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Home My WebLink AboutPermit Electrical 2007-10-16 . . ............... ZON M.it ~ INITIALS ~ DATE\[}. \e;E'" .., SOURCE '~~ Date In/IS/oJ I / CITY OF SPRINGFIELD, OREGON 225 I'll-Tit STREET. SPRINGFIELD. OR 97477 . PH:(S4I)726-J753 . FAX: (541)726.3689 ELECI'RICAL PERMIT APPLICATION City Job Number C:,nYY1"Z..()t)/ ~ OOC,0r7 1. 3. ..!.~~::;;;,? 1lr1/t<.1Z66'1./f) tJ;. LEG~L DESCRIPTIO)>l= \llJ?[l2..(X)~. Cuu..-rfZ.IL4L 4ov.z. <::vrn./J -e.m,f)S Service Included JOB DESCRIPTION: 1000 sq. ft. or less I-{/ D ~ <<' Each additional 500 sq. ft. or r,t/i!VtyXl"lt::... '1t/t'f56 ~ portion thereof Owners Name ~{.t-) Address tt'l < \4""\C\ City r\ 'Ifl.pn~ _ 'Phone \lI\h~m Pump or irrigation $55.00 ~g.on law reqUIres YO~lO Sign/Outline Lighting $ 55.00 OWNr:.ff:m.SiIi..~w.."ifl(;>N,d by the Oreg.on Ut'fllt;ih Limited EnergylResidential $ 28.00 ..... ." '.""lb"ontor Th.ose rules are se . .0 . .n'I\?,,.rc!~. ' The In.tllllat,()OI,s emg made on propeWCI oW'1.1whlch)1. LlmlteQJ~~Ommerc,"1 $ 50.00 . Iin~-~ O-lG ":'t') (",Irq .nn1 () Tr,rnl:Jy', /'"\11 ........ '"" . IS not ,,,,,ij<uij'or.sa e. lease or rent. 'es .of the rules by Minimum 1U1I!{h1lBR~/ffill9l4Atl!o~~ ~Dmhll""es 0090 Y.oU may .obtain C.oPI .. :'i'{\]fjl\C Owners li~un!;,e center. (N.ote:the teleph.one 4. NJna. VD number f.or the Ore9.on ~~~llJ,,~~~I!icatJon 8% ANDONED FOR '/\ )(,., cemer ,. I'OJC~~- --., lOo/MlI'fuitllGaD/e'JFBERIOD. Ifl.:j.J) 5% Technology Fee ' ~c IV I;)S. % '. Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. {\ 22. ~ Electrical Contractor C-cm,o C~ &c..-r(Z.1 c... I g Address Po &Y'J(. 4/10-0 ~ City eVM.o"1/tt. E ~ Supervisor License Number '3 0 ~3~ /O/;/~OIO Phone 74L Id2L Expiration Date I I Constr. Contr. Number /&,4li77 G. It; /;z VO~ Expiration Date I , Signature of Supervising Electrician <?l -'l, ~.'---- /~ Inspection Request: 726-3769 $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps. Over 1000 AmpsN oils Reconnect Only I '70 ag.. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 VollS see "B" above. D. $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 3~~ (5 E. TOTAL Shared Orive(T:)/Building FonnslElectrical Permit Application 7-07,doc _1JIt;~~1N ,~P)~. . .,.,..... , . . a:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00S07 ISSUED: 04/10/2007 APPLIED: 04/06/2007 EXPIRES: 10/10/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Hospital TYPE OF USE: Addition PROJECT DESCRIPTION: Underground pneumatic tube and fiher Dnct installation Commercial Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Gerieral Electrical Contractor TURNER CONSTRUCTION COMPANY CAMP CREEK ELECTRIC LLC License 69988 164877 Expiration Date 11109/2007 06/09/2009 Phone 54 I -988-7240 541-746-1471 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I-U B IIFR # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPl\<'l'.l" u'lFORMA TION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: A~"I\~-f~ 8 - - . . - h . Q~VII law fe -. 1'o".~W r~le8 adopted by "iel:.J?P>>.L,Ic.1lY1PROVEMENTS I Nollfioatlon Center Tho I '- " Street Improteleen,!f952-o01 0 . se ru es are set forth NOTIC'" Sidewalk Type: " " - 010 through OAR 952-001- ~: Storm Sewer9l'\llt1J~tf~ may obtain copies of the r I h THIS PERfvll'r~~.lt~t/DT.lI.ilU: Special InstrucllilU:'l9 the center. (Note: the telep~:rsp' y AUTHORIZVE' txPIKE IF THE WORK number for the Oregon Utility NO!:"";' D UNDER THIS PERMIT IS NOT Notes: . Center is 1-800.332.2:;...;. .~-.._.l COMMENCED OR IS ABANDONED FOR / ANY 180 DAY PERIOD. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Paee 1 of3 . -u;:.aq; ~., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Plan Review Electrical (25%) Plan Review Plumbing (30%) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtllOO' Special Waste Connection + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid . __111' OF ~rKll~ul'lJ'.,LD Building/Combination Permit PERMIT NO: COM2007-00507 ISSUED: 04/10/2007 APPLIED: 04/06/2007 EXPIRES: 10/10/2007 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<. PIilIJ Amount Paid Date Paid Receipt Number 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000000522 2200700000000001591 2200700000000001591 2200700000000001591 2200700000000001591 2200700000000001591 $72.00 $36.00 $57.60 $45.00 $11.25 $202.50 $45.00 $490.00 $140.00 $10.20 $5.10 $8.16 $32.00 $70.00 4/10/07 4/10/07 4/10/07 4/1 0/07 4/10/07 4/10/07 4/10/07 4/10/07 4/10/07 10/15/07 10/15/07 10/15/07 10/15/07 10/15/07 $1,224.81 I Plan Reviews I 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. Ueollire'Unsnec.tions I Final Plumbing: When all plumbing work is complete. Special: See Plan Review and/or Inspector Notes. Sanitary Sewer Line: Prior to filling trench and including required testing, Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Pa2e 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Final Electric: When all electrical work is complete, &:ITY VI' ~rK11'lut<lJ<..L1J Building/Combination Permit PERMIT NO: COM2007-00507 ISSUED: 04/10/2007 APPLIED: 04/0612007 EXPIRES: 10/10/2007 VALUE: By signature, 1 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 withont permission ofthe 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 Pa2e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone · ii.:""" CiA!' Springfield Official Receipt D.opment Services Department Public Works Department Job/Journal Number COM2007.00507, COM2007.00507 COM2007-00507 COM2007-00507 COM2007-00507 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001591 Date: 10/15/2007 Description Perm ServIFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAMP CREEK ELECTRIC Item Total: l.:heck Number Authorization Received By Batch Number Number How Received ddk 463187 In Person Payment Total: Page I of I 11 :40:24AM Amount Due 70.00 32.00 5.10 8.16 10.20 $ 125.46 Amount Paid $125.46 $125.46 10/15/2007