HomeMy WebLinkAboutPermit Electrical 2008-2-25
, . CITY OF SPRINGFIELD. OREGON
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22S I'll' In STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELEt.;l JdCAL PERMIT APPLICATION
'"'
City Job NumberCo ('() 2AsD 2) - nno \ 5
1. WCATION OF INSTALLATION:
\/0 \ 0rJIIR A sr
3. COMPUHZ!. FEE SCHEDULE BEWW
LEGAL DESCRIPTION
If 0'; S(L> (Jnn06oo
.
JOB DESCRIPTION: f\JLLu ~ -S\)D {) 1000 sq. ft. or less $106.00
"\) 'v' . \ D () ,_ Ea~h.addition~H,O~~8rf~lIffaw requires you to
~~N'-- /~~~., W,d ,~rtlonth~~~, adopted by the Orp.oon Utility19.00
Permits are non-transferable and expire if work is Each ManufliCtfd=ftMne Jf10se rules are set forth
not started within ISO days of issuance or if work is Modular\pwClllli'g1s~fl..l~t8ro~gh OAR 952-0<U~ 00
Suspended for ISO days. Feeder. You may obtain coples...of thA rq.laS'VJ"
cblllng the center, (Note: the telephone
B. ~(.esrcOOF~8r:Q~uaYifi/t,t\lotili&Jor Relocation:
Center IS 1-800-332-2344).
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsIVolts $375.00
Reconn~o>ftlY(:E: $ 50.00
T~~ ~.ERMIT SHALL EXPIRE IF THE WORK
C. 'TemPAurrl'6e~~~tff!rf8rHIS PERMIT IS NOT
InstaUatfoQm~~kIrPoPiel~~JNDONED FOR
200 ~w.e1?O DAY. PERI'{j~. $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
A, New Residential- Single or Multi-Family per dweUing unit.
Service Included
2.
CONTRA"".;. vR INSTALLATION ONLY
Electrical Contractor
Illerf E./~(,...-Irll--'-I?(,...
Address
1970
tv
Z-~~ Sr.
City S'p r~""j ..p; del
Phone
'.)'ifI-7Y7- ~ZJ 1
Supervisor License Number
So (,;)..
s
Expiration Date
/0- 1- 2010
Constr. Contr. Number
/2.71;).
Expiration Date
s -~.;t - 'V '1
,
New Alteration or Extension Per Panel L / {J'lJ
One Circuit I $ 4Q,00 f ~
_ Each Additional Circuit or with " / ~ / / tf'V
W~ 11 '.~ Q _ _ SArvice or Feeder Permit 'I $ . V7 '
J'I1JL.A f4;\ot..X-u..-LU I
o E. Miscellaneous (Service/feeder not included) -Each InstaUation
/ v _____
rI Owne13Name~Vn~~&
: Address ~~ ~ ~
City~ ('~ PhonefLfG, -8"451
\ -
OWNER IN'VrALLA nON
The installation is being made on property I own which
IS not intended for sale, lease or rent
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25 00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
~~{~
10% Administrative Fee l. - (/.I K
5% Technology Fee ! /J ~ L..j'tJ
TOTAL jA ~ \ - 2'6
Shared Dnve(T )/BUlldmg FonnsIElectnca1 PermIt APmlcatJon 8-06 doc
4, SUBTOTAL OF ABOVE
Owne13 Signature:
8% State Surcharge
Inspection Request: 726-3769
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-000 15
COM2008-000 15
COM2008-000 15
CO M2008-000 15
COM2008-000 15
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000129
Date: 02/26/2008
DescriptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
GREG HALTBERG/ALERT
ELECT
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
nJm
026986 Phone
Payment Total:
Page 1 of 1
9:04:04AM
Amount Due
4800
1600
320
768
640
$81.28
Amount Paid
$8128
$81.28
2/26/2008
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00015
ISSUED: 02/13/2008
APPLIED: 01/0412008
EXPIRES: 08/25/2008
VALUE: $ 21,600,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 SA ST
ASSESSOR'S PARCEL NO.: 1703360000600
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Bathroom and breakroom inside existing shop
Commercial
Owner: SPRINGFIELD UTILITY BOARD
Address: 223 A ST
SPRINGFIELD OR 97477
Phone Number: 541-746-8451
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Engineer
Plumbing
Contractor
ALERT ELECTRIC INC
BRANCH ENGINEERING
HARVEY & PRICE CO
License
12772
Expiration Date
OS/22/2009
77
10/31/2008
Phone
541-747-2213
541-746-0637
541-746-1621
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SI
B
lIB
# 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:
9
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMm~1 \'Pt'!::c-c88-00e- ~ S! JGluaO
lloN Al!mn uo6aJO a4l JOl Jaqwnu
GU04dal8l ~fleYJalU)TW~tJao alfl 6U1l1eo
~q SalnJ al/110 sa!doo U!el~q !jell;' nOA "0600
WO"C:S6 C1't~RfttfffOO-~'Y(lC:S6l::f\fO UI
4lJollas aJe s81nJ asolfl 'J8lU80 uOlleo/lllON
^J!I!ln u06aJO 8lfJ I\q p8Jdope sa,riJ MO'"OI
oJ noli saJJnbaJ Me, uo6aJO :NOllN3lJ.V
Street Improvements:
St~?)f~~f.A vailable:
sPYHi!{~~ffiWfrsHALL EXPIRE IF THE WORK
NoA~~THORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Page 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00015
ISSUED: 02/13/2008
APPLIED: 01/04/2008
EXPIRES: 08/25/2008
VALUE: $ 21,600.00
Status
Issued
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
$1.00
Square Footage
or Bid Amount
21,600,00
Bid Amount Use Bid Amount
Total Value of Project
~
Value
Date Calculated
$21,600.00
$21,600.00
01/04/2008
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $144.04 1/4/08 2200800000000000006
-MechanicaJ Issuance Fee- $20.00 2/13/08 2200800000000000195
+ 10% Administrative Fee $36,96 2/13/08 2200800000000000195
+ 12% State Surcharge $44,35 2/13/08 2200800000000000195
+ 5% Technology Fee $18.48 2/13/08 2200800000000000195
Building Permit $221.60 2/13/08 2200800000000000195
Fixture $96,00 2/13/08 2200800000000000195
Minimum/Adjustment Mechanical $50,00 2/13/08 2200800000000000195
Minimum/Adjustment Plumbing $2.00 2/13/08 2200800000000000195
Plan Review Fire & Life Safety $88.64 2/13/08 2200800000000000195
Sanitary Sewer - Improvement $142.83 2/13/08 2200800000000000195
Sanitary Sewer - Reimbursement $187.83 2/13/08 2200800000000000195
SDC Sanitary/Storm Admin $16,53 2/13/08 2200800000000000195
+ 10% Administrative Fee $6.40 2/26/08 3200800000000000129
+ 12% State Surcharge $7.68 2/26/08 3200800000000000129
+ 5% Technology Fee $3.20 2/26/08 3200800000000000129
Add, AJter, Extend Circ $48.00 2/26/08 3200800000000000129
Add, Alter, Extend Circ Ea Add $16.00 2/26/08 3200800000000000129
Total Amount Paid $1,150.54
I Plan Reviews I
InitiaJ Review
01/07/2008
01/0712008
APP LLH
PJannine: Review
Public Works Review
01/07/2008
01/07/2008
01/07/2008
01/07/2008
APP EMM
APP JHJ
SUB Review
01/0712008
01/09/2008
APP JF
Structural Review
01/0712008
01/10/2008
APP LLH
Pae:e 2 of 3
Mailed letter to owner requesting
energy forms be completed and
delivered to SUB. See attached
documents.
Attached SDC Worksheet. (JHJ)
See attached documents for sub plan
review approval.
Plans reviewed by Mick Nolte at the
Building Department under contracl
with the City of Springfield.
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00015
ISSUED: 02/13/2008
APPLIED: 01/04/2008
EXPIRES: 08/25/2008
VALUE: $ 21,600,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
01/1512008
01/15/2008
10
LLH
Special Inspection to be signed by
the general contractor and building
official once job is awarded and
PRIOR to permit being issued
Fire Department Review
01/07/2008
02/08/2008
OK
GRG
Plans Review: Remodel-addition of
bathroom and breakroom inside
shop, Job #COM2008-00015,
Occupancy Classification: S-2,
Construction Type: II-B. 5050 sq. ft.
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.
I ReQuired Insoections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
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,
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 3 of 3