HomeMy WebLinkAboutPermit Electrical 2007-3-19
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225 FIFTH STREET. SPRlNGFlELD;;>.__ 477 . PH,(54I)726-3753 . FAX, (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~;::)()rX/J - f) lkb3
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JOB DESCRIPTION:
~~~~
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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,,'e@NrRAe7XJR,'INSTAIffJA.TI@N'@NEK'1
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Electrical Contractor ~P\J Way Electric,
Address P.O. Box 21403
City
Phone541-686-2365
Eugene
Supervisor License Number
<;?<;?~
Expiration Date ---.l 0-0] -07
Constr. Contr. Number
51088
Expiration Date
06-27-2007
Signature ofsuperv;sin;JJec 'cia
-"Ih
ownerU, " ~__ L.L-<:..-
Address gL\o~.QJ ~-Z02-
City ~Phone ~t.I---Ob(r..
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
Date
inc.
1000 sq. ft. or less
Each additional 500 sq_ ft. or
portion thereof $ 19.00
Each Min1ifa'ctl-cf HC)1ne:6r,.l.et-. I 1I..nv : ~4Ull c;~ you to
Modu]4oP~~linglSer\(ii!e:9i':ed by the Oregon UtiMy
F d . C te Thcu" .,-- ~1$500DO fro"
ee e~otlflcatlon en r. v~ I~,__ .. '" "...
, -'-ei:, "'1.-l'.::<:>..on:
B. ~,$.~~~~~ir.@l!:!!~~!_~~E;rll
200 Amp'SIOViag thlO centof. (N~t~: i1r.~ t.'3~!il~o~~,"8. o1J
201 ArrijisliOl!ioo'.f%p~,!ie. Orollgol\ -'I~ ~15tb'8al.v..
401 Amps to 600<A"'mp's'3r1S 1-8(N-.:lv'::-'~'12~_00
60] Amps to 1000 Amps $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
$106.00
C t;T'f".!!m~1),.'f.8J\~~<l~f'i~!M'~~11Ft<f1iiY.I.!~~il~!$ti~"ti.%~t;;iiE'~\'f;i;:.s~~,it.'~l;'~i.1l~1
. ~~mP-(),rca~y.t,,~ty!c..!t~;,9.~.,ee__.~r:~1< ~~:., ..:p) ,1;.",~~~-,:!;i:.I)~~~I~~i!$M.2
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above_
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'M'....'.'.',. .~~, "H,l.t.='~'-' . - ~._."..,.. -"~~' .r:JH;;.....r....~.,..... ;'''''~ , .,
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit $ 43.00
. E<N!M4:(idt,hal Circuit or with W1 ~E IAJOQI( I C1 /Jf ,'if'
S"TWis~ffffll\rrPS#i~U EXPIR .:1" $'3'1f-i ~
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liUMIVI
PU'mffiJtj~ti}J\ly PERIOD. $ 50.00
Sign/Outline Lighting $ 50_00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is $45000 + Surcharges
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8% State Surcharge
10% Administrative Fee
5% Technology Fee
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TOTAL ,3at.Qb
Shared Drive(T:)fBuiJding FonnsIElectrical Pennit Application 8-Q6.doc
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
SITE ADDRESS: 3348 Gateway St
ASSESSOR'S PARCEL NOo: 1703222001900
Springfield
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01669
ISSUED: 02/26/2007
APPLIED: 12/29/2006
EXPIRES: 09/19/2007
VALUE: $ 40,000.00
TYPE OF WORK: Restaurant
TYPE OF USE:. Alteration Commercial
ATIEi\\ IIVI"ll.V.\:..;:l....1 h...tV\ ....'1...:1....0 )fUU LU
follow rules adopted by the Ore~on Uti~ tv
Notification L;enter. Ph7.~~N bHl~8-i'\rI54i~8~!0616
in OAR 952-001-0010 through OAR 952-00
0090. You may obtain copies of the rules .
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. .,
--.....;:, .-. - ~ - -- - '" ---- --.- .-.-r"'...........
I CONTRACTOR INFORM~tJ()N re Or4(Jon Utility Notification
w".uris 1-8QO-332-23.:'4).
License Expiration Date Phone
63108 01/16/2008 503-238-3772
51088 06/27/2007 541-686-2365
148558 08/03/2007 541-461-8973
PROJECT DESCRIPTION: Starbuck's Tenant In fill.
Owner: 3346 GA TEW A Y LLC
Address: 840 BELTLlNE RDSTE 202
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Plumbing
Contractor
MEGA PACIFIC CO
NEW WAY ELECTRIC INC
STATEWIDE MECHANICAL LLC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMATION I
# of Stories: Lot Size:
A2 Height of Structure: Sq Ft 1st Floor: 1,700
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Nnnr.~kled Building: n/a Occupant Load:
I DI~flMEl'll'J)INR@RMi\IITON lHE WUKI\
AUTHORiZED UNUI:Ii I Hb t'tnlVllT IS NOT REQUIRED PARKING
COM~~1;l3:f])i$lR IS ABANDONED FOR Total:
ANY~~tr'1S\\'I(~~!Ml. Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Pa2e 1 of4
Sidewalk Type:
Downspoutsffirains:
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 CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Fixture
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Addressing Assignment
. Building Permit
Exhaust Hoods
Fixtu re
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 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
.
. Lll t' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01669
ISSUED: 02/26/2007
APPLIED: 12/29/2006
EXPIRES: 09/19/2007
VALUE: $ 40,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
40,000.00
Value
Date Calculated
Total Value of Project
$40,000.00
$40,000.00
12/29/2006
l..Fpp< PiWU
Amount Paid
Date Paid
Receipt Number
$202.90
$124086
$22.40
$11.20
$17092
$224000
$41042
$20071
$330\3
$31.00
$312015
$18000
$56000
$24000
$4000
$25020
$12.60
$20.16
$189.00
$63000
12/29/06
12/29/06
2112/07
2/12/07
2/12/07
2/12/07
2/26/07
2/26/07
2/26/07
2/26/07
2/26/07
2/26/07
2/26/07
2/26/07
2/26/07
3/19/07
3/19/07
3/19/07
3/19/07
3/19/07
2200600000000001766
2200600000000001766
2200700000000000189
2200700000000000189
2200700000000000189
2200700000000000189
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
1200700000000000202
2200700000000000371
2200700000000000371
2200700000000000371
2200700000000000371
2200700000000000371
$1,453.65
I Plan Reviews I
Paee 2 of4
. . CITY OF SPK11~ut<u..LU'
Building/Combination Permit
Status Issued PERMIT NO: cOM2006-01669
225 Fifth Street, Springfield, OR ISSUED: 02/26/2007
541-726-3753 Phone APPLIED: 12/29/2006
541-726-3676 Fax EXPIRES: 09/19/2007
541-726-3769 Inspection Line VALUE: $ 40,000.00
Fire Department Review 01112/2007 02120/2007 OK GRG Plans Review: Starbucks tenant
infillo Job #COM2006-01669.
Occupancy Classification: Bo
Construction Type: V -Bo 1700 sqo ft.
Occupant Load: 35.
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)0
Fire extinguisher location shown on
Plan Sheet G200. Fire extinguishers
shall have a minimum rating of
2-A:10-B:C every 75 feet of travel
distanceo The top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2004
Springfield Fire Code 906).
Exit signs shown on Plan Sheet E300.
Will verify on locationo
Emergency egress lighting shown on
Plan Sheet EJoO. Will verify on
inspectiono
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 202).
Initial Review 01102/2007 01/09/2007 APP LLH Fire Fee collected 9/8/2006 for shell -
18900 square feet which includes
this space 0 Addressing fee applies
to this application because only one
address was assigned and fee paid
(3346 Gateway) under original shell
permito
Public Works Review 01/12/2007 01116/2007 APP JHJ
Structural Review 01/12/2007
Structural Review 01/09/2007 01/12/2007 10 LLH Forwarded to Tom Rogers
Engineering for review under
contract with the City of Springfield.
SUB Review 01/12/2007 01/26/2007 APP JF
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01669
ISSUED: 02/26/2007
APPLIED: 12/29/2006
EXPIRES: 09/19/2007
VALUE: $ 40,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~r~~~.~
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspectiono
SUB Final: After all required energy inspections have been requested and approvedo
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any covero
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Electric Service: Approval required prior to utility company energizing serviceo
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 Safetyo
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projecto 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
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
<;& of Springfield Official Receipt
.eIopment Services Department
Public Works Department
RECEIPT #:
2200700000000000371
Date: 03/19/2007
9:31:59AM
Job/Journal Number
COM2006-0 1669
COM2006-0 1669
COM2006-0 1669
COM2006-0 1669
COM2006-0 1669
Description
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Penm ServlFdr 200 amps or less
Payments:
Type of Payment
CreditCard
Paid By
NEW WAY ELECTRIC
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
ddk 119113 Phone
Payment Total:
Amount Due
189_00
12_60
20_16
25.20
63.00
$309.96
Amount Paid
$309.96
$309096
cReceintl
Page I ofl
3/19/2007