HomeMy WebLinkAboutPermit Electrical 2006-11-3
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Date /1- 03 - 2..cro 0
ll5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-375J . FAX: (541)726-3689
ELECTRlC~ PERMIT APPLICATION
City Job NumberGni?12 /~(~ _ () [d S /
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LEGAL DESCRlP~
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rESCRIPTION
JJ9 /VI /J ",,':i In r eLL-
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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1 CONTRACTOR'INSTALLATION ONLY: "
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Electrical Contractor 8 io {! E!ec..fr'G IIC.
/
Address 3'1'-/ (>al<tb'f',-J<u' 51,
i
City Sf fJl,
Phone 7'1 z.; '8'7'1 C
Supervisor License Number ? l/ l) '-I .5
Expiration Date /6 - () ( - 07
ConstL Contr, Number / '5 (, l( 2 &"
Expiration Date <r - () f. !) 7
Signature of Supervising Electrician
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Owners Name .f3vn kY'J ' /loa; A -rUJ)
Address q 80 J..J~.~ ~
Cirl3.LtA1 fi'/'/ Phone
- 012- 97<-,101
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
3. ~~coMPiiiEFEESCHE,'~~DUf.E:IllilO"zf~~*:~'~;~f4~"
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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 DwelhQg ,S.V,'I~e or $50 00
F d ~oll ',l;,., - '
ee er OW ru/~ "'~""'l "_1'...'
N '. ~"adnpt d ''''-1<;11''",,_
rw:~~':2'.~,.9~!frea'Hf:)h"1:'f".~.~' tt~..",@.; ;by::th~:.ti;-g,:s:r\~tl~}1~~~~f~RS'.~o;J
B. ~~e~~~.~c,,=~;or~F e.e4.~rs~Jn:~t:iJ!_,ti~n~ Alt~~~ati!{Jj~. '9i1'~rJ~~~tictn:}.;,;;
00)'oagO:~~~2'OOr:1f6roih~~r~es-ate~e;ti~~~'\'~:;;"
200 Amp~or less may Obtain cc _.9( OA& 63;Q.oO("29 3
.., limn the ,..,.. ,..m;:;~ or rt: .
201 ArollMoe400 .....mpsnter. (No'-' " $17,5,095 h.
IJ rrO"fho 0 '-. "'e' le/rc -' ~
40 I Amps to 600 Amps regon I '0:,,., $'1'2,5100)
....enter i~ 1 8 .....y IVot;1; - .
601 Amps to 1000 Amps - 00-3~?_'):?~.;)$1'63toon
Over 1000 AmpsNollS '$375,00
Reconnect Only $ 50,00
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C. t~T cmp' orarv ,Services :or.F eede'rS~;1!f~i--::.~.j~~~J.;H.N'.\1:.'~,~~i.~::".+..?~,....\ I,' i
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Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
'401 Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
<?ver_ 600 Amp! '?! I~O? V?~t~!':,. :'B" ab~~e;n , _,.. ..
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. ~~ rane,', IrCUJts,""-",J';~'.jAV ,r;,;'-'~K',wY-}f-""< "..:A;.'Y-.\'f';l;i.'...'1 <' "-".11.:"," <; '~.'~I
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N'W~f~i!,n or Extension Per Panel ..
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S~PIlR~~<i-'i9l(frwER THIS roo v liS' Nor r.
rCOMMEN(}E()rPRctS"ARANnflNl:r:n:nl'r'''"~:'' v<.-'"~' """n '
E. ~~181jWS~.(~f~loegr~1t,:;!~~1~E~~~D'{s~~ii1r~;;
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. ,-SUBTOTAL OFABOVE :?c~\J~r,l;""i:''':l;:,'~. ;
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8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drivc(T:)/Building Fonns/Electrical Permit Application I-06,doc
~25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01251
COM2006-0 1251
COM2006-0 1251
COM2006-0 1251
COM2006-0 1251
Payments:
Type of rayment
CreditCard
cRcceintl
.ir~
Ci~f Springfield Official Receipt
D.pment Services Department
Public Works Department
RECEIPT #:
3200600000000000568
Date: 11/03/2006
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
+ 5% Technology Fee
Paid By
BIG C ELECTRIC
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
njm 028322 028322 In Person
Payment Total:
Page I of I
I :45:08PM
Amount Due
63,00
30,00
9.30
7.44
4,65
$114.39
Amount Paid
$114,39
$114.39
11/3/2006
.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01251
ISSUED: 11/03/2006
APPLIED: 09/29/2006
EXPIRES: 05/03/2007
VALUE: $ 46,000,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Insurance
Owner:
Address:
BENTON PROPERTIES L TD
980 WILLAMETTE ST
EUGENE OR 97401
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor 'GO\'tI3dIbiW~~~ ~~XPiration Date
NAGAO PACIFIC ARCHlTECTU~~.'tIO G3':JN3\'i
COLBERG COMMEfi~~Nf51N N\~1!iM,\'tI0\11\\1:J 07/1112007
BIG C ELECTRIf /ttc\ 1\\'i'tl3d '3\\11 'tI3~\1~5~\WH3d '3\\11 07/2512007
COMFORT FLOW ':S -:1111.:1\ 3'tlld)(.3 11 460 :"'~\lO~ 06/27/2007
RAYMIEJAsoN)ii~:ln 157734:1 11117/2007
BUILDING INFORMATION I
Phone
541-687-9600
541-344-4242
541-744-8946
541-726-0100
541-689-4235
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
Height of Struclure Sq Ft 1st Floor: 881
Type of Heat: g_ \ S\ Ja\Ua~[rH'1!UFloor:
Water Type:".."z-Z~~-OO "aJO aLl\ JCSq, .Ft Basement:
\v v~ UOu . C' \\,.~...,
Range Typ.e:O" ,<.\\\\\(1 ) 'Ja\Ua:> a'Sq FH;;arage/Carport
,..../III\~ \'11 oN -, t\'Ou~
Energy' Path,: lal aLl\ :a\ 'ClO ,<.'e~Stl'Ft'Otlier'l\
SpriIiIiIC"<i:ii'.1ilding:saldO:> uw,.. 0 \OCOCcup~;-N'Load: 9
. _,,",tn1 8tH r.: ...._.....11\ r\lU . -,.....llo:~'l\\U\\i
I DEVELOPMENT'INFORNiATIONIJf~~~~J~\nJ MOI~~~
\JO\ \"~ -- 0 aLl\ 1\'-\ \-'~\ 'NOIl.N3REQUlRED PARKING
" ..,() uooaJ uooa,IO. ,
Overla~\n~~i, S8J\(1D8J M'e\ Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VB
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Notes:
P.~e I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review Comm/IndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Add, Aller, Extend Circ Ea Add
Addressing Assignment
Building Permit
Fire SF Fee - Non-Residential
Fixtu re
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 - Reimhursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount Paid
.
a:ITY OF ~rIuNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01251
ISSUED: 11/03/2006
APPLIED: 09/29/2006
EXPIRES: 05/03/2007
VALUE: $ 46,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
46,000.00
Value
Date Calculated
$46,000.00
$46,000.00
09/29/2006
Total Value of Project
Fpp~
Amount 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
$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
9/29/06
11/3/06
11/3106
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/~/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
11/3/06
'"
$1,649.37
I Plan Reviews I
Paee 2 of5
. -=ITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2006-0I25I
225 Fifth Street, Springfield, OR ISSUED: 11/03/2006
541-726-3753 Phone APPLIED: 09/29/2006
541-726-3676 Fax EXPIRES: 05/03/2007
541-726-3769 Inspection Line VALUE: $ 46,000.00
Fire Department Review 10/09/2006 11/0212006 OK GRG Plans Review: Tenant Infill for
insurapce 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
50I.2 and 2004 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating ofl-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
1100r (2004 Springfield 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 to
structural commeuts. 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 Speciallnspectiou
forms from Ray Aliperti of PSI.
Plan nine Review 10/09/2006 10/10/2006 APP EMM
Paee 3 of 5
.
6:ITY OF ~rKH~t.l'IELD
Building/Combination Permit
PERMIT NO: COM2006-0125I
ISSUED: 11/03/2006
APPLIED: 09/29/2006
EXPIRES: 05/03/2007
VALUE: $ 46,000,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Puhlic Works Review
10/09/2006
10/16/2006
APP CJS
caUed architect (Nagao Pacific) for
information on previous tenant type
of business and demo'd DFU's;
architect will caU back with info.
10/13/06 CJS
Builder caUed hack; new space with
1st tenant so no SDC credit for
previous DFU's. 10/13/06 CJS
Structural Review
10/03/2006
10/1112006
WE
JMP
Added SDC's for new DFU's.
10/16/06 CJS
Received 10/9/2006. See attached
documents for 8 structural
comments faxed to Ken Nagao.
Received final internal approval.
Structural Review
SUB Review
SUB Review
11/03/2006
10/30/2006
10/09/2006
11/03/2006
10/30/2006
10/16/2006
APP
APP
WE
JMP
JF
JF
JMP caUed 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.
will be made the same working day, inspections requested after 7:00 a,m. will be made the following work
day.
UeollirerUnsnections I
Framing Inspection: Prior to cover and after aU rough in inspections have heen approved.
Ceiling Grid: After drywaU approval hut prior to cover.
Final Fire Department. After aU reqnirements of the Fire Department have heen met.
Final Building: After aU required inspections have been requested and approved and the huilding is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: Wheu aU plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete.
SUB Final: After aU required energy inspections have been requested and approved.
SUB Mechanical: FoUowing City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Rough Electric: Prior to Cover
Pa!!e 4 of5
~u:.~'
~~
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01251
ISSUED: 11/03/2006
APPLIED: 09/29/2006
EXPIRES: 05/03/2007
VALUE: $ 46,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined Ihe 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
slreet, 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
Date
Pa2e 50f5