HomeMy WebLinkAboutPermit Electrical 2005-4-29
~
o~
~
<:>> "0' ~..o '
225 FIFTH STREET · SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FA.,'X: ~1~f6-3689 % "9--<9
~ 0::~ eO' C'
ELECTRICAL PERMIT APPLICATION o?~ ""~ "o/~O'
r <90' ~". O'G<
City Job Number COw.zooj......CO&./, ~ Date 4-29-05 & C99G<'~"-?'
~-:> ~<9 ~<9
, Q>1l tl' 0-
1. 3. ' COllIPLETE FEESCHEDtJ"id;E- y L 17~~$l0:'''''$<.l'
, 0,' '. ''\ ,'~~ ~6'?>'
,W' /. c9
603 W. CENTENNIAL BLVD. '\ ~" ~-:> -o~,
LEGAL DESCRIPTION A. r~~~~~i:i~o/1~~VS:~;~~~'~~\\1;i;I~[~~~:~l~~..
1703 27V '5 0 S- 8o.s- Service Included ,\,~ ~ '\,
JOB DESCRIPTION 1000 sq. ft. or less '$, 6:00
UNHOOK EXISTING COFFEE SHOP 'fRAILER & Each additiona1500 sq. ft. or "
HOOK UP NEW COFFEE SHOP TRAILER. portion thereof $ 19,00
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.
Electrical Contractor
SCOFIELD ELECTRIC CO.
Address PO BOX 2765
City .ElH-:FNF.,OR 97402 Phone 686-8612
Supervisor License Number <;OR-S
Expiration Date
10-1-07
Constr. Contr. Number
38702
Expiration Date
12-21-05
CE~~
Owners NameCO\/ r-6VIVIM.. S~c.J'PIr4L- c.:rIL LLL
E.
7)(sl Sf::.-
city~'"L.H AJ
S'Tfr<L~
Address
Phone
914-7834
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Each Manufact'd Home or
Modulat D.:w:ellW&..Servlce or . _ ....$;.5iil..no
Feeder AT TEN IIUN: uregon Iaw.JettI d. -.;I-fUV lO'"
'.. ,.,.,...".fQIIQ~ rul~~cfppt~. b)fthEtOreg911~tiJjty. ". ,. .
B. ..".Se~ifsol:lt~~t~~n~~~~t~~r.~;~,.elocation:..'
, InOAR952':OOl-D010tfirooghOAR952:0C)f;;' ,
200 ~MlSJ;may,obtain copies otth$ f'lUfe&l6y 63.00
20 1 A~iiMdng)~ter. (Note: the telePhOOiO
401 Arfi\WlllbiIJJdotlfl]e Oregon Utility NotifitaliOWP
601 Amps to l00@f)tmJ' 1.:aOo-332-2344). $163.00
. Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
c.
Installation, Alteration or Relocation
200 AmI?~Qr IF.se . $ 50.00
201 ~s~~~~,b:A,rp~S~I'" :. r\.~'pt- It- 1~$r6~Q01t~'
401 Am )!i1t~ ~~t~vs' ;: ~:~' ~ '~"'f.;'!-l^~ ~!~l~G.~O: 1
-<\01 t"luhiLt~_U Ul\L:;,;-\ It ;;,\ _ ,: _ ~ ' ,:_~r,.
Over 60J,I\n;J.p~,Qr; ,lGOD A(o.l1i'l':seer~'~'\Ha~W!::!l t ('iP
, ..... .>".' ..,.Ub .'ll'lLJY\~JL~JUt\I':""h"';' .'<<?i..............,.... ........,....,
D. ,~I:a!'l~l~~I,~c8~~~!'\y PERI DEL",'.,>,. ,,:,...,.:.....,...:.....
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
63.00
4.41
n.l0
7% State Surcharge
10% Administrative Fee
TOTAL
73.71
Shared Drive(T:)/Builcling FormslElectrical Permit Application I-03,doc
~i.:,~,F~,~"..~,...' i
Ii.
CITY OF SPRINGFIELD.
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00415
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/13/2005
11/03/2005
$ 10,035.00
SITE ADDRESS: 603 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Modular Unit
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Replace Modular Unit
Owner: CENTENNIAL SHOPPING CNTR LLC
Address: 7831 SE STARK ST STE 103
PORTLAND OR 97215
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Plumbing
Contractor License Expiration Date
EUGENE SAND & GRAVEL 44524 02/23/2005
SCOFIELD ELECTRIC -38702 ,>" 12/21/2005
TWIN RIVERS PLUMBING INC ,/"-- '"17695 0~{}.l{~7
BUILDING INFORMATIO~4{\ \a'lol 'e~~~~~ UtW\~rt."
N1'\ON: V' - d b'1 t"e t ate set '0
# of St~ u\es adO?te 1"Ose ,u\e~Jl.~-Oo'\.
Heighrt~~~~oIffGe{\\e~,\ 0 t"to~9" ~{\1i'~ l_EM~l
Type tfcfi'1~ 95'2.-00'\ -0 \n CO?\es rgA~~lt,or:
Water\\I\)fi)~R U {fIa'1 O'ot'O. tNote'. \~\ \\~~t:
Range ~. '(0 \"e centet. On U\\\~ !~9arage/Carport
Energy PatJa\\\n9 'ot \"e Ote9 00-33~ ~ther:
Sprinkled flumDfi~en\et \s '\i~ Occupant Load:
I DEVELOPMENT INFORMATION.
Phone
541-683-6400
541-686-8612
541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:,.,
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMP,ROME1 ".-MENTS I THE WORK
,,,..,,.. ,,"'~- IRE IF
THIS PERM! \ ~HALL~ia~walk-!I\y.ne: IS NOT
AUTHORIZED UNDER 'H.I?.:C;,~~ Ir(.'lO
COMMENCED OR IS ~~"WPIDJtWllallfs:
ANY 180 DAY PERIOD.
Notes:
Pae:e 1 of 4
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Modular
Estimate
Modular Unit
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00415
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/13/2005
11/03/2005
$ 10,035.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
1,035.00
9,000.00
Value
Date Calculated
$1,035.00
$9,000.00
$10,035.00
05/0212005
04/26/2005
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $64.74 4/8/05 2200500000000000407
+ 10% Administrative Fee $6.30 5/3/05 1200500000000000561
+ 7% State Surcharge $4.41 5/3/05 1200500000000000561
Perm Serv/Fdr 200 amps or less $63.00 5/3/05 1200500000000000561
Total Amount Paid $138.45
I Plan Reviews I
Fire Department Review 04/14/2005 05/02/2005 OK GRG (Entered into BIS and returned to
JMP on 4/28/05)
Plan Review: replacement building
for coffee kiosk. Job
#COM2005-00415.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Initial Review 04/13/2005 04/1312005 APP SKG
Planninl! Review 04/13/2005 04/15/2005 APP EMM
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00415
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Public Works Review
04/13/2005
05/02/2005
APP SB
Structural Review
04/13/2005
04/22/2005
WE JMP
Structural Review
04/2812005
04/28/2005
10 JMP
Structural Review
04/29/2005
04/29/2005
10 JMP
Structural Review
05/0212005
05/02/2005
10 JMP
Structural Review
05/03/2005
05/03/2005
APP JMP
04/13/2005
11/03/2005
$ 10,035.00
No SDCs. Original SDC in 1999
charged them SDCs for 128 S.F.
Original cart was only 84 s.f.
See attached 6 structural comments
faxed to Marie Moser.
WE. Received fax from Marie with
a generic idea sketch for a tie down.
Called her to require the
manufacturer's blocking and hold
down information or engineering.
WE. Received another faxed tie
down detail. Asked for approval
from the manufacturer or an
engineer.
WI. Received foundation plan and
anchor detail from Chele Home
Design. Waiting for final internal
reviews.
Received final internal reviews and
Marie changed general contractors
to one with a current license.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Foundation: After forms are erected but prior to concrete placement.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Pa\?:e 3 of 4
A~.
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00415
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/1312005
11/03/2005
$ 10,035.00
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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
l;ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00415
COM2005-00415
COM2005-00415
Payments:
T '/pe of Payment
Check
, )
5/312005
RECEIPT #:
1200500000000000561
Date: 05/03/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Perm ServlFdr 200 amps or less
Paid By
SCOFIELD ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 29739 In Person
Payment Total:
Page 1 of 1
9:26:00AM
Amount Due
4.41
6.30
63.00
$73.71
Amount Paid
$73.71
$73.71