HomeMy WebLinkAboutPermit Electrical 2006-7-17
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SPRINGFIELD ~ ~Vf .
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRiCAL PERMIT APPLICATION
City Job Number (OlMZOOb -60:;'t f
I. LOCATION OF INS1'ALLA1'ION 3.
'3/yS- &IaJ{,W()"'~ st. 0pviVl'l.t:u1d.OP- ,.., .. _,_
LEGAL DESCRIPTION J 701 z 7. zi!> A. New Residenlial- Single or Multi-Family per dwelling unit
C ~ rAv bt Uu ~ 1'1 03 tOO Service Included
JOB DESCRIPTION 1000 sq. ft. or less
'. Each additional 500 sq. ft. or
I Y1 VJ ht,W t?-U It\,Vl -!vi 0) l/101-r.KYJ _ portion thereof . eS 'Iou to
"J J ,e<;\u\t uti\\t'l
Permits are non-transferable and expire if work is ~afJJc/1BfiM~ct!3"I!0iO'or , \Ot\.n
not started within 180 days of issuance or if work is :I\ON'. O~~~'Ila!i'\,>Wcflhr.g~SsMce"or _OO~ - $50.00
Suspended for 180 days. ",\I€.N xeS ao'Fceil~\,\ose tU \0 O~\\ g~'2. s '0'1
, -, .. ~1\0'tl tU CO(\tet. .'" ou9n \,\0 tu\e: - - -
2 CON'mACTOR JNS1'AUA1'lON'dNl.lca.tion B.~ ~t:fI...st o\l( I'eell:r's :lnstallaHon, Allerations or Relocation:
. - NOt'\\ n g~'2.-00 - \:ltain CO '~\ne te\el-'''~tiOn .
1lt:rv1 f'..h '1.-.. Of>-~ ,,~O ,,,I,,le.' Not\\lC
Electncal Contractor:[l~ '7'U/l1n ~ VI in _ 'Iou ("f\-Loq,I\!11Ps,or'le,5':\\\t'l $ 63.00
.J OO'::lv\\in9 \ne 20';e^E1Jls1\J14QO.ft.mPS~~)' $ 75.00
Address I(;j"LfIi\"i &'W w.lIlMTia.. 17j<:Wj.fa ~bet\ot4m~Psl1~~i)bAmpS $125.00
'~'I ..(w'" ce~e\'
601 Amps to 1000 Amps $163.00
City Pntltu'l..d Phone 'fD'1' ~yg-1~lJ? Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Supervisor License Number OJ 'f I L€ A
ItJ-f9-fJP,
Expiration Date
Constr. Contr. Number !L/OG'fCt.l/t~: /IP/5l-7
Expiration Date /1). /9 -(J 91
Signature of Supervising Electrician
~
Owners Name /5"E:>w-l.... ~_ +.~ \
Address 9~O &jd~k ~ J-
City k~e- Phone 4<g5-'t, 7 ~/
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale. lease or rent.
Owners Signature:
Inspection Request: 726-3769
Date ,.ill1 J ~ 111 Dl,P
COMPLE11J FEE SCHEDULE BEI.OW
$106.00
$ 19.00
c. ~ Tempor~~ Services or _~~~~!~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts,see "B" above.
D. Branch Circuits
- . .
New Alteration or Extension Per Panel ~ \j'l\j\\'t-
One Circuit . ,nt: \1' \'r$ ~3,Oq\\j\
Each A~$!i!,,\,,I,Circu~,!,r,"(!tt'flS'" ';''t.I\WI\\ I~n
ServIce or,lieooer,~\emut'~" CO "[\.\IS r .c$.:I,'OO'
.- \'- c\\" " \I;)\:-" \ ~\f\\J\'\:-V
.. ,\,\\S Ill.- 1~\l \\~\I.'O~\'\) , .
E. Mis<elh\,\~S\S--erviceJf.~rrrot included) -Each Installation
- f\\.l WI't.~C.\:.\J 't.",\\j~\.
Pump o::;~\f!.tionJ \)\1.'1 ~ $ 50.00
-M;.' \U
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
.Lc..-
Limit.ed Energy/Commercial $ 45.00 "T:/
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
/.fs.trD
,J.lRo
1j.5f)
5'?/O
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormsfElectrical Permit Application l-06.doc
. CI:ry OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00598
ISSUED: 06/28/2006
APPLIED: 05/19/2006
EXPIRES: 0111812007
VALUE: $ 217,256.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3145 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Tenant Infill
PROJECT DESCRIPTION: Tenant improvement for Cycle Gear
TYPE OF USE: New
Commercial
..,o\) :.."
I CONTRACTOR INF.ORMAlfWN('I
.' ?>~ 'v Olev,- "se' Cl\)\'
Contractor ~00 ~ .:s-e ^eS ?>1&.is'e~~~'Oi Expiration Date
CHARLES W PATCHECJ()le ';..eO '0'1 roe 10:0 O~10381'8J "e 02/18/2007
BLUARC DESIGN~~\O:'?>oo\l I. ~~0~100g s 0' \~~e\l~o '^Q0<
LR BRABHAI}1'~~~ 10W'Ce0\e<:\Cl\Cl.'1 c,o\l,e. 'I\"\869t~'\C,\\"
H8M ELECTR.6N:iSo.p.R9r:EbJ9Nj'8~!{VI\,~1 ~t\1!7I'
MARSHALL~IJS<tt>.\'o. '!l'::i~ ~?>'I_"0\el'~00 \,) ~~5790
BARNES H1GH\{fEP:I'ptl!MBIN"~INC).ClCl'':i 83311
IJ' 'l-rBUILDIl,ici.lNFO'RMATION I
'(\\)\. v~
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
REQUIRED PARKING
'i0~'<:'
Total: $: ~ 'o\,\)\
Handifapp-ed:
~ori.P."~t: ~\)~
{3.~ v<(x-'<"~\)
~'v <<; \y:,-S <.:::>'\)";'
,'';>'.<>. ,...~
I PUBLIC IMPROVEMENTS ...,IV~' # '>-\:>~'V\S '\'v
~' c'V~ ~'V<0 C\<:(o. ~'\)<:::J'
~" ,c. SiiIewalk'Type:~
'~'0,,> ~" ~V" -(V
'\ ~Y< <~ ,--.I, .
.,,-\:> Downspouts/Drams:
r ~\" ~.
,,'0 '" '\~
"?~:
Owner: BENTON PROPERTIES LTD
Address: 980 WILLAMETTE ST
EUGENE OR 97401
Contractor Type
General
Designer
Electrical
Low V oItage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#'Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of4
Phone Number: 541-485-6991
12/18/2006
10/19/2008
12/23/2009
02/17/2008
Phone
541-688-8860
615-227-7209
541-747-6638
503-968-3353
541-747-7445
541-726-9854
. Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
4,178
116
Status
Issued
225 Fifth 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
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Building Permit
Fire SF Fee - Non-Residential
Fixture
Furnace -. up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Perm Serv/Fdr 200 amps or less
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safely
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
OS/22/2006
Initial Review
Plan Review Comments
05/19/2006
.
~ll l' OF ~rIuNGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-00598
ISSUED: 06/28/2006
APPLIED: 05/19/2006
EXPIRES: 0111812007
VALUE: $ 217,256.00
I Valuation Oeseriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
217,256.00
Value
Date Calculated
$217,256.00
$217,256.00
05/19/2006
Total Value of Project
FpP~, PqirlJ
Amount Paid
Date Paid
Receipt Number
$614.84
$10.00
$168.30
$101.21
$96.00
$31.00
$949.15
$417.80
$112.00
$24,00
$4.00 '
$5.00
$63.00
$2.11
$379,66
$438.52
$576,70
$50.76
$12,00
$4.50
$3.60
$45.00
5/19/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
7/18/06
7/18/06
7/18/06
1200600000000000681
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
2200600000000000895
1200600000000001090
1200600000000001090
1200600000000001090
$4,109.15
I Plan Reviews I
06/21/2006
See attached document for Fire
Department Plans Review
comments.
OK GRG
05/19/2006
06/26/2006
APP LLH
10 JMP
Received incomplete hand delivered
responses from Ronnie Smithhart,
Called him to request the contractor
data and valuation, Energy code
forms sent to Jack Foster.
Paee 2 of4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Plan Review Comments
06/27/2006
Plan nine Review
Public Works Review
OS/22/2006
OS/22/2006
OS/22/2006
06/02/2006
Structural Review
05/19/2006
OS/26/2006
Structural Review
SUB Review
SUB Review
06/28/2006
06/28/2006
OS/22/2006
06/28/2006
06/28/2006
06/09/2006
~lll V.. ~rKll...GFIELD '
Building/Combination Permit
PERMIT NO: COM2006-00598
ISSUED: 06/28/2006
APPLIED: 05/19/2006
EXPIRES: 01/1812007
VALUE: $ 217,256.00
10 JMP WI. Received contractor data and
valuation,
APP EMM
APP SB ADDED SDCs for new bathrooms,
OTher SDCs paid with
COM2004-01238
WE JMP Received 5/22/2006. See attached
documents for 10 structural
comments faxed to Ken Butts.
APP JMP Received final internal approval.
APP JF
WE JF See attached documents for Item #5
in JMP's structural comments
requesting missing energy code
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.
~.np,.tiwuJ
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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
Low Voltage: Prior to cover,
Paee 3 of 4
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF ~nuNGFIELD '
Building/Combination Permit
PERMIT NO: COM2006-00598
ISSUED: 06/28/2006
APPLIED: 05/19/2006
EXPIRES: 0111812007
VALUE: $ 217,256.00
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 furtber certify that any and all work performed sball 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 structnre 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
Pa2e 4 of 4
Date
225 Fifth Street
Springfiel,d,'Orego'n 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00598
COM2006-00598
COM2006-00598
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
1200600000000001090
Date: 07/18/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
Paid By
NIKI STREIFEL
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb 4500 In Person
Payment Total:
Page 1 of 1
2:15:38PM
Amount Due
3.60
4.50
45.00
$53.10
Amount Paid
$53.10
$53.10
7/18/2006