HomeMy WebLinkAboutPermit Electrical 2006-12-1
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SPRINGFIELD r -} V
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECI'RICAL PERMIT APPLICATION
City Job Number &rn.-~ 11 - O/;;J,S /
I. LOCAHON OF INSTALLA110N
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31~<i ~-k.wrn 1
LEGAL DESCRIPTION
170::,;;td-.,),0 D"3~
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.
2.
CONTRACTOR INSTALLATION ONLY I
_..__.____...___.__ _J
Electrical Contractor ~ "1,1: LLc....
Address li1~ 1.\~\\r.rl.i\\I~Kc\ '1l>j <i?;
-' ,
City G....w~"- Phone b:s. ,,~g-S~;7S-
v
Supervisor License Number 5lo <;S' LEES
Expiration Date _J Dj I jOy::'
.
Constr, Contr, Number 1 1..\ <6 ;). 5lo
Expiration Date / / .?c.o 'l
(".- .':~;;:"_..
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Owners Name IllL ,Sf 'r' j'" _'" "fL"...
Address Cf s-v tu;~ ~
City tu<.~ Phone
U
-
/.;z/o I / ,,~
Date
3. : COMPLETEFEESCHEJ)ULEBELOW
--_.."-- --,.- -----.--- -_..._...- _.- ---~._- - - - - --- - -
r- ",.--__,_. --- -- --- -.- -- _n__ _.- ---.- --..-....- - ---
A. : New:Residentinl- Single or Multi-Family pel' dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$19.00
$50.00
B. ; Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163.00
$375.00
$ 50,00
r-' -- -------.---- - ---
C. ~. Tempornf)~_Sen'ic~~s OI~Feeders __ _~ _'
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
~ver 600 Amp~o.': Ic22_0 ~~ts see :~"above,
D. ! BrnnchCih'uits
$ 50,00
$ 69,00
$100,00
-'-------....-~-...,....--.,..._.-..-'----- -....-'-.-l;-.-
New Alterat!9" or Extension Per Panel"
One Circuit r
Each Additional Circuit or with
Service or FeedeiPennit '
_ J'n .'.
.'
$ ~3,OO ,
'$'3.00 ..
L'_
'-
...-.....:!-
. .
-.. ---.-,------. - ---~.- -
E. ; Miscellan~ous iS~rvice/feed~r n{)(i..C1uded)',.-Each Installation
~._... .-._.~ ,---'~-'--.---.,,-, .--..).--~-
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
OWNER INSTALLATION Limited Energy/Residential $ 25,00
The in.stallation iS/~&f~~ on property I own which Limited Energy/Commercial I $ 45,00 '1-5. -
IS not mtended for SlUe. le~ or rent. . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
THIS PERMIT SHALL EXPIRE IF THE WpM:;,--------- ---, ,
OwnersSignatur~iUTHORIZED UNDER THIS PERMIl4"Sc'N'61,01;4LOFABOVE I ~1s: -
COMMEN~ED OR IS ABANDONED FORs% State Surcharge 3. (pO
ANY 1 ~O DAY PERIOD, 10% Administrative Fee .cr. o;-zi
S'7. loP c^- ;;1..;1.~
Inspection Request: 726-3769 1'61' AL "'c:. '2. c:--
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7}1If " {)I \00 \ d,.~\
Shared Drive(T:YBuilding Forms/Elet:tricaJ Pennit Application 1-06.doc
.
.CITY OF SPRIr~'--l'lJ'..L1}
Building/Combination Permit
PERMIT NO: COM2006-01251
ISSUED: 12/0112006
APPLIED: 09/29/2006
EXPIRES: 06/0112007
VALUE: $ 46,000,00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3169 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant infill- All State Insu~ance
Owner: B-ENTON PROPERTIES LTD
Address: 980 WILLAMETTE ST
EUGENE OR 97401
I CONTRACTOR INFORM A TION I
Contractor Type
Architecl
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
NAGAO PACIFIC ARCHITECTURAL P.c.
COLBERG COMMERCIAL lNC
BIG C ELECTRIC LLC
BEST TEL LLC
HOME COMFORT HEATING & AIR
RA YMIE JASON HOYT
License
Expiration Date
91666
156428
148256
84164
157734
07/1112007
07/25/2007
07/05/2007
06/25/2007
11/17/2007
Phone
541-687-9600
541-344-4242
541-744-8946
541-842-1000
541-345-2838
541-689-4235
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
881
VB
n/a
9
I DEV~LOPME1" mrORMATION I
REQUIRED PARKING
Front yard Sethack: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side ,2 Setback: . ._' Paved Drive 1WI'rENTION: Oregon law requlJ@OlpPd
Rearyard Setback: % of Lot CovfOfflllN rules adopted by the Oregon Utility
Solar Sethacks: Notification Center. Those rules are set forth
II:U I I,,:;:; '~~-UUI-UUIU UIlUUYIIV"'-':':''::''''';'
THIS PERMIT SHALL EXPIRE-IF H:~~~~:I.MPROV: ,- "Mtlnay obtain copies of the rules by
Street IlI,'p,mrm~~~m UNDER THIi1u"~II':"pIo~dmT calling thecetild~w(lUo~~tel~pho~e Curbside 5'
Storm sew"i-,'AV'3ilaHie1 OR IS ABANDONED hY~ nl.omberforth~Ilt\,Wjl\tYlI.tt.?)~lficatiO~urb and Gutter
Speciallristiiil~t!0J10AY PERIOD. Center Is 1-80~~:w. . ,
Notes:
Paee 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommflndfPublic
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 50/0 Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 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
Minimum/Adjustment Mechanical
Perm Serv/Fdr 200 amps or less
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
.
.CITY OF SPRINGFIELD'
Building/Combina~ion Permit
PERMIT NO: COM2006-01251
ISSUED: 12/0112006
APPLIED: 09/29/2006
EXPIRES: 06/0112007
VALUE: $ 46,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
46,000.00
$46,000.00
$46,000.00
09/29/2006
Value
Date Calculated
Total Value of Project
Fpp< P'l~
Amounl Paid
Date Paid
Receipt Number
2200600000000001364
1200600000000001605
3200600000000000568
1200600000000001605
3200600000000000568
1200600000000001605
3200600000000000568
1200600000000001605
3200600000000000568
1200600000000001605
1200600000000001605
1200600000000001605
1200600000000001605
1200600000000001605
1200600000000001605
3200600000000000568
1200600000000001605
1200600000000001605
1200600000000001605
1200600000000001605
1200600000000001605
2200600000000001640
2200600000000001640
2200600000000001640
2200600000000001640
$225.71
$10.00
$9.30
$53.64
$4.65
$22.41
$7.44
$35.86
$30.00
$31.00
$347.25
$88,10
$56.00
$24.00
$15.00
$63.00
$138.90
$197.90
$260.30
$22.91
$6.00
$4.50
$2.25
$3.60
$45.00
9/29/06
11/3/06
11/3/06
11/3/06
11/3106
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3106
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
12/1/06
12/1/06
12/1/06
12/1/06
$1,704.72
I Plan Reviews I
Paee 2 of5
~ii . . CITY OF SPRINGFIELD
~!,
"",., ",'",-;rr Building/Combination Permit
Status Issued PERMIT NO: COM2006-01251
225 Fifth Street, Springfield, OR ISSUED: 12/01/2006
541-726-3753 Phone APPLIED: 09/29/2006
541-726-3676 Fax EXPIRES: 06/01/2007
541-726-3769 Inspection Line VALUE: $ 46,000.00
Fire Department Review 10/09/2006 1110212006 OK GRG Plans Review: Tenant Infill for
insurance office. Job
#COM2006-01251. Occupancy
Classification: B, Construction
Type: V-B. 881 sq. ft. Occupant
Load: 9.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Provide lire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top ofthe extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springlield Fire Code
906).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
Initial Review 10/03/2006 10/03/2006 APP LLH Fire Fee and Addressing fee apply-
first time lease space
Plan Review Comments 10/25/2006 10 JMP WE. Received partial response 10
structural comments. Faxed energy
code forms to Jack Foster. See
attached document for cover for
special inspection forms faxed to
Ray Aliperti.
Plan Review Comments 10/26/2006 10 JMP WI. Received Special Inspection
forms from Ray Aliperti of PSI.
Planoine Review 10/09/2006 10110/2006 APP EMM
Paee 3 of5
.
. CITY OF SPRI~t.t<lJ!,LD
Building/Combination Permit
. PERMIT NO: COM2006-01251
ISSUED: 12/01/2006
APPLIED: 09/29/2006
EXPIRES: 06/01/2007
VALUE: $ 46,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Pnblic Works Review 10/09/2006 10/16/2006 APP CJS called architect (Nagao Pacific) for
information on previous tenant type
of husiness and demo'd DFU's;
architect will call hack with info.
10/13/06 CJS
Builder called hack; new space with
1st tenant so no SDC credit for
previous DFU's. 10/13/06 CJS
Added SDC's for new DFU's.
10/16/06 CJS
Structural Review 10/03/2006 10/11/2006 WE JMP Received 10/9/2006. See attached
documents for 8 structural
comments faxed to Ken Nagao.
Structural Review 11103/2006 11103/2006 APP JMP Received final internal approval.
SUB Review 10/30/2006 10/30/2006 APP JF
SUB Review 10/09/2006 10/16/2006 WE JF JMP called Ken Nagao to request
the energy code forms and he said
that he will direct the subcontractor!
to provide those forms.
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wiH be made the same working day, inspections requested after 7:00 a.m. wiH be made the following work
day,
~eollirerunsnections 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 heen met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumhing: 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
Rough Electric: Prior to Cover
Paee 4 of5
, ,
.
. CITY OF ~rKll~GFIELD'
Building/Combination Permit
PERMI:r NO: COM2006-01251
ISSUED: 12/0112006
APPLIED: 09/29/2006
EXPIRES: 06/0112007
VALUE: $ 46,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior 10 utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiou hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb
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 Ihe
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.
.. w..." ...l...!;r.;f
c It-/; It!?
Yoate
Paee 5 of5
, .
.
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1251
COM2006-0125 1
COM2006-0 1251
COM2006-01251
Payments:
Type of Payment
Check
cRcceintl
.
inii'....... ,
~," C, ','h'"~~.,','__" ',:,
~'~'-".)_:j
<A of Springfield Official Receipt
.lopment Services Department
Public Works Department
RECEIPT #:
2200600000000001640
Date: 12/01/2006
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BEST TEL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 1349 In Person
Payment Total:
,
Page 1 of 1
IO:26:39AM
Amount Due
45.00
2,25
3.60
4.50'
$55.35
Amount Paid
$55,35
$55.35
12/1/2006