HomeMy WebLinkAboutPermit Electrical 2007-10-22
Date
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ID-22.-07
225 FIFTH STREET · SPRINGFIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PER1YIIT .AYPLICATION
City Job Number _ COm'Z.1m7- ot o"ltf
1. LOCATION OF INST..4LLATION
41~(
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st.
LEGAL DESCRlPTION
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JOB DESCRlPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
S~spended for 180 days.
2.
cOlVTRAcroRnVsTA'i/rATloNcf/iliJF':
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3. COIHPLETE FEE SCHEpr.TLE BELOW
" .'. -, . .
A. New Residcntial- Siri,gIeor ,lVlulti~FallliIy per dwelling unit. .'
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
. "';'''''-'':''',-:'~'r?::~':':;;'~'Pt';~-:~{''''<, ,:-: ".>,:"",.;">. -,," . . ,':' ....", . ':"', ,""".:.:- :_":<'~
B. Services or FeederS:;: Tnstallation; Alterations Or Reloca.tiori::,::-'c'
; . "'/":;:~:\'!;":;>::";:'-'_:>"- ".Y: '...' .. ."~- :. ;'<'_..:,~ .::"'.: ;.:.....:,.><
4j/UJ/J5 eJttc,f,,/c:Z:;Vc 200 Amps or less.
201 Amps to 400 Amps
fA,) ~ cI Ac/ L.. 401 Amps to 600 Amps
60 I Amps to 1000 Amps
Phone 3'-r3 --'7,2-7 7 Over 1000 AmpsNoIts
Reconnect Only
Electrical Contractor
Address .2-1 7S~
.r .1
Ci ty .F:A.p...Pt tJL.
-/
Supervisor License Number 2'S' )...0 _ )
Expiration Date /6/1 I (j J
Constr. Contr. Number )...0- J ):.t)C
Expiration Date
7111(y~
Sign,,,,", of Sup ,"vi, g "trici...... / ~
. .. /-ja/#"/
H"NOffi' Li"~f1 ~
A ress :l2t? Cou.r.ry ~ ,e~
ity ~' Phone "I8B..()ZOI::>
O.I~!!irALLATION
The~~1l~~~I!e~J1~be~BFJ~ T~~QBI<
is n6\UrTt~gjlm~QEiJfM&.PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
OWAW(S1~AY PERIOD.
Inspection Request: 726-3769
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Servii~stg~?V:~~~er~::c':::' .
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
. .'.
D. Branch Circuits
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with \~
Service or Feeder Permit -::./
tft(
$~
$~
t(tCO
. ~O fJO
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigati~~ _ $ 50.00
Sign/Outline . ,I J I:NnON: Oregon law r~gtl!5'0S you to
4 ~ rules adopl.;.:! Ly [lIe O[eaon Vl/II~(
Limited Ener!H~lCenter TI.':'~e rui~]{,oe ::::~ :.:;:~:_:
Limited Enerln~Afih9GalO01-001~ thro~g~ ~f.QQ 8r..;~).r l1_
{foSO. Yi~m~ohtaI1 ('..,(lftleO'" ot'o,o. ":,'~, "-
Minimum Electric P~I'h lec o!l.'Fee S~'"qi~.U. 4' Surcharges
foitlll e mer. Note: the tel,:;"'- ~
4.SUBToTAL'lYJPJ1I!rt9.FJhe. Oregon Uti/itv ~'iu.,' 'f"O tfl. ;"
tenter IS 1-800-33?-2~ 1,;, {,J
~v"(' ~
ID.'?;C>
5'". . if;4
--{ "1..'"
:./~.
Shared Drive(T:)/Buiiding Forms/Electrical Permit Appiication I-06.doc
8% State Surcharge
10% ...\dministrativ;.J ee
~ -r~r~
TOTAL
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4181 E ST
ASSESSOR'S PARCEL NO.: 1702322300300
Springfield
TYPE OF WORK: Interior
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: The Arc of Lane County renovation
Owner: LINCOLN CAPITOL II LLC
Address: 725 COUNTRY CLUB RD
EUGENE OR 97401
Phone Number: 541-988-0200
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Ar~hitect AFFOLTER WEST & JONES 541-342-6511
General ESSEX GENERAL CONSTRUCTION 54531 11/10/2008 541-342-4509
Electrical REYNOLDS ELECTRIC 17252 02/0812009 541-343- 7297
Mechanical MARTIN CASTLEMAN LLC 169547 04/07/2008 541-736-3438
Plumbing BARON PLUMBING INC 147744 05/1412009 541-935-1081
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# 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:
A-3
n/a
I DEVELOPMENT INFORMATION'
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:
ATTENTION: Oregon law requires you,t,o
f-I"~'" ...1..0 ~rlnntp.d bv the Oregon Utility
I PUBLIC IMPROVEMEN~fication Center. Those rules are sel rOfUl
',BnTSd"I. . AR952_001-0010throughOAR952-001-
Stree't\fiilp'r'b~ements: 0090 Y~UI~Jv~~:copies of the rules by
rH!~JEI}.r~lh~Q.tl~LL EXPIRE IF THE WORK liin tIWn m.~! ~Note: the telephone
~t::nIW~ru~1mDER THIS PERMIT IS NOT nC:mb~ for ~e"Or~o~nmility Notification
p ~OMMENCED' OR IS ABANDONED FOR Center is 1-800-332-2344).
Note~NY 180 DAY PERIOD.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
100,000.00
Value
Date Calculated
Description
Total Value of Project
$100,000.00
$100,000.00
09/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $376.96 7/24/07 1200700000000000956
-Mech Iss 2+ Appliances- $40.00 10/19/07 1200700000000001324
+ 10% Administrative Fee $89.68 10/19/07 1200700000000001324
+ 5% Technology Fee $13.65 10/19/07 1200700000000001324
+ 5% Technology Fee $58.49 10/19/07 1200700000000001324
+ 8% State Surcharge $71. 75 10/19/07 1200700000000001324
Building Permit $622.84 10/19/07 1200700000000001324
Fixture $224.00 10/19/07 1200700000000001324
Minimum/Adjustment Mechanical $36.00 10/19/07 1200700000000001324
Plan Review Comm/Ind/Public $27.89 10/19/07 1200700000000001324
Plan Review Fire & Life Safety $249.14 10/19/07 1200700000000001324
Planning Final Occy Inspection $273.00 10/19/07 1200700000000001324
Sanitary Sewer - Improvement $652.93 10/19/07 1200700000000001324
Sanitary Sewer - Reimbursement $858.67 10/19/07 1200700000000001324
SDC Sanitary/Storm Admin $75.58 10/19/07 1200700000000001324
Vent Fan $14.00 10/19/07 1200700000000001324
+ 10% Administrative Fee $10.80 10/22/07 2200700000000001618
+ 5% Technology Fee $5.40 10/22/07 2200700000000001618
+ 8% State Surcharge $8.64 10/22/07 2200700000000001618
Add, Alter, Extend Circ $48.00 10/22/07 2200700000000001618
Add, Alter, Extend Circ Ea Add $60.00 10/22/07 2200700000000001618
Total Amount Paid $3,817.42
I Plan Reviews I
Fire Department Review
07/27/2007
08/24/2007
OK GRG
See attached document for Fire
Department Plans Review
comments.
Initial Review
Plan Review Comments
07/25/2007
07/26/2007
08/13/2007
APP LLH
10 JMP
WE. Received incomplete responses
from Kent Affolter. Still waiting for
items 3 and 4 (contractor and
valuation data).
Pal!e 2 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
09/1912007
10
JMP
Planninl! Review
08/27/2007
08/27/2007
APP
EMM
Planninl! Review
07/2712007
WE
Public Works Review
Revised Plan Review - Fir
08/03/2007
10/16/2007
08/06/2007
10/16/2007
APP
OK
JHJ
GRG
Structural Review
Structural Review
10/18/2007
07/26/2007
10/18/2007
07/31/2007
APP
WE
DJP
JMP
SUB Review
07/27/2007
08/13/2007
WE
DH
SUB Review
10/12/2007
10/12/2007
APP
DR
SUB Review
08/13/2007
JMP delivered Kent Affolter's
responses to Fire's comments to
Gilbert (in his absence).
Owner or representative needs to
sign MDS LUCS sheet before
building permit is issued. 11
additional street trees, 8 catch basin
filters, 6 bicycle parking spaces, 90
parking spaces with 4 disabled and
screened trash receptacle need to be
installed before occupancy.
Left Message for Angela Phinney of
ARC of Lane county to discuss
LUCS requirements and request
letter for parking uses and times.
Talked to Angela on 8/2/07. Will
send letter regarding parking.
Attached SDC Worksheet. (JHJ)
See attached document for Fire
Department Plans Review comments
for revised submittal and architect's
responses.
Appv'd 101607
See attached documents for 6
structural comments faxed to Kent
Affolter.
See JMP's attached documents for
item 2 requesting the energy code
forms and information.
See attached documents for SUB
plan review approval.
JMP faxed energy code forms from
Kent Affolter to David Harris. DH
received forms 8/17/07 dim
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. wiH be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 04/19/2008
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
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 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
Pal!e 4 of 4
225 Fif(h'Street
SPI:ingfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01094
COM2007-0 1094
COM2007-01094
COM2007-0 1094
COM2007-01094
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200700000000001618
Date: 10/22/2007
Description
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Paid By
ELLEN REYNOLDS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 09758C Phone
Payment Total:
Page 1 of 1
10:24:05AM
Amount Due
60.00
5.40
8.64
10.80
48.00
$132.84
Amount Paid
$132.84
$132.84
10/22/2007