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Home My WebLink AboutPermit Miscellaneous 2005-6-30 (2) . i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield PROJECT DESCRIPTION: Construction Trailer Site Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 .11 Y OF SPRIl'it.-I'lJ!.LU Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 03113/2007 VALUE: TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: New Commercial I CONTRACTOR INFORMATION' Contractor Type Electrical Plumbing Contractor ECCOMPANY TWIN RIVERS PLUMBING INC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: License 49737 17695 Expiration Hate 01/15/2008 03/11/2008 Phone 503-224-3511 541-688-1444 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: O'0~':~ low -",.",Ires you to ronow rUle' - , I PUBLIC IMPROVEMENTI' , Notification G ' ' " , In OAR 95? . 'CAR 952-001- 0090, YOlo :, ~ of the rules by calling ~r.' c : tile telephone nLomber f" ' : I :y Notification CC(hl.;.., ..:> I vvJ-..."j2 2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa!!e 1 of 4 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: 'aOlH3d AVO OB~ AN f HO:l 03NOON\f8\fSI HO 038N31,I\IINO ) ION SIIIl^JIBd SIHI H30Nn 03ZIHOHlr d }lHOM 3HI :ll 3HldX3ll\fHS IlWH3d SI~ 1 :33110 ~ " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 1000 amps/volts Perm ServlFdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge Backllow Device Not Covered Plumbing Plan Review Plumbing (30%) Water Line - 1st 50 Feet , + 10% Administrative Fee + 7% State Surcharge Backllow Device Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Water Line - Each Addtl100' + 10010 Administrative Fee + 8% State Surcharge Backllow Device Water Line - 1st 50 Feet Water Line - Each Addtl100' -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Inspections - Partial Mech Miscellaneous Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge . ~ll i' OF SPR11'itJt<IELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 03/13/2007 VALUE: I Valuation Descriotion J $ Per Sq Ft or multiplier Amount Paid $803.10 $562.17 $750.00 $1,141.00 $2,007.75 $1,400.00 $4,140.00 $600.00 $4.50 $3.15 $45.00 $15.70 $10.99 $14.00 $98.00 $55.11 $45.00 $17.70 $12.39 $14.00 $45.00 $90.00 $28.00 $16.00 $12.80 $28.00 $90.00 $42.00 $10.00 $9.00 $7.20 $45.00 $45.00 $15.00 $7.50 $12.00 Square Footage or Bid Amount Total Value of Project Fpp<. P1WJ Date Paid 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 6/30/05 6/30/05 6/30/05 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 1/20/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 2/28/06 3/22/06 3/22/06 3/22/06 3/22/06 3/22/06 5/31/06 5/31/06 5/31/06 5/31/06 5/31/06 4/24/07 4/24/07 4/24/07 Pace 2 of4 Value Date Calculated Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 3200500000000000406 3200500000000000406 3200500000000000406 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000214 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 1200600000000000332 2200600000000000695 2200600000000000695 2200600000000000695 2200600000000000695 2200600000000000695 2200700000000000573 2200700000000000573 2200700000000000573 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Refund - + 10% Administrative Refund - + 5% Technology Fee Refund - + 8% State Surcharge Refund - Add, Alter, Extend Ci Refund - Add, Alter, Extend Ci Refund - Low Voltage - Commerc Refund - Temp Power 200 amps 0 Temp Power 200 amps or less + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Initial Review 04/28/2005 . "'11 i' OF ~rKll~t..l'IELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 03/13/2007 VALUE: $43.00 $12.00 $45.00 $-15.00 $-7.50 $-12.00 $-43.00 $-12.00 $-45.00 $-50.00 $50.00 $7.80 $3.90 $6.24 $15.00 $63.00 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 4/25/07 4/25/07 4/25/07 4/25/07 4/25/07 2200700000000000573 2200700000000000573 2200700000000000573 2200700000000000574 2200700000000000574 2200700000000000574 2200700000000000574 2200700000000000574 2200700000000000574 2200700000000000574 2200700000000000573 2200700000000000578 2200700000000000578 2200700000000000578 2200700000000000578 2200700000000000578 $12,303.50 I Plan Reviews I 04/28/2005 APP LLH Temporary Electrical Plan Review approved by Clair. See attached documents for information. 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. I R~~prtinn~, I Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee30f4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ~ll r OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 03/13/2007 VALUE: 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 fnrther 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 Page 4 of 4 Date City of Springfield ectricat Authorization To Begin work. E-mailedTo:williamc@e-c-co.com Receipt # EC510632 4/24/20073:34:01 PM '~ ~,: . Check on status of permit By Phone: (541)726-3753 or Em.i1: permitcenter@ci.springfield.or.us TYPE OF WORK FEE SCHEDULE Description 1 Qty. Ea. Total Residential SINGLE4 OR multi-family dwelUng unit. Includes attached garage ^^ . 1,000 sq. ft. or less Ea. addl 500 sq. ft. or ponion . Limited energy, residential (with above sa. ft.) - Limited energy, multifamily residential (with above SQ. fU Services OR feeders Installation. alteration, AND/ORrelocatlon I 0 New construction I lXJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION 10 1 or 2 family dwelling 0 Multi-family [Xl Commercial/Industrial JOB SITE INFORMATION AND LOCATION jJobno.: 71806-00-435 IJobaddrus: 3333 GAME FARM RD ICitylStatelZlP: SPRINGFIELD, OR 97477-7521 I Sultelbldg./apt.no.: I Project name: TURNER CONST. JOB TRAILER Cross street/dilutions to job site: I Fax: (541) 974-2335 200 amps or less $63.00 20 I amps to 400 amps 401 amps to 599 amps I TEMPORARY 5enices OR feeders installation, alteration. AND/OR relocation 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps Brancb circuits - NEW. altemlioD, OR extension, per panel A. Fee for branch circuits with 5 $3.00 above service or feeder fee, each branch circuit. S. Fee for branch circuits without service or feeder fee, first branch circuit. each addl branch circuit Miscellaneous $63.00 I Subdivision: 1 LoI no.: I Tax map/parcel no.: 1703220001000 I DESCRIPTION OF WORK 200 AMP OR LESS SERVICE FOR JOB TRAILERNOTE: CITY JOB NUMBER: COM2oo5.00498 $15.00 I I Nam" GLEN ANDERSON I Phon" (541) 974-2335 I Email: glena@e-c-co.com SITE CONTACT CONTRACTOR I EI. lie. no.: 22-15C I CCO Iie.no.: 49737 1 Business Name: EC COMPANY I Contact: WILLIAM COBURN IAddress: 32758 OLD HWY 34 5E City/StalelZIP: ALBANY OR 97321-0343 IPhone: 5419264266 IFax: 5419264268 I Email: williamc@e-c-co.com I Metro lic no.: ICily lie DO.: ISupenising electrician's lie. no.: 32575 I Supenislng electrician's name: WILLIAM R COBURN Service reconnect only Each manufactured or modular dwelling. service and/or feeder Pump or irrigation circle Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. not offered online at this jurisdiction ELECTRICAL PERMIT FEES I I I I . City Of Springfield Subtotal $78.00 Slate Surcharge (8% of~nnit feel 16.24 Ci~ Of S~rin~field fees. $11.70 TOTAL PERMIT FEE $95,94 100/0 Local Admin Fee; 5% Local Technology Fee Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires wtthln 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Filth Street Springfield, Oregon 97477 541-726-3759 Phone · WirtJ~.~~ ' ~.; - - - , - Cwf Springfield Official Receipt ~opment Services Dei>artment Public Works Department RECEIPT #: 2200700000000000578 Date: 04/25/2007 IO:24:43AM Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By ONLINE CHGS ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk ONLINE EC Online Company Payment Total: Amount Due 63.00 15.00 3.90 6.24 7.80 $95.94 Amount Paid $95.94 $95.94 cReceintl Page I of I 4/25/2007