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Home My WebLink AboutPermit Electrical 2011-3-11 Electrical Permit Application _ ." ,v '" . '" ~ ]::l'rY:f>F SiiiuNGEIELD, 'OREGON ,. ."'r l.J'" ~~",-.iI-".,.-<,~~':u"""!i'j,,\..7"4",.,,~!:,~ - ~ ".-;. 'i" 225 Fifth Street+Springfield, OR 97477+PH(S41)726-3753.FAX(54t)726-3689 DEPARTMENT USE ONLY 811- -.sftZ-2e-J-1-- Permit no.: 3 ~ -r- Date:.3 - 11 - .t..L This permit is issued under OAR 918-309-0000. Permits are nont~ansferable. Permits expire if work is not started within 180 days ofissnance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION D Residential D Government ..1;3:"Commercial JOB SITE INFORMATION AND LOCATION . Job site address: :J ;).'10 /01J t. G.eT w 41' City: 5~'(W State: Of( ZIP: '17'177 Reference: &3{Y3].. Taxlot.:bl1:eeJ DESCRIPTION OF WORK \Nlf/.€, OHla PROPERTY OWNER Name: :r-J-: ~ Address: f', O. 'B ox. City: Phone. E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: e" ST SID c El U. Tfl Ie Address: ~ ~)S 3 80SC{lG-E (..N. City: 5 P f U) State: 0 R ZIP: <1 7 It 7'6 Phone: - 7l//-1'{<i9 Fax: -731:,' '1960 E-mail: R I(/U. ,",S75/llE ~ 'r' AHo6. Co /VI CCB liceoseno.: }IJ"7"")O BCD license no.: )0 - VOS"c 1./7::175 (:yG-fle Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: I'\T)P"6--P TO e;:x:r:s-rr-tJG f'pP--;v1~ -r 440-2584-J (9108/COM) FEE SCHEDULE Number of ins pecti ODS per item () Qty. Cost Total ea. cost Residential, per unit, service included: . 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00. $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ S.s Each additional branch circuit $ 6.00 $ b Miscellaneous fees: service or feeder not includ~d Each pump or irrigation circle (2) $ 63.00 $ . Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ., , APPLICANT USE . (A) Enter subtotal of above fees $ b/, 00 (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees aud surcharges (A through C): $:rl,.~-:-l CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00337 IVR Number: 811154607093 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 0311012011 ISSUED: APPLIED: 0311012011 0310312011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: 0910612011 $2,500.00 SITE ADDRESS: 2290 NUGGET WAY, Eugene, OR 97403-2472 ASSESOR'S PARCEL NO: 1803031401700 SCOPE: Office WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Office. ref: expired permit com2008-00350. F-1 Occupancy, VA type construction: adding Interior Accessory 100 s.f. Office. OWNER: ADDRESS: WILDlSH IND DEV CORP PO BOX 7428 " EUGENE OR 97401 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name DEER HAVEN CONSTRUCTION INC Lie Type ceB BUILDING INFORMATION I # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazrnat: Yes Construction Type Occupancy Type Occupancy Comments Type VA F-1 Adding Interior Accessory 100 5.f. Office # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Yes Lic No 186157 Lic Exp 03/3112013 Phone 541.342-3097 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 1 2006 2010 2010 2010 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 3/1.1/2011 1:17:19PM Page 1 of 4 S~~I;~E~.. ~S17 ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00337 IVR Number: 811154607093 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 03/10/2011 ISSUED: APPLIED: 03/10/2011 03/03/2011 EXPIRES: VALUE: 09/06/2011 $2,500.00 SITE ADDRESS: 2290 NUGGET WAY, Eugene, OR 97403-2472 ASSESOR'S PARCEL NO: 1803031401700 SCOPE: Office WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Office - ref: expired permit com2008-00350. F-1 Occupancy, VA type construction: adding Interior Accessory 100 s.f. Office. I DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % otLot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description I DescriDtion Bid TVDe of Construction NA Unit Amount Unit Tvoe 2,500. DO Bid Unit Cost 1.00 Value 2,500.00 2,500.00 Springfield Building Permit 3/11f2011 1:17:19PM Page 2 of 4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00337 IVR Number: 811154607093 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/10/2011 ISSUED: APPLIED: 03/10/2011 03/03/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 09/06/2011 $2,500,00 SITE ADDRESS: 2290 NUGGET WAY, Eugene, OR 97403-2472 ASSESOR'S PARCEL NO: 1803031401700 SCOPE: Office WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Office - ref: expired permit com2008-00350. F-1 Occupancy, VA type construction: adding Interior Accessory 100 5.t. Office. I FEES PAID , Descriotion Structural Plan Review Fee Commercial -, ' Fire, life, Safety Plan Review Mechanic~~!::r~ee ~~~~~?n value of work) Building Permit Fee _. .?_~.!:..,::gon_Surcharge (12% of applicable fees) !:_c~nology fee (5% of permi~total) Branch circuits without service or feeder - 1st circuit -_.. --_.-.-._._----~-'''-----'._-~-,,-_.._-~ Branch circuits without service or feeder - each additional Technology fe: (5% of permit total) _ State of Oregon Surcharge (12% of applicable fees) . Total Amount Paid Amount Paid Date Paid $44.04 03/03/2011 $27.10 03/10/2011 $79.00 03/10/2011 -.---...-".-.--.-..-.--.,- $67.75 03/10/2011 $17.61 03/10/2011 $7.34 03/10/2011 $55.00 03/11/2011 $6.00 03/11/2011 $3.05 03/11/2011 $7.32 03/11/2011 $314.21 ReciDt # 2011000392 2011000445 2011000445 2011000445 2011000445 2011000445 2011000452 2011000452 2011000452 2011000452 Plan Review I DeDartment Public Works Review Due Date 03/04/2011 ComDleted 03/04/2011 Result Approved Received 03/04/2011 Comments: No new surface, no new fixtures, no change in use, no SDe Application Acceptance 03/03/2011 03/03/2011 03/04/2011 Accepted Reviewer Kaye Wilson Kip Kaufman ~t~~,~7~T~~~~~l~~'~;i:5?~:O?~OJ4qo~~~;;: 9~!;~4j~0~l!1.~?,r/9~/~q1!t~ ~ ::;;'t~~~1 J~~o ~equjred%' ~;~~K~~fn:;aft: ~~},; t'~ c- ~'(~~~_.:., -,.:-:~:- :-::-i II Co7nm~s:-~{zWI:1PW;&}PL;)WE>MeCh~..Va!Ue 7;s1f:~:P'";'d,?i;:'7j~'t;>;f;;~;:-*,t2C,d", '"'r,_' t. ?:.";!~_~, \y fI~~~'j~ . l_': >~~~~;~:~?:~ :f~..~.~> >;'~~:J:~'-~ .-<:~.<~~.~_ ~_~_.~'...._ ! r. -.:".....;ij'~.,,_',.....'7f'=..T............"'.'...~.._ '"''', ,,"'-0;""-~:';:"''-L-'"'' _""""'~;.:.:!'.~~,,-."..'., _N" _';:;.' ......_.'_.N._._--' Structural Review 03/04/2011 03/04/2011 03/07/2011 Approved Kip Kaufman Planning Review 03/04/2011 03/04/2011 03/07/2011 Approved Liz Miller Comments: Additional Expansion or interior remodeling will require the remaining MOS/LUeS requirements to be met Permit Issuance 03/09/2011 03/09/2011 03/10/2011 Issued Springfield Building Permit 3/11/2011 1:17:19PM Nancy Machado Page 3 of 4 ." . S.~RI.N....G.F.I.El. ~ Iii,~ ')~~~ , ~J?7r 'OREGON www.ci_springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00337 IVR Number: 811154607093 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/1 0/2011 ISSUED: APPLIED: 03/10/2011 03/03/2011 EXPIRES: VALUE: 09/06/2011 $2,500.00 SITE ADDRESS: 2290 NUGGET WAY, Eugene, OR 97403.2472 ASSESOR'S PARCEL NO: 1803031401700 SCOPE: Office WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Interior Office - ref: expired permit com2008-00350. F-1 Occupancy, VA type construction: adding Interior Accessory 100 s.f. Office. I INSPECTIONS REQUIRED ~ Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. . Drywall: Prior to taping. lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1540 Gypsum Board/lath/Drywall 1710 Fire Sprinklers 1999 Final Building Final Building: After all required ins'pections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2300 Rough Mechanical 2999 Final Mechanical 4500 Rough Electrical 4999 Final Electrical 8999 Final Fire 9002 SUB Insulation Vapor Barrier SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Ceiling Grid: Interior lighting SUB Final: After all required energy inspections have been requested and approved. 9009 SUB Ceiling Grid 9012 SUB Final 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 or 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 ~ite at all times during construction. f&t /~ ]-1/-1/ Owner or Contractor Signature Date Springfield Building Permit 3/11/2011 1:17:19PM Page 4 of 4 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00337 2290 NUGGET WAY permitcenter@ci.springfield,or.us RECEIPT NO: 2011000452 RECORD NO: 811.SPR2011.00337 DATE: 03/11/2011 [OESCRIFiJIClN: ~C::::::_"'_l9f,;J::;;;lfL'~'''::i~(,.'..f!ji::'!fff:.~L:J.rACColiNfJcODE '."; ;'.:J-:",':i~~AMOUNT_bCiE:.cS.::-'-'::,] Branch circuits without service Of feeder -1st circuit 224~OOOOO-426102 55.00 "___.__". _'..".W.___W'" __~______.~_ ______~._ Branch circuits without service or feeder - each additional 224-00000-426102 6.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 7.32 Technology fee (5% of permit total) 100-00000-425605 305 TOTAL DUE: 71.37 :::~OMM.ENtS'" :::.H'c'~"" :', ':'\;-",:,,;AM<:J,llliI.."BD/'r'::: 'L_:';':;~~j 71,37 Ii2iRil:xiWtNJityp~r'~~"R~iQB~S~~ELER-tKKALJFMANX,;;; Credit Card Rodger King 090389 TOTAL PAID: 71,37