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Home My WebLink AboutPermit Electrical 2008-11-3 ZONcrJ>>J)~fi INITIAL):; DATE It. 225 FIFTH STREET. SPRINGFIELD; OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 SOURCE t.:i ~ ELECTRICAL PERMIT APPLICATION - \ City Job Number C[}/'7 PoD 8 - O/~-O"), Date /Y7,.-Vr1Y ",",'''r..'-. '-'.""'. """._....","'7"_..._., .,...r,..,.,..'.'!l, '''''''.'. '.''''.''''. '8I""'.~ !:Y~.:iR.".','iJfL~!i;D..~F".'i';E"".tsifir.rE"D"':".i.h~E' ';:,'B"'''E''il'O-W'''.:.YJzJ!IJ,. lJ.- ",' l!f~'l1i~W,.~.'.~ 1. ~;,f2,.lF4;lj!'fflJJl.'Jlri!.IY~CP';pHl!!A/HgN:I"'''.;;;-it''.if, 3. Ii\,?~"!.~, ,!'!!2_":":".."'___.!'!!'!",,_ ".'i{,t1.~..., ~J ~'i!k~~~~ 0-"'(,\ 0'" L..:cycQ.o(or\/ ;.}I c.<ht>11. C GUlH/' v ..., I v LEGAL DESCRIPTION: 33 J 3 If, 'ut/'6e",Q 1/,.... J..-J. ;:/0 ,v' JOB DESCRIPTION: i....., Ie&, [""/'fL) C/J,J)I'''~ !uOI'<.e. +.ou.-k vi -" Permits are non-transferable and expire if work is not slarted within 180 days of issnance or if work is Suspended for 180 days. ~rRA!ei]F0R1]J1SFftlliTr4Pl@N[ONbYJ 2. ~i{liy'\~('tl@!\).i"Jki~~li~'""<SiI~a:ille~..iEi:i;.itilifl~ ~ . Electrical Contractor /1/"/'",,,,,.1 No 1"""/1.. Se/v.LV () (J Of!. tGoN -;:'",-, '1 b?-- st, e/le-y 5f fl.?, ,(n,o"/'1cr.'-<./J Phone)'tl 7;;>-6 9J-07 i oJ Address Cily Expiration Date 9. 8 f. L.6A. 10/01 / 1/ I /5~tjJ d () () ,.,/1 oj 09 Supervisor License Number '. Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~d{~ Owners Name /rau'- tJ('lA-lf'^ Address ~O ~ V\ '1 q Cily Y l~U\ ~ Phone OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 .._",.>' i:~1f,(p",,_n_W'\h'''''; 'i-""""'. ._''''''''''-,I _~"..!tI""L"" -, ",;,.,,~.~';rrm:wr,"..~i'('~~;"""~.':' :;; A. . PN~w ;Rtrsidl?l1tialr~1Sirli~(o~J,Mtilii~mil~ilvf"'1?ihi,vKfiI~1irnif "-';1 -; ..-"""'_~_"'--_"'0_W,^_''''',J<",wj{g "~~,,,~,,,,",,~,,,,.,,,,_",_~,.~_,.,._o;,,,.,. ~ ,r;H.;~'"-~.:JOiai?i.g;x,;",;-,,,,, ..:if Service Inclnded 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof $121.00 $ 22.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $57,00 ~";>1'.~.,'~~_-'"if;w::r'~'~'_~~I.i':-<=~-~;-{ji~'~'.~~~~~':J.~-~ B. ~~~~~~~~~~1~Yi~~'~!'~~~~i~~12!~~!QcliJi~~?, ", 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolIs' Reconnect Only $ 73,00 $ 86,00 $143,00 $186,00 $426,00 $ 57,00 ~l''6-:e'''''\''i'~'3N1-\1'A~.~'~-;;::mm~-''''M~~--ji:Zi:'':1'~.~~~-;i~~~~ C. BJ~P) PQra.IJY~~~I';\~c!~~"~I~}'iF~c,~i!~r~,~,,:,.W''&'" ;~:~~~~~:~~):f~'=~- ... ~l~ _ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. """-~"+"'."?'-if."'~^ .-"~'T'<;t.~~...: ~."'.fi"~~~d.;&.r;,,""-_c_-'~~'~11''''~TI .~ ~ D. 'Brnnc~:,Glrcl!lt~.r;.~:~iii~~::J~71~~li['?~~r:~~~NM~~~ar1:.' New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 57.00 $ 79,00 $114.00 $ 50.00. $ 5.00 , , ~c)~~,?'.';f1iWt4iJ.i1\...9:~~~i!ifr;2;0{L-,2'i~~)w6n}4r!~~3\~;'k;i#-'i_B~;~i}'JjF~,1-';-"';YJ'i-~,,,~l E. ~11~.cell~ne~~(;;.e,r.yls!.Lt!:,~('sr.jim?,tJI?~!'~g,e9)~~~!'I.!!l~~~ Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial ~ $ 52,00 'S:::L Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4. ~;Z:Ol'Ab'10F:M10VEt"I;f-!'1t~1;'i\!;'i:.,':;f'~ ft~~~...,. .c'UF""3.'J,%__,,,,,rt~"-,",.i\~..s._>-<-'~~~~~_-#"'''4,~J>.,,,.'l!{c:~~ 12% State Sur,harge 10% Administrative Fee 5% Technology F,ee C;~"( 7~ 'L~ 'c'~ r;c. ~ Shared prive(T:)/Building Forms/Electrical Permit App]icati~n 7-08.doc TOTAL CITY OF SPRlr~lj1'IELD' Building/Combination Permit PERMIT NO: COM2008-01S0S ISSUED: 10/06/2008 APPLIED: 10/03/2008 EXPIRES: 04/16/2009 VALUE: $ 996,000.00 Status Issued 225 Fifth Street, Spi-ingtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RIVERBEND DR 3rd Floor ASSESSOR'S PARCEL NO.: 1703220004100 SPRINGFIETYPE OF WORK: Medical Oftice TYPE OF USE: New PROJECT DESCRIPTION: Oregon Cardiology Owner: Address: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 ,I CONTRACTOR INFORMATION' 'Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License Expiration Date JOHN HYLAND CONSTRUCTION INC 46071 07/11/2010 E C COMPANY ATT""T'~'.. ~ ,49737, 01/15/2010 NATIONAL NETWORKjSERVICES OF'OREn5'4~OJires you 1&2/10/2009 FM SHEET METAL I~C"j~W ~U/e~ adoptee) b'89710)regol1 Utilit03/15/2009 TWIN RIVERS PLUJVj,~'ilip~.~~~~;,n~e~~ 2'~Ofl'7695!_S are set for~~/11/2009 ~"~- ... '. ..'"....._~" \~H\ll vv~-UU1.. BUll;DlNG' INFORM)\TWN'lof the rules b -_....,~ U'V ~~"Lt" (I~ore' the tel h Y numhn f 'th' , ep one n4)f'Sto']!ies:e, Oregon Utility Nolificatic.lnot Size: Heig/rteo'J'SfrU'clur-l)IO-332-2344). Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Typ,e: Sq Ff Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ! Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: r DEVEbOPME~T INFORMA nON I. ,'Ii;:; FEfiiv1!T SHALL EXPIRE IF THE WORK AUTHOf9verJa~,DO't:R T/-I.I COMME~;~tr~ef,tr~~.(;iR~~P PERM/,T IS NOT ANY 18a:.avl\~ b'r~~SR~GANDONEOFOR Wo~ LPo~(\lGQ:age: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: "Sidewalk Type: , Downsponts/Drains: Notes: Page 1 00 Commercial Phone 541-726-8081 503-224-351 I 541-726-9209 541-726-3000 541-688- I 444 Status Issued 225 Fifth Street, Springfield, OR I 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction, Bid Amount. Use Bid Amount Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Appliance Not Listed Building Permit Fixture Plan Review Comm/lnd/Public Plan Review Fire & Life Safely Plan Review Mechanical (i5%) Plan Review Plumbing (30%) + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee , Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indns . Perm ServlFdr 200 amps or less + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indns Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT,NO: COM2008-0ISOS ISSUED: 10/06/2008 APPLIED: 10/03/2008 EXPIRES: 04/16/2009 VALUE: $ 996,000.00 I Valuation Oescrintion I $ Per Sq Ft or multiplier $1.00 Amount Paid $42.00 $441.07 $529.29 $220.54 $231.00 $3,958.73 $221.00 $2,573.17 $1,583.49 $57.75 $66.30 $88.30 $105.96 $44.15 $50.00 $510.00 $104.00 $219.00 $5.20 $6.24 $2.60 $52.00 $11,111.79 Square Footage or Bid Amonnt 996,000.00 Valne Date Calculated Total Value of Project $996,000.00 $996,000.00 10/06/2008 F'pp<, P~il,U Date, Paid 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/16/08 10/16/08 , 10/16/08 10/16/08 10/16/08 10/16/08 10/16/08 10/30/08 10/30/08 10/30/08 10/30/08 Receipt Number 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001484- . 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001484 2200800000000001515 2200800000000001515 2200800000000001515 2200800000000001515 2200800000000001515 2200800000000001515 2200800000000001515 2200800000000001576 2200800000000001576 2200800000000001576 2200800000000001576 Plan Reviews .1 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. , Paee 2 of 3 _~!!l!9f!1~,Jl:!i ..i ;ii Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01505 ISSUED: 10/06/2008 APPLIED: 10/03/2008 EXPIRES: 04/16/2009 VALUE: $ 996,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue Re~uirerllnsnections I By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and J further certify that any and all work performed shall be done in accordance with the Ordinances of the Cily of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 withORS 701.005 will be used on this project. I further agree to ensnre that all reqnired inspections are requested at the proper time, that each address is readable from the street, that the permit card is locaied at the front of the property, and the, approved set of plans will remain on the site at all times during, construction. . /J--:~' ~ (' i(1 o/~/:r / Date Owner or Contractors Signatnre Paee 3 of3 225 Fifth Street Sprlngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1505 COM2008-0 1505 COM2008-0 1505 COM2008-0 1505 Payments: Type of.Payment CreditCard cReceintJ RECEIPT #: City of Springfield Official Receipt Development Services Department. Public Works Department 2200800000000001576 Date: 10/30/2008 ' Description , Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By TIM HUSER l Item Total: Check Number Authorization Received By Batch Number Number How Received CJC 033197 In Person Payment Total: Page I of I 10:05:3IAM Amo~nt Due 52.00 2.60 6,24 5.20 $66.04 Amount Paid, $66,04 $66.04 10/30/2008