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Home My WebLink AboutPermit Electrical 2008-7-2 SPRINGFIELD ." '..." ,~ ZON .!b....iJ U * INITIALS \'\ IY\ A!.. DATE l - )_~ - ly(' 225 FlFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 I5iifF SOURCE \'1r'\ p31V7) ELECTRICAL PERMIT APPLICATION -.r-/' - CIty Job Number CoYYl::<' CO~- COd'-ii Date r;-;J-c~ 4, 'Ira"CATiWo~rEfl;I:!~4:n:o~~-__ _ h 3 ;' COMPLET~_FEESCH~DU{:E_BEiO",-- H V'tYftr0 _ 51/'J' r,rq-- rJo/by/ dilmrtJbf : _ _ ___~_ _,_ _ _ _ ,_ __ . LEGAL DESCRIPTION A f -Nell' Resldentlal- 8.mgle or MultJ-Famdy per d"elhng umt. 17 0 ~ ZZe>c::> 6 C) '0 Z S~rvIC: ;;~:;e; --. ---.-- - - -- -- . -- " A:}r~;cLlZkn ) y) kvL Permits aJ nOD-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 ,CONTRACTOR INSTALLATION ONLY B Semces or Fee!!ers - Jnstalla~;on;AlteratlOns or RelocatIOn - -- . - ., - -.- - 417: - --- -- - /1 l- t""'/. / I r.'1' /?/irr', ElectncalContractor .........,111\(, ./ tc."-<t2..- VYI( 2.0~~)'oriRl1j& $7000 J ". ~/12~/~1n .1J{[f!4onP'. $ 83 00 "2Uf'l.".r I Q v.<jJ/ ~Vl)c"'rJ~~l)t Address ---J-:l-lUL' ....."/P~""~ Ltl 04QJI ~JIlM.l5l6l1,Q~s6 qijlre $13800 " 'I rnEWr,iiflJiSlt!j) rJf/,b\Jr.e::/l}e J"lIlres J' $180 00 City c: V' , /l L Phone 5!LL --I)q-\ -7.,~8( ~ ~B6(t'~p~?(&-oll;%/es qe9017 (';t to $4 I 3 00 ~ - Re~ieUl~ (tv,CO/Jles O.<j;l:Jse,/lltk$5500 leI' IS '"e90 Ote tI} Of tl} IiS<'Qvql} 5 dJ&JS c ! Timpora';:~~~k ~!P/~s ~7. _ - , - - ""''fJ:]<~a'l-IVO'i7::/fotie Cy__ - / 0 /0 I / ,] D LD InstallatIOn, Altera"on or 'Ut,loc~~ I - 200 Amps or less Constr Contr Number ,C: 8 ~ c;9 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1 ~(}O Volts see "8" above l 1 * * ,~ A,o..))' ' Branch CircUIts - IV, rlc.' ~ --- - - J_ - --~. rll/s pl:,'liew Altera"on or ExtenSIOn Per Panel l~UrllO ~~CUlt ~ f ~/vjIv1.}~ ~T'~~lTCUlt or wIth I K cNrserv '.IilrIie~ml1lt $ 400 Owners Name 1:::>";'" ~ , h.. A 'u' 180 D'4':f 01l,;:-:ff !ftls"/:/f rift! _ _ _ _ _ __ ___ Address ,- '--' ~bX 14 7 "7 E --A;1!fl~1a..:~:~:~,qr!>~ffeJfl\rh~included) -Each Installation ~'''~'''ftfJe '"F'f'iliJtJfV(j_H/8ij/11L.- City ~e- Phone Pump or lr:,gatlOn D fOR Or $ 55 00 Slgn/Outhne LIghtmg $ 55 00 LImited Energy/Resldentlal $ 28 00 Lumted Energy/Commercial I $ 50 00 ~ 0 -- Mmlmum Electnc Permit Inspection Fee IS $SO 00 + Surcharges 4 [SUBTOT40!::~~VE - .' J ~O 12% State Surcharge /0 10% Adnumstraltve Fee ') 5% Technology Fee _~\~ b~ Supervisor License Number ExpITallOn Date OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own whIch IS not mlended for sale, lease or rent Owners Signature Inspection Request 726-3769 1000 sq ft orless Each addItIOnal 500 sq ft or portIOn thereof $11700 $2100 Each Manufacl'd Home or Modular Dwelhng ServIce or Feeder $55 00 ~~ * ""1""i*,-"'-~* $ 55 00 $ 76 00 $110 00 $ 48 00 TOTAL Shared Dnve(T )/Buddmg Forms/Electncal Penmt ApplicatIOn 1-08 doc Status Iss u ed 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00247 ISSUED 02/20/2008 APPLIED. 02/19/2008 EXPIRES: 0110112009 VALUE: $ 3,048,000.00 SITE ADDRESS 3311 RlverBend Dr ASSESSOR'S PARCEL NO 1703220000902 SprIngfield TYPE OF WORK MedIcal Office TYPE OF USE New CommercIal PROJECT DESCRIPTION OHVI 3rd floor Complehon project Contractor BERRY ARCHITECTS JOHN HYLAND CONSTRUCTION INC 46071 E C COMPANY 49737 SUNSET ELECTRIC INC 158859 FM SHEETMIITAL INC 89710 Iv !r:I\'T'~t" !:"!: TWIN RIF"t<;ffS ~LlWI_B,iWllNctaw requires Vl\i1<fHi Nollflcatlor! cBuir.n'~G~iNRov.~~1V In OAR 952 i,T_" I 1 'h -UU1-UU10 lhrough OAR 952.001- 0090 You may oIllbfiSlO!J\y~s of lhe rules b ca1ilng the cenMt'.Igfl1l<<>f€llltl~li'Ml!phone 'I number for lhe (j)~lld UeMy Nolltloatlon IB Center llM1a~2344). Range Type Energy Path SprInkled BUlldmg Owner PEACEHEAL TH Address PO BOX 1479 EUGENE OR 97440 Contractor Type ArchItect General ElectrIcdl Low Voltage ElectrIcal MechaOlcal Plumhmg # of UOlts PrImary Occupancy Group Secondary Occupancy Group PrImary Construchon Type Secondary ConstructIOn Type # of Bedrooms Front yard Setback SIde I Setback SIde 2 Setbdck Rearya. d Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable Special InstructIOn Notes I CONTRACTOR INFORMATION' LIcense ExpiratIOn Date Phone 541-338-7696 541-726-8081 503.224-3511 541-741-3885 541-726-3000 541-688-1444 0711112010 0111512010 0212712010 0311512009 0311112009 nla Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsemeut Sq Ft GaragelCdrport Sq Ft Other Occupant Load I DEVELOPMENT I~FORMA TlON I REQUIRED PARKING Overlay Dlst # Street Trees Rqd NOT J'dved DrIve Rqd lC,* of Lot Coverage THIS PERMIT A"I --- SHAll EXPtBE.lE:'I'tf~Wefr- CO -"jjt1ir:'1i~l~~~m-lIl'B!tM/T IS NOT ANY 180 DAY PER:5D~UI1IiuJ,VtD FQRlewalk Type DownspoutslDrams Total HandIcapped Compact Paee I of 3 Status Issued 225 Filth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle DeSCrIPtIOn Tvpe of ConstructIOn EstImate Estimate Fee DescriptIOn + 10% Admllllstratlve Fee + 12% State Surcharge + 5% Technology Fee BUlldlllg PermIt Plan RevIew CommlIndlPubhc Plan RevIew FIre & LIfe Safety + 10% Admlll.stratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Orc Ea Add Low Voltage - CommercIal Indus Perm Serv/Fdr 200 dmps or less Perm Serv/Fdr 201 to 400 dmps + 10% Admllllstratlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - CommercIal Indus Pld" RevIew Electncdl (25%) + 10% Admllllstrdtlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Orc MIDlmum/AdJustmcnt Electrical + 100/0 AdmlOlstratlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - CommercIal Indns Totdl Amount Pdld I ValuatIOn Oescnn~lOn I $ Per Sq Ft or multlpher $100 Amount PaId $1,11767 $1,34120 $558 83 $11,176 68 $7,264 84 $4,470 67 $111 70 $134 04 $55 85 $864 00 $10000 $70 00 $83 00 $500 $600 $250 $50 00 $279 25 $500 $600 $250 $48 00 $200 $500 $600 $250 $50 00 $27,81823 Square Footage or BId Amount 3,048,000 00 Total Value of Project lip"., P~.,J I rrrr Date PaId 2/20/08 2/20/08 2/20/08 2/20/08 2/20/08 2/20/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 4123/08 4123/08 4/23/08 4/23/08 5/5/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 7/28/08 7/28/08 7/28/08 7/28/08 Plan Reviews , I Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00247 ISSUED. 02120/2008 APPLIED' 02/19/2008 EXPIRES' 01/01/2009 VALUE $ 3,048,00000 Value Date Calculated $3,048,000 00 $3,048,000 00 02/19/2008 ReceIpt Nnmber 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000583 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000614 2200800000000000634 2200800000000001159 2200800000000001159 2200800000000001159 2200800000000001159 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED EXPIRES: VALUE: COM2008-00247 02/20/2008 02/19/2008 0110112009 $ 3,048,000.00 225 Fifth Street, Spnnglield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.37691nspectlOn 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 after 7:00 a.m wIll be made the folloWIng work day I ReoUlred Insnechons I Rough E1ectnc' Pnor to Cover Electnc Service Approval required pnor to ullhty company energlZlng service Fmal Electnc When all electncal work IS complete Low Voltage Pnor to cover By signature, I state and agree, that I have carefully exammed the completed dpphcallon and do hereby cerllfy that all mformatlOn hereon IS II ue and correct, and I further cerllly thdt any and all work performed Shdll be done 10 accordance With the Oldmances of the CIty 01 Sprmglie]d dnd the Laws 0] the State 0] Oregon pertammg to the work described herem, and thdt NO OCCUPANCY wlll be made of any structure ",thout permissIOn 01 the CommuUlty Services DlVlslOn, BUlldmg Safety I fnrther certify thdt only contractors and employees who are 10 comphance With ORS 701 005 w,ll be used on this project I further agree to ensure that all reqUIred mspectlOns are requested dt the proper lime, that each address IS readable from the street, that the permit card IS locdted at the front of the property, and the approved set of plans wlll remam on the site at all times dunng constructIOn Owner or Contractors Signature Date Paee 3 of 3 225 FIfth Street Sprtl1gfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OffiCial ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 Payments Type of Payment Cred,tCard cReccmtl RECEIPT #. 2200800000000001159 Date: 07/28/2008 Descnptlon + 10% Administrative fee Low Voltage - CommercJallndus + 5% Technology Fee + 12% State Surcharge PaId By CHERYL FROEHLICH Item Total Check Number AuthOrIzatIOn Received By Batch Number Number How Received dJb 499688 In Person Payment Total Page I of I 2 02 32PM Amount Due 500 5000 250 600 $63 5U Amount Paid $63 50 $63 5U 7/28/2008