HomeMy WebLinkAboutPermit Electrical 2007-11-1
3.
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INITIALS ~ ~
DATE i 1- \ -?, -'0'1
SOURCE (n \,,"_\,--j
Date \ \ .- 0' ~ 2 O\J'1
COMPLETE FEE SCHEDULE BELOlV
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
1000 sq. ft. or less
, Each additional 500 sq. ft. or
Ct rLv\.": i-r portion thereof
Permits are non-transferable and expire if work is Each ~jwJ~bla$ ~pU .~~
not started within 180 days of issuance or if work is E.Nl\ON'.NnI~:d1SytHWg)~~ \d~~~~h $50 00
Suspended for 180 days. ~iT U\eS ~~@ e rules are set.o01_ '
io\l?~ t'io center. 1nos hOAR 952
2. CONTRACTOR INSTALLATION o~~t\ncat95~Oi~~~~~9~s~l\Y;\\t~~on, Alterations or Relocation:
'n OAR bta\n cop'lS \ \epnone
,.. \ '(ou may 0 Note', tne e .' at\on
Electrical Contractor , \ 0-. \::.. \ Q...L \"''',c.. \ v... 1:., 0090'\"In9 tn~~s~i&t~~i\iW NotlilC $ 63.00
~:lT\ber i0I'2\h~~_€~OO~i4). $ 75.00
ceQ~ ~ps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Installation, Alteration or Relocation
200 Amps or less \r \,\\t. \NO?~ $ 50.00
\'Ol\Ct:.201_tt~?~~tt\~'\ ,S NUl $ 69.00
~\-\\S ?tt\~~~~({(\\~~ b~tD tOR $100.00
p..1j\\-\Ot\~PL~~~~j\tll 0 Volts see "B" above.
COMNil.~lllft~Mts
~W{ "\ l)~ew Alteration or Extension Per Panel
I
27
,c;
b1''L" I :jl L
):. "'5~ 1'7" J , TOTAL
YA-<. SliV rJ; '31 / Ie 'b
II.) VL- I "'l I
e:fr.
ELECTRICAL PERMIT APPLICATION
City Job Number CC50-1 Wc)! - 0/ .f Z '3
1.
LOCATION OF INSTALLATION:
S-8'ZZ
1M Ai/V
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LEGAL DESCRIPTION:
JjOZ 3"3L(,1
JOB DESCRIPTION:
f-rclJ.
:0Z3r~o
--so
Address
y (p ss. S; \ '::::.c... ~'c.. \ \ e... S. \-.
City
c ~OC. e.,^ e..
oJ
Phone c.,cgl-S 11 (:)
Supervisor License Number ~'Rf ~ S.
Expiration Date If) -I -c 7
Constr. Contr. Number
( 0 ~<\ :2'1
Expiration Date ~- \ I.{ - D"R
Sign~Up",,~~g ,Electrici,.
~~~1
Owners hame l~fVl rl-O s. 7/7 LLe,
Address ~5 2 ., Z <j ;a t;;~ h (r {-
City (;;&/1\. a-e, Phone 72b - g 7 c; J
,
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
$106.00
$ 19,00
C. Temporary Services or Feeders
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
~Q,
$ fuo
$Joo
l-tf
lib
E. Miscellaneous (Service/feeder not included) -Each Installation
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
4. SUBTOTAL OF ABOVE / b tf
8% State Surcharge ! ], Z-
10% Administrative Fee I b'lo
5% Technology Fee B zo
ZO I 7Z
Shared Dlive(T:)/Building Fonns/Electrical Pennit Application 8-06,doc
~~
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2007-01523
ISSUED: 11/01/2007
APPLIED: 10/09/2007
EXPIRES: 05/09/2008
VALUE: $ 35,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5822 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334102300
SPRINGFIE TYPE OF WORK: Tenant Infill
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Tenant in fill space for Divinity Salon
Owner: AMIGOS III LLC
Address: 32929 ROBERTS CRT
COBURG OR 97408
# of Units: # of Stories:
Primary Occupancy Group: B Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Ran!?:!.~P'!~
# of Bedrooms: ATTENTION: Oregon D~ you.~o
follow rules adopted tg,y,~M;QfI9i&RdWn!tY
"I':l.tifit"~tif'\n r.p.nter T'1ose"fules are sefftirth
in OAR 952-00t-M~hO'P.NtE~h TION I
0090. You may.itil_n. --r- II ~
calling the center. (Note: the telephone
number for the Oreg~'dlliwIMmlflcation
Center is 1-8Q€)-Ia:a&e~4~s Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-726-8795
I CONTRACTOR INFORMA nON I
Contractor
CASCADE VIEW CONSTRUCTION INC
JB ELECTRIC
COMMERCIAL AIR INC
RIGHT WAY PLUMBING
License
155174
104929
110075
49561
Expiration Date
04/16/2009
03/14/2008
12/18/2007
12/16/2008
Phone
541-912-1412
541-687-5770
541-461-4821
541-484-3787
BUILDING INFORMATION I
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 11
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE 'F THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01523
ISSUED: 11/01/2007
APPLIED: 10/09/2007
EXPIRES: 05/09/2008
VALUE: $ 35,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
35,000.00
Value
Date Calculated
Description
Total Value of Project
$35,000.00
$35,000.00
10/09/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $202.63 10/9/07 1200700000000001281
-Mech Iss 2+ Appliances- $40.00 11/1/07 1200700000000001358
+ 10% Administrative Fee $73.24 11/1/07 1200700000000001358
+ 5% Technology Fee $29.39 11/1/07 1200700000000001358
+ 8% State Surcharge $47.02 11/1/07 1200700000000001358
Addressing Assignment $35.00 11/1/07 1200700000000001358
Building Permit $311.74 11/1/07 1200700000000001358
Dryer Vent $7.00 11/1/07 1200700000000001358
Fire SF Fee - Non-Residential $144.70 11/1/07 1200700000000001358
Fixture $176.00 11/1/07 1200700000000001358
Minimum/Adjustment Mechanical $36.00 11/1/07 1200700000000001358
Sanitary Sewer - Improvement $30.23 11/1/07 1200700000000001358
Sanitary Sewer - Reimbursement $39.69 11/1/07 1200700000000001358
SDC Sanitary/Storm Admin $3.50 11/1/07 1200700000000001358
Vent Fan $7.00 11/1/07 1200700000000001358
Water Line - 1st 50 Feet $50.00 11/1/07 1200700000000001358
+ 10% Administrative Fee $16.40 11/9/07 2200700000000001693
+ 5% Technology Fee $8.20 11/9/07 2200700000000001693
+ 8% State Surcharge $13.12 11/9/07 2200700000000001693
Add, Alter, Extend Circ $48.00 11/9/07 2200700000000001693
Add, Alter, Extend Circ Ea Add $116.00 11/9/07 2200700000000001693
Total Amount Paid $1,434.86
I Plan Reviews I
Fire Department Review
10/11/2007
10/30/2007
OK GRG
See attached document for Fire
Department Plans Review
comments.
Only three sets submitted. Plans
will be routed to: 1) Mick Nolte
with the Building Department for
Structural Review; 2) Springfield
Utility Board; and 3) Public Works,
Planning, then Fire. This will delay
the plan review process.
Initial Review
10/11/2007
10/11/2007
APP LLH
Pa!!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01523
ISSUED: 11/01/2007
APPLIED: 10/09/2007
EXPIRES: 05/09/2008
VALUE: $ 35,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
EMM
10/11/2007
10/16/2007
APP
Public Works Review
Structural Review
10/11/2007'
10/11/2007
10/16/2007
10/11/2007
APP
10
JHJ
LLH
Structural Review
10/11/2007
10/19/2007
APP
LLH
SUB Review
10/11/2007
10/12/2007
APP
DH
Final Site must be approved by
planning before tenant spaces are
occupied. See building permit for
addition and remodel of building.
Attached SDC Worksheet. (JHJ)
Forwarded to Mick Nolte with the
Building Department for structural
review under contract with the City
of Springfield.
Plans reviewed by Mick Nolte with
the Building Department under
contract with the City of Springfield.
See attached documents for plan
review approval
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Underslab Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01523
ISSUED: 11/01/2007
APPLIED: 10/09/2007
EXPIRES: 05/09/2008
VALUE: $ 35,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa~e 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
COM2007-01523
COM2007 -01523
COM2007 -01523
COM2007 -01523
COM2007 -01523
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000001693
Date: 11/09/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DANA ALONSO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 011866 In Person
Payment Total:
Page 1 of 1
9:17:36AM
Amount Due
48.00
116.00
8.20
13.12
16.40
$201. 72
Amount Paid
$201.72
$201.72
11/9/2007