HomeMy WebLinkAboutPermit Electrical 2006-9-29
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~~f~~E~;i;i~~;~~PH'(541)726_3753 .FAX'~::;6;3:q! ~~~~5fU5
I. LOCATION OF INSTALLATION 3. COMPLETE FEE SCHEDULE B~~9W '
W C~rY\tu\"lt:Lt (S}~. ..' '... . ..... .., '...., ..', ...."
LEGAL DESCRIPTION A. kNewnesidential-:SjngJeorMulii~Fa~lilyper dwellingunit.
\103 d'-1 ~ Ij Sr:05 ~:;:j~e'I~~luded ."HMm.mH'""" HH'_Hm'H"H.m,"'H
'...JOB DESCRIPTION _ ]000 sq. ft. or Jess $]06.00
~ n R" _ , ~ Each additional 500 sq. ft. or
..u JYVl.M+- ~ LLL ( nu.tl.~ ) portion thereof $ ] 9.00
Permits are non-transferable and expire if worl, iD Each Manufact'd Home or
not stal-ted within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. tt Feeder
5S \
$50.00
2. CONTRACTOR INSTALLAT!ON ONLY B.
Electrical Contractor ttJ/:.,bVL t.LE.b-RJt.. !;;aui~;I;u:.
Address 1:;"0 III % l'2.fge ~T.
City CL-{ ~ tEAl e..
Phone 3L{L( - 3 S Co I
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
60] Amps to ] 000 Amps
Over JOOO Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
$]25.00
$]63.00
$375.00
$ 50.00
Supervisor License Number S i 35 S
ID I / lOt
c.
Expiration Date
90~60
3/11/D1
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600
D.
$ 50.00
$ 69.00
$100.00
Expiration Date
Constr. ContI'. Number
Signature of Supervising Electrician
() ~ v?~-.l New Alteration or Extension Per Panel
T.~ I~ One Circuit / $ 43.00
(J 6' Each Additional Circuit or with ,< JJ /
.J....1, _ . ' _ 0 <::~ Service or Feeder Permit ~ $ 3.00
Owners Nam m"J..J(....lU'\. \ ().^-.)<... ) ifY)(L
;~:'~ ~ ~~L 5C .?F. :":;':~::~:,:~:"(~m;c~ieede~~n~tin;;~d~:~:cli~~li;i~~
()12- q 7 d IS Sign/Outline Lighting $ 50.00
OWNER INSTALLATION' Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
<8. au
/;;;S, ()D
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surchllrges
r""".-".,~"--c"',..,...","'f""'..:"".... . .. "," .-- ", ,., o-v
4. ;~1'9f{f~?lTl!, .. ',',,' ]:$;?!a.
8% State Surcharge B. '50
I 0% Administrat~ I..?' d 8'
~) 04 .If / &/ . ~ 0
TOTAL
Owners Signature:
Inspection Request: 726-3769
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2006-01027
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/10/2006
03/25/2007
$ 45,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 551 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Infill- Subway
Owner: CENTENNIAL SHOPPING CNTR LLC
Address: 7831 SE STARK ST STE 103
PORTLAND OR 97215
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
RON BRONNER
EUGENE ELECTRIC SERVICE INC
COMMERCIAL AIR INC
RA YMIE JASON HOYT
License
69855
90200
110075
157734
Expiration Date
10/16/2007
03/17/2007
12/18/2007
11/17/2007
Phone
541- 726-9992
541-344-3561
541-461-4821
541-689-4235
BUILDING INFORMATION I
# 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:
1,627
VB
n/a
49
I DEVELOPMENT INFORMATION I
Frontya,-d 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:
I PUBLIC IMPROVEMENTS,l: --IUN'Uregon law 1i:::4LUft:;::i yIJU, ~u
r..f N I , . tlflAAY the Oregon UtIlity ,
Fully Improved follow r,uI&8ha\1; T~~e rules are set~bside 5'
Yes NOtificatlO'b~_t~ft)\Kf6YJgh OAR !V6~Qh Sewer
in OAR 952-001- btain copies of the rules b~
0090. :ou may 0 Note: the telephone
calling the cen:;r. ( n Utility Notification
number for the. regooo 332-2344).
Center IS 1-8 -
StormAltMtf ri\ ~ailable:
spec~'!lt'IbHt~tlOn:
THIS PERMIT SHALL EXPIRE IF THE WORK
Not"UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2006-01027
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/1 0/2006
03/25/2007
$ 45,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
45,400.00
Value
Date Calculated
Description
Total Value of Project
$45,400.00
$45,400.00
09/05/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $221.91 8/10/06 1200600000000001239
+ 10% Administrative Fee $16.60 9/29/06 1200600000000001470
+ 5% Technology Fee $8.30 9/29/06 1200600000000001470
+ 8% State Surcharge $13.28 9/29/06 1200600000000001470
Add, Alter, Extend Circ $43.00 9/29/06 1200600000000001470
Add, Alter, Extend Circ Ea Add $123.00 9/29/06 1200600000000001470
Total Amount Paid $426.09
I Plan Reviews I
Fire Department Review 08/11/2006 09/15/2006 OK GRG See attached Fire Department
Comments. mf
Initial Review 08/11/2006 08/11/2006 APP SKG
Plan Review Comments 09/05/2006 10 JMP WE. Received responses to
structural comments. Faxed
submitted energy code forms to Jacli
Foster. Ron Bronner will discuss th(
ceiling grid issues with the owner
and then fax the special inspection
forms.
Plan Review Comments 09/21/2006 10 JMP WI. Received faxed special
inspection forms from Ron Bronner.
Plannine: Review 08/11/2006 08/15/2006 APP EMM
Public Works Review 08/11/2006 08/21/2006 ,APP CJS called SUBWAY corporate office,
Wilsonville office, and contractor to
get info on existing/new drainage
fixtures; spoke to Ron Bronner,
contractor, who provided info (see
SDC worksheet) 08/21/06 CJS.
Added SDCs.
Structural Review 08/11/2006 08/16/2006 WE JMP Received 8/14/2006. See attached
documents for 13 structural
comments emailed to Richard
Proulx.
Structural Review 09/25/2006 09/25/2006 APP JMP Received final internal approval.
SUB Review 09/25/2006 09/25/2006 APP JF
Pae:e 2 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2006-01027
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/10/2006
03/25/2007
$ 45,400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
08/14/2006
08/21/2006
WE
JF
See attached documents for JMP's
structural comments item 7 for the
request for all of the energy code
forms. SUB will contact the
electrical contractor to resolve the
lighting issues.
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.
I Reouired InsDections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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 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.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
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 3 of 3
225 Rifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
C" . of Springfield Official Receipt
l dopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 027
COM2006-0 I 027
COM2006-01027
COM2006-01027
COM2006-0 I 027
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
1200600000000001470
Date: 09/29/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN DEAN/EUGENE
ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJrn 029330 In Person
Payment Total:
Page I of I
2:42:27PM
Amount Due
43.00
123.00
8.30
13.28
16.60
$204. ] 8
Amount Paid
$204.18
$204.] 8
9/29/2006