HomeMy WebLinkAboutPermit Electrical 2006-6-23
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225 nl' an STREET. SPRINGFIEW, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 t < .-;~ J
ELECTRICAL PERMIT APPLICATION /_" ,
CIty Job Number (',0 m'2Dnt-, - ()oro 2 -r Date (j) 1')2) zo-c;(p
. I CITY OF\".-RINGFIELD, OREGON C)
. .
1 LOCATION OF INSTALLATION
1710 r.pclel1~" ~
LEGAL DESCRIPTION
170325'1<( 03 ~oo
JOB DESCRIPTION
ZOO~~\\€I\. i 7 clrc.....-;-i!
I
Permits are Don-transferable and expire .fwork is
not started within 180 days of issuance or If work u
Suspended for 180 days
'~,
, tree ,'....
2 CONTRACTOR INSTALLATION ONLY B. Sen Ices or Feeders Jlnstallallont~lterJtlOns or RelocatIOn
~J, J 'r "YOn UtI
A..., 1..1<./ '/1./ r , It) flU - t./ es 8" Ilfy/
Electncal Contractor Alert Eleetr le Ine'jr,g th}OO AmPJ,prlesf'LJ9h OARe Set fn"t~
f1fdlll. G":). 1C.1"'l~ ,., 95") .
I~er /0,201 ~ps tq,400 itunp.s' lh <-On,
1ha ~ I/vrlJ.~" -, e f{.Jl
Cent401 Ainpy15' 600 AiiJ.P~e/ €IS h:l'
e'iS" _ n I If,,/, ephon
60 AlDPlito 1000 Amps'll' €I
~-d~;o_~ ~ lie
CIty Sprlncrfleld Phone (541) 747-2213OverlOOOAmpSlVOllB4j alJOn
Reconnect Only
Address 1970 N. 28th Street
SupelVlsor LIcense Number 243 S
ExprrallonDate 10/01/2007
Constr Contr Number 1 2 7 7 2
Exprrallon Date
03/22/2007
Address
IItD
'5>~rA.
CIty
OWNER IN!rrALLATION
3 COMPLETE FEE SCHEDULE BELOW
A. Nen Resldentlal- Smgle or Multl-Famll\ per dnelhng Unit.
ServIce Included
1000 sq ft orIess
Each addlllonal 500 sq ft or
portIon thereof
Each Marrufae!' d Home or
Modular Dwellmg SelVlce or
Feeder
SI06 00
S 1900
S50 00
S6300
$ 75 00
S12500
S163 00
S375 00
S5000
6J
C Temporan Sen Ices or Fccders
In.IaUatioD, Alteration or Relotatlon
200 Amps or less S 50 00
NOTICE' 201 Amps to 400 Amps S6900
'HIS PERMn1 Amps to 600 Amps $100 00
~I /THORllEfY&t'iAi~rNffl. Volts see "B" above
A~~MENf!tD BfflRCJf1,'St}JEt:HE WORK
180 DA\NF!lIa.4Il';"\IiY~{eJi/fo.lS>N(r,IIDel
One {!f.flblt CU FOR
Each AddltJonaI ClTCwl or WIth --,
ServIce or Feeder PeIlmt , $ 3 00
The mstallatJon IS bemg made on y.u......, I own wluch
IS not mlended for sale, lease or rent
SIgnature of SupervlSmg Electnelan
fdJ~U'~ .
OwnmNklA ~h~ \ 91 ~b4
.. C~h:"".L"A. (
Phone b8'7- 001'"
Owners S'llnature
In.pection Reqnest 726-3769
$ 43 00
z \
E
MlSccllancouli (Scn IctJfcedcr not Included) -Each Installation
Pump or II11gallon S 50 00
SlgnlOuthne LIghtmg $ 50 00
Lumted EnergyIReSldentJal S 25 00
Lumted Energy/ColDDlerctal $ 45 00
Minimum Electric Permit In.pectlon Fee I. S45 00 + Surcharges
4 SUBTOTAL OF ABOVE
6~
b ?Z
8'10
"~
..,
8% State Surcharge
10% Admnustrallve Fee
TOTAL
Shared Dnvc(T )lBu1ldmg FormalElcctncal Pcmllt Appltcab.on 1-06 doc
-~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00627
ISSUED: 06/15/2006
APPLIED: OS/24/2006
EXPIRES: 12/2312006
VALUE' $ 23,000.00
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1710 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703253403900
Springfield TYPE OF WORK Restaurant
TYPE OF USE
Remodel
CommercIal
PROJECT DESCRIPTION Abbys PIzza remodel
Owner ABBYS PIZZA INN-SPRINGFIELD
Address 1710 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number 541-689-0019
Contractor Type
General
Electrical
Mechamcal
I CONTRACTOR INFORMATION I
tequl
- '{'" t reS Va
Contractor ,,0 _I Ltcense1e OrExJ\\~1 Hm. Date
CHAMBERS CONSTRUCTION Yr - ) -OO7l'l4ZuS89 rUles a;e 0 ~1J'!i'007
Vun} ......tll1f)U h ~,
ALERT ELECTRIC INC C";"ng th dY Obta1~'[7J 9 OAR 9Bff/2'ilib07
HARVEY & PRICE CO nUlT)ber 'A~,center 7/7I1A,~/es of the ,,~q791Ho06
r BUlLDlN" 'M';RMffl0N litJl;;~e~elepho;~ uy
Juv-332_23 OM/cation
# of Stories 44) Lot SIze
HeIght of Structure Sq Ft 1st Floor
Type of Heat Sq Ft 2nd Floor
Water Type Sq Ft Basement
Range Type Sq Ft Garage/Carport
Energy Path Sq Ft Other
Sprmkled BUlldlDg n/a Occupant Load
Phone
687-9445
541-747-2213
541-746-1621
# of UnIts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
A-2
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
overrlttlr::. Total
# Str l!'fR d HandIcapped
Pav;f$J 'Ji~UiJT SHALL EXPIRE IF T Compact
% ollt;(r~ UNDER HE WORK
f9,~~~~N~:D ~e~"S A1~12:nE~~~~~~,; NOT
I PUBLIC IMPR6V'EME~TkfUD
S,dewalk Type
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
DownspoutslDrams
Notes
Pa2e 1 013
-iii: ...
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescriptIOn
Tvpe of ConstructIOn
ESlImate
EstImate
Fee DescrIPtIOn
Plan RevIew Comm/lnd/Pubhc
-Mechamcallssuance Fee-
+ 10% AdmIDlstratIve Fee
+ 8% State Surcharge
Apphance Not LIsted
Bmldmg PermIt
Mmlmum/AdJustment Mechamcal
Plan RevIew Fire & LIfe Safety
Vent Fan
+ 10% AdmIDlstralIve Fee
+ 8% State Surcharge
Add, Alter, Extend CIrC Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00627
ISSUED. 06/15/2006
APPLIED. OS/24/2006
EXPIRES: 12/23/2006
VALUE: $ 23,000 00
I V ~lu~tlOn DescrintlOn I
$ Per Sq Ft
or mullIpher
$100
Square Footage
or B,d Amount
23,000 00
Value
Date Calculated
$23,000 00
$23,000 00
OS/24/2006
Total Value of ProJect
Fpp<. P""i I
Amount PaId
Date PaId
ReceIpt Number
1200600000000000709
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000877
1200600000000000946
1200600000000000946
1200600000000000946
1200600000000000946
$13572
$1000
$25 38
$20 30
$1800
$208 80
$2100
$83 52
$600
$840
$672
$21 00
$63 00
5/24/06
6/15/06
6/15/06
6/15106
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
6/23/06
6/23/06
6/23/06
6/23106
$627 84
I Plan Reviews I
ImlIal RevIew OS/2512006 OS/25/2006 APP LLH
Plan Review Comments 06106/2006 10 JMP WI ReceIved response to
comments
PlanmD2 Review OS/26/2006 05129/2006 APP EMM
Pubhc Works RevIew OS/26/2006 06/0212006 APP SB No new Square footage shown on
plans No new plumbmg fixtures
No new SDCs
Structural RevIew OS/25/2006 05/3112006 WE JMP See attached documents for 7
structural comments faxed to Gary
Moye
Structural RevIew 06/13/2006 06/13/2006 APP JMP GIlbert saId to delete the fire revIew
and mspectlOn
SUB RevIew OS/26/2006 0610712006 APP JF
To Request an inspection call the 24 hour recordmg at 726-3769. All mspectlOn requested before 7:00 a.m.
wIll be made the same workmg day, inspectIOns requested after 7'00 a.m. will be made the followmg work
day.
Pa2e 2 of3
-~jiI
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO. COM2006-00627
ISSUED: 06/15/2006
APPLIED: OS/24/2006
EXPIRES: 12/23/2006
VALUE: $ 23,00000
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon LlDe
I Renlllre~ Insnections I
Frammg InspectIOn Prior to cover and after all rough m mspectlOns have been approved
Fmal BuIldlDg After all required IDspectlOns have been requested and approved and the buIldlDg IS complete
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough Electric PrIor to Cover
Fmal Electric When all electrIcal work IS complete
SUB Fmal After all required energy IDspectlOns have been requested and approved
SUB MechanIcal FollowlDg CIty Rough MechanICallDspectIon approval and prior to any cover
Electric ServIce Approval reqUIred prior to ntlhty company energIZIng servIce
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
IDformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall he done ID accordance WIth
the OrdlDances ofthe CIty of Sprmgfield and the Laws ofthe State of Oregon pertdlDmg to the work described herelD, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the CommunIty ServIces DIVIsIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are ID comphance WIth ORS 701 005 WIll be used on thIS proJect
I further agree to ensure that all reqUIred IDspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permIt card IS located dt the front of the property, and the approved set of pldns WIll remalD on the sIte at all
times durmg construction
Owner or Contractors SIgnature
Date
Pa2e 3 of 3
225 Fifth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
.1:Q~;~
WI:_-
C- of Sprmgfield OffiCIal Receipt
L "Iopment Services Department
PublIc Works Department
Job/Journal Number
COM2006-00627
COM2006-00627
COM2006-00627
COM2006-00627
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200600000000000946
Date 06/23/2006
DescnptlOn
+ 8% State Surcharge
+ 10% Admmlstratlve Fee
Perm ServlFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
PaId By
ALERT ELECTRIC
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb 023462 In Person
Payment Total
Page I of I
110528AM
Amount Due
672
840
6300
2100
$99 12
Amount Paid
$9912
$99 12
6/2312006