HomeMy WebLinkAboutPermit Electrical 2006-5-4
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225 ~JJ' In STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Numbtfbm'7!1OCo- 003<01 Date .t:)- Y-(')(o
I. I UJCA170NOFINSTALLA170N 3. I COMPLETE FEE SCHEDULE BELOW
..3l (f)~ 'AoA'r-~ 'r\
LEGAL DESCRIPTION
\ ,02- 'So'! 30 ~(PCJ"O
JOB DESCRIPTION
l~ hlpMr',c Cor -re",no.",+ I"'+'i\\
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I vvlHMCTORINSTALLA170NONLY I
Electrical Contractor JB Electric, Inc,
Address 4685 Isabelle Street
City EUl1;ene
Phone 687-5770
Supervisor License Number 3782-S
Expiration Date 10/1/07
Constr. ConlT, Number
37587C
Expiration Date 7/1/06 (CCB 104929 3/14/08)
SigMrureOf~~~
/
Owners Name
1P A LUes\-
(5o'y fA
cr7l.(o&
Address
po
\ll DA
Phone
City
OWNER INST ALLA nON
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included
A. I New Residential- Single or Multi-Family per dwe ing unl
1000 sq. ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
Installation, Alteration or Relocation
$106,00
$ 19,00
$50,00
$ 50,00
$ 69,00
$100,00
$ 43,00
Y'300
~1.0Q
B. I Services or Feeden - Installation, Alterations or Relocation:
200 A~pE~rre~r Inw requires you to $ 63,00
'iol~ps"::cit';6o%Jb:f Oregon Utility $ 75,00
--4"Ovl"Amv..."l.I:t-::r'60'0IlOAmSE-i rules are 5tH lonn $12500
'1 "" , ps"o ' ps ,
, r~,~" 1...-........ VV. -VI.! I U lllluuyh OAR 95.c:::-uu 1_
OUvil" Y60IrAJl!pSJt9<l99Qbt-''1lP~ of the n..:.:.: :.. $163,00
call1n9v~,1000'Att1P,~'?~~the teleph:::.: 1 $375,00
numbReconne(:t@1!!~on Utility Not/fic::::.:... $ 50,00
Centpr i~ LQ/irL?'J: t")::~ ~).
c, I Temporary Services or Feeden
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above,
D, I Branch Circnits
NO TI C E:New Alteration or Extension Per Panel
THIS PEhQM-<8r~p.~L EXPIRE IF THe W _I
AUTHOR I Each IIMditional Circuit Sf lm'~ On"A
< LU UIWrC\ . HI' ,.... ,,1VI1 S NO'
COMMENServuiceRorl'F,~er Pennit I
':'NY n L.C U.,:; AtJANDONFn Fnl<
1 BE.~tMis&lIJi';lQ.U5 (Service/feeder not included) -Each Installation I
$ 3,00
" Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
4,1 Sli!Hu!ALOFABOVE J (\0'0
8'10 State Surcharge 5 ,lOG
10% Administrative Fee l 0"
TOTAL
~J.fD(l
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00367
ISSUED: 05/04/2006
APPLIED: 03/28/2006
EXPIRES: 11/04/2006
VALUE: $ 39,490,00
SITE ADDRESS: 3766 Kathryn Avenue
ASSESSOR'S PARCEL NO.: 1702304306600
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant in fill
-., '.....'"tulle:;:., YUII to
, , ~ ..,..c:J by the Oregon l.thone Number:
1,1J" C:cnler Th ' WilY
ii, ').',r1 S52'001'001 0 t~se rUhles are set forth
(lr,,~ ,,_ roug OAR 9,~?,()()1
__,,' --'''-J UU'aIIl copies oflhe rules b
I CONTRACTOR'INFORMATlON'I/ephone Y
'--, 'u. "'" vlegon Utility N I'f' ,
C' 0 , IQallon
Contractor enter IS 1'800I.3i,l;..e!!~e,4). ~xpiration Date
CASCADE VIEW CONSTRUCTION INC 155174 04/16/2007
JB ELECTRIC 104929 03/14/2008
MARSHALLS INC 25790 12/23/2009
SHAD CHASAN SURRETT t58295 01/14/2008
Owner:
Address:
TED WEST
PO BOX A
VIDA OR 97488
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
. ~
, ............. '-
541-521,2780
Phone
541-896-3081
541-687-5770
541-747-7445
541-741-3553
BUILDING INFORMATION I
# of Stories: Lot Size:
F-I Height of Stmcture Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
lIB Water Type: Sq Ft Basement:
Ra)!~)'IjtP": Sq Ft Garage/Carport
E"~"IB ~'I-%'I.T QHALL E' Sq Ft Other:
Sp.rinRled-BuiUling: XF'nla" IF Tfo..cu~ant Load:
flU I HI)f.1mon "''''rn T...~ '::_ :C"un/\
I DEVEL~'PMEN"''''lt.vwl)'!~iION;;IIONt~ 'Fb"R NU I
r", I IOU UAY PERIOD. REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoBtslDrains:
Paee I of 4
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review Comm/lnd/Public
-Mecbanicallssuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 80/0 State Surcharge
+ 8% State Surcbarge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Fire Department Review
04/05/2006
Initial Review
Plan Review Comments
03/29/2006
.
. CITY OF ~nuNGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-00367
ISSUED: 05/04/2006
APPLIED: 03/28/2006
EXPIRES: 11/04/2006
VALUE: $ 39,490.00
I Valuation Deserintion I
$ Per Sq Ft
or multiplier
$1.00
Sq uare Footage
or Bid Amount
39,490.00
Value
Date Calculated
$39,490.00
$39,490.00
04/18/2006
Total Value of Project
Fpp<, P~ia.I
Amount Paid
$199.10
$10.00
$7.00
$35,72
$5.60
$28,57
$43.00
$27.00
$312.15
$12.00
$33.00
$3.80
$124.86
$10,00
$2,699,76
$255.94
$334.98
$3,043.79
$690.06
$7,876.33
Date Paid
Receipt Number
1200600000000000357
1200600000000000599
2200600000000000561
1200600000000000599
2200600000000000561
1200600000000000599
2200600000000000561
2200600000000000561
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
1200600000000000599
3/28/06
5/4106
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
5/4/06
05103/2006
I Plan Reviews I
OK GRG
See a"ached document for Fire
Department Plans Review
comments.
03/29/2006
04/1812006
APP LLH
10 JMP
WE. Received revised drawings
from Rene Fabricant and
incomplete response from Ted West,
Called Ted West and he said that he
will deliver the missing energy code
forms.
Paee 2 of 4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine Review
04/05/2006
04/1212006
APP
Public Works Review
04/05/2006
05/01/2006
APP
Structural Review
04/07/2006
WE
03/29/2006
Structural Review
SUB Review
SUB Review
05/03/2006
04/26/2006
04/10/2006
APP
APP
WE
05/03/2006
04/26/2006
04/05/2006
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00367
ISSUED: 05/04/2006
APPLIED: 03/28/2006
EXPIRES: 11/04/2006
VALUE: $ 39,490.00
EMM
Called owner of property, Ted West,
to ask what proposed use was and
whether any hazardous materials to
be stored. 5 year Totz 4/7/06. This
is to be for well drilling business,
which was an approved use listed in
the Site Plan Review. SUB made a
determination that DWP did not
need to be applied for due to the
quantity of material being stored.
SDCs added for infill for Units B,C,
& D, B & D are to be occupied
now and C is for the near future,
Received 6 projects including this
one on 4/5/06. See attached
documents for 7 structural
comments faxed to Rene Fabricant.
Received final internal approval.
SB
JMP
JMP
DH
DH
See item 3 of jmp's 7 structural
comments for request of energy cod I
forms.
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,
IRpm~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
SUB Ceiling Grid: Interior Lighting
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00367
ISSUED: 05/04/2006
APPLIED: 03/28/2006
EXPIRES: 11104/2006
VALUE: $ 39,490,00
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 herehy 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 descrihed herein, and
that NO OCCUPANCY will he 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 readahle 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 4 of 4
225 Fifth ~tJ"eet
Sprin<gfield, Oregon 97477
541-726-3759 Phone
.~~
Caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006,00367
COM2006,00367
COM2006,00367
COM2006-00367
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
2200600000000000561
Date: 05/04/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
18 ELECTRIC INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
17151
In Person
Payment Total:
Page I of I
1:21:50PM
Amount Due
43,00
27,00
5,60
7,00
$82,60
Amount Paid
$82.60
$82,60
5/4/2006