HomeMy WebLinkAboutPermit Electrical 2005-7-29
appnolYCII.
Zoning
v f \ ---...,
elT'{ OF ~vl~INCiFIFLD. OREGON ()
"--.-: I
Si~~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 -.L
ELECTRICAL ~ERMIT APPliCATION
City Job Number f,o 11\ -:J.1J7l<<:" ~ CJQ57 (p Date '7 ~ 2 '/ - 0 S
I. I LOCATIONOFINSTALlATION 3. I COMPLETEFEESCHEDULEBELOW
1/....<:; '3- P7~ ~ rr;
LEGAL DESCRIPTION
/1 170~ ,;)'d, ~O o3lcsG
JOB DESCRIPTION
-=c.-f.-,~ rYlNY1.:l- ~+L.LL
UiPAU........,.
\~
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$19.00
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issnance or if work is A T~'ffl'jwewgMfI')i'W ?Squires you to $50.00
Suspended for 180 days. folloW'ri'ifes ac:l9Ple.d_by_tl1e.Qte90QUtility
2. I CONTRACIOR INSTALlATION ONLY I No'it!q<sooGe6!E\l'eedMSSftl>tiItlt_.smlartltns or Relocation:
_ in OAR'952:00FO010.tfirougIfOAR952:001.
Electrical Contractor &/ f:=~ Ie... 009OZ0lb\\i1l'llRy.J.;,...in copies of the rules bt 63.00
#: ca~soeI'ltl9rA'll1l~te: the telephone $ 7S.00
Address :tl 52 s w. I//lt (. 1fJ./ltIJ '25 nul'l'liMJ^fupstmIiQJh~~lm Utility Notificatio,,$I25.00
601.Q8jHlDS ltlOO00/i'pS32-23441. $163.00
City /J6fl1/&.7CJ"v Phon~6t'-9/~5,.ft?S Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
:'\. _.., "\3~ifqo,Ampsorless _ ...~~,,$50.oo
Constr. Contr. Number :' - . ._;t- 1"0/52. ~ 20"j:Amps\to~00k\mpS'IRE IF The "V~T$69.00
- / \ \-1\ ~orR.\\psb6oo\<\ffips\S PERM! \ \;) "u $100.00
ExpirationDate 19-/1 - Oil I\Ult-1LJKILtLJ \~U~~':-"'nn~\I'{lI-J)~
-I-' . COM\~er,600'Amjjs,or lOOO,Volts see B 81iove,
I\NN~~'!~ Wf\\i!,sJ.
New Alteration or Extension Per Panel
One Circuit \
LT[) Each Additional Circuit or with j' '-I
Service or Feeder Permit ".../.. $ 3.00
Supervisor License Number ?f"6 9 ~
Expiration Date 1. - ~ 1-. - 0 C
Signature of Supervising Electrician
j?? ~ tJv'f""rw
Owners Name ~ f, .'{ -.....".-
Ad~s q!1J t:J~
Ci~/~./ ()>2.- Phone 97'70/
OWNEd INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
c. I Temporary Services or Feeders
Installation, Alteration or Re', _, ','.,..
$ 43.00
I
LfJ-
Lf"t
E. I Miscellaneous (Service/feeder not included) -Each Installation I
Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ SO.oo
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.1 SUBTOTAL OF ABOVE ?' 5-
rlf!fS
f9.q~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FonnsIElectrical Permit Application 1-03.doc
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00576
COM2005-00576
COM2005-00576
COM2005-00576
Payments:
Type of Payment
Check
,.
I
I'
I
8/4/2005
.
~
RECEIPT #:
.City of Springfield Official Receipt
evelopment ServiCes Department
Public Works Department
3200500000000000474
Date: 08/04/2005
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
AMP ELECTRIC
Received By
njm
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
13023
By Mail
Payment Total:
8:53:17AM
Amount Due
43.00
42.00
5.95
8.50
$99.45
Amount Paid
$99.45
$99.45
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00576
ISSUED: 08/04/2005
APPLIED: 05/16/2005
EXPIRES: 02/04/2006
VALUE: $ 67,780.00
SITE ADDRESS: 3153 Gateway St Springfield TYPE OF WORK: Tenant Infill
ASSESSOR'S PARCEL NO.: 1703222003100 . Ires,yOU to
o "'''IT m~R.~~Sll::N re~UeraJ\\''btility
PROJECT DESCRIPTION: Partial tenant infill for Subway Re'Sta'ilrant~ . dopted by the Oreg et forth
follow ru\e~~~tor 1hOse ru\e~ ~~ ;c",nn1-
NOlIH"O,"VOO - 0010 througll J..., - \ by
in OAR 952-001- '0 copies of the ru es
0090. 'Iou may oblal Note: the te\epho~e
",,\\iOQ t\1e ceot~r., ~_" \ Ililitv NotificatiOn
l1l1mberlOl "", -. - v 0-332-234~1'
I CONTRACTOR INFO~mI(i)Nlll-80
Owner:
Address:
BENTON PROPERTIES L TD
980 W1LLAMETIE ST
EUGENE OR 97401
Commercial
Contractor License Expiration-Date Phone
JUSTIN LEE BALDWIN 143837 06/10/2006 503-625-3044
JEREMIAH M FAUGHT 78152 02123/2006 360-892-4499
TRI COUNTY HEATING & AIR CONDITION164335 04/25/2007 503-849-9207
CASCADE PLUMBING CO ,,_....120l!93 02/03/2007 503-544-7464
DUlLUmG INFORMA'I'iONI i,m SHALL EXPIRE IF THE WUKI\
. AUlrlORiZED UNDER TH!S PERMIT IS NOT
# o~Storles: rQiv;tV"IENCED OR \~~U!~~;)ONED FOR
Height of Structure, 0 D Y PERI~l!JFt 1st Floor:
Type of Heat: AI~Y 18 1-1 Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Contractor Type
General
Electrical
. Mechanical
,. Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
_ Rearyard Setback:
, Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
A-2
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
PaRe I of4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Miscellaneous Mechanical
Plan Review CommlIndlPublic
Plan Review Fire & Life Safely
Sanitary Sewer. Improvement
Sanitary Sewer. Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
, SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
.. 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
,
Total Amount Paid
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00576
ISSUED: 08/04/2005
APPLIED: 05/16/2005
EXPIRES: 02/04/2006
VALUE: $ 67,780.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
67,780.00
Date Calculated
Total Value of Project
Value
$67,780.00
$67,780.00
06/24/2005
J(pp< PiilLI
Amount Paid
Receipt Number
2200500000000000592
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
2200500000000000868
3200500000000000474
3200500000000000474
3200500000000000474
3200500000000000474
Date Paid
$202.90
$10.00
$61.19
$42.83
$440.85
$126.00
$45.00
$83.65
$176.34
$255.88
$336.61
$10.00
$12,026.24
$1,395.94
$701.23
$8.50
$5.95
$43.00
$42.00
5/16/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
8/4/05
8/4/05
8/4/05
8/4/05
$16,014.11
I Plan Reviews I
Paee 2 of 4
" . . CITY VI< :Sl'Kll~GFIELD '
Building/Combination Permit
Status Issued PERMIT NO: COM2005-00576
225 Fiftb Street, Springfield, OR ISSUED: 08/04/2005
541-726-3753 Pbone APPLIED: 05/16/2005
541-726-3676 Fax EXPIRES: 02/04/2006
541-726-3769 Inspection Line VALUE: $ 67,780.00
Fire Department Review 05/17/2005 06/06/2005 OK GRG Plan Review: Tenant infill for
Subway Restaurant. Job
#COM200S-00576. Occupancy
Classification: A-2. Construction
Type: V -B. Note: tbis is a separate
permit for Door plan and fixtures.
Tbese plans review comments will
mostly duplicate Job
#COM200S-00559.
Provide address numbers in
contrasting color from tbe
background positioned plainly
visible and legible from the street or
road fronting tbe property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Provide fire extinguisbers witb a
minimum rating of 2-A:10-B:C
every 75 feet of travel distance. Tbe
top of tbe extinguisber(s) sball be
between 3 and 5 feel above finisbed
Door (2004 Springfield Fire Code
906).
Above tbe main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
bardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Initial Review 05/17/2005 05/17/2005 APP SKG
Plan nine Review 05/17/2005 05/19/2005 APP EMM No final occupancy until
COM2004-01238 bas Onal site
approval for sbopping center.
Public Works Review 05/17/2005 OS/26/2005 APP SB SDCs for Infill Restaurant Only.
SDCs for sbopping center:
Transportation, Batbrooms, and
Impervious surface already paid.
Structural Review 06/16/2005 06/16/2005 10 JMP Courtesy call to Gary Hunt to
inform blm of approval of tbe otber
permit for tbe restrooms. Requested
again a response to tbe structural
comments.
Structural Review 06/24/2005 06/24/2005 10 JMP Received fax from Justin Baldwin
witb response to all comments
except #7. Called Justin and be said
be will fax tbe contractor data.
Paee30f4
.
. '-11 i: OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00576
ISSUED: 08/04/2005
APPLIED: 05/16/2005
EXPIRES: 0210412006
VALUE: $ 67,780.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 06/29/2005 06/29/2005 APP JMP Received fax from Justin and
entered 3 new contractors into data
base.
Structural Review 05/17/2005 OS/26/2005 WE JMP See attached structural comments
faxed to Gary Hunt.
SUB Review 05/19/2005 05/31/2005 WE JF JMP called and requested energy
code forms from Gary Hunt.
SUB Review 06/16/2005 06/16/2005 APP JF See SUB inspections under
Com200S-00559.
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 Rf'ouirf'rllnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
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.
By signature, I state and agree, that I have carefully examined the completed application and do bereby 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.
'0~ ~ W1.0--~ O((/O~lo~ t-JIA.,
Owner ~ontractors Signature " Date
Paee 4 of 4