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Home My WebLink AboutPermit 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