HomeMy WebLinkAboutPermit Electrical 2004-7-26
225 FIFTH STREET .
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726.3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3555 Gateway #200
LEGAL DESCRIPTION
1703/C:;33
() 0700
JOB DESCRIPTION
Tenant infill
Penn its are non-transferable and expire
if work is not started within 180 days
ofissuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor JB ELECTRIC, INC.
Address 4685 Isabelle SI.
City Euaene, OR 97402 Phone 541,687,5770
Supervisor License Number 3872S
Expiration Date 10/1/04
Constr Contr. Number 37587C
CCB
104929
Expiration Dale
1 n/1'gy.
"3/11./~,
<" ''=\- eJU
\0 -\-Ou,
Signature upervising Electrician
Owners ~e: Donnan Construction
Address 3555 Gateway #200
City Sarinafield, OR Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or ren!'
Owners Signature:
JB Job #
ELECTRICAL PERMIWPLlCA T~N
~o \9~
. ~~'?~o~
CityJobNumberr.L)"M zoo'-t''lrv..~6 '77
o -~/ '?~~.o
~~ . ~~.
3. COMPLETE FEE SCHEDUL~E W ~~ o.,..""'''~
0." ~ "'0 "IS'
~61: .. i'~ 05'Go:
A. New Residential.Single or O'~, "'9",~!l~.;;
Multi-Family per dwelling unie~../, (7 ~ .. ~ "'0'1
Service Included: G-"" ~ "'()~ ill.. /,<
~:'"
Items SUn..." -0"
0''6
G-.. ">,).
-"' '"
1000 sq. It. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
,,$50.00 $
B. Services or Feeders
Installation, Alterations or ~ 'fCl'S ~
Relocation: ~ - of89O" U\\~~_
ott ::-_",96 ~ t\9 ese se\ wo'"
oS~~~~&.Rg&2 .,00 $
$
!i~ nQOP\""'.-~~~5.00 $
19- t 0'l()\8"...-~,~.00 $
'0 ;~$"A). $375.00 $
R \{\ 'lbf \he ' ,:. $50.00 $
nUltl cen\8f \$ '\ '
c. Temporary Services or Feeders
200 amps or less
20 I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
B above
D. Branch Circuits ~ ~O\\~
New, Alteration~~~~K\,"{Ij'llJl)i\
\\Q~\C~~~'l;'~\.\.:I\\\S ~~~~~ ~O\\
i\\\S ~~~A'd~~'\'5'II<fI~~ or with Service
r>.\}1 .~~tFjiJl~ ~\'l. 3
CO\ll'" t;lr>.'l ~
~~i~~aneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
10% Administrative Fee
...,00 $
$
$
TOTAL
$50.00 $
$69.00 $
$100.00 $
$
$43.00 $ 43.00
\ -
$3.00 $ 9.00
$50,00 $
$50.00 $
$25.00 $
$45.00 $
52.00
3.64
5.20
$
60.84
~
-Iii
.
. CITY OF SPJ:Ul~ld'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2004-00697
ISSUED: 07/22/2004
APPLIED: 06/14/2004
EXPIRES: 0112212005
VALUE: $ 42,545.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3555 GA TEW A Y ST STE 200
ASSESSOR'S PARCEL NO.: 1703153300900
SPRlNGFIE TYPE OF WORK: Tenant InfiU
TYPE OF USE:
PROJECT DESCRIPTION: Tenant Improvement - Dorman Mausoleum Company
Alteration
Commercial
Owner: TGP LLC
Address: PO BOX 70475 EUGENE OR 97401
--;-:-
Phone Number: 541-342-3722
Contractor Type
General
Electrical
Mecbanical
I rCDNT.RMl'f.@.IDL~~:'
W rules adOj51Ba J, l. ~ setJ.o~u
Contractor ~:~~n Center. 'thOS8J!W~9~atiOn Date
DORMAN MAUsot!R~AA'9'J2"()01..oo10 \tIfO\l~ \tie rules b~1I27/2004
JB ELECTRIC In 0 You may QbtaIn COA16'.i telephone 03/14/2008
COMFORT FLOW 009 -;"~':l th.. G!lnter. (N~~~ .....'41....tloI\06/27/2005
t.iUhDi~i~~j!~~).
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
54 I -984-0086
541-687-5770
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
Lot Size: ,
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NO~'~~~'''T <:\.111\' ~XPIRE IF 1HE ~~~~
I PUBLIC IMPROV.Ei\iiN~S}"' D UNDER 1HIS PttlIVII1F10"R'"''
.fA - "fuARANDONEO
COMMENCED Qlfu~ il.ll<'type:
v '80 DA'< PERI u.
AN 1 I Downspoutsffirains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
PaeeIof3
.
. CITY OF :SrtOl~uFIELD I
Building/Combination Permit
PERMIT NO: COM2004-00697
ISSUED: 07/22/2004
APPLIED: 06/14/2004'
EXPIRES: 01122/2005
VALUE: $ 42,545.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
42,545.00
Value
Date Calculated
Total Value of Project
$42,545.00
$42,545.00
06/14/2004
L.Fpp< PiidJ
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $214.31 6/14/04 2200400000000000757
-Mechanical Issuance Fee- $10.00 7/22/04 2200400000000000960
+ 10% Administrative Fee $5.20 7/22/04 3200400000000000181
+ 10% Administrative Fee $37.47 7122/04 2200400000000000960
+ 7% State Surcharge $3.64 7/2i/04 3200400000000000181
+ 7% State Surcharge $26.23 7/22/04 2200400000000000960
Add, Alter, Extend Circ $43.00 7/22/04 3200400000000000181
Add, Alter, Extend Circ Ea Add $9.00 7/22/04 3200400000000000181
Building Permit $329.70 7/22/04 2200400000000000960
Miscellaneous Mechanical $45.00 7/22104 2200400000000000960
Plan Review - Planning $71.00 7/22/04 2200400000000000960
SDC MWMC Administration $10.00 7/22/04 2200400000000000960
SDC MWMC Improvement $171.38 7/22104 2200400000000000960
SDC MWMC Reimbursement $25 I. 70 7/22104 2200400000000000960
SDC Transpo Admin $86.33 7/22104 2200400000000000960
SDC Transpo Improvement $1,054.46 7/22104 2200400000000000960
SDC Transpo Reimbursement $239.02 7/22104 2200400000000000960
Total Amount Paid $2,607.44
I Plan Reviews I
Fire Department Review 06/15/2004 06/2112004 OK GRG See attached document for fire
department plan review commnents.
Initial Review 06/15/2004 06/15/2004 APP
Plannlnl! Review 06/15/2004 06/16/2004 APP EMM Site visit conducted on 6/15/04.
Meets all LUCS requirements
Public Works Review 06/15/2004 06/21/2004 APP SB SDCs added.
Structural Review 06/15/2004 ' 06/22/2004 APP TCM
SUB Review 06/15/2004 06/2112004 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.
Pal!e 2 00
.
. CITY OF SPRINul'l~LD
Building/Combination Permit
PERMIT NO: COM2004-00697
ISSUED: 07/22/2004
APPLIED: 06/14/2004
EXPIRES: 01/22/2005
VALUE: $ 42,545.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
[..Rf'ouirf'd Uf'~tion1J
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
By signature, I state and agree, that 1 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 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
tbat 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.
1 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
Page 3 of3
225 Fifth Street
Spri!lgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00697
COM2004-00697
COM2004-00697
COM2004-00697
Payments:
Type of Payment
Check
7/22/2004
.
RECEIPT #:
s~
~,.,
3200400000000000181
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC
Received By
djb
Check Number
Batch Number
Page I of 1
Iiitlty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 07/22/2004
Item Total:
Authorization
Number How Received
14491
In Person
Payment Total:
2:58:46PM
Amount Due
43.00
9.00
3.64
5,20
$60.84
Amount Paid
$60.84
$60.84