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Home My WebLink AboutPermit Electrical 2008-2-7 ZON ~ INITIALS ~ ..".., ...... DA TE ~!1A/) Ff \liP' SOURCE rn '.p:.<:;P?./ o/?~ y 3. 'C01iiPLETE:FJiii~CiiE'iJiJLEBEiOW """ ..~ . -.... ~ . '~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 LEGAL DESCRIPTION I 7 () Z- 3 2 '5 2. b' ? 0 0 Service Included JOB DESj;ION. 1000 sq ft. or less A~ ',J '.J, tL~ I () 1 Each add1tionaJi~q~.sq. ft or rr C ~ (.."L L' /CJ..\.~ 1.! pomon th~('1 'l;:Aj-,O Ufl(,V! I, 'lit I ~f v~ ~ Permits are non-transferable and expire if work is Each Man~acl:tll-HOm(?OTqrl e90n I. . ~7;fi '0,., C'\ 1..I0hf qlA. not started within 180 days of issuance or if work is Modular ~'\~Bf (Vted b 'V requT,.,$.)O 00 Suspended for 180 days. Feeder '90. 11 0<-001 er, /1, It f.4;) ~'f:fS Yt Cqi'liJl OlJ may -0010 Ib oSe rlJle~refJO/J O~ to 2. CO~'\lRACTOR I!\~STALLATION ONLY B. scr\'i!1!4~'ff~'Celf!6lt"Hg~~~1ffe'SWi1!/IJj1Cation: C Or the 0 'f. (tvot:es Oft '1 952 Ortll Electncal Contractor \. ) kb SleLTl Ie.) <r~200 Amps or lessenter i8 regon ~'_ thtJ te 'hf~~~01.. 201 Amps to 400 Amps 1-800~~~ty N.:u~~~ by 401 Amps to 600 Amps <&I~ ~ 60 I Amps to 1000 Amps $163 00 Over 1000 AmpsNolts $37500 Reconnect Only $ 50 00 ELECTRICAL PERMIT APPLICATION City Job Number CO u-\ ~O r . (.) ( f I , ~ ..,.- - ~ - r - ;::'J-c:.1~.m:~, t~l-lV'"'/'-.i-,,? ,'(~"-~ ~- ~!T~ 1'>"- '"Y ~ - - - -/ 1. ; LOCATION" OF,INSTALLATION: ..._~lt _ ~~~~ -"",' ,~~ ... _,) , ) 4Z(~ VVlA-tN 51 Address '2.-15, ~ :s+ '-14b -4k2~ City . ~u?:.IJ aU / Phone 4)-J U Explfahon Date <j.-gl'S 10 - I - 8 s Supervisor LlCense Number Constr Contr.Number 2-0 -2....1-"1 C l - I -Ocg Explfahon Date Signature of Supervlsrng ElectriCian ~ - C/ ' Owners Name -~-".4IJ.. -:P-Pf::t{;.A-1r ....s+ "3 Z b vI/! Auv sr City S?F~ Phone ?t'f'-ol{?6 Address OWNER INST ALLA TION The mstallatlon IS berng made on property I own which IS not mtended for sale, lease or rent Owners Signature Inspection Request: 726-3769 Date A. Ne" Residcntial- ~ingle or Multi-Family per dwclling unit. $106 00 $ 1900 <]V O~('m P'l nil ~ S(' l\ ice,> H r F c\:lk r<, rft 7et- /Ill ~~fion, Alteration or Relocation C. 1!Jtg1%i $ 5000 1/ OIviI't4B tfJ. ~p. $ 69 00 Ny 18fj1 l1> IS ~/;l1f If n $100 00 over~6'cPGJ9fb ~lI)p~3/,~'!tllfelf1r D. Branch C~rc~h 'ONfD f~% NOr New Alteration or Extension Per Panel/ One Crrcuit Each Additional Circuit or WIth ServlCe or Feeder Penrut '; 1(& $ 4Jl 00 $ ~OO L/~ Je. E. Mhccllancou!. (Scn icc/f('{'(lcr not included) -Eat'h In~tallation . Pump or lrngatlOn $ 50 00 Sign/Outline Lighting $ 5000 Lumted Energy/Residentia1 $ 25 00 LlIDlted Energy/Commercial $ 45 00 Minimum Electric Pennit Inspection Fcc is $45.00 + Surcharges 4. SUBTOTAL OF ABOrE ''l~ Jl90 State Surcharge 10% Adrmrustratlve Fee 5% Technology Fee TOTAL 106 '8 Shared Dnve(f')'BuiJdmg FormstElectncaJ Pernul Apphcatton 8-06 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01819 ISSUED: 01115/2008 APPLIED: 12/12/2007 . EXPIRES: 08/07/2008 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4215 Main St ASSESSOR'S PARCEL NO.: 1702323201900 Springfield TYPE OF WORK: Interior PROJECT DESCRIPTION: Interior remodel- combing spaces B & C TYPE OF USE: Alteration Commercial Owner: DONALD V PFEIFER TRUST Address: 326 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORM A nON I Contractor Type General Electrical Plumbing Contractor ROBERT L SCHMITT J K GUCKENBERGER ELECTRIC INC ABSOLUTE PLUMBING SERVICES INC License 44227 45129 67664 BUILDING INFORMA nON, # of Units: # of Stories: Primary Occupancy Group: A2 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: I Ran~t)i~eIYOU to # of Bedrooms: Po "rnlTlON. Oregon a\~~ij~ ~WUtllity hilow rules adopted bY,~Y~\8~ra . W11h n/a I\lntof!(,l'ltlnn Center. Thos -; - - tt1 in OAR 952.001-qe&i~~mi.imMAnON I 0090. You may ~~....iiiiiIIIi calling the center. (NO;::-thetel~p il~. number for the Oregon ~v..tJBWi~at'on Center is 1-aoo~hes Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-988-0496 Expiration Date 01122/2008 04/24/2008 07/11/2009 Phone 541-988-0493 54 I - 7 46-4656 54 I -345-3055 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 55 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e I of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01819 ISSUED: 01/15/2008 APPLIED: 12/12/2007 EXPIRES: 08/07/2008 VALUE: $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 12,000.00 Value Date Calculated Description Type of Construction Total Value of Project $12,000.00 $12,000.00 12/12/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $88.27 12/12/07 1200700000000001487 -Mech Iss 2+ Appliances- $40.00 1/15/08 1200800000000000042 + 10% Administrative Fee $32.98 1/15/08 1200800000000000042 + 12% State Surcharge $39.58 1/15/08 1200800000000000042 + 5% Technology Fee $16.49 1/15/08 1200800000000000042 Building Permit $135.80 1/15/08 1200800000000000042 Fixture $128.00 1/15/08 1200800000000000042 Minimum/Adjustment Mechanical $36.00 1/15/08 1200800000000000042 Miscellaneous Plumbing $16.00 1/15/08 1200800000000000042 Plan Review Fire & Life Safety $54.32 1/15/08 1200800000000000042 Sanitary Sewer - Improvement $285.66 1/15/08 1200800000000000042 Sanitary Sewer - Reimbursement $375.67 1/15/08 1200800000000000042 SDC Sanitary/Storm Admin $33.07 1/15/08 1200800000000000042 Vent Fan $14.00 1/15/08 1200800000000000042 + 10% Administrative Fee $8.40 2/8/08 2200800000000000170 + 12% State Surcharge $10.08 218/08 2200800000000000170 + 5% Technology Fee $4.20 2/8/08 2200800000000000170 Add, Alter, Extend Circ $48.00 2/8/08 2200800000000000170 Add, Alter, Extend Circ Ea Add $36.00 2/8/08 2200800000000000170 Total Amount Paid $1,402.52 Initial Review Plannin2 Review I Plan Reviews I 12/17/2007 12118/2007 APP LLH 12/18/2007 12/18/2007 APP EMM 12/18/2007 12/20/2007 APP JHJ Attached SDC Worksheet. (JHJ) 12/18/2007 12/27/2007 APP LLH Approved by Mick Nolte with the Building Department for review under contract with the City of Springfield. Public Works Review Structural Review Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01819 225 Fifth Street, Springfield, OR ISSUED: 01115/2008 541-726-3753 Phone APPLIED: 12/12/2007 541-726-3676 Fax EXPIRES: 08/07/2008 541-726-3769 Inspection Line VALUE: $ 12,000.00 Fire Department Review 12/18/2007 01/11/2008 APP GRG Plans Review: Interior remodel combining Units Band C for deli/video poker. Job #COM2007-01819. Occupancy Classification: B. Construction Type: V-B. Approximately 1384 sq. ft. Provide or maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2007 Oregon Structural Specialty Code 501.2 and 2007 Springfield Fire Code 505.1). Provide 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 be between 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). Plan Review Comments 01/15/2008 01/15/2008 10 LLH See attached documents for email from Liz Miller authorizing building to proceed with issuance/inspections of this project even though there is a tag on the parcel. 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. ~eouire~nsDections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Final Building: After all required inspectIOns have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01819 ISSUED: 01115/2008 APPLIED: 12/12/2007 EXPIRES: 08/07/2008 VALUE: $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover 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 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 Pa2e 4 of 4 225 Fifth Street S~ringfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1819 COM2007-01819 COM2007-01819 COM2007-01819 COM2007-01819 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000170 Date: 02/08/2008 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By JEFFREY GUCKENBERGER Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 03504D In Person Payment Total: Page 1 of I 8:31:18AM Amount Due 4800 3600 420 1008 840 $106.68 Amount Paid $106 68 $106.68 2/8/2008