HomeMy WebLinkAboutPermit Electrical 2004-4-22
,.
,c: ,1 q-"225 FIFTH ;iTREET~: ,,'\ f"~"1
.', "::SPRINGFIEUn', OREGON 9747'1 I'."J
\ 0: ,,,,, IliJNSPECT[d*:~QlJI,l~T:, 726:3169'1
':.:,\ :O~FI,CE' 72\i-;JW, "1, i.,.' L!! ;~1:]
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\;'; 'I L,: 1. Lbc;\:I'ION:9F;INST.AL~A-'hpN
""" 1'<7 LfF l.;.C'A.:AVZ.A-' ,. s.l
B. Scn'iccs or Feeders
Installation, Alterations or
Relocation: ./.". .",.
Burrell Bros. Electric /.
40159 Booth Kelly Road 200 "mps or less'- '
Springfield, Oregon 97478 201 mnps (0 400 "mps'
("':\~-:::..-,-..".,'L~ .,,401 "mps I'JGOO amps', "
, ',' j.. 'i V .. / " "GQl "mp'lo 1000 amps:
r:{.:: suP~rv+Llcei1JdNumb,r ~<.::;;.-~ . '. .,;,.'Over.,IO~Omnps/yo[ts
I;' E~Pir"tit;l)at~ ':~\~~:," .,.,,;', ..' ,Reconl1eClonlY '. , '
'" "'. ( (; "'-:; ,,' .,:. . ',:" ,~<~,~":"_,,,,;:A,,, :::'t:L~:;"(:,7,':>::_::,,'<t\ :-fC:-_-!9111JOr~lrr_?crvIc~S'~r F:~cdcrs
.. ,;, 'Conslr~ontr, Nlmlbe~ :..;;~,,'L:~:' ,;:;dnst'lll,ition, Alteriltion ,iirRclocation
t\r';:'-')'''ExPir"ti~::';;:~,8~\~:~/?<< ,....."...... ,..., i: '..62~oimpsbrless "
,.1..;",-, ,.", ".,.~"'iOlari1pst~'40b'amps
~,,'F Sigl~:,ltu'rcyf:~uJlc""ising Electrician -"~''';~'~~Q~E.s.~.O l,to.,6.?6 iiJl1PS
..~.. ... .,,'.. ,..,f:..;;., 0 ,., II "O~er 60,0 "mpsorJ.~O_~~tssee,
. , 1{)KJJJk:)" r'l\JV'NJJV B "bme..
! ~T .. r ,,~L, ,~:LC;Fl ,/"""\no".d'i.s~r:lf!"'~~;':'::~:~"" ,),.,,:,
I, "., " ~ ,,' a' lJ.'/"N;wles adopte Ys~r\l\es are set,fort " I l/7:
,.,iddre;s .-r:D~"~ 01':.' ,7D:;?'ei;~n center. ThOne Cl~cujAR 952-00, $43 00 ~
,;""",;l,,' 'VO"'AR952-001.001?thr~~~~ofthelrUlesl'-
City =~l.5'" 'Phone Ii v-', may obtall1Ea'2h :<\:ddltlO€JaJ,P\irSJ,litlor with Service
- U~"'U. .' V-the cel1ter. (SJ.~dWP~~ibfi~atiOI1 ~ $ 3.00
OWNER INSTALLATION, cam\l~;rforthe OregOI1 ~~~lt;!l4~\ .
The InstallatIon is beqlg made on _ nu E.- ~I\Iisccll:.mcOlfs'(:Scnljcc/fccdcr not included)
property I,o\\'ll which is not iniended ' ' -Each inst~llation
for s"le, le;lse orr~nL ' " P,impor.jr~igatioh ----'::"$50.00
NOTICE: Sign/Oulline Lighting $50,00
, . THIS PERMIT SHALL~f1\\II'E lPl~'lIJ~~RK $2500
, AUTHORIZED UNDER 'h4mt'!5tilWfrr/1'50I~lYT $45,00
(;UJVIIVltl~CED ~111\\h!.\~~~tQQ.~&QI~lQfltnSJlection Fee@!5J111 + Surcharges
ANY 180 DAY PERIOD, " , .
,. 4. SUBTOTAL OF ABOVE L()
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LEGAL DESCRIPTION
170:3 27/0
:,"1 ';, EL&CAL PEMfiT APPLICATION'
;hj .;- \ I .
h ;. ,at,'Joh Nnmhel'ColMZ 00.3 -0076]
t Ii" .-, 1,' .
i t~ I t
,:3",'.coivrPLETE FEE SCHEDULE BELOW
. I r~,' ,d!." I', .
'f ,. ';1"/ i
A.:'Nc'r'Rcsillcntiili~Singlc or.\..._.........._.. _........:l:_._~ .-"
Multi.Family pel' dwelling unit.
Seryice Included:
02 bO 0
JOB DESCRIPTION The fOlloWin~rOjeet as submitted has th~~~~Yt, or less
Lh, " I tODI~: arfl:l as not raqwra spaclflc Ian, [ . dd" I -00
/"T~" u C. '1''- \ t:<lC 1 d ItlOIHl)
eer.r<Q , i \LA' ft '
f' . 0' ..--\.I S(1, or portIOn
Permilsare 11?n.transferable "nd e~ll'8g 4- '2. 2~-Q Ihereof
If work IS not 'started wlthmaI8~n:..::- ' .L.dL11 JVlaIlufd Home or
of issuance ,brifwork is sl~!llilmJo;;ignature ',fn~"f" "welling
180 days, ;'..: Service or Feeder
:
2. CONTRAt;;.TOR INST ALLA TION ONLY
,
>\,.
, ,
.'" ;',;." '.. "
, $:63,00 ~ ,
---..:. $ 75,00
$125,00
$IG3.00 '--,
$375.00
$ 50,00
$50.00
~ $69,00
$100,00
'Owners Si~naturc: .
,
"
~\~~lP
'. . tb., '
70/0 State Surchj~rgc
80/0 Administnltivc Fcc
TOTAL
S'2-~
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00763
ISSUED: 09/1112003
APPLIED: 08/15/2003
EXPIRES: 10/21/2004
VALUE: $ 38,223.50
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1941 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002600
Springfield TYPE OF WORK: Accessory Building
TYPE OF USE:
PROJECT DESCRIPTION: Covered wash rack installation at oil/water separator
Addition
Industrial
Owner: JOHN HYLAND CONST INC
Address: PO BOX 7867 EUGENE OR 97401
I LVI" KACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
JOHN HYLAND CONSTRUCTION INC
BURRELL BROS ENTERPRISES INC
License
46071
136446
Expiration Date
07/11/2004
08/20/2005
Phone
541-726-8081
541-747-2724
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
S-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
SETBACKS
I DEVELOPl\-,"'",lluvN.IATlON I
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available: W requIres you. t.o
Special In~tf~~~\,~;~:Oregon la th9 Oregon Utility
A1 rules adopted by rules are set lort
Notes:101low, center. T\1ose \1 OAR 952-00
~otilicatlo;_001_0010tprO,~g 01 the rules \
In OARy95U may obtain cOPI~t~e telephOne
0090. 0 'Note". t'on
II' g t\1e center. \ Utility NotlllCa I
ca In Oregon
number~ort~~,_, on0_~:",?-~344).
Sidewalk Type:
NOTICE: DownspoutsIDrains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!elof3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00763
ISSUED: 09111/2003
APPLIED: 08/15/2003
EXPIRES: 10/21/2004
VALUE: $ 38,223.50
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Carport
Tvpe of Construction
Carport
$ Per Sq Ft
or multiplier
$16.30
Square Footage
or Bid Amount
2,345.00
Value
Date Calculated
Description
Total Value of Project
$38,223.50
$38,223.50
08/15/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $199.10 8/15/03 2200200000000001400
+ 10% Administrative Fee $42.43 9/11103 1200200000000002108
+ 7% State Surcharge $29.70 9/11103 1200200000000002108
Building Permit $306.30 9/11103 1200~00000000002108
Fixture $14.00 9/11103 1200200000000002108
Plan Review - Planning $59.00 9/11103 1200200000000002108
Sanitary Sewer - 1st 50 Feet $45.00 9/11103 1200200000000002108
Sanitary Sewer - Improvement $51.63 9/11103 1200200000000002108
Sanitary Sewer - Reimbursement $67.92 9/11103 1200200000000002108
Sanitary Sewer Each Addtll00' $14.00 9/11103 1200200000000002108
SDC Sanitary/Storm Admin $5.98 9/11103 1200200000000002108
Storm Sewer - 1 st 50 Feet $45.00 9/11103 1200200000000002108
+ 10% Administrative Fee $4.50 4/21/04 1200400000000000514
+ 7% State Surcharge $3.15 4/21/04 1200400000000000514
Add, Alter, Extend Circ $43.00 4/21104 1200400000000000514
Minimum/Adjustment Electrical $2.00 4/21/04 1200400000000000514
Total Amount Paid $932.71
I Plan Reviews I
Fire Department Review
08/20/2003
09/1112003
OK
GRG
Plan Review: Prefabricated metal
shelter over truck/heavy equipment
wash area. Job #2003-00763.
Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance
(SUFC 1002.1).
Initial Review
Plannine Review
08/18/2003
08/20/2003
08/2012003
09/01/2003
APP LLH
APP EMM
See enclosed Land Use
Compatibility Statement done by
Ashley Deforest approving the wash
rack.
Public Works Review
08/20/2003
Paee 2 of3
.
. CITY OF ~rKll~hnl!..L1J
Building/Combination Permit
PERMIT NO: COM2003-00763
ISSUED: 09111/2003
APPLIED: 08/15/2003
EXPIRES: 10/21/2004
VALUE: $ 38,223.50
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Rcvicw
09/03/2003 09/09/2003 APP MS 9/9/03 - Received sizing information
from Brancb Engineering.
Processed permit and sent to
Building for review.
9/8/03 - Waiting external
information from Lane Branch of
Branch Engineering.
Contacted Lane Branch and he will
submit sizing information for
oiVwater separator. MS
9/3/03 - Received plans & assigned
to Steve Barnes. KJV
08/20/2003 09/0912003 APP TCM
08120/2003 08/22/2003 APP JF
Structural Review
SUB Review
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 RI'~l'l'tion'l
6 Footing: After trenches are excavated.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
1 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
8 High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
2 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Final Building: After all Conditions have been completed as required on Development Agreement.
5 Final Fire Department. After all requirements of the Fire Department have been met.
9 Sanitary Sewer Line: Prior to filling trench and including required testing.
10 Storm Sewer Line: Prior to filling trench.
3 Final Plumbing: When all plumbing work is complete.
11 Rough Electric: Prior to Cover
12 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 701.005 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
Date
Paee 3 00
541-726-3759 Phone
Job/Journal Number
COM2003-00763
COM2003-00763
COM2003-00763
COM2003-00763
Payments:
Type of Payment
Check
4/21/2004
Public Works Department
-Date: 04/21/2004 lO:04:29AM
.
RECEIPT #:
~."llllII
1200400000000000514
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
Paid By
BURRELL BROS
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
djb 3475 In Person
Payment Total:
Page I of 1
Amount Due
3.15
4.50
43.00
2.00
$52.6S
Amount Paid
$52.65
$52.65