HomeMy WebLinkAboutPermit Electrical 2007-10-3
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INITIALS N M
DATE ~ '~I 01_
SOURCE -D\ t(5 ~ J
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERlYIIT A PPLICAl'[ON
City Job Number coM. "ZCt07 -00 fz'"Z- Date
l.UjCATIONOF INStALLATION:'
I \ IQ 0 S lt8L'1' st- - T u vz.J'I-e i1'ti..tJ..
LEGAL DESCRIPTION: 17~J Z700.
~ ~ FL.\!) 1 ~ -elf1:;;;!;, C> 0 9t:> Z
JOB DESCRIPTION:
:s:: ~ c.(.{E tJh11 ~
(l-I.~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
2.
CONTR.1CTOR. INSliULA nON ONLY
Electrical Contractor ~ \l...b ~,<:' L-~ tl-
Address 1...\ ~ 1 Do IV ~\- '
City ~f>F-IJ Phone l'tb-\.f~S~
Supervisor Licensc Numbcr z.t'1> -, 5 S
Expiration Date 10 - I - \ 0
Constr. Contr. Number a ().. d../l e.---
Expiration Date J - 1.- 00
Signature of Supervising Electrician
3.
COMPLETE FEE SCHEDULE BELOW
A. Ne,,, Rcsidcntial.- Single or Multi-FamilYP('r d:wdling unit
Service Included
1000 sq. ft. or less
Each additional 500 sq. f1. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Ser~ice or
Feeder
$106.00
$ 19.00
$50.00
B. Scnkcs or Fc(~dcn; - fnstaHalinn, AItcl'atiill1S 01' Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 1 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
\
\
~
$1000
$ &3')0
$~'38110
$163.00
$ii.f"~{JO I
$ 50.00
ifZ'=>
i:7CT
~'-<65
j'2 7b~ -
d...
".. . A ., UTl/Uf., nr~o,.gJr~w requires you to
c. I dllffcli~=:I;:l!~cfup~dbY the Oregon Utility
"'lntifinAtiQ.g.Q.~n~~{, Those rules are set forth
Installf~IO~AR'952.!o'U, ~O(n~'f1"lMbh OAR 952-001-
200 ~.1<V6u may obtain copies of tHle~1ltS bv
20 I Amp~liW~ tl1ernenter. (Note: the te~omle
40 1 Ammu~ ~I1fle Oregon Utility NOj\f~l9n
r. t r . s 1.80Q-3~~-,;j44).
Over 600 Amps o"'~OCl~ Volts see 'B' above. .
D. Bnlllch Circuils
New Alteration or Extension Per Panel
--=::; ~ One Circuit
C.-/ Each Additional Circuit or with
Owners Namc mc..{iAy h.ve:s+~l;'-J.. ~ LLeervicc or feeder Permit
Address 23 So ' 6;4-~ 1- wJ4.y E. \'H",:cHancnus (S{'r\'icdf~nkT not iiIChl\!ell) -Each inshdlatiol.1
City etA. ~~... Phone
Y,-/"
$ 43.00
$;t.{J ,,~_L7b
Pump or irrigation $ 50:00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4. SUBTOTAL OFiU301:F (' )-'13) _
NOTIf'~, 8% State Sllrcharge : II'ftl:? .~',
liB:. 10% AdnlllllStrahvc Fcc i Ii.{ 3/0
THIS PERMIT SHALL EXPIRE IF THE WORK ^~ 5% Tcchnology Fcc 7) s-r , _,
~~~~~~~~~~RA~~t~~~I~IS ~~V TOTAL ' ~J 7-'0 ~
ANY 180 DAY PERIOD. ~ ~...g, . Sh.red ,.""T',,,.,,,,,, r.~"El"ono.] I'CYm" A"Ii."ioo '.'I6.dw
OWNER INST ALLA nON
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1100 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703270000902
Springfield
PROJECT DESCRIPTION: Interior partition walls.
Owner: MCKA Y INVESTMENT CO LLC
Address: 2350 OAKMONT WAY STE 204
EUGENE OR 97401
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00822
ISSUED: 06/13/2007
APPLIED: 06/06/2007
EXPIRES: 04/15/2008
VALUE: $ 60,000.00
TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
Commercial
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
ORDELL CONSTRUCTION COMPANY
J K GUCKENBERGER ELECTRIC INC
License
63030
45129
Expiration Date
01/02/2010
04/24/2008
Phone
541-747-8734
541- 7 46-4656
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
F-l
SI
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
No
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
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
ATTENTION: Or.eG?~ law requires you to
follow P8~,sitJ~}jfwlti9~he Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Fronty3rd Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Total Amount Paid
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00822
ISSUED: 06/13/2007
APPLIED: 06/06/2007
EXPIRES: 04/15/2008
VALUE: $ 60,000.00
I Valuation Descriution I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
Value
Date Calculated
$60,000.00
$60,000.00
06/06/2007
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$266.27
$40.97
$20.48
$32.77
$409.65
$143.10
$71.55
$114.48
$176.00
$826.00
$70.00
$83.00
$276.00
6/6/07
6/13/07
6/13/07
6/13/07
6/13/07
10115/07
10/15/07
10/15/07
10/15/07
10/15/07
10/15/07
10/15/07
10/15/07
2200700000000000920
1200700000000000757
1200700000000000757
1200700000000000757
1200700000000000757
2200700000000001588
2200700000000001588
2200700000000001588
2200700000000001588
2200700000000001588
2200700000000001588
2200700000000001588
2200700000000001588
$2,530.27
I Plan Reviews ~
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00822
ISSUED: 06/13/2007
APPLIED: 06/06/2007
EXPIRES: 04/15/2008
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
06/12/2007
06/14/2007
OK
GRG
Plans Review: Partition wall
installation in warehouse/factory for
Turtle Mountain. Job
#COM2007-00822. Occupancy
Classification: F-l/S-1. Construction
Type: V-B.
Provide or maintain address/suite
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2007
Oregon Structural Specialty Code
501.2 and 2007 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating of 2-A: 10-B:C
every 30 feet of travel distance or
2-A:20-B:C every 50 feet of travel
distance. The top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2007
Springfield Fire Code 906).
Combustible storage on pallets,
racks, or shelves shall not exceed 12
feet (6 feet for certain high hazard
commodities such as rubber tires,
Group A plastics, flammable liquids:
(2007 SFC 2302).
Initial Review
Structural Review
06/07/2007
06/08/2007
06/0812007
06/08/2007
APP
APP
LLH
DLM
This review is for the partition walls
only. See documents for Plan revie"
comments.
Obtain appropriate permits for any
modification or extension to the
existing plumbing, mechanical or
electrical systems.
Verify to the satisfaction of the
building inspector that adequate
ventilation exists in the occupiable
areas created by the new partitions.
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.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00822
ISSUED:' 06/13/2007
APPLIED: 06/06/2007
EXPIRES: 04/15/2008
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insoections .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 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
Date
Paee 4 of 4
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 -00822
COM2007-00822
COM2007-00822
COM2007-00822
COM2007-00822
COM2007-00822
COM2007 -00822
COM2007-00822
Payments:
Type of Payment
CreditCard '
cReceint 1
RECEIPT #:
2200700000000001588
Date: 10/15/2007
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TURTLE MOUNTAIN
Item Total:
Check Number Authorization
Received By . Batch Number Number How Received
NJM
050300 Phone
Payment Total:
Page I of 1
8:35:24AM
Amount Due
70,00
83,00
276,00
826.00
176,00
71.55
114.48
143.10
$1,760.13
Amount Paid
$1,760,13
$1,760.13
10/15/2007