HomeMy WebLinkAboutPermit Electrical 2005-5-5
. Permits are non-transferable and expire if work is
" not started within ISO days of issuance or if work is
Suspended for ISO days.
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225 n...n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-36S9
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LEGAL DESCRIPTION A,
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1 1
JOB DESCRIPTION
Service Included
10QO sq. ft. or less
Each additional 500 sq, ft.or
/"7 D3 :::1':), d (]7) / 7l5V
Electrical Contractor _" 1:.;' ,Nl L -rr:.CN'
Address
S-JII {AI /.-,'j 7n..1::f/
<;;"2/-2.83?-
Phone
City. ~......;
Supervisor License Number
17h<7lI'J..4
Expiration Date
'''\ - rye-
Constr. Contr. Number
/ -nj;(/A
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Expiration Date A - (>9/ - ~ <'"
Over 600 'Amps or 1000 Volts see "B" above.
Signature ofSupervisins Electrician D. ~$tQit~~~~
~ ~ ~/ New Alteration or Extension Per Panel
~P~..._z, ......-____~.---. One Circuit $ 43.00
-, , ".. .EachAdditional Circuit or with
Owners Name ~PW1tL\p,) \ ~ Service or Feeder Pennit '. $ 3.06
Address ~ ~ ~~~~~~?~~~~ii~~
. City~. ..., ~~one 1.4.\ ?~ Pump or irrigation $50.00
a ftn,(J Sign/Outline Lighting $ 50.00
OWNER S ~~, . Limited EnergylResidential $25.00
The installation is being made on property I own which Limited Energy/Commercial X $ 45.00 t\ c::; .(;t)
is not intended for sale, lease or rent MInImum Electric Permit Inspection Fee is $45,00 + Surcharges
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Owners Signature:
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7% State Surcbarge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shmd Drive(T:)IBuilding Forms/Electrical Pcnnit Application 1-lJ3.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00304
ISSUED: . 05/02/2005
APPLIED: 03/17/2005
EXPIRES:.; ,,' 'li/02/2005
VALUE: $ 186,087.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PROJECT DESCRIPTION:
Brenner's tennant infill,
QU ,,-
Springfield TYPE OF WO~~J\tlifi ~ \.l\\\\\'I
1 0,01' \a'tJ e 01egon \ \01\\"1
p;nc~i\:':~o~&~~~~~ 1Jt~~ ~~2-00~- Commercial
10\\o.'tJ _:~nj\ cej\\~~~ 0 \n101l~~ n\ \ne {Il\~~", 1>/
NOC;;\'- 952-\J~~ ~'ola:\j\ ~1fti9..u,'\II'l.,t~~\iI'llA.-746-8444
\~090. '{oil ;e cej\\e1. ~ On \.l\\\I\'! ~4~)' .
ca\\\j\g : '1" \ne 01e~(\O_:?>:?>2-2'3
nlln\V~ ,,01\le1 '" \
I CONTRACTOR INFORMATION I
SITE ADDRESS: 3306 Gateway St
'l ASSESSOR'S PARCEL NO.: 1703222001700
Owner:
Address:
NEWGATE LLC
840 BELTLINE RD STE 202
SPRINGFIELD OR 97477
Contractor Type Contractor License Expiration Date Phone
Architect AFFOLTER WEST & JONES 541-342-6511
General MElLI CONSTRUCTION CO 63771 02/12/2006 541-485-1417
Electrical REYNOLDS ELECTRIC 17252 02108/2007 541-343-7297
Mechanical HOME COMFORT HEATING & AIR ,84164 , 'PIRE IF 06/25/:Z00,!'" 541-345-2838
Plumbing ROBINSON PLUMBING INC '10712~ L_~,C D\CR,Om3/20051 541-345-6909
, I BUlLDINGINFORMATioN'~';B"NOONEO FOK
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, .' t\\\OU
# of Units: #ofStories: \b~ \)1''/ \-' . Lot Size:
,U, ,
Primary Occupancy Group: M Height of Structure Sq Ft Ist Floor:
Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type VB Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Tr.ees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
Paee 1 of 4
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; 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 CommllndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Building Permit
Fixture
Furnace - more than 100,000
Gas Outlets 1-4
Perm ServlFdr 200 amps or less
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
03/18/2005
Initial Review
03/18/2005
Plan nine Review
Public Works Review
03/18/2005
03/18/2005
.
. CITY OF ~rK11'lhJ:'lELD .
Building/Combination Permit
PERMIT NO: COM2005-00304
ISSUED: 05/02/2005
APPLIED: 03/17/2005
EXPIRES: 11/02/2005
VALUE: $ 186,087.00
I Valuation Descriotion J
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
186,087,00
Value
Date Calculated
Total Value of Project
$186,087.00
$186,087,00
04/13/2005
Fppo tiWIJ
Amount Paid
Date Paid
Receipt Number
$526,11
$323,76
$10,00
$127.94
$89,56
$96.00
$31.00
$848.40
$154.00
$45.00
$4.00
$126.00
$25.35
$15.60
$6.00
$4.50
$3,15
$45.00
3/17/05
3/17/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4/25/05
4125/05
4/25/05
4/25/05
5/2/05
5/2/05
5/2/05
2200500000000000301
2200500000000000301
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
2200500000000000489
1200500000000000547
1200500000000000547
1200500000000000547
$2,481.37
I Plan Reviews I
04/06/2005 OK
GRG
See attached document for Fire
Department Plans Review
comments.
Left message for Reynolds Electric
requesting approval to use their
signed electrical permit application,
Gerald called back in p.m. with
approval and information for
permit.
03/18/2005 APP
LLH
03/29/2005
04/06/2005
APP EMM
. APP SB
No SDCs, Residual credit from
Hotel,
Paee 2 of 4
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2005-00304
225 Fifth Street, Springfield, OR ISSUED: 05/02/2005
541-726-3753 Phone APPLIED: 03/17/2005
541-726-3676 Fax EXPIRES: 1110212005
541-726-3769 Inspection Line VALUE: $ 186,087.00
Structural Review . 04/1312005 04/1312005 10 JMP WE. Received a response from
David Jones to the structural
comments. CaUed David to let him
know that we are still waiting for
Items 5 and 6 to be completed,
Structural Review 04/14/2005 04/14/2005 10 JMP WE. Received a fax from David
Jones with the Special Inspection
and Testing forms. Still waiting for
the Seismic design for RTUs,
Structural Review 04/21/2005 04/21/2005 10 JMP WE, Received fax from Wally
Elling with Home Comfort giving a
sketch and notice of change from the
HV AC ducting system shown on the
plans to a supply and return drop
system.
Structural Review 04/2512005 04/25/2005 APP JMP Received fax from Andy Renfro
requesting the permit be issued with
a deferred submittal for the HV AC
seismic calculations.
Structural Review 03/18/2005 04/01/2005 WE JMP See attached documents for 8
structural comments faxed to David
Jones.
SUB Review 03/18/2005 03/28/2005 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.
UeollireCUnsnections I
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: Following City Rough Mechanical inspection approval and prior to any cover,
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover,
Structural Welds: To be done during construction by State Certified Special Inspector, Provide inspection test
results to City Building Inspector,
Final Fire Department. After all requirements of the Fire Department have been met.
Page 3 of 4
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. 1...11 l' OF SPRIr'll..l'u'LD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00304
ISSUED: 05/0212005
APPLIED: 03/17/2005
EXPIRES: 11102/2005
VALUE: $ 186,087.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
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 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,
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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 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
timesd. uring cons:d
~ ~_.. .---/ S-2-6S/"
O';ner or,{';n~r~ctors Signature Date
Pal!e40f4
225 Fifth Street
Springfield, Oregon 97477
5~1-726-3759 Phone
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Jii1Y of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200500000000000547
Date: 05/0212005
9:16:37AM
Job/Journal Number
COM2005-00304
COM2005-00304
COM2005-00304
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type or Payment
CreditCard
Paid By
ED HUDDLESTON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 002211 002211 In Person
Payment Total:
Amount Due
45.00
3.15
4.50
$5Z.65
Amount Paid
$52.65
$5Z.65
~,
5/2/2005
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