HomeMy WebLinkAboutPermit Electrical 2006-3-23
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54J)726-3753 . FAX: (54J)726-3689onin{ , .. c... -.." ~~.5
IILBCTRICAL".['pRMITAI'PLICATJON . ___ , ""..,d ...<... ":} -'" ,
City Job Number ( - (0 - C/::/;)" II . Date '6 ('d, 't>)~ ~
J. i LOCA fio.r..: OF lNSTAUAI'1O!\'
q:bq 'fuvlnW'" (2&
3. iCOMPLETl~ HiE 8CHlmULE BELOW
! . :. .
LEGAL DESCRIPTION
\\O~ ~~ 33 oo5Un
"', . . . . ' , .'
A. !: I\~\\'.H~~:icl('rltj:tl- S!ngll' (II' M~Jlti~~lIt~i!y p~~r: d~\'c(!iIlg unit.
Service Included
JOB DESCRIPTION 1000 sq, 11. or less $106,00
~ I~-... J\ 1'"'\1\ ,~ Q_ ~ ,/ " II' :\n I. . h Each additional 500 sq, ft, or laW requires you 'u
C)\ V U "",." I V{) ~ C(J) V\J1L.Lt.lp portion thereof , i'" 01 ~'1Dn 'h']tJ,9)10Jn U\\\lty
" '~0lhoU UJ" I are s~t torUl
Permits are non-transferable and expire if work is Each Manufact'd Home or 'nter 1\lose ru es 952 001-
t tarted 'th' 180 d f' 'f k' M duI D ll' S ' ~" ,~c.. h Ol>.R -
no S WI mays 0 Issuance on wor IS 0 ar we mg ,eJV',ce or 01-0010 throuf$50,00 .. .Ipc; bv
Suspended for 180 days. Feeder 11 U,,\\ ~52.0 'COpIes 011lle
I ' " ' '" " , " ~OQ:J You may obta1n/Mf',Q' the telephone
2 ,: CONTRA,CFOR INSTALLATIO."-"ONLY B. ISon'ic,;, or Fc"~e,'si-- -,\n'tuJ\;llion?[.\,1 trati6h'\ or Reloc21JllIlJn
. f' .. .' - . '. '<',. L." ~_ _. ._: G::\HI11:;, \1,,,; On Uti tty I'lV\III......
o . umber lor the freg n~". ?344V -3
Electrical Contractor f:.u.QU>>.. 1":\.J(~i{ ,">N\llu.200 Amps or less n center j.. 1-800'$'63',00 ''-()
\l 201 Amps to 400 Amp' $ 75,00
Address.\;lC'\ X'Y'l~'~"'C).a.. Q,\ _ 401 Amps to 600 Amps $125:00
60 I Amps to 1000 Amps $ I 63 .00
Over 1000 AmpsNolls $375.00
Recounect Only $ 50,00
City \::_"'6"'"
Phone
~L/cj-?'~l/'!I
Supervisor License Number .3..:l3 '" ~
'0<'- ..... ."
C. ;>T~p~t.ir~ry .~~:\'~c~~ 'or 'Fl'~d('rs
Expiration Dale ,n \ I \ ........,
Constr, Contr. Number 10 ~ 0 0
Expiration Date ,~h., \ n /'
Signature of Supervising Electrician
Instauation; ~!tcration or Relocation
200 Arljjis o[lCs'sllT SHALL EXPIfl[ If T~;MSR
20IAmjis'~r4Q.q:~NDER THI:J rr,:,' 11 1&~{jJ 1\
40JUi;;;poi\\<1:~P9~lJflIS ABANDJ' m ,I
OveHioo A%pibWqoQN'~~ee "B': a~~~~ FOR ,
D. i Hz:andl,Circtiils.
~n~J, f?C;h
C/ -
Owners NameAM-1 Cfli;( toY) ~
Address(Qoo 3-0 ~10. 1" SJ E. r: ~li::(,I,I;'le~i" (S':;'l'iee/f";'d~r '.101 ind~decl) ~Eac" ,I~~tall",;iun
ci&R;;T1na\LL Phoue<503 ')
, 070" a~~ - <'oq(Jl)
OWNER INSTALLATION
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pemul
$ 43,00
i~
$ 3,00
'6<:0
The installation is being made au property I own which
is not intended for sale, lease or rent.
Pump or inigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
q q Q1:l
1 '12-
C"C1D
It to .~ L
4. i::Su1nvi:'11:'oFAIlCWh . .',
I:: ..:' :.0<':"(;;;,','.:, .... :,' ',',':' ':
"",'1' :'
Owners Signature:
8% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
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Shared Drivc(T;)IBuiJding FomtsIElectrica.J Pcnnit Application J-06.doc
Status
In Review
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-002I1
ISSUED:
APPLIED:
EXPIRES:
VALUE:
0212212006
09/23/2006
$ 80,000.00
SITE ADDRESS: 939 HARLOW RD
, ASSESSOR'S PARCEL NO.: 1703223300500
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
, outo
AT.T::,~:T~?N~~:~t;~n ~~~l~eci~:;~: Utility,
. ..,," Th.--P rll10S are ~t:a lUlU'
. .' "'ion Center. 'Phone Number: 2 503-222-6900
:~,.c~952_001-001 0 through UAtI "':; -uu I'
I.." , obtain copies of the rules by
C:l30, You may .., .'.' .ho tol<mhone
cc;.lIng till' "''',.~.. ". - , , Notification
I CONTRACTOR INFORMAfflONl1 Oregon Utlhty
, IS 1_800-332-2344).
\..ielUvl
License Expiration Date
90200 03/17/2007
.PROJECT DESCRIPTION: Tenant improvement
Commercial
Owner:
Address:
AAA OREGONflDAHO
600 SW MARKET ST
PORTLAND OR 97201
Contractor Type
Electrical
Contractor
EUGENE ELECTRIC SERVICE INC
Phone
541-344-3561
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
" Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
BUILDING INFORMATION I
# of Stories: Lot Size:
B Height of Structure Sq Ft 1st Floor:
SI Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range 'l'ype: InH~~!lqWage/carport
Energ~ ~f~,~rr SHI\LL I:.XPIRI:. , ~l'h<3lf'er:
Sprinkled'Building"DI:.R lH\6/rI:.RM\ccllpant Load:
'KILtU vd _ . ""r"ll:f\ Ut\
_~.,. '" ';:} _.....1_.
I DEVELOPMENT'INFORMATION I
, .
J u", , - REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsmrains:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Tvpe of Construction
Value
Date Calculated
Pa2elof3
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Estimate
- Fee Description
plan Review CommllndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Aller, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
.
. \..11 l' OF SPRlNlJt<lJ<..LD
Building/Combination Permit
PERMIT NO: COM2006-0021I
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
09123/2006
$ 80,000.00
$1.00
80,000.00
Total Value of Project
$80,000.00
$80,000.00
02/22/2006
Fpp.. v"'W
Amount Paid
Date Paid
2/22/06
2/22/06
3/23/06
3/23/06
3/23/06
3/23/06
Receipt Number
2200600000000000235
2200600000000000235
2200600000000000378
2200600000000000378
2200600000000000378
2200600000000000378
$316.97
$195.06
$9.90
$7.92
$36.00
$63.00
$628,85
I Plan Reviews ,
Fire Department Review 02/24/2006
Initial Review 02/24/2006 02/24/2006 APP SKG
Plannin!! Review 02/24/2006 03/02/2005 APP EMM
Public Works Review 02/24/2006 03/21/2006 APP SB Medical Office Infill, SDCs
(difference) added.
. Structural Review 02/24/2006 03/01/2006 WE JMP See allached documents for 12
structural comments faxed to James
M. Lewis.
SUB Review 02/24/2006 03/06/2006 WE JF See Item 7 of JMP's structural
comments allached for request of
energy code forms.
SUB Review 03/17/2006 03/17/2006 10 JF WE. Received lighting forms. Still
waiting for MV AC and BE forms.
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.
I Rpnllir~
Framing Inspection: Prior to cover and after all rougb in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Grid: After drywall approval but prior to cover.
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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Pa!!e 20f3
.
. CITY OF ~rKl~ul'l~LD
Building/Combination Permit
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
" 541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2006-00211
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/22/2006
09/2312006
$ 80,000.00
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 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
times during construction.
, Owner or Contractors Signature
Date
Pa~e3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00211
COM2006-00211
COM2006-00211
COM2006-00211
Poyment.:
T)lle of Payment
CreditCard
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3/23/2006
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RECEIPT #:
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RUSS ROBBINS
1~i,.
Mit..~,~ I
..". .
--_.- -
JiiiilY of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200600000000000378
Date: 03/23/2006
Item Tolal:
Lheck Number Authorization
Received By Batch Number Number How Received
njm 023686 In Person
Payment Total:
1 of I
2:4S:1SPM
Amoo nl Due
63.00
36,00
7,92
9,90
$116.82
Amount Paid
$116,82
$116,82