'OIt~ :.rn:_:ns~:~lplre~~T5 not started wlthm 180 days of Issuance or If work .s Suspended for 180 days $ 2100 $55 00 F""';JT..,----.--~~T-." ~,'"' ~ _~1'W'i'" _ -I~~""""'--W B ' Services or Feeders -' Installation, Alterations or Relocation: ' ~"'~ ~_~~"''''-_j~';;4: ~___~J___ ~_~----'7!~lw~J "'4 _!:"'_;,.JJd _~"', _ ~~I "'~-~M 1r~-""~"':. ~~. 2 'CONT~CTORINSTALLA110NONLY -S;_~_'-'~"_ _~4--""';.!~ ~ ~ :tl~ w.sL..._' '" Electncal Contractor :rh. rJ.... ~(".~ (;,""1' :!.< . , $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps City ?ani. I!.J,. j: L pfo~fclI2N~1iJN :(J,ft. Jlill,. Over 1000 AmpsNolls Not,g,; rUles adOPt~on law reqU~econnect Only m OAR ~~n Center. T~~Y the Ore lIS YO~ to . 'y ." , Supemsor LIcense NumberOOeO 1Ll.1_;P91~....... Se ru/~~~.IIti/i,~ry Services or Feeders "~~, , ' . LI/I",~~-'rOU h "'''-eeHi; ,~,,' '.. "" ,---_......,-', ell/lmg the 0 taln COp~ 9 OAR ~i9.Q, ExpIratIon Date 19'!.111PSl fal:lt"l (Note: ~~~f tffefUllli-!n, Alterallon or RelocatIOn Center 18 , egOn UtIlity ~~_~'!or less I go ) ;l 3 -ao0-3:J2'2344)'!R~s to 400 Amps ;j0 I Amps to 600 Amps ~",< ? () 21/~ Address ,,' J $ 55 00 $ 76 00 $110 00 Constr Contr Number ExpmltlOn Date ()~... ,ct_ 2c.10 Over 600 Amps or 1000 Volts see "B" above ~-_ ---,~;::- ~{'t, ~",.'<"__~~~~",, ~"'-I_j S tur f S El In D Branch Circuits' " ", ' Igna e i:~ls~ ec \\. _ _ ~:;::::~I~~:r~ExtenslOn Per Panel ..- $ 4:0~"~ Owners Name ~_~ \{ NO.. Each Addll10nal CIfClll! or with r~ <...C . ServIce or Feeder Perrmt $ 400 ~ I r--~~~~~:;>"" --r-~~=-""'~ ""---~~~~---- Address yo I? 0 ,AUTHdJ ~~HAll F'NE1~W6Ril,(S~rv'c~/feeder not ~~:In~edl=~~c~_~~iallat~o_~ CIty EL{ C-wc ~~~NCED OR !SAB~~riJf1MJtJSJ$fon $ 55 00 UAY PERIOD. U~Wcf.GIiLe Llghtmg $ 55 00 OWNER INSTALLATION Ll1mted EnergylResldenl1al $ 28 00 The mslallatlOn IS bemg made on property I own whIch :fo'Lmuted Energy/Commercial / . $ 50 00 IS not mtended for sale. lease or rent Mmlmum Electnc Perm,t InspectIOn Fee 's $50 00 + Surcharges '~-~~~~~"'T- ~-~"':'-~ c-- ~o 50 b s- z~o;;; b3~ 4 SUBTOTAL OF ABOVE ,~?~'~'" '-~~-' .' -"" I'-/"% Slate Surcharge 10% Admmlstratlve Fee 5% Technology Fee Owners SIgnature InspectIOn Request 726-3769 TOTAL Shared Dnve(T )/BUlldmg FonnslElectncal Permit ApplicatIOn 7-07 doc _;.~N~''''' ~ Ik.-. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES. 01/01/2009 VALUE' $ 29,769,00000 225 F.fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3355 R.verBend Dr ASSESSOR'S PARCEL NO 1703220000902 Spnngfield TYPE OF WORK MedlcalOttice TYPE OF USE New CommercIal PROJECT DESCRIPTION Northwest SpCClalty Chmc Owner PEACEHEAL TH Address PO BOX 1479 EUGENE OR 97440 Contractor Type Arch.tect General Electncal Low Voltage Electncal Mechamcal Plumbmg # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Seconda! y ConstructIOn Type # of Bedrooms Front yard Setback S.de 1 Setbdck S.de 2 Setback RearYdrd Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable SpecIal InstructIOn Notes I CONTRACTOR INFORMATION. Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP 147733 CHRISTENSON ELECTRIC INC 458 TTC COMMUNICATIONS INC 164114 FM SHEET JyIETbL INC 89710 TWIN RIVERS PLUM~'NG INC 17695 Ii,; tl('i/t/~1 ~BlJJ,L'6fN0 INFORMATION. o ,4/y 9 .., III 'J ~ 1 090 Y, S2-00"'()fer ik Oy th~ bqultea Ci/II OUm t'CJ/)9h9~ Oreg Yell/to nUm~ng the ;y o~~iltro 1{f(i~FrllJt/l1/y er fOr th enteify ~tO.4~ 9t;.lfortJ, Center ~ OrEiPYN/'~: flte 1"tJI. '00,. 8 1 WN.~(!A' 9Ieplt es bj, Ene flvOt/1i. aile Spnnkled .~Oq nla ExpIratIon Date Phone 904-791-4801 904-791-4674 541-688-6121 541-689,2650 541-726-3000 541-688-1444 License 05/11/2009 05101/2009 04/1112009 03/15/2009 03/11/2009 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 135,205 1,706 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total HandIcapped Compact Overlay Dlst # Street Trees Rqd Paved Dnve Rqd 0/0 of Lot Coverage ~07'JCE.' HIS Dr'''';'. ;ufHORi~'.f'iViNN4'lJ~QYEMENTS , OMME.N ~K~l<>~ "" (Up ANY 1 CED OR '1 I HIS PER 'Ie WOR/( S.dewalk Type 80 DAY PER:gDA8ANDONE~/! IS NOT DownspoutslDrams . ,.OR Paee I of5 Status Issued CITY OF ~n(INGFIELD Building/Combination Permit PERMIT NO. COM2007-00469 ISSUED. 06/29/2007 APPLIED. 03/30/2007 EXPIRES 0110112009 VALUE: $ 29,769,00000 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,37691nspectlOn Lme I V ~1~atlOn Descrintion , Esllmate Tvpe of ConstrnctlOn EstImate $ Per Sq Ft or mulllpher $100 Square Footage or BId Amount 29,769,000 00 Value Date Calculated DescnotIon Total Value of Project $29,769,00000 $29,769,00000 06/19/2007 ~ Fp~., P~1d.I Fee DeScfIotlOn Amount PaId Date PaId Receipt Number Plan Review Commllnd/Pubhc $2,268 92 4/2/07 2200700000000000472 + 10% Admmlstrdllve Fee $9,69899 6/29/07 1200700000000000842 + 5% Technology Fee $4,849 50 6/29/07 1200700000000000842 + 8% State Surcharge $7,75919 6/29/07 1200700000000000842 BUlldmg Permit $96,989 90 6/29/07 1200700000000000842 DepoSIt $25,71532 6/29/07 1200700000000000842 Plan RevIew CommllndlPubhc $60,930 94 6/29/07 1200700000000000842 Plan RevIew Fire & LIfe Safety $38,795 96 6/29/07 1200700000000000842 Samtary Sewer - Improvement $10,201 75 6/29/07 1200700000000000842 Samtary Sewer - Reimbursement $13,41847 6/29107 1200700000000000842 SDC MWMC Admmlstrallon $10 00 6/29/07 1200700000000000842 SDC MWMC Improvement $122,046 85 6/29/07 1200700000000000842 SDC MWMC Reimbursement $122,046 85 6/29/07 1200700000000000842 SDC Samtary/Storm Admm $1,812 30 6/29/07 1200700000000000842 SDC Transpo Admm $33,226 08 6/29/07 1200700000000000842 SDC Transpo Improvement $353,01954 6/29/07 1200700000000000842 SDC Transpo ReImbursement $80,024 23 6/29/07 1200700000000000842 + 100/0 Admmlstratlve Fee $500 7/9/07 2200700000000001095 + 5% Technology Fee $250 7/9/07 2200700000000001095 + 8% State Surcharge $400 7/9/07 2200700000000001095 Low Voltage - CommercIal Indus $50 00 7/9/07 2200700000000001095 Return, DepOSIt $-25,71532 7/16/07 VOUCHER#121092 + 10% Admmlstrallve Fee $10 00 10/31/07 1200700000000001355 + 10% Admmlstratlve Fee $871 60 10/31/07 1200700000000001355 + 5% Technology Fee $500 10/31/07 1200700000000001355 + 5% Technology Fee $435 80 10/31/07 1200700000000001355 + 8% State Surcharge $800 10/31/07 1200700000000001355 + 8% State SUI charge $697 28 10/31/07 1200700000000001355 Add, Alter, Extend CIrc Ea Add $3,225 00 10/31/07 1200700000000001355 Perm Serv/Fdr 1000 amps/volts $37500 10/31/07 1200700000000001355 Perm ServlFdr 200 amps or less $1,953 00 10/31/07 1200700000000001355 Perm Serv/Fdr 201 to 400 dmps $1,87500 10/31/07 1200700000000001355 Perm ServlFdr 401 to 600 amps $1,12500 10/31/07 1200700000000001355 Perm Serv/Fdr 601 to 999 amps $16300 10/31/07 1200700000000001355 Temp Power 200 dmps or less $10000 10/31/07 1200700000000001355 -Mecbamcallssudnce Fee- $1000 11/21/07 1200700000000001430 Pa!!e 2 of5 _.._...~ Wi.:.. ; Status Iss u ed 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726,3769 InspectIOn Lme + 10% AdmmlstratIve Fee + 5% Technology Fee + 8% State Surcharge AIr HandlIng U mt 10,000 & Ovr ApplIance Not Listed Backflow DeVice BOIler/Comm 30-50 HP BOIlel/Comp 3-15 HP Exhaust Hoods FIXture Furnace - Vmt Heater Furnace - up to 100,000 btu Plan ReVIew Mechamcal (25%) Plan ReView Plumbmg (30%) Sewage Ejector Pump Trap or Waste not Conn to FlXt + 10% AdmmlstratIve Fee + 12% State Surcharge + 5% Technology Fee Temp Power 201 - 400 amps SDC Transpo Improvement SDC Transpo Reimbursement SDC TransportatIOn Admm + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 100/0 AdmlDlstratIve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercldl Indus Total Amount Paid PublIc Works ReView Plan ReVIew Comments $645 80 $322 90 $51664 $75 00 $720 00 $14 00 $44 00 $22 00 $99 00 $3,304 00 $12000 $1,83600 $72900 $1,062 60 $1400 $21000 $760 $912 $380 $7600 $-185,823 12 $-42,12331 $-11,39732 $500 $600 $250 $50 00 $500 $600 $250 $50 00 $738,629 36 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED. 06/29/2007 APPLIED: 03/30/2007 EXPIRES' 01/01/2009 VALUE' $ 29,769,000.00 11121/07 11/21/07 11/21/07 11/21/07 11121/07 11121/07 11121/07 1lf21/07 11/21/07 11/21/07 1lf21/07 1lf21107 1lf21/07 11/21/07 11/21/07 11/21/07 1131/08 1/31/08 1/31/08 1/31/08 4/17/08 4/17/08 4/17/08 4121/08 4/21/08 4/21/08 4121/08 7122/08 7/22/08 7122/08 7/22/08 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200800000000000090 1200800000000000090 1200800000000000090 1200800000000000090 YOUCHER#00132313 YOUCHER#00132313 YOUCHER#00132313 1200800000000000385 1200800000000000385 1200800000000000385 1200800000000000385 2200800000000001125 2200800000000001125 2200800000000001125 2200800000000001125 I Plan ReViews I 06/27/2007 06/1412007 06129/2007 0612912007 APP JLP Entered SDC fees based on DFV calcs m memo prOVIded by CLAIR dated 6/8107 as dIrected by Ken JLF IO LLH Check dated 6/2612007 from Haskell exceeded the current amount due on the project I have requested the amount placed m the depOSit account today (6129/07) $25,715 32 be returned to the payee as soon as pOSSible InformatIOn forwarded to Kaye WIlson IIh Page 3 of5 -iii-.~' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED' EXPIRES: VALUE: COM2007-00469 06/29/2007 03/30/2007 01/01/2009 $ 29,769,000.00 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspecllOn Lme 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 alter 7'00 a.m. wIll be made the following work day. , Rp.nlllr~1.Insnechons I Ufer EleclrIcal Ground Install ground rod al foolmg and call for mspecllOn 10 conJuncllOn wllh fooling and/or foundallOn mspecllOn Foolmg After Irenches are excavaled Slab To be made after dllmslab bUlldmg servIce equlpmenl, condUlI pIpmg and olher eqUIpment Items are 10 pldce bul prIor to concrete Frammg InspectIOn PrIor to cover and after all rough 10 mspectlOns have been approved WalllnsulatlOn PrIor to cover Cedmg InsulatIOn Prior to cover Roofing PrIor to mstallIng any roof covermg Masonry Bolts Inslalled m Concrete To be done by a Stale Ce.hfied SpecIal Inspector ProvIde mspechon lesl reports to CIly BUIld 109 Inspector RoofSheathmglNdllmg Before coverIng sheathmg WIth fiUlsh materIal HIgh Strength Bollmg To be done durmg constructIOn by a State Cerhfied Special Inspector ProvIde mspectlOn resulls 10 CIty Buddmg Inspeclor. Sh uclurdl Welds To be done durmg conslructlOn by Slate CertIfied Spec.al Inspector ProvIde mspectlOn lest resulls 10 CIty BUIld 109 Inspector SIte InspectIOn To be made after excavahon but prIor to settmg forms ErosIOn/Gradmg Inspection Prior to ground disturbance and after el OSIOO measures dre mstalled Structural Concrete In excess of 2500 pSi fo be done dUrIng construchou by a State CertIfied Inspector ProvIde resulls to CIty BUldmg Inspector Epoxy Anchors To be done by Cerhfied Spclal Inspector ProvIde InspectIOn resulls 10 CIty Buddmg Inspector FlIlal FIre Department After all reqUIrements 01 the FIre J;>eparlmenl have been mel Fmal BUlldmg After all reqUIred mspechons have been requested and approved dnd the bUlldmg IS complete Rough Gradmg After gravel IS 10 place but prIor to placmg concrete Fmal Pavmg After pavmg IS complete Rough Plumbmg PrIor to cover and mc1udmg reqUIred testmg Samtary Sewer Lme PrIor to fillIng Irench and mc1udmg reqUIred testmg Storm Sewer Lme PrIOr to fillIng trench Fmal Plumb 109 When dll plumbmg work IS complete Paee 4 of5 -iliCO CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO. COM2007-00469 ISSUED: 06/29/2007 APPLIED. 03/30/2007 EXPIRES: 0110112009 VALUE: $ 29,769,00000 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Gas Service After hne IS IDstalled dud hne has been connected to a minimum of one apphance mcludmg required testmg Presure test done at thIS pomt Rough MechaDlcal Pnor to Cover Fmal Gas When all gas work IS complete Fmal MechaDlcal When all mechaDlcal work IS complete Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Low Voltage Pnor to cover Electnc ServIce Approval reqUIred pnor to utlhty company energIZIng servIce Low V ollage Pnor to cover By SIgnature, I state and agree, that I have cdrefully exammed the completed apphcatlOn and do hereby cerlIfy thdt all mformalIon hereon IS true and correct, and I further cerlIfy that any and all work performed shall be done 10 accordance WIth the Ordmdnces of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the" ork descnbed herem, and that NO OCCUPANCY will be made of any structure WIthout permISsIOn of the CommuDlty Services DIVIsIOn, BUlldmg Safety I further cerlIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIS project I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that eacb 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 times dUllDg construltlOn Owner or Contractors Signature Date Paee 5 of5 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone Wfji CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2007,00469 COM2007-00469 COM2007,00469 COM2007-00469 Payments Type of Payment CredltCard cRecelOtl RECEIPT # 2200800000000001125 Date' 07/22/2008 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Pard By THE QUES rCOM GROUP INC Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 080870 In Person Payment Total Page I of I 2 37 56PM Amount Due 5000 250 600 500 $63 50 Amount PaJd $63 50 $63 50 7/22/2008