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Home My WebLink AboutPermit Electrical 2007-12-10 SPRINGPIELD ZON i~ ~~ INITIALS N tv\. ..... ~ DATE i;:2...~IL - <.T1 SOURCE0... .'\~_ l Date lJ -10 - 07 .. Q CITY OF SPRINGFIELD, OREGON ~ 225 FIFfH STREET. SPRINGFIELD, OR 97477 - PH:t541)726-3753 - FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Numher C ~ z.O 0 7 - 0 I b? { Electrical.Contractor J\ )r. rft, ( ,I p;;,f- Elprfr,rG.L. 200 Amps orless $ 70,00 Co/18truk::rJ I rJ"C 201 Amps to 400 Amps $ 83.00 Address 11 (<( k,,/c.- /JtJe~ 401 Amps to 600 Amps $138.00 601 Amps to I~ t:srequires 'f"".'~ $180.00 City ~,,),,)~()d(I", Phone s:(..t/ 9/L/~ ATT~i!MO(){ffi\l"'lg;"-\he Orego\"'l Utility $413.00 folloJ}~}e h 'I e rules are ~et fortn $ 55.00 'f' t' on Center. T os OAR 952-001- Notllqal ---'Omott1rough . --0---- ~ in @.,R 'IlG~.h-,Dbtervlc/lll\l!lfQtOl81rU'eS Y _....J 0090. 'You may 0 a'(Note: the te\ephO~e -- - - ,-,- ca~inihlllRifA'~~~8ItJOti\iBF~i~tlon nU~~ef J&s.i 0800-332-2344). $ 55.00 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $110.00 Over 600 Amps or 1000 Volts see"B" ahove._ D. I Branch Circuits New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit ' . i ~/~//7A1_tAP Owners Name lC~ fod <- Address z815S- 0(1""'''''< E. I Miscellaneous (Service/r;;der not included) -Each Installation I ' City S"? (t.1 Phone 172(.. ~ )"ell( Pump or irrigation $ 55.00 NOT'C~ign;Outlin :~. . RE IFTHE WORK $ 55.00 OWNER INSTALLATION THIS p6!l.WllIdi\ 5 'rsnpffiMIT IS NOT $ 28.00 !he installation is being made on property] own which AUTHOI3~RtI,!I r~rJ1>,wmtED FOR $ 50.00 IS not mtended for sale, lease or rent. c~~1iJile.Q ~ it Inspection Fee is $50.00 + Surcharges ANV 1 Qn'nAVP :Ii . -, Owners Signature: 4. l'S'UBrot"AL OF ABOVE : 1/1 n "" 8% State Surcharge ~' ;; 3- I{';;'O 10% Administrative Fee -"l i _::... ;;. . " 5% Technology Fee .::r-/ dU- 3 ]. I LOCATION OF INSTALLATION: i ? X(("I nl 'I /Yl;O I r . ,.,h...d- ,),A-~, ~(,~ rv- LEGAL DESCRIPTION: <}>7''7 r \<<'lIlt, 17~!;~~grri'_ 0 ZPO f JOB DESCRIPTION: Rd.fX{)j.;c~ Pxn fb;.:er<<Jcc( \ 4k'E;" /1,4;"/1'/7 (" ~'/'Cl-<I T<. -t::'r I"i~ ') Permits are nonMtraosferable aod expire if work is not started witbin ISO days of issuance or if work is Suspended for 180 days. 2. I CONTRACTOR INSTALLATION ONLY I Supervisor License Number ,~WLJ.;l, ') Expiration Date _/() / ~) / :2 r; /f\ Constr, Contr. Number ;;;..;)..(;rr;., r, Expiration Date ;1 / -;J I"V') ;;r- Signature of Supervising Electrician Inspection Request: 726-3769 3. ['" COMPLETE FEE SCHEDULE BELl)W - - 1 _________.J A.I New Resi<!.ential-Single or Multi-F~mily per dwel/in~ uni!.,...! 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 $117.00 $21.00 $55.00 B. I Services or Feeders - Installation, Alt~rati~~~-~~ Relocati~~ _..J $ 48.00 <lIT 00 $ 4.00 06 u.. TOTAL -n80 -) '/. ~:}_ Shared Drive(T:)fBuilding Forms/Electrical Permit Application 7-07.doc Status Issued CITY VI' ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: 11/1412007 EXPIRES: 06110/2008 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2885 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1702300002001 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercia] PROJECT DESCRIPTION: ]nterior remodel- enclose 4 offices Owner: KRC ROLLS Address: 2885 OLYMP]C ST SPRINGFIELD OR 97477 Phone Number: 54]-726-5014 Contractor Type General Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License DORMAN CONSTRUCTION 68801 NORTHWEST ELECTRICAL CONSTRUCT! 155877 INNOVATIVE AIR INC 161742 I BU]LDING INFORMATION I Expiration Date 08/31/20] 0 06/1312009 10/11/2008 Phone 54]-984-0012 541-466-3201 54]-746-1040 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Lot Size: Height of Structure ulfeS yoU .\~q Ft 1st Floor: EfjPe of He tiegon laW f~le90n \.It\\~Ft 2nd Floor: ~. 'opted bY tile \eS ale set 10 .Ft Basement: fo\llMIllJ.Il ~tef. 1\1OSe fUll 0)1.1'\ 952.-0 B.ft GaragelCarport Not m':.o0~0 tllfOU.9 sol tM lu\e~.l.Itt Other: 'n 6A1'1~Jlli1_n COP'? t"jfG\efl"O~'itupant Load: , r "nIl ma'y _ 'l'lote. 1,_.;fIl~at\O I DE~'~rrWim9-AT.BL\L\). nunlL~'centel is I'U,- Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING lIB Frontyard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: _.~ . Total: Handicapped: Compact: I.PUBLlC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special ]nstruction: Notes: Sidewalk Type: \NO\'-\<. f. DO~'I\I!;\i>1~ ~OI ~~~\~E~~~~ ~:u'-i\'- 1~~~~~~~; r~\'- p...\)1\10 EO Q\'- \'0 to: CON\N\E~C p...'{ PE\,-\QO. p...~'{ "\ 'DO 0 Pa2e I of4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: 11114/2007 EXPIRES: 06/10/2008 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation ne~criotio~ I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $25,000.00 $25,000.00 11114/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comml]ndlPublic $160.77 ] 1/14107 3200700000000000750 -Mechanical Issuance Fee- $20.00 12110/07 2200700000000001805 + 10% Administrative Fee $6.00 12110/07 2200700000000001808 + 10% Administrative Fee $34.73 12/10/07 220070000000000]805 + 5% Technology Fee $3.00 12110/07 2200700000000001808 + 5% Technology Fee $17.37 12110/07 220070000000000]805 + 8% State Surcharge $4.80 12/10/07 2200700000000001808 + 8% State Surcharge $27.79 ,12/10/07 2200700000000001805 Add, Alter, Extend Circ $48.00 12/10/07 2200700000000001808 Add, Alter, Extend Circ Ea Add $12.00 12/10/07 2200700000000001808 Building Permit $247.34 12/10/07 2200;00000000001805 Not Covered Mechanical $50.00 12/10/07 2200700000000001805 Not Covered Mechanical $50.00 12/1 0/07 2200700000000001805 Total Amount Paid $681.80 Plan Reviews I Initial Review 11/15/2007 1111512007 APP LLH Structural Review 11/1512007 11/19/2007 WE DLM Plans routed to Gilbert Gordon and Don Moore only per David Bowlsby/llh. Wrong wall framing detail submitted. Engineer will submit revised detail for steel framing 11/19/07dlm. Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2007-01681 225 Fifth Street, Springfield, OR ISSUED: 12/10/2007 541-726-3753 Phone APPLIED: 1lI14/2007 541-726-3676 Fax EXPIRES: 06/10/2008 541-726-3769 Inspection Line VALUE: $ 25,000.00 Fire Department Review 11/15/2007 11/20/2007 OK GRG Plans Review: ]nterior office remodel-creation of 4 offices in open cubicle area. Job #COM2007-01681. Maintain fire extinguishers with a minimum rating of 2-A:IO-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall he he tween 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). If more than 20 sprinkler heads are added or require relocation, submit sprinkler plans and calculations to the City of Springfield Development Services Division Building Permit Technician for Springfield Fire Marshal's Office review and approval. If less than 20 sprinkler heads are relocated, provided submittal showing relocation of sprinkler heads and ensure system maintains compliance with NFP A 13 requirements. Structural Review 11126/2007 11/26/2007 APP DLM Engineer submitted revised framing detail sheet for steel wall framing. OK 11I26/2007dlm 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. L...jelluirecUnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, tire line flow test. Final Fire Department. After all requirements of the Fire Department have been met. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Pa2e 3 of 4 -1IML-li,~~~~F~I~ " ."....".... ......, CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: ll/14/2007 EXPIRES: 06/10/2008 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 propel' 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 Job/Journal Number COM2007-01681 COM2007-0]68] COM2007-01681 COM2007-0 J 681 COM2007-0]68] Payments: Type of Payment Check cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + ] 0% Administrative Fee Paid By NORTHWEST ELECTRICAL CONSTRUCTION City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001808 Date: 12/10/2007 I :08:54PM Item'Total: t:heck Number Authorization Received By Batch Number Number How Received djb 4756 In Person Amount Due 48.00 ]2.00 3.00 4.80 6.00 $73.80 Amount Paid $73.80 Payment Total: $73.80 Page I of I 12/1 0/2007