HomeMy WebLinkAboutPermit Electrical 2007-11-12
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PE~IT APPLICATION
City Job Nmnber \J\... \ \P~. Date
1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOW
!LlD) ~ bilSf Sf--r-p _(J_+
LEGAL DESCRIPT;~'J: . J~ A. New Residential- Single or Multi-Family per dwelling unit.
W; I (! LJ DU j 'J Service Included
JOB DESCRIPTION: 1000 sq. ft, or less $117,00
-r: -I- ~ OJ'-- Ll/ _ ~ Eac~ additional 500 sq, ft, or
~SI.eL4.- Dye f]lf/{J[)1 ~ portton thereof $ 21.00
Permits are non-transferable and exp/rf}(~o IL 'Ir!.,EaCh Manufact'd Home or
not started within 180 days ofissuance or if work is J Modular Dwelling Service or $55,00
Suspended for 180 days. Feeder
. -'-
2. 'coNTiMer(iR lNSTA'i}tArlO1V:ONLY
Eloctri"" Contrncf<>, Om fA c! f.l /Ld5llUl/12 j
Address /~7 S. L/7f'h- ~r.r'.1 f
, -
City ~ Phone JUI-I LX)
Supervisor License Nmnber 51()LEIt
Expiration Date 1D - J - 0 ~
Constr, Contr, Nmnber Q!!)- 47.5"CL r
Expiration Date '7-) ,- O~
?~~..
.l'Owners Name t1Ul ~',.> ~
Address .~n ~ A'{D\~
City ~ Phonec~l.'11fl. {[1
OWNER INSTALLATION
l~ n:!Jt~llation is being made on property I own which
n; VilllbtftQtended for sale, lease or rent.
THIS PE~~)I.s.HAll EXPIRE IF THE WORK
AU~tLtt:TlJ~5ER THIS PERMIT IS NOT
COMMfUCEii uR if; AtlANDONED fOR
ANY 180 DAY PERIOD.
In'p,m.. Req.,," 726-3769 ~ri!}J G'
f\.(\ fhlfft \li ~V::l
~~
B. Services or Feeders- Instalhltion, Alterations or 'Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 70,00
$ 83,00
$138.00
$180,00
$413,00
$ 55.00
C. Temporary Services ()tFeeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above,
D. BranchCircuit~
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E. Miscellaneous (Servic:e/feed~fnotinctudoo)";'Eacb Installation
Pump or irrigation $ 55,00
Sign/Outline Lighting $ 55,00
Limited Energy/Residential $ 28,00
Limited Energy/Commercial \ $ 50.00 3D. 0 a
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. SlJBTOTAL OP.~(jVE '
8% State sur~c;a:NTlON: Oregon law req~u~ v
1 0010 Admini~ .9~fes adopted by the Ore .
5% Technolc. tt9ation Center. Those rules '
OAR 952..001-0010 through O~w
TOTAL 0090. You may obtaIn copies 0 f)
Shared ~lcfN~ij>tli~Yi~ldf oc
number for the Oregon Utility Notification
Center is 1 w60D-332-2344).
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1401 21ST ST
ASSESSOR'S PARCEL NO.: 1703250000802
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01634
, ISSUED: 11/29/2007
APPLIED: 11/02/2007
EXPIRES: OS/29/2008
VALUE: $ 5,130.00
Springfield TYPE OF WORK: Miscellaneous
TYPE OF USE: Addition
PROJECT DESCRIPTION: Install Fire Alarm System in Main Building
Owner: OL YMPIC LLC
Address: PO BOX 26125
EUGENE OR 97401
Commercial
Phone Number: 541-232-1117
I CONTRACTOR INFORMATION I
Contractor Type
Fire Contractor
Low Voltage Electrical
Contractor
OMLID AND SWINNEY
OMLID & SWINNEY FIRE SPRINKLER
License
62730
62730
Expiration Date
12/15/2007
12/15/2007
Phone
541-741-1775
541-741-1775
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
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
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Specillihlfr~liidM: Oregon law requires you to
,,!,~:~I,U.~ r~les adopted by the Oregon Utility
Note~:,.!l:l"-.atlon Center. Those rules are set forth
..1 OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules ..
c8,/ling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
NonCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
,\NY 180 DAY PERIOD.
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Initial Review
Fire Department Review
I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01634
ISSUED: 11/2912007
APPLIED: 11/02/2007
EXPIRES: OS/29/2008
VALUE: $ 5,130.00
Value
Date Calculated
Amount Paid Date Paid Receipt Number
$5.00 11/29/07 2200700000000001753
$2.50 11/29/07 2200700000000001753
$4.00 11/29/07 2200700000000001753
$50.00 11/29/07 2200700000000001753
$61.50
Plan Reviews I
11/02/2007
11/02/2007
APP LLH
Fire Alarm System
OK GRG
11/02/2007
11/20/2007
Pal!e 2 of 3
Plans Review: Minimum alarm
system for water flow and tamper
monitoring with additional fire
alarm appliances for vacant space
next to Wilco. Job
#COM2007-01634. Designer: Steve
Francalancia. Contractor: Omlid
and Swinney.
The proposal features a Honeywell
Fire Lite MS-9050UD fire alarm
panel with two notification
appliance circuits (NAC). NAC 1
features three horn/strobes and two
strobes, all set to 75 cd. NAC 2 is
connected to the outside bell. One
signalling line circuit (SLC) connect!
the manual pull station, water flow
and tamper switches and one smoke
detector.
Plans appear to meet code
requirements.
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01634
ISSUED: 11/29/2007
APPLIED: 11/02/2007
EXPIRES: OS/29/2008
VALUE: $ 5,130.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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.
Reouired InsDections I
Low Voltage: Prior to cover.
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 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01634
COM2007-01634
COM2007-01634
COM2007-01634
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
2200700000000001753
Date: 11/29/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OMLID & SWINNEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jlh
34432
By Mail
Payment Total:
Page I of 1
10:35:50AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
11/29/2007