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Home My WebLink AboutPermit Electrical 2005-10-3 '!\~ 1 Y':"~ ~ ~\O 0..- :.~ ~ . \00, \~O. _ '. ";..1 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (54I)726-3689~1}'O<<' ~<,~-., , ELECTRICAL PERMIT APPLICATION / _!O~~!0o.l}\!L -- .~ City Job Number COtM260)-- Of 0 ere( Date '7~~~J6~"r ..k"~\!\~:.Z ,- 1. ~9.CATION OF!1!~TAfiAiiiiN- 3. :_' Cl!!!KiEfE!~!EEP~ ~=..:g _: = ~ ___.__ ._1 ::2.J,f>(,. ol'fllt I' ( S+t:Ie-+ ,",.. .. ~.....,__ ,,' ,0 'oS\<f'.,\~!0 . ....' ._ , LEGAL DESCRIPTION A. b~,,~" Residential ~ ~~li,~~<9.~'lVI'llti~r~~ilY ~~dW~IIi."!:.,itit'__l / 7D3 2-SL{ I DO/o2- Service Included ... -''f''/:'';I~1>'~:,. ..",;. ",(i:, N'" h ",,..r .,.;;:~, ,~,. . ~. i;,' ...~ 'or' I' r . 'f,;l~.;:r. "':;':,:..' '~K~+'pF; ~,,__~GF~LD,.OREqq~!!,l:,~..,:~,;..,<t.~~ JOB DESCRIPTION 1000 sq. ft. or less . ,4M f / _ ~ J c{ _ I Each additional 500 sq, ft. or ;:?oD s,\2..VC/ r-c..q; I':.S\.... Cf I"../~ f r::) portion thereof -permits are non-tranierable and expire ;/ work is Each Manufact'd Home or , not started within t80 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder . B. !: ~~rvic~s or Fe~ders':- In;t;ll'!tjPdIJ-Mterations or Rel~~~tion:- -~ 1\'11aw~es...yc' --- - ---. ATi~NT\ON: Orego the Oregon UtiUly t II OOlW\!:tllJPessi by --. ~n $ 63,00 /ze.. ~o o 0 l'U. .;rlrn.<>e rules are --' Notifi2Jl.~ltb)fOU'l1.llr'Ugh OAR t"''l-nn1- $ 75.00 In OAr\OJ~'t~Arn~ ies of the ",Ip~ bV_ $125.00 0090P1l'b\!ffi'pSft&~ImIl'~~J' the teleohone $163.00 Phone ft>'%'-7B'fS~ ca:fu~tllllJ~~P.W~~Utility Notilication $375.00 , , t~' regulI nurRO:nnilll'c . 800-332-2344)- $ 50.00 Center IS 1- C. f temporary Service1~r,Feede';:;- t:C\I/ f'( J~wI1Q ~ . --, :>r:::- 82 ~ ~L E. I, Miscellaneous (Senice/fee~er not in~lude~~ -Each Ins,:allatiollJ ~~ation ~(}~~~O S~cP ~~Wi~SA~\.\. W,\S \3~~\1lI~\ _ 0.00 Li1k\~~tl~\lb\Q,~~Vll\~~O~~ 25.00 L~~\\'~~\,)b. $ 45.00 Minimu~t'f~i?~~~tion Fee is $45.00 + Surcharges 4. i SUBT.OTALOFABOVE l/>l.oo - -~-_..- - '1tb /380 I ' , . . --~~---:---:.,.~-, 2. iCONTRACTOR INSTALLATION 'oNLY i Electrical Contractor K. -(- , tf/~ffuC., f-vt! Address I?O. I>>Y- 73fLS- City /Jt-,./ /PI, Supervisor License Number 47$9- 5 'Expiration Date I'D -f) I - ~7 . Constr. Contr. Number / <If) 4JJ ~ Expiration Date ".30 '0<- 1;7"'"-''' Owners Name Address f L.{ ~ S- S- citydkUlM rrs Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $106.00 $ 19.00 $50.00 Installation, AJteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ,.-_....-..._~---- -- -. -, ----- -- .--'-- D. i 'Branch Circuits _~_ _ _ : New AJteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 1~.()cJ + 7% State Surcharge 10% Administrative Fee TOTAL It I. ~t. Shared Drivc(T:YBuilding Forms/Electrical Pennit Application 1-Q3.doc CITY OF SPRINGFIELD Building/Combination Permit . -,.~.~' ~-_.. . , -' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line PERMIT NO: COM2005-0I094 ISSUED: 09/28/2005 APPLIED: 08/12/2005 EXPIRES: 03/29/2006 VALUE: $ 25,000.00 SITE ADDRESS: 2656 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254100102 Springfield TYPE OF Cell Tower - Communication Tower TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Antenna colocation - VoiceStream - Owner: HOWARD KEVIN Address: 14855 SE 82ND DR CLACKAMAS OR 97015 ,.~ laW ~"?JNrrRi\CTOR INFORMATION I ION' Oregon Or~g{,lt j. . _r..TTE~ . iJ>d by tM et lonn Contractor TvIR' t/Mljta'Ct()r e rules are s 01 _ License Electrical 'ol~~~_ , 1; &bKGtRY'~~"n Of>,R 957:~ "''' 145488 ,~vO~R 952-001 ~~\~\; CO~\Buii'DiNG',iNFORMA nONI 0090. '(aU may otero tNote..': ': NQ\ilicatiOO # of Units: ailing the ce o\egoO Ut\l\t#_of4~tories: Primary Occupancy ~llllJur lor tne.s"l_800-332-iHg\glit of Secondary Occupancy center \ Type of Heat: Yrimary Construction Type VB Water Type: Secondary Construction Range Type: # of Bedrooms: Energy Path: Sprinkled nla IDEVELOPMENTINFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Expiration Date 0613012006 Phone 5413890660 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ~.rJ.O"'^~ GG.. 'i' ~l !pUBLIC IMPROVEMEt'TSI ~ ~~~~~ II€> ~ Street "'n"w~bo 'r..\~ ~~'1::.iilA\~~~~\W ~I\\ Fullv Improved ~" ~ ?~\'O' U~ ~\" Curbside 5' Storm Sewer Available: Yes '''~i'\"Q?\t't.'i)~ ~~Jll!utsJDrainS Curb and Gutter Special Instruction: ~\) 'l~$C'e rfl:,i~~ CO\~\ 0 9~~ Notes: Encroachment permit required if excavating in PUE not ~~~'o permit fee; No SDC fee's work It within existing storage unit #132 I Valuation Oescriotion I' Description $ Per Sq Ft or multip6er Square Footage or Bid Amount Type of Construction 1 of 3 Value Date Calculated Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspecdon Line Estimate Estimate Fee Description Plan Review CommJ1ndJPublic + 10% Administrative Fee + 7% State Surcharge Building Permit + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Fire Department Review Initial Review Planninl! Review Public Works Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01094 ISSUED: 09/28/2005 APPLIED: 08/12/2005 EXPIRES: 03/29/2006 VALUE: $ 25,000.00 $1.00 25,000.00 Total Value of Project Ff'f'~ P,aid I Amount Paid Date Paid $145.86 $22.44 $15.71 $224.40 $13.80 $9.66 $12.00 $126.00 8/23/05 9/28/05 9/28/05 9/28/05 9/29/05 9/29/05 9/29/05 9/29/05 $569.87 I Plan Reviews , 08/15/2005 09/01/2005 OK GRG 08/15/2005 08/15/2005 08/15/2005 08/15/2005 08/16/2005 08/18/2005 APP SKG APP EMM APP CAS Structural Review 08/15/2005 08/23/2005 WE JMP Structural Review 09/01/2005 09/01/2005 10 JMP , , Structural Review 09/23/2005 09123/2005 APP JMP SUB Review 09/21/2005 09/21/2005 APP JF SUB Review 08/23/2005 08/26/2005 WE JF $25,000.00 $25,000.00 08/12/2005 Receipt Number 2200500000000001141 1200500000000001419 1200500000000001419 1200500000000001419 1200500000000001427 1200500000000001427 1200500000000001427 1200500000000001427 Plan Review: Addition of antennas to existing tower. Job #COM2005-01094. Plans appear to meet code requirements. No SDC fee's proposed work to existing storage unit #132: encroachment permit required If excavated in PUE 8/18/2005 CAS See attached documents with 6 structural comments faxed to Kelley Swenson. WE. Called Kelley Swenson to ask when they will be responding. She said next week. Received response to structural comments. JMP requested energy code forms and worksheets in the structural comments. 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. 2 of 3 :-Wlr~A':G,?~' ." :. . . . . CITY OF SPRINGFIELD . Building/Combination Permit Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01094 ISSUED: 09/28/2005 APPLIED: 08/1212005 EXPIRES: 03/29/2006 VALUE: $ 25,000.00 Framing Inspection: Prior to cover and after all rough In inspections have been approved. Final Building: After all required inspections have been requested and approved and the building Is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When ail electrical work is complete. SUB Insulation Vapor Barrier: To be cailed for at the same time as the SUB framing Inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Foilowing City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Electric Service: Approval required prior to utility company energizing service. 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 ofany 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 ail required inspections are requested at the proper time, that each address Is readable from the street, that the permit card i'l 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 .. Springfield; Oregon 97477 541-726-3759 Phone . iiit4 aty of Springfield Official Receipt ~evelopment Services Department Public Works Department Job/Journal Number COM2005-0 1 094 COM2005-0 I 094 COM2005-0 1094 COM2005-0 1094 Payments: Type of Payment CreditCard :r :1 - " . " - 'f 9/29/2005 'f RECEIPT #: 1200500000000001427 Date: 09/29/2005 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By KT ELECTRIC INC Item Total: l;beck Number Authorization Batch Number Number How Received 080013 In Person Payment Total: Received By djb 1 of 1 1:07:38PM Amount Due 126,00 12,00 9.66 13.80 $161.46 Amount Paid $161.46 $161.46