HomeMy WebLinkAboutPermit Electrical 2008-3-7
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numbe~ COM ?..DC 7 - 0 0 fj--I, ' Date
1.
3,
/?J?
j/l// A (IV 5 j
LEGAL DESCRIPTION:
/7D33552
A.
[) Cf JOO
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
JOB DESCRIPTION:
)\2 vC C.dA-/~f; (:. /Z'D Ccr~\.T+r
Permits are non-transf:rabk(nd expire ,if ~ork is
not started wirhin 180 days of issuance or if work is
Suspended for 180 days,
$ 21.00
$55.00
B,
2,
Electrical Contractor 1)12 ..ellf.la .ta€(.k~(L. 200 Amps or less
~\.u:;;{-il5Yl ' 201 Amps to 400 Amps
Address lOlo 7')0 \ rt~-lA-vIJ' 401 Amps to 600 Amps
C,ity Vocl! lilJl.A rhO,ne ili~ PJ2{,ttctD~ ~~;;~~~~~.
.::::~~'~;~~Wt!ati;n
. . U\ftJ '\~1'\g \\,\8 ~..(J()t~Q2r..l~-2~44), ·
Z' 0t'?-, Ca.\\ \ot \lW .O\J';~ '
Constr. Contr. Number ~_~ r..~et en\~\I'\'\5 s to 400 Amps " . ' ,
I' . J,/,::, i-/ . C 401 Amps to 600 Amps, '
E'xpiration Date / J L_L,I{) X .
... I
I $ 70.00
$ 83,00
$138.00
$180.00
$413.00
$ 55,00
70
$ 55.00
$ 7.6.00
$110.00
Signature of Supervising Electrician _ D,
~, 4.t?' /'7 New Alteration or Extension Per Panel
~~_~~____~ __'- One Circuit $48.00'
/' .... P Each Additional Circuit or with c?
/;/11 II J lOA- L ((' . Service or Feeder Permit 2-- ~ 4.00
Owners NarP/I/lffWl.J ~ ~"
Address 22( l-- ~~-'. ~JVI~'f' E, ~ci:N~~~li;ii~e~'~~;(~ llI~~\ij!ol'
,) -> C V;> It\Ct.~ ""~,,,., '. I .~t\: ~ ~JW\'O)
City ?~X< ' Phone5CJ - 25t' -S-bal~~~~~gl~~t\\ ,\\\S DO~f.Q fO" $ 55,00
, S7ZoZ \r\~"G~~ll~t{~i~ ~~~~ $55,00
OWNER INSTALLATION ~\)~~~; '~l, $28,00
The installation is being made on property I own which C ~f1~~ ommercial $ 50,00
is not intended for saie, lease or rent. Min~~,~ ~l~ctric Permit Inspection Fee is $50.00 + Surcharges
Owners Signature: 4, !;f~!~~16f?~~;, I ;-0
12% State Surcharge /8
10% Administrative Fee I J"-
5% Technology Fee 7J7>
110~
gO
Inspecti~n"Request: 726-3769
TOTAL
Shared Drive(T:)/Building FonnslElectricaJ Pennit Application I-08,doc
CITY OF SPRINGFIELD
Building/Combination Permit ,
PERMIT NO: cOM2007-00817
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 09/07/2008
VALUE: $ 64,809.00
Status ,Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 138 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353204500
Springfield TYPE OF WORK: Commercial Miscellaneous
Commercial
PROJECT DESCRIPTION: Salon studio and classrooms.
TYPE OF USE: Alteration
Owner:
Address:
ARTHUR LOUIS NICHOLS JR INTER REVOC
885 N 66TH ST '
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor License
GENUINE HOMES & CONSTRUCTION INC 169203
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
B Height of Structure
Type of Heat:
VB 'Water_1xPfaw requ\reS you to
, ATTENTIOtilll' the Oregon Utility
follow ru'e~ t ~WSe rules are set forth
, Notification ~ft jIffl ~OAR 952-qpj-
1_ ,.. ^ c a~?OO - . ,- -~ t....e 'vIes 6v
009pn~cek~!Mmll3~I:'
ca\llll\:5 .1._ Ii n ~t"lty I-,v~ln..a..ln
number for the. O~~~n.332-2344).
CeMafrl&Y'Dt~
# Street Trees Rqd:
Paved Drive Rqd:, .' .."
% of Lot Coverage:.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyl!rd Setback:
Solar Setbacks:
IPUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 503-236-5600
Expiration Date
03/15/2008
07/01/2008
Phone
541-607-2986
503-234-9900
LotSize:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: '\
Occupant Load:
REQUIRED PARKING'
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspou ts/Drain's:
NOTICE: . '
THIS PERMIT SHAll EXP1RE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes: '
Pal!e 1 of 4 .
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00817
ISSUED: 12/06/2007
. APPLIED: 06/06/2007
EXPIRES: 09/07/2008
VALUE: $ 64,809.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
,541-726-3676 Fax
541-726-3769 Inspection Dine
I Valuation Description I
. Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
64,809.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
. $64,809.00
, $64,809.00
11/15/2007
~
Fee Description Amount Paid ' Date Paid Receipt Number
Plan Review Comm/lnd/Public $322.04 6/6/07 2200700000000000913
+ 10% Administrative Fee $62.42 '12/6/07 1200700000000001469
+ 5% Technology Fee $24.96 12/6/07 1200700000000001469
+ 8% State Surcharge $39.93 12/6/07 1200700000000001469
Building Permit $429.15 ' 12/6/07 1200700000000001469
Fire SF Fee - Non-Residential $125.00 12/6/07 1200700000000001469
Fixture $70.00 12/6/07 1200700000000001469
Plan Review Fire & Life Safety $128.57 12/6/07 1200700000000001469
Sanitary Sewer - Improvement $74.21 12/6/07 1200700000000001469
Sanitary Sewer - Reimbursement $97.61 12/6/07 1200700000000001469
, SDC Sanitary/Storm Admin $8.59 12/6/07 1200700000000001469
+ 10% Administrative Fee $15.00 3/7/08 1200800000000000210
+ 12% St'ate Surcharge $18.00 3/7/08 1200800000000000210
+ 5% Technology Fee $7.50 ' 3/7/08 1200800000000000210
Add, Alter, Extend Circ Ea Add $80.00 3/7/08 1200800000000000210
Perm ServlFdr 200 amps or less $70.00 3/7/08 1200800000000000210
Total Amount Paid $1,572.98
I Plan Reviews I
Initial Review
06/07/2007
06/08/2007,
APP LLH
i
Planniol! Review
06/19/2007
06/28/2007
APP EMM
Public Works Review
06/28/2007
06/29/2007
APP JHJ
Attached SDC Worksheet. (JHJ)
Structural Review
06/08/2007
08/03/2007
WE JMP
Received 6/1912007 with four more
applications and a heavy backlog.
See attached documents for 18
structural comments faxed to Scott
A. Metzler. Called Darin Kobatake
and emailed the documents to him
as well.
. Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00817,
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 09/07/2008
VALUE: $ 64,809.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
06/19/2007
08/03/2007
WE
JF
Plan Review Comments
09/19/2007
10
JMP
Fire Department Review
06/19/2007
11/13/2007
APP MF
Structural Review
11/14/2007 '
11/14/2007
APP DJP
See JMP's attached documents for
item 14 requesting the energy code
forms and information. HV AC
efficiency docs provided. Still need
Bldg. Env. & Light'g forms
9/26/07jf.
Talked to Scott Metzler about the
incomplete responses. He will check
with Darin Kobatake regarding
progress on the outstanding items.
See attached fire department plan
review.
Response to John Pearsons letter
received from Scott Metzler August
30, 2007 and placed in file by John
Pearson without processing.
Unaware plans were not processed
until Dave Puent received a call
from Darin Kobatake November 14,
2007 and plans were processed
immediately.
, 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.
UeouiredJnsnections I
Footing: After trenches are excavated.
Foundation: After forms are erected.but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been 'approved.
Firewl,lll: Located and constructed according to plans.
,Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing:rprior to cover and including required testing.
Underfloor Plumbing: Prior to insulation or decking~
Rough Plu'mbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00817
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 09/07/2008
VALUE: $ 64,809.00
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
Pal!e 4 of 4
Date
225 Fifth Street
Spring~eld, Oregon 97477
541-72b-3759 Phone
Job/Journal Number
COM2007-00817
COM2007-00817
COM2007-00817
COM2007-00817
COM2007 -00817
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:, ' 1200800000000000210
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge .
+ 10% Administrative Fee
Paid By
MANOA LTD
Date: 03/07/2008
10:24:41AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70,00
80.00
7.50
18.00
15.00
$190.50.
Amount Paid
djb
217042 In Person
Payment Total:
$190,50
$190.50
Page 1 of 1
3/7/2008