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Home My WebLink AboutPermit Electrical 2005-3-29 - ~;;;:~t~'t~lj~' 13' . .. . 6PA,NGFUiLD :;::J 2~5 ~IFT~ STREET. SPRJNGFI;:O, OR 97477 . PII:(54I)726-3753 . FAX: (541)726-3689 ~:~~~~ ELECT/ne4./- PEIlM1T.4.PPLlCATlON . / ,/'_" ' Ci,y Job Number [$:>M"Z.O'C)$'- 00174 Date >/2-0/0'~ I I 3. CO^.I!!:f!!.~f'!i.l!'SCHEDlj.{lil!ELOW ~';', ;', .",., I ' 'j ~ .,~ o~o ~...o~ ~ . !;.;.<5'?n.~' . '\ A. New ~~siden~al.- _S~IIl!J%.'j.!',M..!'~~:~J'e~~el~g .!'!.'~~ -1. \9 ~ $..r ("/ Service Included G-~ 0",( "0 ~oS' 0"",. "0 .......9A..r~ 1000 sq. It orless ?"O' " .~~ Each addlltonal 500 sq, ft, or U'~ &., &0',\\ portion thereof '?Ql'It.., $ 19.3?rC}.,.~..r"f ~. 't.' '$ Each Manufacl'd Home or "'" ~ ,,'a ~"" '01; Modular Dwelling Service or '<.lr.., .00 0' (-.,:".~ Feeder - ',oo~;:.:."'c~~~'''''',;;'''~ '~"'; 201 ~'!JW)rtJIgtll'8~regon law ~u~~ 401\~l/eJilif1lP6TrflsPted by tne Oreooll101!/ll!? 60itv\1lll1Fl~5!!!!8ltf-'6b' Those rules srewpm~iI? 01taf)1<m%w~~1& '~ thro~gn OAR 001~~ Rec~.%~'Wle cente~'" COpIes (tj th~ M,il&~ number t the . (Note:. tIla telePhon~ .' , ' C. TeD1PoJ'1l~~.Q=~01itiWP}"") .'-.:':':'...:".1 Installation, Alteration or Relocation ~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps I. LOCI\TlON OF INST.4UATlON .&~~I't. St-. ~)~~ 9~ LEGAL DESCRIPTlUN 1703ZS'-i / 00102. JOB DESCRIPTION ~td /JIJJ ((JIu;uU."a.JA4 c.w,l...eo Permits are nun.aransft'rahle and expire if work is nol slar.cd Wilhill lKO days ofissuance ur if wurk is Suspended ror 180 days. 2. CONTRACTOR INSTAl.LATtoN ONLY Electrical ContrJctor If.g~l ca. Address ~ SC S1l'k.L s r City ?~ Cw- Phonc $J J-tS:s -<Iv,} 'f Supervisor License Numba BIOS' Expiration Date ie/OJ f ~7 Callstr. Conte. Number O<:)'I!\'7 Expiration Date -.1:/1.t(...t.PJ1 Signature of Supervising Electrician e~ OwncrsName W{t\l...iJ...bt'./ It./Jmf5C-IL(,f Add,ess _ 14 g,S5' SE::; 'b-z.....~ 1::lL City CJ~fiS Phone OWNER INSTAI.I.ATION The installation is being made on property I own which is not intended for sale, h.:asc or rent. Owners Signa Lure: n/II. 1olSI,ecrion Reqnest: 726.3769 !l1t J'161 LJ;JeS" $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. I). _~~nm~.~gt~c.~i~._~~r.'-;1i~~~~,:;;~:-n:'~i':',~ '~..- ..~ ~-;r:~1 ~\{)~!u[,!on or E.tension Per Panel o1i~I~rt'l!.'RM1T SHAll f: P ~ $ 43.00 E8cbr}ddiliooa ,c~uit'otWi~ IRE IF Ht WORK s'ir6ice'~(Fe'e'dH p~r\n\\R THIS pf:O~.'T I~ M?r- ~'1~~,,~~~~g2!1.IS ABMQQNED fQR, ..' ., . E. l" IscmQnrou.'\~~OV:c.d.r.nol induded):.EuchlnSlaUallon', . .;.. ..,. :..'~,,:_:~~;,,"'.;..-;;;............f.... :'L.;"~._.... _~:"... _. _~ ...d _'1'3.... ,~ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4. SUBTOiiLi~F1B(Jc~~f!~::~~~49~ 7% S\j}h~ Surcharge 34/1 10% Administrative ree -+12 TOTAl. 5'7 ." Shared Drive(T:YBuilding FonnslElectricnl Permit Application 1.OJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00174 ISSUED: APPLIED: EXPIRES: VALUE: 02/14/2005 09/28/2005 $ 10,000.00 SITE ADDRESS: 2656 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254100102 Springfield TYPE OF WORK: Cell Tower - Communication Tower TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Antenna collocation. Owner: WARREN WIMBERLY M Address: 14855 SE 82ND DR CLACKAMAS OR 97015 I CONTRACTOR INFORMATION I Contractor Type Applicant Electrical Contractor PACIFIC TELECOM SERVICES HElL ELECTRIC CO License Expiration Date Phone 206-464-4412 02/14/2007 503-255-4074 387 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U I ,BUILDING INFORMATION' Tollow n .IQo ~'rl -. "!don law Tequir NOlific#jfJ~~ftes:Pt~d by lhe Or es YOu tcLot Size: in OARIi,eJ;ht'Or Structlltil.;e rule egon UtllJf}Sq Ft 1st Floor: 0090, JJlie-~iJ1I~l~ 0 through ~Aare set foriAA Ft 2nd Floor: Call' W~marYJIClain CO ' R 952'00iiq Ft Basement: nu ~nRJll~~ (Notes of the rules b~q Ft Garage/Carport m li!Jev~Il'l!l,tbg e.. !he telephone Sq Ft Other: SPil~f!;IJ~\!flJl2~tllJty Not~ti Occupant Load: !!lIIJb-033:>.':)'O. :1. On I DEVELOPMENTINFORMATlON I REQUIRED PARKING VB Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEl\-I"-'" III , NUll u t::; Sidewalk..1;yp.c: THIS PERMIT SHALL EXPIHE. Ir I Ht vvuRK AUTHORIZED UNDER THIS'?-'t'!'fl~P,~'1~'P.(J"ns: COMMENCED OR IS ABANDONED FOR ANY 1 80 DAY PERIOD. Notes: Pal!e I of3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00174 ISSUED: APPLIED: EXPIRES: VALUE: I Valuation Descrintion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Total Value of Project Fpp< PIl1lLl Fee Description Plan Review CommJIndJPublic + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $69.81 $4.90 $3.43 $43.00 $6.00 2/14/05 3128/05 3128/05 3128/05 3/28/05 Total Amount Paid $127.14 I Plan Reviews I Fire Department Review 02/15/2005 03/14/2005 OK GRG Initial Review 02/15/2005 02/15/2005 APP SKG Plannlne Review 02/15/2005 02/15/2005 APP EMM Public Works Review 02115/2005 02125/2005 APP SB Structural Review 02/15/2005 02/24/2005 WE JMP Structural Review 03/18/2005 03/18/2005 10 JMP 0211412005 09/28/2005 $ 10,000.00 Value Date Calculated $10,000.00 $10,000.00 02/14/2005 Receipt Number 2200500000000000165 1200500000000000379 1200500000000000379 1200500000000000379 1200500000000000379 Plan Review: Addition of antennas to existing tower. Job #COM2005-00174. Plans appear to meet code requirements. SDCs added ($4.44) See 5 structural comments faxed to Sean Bell. WE. Received response from Curtis Holloway to Item 2 of 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. Ufer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or foundation Inspection. Final Building: After all required Inspections have been requested and approved and the building Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00174 ISSUED: APPLIED: EXPIRES: VALUE: 02/14/2005 09/28/2005 $ 10,000.00 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 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 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 is located at the front of the property, and the approved set of plans will remain on the sUe at all times during construction. Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541'-726-3759 Phone . ~ ~ a;ity of Springfield Official Receipt Wbevelopment Services Department Public Works Department RECEIPT #: 1200500000000000379 Date: 03/28/2005 3:03:49PM Job/Journal Number COM2005-00 174 COM2005-00 174 COM2005-00 174 COM2005-00 174 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add Payments: Type of Payment Paid By Cheek HElL ELECTRIC CO Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 599 In Person Payment Total: Amount Due 3.43 4.90 43,00 6,00 $57.33 Amount Paid $57,33 $57.33 3/28/2005 Page I of I