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Home My WebLink AboutPermit Electrical 2004-3-17 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COvvtZC>04 ,-CX)Z2~ Date r---4J ~ own~ 35\) ~ Ii Address / K7 D ^ r. 'f g}-li:J . . City ~t'tA ".J//ieJ.jj Phone 1#~ CJ 1;;. Pump or irrigation $ 50.00 ( I .. Sign/Outline Lighting $ 50.00 OWNER INSTALL{\\T~ON\I-qON'Oreg' ~n I Limited Energy/Residential $ 25.00 ...., I. aw reqUIres y~U to ' The installation is bJgMliWdd~'Hffpr0~1iYtH0Wh~~liichOre m}red Energy/Commercial $ 45.00 . . d fi "'"tlf:j~,,~. ~ f'" :I . "'\- ,,- gon t~"t IS not mten ed or sale, Ieasel8f, nmenter. I hose wlss MinimJu1ectric Permit Inspection Fee is $45.00 + Surcharaes ;",;OARo/.::2 '~UO'I r " ,. ,",\ ~oJ -001-0010 throlloh OAR 95-r>~ . . .-- '.' T, ~ ..--- Owne ;;J.igna re:0090, You may obta1:1 coo!;s 0'<; th1. 'SLt;f:r:DTAL OFABOVE : .:::> ~, call' t'~ .' ~ rules, f ,,*,," '{" , . ,. -, mg ~.e center. (:\IGLoO' "'~~ tela .... "7 c-.r-- ..... ''''J. . _PilolD~ ..;> 0 > o ~6!j:jnr ~hQ nm"",,~ I ~t'I'(, 1\1 "'r,, 1J:o~~tate Surcharge \ "" - -;:,-.. V.I "'1 !~Oll..catlgn 5!' D .~. ~.-'. "l_O-',1.,1.12-~J44). 10?'o Administrative Fee 1. ~,ioCAlioNPFiNsTAf.iA170iy".,. ,,~'.;} '--'' <,';):.'__:','\i ~. _ ...,...,:',~ :, \_i;,;",' " '. ,::: _~<-:,::::(,;::2"-.:." :.,;:>::': ,- ,",~',~:.--:,::;,.,~ ' S 1.'"::; M'll/ '5T' LEGAL DESCRIPTION An. ~l..b .1703 '35'2.3 04 sera JOB DESCRIPTION (J'f1\ l_lS P rmits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. .~,'-/ '=;;: .: :J"-,,, . . :_ -~,- { ;";_\'C:;;':'-:":"'}?."'I"{ ,,~},/.' -, :f/"_V~""^':::':' :-t-::: "';:;">:,':-:::': ,~, ',: ':':' ;.:;::" ,--:--; t:QIYTRACTO,R'IN$TilLLATION ONLY, . 2. l.: :,"~s/ .'o5ikf.t::',' ,'i;r.,-X6L::::, ,,:';":::::<'::;\"{':':{;~:>;;,,".:,Sci"*t,_i-/~~,:<'~, ':3,il::>\\." '>::" ':<t:::\",;~';::.:&_i';;..i.;:;_J"".;:, "'.. -.' Electrical Contractor S 'S 1\--#-/<1 Address !Ft!} N~ if'L ~ City Phone Supervisor License Number /671- /J 5 . Expiration Date 10 In / I V ~ 4- I I Constr, Contr. Number Expiration Date . Signature of Supervising Electrician equest: 726-3769 3' j' I ' The, following project as submitted has the following 111D'-4- zOning, and does not require specific land use 3. ,ci~lPLETEF:EE~~~i~~~ii;fHA//:.e.~," L"::,"",,,, .,:,,~~~:':',: ,.... <-I~ ~J A.N ~)VRe~lde~ltial-.:1flW~b~8P l~f9miWJ~;;~I)' pt.. . J ;.<-{I~us ~J~;~~ " ," .J"." ct" v, Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. '..,'-" . ". . :.:...", .;. " ~: .: ,v," "... ''',' "f '. Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 r;-:T"-~,-0~ .: 1;---,:,-< .":~.--:__t-;7,',Y'~ ~.:: ',--:"'-'_'7_ ~:,:-.'_<' , .. ,.:~,,~, -""'. '--' c. .: t~.nP"QEar,~,$~tvic,~s orlte~~er,~:",.,: Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 qyer6..90~A!llI:'sor 1000 Volts see. "B" above. D. ~'$ranfhCircuits ~J:.'-{'"xi;'}:-~<;;;-"" /".;,.,,;.~ ''''iw:,Wr. ~lU'Ml~tion or Extension Per Panel ml&1rtEl/iiMIT SHALL EXP.~E ,- ~,- $ 43.00 t.; '"S ~~ . WI' . rTnt WORK ' ~El{j~~~R~~\1~ ,PE~j.oo /Z E~~~~s~~~mt~~~"~i!f~~~e?-~~P L~fied)~EaJh Installatio~l TOTAL C L/ 35 Shared Dllve(T:)/Building Fonns/Electrical Permit Application I-03,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00225 ISSUED: 03/17/2004 APPLIED: 02/26/2004 EXPIRES: 09/16/2004 VALUE: $ 10,375.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 525 MILL ST ASSESSOR'S PARCEL NO.: 1703352304500 Springfield TYPE OF WORK: Office \~ TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Remodel of person ell office, separate from EMC AC alterations (cooling for computer room). OK to final remodel prior to EMC completion. Owner: SCHOOL DISTRICT #19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor OWNER OWNER COMFORT FLOW License Expiration Date Phone 460 06/27/2004 541-726-0100 I BUILDING INFORMATION I I;';, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: _ _ c "H~ 'tJO~~ "0\1"'" ews,t \ ~' ,.. \'ERM\lI ~'I'."L S' TION I It\\S t\OR\lEO M~f\NOO~ ~\j\ ME~Ct.O OR \~~rlay Dist: COM ~80 O~'( ~t.R\~ireet Trees Rqd: ~W{ Paved Drive Rqd: VN REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: % of Lot Coverage: ':. I PUBLIC IMPROVEMENTS I Street Improvements: \ w reqUIreS you to JTENTION:Oregon a . . Storm Sewer Available: /X. I adopted by the Oregon Utility Special Instruction: fo~I?W ~u e~ ter Those rules are set fo~f \!otlflcatlon en '10 through OAR 952-00 Notes: ' :n OAR 952-~01-0~ain copies of the rul'es 1 0090. :ou may 0 ,Note: the telephone calling the cenoter. (on Utility Notification " number for the reg 4) ,",__+M:~ 1 sH'\n-~32-234 . Sidewalk Type: Downspouts/Drains: Pal!e 1 of 3 Status Issued CITY OF SPRING~l~LJ.} c Building/Combination Permit PERMIT NO: COM2004-00225 ISSUED: 03/1712004 APPLIED: 02/26/2004 EXPIRES: 09/16/2004 VALUE: $ 10,375.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,375.00 Value Date Calculated Description Total Value of Project $10,375.00 $10,375.00 02/26/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $74.88 2/26/04 2200400000000000185 -Mechanical Issuance Fee- $10.00 3/2/04 1200400000000000263 " + 10% Administrative Fee $4.50 3/2/04 1200400000000000263 + 7% State Surcharge $3.15 3/2/04 1200400000000000263 Furnace - up to 100,000 btu $12.00 3/2/04 1200400000000000263 Minimum/Adjustment Mechanical $27.00 3/2/04 1200400000000000263 Vent Fan $6.00 3/2/04 1200400000000000263 + 10% Administrative Fee $5.50 3/17/04 1200400000000000335 + 10% Administrative Fee $11.52 3/17/04 1200400000000000334 + 7% State Surcharge $3.85 3/17/04 1200400000000000335 + 7% State Surcharge $8.06 3/17/04 1200400000000000334 Add, Alter, Extend Circ $43.00 3/17/04 1200400000000000335 Add, Alter, Extend Circ Ea Add $12.00 3/17/04 1200400000000000335 Building Permit $115.20 3/17/04 1200400000000000334 Total Amount Paid $336.66 I Plan Reviews I Fire Department Review 03/02/2004 03/12/2004 APP AG Initial Review 02/27/2004 02127/2004 APP LLH Planninl! Review 03/02/2004 03/02/2004 APP EMM Interior work only Public Works Review 03/0212004 03/0212004 APP SB NO SDCs. NO NEW AREA OR FIXTURES. Structural Review 02127/2004 03/02/2004 APP JMP Received from Puent on 3/2/2004. SUB Review 03/02/2004 03/05/2004 APP JF 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. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Drywall: Prior to taping. 3 Ceiling Grid: After drywall approval but prior to cover. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00225 ISSUED: 03/17/2004 APPLIED: 02/26/2004 EXPIRES: 09/16/2004 VALUE: $ 10,375.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 5 Final Fire Department. After all requirements of the Fire Department have been met. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 7 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 8 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 9 Rough Electric: Prior to Cover 10 Final Electric: When all electrical work is complete. i; 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 ';;:' .' 't',;. Pal!:e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00225 COM2004-00225 COM2004-00225 COM2004-00225 Payments: Type of Payment Check -<S- Receipt #: 1200400000000000335 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By DISTRICT 19 SPFD PUBLIC SCHOOLS 20315 City of S.pringfield Official Receipt Development Services Department Public Works Department' Date: 03/17/2004 10:18:59AM Amount Paid Item Total: 43.00 12.00 3.85 5.50 $64.35 How Received In Person Amount Paid $64.35 Payment Total: $64.35