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Home My WebLink AboutPermit Electrical 2003-7-9 s! ULL-U~-U~ ~~;~~H ATr '_ ~A' 1 t jJ 225 FIFTH STREET , SPRINGFrELD, OREGON 97477 . INSPECTION REQUEST: 72G.3769 OFFICE: 726-3759 bOUJLSid0 I-"_U~ '0 ELL AUCAL PERl'vfTT APPLICATION Cit~'Juh NumhcrCO~ L..-OO;, ~OO ~5l 1/1 ?a 0. :(1 3. CO;".1PLETE FEE SCHEDULE BELo\V L LOCATION OF,INSTALLATION ~c:; rY\~~i- IT 1/ LEGt:\l. nESCIUl'TION \ I 0 ~ ~ 5' "'Z... ~ C> 4-S DC> A. New Residcntial~Sinl~lc Ill- l"lulti.Fnmily per dwelling unil. Sen'icc (nchuleel: IICIllS Cosl Sum ::'.1 'If. p: )5 S () '( JOB D~SCRIPTIO:'l { ~ ~~ (J 1tL..~C~\.aCO.fIY\P j.\ IOUO Sq.fL or less Each additioni'll 500 sq. Ft or portion thereof Eadl Manurd Home or (\'lodulal Dwelling Ser..ice or Feeder $106.00 Perl1lilS <Irc non-transrcrable and expire if work is not started wilhin 180 days of issuance or if work is suspended for 180 days. $ 19.00 $ 50.UO 2. CONTRACTOR INSTALLATION ONLY lJI B. Scr"iccs or F~eli('.rs lnstall:ltielll, Alterations or Electric,}1 Contractor .jK ~ ~ G Relocation Address <Q.l 'fY1 ,. 00n 200 amps or less Q..'l'\n..f ' 201 amps to 400 amps City._.j)-P'.JrILl~~ PIIOllc_Sq.1-'~-4[.;..s(.,.. 401 alllps to 600 amps , ,60 I amps to 1000 amps Supervisor License ~r <..1 <is'."..1,~SS' Over 1000 amps/volts J ~ ~ Reconnect Only OV ".~ . Expiration Dati::~ f3~ 0 -( .. 04 ." '\ v~ ,0'!0 ...:... L -...: u.. ,. C 'I' S' .IfF ^I "," C) ",' -, ~..... ~~ I '," ,'. '. cmJlorar)" ervlces .ttr t;S1 C!:P~' P:> v C'onslr Cont~~~~~ '-" '5 i"L9. installation, Alterat.i~n{J?~loc:fatiOlI?1 0 ^- ~./(":l:' g:j >() 0" f'{j /kJ ,v ~ :-" ~~~~I ~0*~'0~~ . ExpITati"q,:[~ ,,<::) "'i - "2.... 'i -0 I..f.. 200 amp~~r I~s.~ O,,;S ,0('}. .jli $50.0.0 <;J'-~ :s...v , ....'- "~O' 0' '",' ~. .;s' 201 amps to'JOQ2<'l1l\p~ c "\: o~ S<i9.00 S '" ~. 1/..)' ~ ""J,...'V n.') 0 .,:s: ,. ignJ'tlj~~r (Icn'isingEJectriclan Ovt:r,'lOJ?itq,~OOaJ.11p?~ ~ _,' ,.1><' $100.00 ...;:!:"':'::,V ..) ~ ..... ~, ~..... ..... ."...... n.Y' ~.~ ~~. ~';.elo@u 'tmK.~or 1&00~ol~se~i;) '. .,~. .:-'~~ _ ~:B" aBo':.c~ ~ 'S' ~O ..:s n: ~~~~ ~ ,'. ~ W' 5=5 ~f'(f ~ ~ ~~ ....... ~.(V U""\.... ~ --.:t ~0 () ~" 2P ~. ~ s:.< ~ q: ~~~~~ <!!:., " ,;; D. "B'ruil1:!1vC;;iT~lit,s~ ~O~(Q q;\J' ~ ~ ~- ~'f1.2-l J"J", c.~ -e:'Ll'-. C Ckl-OOL 1"\~" ~b.';:" ,PI' ~1)- 0 J;;" " f ~ , ~,~ . ,', me r ~" ~ y ;::? It' 1$1~~~'\(j.,~ ter.i}IIOII:or:oxlellsloll Per Pane ~, A..~_~~~...~ . . _ ..0 .~ ~ (-c:l ~ ~0 ~ '-b ...... cv ,~ ,,~ " ';$ $ -.\0 '\:: :.l" <it . I ) ~. tb:.es~ 5L-S toJ\.ll..L :7l'~E-T ~O ~ueGir(,t!f[) :.l,,'0 0~ .....L. $4].00 ~,.::: <;J ~ . '.s- ~Oj fit '$)0 (j C~S~ ~1N-~ IE'lE-t-.!> Phone "'1"Z..G - ;,""Z...4-b @ch ~ddilional Circuit or with Service "v :l- or Feeder Permit n $ 3.00 u- $ 63.00 $ 75.00 $125.00 $1(,3.00 $:17500 $ 50.00 it) I";j Ie 1(, f)( .e 'l Cl , , , OWNER INSTALLATION. .. . The jnst.allation is being' made on . property 1 own which is not intended . . forsale,lease or rent," Owners Signature: E. MisccH:meous (Service/feeder lI0t included) ~Each installalion Pilmporirrigation' Sign/Outline Lighting Lilhited EnergyIRes Lilnitcd Energy/Cornm $5U.00 $50.0U $25.00 $-15.00 !\Jinimum Elcctric Permit InsJlection fec is S45.11O + Surthaq,:es 61. .0"> - 03 \o<!1'o TOTAL ~- 0.2."2- ~.li;l.O. '5.~ .'1> '2- 4. SUBTOTAL OF ABOVE 7% State Surcharge ~::U-~':ill~~'lti.~p Ii'~.. ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00451 COM2003-00451 COM2003-00451 COM2003-00451 Payments: Type of Payment Check Receipt #: 2200200000000001204 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By Check Number Batch Number Authorization Number Paid By JKG GUCKENBERGER ELECTRICAL CONTRACTORS Jmp 009153 City of Springfield Official Receipt Development Services Departm'ent Public Works Department Date: 07/09/2003 1:12:08PM Amount Paid 43.00 3.00 3.22 4.60 $53.82 Item Total: How Received In Person Amount Paid $53.82 Payment Total: $53.82 LIT Y UJ1 ~.YKl1~li ~lELU Status: Issued Building/Combination Permit PERMIT NO: COM2003-00451 ISSUED: 07/09/2003 APPLIED: 06/04/2003 EXPIRES: 01/09/2004 VALUE: $ 60,000.00 225 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 School TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Replace boiler, remove chimney. Owner: SCHOOL DISTRICT #19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Engineer Owner Contractor J K GUCKENBERGER ELECTRIC INC SOLARC SCHOOL DISTRICT #19 BUILDING INFORMATION I License 45129 Expiration Date 04/24/2004 Phone 541- 7 46-4656 541-349-0966 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 1m pervious Surface Area: E-l SETBACKS I DEVELOPMENT INFORMATION. REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: IPUBLlC IMPROVEMENTS I S tree t Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains Notes: 1 ~~ '1 LIT Y VI' :SYKll"1\.J- J11~LU Status: Issued Building/Combination Permit PERMIT NO: COM2003-00451 ISSUED: 07/09/2003 APPLIED: 06/04/2003 EXPIRES: 01/09/2004 VAL UE: $ 60,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 60,000.00 Value Date Calculated Desc ription Total Value of Project $60,000.00 $60,000.00 06/04/2003 Fees Paid' Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $266.27 $163.86 $4.60 $3.22 $43.00 $3.00 6/4/03 6/4/03 7/9/03 7/9/03 7/9/03 7/9/03 1200200000000001432 1200200000000001432 2200200000000001204 2200200000000001204 2200200000000001204 2200200000000001204 Total Amount $483.95 I Plan Reviews I Fire Department Review 06/05/2003 Initial Review 06/05/2003 06/05/2003 APP LLH Planninl! Review 06/05/2003 APP EMM Public Works Review 06/27/2003 07/0812003 APP PJO Structural Review 06/05/2003 SUB Review 06/05/2003 06/12/2003 APP JF Pass energy code 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. ReQuired Insoections . 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. ..., ""I" ,., LITY UJ' :'Sl'Kl1~Li1<lELU Building/Combination Permit Status: Issued PERMIT NO: COM2003-00451 ISSUED: 07/09/2003 APPLIED: 06/04/2003 EXPIRES: 01/09/2004 VALUE: $ 60,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 .., .....~ ..,