HomeMy WebLinkAboutPermit Electrical 2008-2-4
225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number LLJINt 7 J::>O '7 - C) I L( L!<.
*"'i"~~ :r "/'m~9r-:;----:;;---;;~-- ';:~~~<"-"~~ ~~
1. LOCATION OF INSTALLATION: " , ' 3. COMPIJETE,FEE SCHEDULE BEWW
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\:),. \r-pj\U;f\o. \~~\- TO..:B \
JOB DESCRIPTION:
~c-t{A\\ FiY~ iliatrn ~..Tetxtll'"
Permits are non-transferable and expi117{J,Uk f?{))...Q. Each Manufact'd Home or
not started within 180 days of issuance or if work is Mtidular.bwellUlg,~~ill'. re . $5500
S d ~ 180 d ..-f;. d " :lVV aUlres VOlt t", .
us pen ed .or ays. l'ce. et. . ~I,.... ouo.Awd bv t+le 0 . ...,.
,.. "d, '" '," """ " r' .t0f~M''f,.j,Jr;., Tt:!' J regon Utmty . ,.
2. "CONTRACTOR,!NSTALLATION OlYf,Y., B~b:~~~ . ., ',;t~::,' ~~}~s or:~~location: ,
n.M I'- I _ ~ I ~'" I '. U may obtain copIes of the I
Electrical Contractor L.LlllL.l.Ct--i ~f}J1J t1 26t)1I1{.llip~rOE nsmter. (Note: the ~~ .es ~o 00
l( .J.1_ C' ,__ ...L J ~(J~6 ~ ~n Utility Notifi~;ij;J 83.00
Address IS7 5. 7' v' ,Jrr~ 0---1- 401 Am~'1~tg6dSAln~90-3a2-2344). $13800
c..~- I 1'/ C 601 Amps to 1000 Amps $180.00
CIty ~ ' 1 Phone 1 L-( - /77 J Over 1000 AmpsNolts $413.00
Reconnect Only $ 55 00
SupervIsor LIcense Number l/ LID '5 L Ell c. Tem~~~ ~e~!~~,:pr Fe~"~~~<
Expiration Date
/0-1- DCf.
Constr Contr. Number aLl, Lf75 ! L E
Expiration Date 7 - 1- D ~
Signature of Supervismg Electrician
~ 1Vl ~YV~W
CkAW\~Gl..,cs. k ~
Address Z 2 7' J - Ces-hc.A. tZ.<,. g.J
City ~e
Owners Name
Phone"'
3"Sl?- ~3(,l
OWNER INSTALLATION
The mstallatIon IS bemg made on property I own which
is not intended for sale, lease or rent.
Owners SIgnature:
Inspection Request: 726-3769
Date
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$11700
$ 21.00
-.. ~,,~ > 'r'~'~>~ ""
Installation, Alteration or Relocation
200 Amps or less $ 55.00
2omrvrGE~00 Amps $ 76 00
4otAfsPP~A $110,00
O~~mwl ,~~~'~~,~~~:""""",, *",
D. .,f)MM R fSkABAND0N!9 FOR" . , '" ".
NJWXIMDtilM\\frR6fM~n Per Panel
One Circuit $ 48.00
Each Additional Circuit or with
Service or Feeder Permit
$ 400
;;- ,
E. Miscellaneous (Service/feeder,Dot included)":"Each InstaUation
m>v 'M<<"..".., 'l.de;<n \" ~',; /' ,> ~, -.. '
Pump or irrIgation $ 55 00
SlgnfOutIme LIghting $ 55.00
LUllIted EnergyfResIdential $ 28 00
LimIted Energy/Commercial I $ 50 00 i:=)h .0 0
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
, ,A ~,>",~~(<"''''<<'''^'....,~" '\
4. . SUBTOTAL OF ABOVE
,,> "
~"'~, "
LR.OO
~~, 0 0
,;).50
TOTAL Ui?J. SO
Shared Dnve(T )/BUlldmg FormslElectncal PermIt Apphc~n 1-08 doc
12% State Surcharge
10% Administrative Fee
5% Technology Fee
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01418
ISSUED: 01/10/2008
APPLIED: 09/1812007
EXPIRES: 08/11/2008
VALUE: $ 190,000.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3783 International Ct
ASSESSOR'S PARCEL NO.: 1703153200202
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: Addition
PROJECT DESCRIPTION: Sportsway Business Park Phase 2, Second floor Dr Office
Owner: CHAMBERS DEV CORP
Address: 2295 COBURG RD STE 200
EUGENE OR 97401
Commercial
Phone Number: 541-338-8334
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor ATTENTlON"'Fdi se, Expiration Date
1996 LLC fOJ~~w rules ~11 ~n aw reqUf98S396\9lo
BUILDERS ELECTRIC INC iNOf/frcation eM if! Th by the 016gJ)UlUant\l
DEVLOGIC TECHNOLOGIEC"P..OAR 9S2-001}6ot~hose rules lij'~~
~1kJ. You ma Mod. rough OAl:)-cu:n
COMFORT FLOW callin th Y'Mmam copies 'to'bY'..y,r,;~?
TWIN RIVERS PLUMBING IN~umb2. f~~1J~5~ote;. ~tf!~~my
I BUILDING INFOWMMmOO~'=l~t2"'tY Notification
~. -2344).
# of Stories: 2 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:
Sprinkled Building Yes Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
lIB
Phone
541-687-9445
541-485-0922
541-913-4487
541-726-0100
541-688-1444
2,968
75
I DEVELOPMENT INFORMATION I
NOTlCr;. . - REQUIRED PARKING
t>>;($"~~'I~Ll EXPIRE IF THE WORK~:~~~capped:
fIm..utIWilicUNDER THIS PERMIT IS NOT Compact:
~MMb~~~S ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
Pa2e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/lnd/Public
~Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit 10,000 & Ovr
Building Permit
Fixture
Minimum/Adjustment Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
0111412008
Initial Review
09/19/2007
Plannin2 Review
09/1912007
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
190,000.00
Total Value of Project
~
Amount Paid
Date Paid
$614.28
$40.00
$118.70
$142.44
$59.35
$34.00
$945.04
$192.00
$2.00
$693.74
$912.33
$80.30
$14.00
$28.30
$282.96
$5.00
$6.00
$2.50
$50.00
$5.00
$6.00
$2.50
$50.00
9/18/07
1110/08
1110/08
1/10108
1110/08
1110108
1/10108
1/10108
1110/08
1110/08
1110/08
1110/08
1110/08
1125/08
1/25/08
2/5/08
2/5/08
2/5/08
2/5/08
2/11/08
2/11108
2/11108
2/11108
$4,286.44
I Plan Reviews I
09/1912007
APP LLH
09/19/2007
APP EMM
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01418
ISSUED: 01/10/2008
APPLIED: 09/18/2007
EXPIRES: 08/11/2008
VALUE: $ 190,000.00
Value
Date Calculated
$190,000.00
$190,000.00
09/18/2007
Receipt Number
2200700000000001462
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
1200800000000000025
3200800000000000060
3200800000000000060
2200800000000000156
2200800000000000156
2200800000000000156
2200800000000000156
2200800000000000179
2200800000000000179
2200800000000000179
2200800000000000179
Fire Sprinkler Plans
Fire Fee paid under C7-00094.
Addressing fee paid with foundation
permit for this location.
No occupancy until building shell
has final.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01418
ISSUED: 01/10/2008
APPLIED: 09/1812007
EXPIRES: 08/11/2008
VALUE: $ 190,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
09/19/2007
09/2112007
APP JHJ
SUB Review
09/19/2007
09/24/2007
APP JF
Plan Review Comments
10/10/2007
10/10/2007
10
LLH
Fire Department Review
10/15/2007
GRG
OK
09/19/2007
Structural Review
10/15/2007
APP DJP
09/19/2007
Initial Review
01114/2008
01114/2008
APP LLH
Fire Department Review
01125/2008
OK GRG
01125/2008
Attached SDC Worksheet. (JHJ)
Received fax from Berry Architects
regarding Addendum #2 with 3
revised d.-awings and 1 revised
schedule. Provided information to
Dave Puent.
See attached document for Fire
Department Plans Review
comments.
Fire Sprinkler plans forwarded to
Gilbert Gordon
Plans Review: Addition of 49 Tyco
TY-FRB 155 degree, 5.6K pendant
sprinkler heads for light hazard
tenant in fill space. Job
#COM2007-01418. Designer: Myles
Knebel. Contractor: Omlid and
Swinney. Plans appear to meet code
requirements.
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.
[..ReouirecUnsnections I
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Shear Wall NailIng: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
CeilIng Grid: After drywall approval but prior to cover.
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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa2e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01418
ISSUED: 01/10/2008
APPLIED: 09/18/2007
EXPIRES: 08/11/2008
VALUE: $ 190,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
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
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01418
COM2007-01418
COM2007-01418
COM2007-01418
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000179
Date: 02/11/2008
DescriptIOn
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
PaId By
OMLID AND SWINNEY
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
34912
In Person
Payment Total:
Page 1 of 1
9:50:25AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
211 I/2008