HomeMy WebLinkAboutPermit Electrical 2010-7-20
Electrical Permit Application
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225 Flftb Slreet. Springl1e1d, OR 974"17.~H(541)n6-37!3.FAX(S41)726-3689
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DEPARTMENT USE ONLY
Permit no.: 60-;22 r-
Date:
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Th's permil '. issued under OAR 9]8309-0000 P
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I I:, -. erml s are n,irans era e. trml expire I wor IS not started within] 80
days of issuance or i(work is suspended for 180 days\?-ti" II iJo
. LOCAL' GOVERNMENT APFiROYAl...;.....:.ii ".' .t<' .'0". ".,,""""""';'FEE'. :sel'l~GutE".""" ",1.;'"'''' "";!~Wrr"
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Zoning approval verified? DYes DNo NUm~er' ~rinsPtct!o'n~per ,~t~.~" (,j Qty. . Cost l'otal
C,~TEGORYi'OF..CON$TRUCt:rON"'~ . " "ea. cost
. .
. Re:iidentilll, per unit, service included:
o Resident ial 1 0 Government I 3 Commercial
1,000 sq. ft. or less (4)
~1j;,"'"\~;iJ.J.OEl~i:S ITE('INFQRMATlOI'ol,'ANOttOGATION:",i)',t.',' $134.00 $
lob site addres,,;: ?,.- , tn\~ , Each additional 500 sq. ft. or portion $ 25.00 $
thereof
City: ",,-' ,~ r .U I Stare: oll- 'I Z]P: cY1 '-\. TJ Limited energy (2) $ 32.00 $
Reference: \f Il./. .JJ~ 9ft I Taxlot.: nrl4 X Each manufacrured home or modulW' $ 63.00 $
, DESCRlPTION OF WORK' . ,},' .. dwt:1ling st:rYict: or fec::dc:r (2)
'.
c:: Ie.- "''''''-' I 71~ b..", ~,,~ -ro~V"Y"'\...~ Service, or foedcr;: installatioYl, alteration, relocation
D_._.I, ~16LA-~ "ClVlnt>1e~+ {.,.", 200 amps or less (2) "2- $ 51.00 $ LID'L
I 'PR' R-nt dWNER 201 to 400 amps (2) $ 95.00 $
Name. ~ c..h""o ~ ~"\-r,J-- \Cj 40 I to 600 amps (2) $159.00 $
.. 601 to 1,000 amps (2) $206.00 $
Address:
City: <....Dr..~. L~ \~ I State: O(L I ZIP: ~"''''T7 Over I .000 amps or volts (2) $469.00 $
PhOne: , I Fax: Reconnect only (2) $ 63.00 $
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E-mail: Temporary :lcrviccli [)r feu::den; installation. altera#cm, rf;:lo~atton
This insta!lation is being made On residc=ntial or farm property 200 amps or less (2) $ 63.00 $
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 67.00 $
property is not intended for sal., exchange, lease, or rent. OAR 401 to 600 amp' (2) $126.00 $
479.540(1) and 479.560(1).
Signature: . . Over 600 amps or 1.~OO volts, see services or feed~rs section above
-CONTRACTOR INSTALLATION Branch cin:uitsi new, alteration, e;tlemian pe,. panel
Business name: "T.,..", -\-._ r:::\_r~r~r "C~ r a. Fee for branch circuits with purchase of a service or feeder fee:
Address; .., 0. ,--""'l , r-; ~~~ ,,+<.--- 'Ur. Each branch circuit 1';'31 $ 6.00 1 $ \,1, !.
City: c .. - . I 'State: 0''- 1 Z]P: "I,d.C,7 b. Fee for branch circuits without purchase of a. service or fec;der fee:
Phon':'5-iI- -,; '6'\.- c:r'O~ '" I Fax: s;4l - <\. t>4 -to <;;4 first branch circuit (2) $ ;5.00 $
E-mail: El!ch additional branch circuit $ 6.00 $
CCB license no.: I',_..!. 9.<, I BCD license no.: z,.o- 5 1-?,c.. Miscellaneous fees: service or feeder ':lot includr;:d RA-.'" IU;,!(~
Signing supervisor's license no.: 411"''''' Each pump or irrigation circle (2) $ 63.00 $
Print name of sign ing supervisor. Sc.", f'\ I Each sign or outline Hghting (2) S 63.00 $
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Signature of signing supervisor: PL //l Signal circuit or illimitl;:id-energy pu.nel, $ 63.00 $
illteration, or extension (2)
'-J v- Each additiunal inspceti..: (1) $66.00 S
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'6fJ...~. \\ (A) Enta subtotal of above fees $~?
~~.ro ~ (Minimum Perm it Fcc SSlJ.OO)
(B) Enter 12% surcharge (.12 x [A]) S 3f,
f\.~ (C) TechnolollY Fee (5% of [A]) $ Ie:;
~ . TOTAL fee. and surcharges (A through C): $~~
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440-2584.) (9/0B/COM)
10 39'1d
al3Ij9NI~dS jO AII8
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6P:L0 0106/50!L0
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00228
ISSUED: 07/20/2010
APPLIED: 02/22/2010
EXPIRES: 01120/2011
VALUE: $ 30,000.00
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1300 HA YDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703252200800
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
Public
PROJECT DESCRIPTION:
Boiler replacement and 'storage ro,~'m
Owner:
Address:
SPRINGFIELD SCHOOL DISTRICT 19ATIENJ.ION:,Or.egoo.law r.equires,f.~a'HlNumber:
525 MILL ST ' follow rules adopted by the Oregon Utility
SPRINGFIELD OR 97477 ~otification Center. Those rules are set io[th ,
In f"'I ^ R '.:~: 99~ 9S1 IS t: I. V... l::I 1 I .,3';/1 \;1,.Jt::.-v'v 1_ ,
I CON~~~~m~Nitl'kjN~i\~:;~~:~bY :
number for the Ore~'?!:I Utility N'iitic.atio . '
Contractor " Center is 1-~'~2344r.xPIr.a~lOnDate
LEE CONSTRUCTION CO~PANY .- 63579 ',' 12109/2011
TRITON ELECTRIC IN~f-'*:"'fl~':":' ,,(', 164857 OS/25/2011
541-744-6375
Contractor Type
General
Electrical
Phone
54 I -683-3607
541-484-9800
BUILDING"INFORMA TioN"
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
E
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''i/of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
ff@g-Wioe: _, ,. .' ._ .' ,Sq Ft <?arage/Carport
'r'11~~?"~t~llSHAtll- EXPIRE IF !'~.fs~fO'ther:
Sp.ink!OOl~dlrlin9"E'R, TH ISq/lERMIPIS<iIlli\litt Load:
AUjl1rnGH ZZliT1lImJ , ,.. ~ .
I DEVEi~:'~~~_YO~~jrclD F6f\
REQUIRED PARKING
Vlhr
Frontyard 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 IMPROVEMENTS ~
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Sidewalk Type:
Downspouts/Drains:
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Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00228
ISSUED: 07/20/2010
APPLIED: 02/22/2010
EXPIRES: 01/20/201\
VALUE: $ 30,000.00
Issued
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Description
$ Per Sq Ft
or mnltiplier
$1.00
$1.00
Sqnare Footage
or Bid Amonnt
30,000.00
224,000.00
Tvpe of Construction
Bid Amount
Mechanical CfI
Use Bid Amount
Use Bid Amount
Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Backtlow Device
Building Permit
Fixtu re
Mechanical- Value
Miscellaneous Plumbing
Plan Review Commflnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Plan Review Electrical (25%)
Amount,Paid "
Date Paid
$201.27
$83.86
$38.00
$318.85
$57.00
$1,213.43
$50.00 , ' " .'
h'~'.~~~ .-~ -' ,,!' .'
$207.25.~.;;., .-",-,..~__,
$36.00::,;:.. ' .;,_.._
$15 0'0"-'-"'" .. _"c.. '. o'
. ~., .':: - _1'-'.'. .
$138.00'.::
$162.00
$75.00
4/21110
4/21110
4/21110
4/21110
4/21110
4/21110
4/21/10
",' 4/21/10
7120/10
7120/10
7120/10
7120/10
7120/1 0
Total Amount Paid
$2,595.66
I Plan Reviews ~
Initial Review 03/05/2010 03/08/2010 ., ' APP LLH
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Fire Department Review 04/06/2010 04/08/2010 - APP GRG
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Structural Review
. APP
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CJC
03/08/2010
0~I.Q9/2010
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04ii2/2010..
'~-'1':'i.<;:'''''. ..,~,~
Electrical Plan Review
04/2112010
APP
BAR
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Pa2e 2 of 3
Value
Date Calculated
$30,000.00
$224,000.00
$254,000.00
02/22/2010
04/09/2010
Receipt Number
1201000000000000373
1201000000000000373
1201000000000000373
1201000000000000373
1201000000000000373
1201000000000000373
1201000000000000373
1201000000000000373
2201000000000000845
2201000000000000845
2201000000000000845
2201000000000000845
2201000000000000845
Plans Review: boiler replacement.
Job #COM201O-00228. Plans
reviewed under the 2007 Springfield
Fire Code and 2007 Oregon
Structural Specialty Code.
Plans appear to meet code
requirements.
As noted on plans
Plan review ok for page.
Need Electrical plan review fees
calculated and paid when permit
application is recieved.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00228
ISSUED: 07/20/2010
APPLIED: 02/22/2010
EXPIRES: 01/20/2011
VALUE: $ 30,000.00
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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.
Reauired Insoections ~
I.i.i.,)
Footing: After trenches are excavated. 'I..tf.t'. 'n~"'''i' ~,. .
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Slab: To be made after all inslab bnilding s,~i'v'ic:e,eq!~ipment, conduit piping and other equipment items are in
place but prior to concrete. ',I,
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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and cap'ped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete. i I I '
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Final Mechanical: When all mechanical w~rk.is complete.
Rough Electric: Prior to Cover
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 r.:~w's o(tlle,State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struct!"re:"without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employ,e.e~i\X.ho'a,r.e,in.compliance with ORS 701.005 will be used on this project
I further agree to ensure that all required inspectio."s 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
":va7;]
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Owner or Contractors Signature
Date,
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Paee 3 of 3
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225 Fifth ~treet
SpHngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000845
Date: 07/20/2010
10:42:53AM
Job/Journal Number
COM20 I 0-00228
COM2010-00228
COM2010-00228
COM20 I 0-00228
COM20 I 0-00228
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Plan Review Electrical (25%)
+ 12% State Surcharge
+ 5% Technology Fee "t/: it;
Perm Serv/Fdr 200 amps or less:" ,:',: '..
Add, Alter, Extend Circ Ea Add '",
/i:. 1.1'
Amount Due
75,00
36,00
15,00
162,00
138,00
$426.00
Paid By
SCOTT LISTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 04529d In Person
Payment Total:
$426,00
$426.00
Amount Paid
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