HomeMy WebLinkAboutPermit Electrical 2006-2-15
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FA.,"'(: (~JI17.21f"l.689 ~;:::S;;"...., ~,,~'j
ELECTRICAL PERMIT APPLICATION :Oro~/ ~"';~"'r,?< fill""""Tg,'). ~J' ..~
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City Job Number COW\ z.oo (" - ..> Q Date ~/@ <, ~.., ~8'
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Service Included
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I. . LOCA.TIONOFINST:A:EEATIONi'~)~'ji!!fl!'!l'."!;
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LEGAL DESCRIPTION
17032200
02.'300
JOB DESCRIPTION
Ac'J z-
Glrc..l;\..,h
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1000 sq. ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Moduiar Dwelling Service or
Feeder
$50.00
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~'eoNiiiiA.CiiiiRfjfNST.Ai.ili'A:iii5N:;oNi;Y.i' B,;Se<vic;;,~~:.';c7'-~~I@;':Ufiiifr;';:Ait;riii;;~ro;;R~i~lfoifg~1
:'lec:::;~~n~:::-i:!~~;~'~;;~E~::~t\~~\~::~"- "'"'~"d"'.""'C' '....'..'."$ 6;~~~-' .'t"'-,.,.....~.<~
I ~\\,\\V"~~\\ '6~" 't.? \\-\\'QO~<~t'OI4%oAmps. $ 75.00
Address ;)\IS Ln ~~ 1\W~~M.~\l~~\Sr>-\'J~lj)nmpst0600Amps $125.00
f\\l~:'i\'\\J~~C't.D ~?\()D, 601 Amps to 1000 Amps $163.00
CityeLiQQ'f\!' Phone(\. "n~1 Over 1000 AmpsNolts $375.00
.J r>-~ Iv Reconnect Only $ 50,00
Supervisor License Number ;;1S:;lC'J S
Expiration Date
\O.\.CI
Constr. Contr. Number ~ ('" \ ~c, c....,
Expiration Date 1- \ - (j 0,
Signature of Supervising Electrician
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O,,"Name' ~ Ii ~ P'?C rl- ;t-~
Address ?o OO,X' '708'
city;l~ PM-w~ Phone 6""o/~- S~Z 7
OWNER INST ALLA TION
The installation is being made on propeny I own which
is not intended for sale, lease or Tent.
Owners Signature:
Inspection Request: 726-3769
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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.
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. :: ranc ,~.Irc~~:;...:..::i::r:;~\}~;~::""I~i4:i..~-\3i~;~:~~~~.~:1Ef!t(~~i~I..;
$ 50,00
$ 69.00
$100.00
New Alteration or Extension Per Panel I
~,.
One Circuit S ,\0 ,.,\~'\.. $ 43.00
Each Additional CirCui\~!),~rh 0<:- v ~ "y' _
Service or Feeder Permit o~eg e C,e Idc,\ $ 3.00
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<'.';\ ^'" 'il' ,~~. "'~ 'eS ,-e\e. ,,'0-'-'
~-(Puml':oril(Jgiiti~n-l\(). "o~'. ",e ,n\.\\' $ 50.00
\osi~Q(jfljn.c:.;r)ig~tiJ1g'<:- 1~0'-~~\.\\~'\ ~',D.\' S 50.00
."co. <-l; I U "( '\: V '/;..J
~"Dimited'EnergylResidi:l1tial~P 0.,'07: S 25.00
\..... ()\",._ I 0' r.'O'. (\(,,'<J~ ~y~
\bimited'EhergyiCommerciiiP S 45,00
(\()'-;1v \\\,,<0 ~ 0(" \." \S \ .
Minimum I;lectu~;Pe:;~il\Inspection Fee is S45,OO -;- Surcharges
4, ~~rT:..~~,~:!~g~:,~~:.'~.,:::,:'~:~~ l{b
3i.~
1{60
c::;L/Ze.
l(3
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7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drivel.T:)IBuilding FOrTllSlElecmc:l1 Permi[ Application i ..03.ooc
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2005-01518
ISSUED: 01119/2006
APPLIED: 10/26/2005
EXPIRES: 08/09/2006
VALUE: $ 8,750.00
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Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1144 GATEWAY LP
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF
Office
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Good Neighbor Care Center Offices -Tenant InfiIl for new Suite 230 '
REQ.UlRED PARKING
. c.'-lo~.,\~'l
Overlay DlSt: ", \\\e-Total: ,~
e"'v ....." . \0'
# Street Trees \~~ \ O\egl;lJ!'!dicapped:
Paved Drive Rqd: egO(\ i'1 ~e ^e'" ~Comp'8c'i: '0'1
% of Lot Coverage: ~,O\ ,eO. '0 ",e \0 :\\ O\>-'<' ~ \0e'" e
ct':,:\\O ~o09 ,\'(\0 o\,>g 0'\\'1 :\\0(\, (\
..."'~ ow,S Ae\', " \'(\\ -"e'" \,,\e9, ~9>.\\0
!pUBLIC IMPROVEMENTSll(\ ~~Cl\'~~~i\(\ ~;\e'-"'~:~'l ~O~~_
0'" ~S'/; ':\,' -\ ~ \:3>' ??:i'"
~ O\>-\'> >.} \SliIel:ralkTyp~: n,?:i'/;'
'(\ '>(0 "e v 0\<' - "Cl'"
\ ClCl~Cl'^\\(\g \D~~nfil\lNts7Drains
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(\\,><0 (je
Owner: K. B. PROPERTIES
Address: PO BOX 788
NORTH PLAINS OR 97133
I CONTRACTOR INFORMATION I
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Contractor S't\ \)\ License
AFFOLTER WEST &_~~~ \~\\ ,S \<I
MElLI CONSTRUC!2:~'0~ 'i) ~\)'0 63771
REYNOLDS EWlO= ~f" \)~~ 17252
CQ~~~:.\~ .~\>-~\J 110075
,,~~s '?"-;1.x.\) ~~\t:J\~n.DING.INFORMATIONI
'\ ~'0\J ~c,~ '?"-" ,,/
.. #ofUnits: - \>-'0 ~~'? 'i)~_ /"#ofStories:
Primary Occupancy Group: c,~~~ \'O~" Height of
Secondary Occupancy i>' Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Range Type:
# of Bedrooms: Energy Patb:
Sprinkled
Contractor Type
Architect
General
Electrical
Mechanical
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
., Street
Storm Sewer Available:
Special Instruction:
Noles:
1 of 4
Commercial
Phone Number: '503-647-5527
Expiration Date
Phone
541-342-6511
541-485-1417
541-343-7297
541-461-4821
02/12/2008
02/08/2007
12/18/2007
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
-
t
, Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
- Fee Description
Plan Review CommllndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
- Building Permit
MisceUaneous Mechanical
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01518
ISSUED: 01119/2006
APPLIED: 10/26/2005
EXPIRES: 08/09/2006
VALUE: $ 8,750.00
I Valuation Descriotion I
$ Per Sq Ft
or multip6er
$1.00
Square Footage
or Bid Amount
8,750,00
Value
Date Calculated
Total Value of Project
$8,750.00
$8,750.00
10/26/2005
FP.es PaidJ
Amount Paid
Date Paid
Receipt Number
2200500000000001497
1200600000000000051
1200600000000000051
1200600000000000051
1200600000000000051
1200600000000000051
1200600000000000051
1200600000000000149
1200600000000000149
1200600000000000149
1200600000000000149
$64.74
$10.00
$14.46
$10.12
$99.60
$45.00
$39.84
$4.60
$3.68
$43.00
$3.00
10/26/05
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
2/10/06
2/10/06
2/10/06
2/10/06
$338.04
I Plan Reviews I
2 of 4
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,
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-01518
225 Fifth Street, Springfield, OR ISSUED: 01119/2006
541-726-3753 Phone APPLIED: 10/26/2005
541-726-3676 Fax EXPIRES: 08/09/2006
541-726-3769 Inspection Line VALUE: $ 8,750.00
Fire Department Review 10/2S12005 01/05/2006 OK GRG Plan Review COM2005-0151S. Good
Neighbor Care Center Tenant Infill,
Space #200 divided into #200 and
#230. Construction type V-B.
Occupancy type B. Gross building
area 2S,705 sq ft, Tenant infill area ,
2,550 sq ft
..
"
Provide illuminated exit signage
meeting requirements of 2004 OSSC
1011. Shown on plans - verify on
~ inspection
Provide means of egress illumination
meeting requirements of 2004 OSSC
1006.
Provide fire extinguishers with a
minimum rating of 2-A: 10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
Ooor (2004 SpringOeld Fire Code
906).
Initial Review 10/27/2005 10/27/2005 APP LLH
". Plannin!! Review 10/2S/2005 II/OS/2005 APP EMM
Public Works Review 10/2S/2005 01/05/2006 APP SB Added SDCs for new tenant infill.
Public Works Review 01/11/2006 01/1112006 APP SB Revised SDCs to ZERO. Applicant
provided information that showed
. this Suite was previously occupied
by a similar use.
Structural Review 01/05/2006 01/05/2006 APP JMP Received final internal reviews,
Structural Review 10/27/2005 10/31/2005 WE JMP See attached documents for 4
structural comments faxed to Linn
West.
Structural Review 11/29/2005 11/29/2005 10 JMP WI. Received response from Linn
West. Faxed energy code forms to
Jack Foster.
SUB Review 12/1212005 12/1212005 APP JF No energy code issues or inspections,
SUB Review 10/2S/2005 11107/2005 WE JF See attached documents for JMP's
Item #2 requesting the energy code
forms.
',. To Request an inspection caD 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. wiD be made the following
work day.
,
3 of 4
~~
.
. CITYOFSPRlNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01518
ISSUED: 01/19/2006
APPLIED: 10/26/2005
EXPIRES: 08/09/2006
VALUE: $ 8,750.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
Final Fire Department. After aU 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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When aU 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 wiD be made of any structore without permission ofthe 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 wiD remain on the site
at all times during construction.
Owner or Contractors Signature
Date
4 of 4
225 Fifth Street
..Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01518
COM2005-01518
COM2005-01518
COM2005-01518
Payments:
TWe of Payment
CreditCard
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2/10/2006
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RECEIPT #:
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JiiI3 of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200600000000000149
Date: 02/10/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ELLEN REYNOLDS
Item Total:
l.:beck Number Authorization
Received By Batch Number Number How Received
djb 046154 In Person
Payment Total:
1 of I
3:29:30PM
Amount Due
43,00
3.00
3.68
4.60
$54,28
Amount Paid
$54.28
$54.28