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Home My WebLink AboutPermit Electrical 2004-2-24 CITY OF si- ~JNGFIELD, OREGON .' , , ~ 225 FIFTH STREET. SPRINGFIELD OR 97477 . PH'(541)726-3753 . FAX.ThB}?ll\l\Ying.!\l\\iect'ssubmi"edh~,Slhefollowing , . "Z~'ftig',faHa-'d'6\ls not require specific land use ELECTRICAL PERMIT APPLICATION approve I. , l!..<!... City Job Number ~ 2.004- -00 \ A L- Date 1- "'l'~ 'OlJ Zomng , J''IllL, 4.~4-o4 ..1 3. 1.,C6M1?p!:TE~~~61~~,QW' .', :i<J..,' J Burrell Bros. Electric 40159 Booth Kelly Road Springfield, Oregon 97478 _ ~'-\.~ L..~L-~ Supervisor License Number ~~L-\. ~,~ \~\<::I'<'~ Expiration Date, \.a \ D-u.. ,\X- ": ';:\<::1 ... \.' \oJ o ~'\ ,,<::I~ 200 Amps or less ,-0 $ 50,00 Constr, Contr. Number \~)3'~' ~:~~ 20 I Amps to 400 Amps 4,ov .~~4, . $ 69.00 ~~ ~":J ''N<::I~v 401 Amps to 600 AmR~'" f:oV~ ~,O'r $100,00 Expiration Date \ . '" ~"" v' ~O ",0 loJ-, . ~" ~. v v-oJ Over 600 Amps Q.1'li'Q9(l>V91lli ~~~tB~~above, Signaltu~reOf~~~,~.~'.()._',h,&lI'~~'t)~;..(.~"Vj~tAMJ~..)~' L D. '}~fjin~I!~i~~~,~t~3K~~!~t~~i ,,",;, ';, '': ,.,l."J ~ "" ",. .v New A1teratio~ or.'Exte'Ssioli.Per.'l'an-er _ rD'- eV 0'" :V-... ~ - \.IQ ~,. On~.cHif -\~ >$',0 Q,0 ",,0 ~o , , $ 43,00 &~~ A~~~~~~%~~~~~P~' ....'1.", , \ l 0Se~'c'tJl' Feede~..!1enmt "V ')" Owners Name 'l"\-"cO~ p...H , t-tc., ~ ,,'-'>'.{'o ",I:)" rP ,-".0'C- 0.'" Address 3 10 '" \ 0 L '-( tA.. '(' l c.. \~1~~i~td~~i(?i~{ceJf~~de~:no.t hicllla.;d)'~Ea~ltJlIshill~ii~~" ~ ~o" ~ -l,O ;s-v;s-~ ',Co City 7("<-1 tU... c:- l ~L1;) Phone '5 ~ t. '=''0 -;''100 \ 'C-ii?J~p.or~fi'i~ll/lbIj.,r' $ 50,00 ~nlt)U~g'Lighting $ 50.00 OWNER INSTALLATION LimiteiEnergyIResidential $ 25.00 Limited Energy/Commercial $ 45,00 I. ! LOCA110N OF'INSTALLAlidN " . '. ,- ~ . - ,-, -. ' . " ~lt,OI CI"l\'\r~ ~l LEGAL DESCRJPTION l 'l.O"Z- ~ 000 c:> '2--l C) '> JOB DESCRIPTION .....:b.MnA \~_ .,') (\1u.';'1:<" Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. l.5gwi0.cl:q;k:~~~~L4;t{~~d~~f~ Electrical Contractor Address City _ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. f'Ne,v;1~esid~hiia'I':"'Si~gle or MUlii-F!,li'i1y- pcrdi,eili,ig IInit.', Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or ponion thereof $106,00 $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. r:\~~~V\~~~:?fI:'~~d~~~s:~ -tnsta.i~.3,tion;.'!tit~r~ti~~i~ "or;Reioc~tio-~:~. :1 ~, --....0-..-...... 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Recollllect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 C. ~:t$ipP_~~lI'ry~S~eJxfc.~~;Rf fee4~Jl!::,;t:'~~::'>~ ~:~'/,2 .....;-'. f~+~2.'~ ~::~_~1 f Installation, Alteration or Relocation $ 3,00 4~ 00 ,0() Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. r's'Uni&iAI@FAB(),VE';: I ,t ,.;:: ,..., ~.- - ....!. ~ .i.:.::.J:..." ':.~ ',,' "..", '1 t'fy_r:"'j ":' -'.~:" - _ III 00 ,.'i i" ...:;\, '-=::JY. :,. "l.."'t... 4-. bo ~~,~L.- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}'Building FonnsIElcctrical Permit Application J..{lJ,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00142 ISSUED: 02/23/2004 APPLIED: 02/03/2004 EXPIRES: 08/23/2004 VALUE: $ 30,000.00 SITE ADDRESS: 3661 Olympic ASSESSOR'S PARCEL NO.: 1702300002103 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRlPTION: Tenant infill. Owner: HOWAN,INC Address: 2783 RlVERWALK LOOP ROAD EUGENE OR 97401 Contractor Type General Electrical Engineer Plumhing Phone Number: 541-683-9001 I. CONTRACTOR INFORMATION I Contractor REESBROTHERSLLC ROSE CORPORATION OWEN GROVER STEVEN DOUGLAS JACKSON Phone 541-510-0707 541-686-0905 541-501-3430 541-683-7535 # of Stories: Lot Size: S-3 ~eight of Structure Sq Ft 1st Floor: R:J((;'i. ~pe of Heat: Sq Ft 2nd Floor: VN ~<,:~"o ~qyater Type: ,-0 Sq Ft Basement: ~ ",'(I. ~ " R:J~ange Type: 4,ov ,~-4, Sq Ft Garage/Carport ~<v~~~ ~ <<. Energy Path: 0'" f:oV~ ~'CSg"Ft Other: -;$" c.. '< ('o,~"<; d! ~O 0 ",0 ~gervious Surface Area: <<. ,-Y.J AV .0'. _0(0 .< ....<6 ~o. ~~~~~~~~i DEVELOPMENTINFORNfA~ON;I;~~0'v~0OC-:0OC- SETBACKS. ~S.~<::5 ~~~, ~. 'Q~ 0"!f O'~ ~0~.~,v'li REQUIRED PARKING SJ'<(,' ~ COo'.) ('o,~ ~ ;.0 <> oCj ,;j Cj ,0 O~ Frontyard Setba~: k.,((;'i. ~'V ~ 'oJ ~ Overlay D~V Q,0 -\~ '!f0 Q,0. -S-0 ~ 1>:" Total: Side 1 Setbackt~..J?'< i:::><i;' 'f<:.\.)"<; ~ '< # Streek~ee~i?qd_~' ,I:) vO ~0' #~nJ Handicapped: Side 2 Sethack: "'~. 0.~ # t;) <::s Paved,Dr~'~d1~ 5=P ~qf ~O ~-:) 0.'1: Compact: ~ ~ ~ .A'<' ,v v Rl" & ,. 0 n.," Rearyard Setback: \.)<::5 ~ " ./~~,&ot ~Cl~~::.lig~i>~ ~0 ,0o;<r-r::-~' Solar Setbacks: ~ ,~.~,v'b' O)(oj .,~ q,v0 00 >0,' ~ ~ Q-. "..;v.~ ..'<." .p ::=:;"~ '~ -' r- I PUBLIC IM,RRQVEMElS;.'FS f 'J- v- f:'~ oc-v # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 157704 54431 Expiration Date 11113/2007 09/30/2004 131109 08/24/2004 BUILDING INFORMATION I Sidewalk Type: DownspoutslDrains: Page 1 of3 . CITY OF SPRINl.>N~LD Building/Combination Permit PERMIT NO: COM2004-00I42 ISSUED: 02/23/2004 APPLIED: 02/03/2004 EXPIRES: 08123/2004 VALUE: $ 30,000.00 . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 30,000.00 Tvpe of Construction Estimate Total Value of Project ~ Value Date Calculated $30,000.00 $30,000.00 02/03/2004 Fee Description Amount Paid Date Paid Receipt Number Plan Review CommllndlPublic $164.87 2/3/04 1200400000000000155 Plan Review Fire & Life Safety $101.46 2/3/04 1200400000000000155 + 10% Administrative Fee $4.60 2/23/04 2200400000000000168 + 7% State Surcharge $3.22 2/23/04 2200400000000000168 Add. Alter. Extend Circ $43.00 2/23/04 2200400000000000\68 Add, Alter, Extend Circ Ea Add $3.00 2/23/04 2200400000000000168 Total Amount Paid $320.15 I Plan Reviews I Fire Department Review 02/04/2004 Initial Review 02/04/2004 02104/2004 APP RJB Plan nine. Review 02/04/2004 02111/2004 APP EMM Public Works Review Structural Review 02/05/2004 0210412004 02/17/2004 WE JMP Pal!e 2 of3 Land Use Compatiblity Statement requirements for MDS standards need to be met before occupancy or final Inspection (see notes on building permit plans also). All tenants must be permitted uses In the Heavy Industrial Zoning Distrlc\ listed in SDC 20.020. Site Is within the 2 year Time of Travel Zone In the Drinking Water Protection Overlay District. All tenants using hazardous materials must be advised and may be required to submit a DWP Overlay Application (see enclosed information). JMP called Shawn Rees to request cost value ofthe work. JMP left a message with Ann for Jeff Cole requesting updated plumbing plan revisions. . . CITY OF ~rKll~l:d'l~L1J Building/Combination Permit PERMIT NO: COM2004-00142 ISSUED: 02/23/2004 APPLIED: 02/03/2004 EXPIRES: 08/23/2004 VALUE: $ 30,000.00 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 02/04/2004 02/06/2004 WE DH 2/3/2004 JMP asked Jeff Cole for energy code forms when he applied for the permit at the counter. 2/17/2004 JMP left message with Ann for Jeff Cole reminding him that the energy code forms still have not been delivered. 02/18/2004 02/18/2004 APP DH SUB Review 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. ~irpd TnsoPdion\J 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 3 Drywall: Prior to taping. 5 Firewall: Located and constructed according to plans. 4 Final Fire Department. After all requirements of the Fire Department have been met. I Final Building: After all required inspections have been requested and approved and the building is complete. 7 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 9 Rough Electric: Prior to Cover 10 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 will be made of any structure without permission of the Community Services Division. Building Safety. I furtber 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 will remain on the site at all ~me\u:)gconstru:n8~ 2~ ~~ O~ ! d ~\ ~r:~rs Signature Date Page 3 00 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2004-00 142 COM2004-00142 C0M2004-00142 C0M2004-00 142 Payments: Type of Payment Check .' _~,...'i'.__".~.. ,_., .'. Wit, . . . . i '-0'",..,,...~,,,.... .~. . ! .r Receipt #: 2200400000000000168 Description Add, Alter. Extend Circ Add, Alter. Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By jmp Check Number Batch Number Authorization Number Paid By BURRELL BROS, 3376 City of Springfield Omcial.Receipt Development Services Department Public Works Department Date: 02/23/2004 1l:23:53AM Amount Paid Item Total: 43.00 3,00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .