HomeMy WebLinkAboutPermit Electrical 2006-7-31
ll5 FIITH STREET. SPRINGFIELD. OR 97477 . PH:(541)7l6-3753 . FAX: (541)7l6-3689
ELECTRICAL PERMIT APPLICATION
- I
City Job Number (;n/?1:J 1J1)(i/ - tJ tJ L./q;
...:- Jf{' 6-.0,
.. INITIALS N ,IV\
~ ~. DATE 1-:>1-0(0
~ ....,. SOURCE N """'"
Date '7 - 3/- 200 c. .
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1. \LOCATIONOEINSTALLATION,,\!f;'i)/j/i';'f
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LEGAL DESCRIPTION
/7 tJ..5 ;:):;;2, 3 '5 00 d (fl)
JOB DESCRIPTION 1000 sq. ft.orless $106:00
, " Each ~~?i.t!9pa,1I~,Q.sq~,ft.:,oSn law requires you to
.LvSlIl'1L}..ItlTI~ ,,~)lL€: ltN~ tmIT-C~~t~:~?~!cc. adopted bytrp nrpnnn U$\l,~.OO
Permits are non-transferable and expire if work is Each:Mahufa2Cd H6m'eor Those rules are. set forth
not started within 180 days ~f issuance or if work is M~dul;;;',DwellmiSerVice orthrough OAR 952$~860
Suspended for 180 days. Feed.erj80. You may obtain COpl:: :: :I~: ~'JI",~ uy
2 \.,..6bNT7J..(!loR"&sT'Ai7AFroNo~~i B. ~st;~W~~~~~~~d~f:t~~}I~l1:i~~~\~~!t!~?~;~(ifcl~2:;r~~~1
. 'f~'~"'- >I"'-"'-;'I.~.~-:~""':l..-rC.:t~J(it.-;:ii~t'~',,\.~;'a":"ih'':;;::j;~::.;k1 l:l;:,~",:'U\:'u;t;tV:,(:!f.l}..U-;i.~t;\:i.~~.H.~l':t..\'1!.b...m"..":'i-:''.:':'~''''''\:~''':,~~,''-.,',',
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, Center is 1.800.332.2344).
200 Amps or less., $ 63.00
201 Amps to 400 Amps $ 75,00
401 Amps to 600 Amps $125.00
601 Amps to' 1000Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
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A. rNe,... Re'sioentiaL:::Siitgle'o~r Multi-Famil{per~'(h';"elling~ uiiit:!"~~;1
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Service Included
Electrical Contractor
Arc..cilU "~I,jtrcof("\
Address:\). D. ~ x.
City ~t::'ttJf
?aCll( I
Phone ~ I') 7Jb-Ilf.(3
Supervisor License Number 't.J I Js L Iff. R
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Expiration Date
Installation, Alteration or Reloca,tion T
. , c ''''',:it It- HE wnulI
200 Amps or less I,,' 'c~, 1 I ,S ,L ,,,,,,_ ,,$ 50.00
_ . ...' ".'1 I ..... 1\lf' r
201 Amps to 400 Amps,S " ; "'''''''~ -0'$69.00
..i'-I....U I ~
.401 Amps to 600 Amps 'I i ,$100,00
Over 600 Amps or 1000 Volts see "B" above.
W" ",:"S'~","'),-., ~;::.:q-~~~~'<'i?il':"\r.9i\~';.-r.:~fi.I~;'Y.7"~$:'~"3fq-... .r]
Signature of Supervising Electrician D. Branch ,gircuit~~~^iJ~-t';.r. ~~~K,~.~ \ ~~~~~:Yf'- 7t:J$.it':,~' .:~. '" it'b~~'.(!.~:
L..~;.;.t.t~a"l.oolK;;;,ou~~.'\l',\.t~~~"'~~~~"'-~""""~~'f.l\ .
J) Af) C ') New Alte~ation or Extension Per Panel
1 1 _ _ _/ One C"CUlt $ 43.00
. Each Additional Circuit or with
'J) (; 0 . , . Service or Feeder Permit $ 3.00
Owners Name 'I A~ ~'~ -,,'I0-'-i~~~L J;:ft"" (7w".wcr->~,., ",,"!t1';1;~~~.'i,,;-,""'7."";:~"o''':X'~~.\i7. . .,~, '
Address jD f DW ~~) _ E. ~,~J}l~Il~P~~ (~~~!~e[e~~$~"~!.2~d.ed!4:~!l.~h)I~~~~~~~~~
City ~ Phone, .B:1J- q&~. if! 1;7 Pump or irrigation $ 50.00
, , Sign/Outline Lighting $ 50,00
OWNER INST ALLA nON Limited EnergylResidential $ 25.00
Limited Energy/Commercial / $ 45.00
/ql //2()0f2.
F, lSr1,S (/
j().26-O?OO?-
Constr. Contr. Number
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
</5.
au
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
~.~.",oop..<I!;t,"fJ- _ ,,' ,:~,~~"""""''''''-l.-,r'-~-'-,"'''..--~'
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4. ",SUBTOTAL'OF:ABOYE~ :t~::::::;, '.!,;.;~jf" ;"r:.
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Inspection Request: 726-3769
TOTAL
4S.00
3.~O
.c..; . 5 0
53./0
8% State Surcharge
10% Administrative Fee
Shared Drivt.iT:)/Building Fonns/Electrical Permit Application ).Q6.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-0044I
ISSUED: 06/13/2006
APPLIED: 04/12/2006
EXPIRES: 12/13/2006
VALUE: $ 317,475.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1011 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300200
Springfield TYPE OF WORK: Tenant Infill
PROJECT DESCRIPTION: Tenant Improvement
TYPE OF USE: Alteration
ATTENTION: Oregon law requires you to
fc"C1'!! rules adopted by the Oregon Utility
Commercial
I' .....lliILou.IUll vClllCI. IIIV.:JC IUIC.;J o,.c .:JCl IVIllI
Owner:
Address:
PACIFIC CONTINENTAL BANK INC
PO BOX 10727
EUGENE OR 97440
in O,\R 852.001.0010 through OAR 952.001-
0090. You may obtain copies of the rules by
c::::Jino the center. INote: the telephone
Illlmilpr inr thp Orpgon Utility Notification
,I CONTRACTOR INFORMATION. 100.332.2344).
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
JOHN HYLAND CONSTRUCTION INC
BUILDERS ELECTRIC INC
ACCORD TELECOM & CABLE INC.
HARVEY & PRICE CO
HARVEY & PRICE CO
License
46071
4296
138254
77
77
Expiration Date
07/11/2008
12110/2007
10/26/2007
10/31/2006
10/31/2006
Phone
541-726-8081
541-485-0922
541-726-1463
541-746-1621
54t-746-1621
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
~, ' .""'" .
Height.of.Sti'ucture Sq Ftlst Floor:
Type of~(a\:ERIViIT SHALL EXPIRE ,~ql;;}F.~~ff~oJr:
Water"l)ype:ORI'ZED UNDER TH S PESq Ft Basement:
'~.II . I 11"/i'T ''':' "''''1: ,
RangecT:y,p,~iv1ENCED OR IS . .S~ Ftr(;arageJCarport
Energy Path: . ABANDO SqfF'tOther: .
'II'Y 1 "C, ""Y PERIO" .
Sprinkled 'Building: In/a Occupant Load:
VB
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of 4
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
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 8% State Surcharge
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Furnace - up to 100,000 btu
Gas Outlets 1-4
Low Voltage - Commercial Indus
Minimum/Adjustment Mechanical
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Deposit
Return - Deposit
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid'
Fire Department Review
06/26/2006
Fire Department Review
04/14/2006
Initial Review
04/14/2006
.
. CITY OF ~rKll~ut<lELD
Building/Combination Permit
PERMIT NO: cOM2006-0044I
ISSUED: 06/13/2006
APPLIED: 04/12/2006
EXPIRES: 12/13/2006
VALUE: $ 317,475.00
I Valuation Oescrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
317,475.00
Value
Date Calculated
$317,475.00
$317,475.00
06/01/2006
Total Value of Project
"r"<' P";rlJ
Amount Paid
Receipt Number
1200600000000000471
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
, 1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000850
1200600000000000897
VOUCHER # 105794
3200600000000000413
.3200600000000000413
3200600000000000413
$726.80
$10.00
$15.10
$131.92
$12.08
$105.53
$43.00
$63.00
$1,274.15
$36.00
$4.00
$45.00
$5.00
$101.40
$509.66
$178.18
$-178.18
$4.50
$3.60
$45.00
Date Paid
4/12106
6/13/06
6/13/06
6/13/06
6/13/06
6/13/06
6/13/06
6113/06
6/13/06
6/13/06
6/13/06
6/13/06
6/13/06
6/13/06
.6/13/06
6/16/06
6/26/06
7/31/06
7/31/06
7/31/06
$3,135.74
I Plan Reviews I
06/26/2006
Plans Review: Relocation of 59
sprinkler heads in portion of second
floor office remodel. Job
#COM2006-00441. Designer:
Jeremy Jones. Contractor: Harvey
and Price. Plans appear to meet cod.
requirements.
See attached document for Fire
Department Plans Review
comments.
OK
GRG
OS/26/2006
OK
GRG
04/14/2006
APP SKG
Paee 2 of4
. CITY OF ~rKll~lJ..IELD '
Building/Combination Permit
PERMIT NO: cOM2006-00441
ISSUED: 06/13/2006
APPLIED: 04/12/2006
EXPIRES: 12/13/2006
VALUE: $ 317,475.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
06/01/2006
JMP
10
Plan nine Review 04/14/2006 04/24/2006 APP EMM
Public Works Review 04/14/2006 05/16/2006 APP SB
Structural Review 04/14/2006 04/14/2006 10 JMP
Structural Review 05/04/2006 05/04/2006 WE JMP
Structural Review 06/05/2006 06/05/2006 APP JMP
SUB Review 04/14/2006 04/25/2006 APP JF
WE. Received responses to
structural comments. Called
Richard Barbis to request the
missing special inspection form.
Called Architect and he stated this is
tenant infill for more of Pacific
Continental bank space.
Tenant Infill in vacant areas. No
plumbing involved. No new SDCs
(Paid with 97-1006).
WE. Called Thomas Bertrand and
he said he would deliver a review set
for SUB next week.
See attached documents for 10
structural comments faxed to
Richard A. Barbis.
Received Special Inspection 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 'Rpnnirp'iJnsnections I
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
Framing Inspection: Prior to cover and after all rough 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 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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Paee3of4
.
. CITY OF ~n(INGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00441
ISSUED: 06113/2006
APPLIED: 04/12/2006
EXPIRES: 12/13/2006
VALUE: $ 317,475.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
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 Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
Job/Journal Number
COM2006-00441
COM2006.00441
COM2006-00441
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
.
7~
~
~,.,...".
ca of Springfield Official Receipt
_elopment Services Department
Public Works Department
3200600000000000413
Date: 07/31/2006
Description
Low Voltage C Commercial Indus
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RICHARD J DAVID
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 061684 In Person
Payment Total:
Page 1 of 1
3:12:49PM
Amount Due
45.00
3,60
4.50
$53.10
Amount Paid
$53.10
$53.10
7/31/2006