HomeMy WebLinkAboutPermit Electrical 2003-3-17
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. . : , . CITY OF ~ IjNGEIELD;' O~GON ~ ~
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .
ELECTRICAL PERMIT APPUCATION The following project as submitted has the following
. c;::,l laning, and does not require specific land use
City Job Number COHl roo.3~ 000'1 c::. Date 0.3 / 7 0:3 approval .
Zon;nn (' (' .
.: j 3. ICOMJ>LAr-i?I:"E~HEDULEJ3ELbll'- -,~- (q' -O-~~
A......nonzed Signature _ Cfrt.c.J
A. I Ne')' .Rc;identi~i':'Single 'orMJlti~F~iiiil)' per dwelii,;g unit.~
Service Included
1. I I,OCATION OFTNSrAiLATIOii',
X l'i 3q La.u.r&l. ,g./-,
LEGAL DESCRlPTI(?~ i 703,2710 02 %"oD
S P~J \1J'()Cj1JQ ~ Reffrffop{
JOB DESCRIpTION I
~.I:':::.I.h,,a.fZ{>(. - ;JflJff::'( - r:M -Ir G /.Jr
Perin its are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
2. fCONT~ctOR .p\fgA.ti;A:t!'QJV'qNiv'j B. r:S~r~ice(~tiFeedri's':I;;siiil~tion. Alterlltions' or Reloclltion: '1
Electrical ~ontractor ;f/d u./IJ-tj j('~:UC1 200 Amps or less $ 63.00
--;::;>, L, 201 Amps to 400 Amps $ 75,00
Address 1 ,0' I 2hK;;L ISO~ 401 Amps to 600 Amps $125.00
/:. lay. 601 Amps to 1000 Amps $163.00
City 5PRIf.x:H c~ f'h~ne We, -'2.> '-5 Over 1000 AmpsNollS $375.00
I Reconnect Only $ 50,00
Jh~ f)J - O~ "<P.S'IO~\~~\'1 Installation, Alteration or Relocation
, \'c\~ (eC;;eQO~ \\0(\\ 200 Amps or less $ 50,00
Constr, Contr. Number ;;:?{.j,~Ol/I.fi.~G. ..e 'i\(e S~').-oO'l' 201 Amps to 400 Amps $ 69,00
1.;.\-1 \ IV' 0-00?W~~ciseW;op..~"'~ u\6S '0'401 Amps to 600 Amps $100,00
Expiration Datel ... (\.y'l?~;;:;hY'-,O:;soug ^\ \'(Ie (....o~e 0 '600 Am 1000 V lIS "B" b
\0"'" . f\ ...r "-\.) \v \~07 - \e'Q". ver ps or 0 see a Qve.
\\r.?:\10 r\l\\'v ..... CO? ....e \e, . 'O.\'Cl\ I' ".. ,. .,"
s?Z'gna e fSu ervisitjg: ctrician,\'O.lp -e'.\\' ~\O~I\IC D. ..Branch.c.rc,!!ts, ,"..., .
" ~ .-- 0-'J v- I..~O" '\'1'~
, \~ 0 , ~r:.~~i\ r0'(1\6(' <\'0'(1 U\I\\ ,,~AA~' New Alteration or Extension Per Panel
, ;? . ,e O(e", 3'2-.... /
. V f (1" (r2;\).r::' ,tie ,ana'?; One Circuit
/ ' li\'Oel '~\e( IS . ,Each Additional Circuit or with J
rJI'J cL,e Ii Service or Feeder Permit
\Owners Name K.Or.~.. . 17-e.-e-
Address 1'137 LOA..,..
City :")n.\2/J,
f r
Supervisor License Number <''2.C-? ..' \
Expiration Date
Phone 7i.f7-&;3'37
OWNER INST ALLA nON
The installation is being made on property I own which
is riot intended for sale, lease or rent.
Owners Signature:
!..'
;"~. ..
Inspection Request: 726-3769
(":"'"
c. bT~nipQ~ary:$er~;ices. Qr)-:~ed~rs-'> '. ~l .
. ,:,,,1
,',
"1
<13.06
3.00
.<. ~.
$ 43.00
$ 3,00
E. r'Mi$~~illlili~\ls:(s..~~ie~ifeed'-i::;I~t'incJ!ld~);-;'E.a~~'iiIsialin' ti~1l 1
NOTR!'~p 0: iml' ati 1 ~XPIRE IF TII~ 'WJP!/' $ 50.00
THI~i'g~o/'\1in'err. :~ HIS pERMIT l€ tx'J1' $ 50,00
AUT?r.Jltl.f-~ ~s~~n~"OONEOf-')O, $ 25.00
cor.uilk'M:~iQe 'i! ~BlIIm~rcial $ 45.00
ANY 180 nAY t I U.
Mlhlmum"Erectrie Permit Inspection Fee is $45.00 + Surcharges.
4. hs.wwitAt7qff11J.ofE';; i/~ . 00
3.~.;(
Yo (~ (:)
53.~;L,
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Pennit Application 1"{)3.doc
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1939 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002800
PROJECT DESCRIPTION: Add bath to warehonse
Owner: ROYCE GEE
Address: 1937 LAURA SPRINGFIELD OR 97477
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00048
ISSUED: 02/26/2003
APPLIED: 01/28/2003
EXPIRES: 08/26/2003
VALUE: $ 3,420.00
Springfield TYPE OF
Bathroom
TYPE OF USE: New
Commercial
Phone Number: 541-747-6337
ICONTRACfOR INFORMATION I
Contractor Type
Electrical
Owner
Plumbing
Contractor
NEW WAY ELECTRIC INC
ROYCE GEE
PLUMB CRAZY PLUMBING INC
License
51088
Expiration Date
06/27/2003
Phone
541-686-2365
541-747-6337
(541)895-4768
I BUILDING INFORMATION"
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
9.00 Sq Ft Ist Floor:
Wall Heat Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
48
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Real')'ard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IpUBbICIMPROVEMENTSI
f',,'\l
gO\1 ,aw".... U\I\I'Y
Street ,_ 'l' IUI...01(:: tneoragon I (,
h \ \ '-\ . _ d pted bV . re set 0 .
Storm Sew.~W~UII.1abIe:a 0 \ 1\10serulesa R952.QO.
SpeciallnstructionU\1 cen\eO'10t\1'0\lg\1 01>. r\lles b
NO\\IlvR952-001-Q . ~opies 01 the ne'
Notes: i~~~. '(aU \naV eO~~\.~NO\e: ~~e ~~~it~~tiOn
calling \\'10 ~\1e oregon Ut\I\\~~ <.\4).
nu,nber lor '_1_\?()O-332-.v
centen"
Sidewalk Type:
Downspouts/Drains
N01\CE: XPIRE IF '\'HE WORK
'THIS PERM\'\' SH~i~~H\S PERM\1 IS NO'\'
AUiHORlIED UN IS ABANDONED FOR
I:NCI:D OR
~~~~80 DA'{ PERIOD.
1 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00048
ISSUED: 02/26/2003
APPLIED: 01128/2003
EXPIRES: 08/26/2003
VALUE: $ 3,420.00
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
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Footage
3,420.00
Value
$3,420.00
$3,420.00
Date Calculated
01/28/2003
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
Plan Review CommlIndlPuhlic $39.39 1/28/03 1200200000000000621
-Mechanical Issuance Fee- $10.00 2/26/03 1200200000000000750
+ 10% Administrative Fee $23.76 2/26/03 1200200000000000750
+ 7% State Surcharge $16.63 2/26/03 1200200000000000750
Building Permit $60.60 2/26/03 1200200000000000750
Fixture $42.00 2/26/03 1200200000000000750
Minimum/Adjustment Mechanical $39.00 2/26/03 1200200000000000750
Sanitary Sewer - 1st 50 Feet $45.00 2/26/03 1200200000000000750
Sanitary Sewer - Improvement $117.53 2/26/03 1200200000000000750
Sanitary Sewer - Reimbursement $154.63 2/26/03 1200200000000000750
'SDC Sanitary/Storm Admin $13.61 2/26/03 1200200000000000750
Vent Fan $6.00 2/26/03 1200200000000000750
Water Line - 1st 50 Feet $45.00 2/26/03 1200200000000000750
+ 10% Administrative Fee $4.60 3/17/03 1200200000000000837
+ 7% State Surcharge $3.22 3/17/03 1200200000000000837
Add, Alter, Extend Circ $43.00 3/17/03 1200200000000000837
Add, Alter, Extend Cire Ea Add $3.00 3/17/03 1200200000000000837
Total Amount $666.97
I Plan Reviews ,
Fire Department Review
01/30/2003
01/30/2003
OK
GRG
Plan check of bathroom to be added
to warehouse. Job
#COM2003-00048.
Ensure 2-A:I0-B:C fire extinguisher
is maintained within 75 feet travel
distance (Springfield Uniform Fire
Code 1002.1)
Initial Review 01/29/2003 01/30/2003 APP LLH
Plan nine: Review 01/30/2003 02/04/2003 APP EMM
Public Works Review 01/30/2003 02/13/2003 APP PJO
Structural Review 01/30/2003 02/14/2003 APP DLM
SUB Review 01/30/2003
2 of 3
Interior - no planning review
required
Requested energy forms by mail- no
fax number - Ih
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00048
ISSUED: 02/26/2003
APPLIED: 01128/2003
EXPIRES: 08/26/2003
VALUE: $ 3,420.00
SUB Review
02/10/2003
APP JF
Don Moore to advise owner that one
2-lamp F32T8 fixture to be allowed
in the restroom. No HV AC changes.
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.
I Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Fire Department. After all requirements of the Fire Department have been met.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
S SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspectiou.
6 SUB Final: After all required energy inspections have beeu requested and approved.
7 Under"oor Plumbing: Prior to insulation or decking.
8 Rough Plumbiug: Prior to cover and including required testing.
9 Sanitary Sewer Line: Prior to filling trench and including required testing.
10 Rough Mechanical: Prior to Cover
II Final Mechanical: When all mechanical work is complete.
12 Final Plumbing: When all plumbing work is complete.
13 Water Line: Prior to filling trench and including required testing.
14 Rough Electric: Prior to Cover
15 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 701.0OS 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
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00048
COM2003-00048
COM2003-00048
COM2003-00048
Payments:
TWe of Payment
Check
Paid By
Description
Add, Alter, Extend Circ
Receipt #: 1200200000000000837
Date: 03/17/2003
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
NEW WAY ELECTRIC INC
Received By
Check Number Confirm No
djb
Page I of I
3/17/2003
1:25:52PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
43.00
3.00
3.22
4.60
Line Item Total:
$53.82
How Received Amount Paid
In Person 53.82 ,
Payment Total: $53.82
cReceipupt