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Home My WebLink AboutPermit Electrical 2011-6-10 . , www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01379 IVR Number: 811187936731 225 Fifth SI Springfield.OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/10/2011 ISSUED: APPLIED: 06/10/2011 06/10/2011 EXPIRES: VALUE: 12/06/2011 $0.00 SITE ADDRESS: 400 INTERNATIONAL WAY, Springfield, OR.97477 ASSESOR'S PARCEL NO: 1703154000500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Low Voltage for Data Telecom OWNER: ADDRESS: HAWES INVESTMENTS LLC PO BOX 7548 EUGENE OR 97401 Phone Number: # of Units: o CONTRACTOR INFORMATION , Contractor Name Lie Type Lie No Lie Exp Phone NATIONAL NETWORK SERVICES OF OREGON INC cee 154300 02/10f2013 541~726-9209 BUILDING,INF'oRMATI6NCJr9"[)~'law're-qulies: yowlO) J~I' .'V' i',lHt;"..6 :;XlIiUj'';'.::.u. by/tlle.. (Dr.egpDll!JtJlItW # of Stories: i~!.Y~fllQ:Tll~l~l~~t~~t" lHhl\.Lt:~:?~llu~~9.t~t~!~eHf.QlitIitJ Height of Struciur.:~ ~2-'(1!~-1D)i)J111!l: ~irmntli@Sq~F,t[l strF.loofl.~~ Type of Heat: ~:@.. 'Y~~!;IjI;~ ~ib'fililm IJ:JD\ilip.:Si(F't:2nil';F'iOo/:1,W W T &It~~l@ ~f:'I@ M1t',eU, (~;fute:: !slhe!Ff"t.lB'~DfuD!ile>t ater ype: '" J ",", '" I' "'[ q asemen : /Jl!m,,@f ,@f ,,~e rvfeg!JII u"l,~' t'lOUUC,WQfl Range Type: clim~r illl-800-332.5..9ffUf.arage: Hazmat: Sq Ft 6arport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: 2011 Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I DevelopRlent.ce~e: . ',' ,,;'''. ," I~IJ 111,,1::. Plumbing special~Jf~d~E~~~'f SHALL EXPIRE IF THE WORK Residential speci~&l1\'e'R~g~'llNDER THIS PERMIT IS NOT ,Structural Speclaft.r.j17J~~Fie~glJ OR IS ABANDONED FOR I Site Inforrnai@i) DAY PERI~D. Contractor Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 6/10/2011 2:38:36PM Page 1 of 3 .. .' SPRI.N.G..FIEL~ .~ '..:' It;'; ~;~ 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01379 IVR Number: 811187936731 225 Fifth St Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/10/2011 ISSUED: APPLIED: 06/10/2011 06/10/2011 EXPIRES: VALUE: 12/06/2011 $0.00 SITE ADDRESS: 400 INTERNATIONAL WAY, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703154000500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Low Voltage for Data Telecom DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot 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: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion State of Oreg.5'.'2-.~r~harg~! 2.'Yo.'!.f app!i.cable .!ees) Data I Telecommunications .- -... -.---.-- -.._-~---- -..-..-------.-.-. Technology ree (5% of permit total) Total Amount Paid Amount Paid Date Paid $7.56 06/10/2011 $63.00 06/10/2011 --- -.-" _._.._~_._..._---_._~~----- $3.15 06/10/2011 $73.71 ReciD! # 2011001534 2011001534 ---- 2011001534 Springfield Buiiding Permit 6/10/2011 2:38:36PM Page 2 of 3 -. CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01379 IVR Number: 811187936731 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 06/10/2011 ISSUED: APPLIED: 06/10/2011 06/10/2011 EXPIRES: VALUE: 12/06/2011 $0,00 SITE ADDRESS: 400 INTERNATIONAL WAY, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703154000500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Low Voltage for Data Telecom Plan Review I DeDartment Application Acceptance Received Due Date Comoleted Result 06/10/2011 06/10/2011 06/10/2011 Overthe Counter Reviewer Nancy Machado Initial Review 06/10/2011 06/10/2011 06/10/2011 Over the Counter Nancy Machado Comments: Over the counter permit Peimlt.lssua~ce~ . - ~r~' r.,- 06/,10/2011-. 06/10/2011 :~06/10/201,1 ';" . ~.. ,_:, .;,~ {::~~:'f'Y;-'_ ;:~~_ ,. '~~t_fc,'~~~~ ';~--;~"~o~~~<~~r;_~~:-, - t ~~;' ',lSS~;~~~,"~_' '~'~'~__}.~__' :~_'_':~li~~:' '.::j~~f1~f~,~~~~<do .,~ :""_ ' ",;.h.Zit,0J; -~" ;;-0y'" ~"'_'- -'",' 4;: INSPECTIONS REQUIRED , Inspections 4550 Limited Energy 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 wiJJ be. used on this project. I further agree to ensur~ that ~'required inspectio are requested at the proper time, that each address is readable from the street, that the permit card is 0 d a e n of the property, and the approved set of plans will remain on the site at all times during constructio aG 10 I( Date Springfield'Suilding Permit 6/10/2011 2:38:36PM Page 3 of 3 ., Electrical Permit Application . . 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+ FAX(541)726-3689 C'. . DEetRTMENTUSE ON I.:. y . 'f Penml no.: ~ - )3 7 ~ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . :'" "''''',I[OCAI.:.::'GOVERNMENT''ARfSR:OVAlB%,!;il',fy;,f'i')\!f( Zoning approval veiified? DYes D No ;,t\'~I:~\.,\~CATEGORY;~OF :,CONSTRUCTIONf!\l:";',' o Residential I 0 Government I 0 Commercial ~:;:;;:S~INF'~RM~:I::;~/~~~I:~!! City: ..c-o/'-0.tJie.f?l--b I State: OPL- I ZIP: Reference: /70'3 /5'I,i{) I Taxlov)?)ClO ", '" . ~"DESCRIPTION, OFWORK;;i/,!::,:,;,,;~~;?-:lo: DN=t-A . l-'!:;;i ~ -MJII\ . 'PROPERTYQWNER Name:/i "1::AIG) Ift/i/ PAJp Address: 11 tyil' 75 '-I<{' City:l:.-vt ~ I State: cJlL I ZIP:'?'? L.,Iol I Fax: , 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: 4/A'T/()rJ/r1.-- jj~P'd.L.~Cr:;:. Address:"Bod- S 1~' ..-" Sr <b'LA \ (E .6 CityS~~(~LJJ TStateM I zIP97tf77 Phone9((-7.?6'ltf'7.l1'l I Fax: , E-mail: CCB license no.: 15Lf?m I BCD license no.: Signing supervisor's license no.: tf33L( U-t5 Print name of signing supervisor: IJ/, r - ~ r Signature of signing supervisor: 11/1 J,f// ~"""='"- "7 L/. t,~ '0\\ w\ P it 440-2584-1 (9/08/COM) ~:}~,~~i~7~~:\~'!,~~~(~~]]:~E:E'~SCHEJj,Ql!jE;!0tF~&i%r:,~~K~~~~~~~~1?! . .'. _,. '.' :.,; :< ,,;, .:::.,.. ".'1. ,-. Cost i Total -):~~rr,a;.~~~,5~;f;~~.~p~~!~~.~;,_~~f:\~t~'~"~\3~t.:19_tf' ";"~ea, ': . cost: ;,. Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or po~ion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $134.00 $ I $ 25.00 $ $ 32.00 $ (;i~ ' $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) . 60 I to 1,000 amps (2) $ 81.00 $ $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ Over 1,000 amps or volts (2) Reconnect only (2) Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $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 of a 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) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a 1imited~energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~m~jJ~Ak~1I:11~~~t~~fA'~,t~:~Ic::ANffii1{((s_'EJ~JX;:1~\~1;€~~jt~~)~;:1t~~:::; (A) Enter subtotal of above rees (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [AD (C) Technology Fee (5% of[AD TOTAL fees and surcharges (A througb C): $ r;;J---~ $ '7 ')j!.. $ ?.!2 $ 7'3?!- sp~~~. ~=.~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELO 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01379 400 INTERNATIONAL WAY permilcenter@ci.springfield,or.us RECEIPT NO: 2011001534 tOESCRIP..TION Data I Telecommunications State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORO NO: 811-SPR2011-01379 ACC.OUNLCOOE 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: OATE: 06/10/2011 -AMOUNT_DUE 63.00 7.56 3.15 73.71 AMOUNT PAID 73.71 I' PAYMENT TYPE Credit Card 063948 .:P';YOR"- CASHIER: NMAcHADO" NATIONAL NETWORK SERVICES OF OREGON INC COMME~TS TOTAL PAlO: 73.71