HomeMy WebLinkAboutPermit Electrical 2006-8-7
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225 FIFTH STREET _ SPRINGFIELD, OR 97477 - PH:(541)726-3753 - FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numbet ("()"\ '2li1'L? ;.. rn ~G.
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1. :LOCATIONOF;iNSTALI.:ATION:.:/~/S<(: 3.
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LEGAL DESCRIPTION ,
\'103 -?').. dO 03> (J\J ,
JOB DESCRIPTION
, .
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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i: CONTRACTOR INSTALLATION om'Y,;
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Elecuical Contractor 1:.) V (1'1 II 0 V 0 :5
Address p 0 bo ;I (p q 7
City vJ (-111 {rvi I If Phone LiJ - ;;. 7 ~ +
4T)J J
Supervisor License Number
/0/07
Constr. Contr. Number I -:J (p L/ ~ ~
ID (07
Expiration Date
Expiration Date
ign~rure ofsupervis,~ l
(iw0 , __
Owners Name~ -P~-+0
Address q91J ~ Uo.m.a:ilc~ St:-
Ci~~~~
OWNER INSTALLATION
Phone
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 ot - or..- ~ o-o~
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~;COMPLETEFEE.SCHEDULE BELOW"~:'.'?;~;"""":';:;'j:'~:"\1\o
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Service Included
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
$ 106,00
$ 19,00
Each Manufact'd Home or
Modular Dwelling Serv, ice orn lal" requl'reS yes' '50'000
AT.......~l\l \" <1~' -Jr~JCiU 'v ,
Feeder ' ". ~, 0, UI I I
04',.,11'"'1'"' "l'~:-'~ 8.,:,1C._:;l2~1 byt\1e uregulI 1.1 y
'~'~"::"'~:~W!'.i\~:?:,'~;~~:~$'>'~?'~~t:;;.;):;f{~'~C}1~lY:~t'$~:\~~\':l~P~-%.~~~
B. '" Se~lces 'od' eeilers 'i.Installa hon/AlleratlOns ':'!'i Relocation:'~\<1
2::::0p.t;1~:~~;~~t~:~:~J:e~~6~;~~'"\~""b3 0'->
-. .' ,annUli'"
201 Ampslior400fA'nlpsl1ter, (Note, lilt: "" ,$ 75,00
o I'.... ., '11 G 1
401 A '-: -r6OO!'A::..!h<j Oregon u","y 'w $"12"5"vOO'
mps to ruupS, __ M ") .
r'onter is 1-800-vv~ ~~ ' . .
601 Amps to 1000'Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50,00
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. U;15~]~,n:~e.m'l~e~:2.k!f.~W~~~~..~a~i;$~~'5h:o' -. ',;!:
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps'to 400 Amps '. _,,, ",~69,OO
40i A~ps;to 600:AIDps, EXf'IKE \r'.',~,~' JlOQ,OO
9~~~'~fgi~~~;;~~!~ttIl1~~~J~~i~~L:,~,,~"'N~1t!l"":(1l1'il:ii:'
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, _' _ I; 'r'.'! rLl\IUl..',
New 'Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with,
Service or Feeder Pennit
$ 43,00
.g~ $ 3,00
/O/j. uv
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E. 'l'l\liscellalleous .(Ser,\'ice/f eeder Ilofincluded) i.E aeh IlIsialla tion':
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Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50..00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. i~I~1ifdTlL(7Jm@t1~;}[~~;f~i;~\ \ '"" \SU
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Il.(O
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it d 10' :;:3-
8% State Surcharge
610r~~istrative Fee rGc.
"b ~nol\'lCA-K 1~
TOTAL VU
Shared Drive(T:)lBuilding FonnslElectrical Permit Application 1.Q6.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2006-00526
ISSUED: 07/21/2006
APPLIED: 05/04/2006
EXPIRES: 02/07/2007
VALUE: $ 60,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3161 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Restaurant
PROJECT DESCRIPTION:
Valley Pizza Tenant Improvements
TYPE OF USE: Alteration Commercial
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; I L "I"r!f"'I~!. 0
.. ,,~, regon I
fr.tl~y'.' ru:~'"; ~.r:l1r't~rl h'~~ ~e.9l.Jires you to
l\UI';'...:~~!on Cen-'--. ,..,. - ............4U'~ url'lty
in 0' ~ cr 'PhonelNumber:3 ,UnlIsted h
h,; ~~2'001-0010th -'. Q,,, 0'" fOrt
0090, You may obtain rough OAR 952.001_
cpllinn th~ ~_ " caples of the rulpo h"
nllmhn... ( - ..-.. \I'lVI~: me telephone
I CONTRACTOR INFORMATlON,.r the Oregon Utility Notificatio
nter IS 1-800-332-2344), n
License Expiration Date Phone
541-926-5959
541-521-0114
541-741-2236
541-688-5004
82355
3849
4483
05/01/2008
09/01/2008
11/14/2006
Owner:
Address:
BENTON PROPERTIES LTD
980 WILLAMETTE ST
EUGENE OR 97401
Contractor Type
Architect
General
Electrical
Mechanical
Contractor
OJ ARCHITECTURE PC
ILO CONSTRUCTION
C & SELECTRIC
BEYMER HEATING & SHEET METAL CO
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
B Height of Struclure Sq Ftlst Floor: 1,475
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: '1/,) I- f' Sq Ft Basement:
Range Type: , li lIrG~' ,j ~!, Sq Ft Garage/Carport
Energy Patb: , OI'I"E ,'L~U UNtJ~,~ F,t;6ilif~:'F THE WORK
S . kl dB 'Id' !VI I,' I') 0 0 r,~ 'I:;'''i1
prlO e , Ul 109: n a H lu ccupant .oa ,;'T IS 1,In 32
" ~HJ-1./\ln"h~_ . r
I DEVELOPMENT INFORMATION' 'u;IULl. -"~u rUH
REQUIRED PARKING
Fronlyard Setback:
Side I 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'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of 4
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
Addressing Assignment
Appliance Not Listed
Backflow Device
Building Permit
Evaporative Coolers
Exhaust Hoods
Fire SF Fee - Non-Resideutial
Fixture
Furnace - more than 100,000
Gas Outlets )-4
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursemenl
SDC MWMC Administratiou
SDC MWMC Improvemeut
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Fire Department Review
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00526
ISSUED: 07/21/2006
APPLIED: 05/04/2006
EXPIRES: 02/07/2007
VALUE: $ 60,000.00
I Valuation Descriotion J
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
06/07/2006
Value
Date Calculated
Total Value of Project
$60,000.00
$60,000.00
Fpp<, P~i'" I
Amount Paid
Receipt Number
1200600000000000604
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
1200600000000001130
2200600000000001110
2200600000000001110
2200600000000001110
2200600000000001110
2200600000000001110
Date Paid
$153.47
$10.00
$83.62
$55.33
$31.00
$9.00
$14.00
$409.65
$9.00
$9.00
$144.50
$210.00
$15.00
$4.00
$112.80
$163.86
$533.85
$702.06
$10.00
$10,331.13
$1,199.18
$638.81
$12.00
$17.10
$8.55
$13.68
$108.00
$63.00
5/4/06
7/21106
7/21106
7/21/06
7/21/06
7/21/06
7/21/06
7/21/06
7/21/06
7/21106
7/21/06
7/21/06
7/21106
7/21106
7/21/06
7/21/06
7/21/06
7/21/06
7/21/06
7/21/06
7/21106
7/21/06
7/21/06
8/7/06
8/7/06
8/7/06
8/7/06
8/7/06
$15,071.59
I Plan Reviews I
05/08/2006
06/10/2006
OK
GRG
See attached docuement for Fire
Department Plans R~view
comments.
Paee 2 of4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769lnspectinn Line
Initial Review
Plan Review Comments
05/05/2006
05/05/2006
06/07/2006
Plan nine Review
Public Works Review
Structural Review
05/08/2006
05/08/2006
05/05/2006
05/10/2006
05/30/2006
05/15/2006
Structu ra) Review
SUB Review
SUB Review
06/15/2006
06/15/2006
05/08/2006
06/15/2006
06/15/2006
05/15/2006
APP
10
APP
APP
WE
APP
APP
WE
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00526
ISSUED: 07/2112006
APPLIED: 05/04/2006
EXPIRES: 02/07/2007
VALUE: $ 60,000.00
LLH
JMP
WI. Received responces from
Richard Aiello.
EMM
SB
JMP
SDCs added. Includes bathrooms.
See attached documents for 16
structural comments faxed to Don
Johnson.
Received final internal approval.
JMP
JF
JF
See item 9 of JMP's attacbed
structural comments for request of
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.
I Rpnllirpr\Jnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Grid: After drywall approval but prior to cover.
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 cnmplete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Fnllowing City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00526
ISSUED: 07/2112006
APPLIED: 05/04/2006
EXPIRES: 02/07/2007
VALUE: $ 60,000.00
Status
Issued
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 1 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 nf plans will remain on the site at all
limes during construction.
Owner or Contractors Signalure
Date
Paee 4 of 4
225 Fifth Street
Springfleld"Oregon 97477
541-726-3759 Phone
.Wl~
<,;& of Springfield Official Receipt
~Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00526
COM2006-00526
COM2006-00526
COM2006-00526
COM2006-00526
Payments:
Type of Payment
CreditCard
cReccinll
RECEIPT #:
Date: 08/07/2006
2200600000000001110
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JOSHUA BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 097848 Fax
Payment Total:
Page 1 of 1
2:18:49PM
Amount Due
63,00
108,00
8,55
13,68
17,10
$210.33
Amount Paid
$210,33
$210.33
8/7/2006