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HomeMy WebLinkAboutPermit Electrical 2008-2-25 , . CITY OF SPRINGFIELD. OREGON .~_NOPlIU-D ZON rt..::e- ~ INITIALS N M DATE 0;> 'ZG / ." SOURCE ~~SC(I& Date ~ )QS} d OV?" J 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