The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-7-29 , ~._~u~. _'m'"~,,,". "'''''~~ .,,,,,."""" ~ ~ 2~~J ELECTRICAL PERMIT APPLICATION ...,./ City Job Number Co YYl ;( co"8, - CO ~ '-j I SCAtlNtD T}-2 -r.~ If l.!tgCAY OF INSTALlATION: I 3. I COMPLETE FEE SCHEDULE BEWW ft V'e('ft, . ?oJHtt:r (Jjl'l1 {I(}~bJ LEGAL DESCRIPTION: A. I New Residential- Single or Multi-Family per dwelling unit !70~Z~ I,,\;Cazkn )f)e~ Permits ale non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 60 '02 Service Included 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof $117.00 $21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 2. I CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders - Installation, Alterations or Relocation: S 7. "1' I- L I 1_ I,l'} !:iv.,) . Electrical Contractor _ 'N\~' L. tt:.-4t2.... (A'l( 2'<1!}?mp'sli~r'r~ $ 70.00 ~/'20dm st3'1I00Q~ $ 83.00 '7.uf'l." , r 'I 0. _-'iRn~Vl)n 'r/o':;:"'b/Jf. Address --J..:L.lllL' "'\"~'U/J L 0401) ~P~.~'6OQ60~6 ql!1 re $138.00 - 0.."., 0" O'n.3 r" 'Yfli qUi ~ . ~oOlJ~pS'tfVlwu,Aiript'e e O~ ~es j_ $180,00 City () /It, Phone S!LL~1-)2,8( ~/bOij~f#t~';,{G'ou;%/esqe90/J /:~ fo $413.00 Retit~ect~ (IV,C%'es 0.</"; "Se,;'l!fy $ 55.00 Ifer i. feg Ote: ". Of t.L "$.:>. 'Vffli 5 ^/ ~ Q Ih~~tn"C"'/fD;.':.e-,." -Oo,~- uv.<a.V-....J c. I Tempora..y~jc;~~ A';eeQj>Jf'/es ~ .. ........~~' Vf)e ' / D /0 , /:;l 0 f D Installation, Alteration 011i.,10~:ffilD I . 200 Amps or less , cj f3 ~ C;9 20 I Amps to 400 Amps if I / 40 I Amps to 600 Amps 'J, ::2 I) Over 600 Amps or 1000 Volts see "B" above. rvising Electrician liIof/,' I Branch Circuits rlilS p~fiew Alteration Or Extension Per Panel _4Ur1i0 R>hii;€~cuit lJ // ~ ( ~~I11.}/j~!\9hfidail!'l"9l.~irCuit. or with I' II K cIVCSe(V~Iilrm;~cmut $ 4,00 Owners Name I V '- A 1)' 180 D <:u 011 -;~If T/i..'n'lt: If '?tt: Address :P>C ?bX /471 E~~~~~}((,.Q;~.o/Je~~hlc1Uded)-EaCh Installation I , r-, ~ ,... .L ..../f'S' . f~f:D A .(] fIIOr City ..t:~ ~ Phone Pump or irrigation Vii $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial I $ 50.00 ~ 0 .,.,- Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. I SUBTOTAL OF ABOVE s-o 12% Stale Surcharge c:. , 10% Administrative Fee ") 5% Technology Fee . ~ ,.:7 b3~ Supervisor License Number Expiration Date $ 55.00 $ 76.00 $110,00 $ 48.00 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 TOTAL Shared Dnve(T:)IBuilding FonnsIElectrical Permit Application I-QS.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . L.Ilt' OF ~rKll~lJI11J!.LD Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 0211912008 EXPIRES: 01/01/2009 VALUE: $ 3,048,000.00 SITE ADDRESS: 3311 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: OHVI3rd floor Completion project Contractor BERRY ARCHITECTS JOHN HYLAND CONSTRUCTION INC 46071 E C COMPANY 49737 SUNSET ELECTRIC 1NC 158859 FM SHEET.METAL INC 89710 TWIN RI~~~S~L'y~j3flffilfN<taW requires vcl~ NotiticadOrllliiiliiINGJNF:oiikl~ In OAR 952-uUl-JUl 0 through OAR 952-001 0090;. You may C#JiI11Stou~l\ls of the rur b- calBng the CenHl!igli(<lIf~I!1\\S\1MePh::t) V number for the. tilMllIf H~ Nolificatlo IB Center l~a~2344). n Range Type: Energy Path: Sprinkled Building: Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-338-7696 541-726-8081 503-224-3511 541-741-3885 541-726-3000 541-688-1444 07/1112010 01/15/2010 0212712010 03115/2009 03/11/2009 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: 1II0t .J'aved Drive Rqd: T 'C~O of Lot Coverage: I HIS PERMIT SHA L111~~~~yjljttL ~'Ri: re 'i'I.Irw:f.~ , CO . (')\lJJMENIfS!tMIT IS NOr ANY 180 DAY PER!~O~U"'Ul.luJirtD FWiIewalk Type: DownspoutslDrains: Total: Handicapped: Compact: Paee I 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Plan Review Electrical (25%) + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid . . CITY OF SPRI1~ut<1J1.,LU Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02120/2008 APPLIED: 02119/2008 EXPIRES: 0110112009 VALUE: $ 3,048,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amount 3,048,000.00 Value Date Calculated Total Value of Project $3,048,000.00 $3,048,000.00 02/19/2008 FpP~ P":IW Amount Paid Date Paid Receipt Number $1,117.67 $1,341.20 $558.83 $11,176.68 $7,264.84 $4,470.67 $111.70 $134.64 $55.85 $864.00 $100.00 $70.00 $83.00 $5.00 $6.00 $2.50 $50.00 $279.25 $5.00 $6.00 $2.50 $48.00 $2.00 $5.00 $6.00 $2.50 $50.00 2/20/08 2/20/08 2/20/08 2/20/08 2/20/08 2/20/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/17/08 3/1 7/08 , 4123/08 4/23/08 4/23/08 ' 4/23/08 5/5/08 5/9108 5/9/08 5/9/08 5/9/08 5/9/08 7128/08 7/28/08 7/28/08 7128/08 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 2200800000000000228 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 3200800000000000165 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000506 2200800000000000583 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000000634 2200800000000001159 2200800000000001159 2200800000000001159 2200800000000001159 $27,818.23 I Plan Reviews I Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00247 ISSUED: 02/20/2008 APPLIED: 02/19/2008 EXPIRES: 01101/2009 VALUE: $ 3,048,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. RMU~ Rough Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 N'O OCCUPANCY will be made of any structure without 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 'Yill remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 00 225 'Fifth S,treet Spri'ilgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00247 COM2008-00247 COM2008-00247 COM2008-00247 Payments: Type of Payment CreditCard cReceiotl . RECEIPT #: .P~"""'C;>!'1,""''''' ,.' "',,. Wit, \ ' _. _ . .~u, . IiiiiY of Springfield Official Receipt _elopment Services Department Public Works Department 2200800000000001159 Date: 07/28/2008 Description + 10% Administrative Fee Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge Paid By CHERYL FROEHLICH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 499688 In Person Payment Total: Pa~e I of I 2:02:32PM Amount Due 5,00 50,00 2,50 6,00 $63.50 Amount Paid $63,50 $63.50 7/28/2008