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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. . !;. '~':.....~.~;o<.Jt~.._'-:v'_'.. .1"....,;-.~....;,. .:"l..."!"....':~.......:.~)::;,..:.,'.."'<.tP\l";.l-~ 1. \LOCATIONOEINSTALLATION,,\!f;'i)/j/i';'f \t;:I"'I..:':"J''.l::."",,~..:~...b1~~l''l:.:Q'''.i.;'';.R:::',;;'''-::'' :~..~..~:."~:~~~.;r.~i~. yo /! ,~~L(,)W ~ ~ 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-:''.:':'~''''''\:~''':,~~,''-.,',', J,'"" ""'~.a.... , 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 l~'!<:~ "~>",,,.'~, (,.' ',' ~;"':'"t"'>:;M.~~"P>~\<\"l,T_!t~,,, ~'.~,""''t''.!'O("'" ~')1./"'~:~' r;Y.~~~~2f"'::""7'.-~...~ 3. rSCl~1~ff!lll:B~f~~9lf~l!EY}}!~~~~f;~~t~tl~;!a~~j~~~ 7,"",lT';.l~~.~""l;~t),l'WI';::-;.tt'1f<'(~~.~'j:"~f;"':~;""'il"~~1'?~ ..,":';;'tr';~~.~~"?l!.oj,""ff.1,';-:'~_' A. rNe,... Re'sioentiaL:::Siitgle'o~r Multi-Famil{per~'(h';"elling~ uiiit:!"~~;1 ~.v,;;.....j_...~,,)....-"!l.r.o.b..l:~...:t.:...:....;,,\_....k--f""- -"~'" . "~ol.......::i.!.~_~)h.~~ 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 ~.'!t.'?"!."":TI~.~11:~:--."~:"'(;~ .:;~-,-'~:"-":i'''--oJ."r-'i .:.-~";.":;:':'T'..~ '''~tr.. '...,.. .""~"I C. itI_c;91P.Qr.aru,~r:yIc:~~' or=;f~~~s.rS:~f:~~~, r...;.:~~t':f;1~ii..~~t~i;:-~'ill 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'-~-'-,"'''..--~' ",:;", ..'....' ";t':,'Y""",'.'::L1.t~;,"',~:""",,,::'... Or _j,. ""'-.li";!, "~'i. i t ~I;,'W.!," ',~ .,~y. 4. ",SUBTOTAL'OF:ABOYE~ :t~::::::;, '.!,;.;~jf" ;"r:. nil~f~:.\.'i'";;.~o-,;;;~?,,~:~Jt:~.;,;~ "-;ta,'-d:.::t:l:' <'...1.. ;:~:' _:.....~:::~;..._:;:S: 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