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Home My WebLink AboutPermit Electrical 2010-3-29 . Electrical Permit Ap 225 fifth Strcct+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689, :Z; ,hDEPft:RLMENT'USE ONLY :",~<<<,' :v/t:)~4;"""" ~ ; fe~~oZ,o,o -0 037 ; Date: :$ -2. '7- f 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2):, $ 63.00 S.. Signal CircUit or a llI~Htlid:e~~r~tylnel, $ alteratIOn, o~extenSlOn )'t\l' $ 63.00 Each additi IWp ~o \ ,': $58,00 $ \C~: ~x..t"','':::\\: ANJiUSE:p' ,: ,:" " \\0\ ?r.~~~ l~e}l~eOWbb'V~f~CS:;' ,\\\S \\O?-'lt.\). ',\~1~~1~';"it Fee $58.00) r>.\l'~~t.~Ct: ( ~O~% surcharge (.12 x [A]) C~'l '\ 'j)1) \) ~ (C)Techno]ogy Fee (5% of[A]) TOTAL rees and surcharges (A through C): LOCAL GOVERNMENT,APPROvAc Zoning approval verified? 0 Yes 0 No CATEGO~yOFCONSTRUCJION ;,." Commercial ," ~,'..t."\ ' Business name: Address: Signature of signing supervi~ , .~~ \!Y~ \.9. .~ A..\.\~ ~'1f< ~ 440-2584-1 (9/G8/COM) , -" - -I'EE' SCHEDULE - ,^'::- .... '.. ."~"., .",.;. < ...."> 2\...w'~ N UntbCL9f: inspccti?l1sJj,critem{ )~.>"^"Qty. " *...._=., **c"-': Cost Tota] 'ea. cost S134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ Residential, per unit, service included: 1,000 sq, ft. or less (4) Each additional 500 sq. ft. or portion thereor Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: fllstallation, alteration, relocation 200 amps or less (2) $ 81.00 , 20] to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60] to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 S w~lllect only (2) $ 63.00 $ Y orary services or feeders: IIls/aila/JOII a/fe/atlOl/. fe/oeGnon 11 set\l8l'\Ws or less (2) $ 63.00 $ 9 alll~~400 amps (2) $ 87.00 $ ~~OO al1;ps (2) '126.00 S \\ '8n\tAWO amps or 1,000 volts, see serYlces or feeders sectlon above Branch circuits: flew, alteration, extensioll per panel 3. Fee for branch ciKuits with purchase of a service or feeder fee: Each.branch circuit $ 6.00 $ b. Fcc for branch circuits without purchase of a service or feeder fee: First branch circuit (2) ~ 1.. c , $ 55,00 s Eal:h additiunal branch circuit S G.OO Miscellaneous fees: service or feeder not included $ "'.00 $ 7.".3;:l' $ ~.~' $ ".~1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00379 ISSUED: 03/31/2010 APPLIED: 03/29/2010 EXPIRES: 09/30/2010 VALUE: $ 6,100.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3350 GA TEW A Y ST ASSESSOR'S PARCEL NO.: ]70322200]600 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Change out boiler Owner: SHILO INN SPRINGFIELD LLC Address: ] ]600 SW SHILO LN PORTLAND OR 97225 I CONTRACTOR INFORMATION . Contractor License HOME COMFORT HEATING & AIR IN~\O 84]64 HOME COMFORT HEA I ~flil Y iliW 84]64 HOME .IOl~~ f,e&)lQ1P \0It'l1l4]64 ~\loW lU\es a 1\1 - N Motl\\ca\\~~1'OO 'as 0\\ one # of Units: \n oP-R 9S ma'l 0\:1\8.111 GP~~~~:\ale~\"I atipll Primary Occupancy Group: 0090- 'fOIl \tie eel\\e"i:li\t\\M~1i~e . Secondary Occupancy Group: cel"ng tOf the 01 .~f1~4). Primary Construction Type ~ Ceotel is 1 er Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type Electrical Mechanical Plumbing Expiration Date 06/25/2011 06/25/20 II 06/25/2011 Phone 54] -302-3070 541-345-2838 54]-345-2838 Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a [ DEVELOPMENT INFORMATION . REQUIRED PARKING Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay..!:!ist: # Street Trees Rqd: fa~ed D'ri~e Rqd: . 0/0 of Lot Coverage: PUBLIC IMP Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee] of3 {)\j; .~ .: ~ .:. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion ~ Description Type of Construction $ Per Sq Ft or multiplier $1.00 Mechanical C/I Use Bid Amount Square Footage or Bid Amount 6,100.00 Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Mechanical-Value Minimum/Adjustment Plumbing Amount Paid ,!\'! $27.09 . :', $11.29 ;. $55.00'." $6.00 $38.00 $106.75 $20.00 Total Amount Paid $264.13 Date Paid ~ l' 3/31/10 3/31/10 3/31/10 3/31/10 3/31/10 3/31/10 3/31/10 Plan Reviews ~', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00379 ISSUED: 03/31/2010 APPLIED: 03/29/2010 EXPIRES: 09/3012010 VALUE: $ 6,100.00 Value Date Calculated $6,100.00 $6,100.00 03/29/2010 Receipt Number 3201000000000000110 3201000000000000110 3201000000000000110 3201000000000000110 3201000000000000110 3201000000000000110 3201000000000000110 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. UeoniredJnsnections I i Rough Plumbing: Prior to cover and includi~g requi;ed testing. ",;f . Final Plumbing: When all plumbing work is.complete.: Rougb Mechanical: Prior to Cover Final Mechanical: Wheu all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ;,\ , Paee 2 of 3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,'..: : ' ,;.;' ~ : ~ , . ,-'.1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00379 ISSUED: 03/3112010 APPLIED: 03/29/2010 EXPIRES: 09/30/2010 VALUE: $ 6,100.00 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 furtber 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 strncture 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 will remain on the site at all times during construction. \~~~ Owner or co. . ctors Signature ,. t',' .r :",l ;J\_!,. ','il tl' ~' ,"i: . Page 3 of 3 J 2d /20{0 Date City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth- Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 2:17:03PM 3201000000000000110 Date: 03/31/2010 Job/Journal Number COM20 I 0-00379 COM20 I 0-00379 COM2010-00379 COM2010-00379 COM2010-00379 COM20 I 0-00379 COM20 I 0-00379 Payments: Type of Payment Check cReceintl Description : \~, ':. ...." Fixture ,':,' .' " .' ,. Minimum/Adjustment Plumbing ;..'.; Mechanical-Value .. Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 38.00 20.00 106.75 55.00 6.00 27.09 11.29 $264.13 Paid By . HOME COMFORT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DJB In Person Payment Total: $264.13 $264.13 22122 ,,;! '.1 ;." ~\::.~ .(~ J " I .~, I~' , :"(1\ '. Page I of I 3/31/20 I 0