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Home My WebLink AboutPermit Electrical 2008-3-5 CG N'f\0 ':5 ..-Co -O'?S' ,.Ch,{J3{JiV ,\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERIUITAPPLICATION City Job Number L ~ ~o 7 - 0 r y ( r Date 3 -S -D<(' 1. fOCAl'lON OF.lNSTAUATION 3. COIl.fPL.ETE FEE SCHEDULE BELOW 3 715 ~ 'TV\-k.0.r\U,;~"{JY\~l r.E){ if-/- -Ji :JD6 LEGAL DESCRIPTION 170:5.; ~3 Z D CZOZ JOB DESCRIPTION M r-A- ~,+,\.( Lc'--l 'v D {f- Permits are n.fr.-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONL'i:~ 2. Electrical Contractor ~c.,J --r ~..\ L~ ( , Address 1I1.f-D lr):'t~c...~~\\f:---p~c:.. ~j -tt 1<6 City f:LlG...Ul1..t Phone f.o S Sf - S S 1 5 o - - 5(0<6' L<C~ Supervisor License Number 'lttb:<ry,n;:-,I, .C.. ,~ Expiration Date Oc.Jv hex, ~ODSS 147>;l6~ Expiration Date :::( ~ :J. 0 DC] u ~""'e of Sup"",ising El<<!rici"" ( Owners Name d ~b~'L~ Address z..Z '7 r C ~ ~ <U. City e-u..G-tN'€ . Phone I , . ','..... A. New Residential - Single or Multi-Family per dwelling tifiit. Service Included 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof $ 106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or OU ......0 00 F d , W r",,,1I1reS V '~" ee ~ENTION: Oregon a ~ Uflity AT I, ado ted by the Oregon , B. t~~~'tc~~~ftt~\'RfE~ "\l1~~tJ:ttJYu$.4lr~Ml~&\l!' Relocation: Notiticatlon e 1-00'10 through OAR 952 · joo<Am~8r~~~y obtain copies oi the r~~~~ 2ij9~~ ~~~W>clmttllr. (Note: the t~'~tJmw 401 s.aW:~(lS\Otl\81i9regon Uthny "-,,tift $125,00 60r~mps t~WJ..^",~.a00-332-2344). $163.00 Over 1000 Amps/Volts $375,00 Reconnect Only ,.-' '-$ '50 ,66 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 50.00 $ 69,00 $100,00 200 Amps or less , " 20 ~ p"-mps to 400 Amps 40 I Amps to 600 Amps!. Over 600 Amps or 1000 Volts see "B" above. , D. Brancb Circ~t E 'f~'NO"t , New AIt1\~~~E~lMifs~MNr\pI~ PERM\l\S ~O't , , One CircJ}\1 un,:\\ZE.O UNDE.R _ Ult\~~!COfO~ ... " Each Add&~hl ~ ~4J,1.ro"~ \S ~\:)I'\"W ~C~serviceore(fMMMmi't vpER\OO. $ 3.00 r., AN.'i 180 O~l ,2-d E. Miscellaneous (Service/feeder not included) -Each Installation Constr. Contr. Number Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 _ OW~ER-INS:r-AbhA-H(}l"T _ Limited EnergylResidential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial / ~o S-O is not intended for S~1~'Jease.orreli.t,-:---10 ' Minimum E, lectric permi,' ."'p<ction Foe ;sWo-+ Su<<....... """':i''-~ 5~ ~(:. 4. SIIBrOrALOFAROVE .. SP. . S0 (/)f~ (A), . L /11.% State Surcharge b '-~ I ___tL--~ 10% Administrative Fee fi") _S ..-./~--- ~ S~ ,c:a+ ,"" . / ~ .>-.. ~)'O -..IIl~p~~1"HLRequest: 726-3769 ..v-,> T6iAL -ct: ~ tiP Shared Drive(T:}/Building FonnstEi~ical Permit Application I-03.doc ~ / Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01418 ISSUED: . 01/10/2008' APPLIED: 09/18/2007 EXPIRES: 08/2912008 VALUE: $ 190,000.00 225 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: PROJECT DESCRIPTION: Sportsway Business Park Phase 2, Second floor Dr Office' Addition Commercial Owner: CHAMBERS DEV CORP Address: 2295 COBURG RD STE 200 EUGENE OR 97401 Phone Number: 541-338-8334 I CONTRACTOR INFORMATION I. Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor 1996 LLC BUILDERS ELECTRIC INC DEVLOGIC TECHNOLOGIES INC COMFORT FLOW TWIN RIVERS PLUMBING INC License 114258 4296 161458 460 -17tl95 . Expiration Date 05/3012011 12/10/2011 09/16/2008 06/2712009 03/11/2008 Phone . 541-687-9445 541-485-0922 541-913~4487 . 541-726-0100 541~688-1444 1- BUILDING INFORMATION' # of U'nits: # of Stories: 2 Primary Occupancy Group:, ,Jl.. e oni~~~40, Secondary Occupancy Group\l I carnON. Or ~d b ~<0Ug\1n Utility Primary Construction Type folt~ ~..,~~~~ Th eHU_IJe set forth Secondary Construction Ty~ti~ ~~-O01-O010 t~O'" 'OMl:952-001- # of Bedrooms: .n ~ Vi may obtain ~df:tt1e rules by 00 "1' gO~he' center. (~pmErtliJlj~~~~ Yes ca In ,- .. "ill.\. t.ll'\tlfi.ca1i.aJ:' numDe~,:~;:r~~~~tttlt~FORMA TION .. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: 2,968 Sq Ft Basement: Sq Ft Garage/Carport Sq'Ft Other: Occupant Load: 75 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: · Solar Setbacks: Overlay, Dist:m # Street Trees Rqd:' Paved Drive Rqd: % of Lot Coverage: . REQUIRED PARKING Total: Handicapped: Compact: , ." ..~ , '.1 Street Improvements: Storm Sewer Available: . Special Instruction: I PUBLIC IMPROV~MENTS I 11\E \NOR~ NTI' 'p&ER" M'" SHAll ~\1\I\~ ~f ~e'S NOT 1\-\\5 "'OER \!,\\S~ :nQ f1.Ul\-\OR\IEOO UOR \S A~~'ND~nfh\S: COMMEONCO~Y PER\OD. MW 18 1'\ Notes: i,) p'al!e 1 of 4 Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01418 ISSUED: 01/10/2008 APPLIED: 09/18/2007 EXPIRES: 08/29/2008 VALUE: $ 190,000.00 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1- Valuation Description I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 190,000.00 Value Date Calculated Description Tvpe of Construction Total V alue.of Projec,t $190,000.00 $190,000.00 09/18/2007 ~ Fee Description Amount Paid Date Paid Receipt NU!llber Plan Review Comm/lnd/Public . $614.28 9/18/07 2200700000000001462 -Mech Iss 2+ Appliances- $40.00 1/10/08 1200800000000000025 + 10% Administrative Fee $118.70 1/10/08 1200800000000000025 + 12% State Surcharge $142.44 1/10/08 1200800000000000025 + 5% Technology Fee $59.35 1/10/08 1200800000000000025 Air Handling Unit 10,000 & Ovr $34.00 1/10/08 1200800000000000025 Building Per~it $945.04 1/10/08 1200800000000000025 Fixture $192.00 1/10/0,8 1200800000000000025 Minimuml Adjustme!lt Mechanical $2.00 1/10/08 1200800000000000025 Sanitary Sewer - Improvement $693.74 1/10/08 1200800000000000025 Sanitary Sewer - Reimbursement $912.33 1/10/08 1200800000000000025 SDC Sanitary/Storm Admin $80.30 1/10/08 1200800000000000025 Vent Fan $14.00 . 1/10/08 1200800000000000025 + 10% Administrative Fee $28.30 . 1/25/08 3200800000000000060 FLS SafetY Systems Review $282.96 1/25/08 3200800000000000060 + 10% Administrative Fee , $5.00 2/5/08 2200800000000000156 + 12% State Surcharge $6.00 . 2/5/08 2200800000000000156 + 5% Technology Fee $2.50 215/08 2200800000000000156 Low Voltage - Commercial Indus $50.00 2/5/08 2io0800000000000156 + 10% Administrative Fee $5.00 2/11/08 2200800000000000179 + 12% State Surcharge $6.00 ' 2111/08 2200800000000000179 + 5% Technology Fee $2.50 2111/08 2200800000000000179 Low Voltage - Commercial Indus $50.00 2/11/08 ' 2200800000000000179 + 10% Administrative Fee $33,20 2/13/08 2200800000000000196 + 12% State Surcharge $39.84 2/13/08 2200800000000000196 + 5% Technology Fee $16.60 2/13/08 , 2200800000000000196 Add, Alter, Extend Circ Ea Add $192.00 2/13/08 2200800000000000196 Perm Serv/Fdr 200 amps or less $140.00 2/13/08 2200800000000000196 + 10% Administrative Fee $5.00 . 3/5/08 1200800000000000203 + 12% State Surcharge $6.00 3/5/08 1200800000000000203 + 5% Technology Fee ' $2.50 3i5/08 1200800000000000203 Low Voltage - Commercial Indus $50.00 3/5/08 1200800000000000203 Total Amount Paid $4,771.58 Pal!e 2 of 4 Status Issued CITY OF SPRINGJ:<lELD ' . Building/Combination Permit PERMIT NO: COM2007-01418 ISSUED: 01110/2008 APPLIED: 09/18/2007 EXPIRES: 08/2912008 VALUE: $ 190,000.00 225 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. . 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. Pa!!:e 3 of 4 CITY OF SPRINGFIELD' . Status Issued Building/Combination Permit PERMIT NO:COM2007-01418 ISSUED: 01110/2008 APPLIED: '09/18/2007 EXPIRES: 08/29/2008 VALUE: $ 190,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541~726-3769 Inspection Line 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. Prov~de 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 iine is installed and required testing and capped if riot attached to an appliance. 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 w.ork is complete. Final Building: After all required inspections ~ave been requested and approved and the, building is complete. . Low Voltage: Prior to cover. By signature, I state and agree, that I hllVe 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 constrilction. Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Springfield-, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2007-01418 COM2007-01418 COM2007-01418 COM2007-01418 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000203 1:46:29PM Date: 03/05/2008 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By BEST TEL LLC Amount Due 50,00 2,50 6,00 5,00 $63.50 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb $63,50 $63,50 2023 In Person Payment Total: Page 1 of I 3/5/2008