HomeMy WebLinkAboutPermit Electrical 2008-4-16
I
. CITY OF SPRINGFIELD, OREGON
..'
225 FIFIlI STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
. City Job Number COW"\. 'Z 00 e - C;) 0 3 ~6 Date
;1~'''''
1. ~ 3.
:s 77/- 0 ~ tM {J(L-- ~ ~ s+-'. A I(
LEGAL DESCRIPTIOt 17DZ'$ooo 02-10 rA.
37 7 / 0/ V m p;' C S, If e e. + ,":Y~.D J ,j,e. Service Included
JOB DESCRIPTION: 9 7i/7 "7 1000 sq. ft or less
Each additional 500 sq ft. or
f(\YVlrn ~/.4 L l3ur~/ d /n_? portion thereof
Permits are non-transferable and expire if work is
not started withm 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder .
2.
B.
Electrical Contractor ('.(0,. ""ot.e.t..i..'L ~~G~\L..-
f
City F ~\)~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Phone 5"\\ -/l{ b - (41 \ Over 1000 AmpsN olts
T Reconnect Only .
A Tff'J IIUI\I' uregan law reqUIres YOu lu
follow r~t .
Nottflfat
in OAR 952-001-0010 through OAR 952-001-
0090. YmsmIl3'tWR\akJte~iAl ottkelOlJlUiPby
callinf!AReA~.Q,t~~I~ote: the telephone I.f
numbe.(:W1W:e~areJA~nA ~i1ity NotificaUon
~emer11St~~~2344).
401 Amps to 600 Amps
Address 'P (), B(') 'i. L\ \ 9 0 ()
;1~~J!~
met"',... :
-"--,',"",,\,,,
$117.00
$ 21.00
$55.00
$ 70 00
$ 83.00
$138.00
$180 00
$413.00
$ 55.00
(38.<:00
Supervisor License Number
3D d- 3 S
Expiration Date / () ! I / d () I 0
Constr. Contr Number ) ~ 4 <g 7 7
Expiration Date G, I q J d- 0 0 9
Over 600 Amps or 1000 Volts see "B" above.
D.
.,
,
Owners Name ~Fb ~V~+6M.~"",fs
Address S7Z' MAid E.
City ~:PF, Phone 7f? - SCfl1 Pump or Irrigation $ 55.00
Sign/Outline Lighting I $ 55.00 ~ 5.00
OWNER INSTALLATION ~~rl;:~MIT SPm~ mm~Wiq-+tE<WORK $ 2800
The mstallation IS bemg made on property I own ~tJfPtORIZED lJ.ftIWI~~~qsINOT $ 50.00
IS not Intended for sale, lease or rent. .M' . B"A'NBOfIliilJ)Jijlition Fee is $50.00 + Surcharges
COMMEl'\Jv "1
ANY 180 all: &; q 3. <'X)
/2.Jt81o State Surcharge !?'3 . i h
10% Admmistrative Fee f..p q. 3 ()
5% Technology Fee 'S t/. lDS-
Signature of Supervising Electrician
,.or~ ~
New Alteration or Extension Per Panel
One Circuit
Each AdditIonal Circuit or with
Service or Feeder Pennit
7D
$ 55.00
$ 76 00
$110.00
;).;).0. DO
$ 48 00
$ 400
;). <gD .00
Owners Signature
Inspection Request: 726-3769
TOTAL Sgt). ((
Shared Dnve(T )/Bulldmg FonnslElectncal Penn It Application 7-07 doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3771 Olympic St
ASSESSOR'S PARCEL NO.: 1702300002105
Springfield TYPE OF WORK: Foundation
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Warehouse
Owner: BFD INVESTMENTS LLC
Address: 5729 MAIN ST PMB 242
SPRINGFIELD OR 97478
Phone Number: 541-747-5413
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General XXLINC 109867 11/0912010 541-747-5413
Electrical LONNIE LEROY JENKINS 156582 541-746-6441
Mechanical INNOVATIVE AIR INC 161742 10/11/2008 541-746-1040
Plumbing SIEGFRIED SA V AGE 129953 06/23/2008 541-579-4499
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
I BUILDING INFORMATION I
laW requires yoU ,to
,.. -r ....-c~' qft~tbrres??oOn the Oregon utility Lot Size:
~ )1,[ dlf~ight OfjS!ru~6\e rules are set 1~~;tsq Ft 1st Floor:
Not\h;.,,!~Pft 6fE1l1~at: 0 thrOugh OAR 952- b-~q Ft 2nd Floor:
In OAFWJlflNPYPQP'\. capleS 01 the ru\es ''tiq Ft Basement:
0090.Rrotgen~pQ~taln(Note: the te\~~ho~e Sq Ft Garage/Carport
ca\l~~5l Pin}br. gon Uti\ity Notltlcat'o"sq Ft Other:
nurrft:pl\idQ.le'N\Ul~itltOO-332-234fna Occupant Load:
r,poter \5
I DEVELOPMENT INFORMATION'
21,060
VB
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes:
NOTICE: Downspouts/Drains:
THIS PERMIT SHA
AUTHORIZED UND~~ ~PIRE IF THE WORK
COMMENCED OR IS AS HIS PERMIT IS NOT
ANY 180 DAY PERIOD. ANDONED FOR
Pal!e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Bid Amount Use Bid Amount
Foundation Only Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Inspections - Other Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 401 to 600 amps
Sign - Outline Lighting Each
Temp Power 200 amps or less
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
568,000.00
32,000.00
Value
Date Calculated
Total Value of Project
$568,000.00
$32,000.00
$600,000.00
03/31/2008
03/31/2008
~
Amount Paid
Date Paid
Receipt Number
$1,568.35
$29.24
$35.09
$14.62
$292.42
$5.00
$6.00
$2.50
$50.00
$69.30
$83.16
$34.65
$280.00
$138.00
$55.00
$220.00
3/10/08
3/31/08
3/31/08
3/31/08
3/31/08
4/15/08
4/15/08
4/15/08
4/15/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
1200800000000000216
1200800000000000288
1200800000000000288
1200800000000000288
1200800000000000288
1200800000000000354
1200800000000000354
1200800000000000354
1200800000000000354
1200800000000000361
1200800000000000361
1200800000000000361
1200800000000000361
1200800000000000361
1200800000000000361
1200800000000000361
$2,883.33
I Plan Reviews'
Fire Department Review 03/11/2008
Initial Review 03/11/2008 03/11/2008 APP LLH
Planninl! Review 03/11/2008 03/11/2008 APP EMM To be built per approved Site Plan
Review. David Reesor was planner.
Public Works Review 03/11/2008 03/11/2008 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
SUB Review 03/11/2008 03/11/2008 10 LLH Sent note to Jack Foster asking if
energy review is required on
warehouse.
SUB Review 03/11/2008 03/11/2008 10 LLH Did not hear back from SUB
regarding energy forms. Mailed
letter to applicant requesting forms.
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03110/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
03/11/2008
03/14/2008
APP JF
See attached documents for sub
approval. Foundation/slab only. No
energy code review or insepctions.
Energy code forms to be included
with building plans.
Structural Review
03/26/2008
03/26/2008
WE LLH
The plan review cannot commence
until the information for the steel
shop building and cales have been
received.
Structural Review
03/11/2008
03/27/2008
APP LLH
Plans reviewed for foundation by
Mick Nolte with the Building
Department under contract with the
City of Springfield.
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.
~eouiredJnSDections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Sign Electrical: After connection is made but prior to energizing
Temporary Electric: Approval required prior to Utility Company energizing pole.
Pal!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
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 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 ofthe 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
Pal!:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000361
Date: 04/16/2008
Description
Temp Power 200 amps or less
Perm Serv/Fdr 401 to 600 amps
Add, Alter, Extend Clrc Ea Add
Sign - Outlme Llghtmg Each
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
+ 5% Technology Fee
Paid By
CAMP CREEK ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb
663
In Person
Payment Total:
Page 1 of 1
11 :54:35AM
Amount Due
220 00
13800
280 00
5500
83 16
6930
3465
$880.11
Amount Paid
$88011
$880.11
4/16/2008