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Home My WebLink AboutPermit Electrical 2005-9-12 - 225 FIFTH STREET. SPRINGFIEJ; ,OR 97477 . PH:(541)726-3753 . FAX: (5 ELECTRICAL PERMIT APPLICATION City Job Number CQMZOOS'- D/O 't.f{ Date 1. ~'#&~~lB~~7g,~ l..("')tgS" ~t'\ ~ LEGAL DESCRIPTION 1702- J ZOC c> ole z.. JOB DESCRIPTION \ ~~.\'-- 0~w~ "',-~ ' Permits are non.transferable anll'Ipire if work is nor started within 180 days of ishta'nce or if work is Suspended for 180 days. ~ 2. :" I' .." ' '. "" ;', f . Electrical ContracrooECON ELECTRIC SERlJ:CE P.O. BOX 2237 EUGENE, OR 97m Phon~4~ - 1l..R' I Address . City Supervisor License Nuniber - - I ~~~-<\ - Expiration Date In - ( - O-:J Constr. Cootr. Number ;.~ :J~.-1!'f.J.<:' ( <if Expiration Date q - ci'8" - CG. Signa ure of Supervising Electrician 7\,~0)fkA' _ Gt!,y O~ Ov.'I1ers Name Sp~\d.. - t \JLL. .L~l .- Address Z. '2 S- ~/,-.. 1;. 1- City ,:;)~F\ Phone 726-"3')".3 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ....,:.,.<.:;.:.:,......... ,." ~rh. ~. ~\\}V , ::':':'~-----..,~Jtt; ~~"M~'''~~'iS.. A. ~'m~.'!ij~]!~~;j[;it$"ilili1lt~~ cL",-~~M, lC:* ..., l.YJ,lHSD$.Y r......, _~...,N.... w;; 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 ..-<""!'-!. ' $50 00 200 Amps or less $ 63.00 201 A~plRNobMRregon law requires 'tC15.be 40 I Jo!!ri~?\'6 g8()!:A.ili~?pted by tne uregorsV1sill6 601 ~lf~c~t\<O.8oCenter. Those rule~ ~Ie sli'tlc rbh In lJ'"R 95<:-it'PJob10throu,:/, '-"d1~;'2'-p.la' OverOlOOO ~ffiO'~oltsbta'ln cOP" - -f -I- - ~. R u::ru. Ujj may 0 '-- - .. ,,", oilY econnec, n .. .. . calling the center. (Note, .,,~ .d,,,p one c.~~~~~~T~ '" ... ........ . Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 43.0U .!:h3 LO $ 3.00 E'~~_'li~g~3 :;'~IC. p~R,\I\ \ """ER 1 \-lIS P~\-I\"\llU 0"- Pump or irrig,ation RILlD l)1'lD _ , ..n')\~\?.Q.Ooln Sign/OutliJ'e'.r!irlilingCED OR \S ~O"'''W $ 50.00 L. . dE r.n:'IR,w1t:d" .", or:RIUU. $ 25 00 mute nergy esl enthu r C . t...N't \UV ~.. Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. l.f ~ "= .3.lS 4 !So S~<OS 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}lBuilding FormslElectrical Permit Applicatioo l-03.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/07/2006 VALUE: $ 29,812.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4765 MAIN ST ASSESSOR'S PARCEL NO.: 1702320000102 Springfield TYPE OF Site Work Only TYPE OF USE: Alteration Public PROJECT DESCRIPTION: InstaU catch basin and valve and some paving. Wastewater system work Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor OREGON ELECTRIC SERVICE VOS PLUMBING INC License 161518 41805 Expiration Date 09/28/2006 04/04/2006 Phone 541-343-1681 541-485-0551 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I BUILDING INFORMATIONII: OregO N . -',,", ad n law re . Otilicat" . OPted b . qUires y # of Stories:n OA Ian Center T hl6t,S~:o au to Heightof 0090 R 952.001.00'10 hassqfF.tJirt'FWo'r\'ility Type of Heat: fl' YOU may Obt . thrCSql)j'1'2~'i,fu'i{rbrth ca i am' . ....,,..,t1~~"l Water Type: ng the cente cOj:Sq;'i)/Basement:OI. Range Typ~!Umber for the 0 r. (NoteSg.Rt1.JJft..fgetGlirport Energy Path: Center' regOn UISo,'ft' )fh'e~:1ne IS 1 RO ...-,.1 IV )t"f' Sprinkled n/a 0'33<.Qcf~~!. rDt:I30!~i I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: IPUBLlC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: NOTICE: Downs~utslDrainslE WORK :~\{H~~~~6 ~~~~~ ~~~~~~~~~'\T IS NOT COMI,iENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: 1 of 3 r . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/07/2006 VALUE: $ 29,812.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 29,812.00 Value Date Calculated Description Total Value of Project $29,812.00 $29,812.00 08/15/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommllndlPublic $164.87 8/15/05 2200500000000001088 + 10% Administrative Fee $35.47 9/7/05 1200500000000001309 + 7% State Surcharge $7.07 9/7/05 1200500000000001309 Fixture $42.00 9/7/05 1200500000000001309 Paving $253.65 9f7/05 1200500000000001309 Sanitary Sewer - 1st 50 Feet $45.00 917/05 1200500000000001309 Sanitary Sewer - Improvement $171.59 9/7/05 1200500000000001309 Sanitary Sewer - Reimbursement $225.66 9/7/05 1200500000000001309 Sanitary Sewer Each Addtll00' $14.00 9/7/05 1200500000000001309 SDC Sanitary/Storm Admin $19.86 9/7/05 1200500000000001309 + 10% Administrative Fee $4.50 9/9105 1200500000000001327 + 7% State Surcharge $3.15 9/9105 1200500000000001327 " Add, Alter, Extend Circ $43.00 9/9/05 1200500000000001327 Minimum/Adjustment Electrical $2.00 9/9/05 1200500000000001327 Total Amount $1,031.82 I Plan Reviews I Fire Department Review 08/1712005 09/0212005 OK GRG Plans Review: Install new catch basin, valving, and repaving. Job #COM200S-01098. Plans appear to meet code requirements. Public works will be maintaining contact with Mark Walker, AIC Operations, the BCOs office, and thE station captains to coordinate maintainance of access to Main Street. Initial Review Plannlne Review Public Works Review 08/17/2005 08/1712005 08/17/2005 08/1712005 08/31/2005 09/02/2005 APP SKG APP EMM APP SB SDCs added for two sanitary fixtures (Solids interceptor and OiVwater interceptor). LDAP not required, per Billy 9/2/05. Structural Review 08/17/2005 08/23/2005 WI 2 of 3 JMP . . CITY OF SI"Kll'\jt.Jt<lELU Building/Combination Permit PERMIT NO: COM2005-01098 ISSUED: 09/07/2005 APPLIED: 08/15/2005 EXPIRES: 03/07/2006 VALUE: $ 29,812.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/06/2005 , 09/06/2005 APP JMP Received final Internal reviews. To Request an inspection call the 24 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. l..feoniretLf nsnections I' Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench 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. " 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 wiD 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 ~ 225 Fifth Street SOi>ringt1eld, Oregon 97477 541-726-3759 Phone . aWit~~R,!f'!<!F,I~..", , -.,- ",. j , " -- ,.:'} '*1ty of Springfield Official Receipt .velopment Services Department Public Works Department ,. JobfJournal Number COM2005-0 1 098 COM2005-0 1 098 COM2005-0 1 098 COM2005-0 I 098 Payments: Type of Payment Check " ,- , " 9/9/2005 RECEIPT #: 1200500000000001327 Date: 09/09/2005 9:13:02AM Description + 7% State Surcharge + 10% Administrative Fee Add. Alter, Extend Circ Minimum/Adjustment Electrical Paid By Received By OREGON ELECTRIC SERVICE djb 1 of 1 Item Total: Lbeck Number Authorization Batch Number Number How Received 18945 In Person Payment Total: Amou nt Due 3.15 4.50 43.00 2.00 $52.65 Amount Paid $52.65 $52.65