The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-8-5 ~"'-*' ~ tJf'r~- ZON >>-\j/ r [n(V u::P INITIALS .l,x\ ~-o..OV DA TE ~.."1 '!~'Q-: SOURCE ~(V ~PA'NQ"'ELO 04'~, k~~-J -~ .'" 225 FIITH SfREET . SPRlNGf.IELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number "O~ ZOO S -002-47 J Date I Lo01TION OF INSTALIiATIOij::- , '3 3d \ J2- \ \J E a... Bt:r./ I::i 3 r COMPLETE FEE SCHEDULE BEWW: I >I-~ v 7-;_ - , A t New ResldentJal~stiigle or~M~1.h~Finll&;1ii;dwefh~iu~}t. ServIce Included LEGAL DESCRJPTION 1703Z-2f::>O 00902- JOB DESCRJPTION f Ort:::~e>-.. U~ ~ 0 ~\:)( '-' . 6 1/' Permits are Don-transferable and expire If 'York IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 11WlV:Q~1(eI!?~!1li.s:tJg;~iIONPNP~ 1 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DwellIng Semce or Feeder $11700 $2100 $55 00 B l!emC:es or 'F~~~r~~~iii~~~i~~~p~s;or Re!~~ab~n. I 2,0 '3 Electncal Contractor E C Comnanv 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 Address PO Bo x 925 Phone (541) 926-4266 .CIty Spr1ngf1eld ~ , C I T^'-" ,',,\ 'S;,,;;.'>F ~M:F."'I'.]i':.l~~'i''4L.""(;%.''L~".fji%t~.." r ~porary e~J~~,oq,.,~~~*-,f;:'t.01"4~%"\v~' j SupervIsor LIcense Number 3257 S Instal/~g'Vb~lQratlOn or ReloealIon 10\ 0'''90n \a"~n~~UlJ~~Y ( $ 55 00 Constr Contr Number 22-15C - n'2.rJJ~,tedbY ef&lla~lIllB~4!iil~PS $7600 , ,on Center 6~~~0~ @'\'!ls~~~lRJ ~ps $110 00 ExpIratIOn Date 7/1/2008'J:'~,,,"?_001.001 CO\\i~~e~lues 1000 V I "B" b \IIV'" YOOta,\11 1'"'6 . otssee aove 00 '(Ou ma (N-A,t~ \: ......t-ft.'1,>fr~ ;>-);Y~'I(\0kl1U' '';.f, . z;Slgnatu(J)re ofSupervlsmg ElectnclmPO~a\lIng the cent~~'ego~ UtI W_~~-!'-"'" '~"'r::::it#!t,t ' , lUoer lor the l-&oQ-3OOr~'mlOn or ExtenSIOn Per Panel . entel IS One CIrCUIt I $ 48 00 i L.. Each AdditIOnal Clrcult or With ? 0 ~ . ~ _ ,. I t (' Service or Feeder Penmt $ 400 Owners Name TF:~ ~. +- "'?-O "R O.ok !" "'} 'i CIty 1!:::,^6-CW'C Phone 10/1/2010 Expiration Date ~s :.1 48 3bO E rj\f1scellancous (Semeelf!'ffi!!t~6t' ,ne!ud~t-;E~e""fJ;.i>!ft~l)1>li I Address Pump or Imgahon $ 55 00 SIgn/OutlIne LIghtIng $ 55 00 LImIted Energy/Res,dentIaI _ $ 28 00 LImIted Energy/CommercIal I $ 50 00 50 MImmnm Electric Perml!lIlm~J;;e IS $50 00 + Surcharges ~01\C~~~\i.'~U: :e:~~~j If.,t 1\\\S ~QV.\1.t.{l1~ l/l.~~~~ fO 7220 fl-IJ\\\ t.~C~ Itf.gy Fee '36' Y I \i) ~~ ~l,} ~~b~~~ha~ Dnve(T )/BUlldmg FonnsIElec'ncal PerIm' APPh!~O~JJ: ~c L(.~ ---I ' ~/1fJIO /. DIP e1~ . OWNER fNSTALLATION The InstallatIOn IS beIng made on property I own which IS not Intended for sale. lease or rent Owners Signature InspeelIon Request' 726-3769 ~~._. "N."~ ,,~~ I III;: CITY OF SPRINGFIELD. Building/Combination Permit Status Issued 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme PERMIT NO' COM2008-00247 ISSUED. 02/20/2008 APPLIED: 02/19/2008 EXPIRES' 01/01/2009 VALUE' $ 3,048,00000 SITE ADDRESS 3311 RlverBend Dr ASSESSOR'S PARCEL NO 1703220000902 Spnngfield TYPE OF WORK MedIcal Office PROJECT DESCRIPTION OHVI 3rd Iloor CompletIOn prOject TYPE OF USE New Commercial Owner PEACE HEAL TH Addrcss PO BOX 1479 EUGENE OR 97440 I ,CONTRACTOR INFORMATION' Contractor Type Arch.tect General Electncal Low Voltage Electncal MechdOlcdl Plumbmg Contractor BERRY ARCHITECTS JOHN HYLAND CONSTRUCTION INC E C COMPANY SUNSET ELECTRIC INC FM SHEET METAL INC TWIN RIVERS PLUMBING INC 46071 49737 158859 89710 17695 LIcense ~ BUILDING INFORMATION I # of UOlts l~tCltles Pnmary Occupdncy Group l1'tclw leqU\le ~\lbf Structure Secondary Occupancy_~roup~ Olego~'1 Ihe Ole l!M~tltbt Pnmary Construtt.Jn Type 5 adollle sa Iulas~, .:;e \~\4 taf I ""Of'. Secondary Constru~tI00n,\Typeen O~OI\\IOUg" Hne~~~ # of Bedrooms "v~'~R 9,,2'OO~'0 blain COllle\Oa \~~th In 90 'Iou 1l1e.'1 aIel tNole II '" ~!l'IIl~'huddmg n/a 00 .kO cen _.~ I \II (-, \' ca\lll''l::! \\ie Vl.....~- ~'"'''_.1'..-c''" :1" ull1bel \01 I IS \-801jl-m;vELOPMENT INFORMATION I n cenle Front yard Setback SIde I Setbdck SIde 2 Setback Rearyard Setback Soldr Setbdck, Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage ExpiratIOn Date Phone 541-338-7696 541-726-8081 503-224-3511 541-741-3885 541-726-3000 541-688-1444 07/1112010 01/15/2010 02/27/2010 03/1512009 03/1112009 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdrport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS' 'f.. E ~?I?~ 'f 1"~ ~~alk Type NOi\\~~\i' S"""-\ 1\\15 P~?~~\~Rownspouts/Dfdlns- 1\\\5 PQ?llt.O \l~Ot:" f>.~f>.~\)Q~t: f>.\lI\\ ~O Q? I., CQ\IJ\\IJ\t.~C p.'i ?~?IQ\). f>.~'i ~&O \) Street Improvements Storm Sewer A v dllable SpecIal InstructIOn Notes Paee I of3 ~iiirjil Status Iss u ed 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIne Description Tvpe of ConstructIOn EstImate EstImate Fee DescriptIOn + 10% Adnunlstrahve Fee + 12% State Surchdrge + 5% Technology Fee BUIldIng PermIt Plan RevIew CommlIndfPubhc Plan RevIew FIre & LIfe Safety + 10% AdmlnIstrdtlve Fee + 12% State Surchal ge + 5% Technology Fcc Add, Alter, Extend CtrC Ed Add Low Voltdge - Commercldl Indus Perm ServIFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps + 10% AdmInlstrdtlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - CommerCIal Indus Plan RevlCw Electncal (25%) + 10% AdmInIstratIve Fee + 12% State Surchdrge + 5% Technology Fee Add, Altel, Extend CIrc MInImum/AdJustment Eleetneal + ]00/0 Admmlstrdhve Fee + 12% Stale Surchdrge + 5% Technology Fcc Low Voltage - CommercIal Indus + 10% AdmlnIstI dtlve Fee + 12% State Surcharge + 5% Technology Fcc Add, Alter, Extend C1rc Add, Alter, Extend C1re Ea Add Low Voltage - Commercldllndus Perm Serv/Fdr 200 amps or less Temp Power 200 amps or less I ValuatIon Descriotion I $ Per Sq Ft or multlpher $100 Amount PaId $1,11767 $1,34120 $558 83 $11,17668 $7,264 84 $4,47067 $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 $72 30 $86 76 $36 15 $48 00 $360 00 $50 00 $21000 $55 00 Squa, e Footage or BId Amount 3,048,000 00 Total Value of ProJect Fppo. PlllU 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 4/23/08 4/23/08 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 8/4/08 8/4/08 8/4/08 8/4/08 8/4/08 814/08 8/4/08 8/4/08 Paee 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-00247 ISSUED 02/20/2008 APPLIED: 02/19/2008 EXPIRES' 01/01/2009 VALUE $ 3,048,00000 Value Date Calculated $3,048.000 00 02/19/2008 $3,048,000 00 ReceIpt Number 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000583 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000001159 2200800000000001159 2200800000000001159 2200800000000001159 2200800000000001190 2200800000000001190 2200800000000001190 2200800000000001190 2200800000000001190 2200800000000001190 2200800000000001190 2200800000000001190 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED 02/2012008 APPLIED 02/1912008 EXPIRES 0110112009 VALUE' $ 3,048,00000 225 FIlth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 ]nspectlOn Lme Total Amount PaId $28,736 44 I Plan ReVIews , To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7 00 a m. will be made the same workmg day, mspectlOns requested after 7 00 a m. wIll be made the tollowmg work day. J RellUlred Insnection,s I Rough ElectriC Prior to Cover Eleltrlc Sel vIce Approval requIred prior to utlhty company energIZIng service Fm.11 Electllc When all electrical work IS complete Low V oUage Prior to cover By sIgnature, I state and agree, thJt I have carefully exammed the LOmpleted apphcatlon and do hereby certify thJt all informatIOn hereon IS true and correct, and I further certify that any and all work performed shall be done m dccordance with the OrdInances of the CIty of Springfield and the Laws of the State of Oregon pertJmIng to the work deSCribed herem, and that NO OCCUPANCY WIll be made of JUY structure without permIssIOn 01 the Community Services DIVIsIon, BuildIng Safety I further certify that ouly contractors and employees who are m eomphance with ORS 701005 will be used on thiS project I lurther agree to ensure tbat alii eqUlred mspectlOns arc requested at the proper time, that each address IS readable from the street, thJt the permit cJrd IS located at the Iront ot the property, and the approved set of plJns will remJm on the SIte at all tImes dunng constructIOn Owner or Contractors Signature Date Paee 3 of 3 225 FIfth Street Sprmgfield; Oregon 97477 541-726-3759 Phone ~~ CIty of Sprmgfield OfficIal ReceIpt Development Services Department Pubhc Works Department Job/Journal Number COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 Payments Type of Payment CredltCard cRecemtl RECEIPT # 2200800000000001190 Date. 08/04/2008 DescriptIOn Temp Power 200 amps or less Penn ServlFdr 200 amps or less Add, Alter, Extend Clrc Add, Alter, Extend CtrC Ea Add Low Voltage - Commerctallndus + 5% Technology Fee c 12% State Surcharge + 10% AdmInIstrative ree Paid By E C COMPANY PERMITS Item Total <":hClk Number AuthOrizatIOn Received By Batch Number Number How Received DJB 004945 In Person Payment Total- Page 1 of 1 91526AM Amount Due 5500 21000 4800 36000 5000 36 15 8676 72 30 $91821 Amount Paid $91821 $91821 81412008