HomeMy WebLinkAboutPermit Electrical 2005-12-21
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Date }Z.-Z(~Or- Date
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LEGAL DESCRIPTION
/703 ZZZo
0'3/00
Authorized Signature
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3, :~'COjl'IPLETE FEE SCHEDULE.BELOW;,~').c:<'i:;t/Ji(:"X;";;;Ii;"
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Service Included
JOB DESCRIPTION 1000 sq. ft. or less
J 1 ( I 0 ~ l... #fA I '" t:ach additional 500 sq, ft, or
fi,O 0. c.tr(.M. ':) -",Pt":.'tEtl ~... portion thereof
Permits are non-transferable and expire if work is
not started within 180 days of issuance or iCwork is
Suspended Cor 180 days.
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Electrical Contractor D,..,.! "n \n.::> cl ,crTn <-
~, .
Address dIll::) U, ~ "c\ A \J e
City Gl.iljPI\P
Phone .~ :l';:;)C\ l
Supervisor License Number ;lS:;lO S
Expiration Date \ 0 . I . G'I
Constr. Contr, Number ~ G - I c,S c...,
Expiration Date 'I - \ - n v,
Signature of Supervising E . cian
~' ~
~/ZName ~~ ~~.~f!Ar-~
Tl.~s 5'80 lJ:{fAM",-~r;- ~t
City R.J...~~t Phone
01"-
OWNER INST ALLA TION
The installation is being made on property lawn which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: i26-3i69
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$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
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B. .':Se~f'aRIrft.IV~e(rers:;::rriSciIIiition;:A1tentionS:,o~Relocitioii:~M-~'t"l
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-...THIS"'i- 'RMIT SHALL EXPIRE IF THE-WORK' "
200 "'AUf~ ED UNDER THIS PERMltl~~OT
2001 ~i\lI ~OR IS ABANDONED!f
4 I Aij~ tf PPERIOD,' $1 .00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsIVollS $375,00
Reconnect Only $ 50,00
c. :IF.;y~1~iiiSr~~~9f1~~~~~:~1f1;~~i;t~f:~~fflifi~z~~
Inst.llation, Alteration or Reloc.tion
200 Amps or less $ 50.00
201 AmliHO=4001A'ffi!ps'Jregon law requires 6910010
401 Arliji~<to\600'l':'mps'opted by the Oregt$roifobty
over~6IliR~t~007 tOoOtV6IJr8~~rIJJ~6'v~re set forth
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New Alterailo_n'or"ExteriSion"er.IPalieI3'y'ie~110ne (~?
One Cifcuitlber for the Oregon Utility I W'$43iOO>n ..,. .:>
Each Additional:Gircuit or WiihJO-332-~9~4). '77
Service or Feeder Permit $ 3,00 c.--
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E. Miscellaneons-.(SerViCelfeeder.cnot;;inclilded) '-KacmInstall.tiom'.,
. ;,,:';:. ".,;',,..~,,. -,..-,...;'.".,'.. ,'..;:.:,.~~,::'..';,..:.."..:;'..,.'.:.:.;._.'.;~.' . ..'.., . :'.fU~_.$..:.;~",.., ,,~,,:-:"-,'..d
Pump or irrigation
SigniOutline Lighting
Limited EnergyiResidential
Limited Energy/Commercial
$ 50.00
S 50.00
S 25,00
S 45.00
Minimum Electric Permit Inspectioo Fee is 545,00 .;. Surcharges
p' . _~*,,~,>~.;.,.,...... ,.~ '-'U__",
4'~",~~,~~~:~~~P:~~:2:i~j::~2:7~L~
7% State Surcharge
10% Administrative Fee
70
l(P<>
7-
~, !!?
TOTAL
Shared Drivel T;)lBuilding FOnnslElecmcai Pennit Appiication i -03.coc
"
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01463
ISSUED: 12/0712005
APPLIED: 10/18/2005
EXPIRES: 06/19/2006
VALUE: $ 55,100.00
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'( 541-726-37691nspection Line
'U
,'SITE ADDRESS: 3177 Gateway St
, ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Restaurant
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Master Donut Tenant Infill.
Owner: BENTON PROPERTIES LTD
Address: 980 WILLAMETTE ST
EUGENE OR 97401
Contractor Type
Architect
, General
" Electrical
. Mechanical
',; Plumbing
Contractor
GARY MOVE ARCHITECT
CHAMBERS CONSTRUCTION
REYNOLDS ELECTRIC
COMFORT FLOW
TWIN RIVERS PLUMBING INC
I CONTRACTO~mf.;wI'fJIf)N!\ll EXPIRE IF THE WORK
AUTHORIZE:L Ul-IuER THIS PERMIT IS NOT
COMMENl1tqy~ IS AEilJOOttDQ mlie Phone
ANY 180 DAY PERIOD. 541-343-3658
114258 05/30/2007 687-9445
17252 02/08/2007 541-343-7297
460 06/27/2007 541-726-0100
17695 03/1112007 541-688-1444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories: Lot Size:
Height of Structure Sq Ft Ist Floor:
ATTEN liON' Oregon law rp'.;c,,'e, YOJ" eel
Type of Heat:. Sq Ft 2nd Floor:
Water T '~~;ow rules adopted by thes"F'tlB~s'i.w~\j't:
yp" . " Center Those rL"s', ~ro seL Il"'!1
Range Type: ' ~. ,an ,. Sq:Ft Gar~geJ51arport
Energy Path:. , ;,,2,001,0010 througSq'F"l'O'th'er:ulJ -
Sprinkled Building:;1', '; obl1itaCopie'OcHrPa~tIEO'a~Y
c 'h' "to. thp tplPnhnne
VB
, Frontyard Setback:
" Side 1 Setback:
. Side 2 Setback:
.. Rearyard Setback:
": Solar Setbacks:
, DEVELOPMENT INFORMATION' ' '1 Utility Notification
c.. .,:~. ~.,~,J2,2:;44), REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pa2e 1 of 4
. 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 CommlInd/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 70/0 State Surcharge
Backflow Device
Building Permit
Evaporative Coolers
Exhaust Hoods
Fixture
Furnace - more than 100,000
Furnace - up to 100,000 btu
- Gas Outlets 1-4
, Plan Review CommlInd/Public
Plan Review Fire & Life Safety
: Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend C1rc Ea Add
Total Amount Paid
, Fire Department Review
.
Initial Review
10/20/2005
10120/2005
.
. CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2005-01463
ISSUED: 12/07/2005
APPLIED: 10/18/2005
EXPIRES: 06/19/2006
VALUE: $ 55,100.00
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
55,100.00
Value
Date Calculated
'11129/2005
$55,100.00
$55,100.00
Total Value of Project
)?pp< PiilIJ
Amount Paid
Date Paid
Receipt Number
2200500000000001460
2200500000000001460
120050000000000t789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
1200500000000001789
2200500000000001726
2200500000000001726
2200500000000001726
2200500000000001726
$183,89
$113,16
$tO,OO
$54.71
$38.29
$14.00
$394.05
$9.00
$9.00
$84,00
$15.00
$12.00
$4.00
$72.24
$44.46
$143.00
$285.99
$376.11
$10.00
$6,403.76
$741.31
$390.96
$6.00
$7.00
$4.90
$43.00
$27.00
10/18/05
10/18/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/7/05
12/21/05
12/21/05
12/21105
12/21105
$9,496.83
I Plan Reviews I
10/28/2005
OK GRG
See attached document for Fire
Department Plan Review
Comments.
10/20/2005
APP SKG
Paee 2 of4
;- . . \...11 l' OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01463
225 Fifth Street, Springfield, OR ISSUED: 12/07/2005
541-726-3753 Phone APPLIED: 10/18/2005
541-726-3676 Fax EXPIRES: 06/19/2006
541-726-3769 Inspection Line VALUE: $ 55,100.00
Plannlnl! Review 10/20/2005 10/21/2003 APP EMM No occupancy until all items of Final
Site Plan Visit are complete.
Public Works Review 10/20/2005 11/08/2005 APP SB Tenant Infill SDCs added. (Fixtures
" and sanitary sewer plant only).
Structural Review 10/20/2005 10127/2005 WE JMP See attached documents for 3
structural comments faxed to Gary
Moye.
Structural Review 11/08/2005 11/0812005 10 JMP WE. Left a courtesy reminder
message with Tim for Bill and Gary
that we are stili waiting on the
response for the structural
comments In order to Issue the
permit.
Structural Review 11/09/2005 11/09/2005 10 JMP WE. Bill Aquino called and
requested that the structural
comments be faxed to him again and
so I did.
Structural Review 11/29/2005 11/2912005 APP JMP Received response from Brian
Erickson.
SUB Review 10/2112005 10/28/2005 APP JF
~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 Rpnnirptf In~npr~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
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.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy Inspections bave been requested and approved.
Rough Plumbing: Prior to cover and Including required testing.
Final Plumbing: When all plumbing work Is complete.
Backllow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
Rough Gas: After line Is Installed and required testing and capped If not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work Is complete.
Pal!e30f4
, -iii~
.
.
CITY OF ~rKll'\jut<lELD-
. Status
Issued
,
Building/Combination Permit
PERMIT NO: COM2005-0I463
ISSUED: 12/07/2005
APPLIED: 10/18/2005
EXPIRES: 06/19/2006
VALUE: $ 55,100.00
" 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54t-726-3769 Inspection Line
Final Mechanical: When all mechanical work Is complete.
SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
,
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 1 further 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 ofany structure without permission of the Community Services Division, Building Safety.
1 furtber 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 wlll remain on the site at all
times during construction.
Owner or Contractors Signature
Date
~
~
Pal!e 4 of 4
225 Fifth Street
I ~pringfieId, Oregon 97477
541-726-3759 Phone
Job/Jouroal Number
COM2005-01463
COM2005.0 1463
. COM2005-01463
COM2005-0 1463
Payments:
Type of Payment
CreditCard
.
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12/21/2005
.
RECEIPT #:
6
"ty of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200500000000001726
Date: 12/21/2005
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ELLEN REYNOLDS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 030899 In Person
Payment Total:
Page 1 of 1
1 :03: 12PM
Amount Due
43,00
27.00
4,90
7,00
$81.90
Amount Paid
$81.90 I
$81.90