HomeMy WebLinkAboutPermit Electrical 2006-1-20
.' CITY OF SPRINGFIELD, OREGON \.J'
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~1;~~~~:~~=;;~~;;~;~~ PH:(541)726-3753 . FAX: (541)726-3689 ~_ <J
City Job Number COW'\. 2~o!: - 00 b'3 Y Date J- 'Z-D - of.
1. LOCATIONOFINSTAI:LATION_ ~I 3.:- c;l!~!LE~EFEESl}l!f:,P~~ BEL()W _ _ _ _
'5 S- S; 0 G-A--b,;......., .. + ~/) I~O ""no
LEGAL DESCRIPTION -W / A. : N~w ~esi-dential-- Singl:;~.~l:~~-;::-t~~r dwelling unil.
170".3 I c; '3 '3. 617 00 ~ervi~~ Include~ ~ 0% ~-- . ~O"i~; 6, r6;~~:i'f&<11>
"'IJo ............ /7 ,s.o&--"fJst,
JOB DESCRIPTION 1000 sq, It or less "<&0. . "-.j'$'106,OlJ"Qc ,;,11610'1
ItJ...ti ,,_ Crv ~ -;--k ~~~~o~d~~~~~~ 500 sq. ft, or .s'{)"~f"r& ./, . "<1 "$~"'i"O
, 200 Amps or less. es you to $ 50,00
,....,. ,.,n l~w rc.nUlr
ATT<=I\ITION: v"OO:o>;mps to 4~0 Amssl Utility $ 69,00
, . ~ h" th~ Ire~ l
10\loW ruleg adr401eAmps to 6 0 AmpJset forth $100,00
, ' ' C tor, Those ru es '" v ,n <
i :.:.:,~::'., 1n en Oxer 600 Amp's ordOOO)Voltsrsee OOBOO above.
filno R952-0(\d.-Nlr~J~uC'i~~~~he-rlilesI5Y--- ------ -- - --1
SigWe fSu ervisin _ y umayoblalllWf""~- ___= ______________
- "'. 0 . I_~_ , the. t.....\pOllnne
1\' 9 Ce"'ew,Alteration or Extension.!'.er Panel I
ca In ,,-- N t T1CCl1lU," 1/"
__ --~~r for t, QnelGircUitUtilily 0 I $ 43,00 ., '"
/. I' 'V" ,-" centeF!!9h A'dditional-ei'rMil-or with ~ $ 3,00 ~ ,I
--:::> d V _ Service or Feeder Permit b c.- ,
Owners Name f-o _ ~""
! ~_______________ _____u _ __ _ .
Address Z, 'Z- T l- ..... ",""",- k. (, __ "1:(., J. E. l~!s<_~"an~_olls (Se,:,,~<!I:~eder not in_c1uded~E~<h In~all,:ti~n j
City e-u.. G-etv"~ . Phone bf'b ~ b6J""K Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended ror 180 days.
2 I CONTRACTOR INSTALLATION ONLY
. 1_ _ __ _, _ ____ .,,- _ _. _ , _
W,r.,.~~ fLEe. L..L..c.., ~),..
Electrical Contractor P'1i ~ ,".r.. t' or c ~...\ c..
Address 7Dl'i <;0 p,q I
City &1'.' , 7'105' Phone ~ e,~ - 5" z.oO
Supervisor License Number 'i 9J 50 1./ ~
Expiration Date /0 I., / 0 7
!'
Constr. ContI'. Number I '> Z- 7'" (p
Expiration Date
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-:7~~ ~ ,0\0
'\).N 0.:. ~
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
r---
B. - Services or Feeders -Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect On ly
$ 63,00
$ 75,00
$125.00
$163.00
$375.00
$ 50.00
C.~!-"mpora.')'_S!,:"ices ."':"-~eder~__
-~
Installation, Alteration or Relocation
Minimum Electric Permit Inspection Fs.e\.~~O + Surcharges
4. r:-ro;'~ ---~~1i1~{~-~al-; b f
l\Q't\t'f '\1~\\~.C1~\~'~~~~ -ia~- - :J b
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tol ~~et" .
t~'f{~~i .... 7~~
~ Shared Drive(T;)/Building FonnslElectrical Pcnnil Application J.06,doc
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-37691nspection Line
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00638
ISSUED: 10/14/2005
APPLIED: OS/27/2005
EXPIRES: 06/05/2006
VALUE: $ 10,500.00
SITE ADDRESS: 3550 GA TEW A Y ST
\ ASSESSOR'S PARCEL NO.: 1703153301700
Springfield TYPE OF
Carport
TYPE OF USE: Addition
. PROJECT DESCRIPTION: Carport and interior alterations existing Travelodge
Commercial
. Owner: ROD KEMPF
Address: 2121 FRANKLIN BLVD
EUGENE OR 97403
Contractor License
STONEWOOD CONSTRUCTION INC 120103
WIZARD ELECTRIC LLC 152766
R J PLUMBING INC 158500
/"\1 <-...... ...... ,..-- -. ,
follcl BUILDING'INFORMl\ToIONIYoU to
" . - -.--.-.............., ....... _1C"~Vl) UtIlity
~oliflcat'o'#C;;fsj~fiel:'lose rules are set forth
R_Iln OAR 95~1il1IiP~f 0 through OAR 952-001-
0090.You !jYpe'OfH~at:opies of the rules by
VA calling t1Water.irjipe~Jote: the telephone
number f'Riilige!.T:ylte:,n Utility Notification
C'Energy Path~-332-2344).
Sprinkled
Fullv Improved NOTICE:
Storm Sewer Available: Yes THIS PERMIT SHALL EJalIRHsliOii~K
, Special Instruction: AUTHORIZED UNDER THIS PERMIT IS NOT
- Notes: Interior rem~del only changing from 119 roo,&QW.lfN,({,EU ~IS.h~~~oqP~inDs~~orksheet 8/15/2005 CAS
. ANY 180 LJAV ~tf{,tJij.
Contractor Type
General
Electrical
Plumbing
"
, # of Uni1s:
Primary Occupancy Group:
Secondary Occupancy
, P'rimary Construction Type
: Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
, Street
Pbone Number: 541-686-6658
I CONTRACTOR INFORMATION I
Expiration Date
02/04/2006
09/0512006
01/3012006
Phone
54 I -485-6638
541-484-5200
541-521-1381
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Disl:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
Curbside 5'
To Storm Sewer
1 of 5
.
.
CITY OF SPKll"HJ1<IELD
. Status: Issued
225 Fifth Street, Spriogfield, OR
, 541-726-3753 Phone
! 541-726-3676 Fax
, 541-726-3769 Inspection Line
Building/Combination Permir
PERMIT NO: COM2005-00638
ISSUED: 10/14/2005
APPLIED: OS/2712005
EXPIRES: 06/05/2006
VALUE: $ 10,500.00
I Valuation Descriotion I
Description Type of Coostruction
Bid Amount Use Bid Amount
$perSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,500.00
Value
Date Calculated
Total Value of Project
$10,500.00
$10,500.00
12/2112005
L.Ff'f'S Paid I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $409.92 5/27/05 3200500000000000259
+ 10% Administrative Fee $35.52 10/4/05 2200500000000001371
+ 7% State Surcharge $24.86 10/4/05 2200500000000001371
Add, Alter, Extend Circ $43.00 10/4/05 2200500000000001371
Add, Alter, Extend Circ Ea Add $15.00 10/4/05 2200500000000001371
Building Permit $115.20 10/4/05 2200500000000001371
Fixture $182.00 10/4/05 2200500000000001371
Plan Review Fire & Life Safety $46.08 10/4/05 2200500000000001371
Plan Review/Com,lnd,Pub Hourly $90.00 10/14/05 2200500000000001447
+ 10% Administrative Fee $6.70 1/20/06 1200600000000000065
+ 8% State Surcharge $5.36 1/20/06 1200600000000000065
- Add, Alter, Extend Circ $43.00 1/20/06 1200600000000000065
Add, Alter, Extend Circ Ea Add $24.00 1/20/06 1200600000000000065
-
Total Amount $1,040.64
I Plan Reviews I
~
2 of 5
~iii- . . ' CITY OF SPRINGFIELD
I . ~ ", .
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-00638
225 Fifth Street, Springfield, OR ISSUED: 10/14/2005
541-726-3753 PhoDe APPLIED: OS/27/2005
541-726-3676 Fax EXPIRES: 06/05/2006
541-726-37691nspection Line VALUE: $ 10,500.00
Fire Department Review 05/31/2005 07/05/2005 OK GRG Plan Review: Exterior and Interior .
-
remodel-exterior canopy and
interior conference room. Job
#COM2005-00638. Occupancy
Classification: R-t. Construction
Type: V-A Sprinklered.
Maintain fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
Ooor (2004 Springfield Fire Code
906).
Extend sprinkler coverage to canopy
(NFPA 13-2002,8.14.7.1).
If more than 20 sprinkler heads are "
added or require relocation, suhmit
sprinkler plans and calculations to
Springfield Fire Marshal's Office fOI
review and approval. If less than 20
sprinkler heads are relocated,
provide submittal showing
relocation of sprinkler heads and
ensure system maintains compliance
with NFPA 13 requirements.
Fire Department Review 08/05/2005 10/07/2005 OK GRG Revised plans.
Plan Review: Revision - Exterior
and interior remodel and Interior
conference room. Job
#COM2005-00638. Occupancy
Classification: R-l. Construction
Type: V-A Sprinklered. Canopy is
not being installed. See plans review .
comments from 7/5/05. Revision
reviewed by mfechtel. Supervised by .
Gilbert Gordon.
Initial Review 05/31/2005 05/31/2005 APP LLH
Plannin!! Review 05/3112005 06/2412005 APP Steve Rohinson will bring in revised
site plan showing two additional
parking spaces. Received revised
plot plan on 6/24/05.
Plannin!! Review 08/05/2005 08/12/2005 APP EMM Revised plans.
Public Works Review 08/05/2005 08/15/2005 APP CAS Revised plans. Interior remodel
only; changing 119 rooms to 102
rooms SDC credit noted on
worksheet
3 of 5
. . CITY OF M"KlNGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-00638
225 Fifth Street, Springfield, OR ISSUED: 10/14/2005
541-726-3753 Phone APPLIED: OS/27/2005
. 541-726-3676 Fax EXPIRES: 06/05/2006
541-726-3769 Inspection Line VALUE: $ 10,500.00
Public Works Review 05/31/2005
Structural Review 10/14/2005 10/14/2005 APP JMP Revisions to tbe ADA suite.
Structural Review 05/31/2005 06/10/2005 WE JMP Met with Jeff Morton who said to
place the job on hold until they
decide how extensive they want to
make a revised set. Also requested
the 4th set and the 2 sets of energy
- code forms for SUB's approval.
Structural Review 06/24/2005 06/24/2005 10 JMP Left a message with Corrine for Jeff
Morton asking for a status update
on scheduled revised set.
Structural Review 08/05/2005 08/15/2005 WE JMP Jeff Morton delivered revised plans.
See attached documents for 6
structural comments faxed to Jeff
Morton.
Structural Review 08/25/2005 08/25/2005 10 JMP WE. Received revision for ADA
restroom-relocated the toilet. Still
waiting on the halance of the
responses to the comments.
Structural Review 09/29/2005 09/30/2005 APP JMP Received response to structural
comments from Josh Shafer.
Forwarded energy code forms to
David Harris. Received final
internal review.
SUB Review 09/30/2005 09/30/2005 APP DH No energy code issues or Inspectlons
- on the suite conversions which Is the
only portion to be permitted at this
time.
SUB Review 08/05/2005 08/1212005 WE JF Revised plans. JMP left a message
for Jeff Morton requesting energy
code forms and worksheets.
To Request an inspection caD 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. wiD be made the following
work day.
I Reouired I nsnections I
111 II
Framing Inspection: Prior to cover and after ail rough in Inspections have been approved.
Drywall: Prior to taping.
Flnat Fire Department. After ail requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested aDd approved and the building Is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When ail plumbing work is complete.
Rough Electric: Prior to Cover
Finat Electric: When all electricat work is complete.
4 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERl\fiT NO: COM2005-00638
ISSUED: 10/14/2005
APPLIED: OS/27/2005
EXPIRES: 06/05/2006
VALUE: $ 10,500.00
By signature, I state and agree, that I have carefully examined the completed applicatioo 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 wiD be made of any structure without permission ofthe Community Services Division,
Building Safety. I further certify that only cootractors aDd 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 readabte from
the street, thatthe permit card is located at the front of the property, and the approved set of plans wiD remain on the site
at all times during construction.
Owner or Contractors Signature
5 of 5
Date
I'
.
.225 Fifth Street
Springfield, Oregon 97477
5~1-726-3759 Phone
G~
1tIL-
Aity of Springfield Official Receipt
"IIIIIIJevelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00638
COM2005-00638
COM2005-00638
COM2005-00638
Payments:
Type of Paymeot
CreditCard
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1/20/2006
'L
RECEIPT #:
1200600000000000065
Date: 01/20/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PACIFIC ELECTRIC
Reeel ved By
djb
I of I
Item Total:
LhecK NwnDer AUUlOnzation
Batch Number Number How Received
099788 In Person
Payment Total:
I2:00:20PM
Arnoonl Due
43,00
24,00
5.36
6,70
$79.06
Amount Paid
$79,06
$79.06