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Home My WebLink AboutPermit Miscellaneous 2001-6-5 .. .- . . I Job# 01-00327-01 I Page 1 of2 TRANS#:01-0005663 DATE:JUN 05 2001 AMT RECD:2 $ 198.38 2 $ 240.20 CHANGE:$ 0.38 CASHIER: 061 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00327-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3022 Gateway Lp Spr Assessors Map#: 17032200 Lot: Block: Addition: Owner: Address: Voicestream Tax Lot #: 03500 Subdivision: 12920 se 38th sl. Phone Number: 425-378-5197 City/State/Zip: Bellevue, WA 98006 Alteration Value: $38,000 Scope Of Work: Commercial Sprint PCS co-location of existing cellular tower, Contractor Type General Contr Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Registration # Malibu Pacific General Contrs 59045 735 NE Jackson School Rd, Hillsboro, OR 97124 Clark Signs POBox 1113, SI. Helens, OR 97501 Expiration Date 2/1/02 Phone 503-693-9797 503-781-6081 Office Use Land Use: Zoning Code: Bedrooms: Range: NOTICF. 'THIS PERMIT SHALL EXPIRE IF AUTHORIZED ~/OfEBuildinos: THE WORK 'u H THIS'11~D''''T/S COMMENCED Occupancy Group:' NOT fiR IS ~D^""!'N ANY 18() 0 ,::!:;at ~ource:.J ED FOR AY PSq!iFootage: 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 working day, Footing Slab Bolts installed in concrete Final Building Underground Electrical Verify Ground Rod Rough Electrical Electrical Service Final Electrical Required Inspections ATI" . . IENne I,..., I BUlldmR fol~ow ru/ '~.'-'rcgon i", es..., .. '~N rOrlv. .... -After trenches are excavated, .Not!fiCi3fiOIl r ~CIO.]iec' t! fila 0' "~s you to - To be made after all inslab building sefVice:equipment;cohduit,piping, gOnd)othen,equipment iter - To be done by a State Certified speciaICliispectof"p'r'dv[de1inSp.ec!i0'i1,f1lsffe,ports',io/City Buildir . -u 'flay b' '-"1>" vAA ~ -.. ... c<:l/illq iil" ~~. fam c9,'fs<: .~f ". 9,,2'001. -When all required inspections have been'ap.PJ,oIffi~;a~(f,the:Q':!!!9!~~Jsf c,omPle!~'by C ,1- Oregon U . . e ephone I Electrical I a11l.:r i~ 1'800'3~ f/llty Notification -Prior to cover. .,2-2344). -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -Prior to cover. - Must be approved to obtain permanent power, - When all electrical work is complete. ~.. '.. . . I Job# 01-00327-01 I Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. F" ,t) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plan Check 04/04/2001 0004848 06/05/2001 5663 Value/Quantity Fee Amount Commercial Plan Check Additional Plan Check Total Plan Check 42,000 -12 $160.55 $-11.70 $148.85 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildin!! 06/05/2001 5663 06/05/2001 5663 06/05/2001 5663 38,000 $229.00 $16.03 $6.87 $251.90 Permanent: 200 Amps or Less Permanent: 201 to 400 Amps Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Grand Total Electrical 06/05/2001 5663 06/05/2001 5663 06/05/2001 5663 06/05/2001 5663 06/05/2001 5663 2 1 10 $100.00 $60.00 $20.00 $12.60 $5.40 $198.00 $598.75 Plan Check Type Checked By Date Completed Comment Structural-C/I/P Lome Pleger 06/05/2001 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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, I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located e front of thejroperty, and the approved set of plans will remain on the site at all times durin U' A J;;/ k;r::;-:-O l Sil(nature / r Date . ----- .-. .........- ........ . . . .pprova~o i ~ f1/JD14- . , . ~. <<. :;7~b - '} t, ~9 225 uu.. ST1lEEr 1L:l'r....-11 i;; f/j ELEC'l'BICAL ..~.. APPLICATION SPRINGFIELD, OREGON 974n D01e~ f' ' OJ in C INSPECTION REQUEST: 726-3169.orized Sign91Ur.:.i, fI1 J/A- Ci ty Job Number ~I If lllo 7Cl OFFICE: 726-3759 ' .. 3. COHPLETE PEE SCHEDULE BELOV 200 amps or less 201 amps to 400 amps Signature of Supervising Electrician Over 401 to 600' amps \.. J L C:. p,O Over 600 amps or 1000 vol ts ~ ^~~. n D. Branch Circuits Ovners Name VVl,ffivf)\ yeS Address 75?/3 .~ '1A. N (;; hv'}Cf,~vPIAlteration or Extension Per Panel () ;,A,. ,J --- One Ci,rcui t $ 35.00 Ci ty J!li1fMAV\ Q72?ifihone 503 J..1.1t) - Bf;b Each Addi t ional Circuit or vith Service or Feeder Permit 1. LOCATION OF INSTALLATION 3022 GATtwAY LOOP LEGAL jlESCRIPTION ! 7 (}'l1 :J '] 9-f) 391/J JOB DESCRIPTION ELECTRICAL SERVICE Permits are non-transferable and expire if york is not started vi thin 160 days of issuance or if york is suspended for 'IBOdays. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor SCOFIELD ELECTRIC PO BOX 2765 EUGENE, OR 97402 Address 3625 W 1ST AVENUE C. EUGENE lty Phone 686-8612 Supervisor License Number 3240-S Expiration Date 10/1/98 Constr Contr. Number 038702 Expiration Date 12n1/qf; OWER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owers Signature: DATE: IL - ( I-V{ &7 - - RECEIPT t: rf.L{ r J4 tJ "'.. Mow:..l....... BY: , ;, . , ~/' A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: B. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: I 200 amps or less 2 $ 50.00 100.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ BO.OO see "B" above $ 2.pO E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 _ Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 51: S ta te Surcharge 3% City TOTAL loo-c;O '::;.('J() ~.('}(') I D '6. f')()