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Home My WebLink AboutPermit Electrical 2007-6-25 ZON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION/, City Job Number C Ov-V\ ZC> (:)7- 0 0 b? b Date ,-/)5 , 1. LOCA..TION OF INSTALLATION: / D f.!J )1- LEGAL DESCRIPTION: J 70 33S;/l( t\ fA ~ /.J e: I f.CrrJ - ~L.i.- e.-A- - .' JOB DESCRIPTION: 730;" <!.'L - ~-~')7A-ilA11 ~~ 3. COllfPLETE FEE SCHEDULE BELOW fl ZOO A. New Residential- Single or Multi-Family per dwelling unit. Service Included Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manu fact' d Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 2. CONTRACTORINSTALLATIONONLY B. Services or Feeders ,- Installation, Alterations or Relocation: City ~ /1l.J~~ Phone .2i:l -l,$ J 5 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor ^ lA., t JJ ~ Address (f tj D tV. t.J J... ,..(t) . . Constr. Contr. Number . .C;.~ T em porarv; Ser.~t~~~\-Q,r ~~e'd-Jfs 'r ,'\ c'\--Ijh, I_I" . " . -" r -\';.I\\~ ~t~J\\I.I\ ' ,) I ,- . ._\ 11'.c, G'-\~ill\\. "~.' I'"~ . ll'\f.,r(' \,-,.)1-' \'-1. ' '. ~~.W!.ajiori~ ro.teration\P~r~#. . .0. cat{'>>~ !\ \ I l I.. .,.'f' I\rl'-\\'\J\'~\"'- . ". 7.' O,n,lt\ifi.~s b~-le.W '-'. 1, . ; " , II Ii-') \ "I', ,... .-}II. - . "',: '2Ql-,Amp$ fo~OtQA..tnps '\ 1\' '. \'. ' \ : tJT . 40 I Amps to 600 Amps Supervisor License Number 10731).$ Expiration Date (b - :2..1:'),? $ 50.00 $ 69.00 $100.00 Expiration Date Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits' New AIteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ~- $ 43.00 I.(] ( $ 3.00 amt: -;::,lLi',..;'.J.f!\l......) ScJ..~ ~17' Address S::LS M ,/ / jf' E. MiscelIaneQus JS*,~i~/feeder not included) -Each Installation ,,-,. 01 or'O(\"\8.virreCblre:s ~ ~1--:'\"'~' .'. " <"}. <1.lj'-:;:'=i\rT\O\", ,.~ . _.1. Q"",""8\1 ",l\ \l, Phone /U.~~W- , r"'.c,~'~I:!.m..P;'0J;)m!;at10n ca:'<or'i.h $ 50.00 '\\O"I!'(Ic:C;(j.~ , l"C;.~a",~"\ 'iO ,~..... . ,....,.c .Sr'nLCIU'tlih'e:.r5 'un - _ $50.00 .'r: ,...'Icn C,:.;i~\' g, r"I.." ~~,2-0Q'\ OWNER INSTALLATION \'\.0"\\ Co..,..., .1.....;.4r..,l v. "I . ~.' -: ('. ~. .C~j.~ -c ::L.'iniltecrr;..nerg'l[/Re~ip~~j@bY $ 25.00 1\'\' ,""~.' Q",oSU[l\l~ r !he in.staIlation is being made on property I CC'ti~)I\<LhJ II\;.'~J C~':~~fu'i~a ~~~t;[,~/f.9mm~ial / $ 45.00 'I ) IS not mtended for sale, lease or rent. ","\ y:, ';.:\8MitIim'um(EPectrj~'lrett!ijt,Inspe1(!tion Fee is $45.00 + Surcharoes C,-"lI I ::I -: .l. o-C',(~~on.~ Jll~..,."_-_,____ 0 Own'~ 1t~'A_~ '.' ~ - nurob8i~~:,~l:1~~~~KE ~L . 5% Teclmology Fee LillO C. t.:;/I I .' "n::'\. Ity ",~ J/II''j.f1{f:.J!/V TOTAL IDg~ Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 8-06.doc Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00686 ISSUED: APPLIED: EXPIRES: VALUE: 05/14/2007 12/25/2007 $ 80,000.00 SITE ADDRESS: 42510TH ST ASSESSOR'S PARCEL NO.: 1703351411200 Springfield TYPE OF WORK: School TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Replacing/upgrading mechanical systems and associated other work. Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 Contractor Type Architect Electrical Contractor SOLARC OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-726-3246 I CONTRACTOR INFORMATION I License Expiration Date Phone 541-349-0966 BUILDING INFORMATION. # of Stories: Lot Size: E Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: A TTEN""S<DJ1J ~rage/Carport Energy Path: fof/ow ru~Ili OtIra?n law requ' Nr>n:' . -' aQoot(i'd h Ires you 'f Sprinkled Building: . nJaI/CatiO~eiMp.anf Uoaij.: the Ore 0 In nLlD ,,~_ . ner. Thr.",:,,: I gon Utilit" I DEVELOPMENT INFORMA TlONJlJ. y;~%~U1-00_1.0 thr;~~~~A~en~:t forth _ Galling the Y ObtRIE~Ul~~I~l~RK'FN<Gl01_ numb center. (l\/ t. T the rules b Overlay Dist: er for the OrTdtaP. e. the te/eph Y # S T R d C eOnr: J I+'"J. one treet rees q: enter is 1_tl'lll1dreapt'je<;l':otifi r Paved Drive Rqd:. ~QQ..Psta:2344). ca IOn % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: None. IE. Downspouts/Drains: i~t~6E~~1i ~~~i~~r~lX~~~~:~~: ANY 180 DAY PERIOD OR Pal!e 1 of 3 CITY OF SPRINGFIELD I Building/Combination Permit Status In Review PERMIT NO: COM2007-00686 ISSUED: APPLIED: EXPIRES: VALUE: 05/14/2007 12/25/2007 $ 80,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 80,000.00 Value Date Calculated Description Type of Construction Total Value of Project $80,000.00 $80,000.00 05/14/2007 ~ Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $316.97 5/14/07 2200700000000000744 $195.06 5/14/07 2200700000000000744 $8.80 6/25/07 1200700000000000813 $4.40 6/25/07 1200700000000000813 $7.04 6/25/07 1200700000000000813 $43.00 6/25/07 1200700000000000813 $45.00 6/25/07 1200700000000000813 Total Amount Paid Fire Department Review Initial Review Planninl! Review Public Works Review 05/16/2007 05/15/2007 05/16/2007 05/16/2007 $620.27 I Plan Reviews , 05/15/2007 APP LLH 05/18/2007 APP EMM 05/18/2007 APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) OS/2212007 WE JMP See attached documents for 4 structural comments faxed to John C. Yousey. OS/21/2007 APP JF Structural Review 05/15/2007 SUB Review 05/16/2007 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. ~eouiredJnsnections I Foundation: After forms are erected but prior to concrete placement. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Pal!e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status In Review PERMIT NO: COM2007-00686 ISSUED: APPLIED: EXPIRES: VALUE: 05/14/2007 12/25/2007 $ 80,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Low Voltage: Prior to cover. 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 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 Contractors Signature Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00686 COM2007-00686 COM2007-00686 COM2007-00686 COM2007-00686 Payments: Type of Payment Cash Change Job/Journal Number COM2007-00686 COM2007-00686 COM2007-00686 COM2007-00686 COM2007-00686 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 1200700000000000813 Date: 06/25/2007 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Low Voltage - Commercial Indus Paid By SCHOOL DIST 19 SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Low Voltage - Commercial Indus Paid By SCHOOL DIST 19 SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page I of I 9:26:11AM Amount Due 4.40 7.04 8.80 43.00 45.00 $108.24 Amount Paid $110.00 ($ 1.76) $108.24 Amount Due 4.40 7.04 8.80 43.00 45.00 $108.24 Amount Paid $110.00 ($ 1.76) $108.24 6/25/2007