HomeMy WebLinkAboutPermit Electrical 2008-2-14
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number Co m WOf. - 0 ( ~(oS
ExprrallonDate 12/21/09
S7!FJ!
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..:::::.....v .. · A. . "\ L' ~ . SeIVlce or Feeder PermIt
Owners Name ~l.....Lf \f ( t:A.I'J L..J.-,.-'
Address 9 s. LU ~ (1'cA::::Ltt \~.~ 4lP Miscellaneous (Service/feeder ~ot included) -Each Installation
CIty ~~ Cil-UPhone ~ D l.sq", -=-nil Pump Of1mgallo~' $ 55 00
- -, SlgnlOutlme Llghtmg $ 55 00
OWNER INSTALLATION LUll1ted Energy/Resldenllal $ 28 00
The mstallallon IS bemg made on property I own whlch Lllllltedmner l}:/CommerClal $ 50 00
IS not mtended for sale, lease or rent Minimum Ele . ,~RtdisOJa.~sr~.j; Surc6arges
o low rules ltCfqgted by the Oregon U!!l11v.
Owners SIgnature 4. SVB1N(ftilre~~MI'f€r. Thuse rules are setfrlr(~.CO
12% stiReCMJaIB~001-0010 through OAR 952-001c:f. ('2-
10% A@&lOOstr1(yvclJ1ee! obtain caples of the rules 6\/. ~ V
5% Teclnldt~~g<~e center. (Note: the telepho[1e~S 0-
number for the Oregon Utility NotifJcatlcci' I ~ 5r7
TOTAL Center IS 1-800-332-2344), ~ ~. V-
Shared Dnve(T)/Butldmg FonnslElectncal Pemut Apphcatton 1-08 doc
1. LOCATION OF INSTAILATION:
\ <6 ZO P\ fJY)f'J2/ PlCww
o
LEGAL DESCRIPTION
\I03~ \()t) '330 U
JOB DESCRIPTION
16r~ CAAr~f-i UN} A
Permits are non-transferable and expire if work is
not started within 180 days ofissuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electncal Contractor SCOFIELD ELECTRIC CO.
Address PO BOX 2765
CIty EUGENE, 97402 Phone 686-8612
SupervIsor LIcense Number
4218-S
Exprratton Date 10-1-10
Constr Contr Number 38702
NuTitE:
THIS PERMIT SHALL EXPIRE IF THE WORK
A.UTtlORIZED UNDER THIS PERMIT IS NOT
Inspe~BYvtMmei:[F(nf~ ABANDONED FOR
ANY 180 DAY PERIOD.
Date
3.
COMPLETE FEE SCHEDVLE BELOW
A. New Residential- Singlc or Multi-Famil} per dl\'eUmg unit.
Service Included
1000 sq ft or less
Each addItIonal 500 sq ft or
portton thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$11700
$ 21,00
$5500
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
C. Temporary Serviccs or Fecdcrs
InstaUation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55 00
$ 76 00
$110 00
Over 600 Amps or 1 000 Volts see "B" above
D. Branch Circuits
New Alteration or Extension Per Panel
One Crrcmt
Each Addlllonal Crrcmt or WIth
/
-,
$ 48 00
~.Q)
Zl.(1)
$ 400
,
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2007-01865
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/18/2007
08/0112008
$ 39,852.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1820 Pioneer Parkway West
ASSESSOR'S PARCEL NO.: 1703271003300
Springfield TYPE OF WORK: Retail
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Improvement for Goodwill
Owner: SKYVIEW LLC
Address: 515 W PICKETT CIR STE 400
SALT LAKE CITY UT 84115
Phone Number: 801-596-7711
I CONTRACTOR INFORMA nON I
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor License
AFFOL TER WEST & JONES
MCKENZIE COMMERCIAL CONTRACTOR 45539
SCOFIELD ELECTRIC 38702
COMFORT FLOW 460
JOHN THE PLUMBER INC 107810
BUILDING INFORMATION I
Expiration Date
07/21/2009
12/21/2009
06/2712009
07/24/2009
Phone
541-342-6511
541-343-7143
541-686-8612
541-726-0100
541-686-4888
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
49
IB
n/a
I DEVELOPMENT INFORMA nON I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
a ''-IO't. ......, ......\... I-a' "'-;or/'Ole ~''i?'1 t'"
~I I'" III. t; '. ._. _~_, ...r.., .'- -f--'.
I PUBLIC IMPROVE~~~les adopted by the Oregon Utility
o mea Ion C~~~r~.Jh~e rules are set forth
Street IWl1l'VU)~ts: XPIRE IF THE WORK In OAR 952-0or~tfdytl~ht~Bgh OAR 952-001-
Storm SfW~R.ffiM!fu:SHAll E PERMIT IS NOT 0090. You m~~(SiJbfi~ms\he rules by
Special WSffp\4}lilltED UNDER THIS ONcD FOR calling the center. (Note: the tel~phone
COMMENCED OR IS ABAND C number for the Oregon Utility Notification
Notes: ANY 180 DAY PERIOD. Center is 1-800-332-2344).
Pa2e 1 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
In Review
PERMIT NO: cOM2007-01865
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/18/2007
08/0112008
$ 39,852.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $223.56 12/18/07 2200700000000001856
Plan Review Fire & Life Safety $137.58 12/18/07 2200700000000001856
+ 10% Administrative Fee $7.60 2/14/08 2200800000000000205
+ 12% State Surcharge $9.12 2/14/08 2200800000000000205
+ 5% Technology Fee $3.80 2/14/08 2200800000000000205
Add, Alter, Extend Circ $48.00 2/14/08 2200800000000000205
Add, Alter, Extend Circ Ea Add $28.00 2/14/08 2200800000000000205
Total Amount Paid $457.66
Plan Reviews I
Initial Review 12/19/2007 12/19/2007 APP LLH Addressing fee for this lease space
and fire square footage calculated
and fee collected under C7-00368.
Square footage for this lease space is
5456.
Planninl?: Review 12/19/2007 12/19/2007 APP EMM No occupancy until Final Site Plan
inspection has occurred.
Public Works Review 12/19/2007 12/20/2007 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
SUB Review 12/19/2007 12/21/2007 APP DH See attached documents for sub plan
review approval.
Structural Review 12/19/2007 12/27/2007 APP LLH Reviewed by Mick Nolte with the
Building Department for structural
review under contract with the City
of Springfield.
Fire Department Review 12/19/2007 02/08/2008 OK GRG See attached document for Fire
Department Plans Review
comments.
Pa2e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: cOM2007-01865
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/18/2007
08/01/2008
$ 39,852.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
I Reouired Insoections 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.
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 3 of 3
225 Fi(th Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -0 IS65
COM2007 -0 IS65
COM2007-01S65
COM2007 -01865
COM2007-01S65
Payments:
Type of Payment
CredltCard
cRecemt I
RECEIPT #:
2200800000000000205
Date: 02/14/2008
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
SCOFIELD ELECTRIC
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DDK
214192 Phone
Payment Total:
Page I of 1
1O:30:50AM
Amount Due
4800
2800
3 SO
9 12
760
$96.52
Amount Paid
$96 52
$96.52
2/14/200S