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Home My WebLink AboutPermit Electrical 2006-4-19 SPR_ELD ZON ~ \D ~ ~' INITIALS NI^-"- " ~, DATE tt-I'1-0C'.o .' ~,. SOURCE~<504 'fj, ~/o b r'\":l!:: ,;~....,~, '. -~:;;-' ".,. ~;l""''(1:'''''':':~~.(:r.''"..;.''''\:'llt,:.--~:. ",.('7"'.;"10.; .... -"'~~:::"_-.,,.-,,,,,--~" - . ~, ~ 3. j{,9.9H~~L~g SPI[liillLL!> ~f&.qJ1fl:t,~;.!(g;~'i2r\i:d 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ." ELECTRICAL PERMIT APPLICATION City Job Number C 01'\.'\ -z...o 0 r - 0 17 ( ( t', .s-,.....I".......~.,..,-.~...t-?-..y..,~~..; . ... -:'1:,-"",_'.,~;:;.r.~>j.\,;;,,':.,;.~.t:'i .1. "LOCATION,OF..INSTALEATION""c'~:>l'l~~'1 \1;;:,....1 .:.....~-w..c::'it.!-..;.~"'..-_~>;,;....4.h.\;. .,..u,.::::~;~.;':':;l..H.;.a::!::~.':":>'..(:..o .3("~O ..i\f\~f.)a. ~l)~ 1 '::"fl'!.~~~(,!'M1i}'{~"::;:Jf1'-4\r~~-""-'d!',,>/f,!r;;t:":i~:'.~~~'~~~~-:)~~?~ii~~:tl'?7~ - LEGAL DESCRIPTION / Bol. 0 b ( Z D 27 e>d. h~~ li{>sid~~!i,!!;'.!>i~gllli.~~'1&,F;a.mil);jie~~I\Lng'~riit:<;1;iI 1:>0uq4<: C-Jf\~:-,/; f;,r,,,l;..;...-.Lu.- Servic:lncluded ,~,. - - . , -',' " - JOB DESCRIPTION 1000 sq. fl. or less $106.00 Each additional 500 sq. ft. or portion thereof kl\~~ A1sD-;-nD~ Date $ 19.00 Permits are non-transferable and expire if work is Each Manufacfd Home or not started within 180 days of issuance or if work is M~?.uiiJr Dwelling Service or $50.00 Suspended for 180 days. , leC\u,\e~Feed~f,\'i ~ "-::.~,;",,.t. ~~f1; J....-'l:,"i~;;. ~V'.'I,.l...'\f:':l,.,~C;'.td'I.>')J;::.q:;y&t'i\\,,~\~~\ o{eC\O'!}~~":(~~'\"'I~~'<'!.:"::~~~W~"-'7r-,~.;\!",:.t;j?~\~.."'I:t.:-..~{ '!i W:;..~:;ft:2'~:"f,.,'i !{""" J ' ,j. 2 " CONTRACTOR INSTALliA.TJON'ONLY;,~ne B. .;'Services o"~Feeders'~'!'. Tnstallation: 'Alterations'or'Relocation:'t.?, . b.~~;:..::~,t:~i~"";;()6::~~'-m""1~\:.i~~6{)1"eQ.~kI u\eS C1\~~e91.'::f";.l(.;!;";::...""""''"'''- -~..... ::,~~_..\.:.:r';_.;o.k~""~'" .,. "'.."\. (.,....-~~ 1>- ~\es a ,nose \ 01>-\'19 \)'1 Electrical Contractor ~'i]$~m\5 ^ .""oug\\ \ \2Q.0(Amps or less $ 63,00 ~0\1\1';<;'\;52'OO"\ _uu; ~n collIes 0 .201 fAm~~to 400 Amps $ 75.00 t1;C;o IV .iff.!P~,^.. ~a'i o$~ I~o\e'. \In.~ ~o_;;l\"ci~\Ofo 600 Amps $125.00 OO\lu. " cel"~ 1j\1 I" \llnq \\\e Olegon 32.2'.901)Amps to 1000 Amps $163.00 Ph%~e,h(?fI.t),~~-\>OO-3 Over 1000 AmpsNolls $375.00 nul' eel ,,~' Reconnect Only $ 50.00 iD73 OS . ID /2M7 I 200 Amps or less $ 50.00 Constr. ConlT. Number 201 Amps to 400 Amps $ 69.00 . . 01\CE: '~011H~WcJg?\AmpS $100.00 ExpiratIOn Date N -,,,.,. ~q~\ \ \:XI'IROIF aPf>lW ",- 1000 V I "B" b TU\..... vtnl<iti-j v . - vert' [?~Qr 0 ts see a Qve. '" v , NO\:R 1\11<; \'\\:-1'\1,1 .' ,\,~"~",!:""ryr6",{"'y,).,,,,*,:;;",~;r.;:'~:":;~;I;''''~\~'~'~ Signature of Supervising Electrici}lPJT\-\OR\ZEO U R \S ABt\~'OgsJ~1)~t~~Jt\~~~~~.}.:Of~"~ ~~J /'~<~ \"t:' r~!-ii:,~~;t~.!~'r~ f ~~\~ I 1 COMM\:NC\:~ ~tR\OO. New Alteration or Extension Per Panel 00 ~ .t.. r. (~D ~ ,~,:'V j flO 01\ One Circuit / $ 43.00 ~ 3 - ~ r . - ~. - Each AdditIOnal Circuit or with - / -:> ~ ~ ,,= C ServIce or Feeder Penmt $ 3.00 ..:> ners me SSI)-~I-\ ft~.-~-::r~"ir{,:'!".t'o~J.~1'~f~'l.l:1":.::.,:-~}::~m",*n~S~~I;;'.:'.:!:"'.?r~, ."'.8 / gq() AI. 1J ",ii> E. ~~l~I~~I1~!l~jS~~;{~~~!:~I~~~~c1,~1e.~1-;~~!Jl2f~~!~t~ Phone 1</ '1- f... 375 Address City S /JR ,... h (J/i) , I Supervisor License Number Expiratiou Date Address City S,Pf'.,Io'1hC/)) OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Si7l'alUre:, -Jl~ rL<- ,. " U( " Inspection'Request: 726-3769 C fi!"T;:"'\ ',:..',~;. ',,~ "f.S'7'!R;;..~~IT:Y'fF';~~d-..:,"",,,~{~;t'~,,;'t~.z;~,\~"&'~.t"'7{P;~<:;! . R~ cmporary~~rylces,or, ee ers~:' .".:.;f,,~:'i;jiE~.i?!ft""l~''''''''\:;' '.it.~c,:~~;.Q';.}..'t, tt;.-M:';"~l.;_~,'s;;,:-.~~~'.......l)ii!-jj..-~~~~:;~:",-<:;;;"_~'L,,,\~~<.:..:..J:' "<i<.,;..~~i.:;J Installation, Alteration or Relocation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges l{~ 36S 1/60:> ,,1& c::;.,- a:;~~:.T"!"'~r~R~'N;,~"!'~;t;~~.\'0~;'~~':PS~'-~:'~'~' 4. 'ixSUBTOTAL'OF ABOVE" ~....~:r" .t~".;:~-: Ui::~~:"~-~;"!'~;":W-'!f~r.;w;:fe,:"'l{ C,..:, /'S~;;~:'t"' ~l. ,""! 8% State Surcharge I 0% Administrative Fee TOTAL Shared Drive(T:)IBuilding FOIms/Electrical Permit Application l-Q6.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3680 JASPER RD ASSESSOR'S PARCEL NO.: 1802061202700 . . CITY OF ~rK1r~tJdELD' Building/Combination Permit PERMIT NO: COM2005-01711 ISSUED: 02/22/2006 APPLIED: 12/12/2005 EXPIRES: 08/22/2006 VALUE: $ 6,400.00 Springfield TYPE OF WORK: School TYPE OF USE: Addition Public PROJECT DESCRIPTION: Non-conditioned freezer storage. Owner: SCHOOL DIST #19 Address: 525 MILL ST SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor OWNER OWNER # of Units: Primary Occupancy Group: E Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-744-6375 I CONTRACTOR INFORMATION I . License \l tcExpiration Date Phone \lires,/o .' (ilaWreo. (i\Jtl\IW .~.^,,\" ore9D .... ,\"\e ore90 _~, \ort\"l I . BUILDING.iN~FORMA'TIONI;~ 952-00'- . . Cf't\O(i v"...- oW t\'"l(Ou,," \ t\'"le rules b'l h~.lil ~ ~!,~tori~s~ t i(i copIes 0 tplep1\O(ieLot Size: i(i o po, Height:of~Si'r'1.~turelote', t\"le II.OO-at\CSq Ft 1st Floor: n'J il;~' te{ \' . "\''/ Nu~"'-' 00" Type\'!r,He'lii: . 90(i \Jtl\" 1\) Sq Ft 2nd Floor: CaWa't~r,(!''Ype:' ore 800_3'32-2'31\. Sq Ft Basement: (iURli18ge.TYl'e: \S ,- Sq Ft GaragelCarport v~ " Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: 160 1 I 11". ..dJPJ\....". ",,'ORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPRQY.EMENTS I i-'HIS 'PE-RMIT SHAll \$iCIewflllrTy~.f: WORK UNDER Il-il<; DFRMlT IS NOT AUTHORIZED DownsI'outsIDrains: COMMENCED OR IS ABANOONtU ~UK ANY 180 DAY PERIOD. Paee I of 4 . _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I711 ISSUED: 02/22/2006 APPLIED: 12/12/2005 EXPIRES: 08/22/2006 VALUE: $ 6,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I VaJuation Descriotion I Estimate Estimate $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 6,400.00 Value Total Value of Project $6,400.00 $6,400.00 Date Calculated 12/12/2005 Description Tvpe of Construction L.Fpp< pq~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $54.60 12/12/05 2200500000000001679 Plan Review Fire & Life Safety $33.60 12/12/05 2200500000000001679 -Mechanical Issuance Fee- $10.00 2/22/06 1200600000000000188 + 10% Administrative Fee $12.90 2/22/06 1200600000000000188 + 70/0 State Surcharge $9.03 2/22/06 1200600000000000188 Building Permit $84.00 2/22/06 1200600000000000188 Minimnm/Adjustment Mechanical $39.00 2/22/06 1200600000000000188 Plan Review Minor - Planning $85.00 2/22/06 1200600000000000188 SDC MWMC Administration $10.00 2/22/06 1200600000000000188 SDC MWMC Improvement $39.56 2/22106 1200600000000000188 SDC MWMC Reimbursement $3.75 2/22/06 1200600000000000188 SDC Transpo Admin $3.57 2/22/06 1200600000000000188 SDC Transpo Improvement $14.77 2/22/06 1200600000000000188 SDC Transpo Reimbursement $3.35 2/22106 1200600000000000188 Vent Fan $6.00 2/22/06 1200600000000000188 + 10% Administrative Fee $4.60 4/19/06 1200600000000000499 + 8% State Surcharge $3.68 4/19/06 1200600000000000499 Add, Alter, Extend Circ $43.00 4/19/06 1200600000000000499 Add, Alter, Extend Circ Ea Add $3.00 4/19/06 1200600000000000499 Total Amount Paid $463.41 I Plan Reviews I Fire Department Review 12/13/2005 01/18/2006 OK GRG Plan Review. Non-conditioned freezer storage. COM2005-01711. Plans appear to meet code requirements. Initial Review Plannine Review 12/13/2005 12/13/2005 12/13/2005 12/14/2005 APP LLH APP waiting for setback answer from Steve at school district. Setback is over 52' from property line SDCs added. No new impervious, constructed in existing asphalt area. No new drainage fixtures on plans. Received final internal approval. Public Works Review 12/1312005 12/15/2005 APP SB Structural Review 01/19/2006 01/19/2006 APP JMP Paee 2 of4 . e CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2005-01711 ISSUED: 02/22/2006 APPLIED: 12/12/2005 EXPIRES: 08/22/2006 VALUE: $ 6,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 12/23/2005 12/23/2005 10 JMP See attached 9 structural commeuts faxed to Steve Audersou. WE. Received fax from Steve Anderson. Called him for missing information (energy code forms) and to let him know that the 2004 OSSC is based on tbe IDC wbicb became effective October I, 2004. Steve Auderson delivered energy code forms and JMP faxed to David Harris for bis approval. See comment 6 of tbe attacbed structural comments requesting the energy code information. Structural Review 12/13/2005 12/19/2005 WE JMP SUB Review 12/27/2005 12/30/2005 APP DH SUB Review 12/13/2005 12/19/2005 WE DH To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~ti'.nl~li"ti,n,1ll.l Ufer Electrical Ground: lustall ground rod at footing and call for inspection iu conjunction witb footing and/or foundation inspection. Footing: After trenches are excavated. Slab: To be made after all ius lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framiug Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing auy roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections bave been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mecbanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting Paee 3 of 4 . e CITY OF ~rl"Ol'\i\JNI!,LD Building/Combination Permit PERMIT NO: COM2005-0I7II ISSUED: 02/22/2006 APPLIED: 12/12/2005 EXPIRES: 08/22/2006 VALUE: $ 6,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 fnrther certify that any and all work performed shall he 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 constructiou. Owner or Contractors Signature Date , Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone e~~ Caof Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2005-01711 COM2005-01711 COM2005-0 1711 COM2005-01711 Payments: Type of Payment Cash cReceintl RECEIPT #: 1200600000000000499 Date: 04/19/2006 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By SPRINGFIELD SCHOOL DIST 19 Item Total: l:'heck Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: Page I of I 2:42:27PM Amount Due 3.68 4.60 43.00 3.00 $54.28 Amount Paid $54.28 $54.28 4/19/2006