HomeMy WebLinkAboutPermit Electrical 2007-9-24
ZON Cr /
INITIALS - (\j y\^.
DATE <1 -:;} (." ~O'7
SOURCE ~.5(JtP-/
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRIC~ PERMIT APPLICATION
City Job NumberCAJm 'Zero 7 - (")0 Cj j(c? Date
1. WCATIONOF INS1'zlL1.4JfIOl'(:
c!JD4 AI, (30ft- Sfr-e ~ /1
LEGAL DESCRIPTION:
DYY\ \J \Im~l Cf.JO 5d OD
3. COMPL.l!-l.h FEE SCHEDULE BELOW
A New Residential- Singll.~oJ' Mtdtj;..Family per dwelling unit.
Service Included
JOB DESCRIPTION: 1000 sq. ft. or less
-r:~ _ -I- JJ 5 . Ii l fh MVl ,L . Each additional 500 sq. ft. or
--Id J~ ,0 Y{/I. ' 'f j/ ~..~tE portion thereof
Permits are non-transferable and expire if work is ~~ach Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
$117.00
$ 21.00
$55.00
Expiration Date / D - J - (') )<
Constr. Contr. Number :J L( - Lll ~L L E
Expiration Date /- 1- D '6
~ .......... .... .. ...... -,: -.. - .. -.- -: -. : .'
2. CON1'RA.CTOJi1NST~'i'tQNS(t)Nt./Y: B. Services or Feeders__ IttstllUation, Alterations or n.elocation:
ElectricalContractor OrY\\~lCl C{.nc1 ~u.2Ll1ne~ 200 Amps or less . $70.00
_ .J"L + 201 Amps to 400 Amps. $ 83.00 .
Address Ibi <S. lfl' v\ ~+y.e~~ 401 AmpAW)Rrf)Ol~~: Ore\lon !'1.\'.' rC!"'::!$l3s:6'6' .,~:.
City~' Phone 7L/ 1-/775 :er~~~9~~r~Oe'1~~(:!O~'1';(')~~lll:~;,'~i;~~~~~~~
Reconn&8t~. ~o.:::%o - J, t . l '~~:;;~ ;"fq;L.~.A91e'" hu
0090. You may 00 am E:;JrJ'';- - 'n~ ;;u,q
Supervisor License Number 5 J 0 LEA c. Tempon't~i~~'s~~~J~~~iiii~V~~tiK~~ti:n
Center is 1-800-332-2344).
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
Over 600 Amp~\1?$lt~l~see"B" above.
Signature of Superv~ing Electrician D. BranchCircY\!fISPERMITSHALt. EXPIRE IF THE WORK
(~//~~/ ./' NewA1terationAt~l1xl~,iHilDetl~R THIS PERMIT IS NOT
~ <<-.. ~ ~.....,;'~c,.......- One Circuit COfMJIENCED OR IS ABP$l\f~.6\NED FOR
C-J _ Eac~Additiona1R4"~f.RD~Y PERIOD.
/' --._ A I /I ~ ServIce or Feedt!r'J'lle'rm'lf' $ 4.00
Owners Name\SUlXA W ~ q,\ WIYlL
Address <6<1:6 ~yUL(j:V ~ . .' Miscellaneous (sel"Vic~iie~d~"ntitillcl1iaid)';"Eac!I Installation
Cit)\~W\ V Phone Pump or irrigation $ 55.00
Il J ql ( Y02..- Sign/Outline Lighting $ 55.00
OWNER ~I(ALLATIO~' Limited Energy/Residential $ 28.00
The installation is being made on property I own which Limited Energy/Commercial \ $ 50.00 ->.1==)D. 0 a
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
Owners Signature:
4. SUBTOTAL OFABOVE
8% State Surcharge
10010 Administrative Fee
5% Technology Fee
Ll. oc)
S.oa
rOSD
I -
~/. 50
Shared Drive(T:)lBuilding FonnslElectrical Permit Application 7-07.doc
Inspection Request: 726-3769
TOTAL
~QJ17-' loJBO 'i
~~ ~\\\?J51l
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00976
COM2007-00976
COM2007-00976
COM2007-00976
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001239
Date: 09/26/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OML;ID & SWINNEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
34090
By Mail
Payment Total:
Page 1 of 1
7:58:30AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
9/26/2007
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00976
ISSUED: 07/23/2007
APPLIED: 06/29/2007
EXPIRES: 03/26/2008
VALUE: $ 210,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 204 30TH ST
ASSESSOR'S PARCEL NO.: 1702310005200
SPRINGFIE TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant/ interior remodel for DMV
Owner: GOODWILL IND OF LANE COUNTY
Address: 855 SENECA RD
EUGENE OR 97402
Phone Number: Not Listed
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License
IMAGE CRAFT CONSTRUCTION LLC 160145
JB ELECTRIC 104929
CASCADE COMMUNICATIONS SERVICES 1128011
HARVEY & PRICE CO 77
ROBINSON PLUMBING INC 107124
BUILDING INFORMATION'
Expiration Date
OS/28/2008
03/14/2008
03/30/2008
10/31/2008
07/13/2009
Phone
541-988-2030
541-687-5770
541- 736-0664
541-746-1621
541-345-6909
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# 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:
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
,'-'r ;,\'r"~'~I, ("\",,"v~r !~\" renuires you to
I PUBLIC IMPROVEMENTS:. (. .> ad JDtc0 t-/ the Gcegon Utility
,. . .:.. .\ Center. 1 hose rules are set forth
j~0~AF{"9~~_~~~1V1JIfortyP.WJgh OAR 952-001-
0090. You rn8*hl~8b~ ffiPArs pf the rules by
calling the cent€r.{~ofe: ~Ae tel~~ho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Stotre~;\ vailable:
sP6ftf1S~r-f!fM;f1SHAlL EXPIRE IF THE WORK
No~~THORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00976
ISSUED: 07/23/2007
APPLIED: 06/29/2007
EXPIRES: 03/26/2008
VALUE: $ 210,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
210,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$210,000.00
$210,000.00
07/02/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $600.05 6/29/07 1200700000000000846
Plan Review Fire & Life Safety $369.26 6/29/07 1200700000000000846
-Mechanical Issuance Fee- $20.00 7/23/07 2200700000000001182
+ 10% Administrative Fee $110.32 7/23/07 2200700000000001182
+ 5% Technology Fee $55.16 7/23/07 2200700000000001182
+ 8% State Surcharge $88.25 7/23/07 2200700000000001182
Boiler/Comp Up To 100,000 btu $12.00 7/23/07 2200700000000001182
Building Permit $923.15 7/23/07 2200700000000001182
Fixture $126.00 7/23/07 2200700000000001182
Furnace - up to 100,000 btu $12.00 7/23/07 2200700000000001182
SDC MWMC Administration $10.00 7/23/07 2200700000000001182
SDC MWMC Improvement $1,670.30 7/23/07 2200700000000001182
SDC MWMC Reimbursement $159.17 7/23/07 2200700000000001182
SDC Transpo Admin $305.59 7/23/07 2200700000000001182
SDC Transpo Improvement $3,482.88 7/23/07 2200700000000001182
SDC Transpo Reimbursement $789.52 7/23/07 2200700000000001182
Vent Fan $30.00 7/23/07 2200700000000001182
+ 10% Administrative Fee $11.50 8/8/07 2200700000000001269
+ 5% Technology Fee $5.75 8/8/07 2200700000000001269
+ 8% State Surcharge $9.20 8/8/07 2200700000000001269
Add, Alter, Extend Circ $43.00 8/8/07 2200700000000001269
Add, Alter, Extend Circ Ea Add $72.00 8/8/07 2200700000000001269
+ 10% Administrative Fee $6.00 8/30/07 1200700000000001133
FLS Hourly Rate $60/hr $60.00 8/30/07 1200700000000001133
+ 10% Administrative Fee $4.50 9/5/07 1200700000000001156
+ 5% Technology Fee $2.25 9/5/07 1200700000000001156
+ 8% State Surcharge $3.60 9/5/07 1200700000000001156
Low Voltage - Commercial Indus $45.00 9/5/07 1200700000000001156
+ 10% Administrative Fee $5.00 9/26/07 1200700000000001239
+ 5% Technology Fee $2.50 9/26/07 1200700000000001239
+ 8% State Surcharge $4.00 9/26/07 1200700000000001239
Low Voltage - Commercial Indus $50.00 9/26/07 1200700000000001239
Total Amount Paid $9,087.95
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
08/30/2007
I Plan Reviews I
08/30/2007 OK
Fire Department Review
07/03/2007
07/20/2007 OK
Initial Review
Planninf Review
06/29/2007
07/17/2007
06/29/2007
07/17/2007
APP
APP
Public Works Review
Structural Review
07/03/2007
07/03/2007
07/0312007
07/03/2007
APP
10
Structural Review
07/05/2007
07/05/2007
APP
SUB Review
07/19/2007
WE
07/19/2007
SUB Review
SUB Review
07/2312007
07/17/2007
APP
WE
07/2312007
07/03/2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00976
ISSUED: 07/23/2007
APPLIED: 06/29/2007
EXPIRES: 03/26/2008
VALUE: . $ 210,000.00
GRG
Plans Review: Addition of 13
sprinkler heads to existing system
and relocation of 9 sprinkler heads
for remodel for DMV offices. Job
#COM2007-00976. Designer: Myles
Knebel. Contractor: Omlid and
Swinney. Plans appear to meet code
requirements.
See attached document for Fire
Department Plans Review
comments.
GRG
LLH
TAJ
OK to do the internal work.
Planning received the Site Plan
Review application for the site work
on 7/12/07.
Attached SDC Worksheet. (JHJ)
Forwarded to Mick Nolte with the
Building Department for review
under contract with the City .of
Springfield.
Reviewed by Mick Nolte with the
Building Department under contracl
with the City of Springfield.
David Harris has contacted JB
Electric (John Brumback) and he
said he would submit revised
lighting plans. Harvey and Price
have submitted HV AC forms and
specs - the review for the HV AC has
been approved. No building
envelope forms required. See
attached memorandum from David
Harris.
JHJ
LLH
LLH
LLH
DH
DH
JMP left a message for Rod with
Irene requesting the energy code
forms and worksheets.
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.
~eollireCU"nsnections I
Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00976
ISSUED: 07/23/2007
APPLIED: 06/29/2007
EXPIRES: 03/26/2008
VALUE: $ 210,000.00
225 Fi.fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Rough Electric: Prior to Cover
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 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
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
Date
~
Pa2e 4 of 4