HomeMy WebLinkAboutPermit Electrical 2008-4-23
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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ELECTRICAL PERMIT APPLICATION
CIty Job Number CO VV\ 2.0 c 7 - 0 c:> B-" ( 7
Date
ST
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A. ~'New,Resli:lentlal\-"'Smgle:~on!VI ultl~FaInlly,lper;\dwelhng"unIt~\, '\:";
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LEGAL DESCRIPTION
/70 s3S"":S2
JOB DESCRIPTION
o C{ S-a-O
Service Included
5. V\ w:r j) A-vV:( I z c. { , C~" k
Permits are non-transfera6le and expire if work IS Each Manufacfd Home or
not started Wlthm 180 days of Issuance or If work IS Modular DwellI,ng ServIce or
Suspended for 180 days. Feeder
1 ,I~"i," ': ""-'f' ,Ie,:' ,""" '~f,,"'c, "'" ' 't l ',. J,'" ci. -l" (11 " . ,I' '. ;'; " , : '" ~ ~ ' "" , ,,' "/:',,'::\ ",]1:', ',' J'I""ll,~-: ':1 '{\ ,i ~ .~rl,:~~i~ ;)!.f,~3-"
, 'i":>"'" ':,;,:1' : Y
2. ',~99?i'f~f~?1f::!}!Y9l~I;!!!}$ 9~ :9{:f,&~~::~, B. ij;Se~'VJ\~;"?; ~~;,~ ~erl,~~',~~~~ 1 r}~ trllllt,~]~,~Z;\~ !,~~l)al_i~.p,~;~~ ~ \,I)~!g~!I~lp~~' ~;;~"
ElectrIcal Contractor 1JI2~VIf)"Y) "18 erk~(L. 200 Amps or less I $ 70 oo~~
'. ~\..\...t;hl5Yl 201 Amps to 400 Amps $ 83 00
Address lol 0 ~~E- \ t~ A-v/) 401 Amps to 600 Amps $13800
f) 601 Amps to 1000 Amps $18000
CIty ~DQ.....,-+lil v\..A Phone fj),~ t:~/...t.9tqDD Over 1000 Amps/Volts $41300
Rr'\"'" cRt 0 I $ 55 00
~ \ \ ~-c,ld.. d~~::~ ~L 14l-OgU ",ec~c~~e~~,;~,~ Ii; :',2-:","\ ! ,"i""'H~';C'"
SupervIsor License Number c){.;i'j..Q--/ . C. ,:J;~,~,~I~~~'~I;Y ~,~!VI,~~~co,r'lfex~~erh~<'" ~~~,
EXpIratIon Date \ ~ i \ 2-D l PfJn:-i\1 l", ':,;J Installation, Alte'ratlOn or Relocation
follow rul",s 'dOre90~lbt!\t).1ilU1Aar less
1lf'\~1 .~ a Opt T<ffl./ tres y,
Constr Contr Number L...t.I'y,otlf/catlOr,-,C' t ed ~ tAlSlIafgg~o ~pO
I !!~ ~AB 952-00-1~O~1 cih~n:u1~t~R9~ ~JMY
EXpIratIOn Date 1/" l~You m thrOunhf).o!U:Lt.\ e for~h
, . I,; ):I~{ obtaI .J):'i.,er:ol'l0"!\-IIl'!XS'52JGl(j . Volts see "B" above
aJllng the cent n (,'OfJleSi Q[:fB':".' , ':"'" -: .
Signature of SuperYIsmg ElectrICIan number tor the ~:~ ~ot~~ffle,'t~~t~~~'byc_,~~: ..
~ / ./7 Center;s 1ioo"NVUIK1tIV,*,lCafJ~xtenslOn Per Panel
~ ~~~. ___'. '-&~~5;M4J. IOn
./ I Each AddItIOnal CIrCUIt or wIth
I L -'. L ServIce or Feeder Permit
Owners Name Altt.. fI <; \ ~~ r
,Address gS5'" t,t It.. sf.
s+::>a Ph~J~ -Sboc>
1000 sq ft or less
Each addItIOnal 500 sq ft or
portIOn thereof
$11 7 00
$ 21 00
$55 00
.'
"
;(
$ 55 00
$ 76 00
$ll 0 00
$ 48 00
1
$ 400
g
r' " ~ It\:~\.< - :l-' I '~<'~~i'/~"i ,t"} ~~J ,"\f,' I ~!3 I, ~~IJ'JIj1::,l'l"L"~{I' ,,' ~~ _1(\\ t~\"l,'~~_,,-<d,lnl'\I':....
E. ';,]"l1scc\laneou'~ '(Servlce/feederlll'ot 'iricludcd) -Eacll"hlstallation
'W_..I~~ ,;'i"'-"~ ,~I;~~ '~.J;r~,'lr'fl:ll,;;r,' '\, -:; l,rJ ~rd l,~~,'.' ~f~~~~ ,r~'rh''.'I~\-t.f.
CIty
Pump or IrrIgatIOn $ 55 00
Slgn/Outlme Llghtmg $ 55 00
OWNER INST ALLA nON LImIted Energy/ResldentIaI $ 28 00
The mstallatlOn IS bemg made on property I own which LImIted Energy/CommercIal $ 50 00
IS not mtended for sale, l~ase or rent NOT'CE~lmmum Electric Permit InspectIOn Fee is $50.00 + Surcharges
THIS PERM'i.:Bff~'ge~~,'wtABOV:E;-~Z!,:,:~\\:~;
~UTHOR'ZED"UOOEW~'h 'JF THE WORK'
tJOMMENCED C!1Ifo'S~AE~L~~r.t~T IS NOT
ANY 180 DAY p[ti oteu~MED FOR
Owners SIgnature
7J
,:rb
7BD
3}()
7lJ ()b
InspectIOn Request: 726-3769
TOTAL
Shared Dnve(T )/Bmldmg FonnslElectncal Pennlt ApplIcatIOn 1-08 doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00817
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 10/08/2008
VALUE: $ 64,809.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 138 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353204500
Springfield TYPE OF WORK: Commercial Miscellaneous
PROJECT DESCRIPTION: Salon studio and classrooms.
TYPE OF USE: Alteration
Commercial
Owner: ARTHUR LOUIS NICHOLS JR INTER REVOC
Address: 885 N 66TH ST
SPRINGFIELD OR, 97477
Contractor Type
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
GENUINE HOMES & CONSTRUCTION INC 169203
OREGON ELECTRIC CONSTRUCTION INC 203
BAXTER PLUMBING & ROOTER LLC 169028
I BUILDING INFORMA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
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:
# of Stories:
B Height of Str\lcture
r"' (' ,r;'" I r<'IG(Typ~COriIeliwres you,to
J '. VB,:,~. aCOPlWktelfm,l;j ~regon Utility
, T c; es are set forth
",Oll>C.ltlon center.Ra~~e eOAR 952-001-
In OAR 952-001-00E'rl~~~ t!HUhe rules by
OO;~ji~~~h~;~~~~W~!~~I,~:?tt:~~~~;,; n/a
number f~ul<;f:f!1~~,rJaw'RMATiON I
c ..Lv.
Overlay Dist:
# Stree,tl'rees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Phone Number: 503-236-5600
Expiration Date
03/15/2010
07/01/2008
03/1312010
Phone
541-607-2986
503-234-9900
541-935-6696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTICE: Downspouts/Drains:
19~k1~~ ~~~~~AE;j!e~~rZ:
ANY 180 DAY PERIOD.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00817
ISSUED: 12/06/2007
APPLIED: 06106/2007
EXPIRES: 10/08/2008
VALUE: $ 64,809.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
01' Bid Amount
64,809.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$64,809.00
$64,809.00
11/15/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $322.04 6/6/07 2200700000000000913
+ 10% Administrative Fee $62.42 12/6/07 1200700000000001469
+ 5% Technology Fee $24.96 12/6/07 1200700000000001469
+ 8% State Surcharge $39.93 12/6/07 1200700000000001469
Building Permit $429.15 12/6/07 1200700000000001469
Fire SF Fee - Non-Residential $125.00 12/6/07 1200700000000001469
Fixture $70.00 12/6/07 1200700000000001469
Plan Review Fire & Life Safety $128.57 12/6/07 1200700000000001469
Sanitary Sewer - Improvement $74.21 12/6/07 1200700000000001469
Sanitary Sewer - Reimbursement $97.61 12/6/07 1200700000000001469
SDC Sanitary/Storm Admin $8.59 12/6/07 1200700000000001469
+ 10% Administrative Fee $15.00 3/7/08 1200800000000000210
+ 12% State Surcharge $18.00 3/7/08 1200800000000000210
+ 5% Technology Fee $7.50 3/7/08 1200800000000000210
Add, Alter, Extend Circ Ea Add $80.00 3/7/08 1200800000000000210
Perm Serv/Fdr 200 amps 01' less $70.00 3/7/08 1200800000000000210
+ 10% Administrative Fee $4.50 4/3/08 3200800000000000210
+ 12% State Surcharge $5.40 4/3/08 3200800000000000210
+ 5% Technology Fee $2.25 4/3/08 3200800000000000210
Storm Sewer - 1st 50 Feet $45.00 4/3/08 3200800000000000210
+ 10% Administrative Fee $7.80 4/23/08 2200800000000000502
+ 12% State Surcharge $9.36 4/23/08 2200800000000000502
+ 5% Technology Fee $3.90 4/23/08 2200800000000000502
Add, Alter, Extend Circ Ea Add $8.00 4/23/08 2200800000000000502
Perm Serv/Fdr 200 amps 01' less $70.00 4/23/08 2200800000000000502
Total Amount Paid $1,729.19
I Plan Reviews I
Initial Review
06/07/2007
06/08/2007
APP LLH
Planninf! Review
06/19/2007
06/28/2007
APP EMM
Public Works Review
06/28/2007
06/29/2007
APP JHJ
Attached SDC Worksheet. (JHJ)
Paf!e 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-00817
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 10108/2008
VALUE: $ 64,809.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/08/2007
08/03/2007
WE
JMP
SUB Review
08/03/2007
JF
06/19/2007
WE
Plan Review Comments
09/19/2007
JMP
IO
Fire Department Review
06/19/2007
11/13/2007
APP MF
Structural Review
11/14/2007
APP DJP
11/14/2007
CITY OF SPRINGFIELD
Received 6/19/2007 with foul' more
applications and a heavy backlog.
See attached documents for 18
structural comments faxed to Scott
A. Metzler. Called Darin Kobatake
and emailed the documents to him
as well.
See JMP's attached documents for
item 14 requesting the energy code
forms and information. HV AC
efficiency docs provided. Still need
Bldg. Env. & Light'g forms
9/26/07jf.
Talked to Scott Metzler about the
incomplete responses. He will check
with Darin Kobatake regarding
progress on the outstanding items.
See attached fire department plan
review.
Response to John Pearsons letter
received from Scott Metzler August
30, 2007 and placed in file by John
Pearson without processing.
Unaware plans were not processed
until Dave Puent received a call
from Darin Kobatake November 14,
2007 and plans were processed
immediately.
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.
~e(Juh:edJnSDections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to covel' and including required testing.
Underfloor Plumbing: Prior to insulation 01' decking.
Pae:e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00817
ISSUED: 12/06/2007
APPLIED: 06/06/2007
EXPIRES: 10/08/2008
VALUE: $ 64,809.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Storm Sewer Line: Prior to filling trench.
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 cOl'I'ect, 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 propel' 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 01' Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
SpringfieW, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00817
COM2007-00817
COM2007-00817
COM2007-00817
COM2007-008 I 7
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000502
Date: 04/23/2008
DescrIption
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Ctrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MANOA LTD
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
dJb 213234 In Person
Payment Total:
Page 1 of 1
10:42:51AM
Amount Due
7000
800
390
936
780
$99.06
Amount Paid
$99 06
$99.06
4/23/2008