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Home My WebLink AboutPermit Electrical 2006-7-12 ~.o , 'l-13-bsoy, SPRINctJ~1 l ~PA:~. $fW!Jl ~ "!(['T'" ~;;;l J '!-,.'''.'1-.. ,~ r/0f; 1,.c(iijp'i:if~F.!'ltS'i;;1!EijtJiE!iELOW, . . ,;:/. ;;. ,., .~ . ~ . .' .. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C-oW\ z..oo 6 - 00 ~4 fI L t'LOCA11PN'l:/F1NSTAl,r,.4TI9JV ,\:_;,,1 3. 10 I f tt1\iLoL-J IL~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps . Over 600 Amps or 1000 Volts see "B" above. S' D LB;"hC'rc.t...,"t;......"... ,,,'-" . .". k.'.. ,,-.1 Ignature of Supervising Electrician . . _r~_n~ . 1,.~_lIl ~,!.,~.},1". .....,.'".,': ~",\ :h'_"~" v ,;."..,....:v.i. :':f!~~.~~ ~ New Alteration,or Extension Per Panel , "vI/Lt. One Cii'Cuib p . $ 43.00 /, L/ ~ u ~ A J' Each ~,ii;tI9P,~f~(ri:ijit8wA1L.thL / '" $ 3 00 '30 Owners Name -r'ftLIRL CaNTlHeAlT7tL servi'CeMee~er&"D"JNDF EY;'~j;,t'(FT ' . Address -:YO ~()~ 107 Z. 7 .E.I.Mfi~~lia~;s?~~~~~~~~~~~~6~~JB~rlst~lI~i!oli 1 City ct-l<:.&YE Phone fJf5'f - zz[) 7\' Pump or irrigation . $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. I";SUBtOTALhEABOVE', ". ~: .; v, j /5S" ,..".- _'_ .'-_ ,_,_. _:.~ ,I". _.~/""_ ,'_..'.. ,C',.. ,. ~:"~ I Z '40 7% State Surcharge 10% Administrative Fee / S S<' J BZ po LEGAL DESCRIPTION 17032233 DOZOO JOB DESCRIPTION 1- boo~l"'L 8 ID (.lrc.......i' ~ / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work Is Suspended for 180 days. 2. r;.9QNfi0CrORiNST#r:Aff9~ @k{Y:~ Electrical Contractor .M-fcr ~C Address \'110 0.'2[grf/ ~T~ City sP~06HttD Phone 747--22[3 Supervisor License Number 2.4~-S Expiration Date l D-- , --D 1 Expiration Date 1'L17'L ~- '2-'Z....-01 Constr. Contr. Number OWNER INSTALLATION The installation is being made on e' -e""J I oWn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date A. r;N~w..R~side'n!fiii;:SirigleorMuiti~Fa,;,i1y.;,er dwellingunil..;'l Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 F eeder~ " I .....,......, B. r~~~~:i~~-~;~~fd~rj~;~~!~~'li~ti~~~~' A'I't'~!u;i'~,is :oi.R~,1"9.~;.-tiO'IJ.t...l..~ n'" "'un C v:-'ledb . l€>qV '-.;:: ". e~ln y Ih /fesy OC;)200 Anipsor lessf. Tho e Or~. 01.1 I~ 63.00 :J vc' VU)'''a' Se rUI "vn U . c,201 Amp.~ito 400 Afnp~r es ,. II/il~ 75.00 Gill""" Y nh.. OUgh "0 ~'E'I" Y /.,..-= /JU(1)40 l' Amps.to 600'Am~s, 04l> _ Or!}) 25.00 ~-> 0",/ 'n -"'nt". vP1eS f . Vv~ 0 60l,An'iPS!~OOI000rJi.iI]p&. Ii) 0 Ih" _. . . 01$163.00 (.;1/ ' r", - . e t v'",s b Over 1000 .~D)pS/.VollVlil'l e/A"~ V$375.00 Reconnect 001)800'332 I Y Nolii;. 'vlle $ 50.00 -2344) -4<10n C. Preh1P~r~}.l$~r~ic~:o'tFecder.~':",:, '\ '....~ ':1 $ 50.00 $ 69.00 $100.00 TOTAL Shared Drive(T:YBuilding FormslElectrical Pennit Application ~'()3.doc . .CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: cOM2006-00549 ISSUED: 06/15/2006 APPLIED: 05/10/2006 EXPIRES: 01/1212007 VALUE: $ 128,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: lOll HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300200 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Suite 300 Tenant Improvement. Owner: PACIFIC CONTINENTAL BANK INC Address: PO BOX 10727 EUGENE OR 97440 Phone Number: 541-984-2287 A................ ......_.. ~ Contractor Type Architect General Electrical Mechanical , :. . -'" .'~... v, "8U" laW requires you to , CONTRACTOR-INFORMAifIONJ I)regon Utility . --....__..v., V", "",. "'use ru,es are set forth Contractor In ~~~,:~2.001.001 ~iCentel OAElfl!!rl!Ul'n Date GLAS ARCHITECTURArPCR()1:Jp may obtain copies of the rules by JACK WORMDAHL calling the center. 2:6619): the teleph~NJ2I2008 ALERT ELECTRIC INC number for the Ore1'217172Jlilily Notific&,?L~~/2007 MICHAEL GRIFFIN Center is l-Els01892-2344\. 01/23/2007 BUILDING INFORMATION' Phone 541-686-2014 541-688-8973 541-747-2213 541.942-8339 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VA n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: llr.-r:! -- Overlay, Pl~t: Total: # ~H@t'I]!"F~~I~qgHALL EXPIRE IF THE WO I-Jandicapped: Paved nrlVe.R'Id: RGompact: O/,'''f'L"''t rllLClJ U~DER THIS PERMIT IS NOT ,. 0 I 0 LOv.erage. . uU V"vltl~LtU uR IS ABANDONED FOR ; ANY 1110 nAY DJ::Rlnn . I PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 Status Issu'ed 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 Comm/lnd/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Furnace - up to 100,000 btu Gas Outlets 1.4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 401 to 600 amps Total Amount Paid Fire Department Review 05/11/2006 Initial Review Plan Review Comments 05/11/2006 . .CITY VJ< ~rlOl~uNJi,LD . Building/Combination Permit PERMIT NO: cOM2006-00549 ISSUED: 06/15/2006 APPLIED: 05/10/2006 EXPIRES: 01112/2007 VALUE: $ 128,000.00 I Valuation Desc~iption I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 128,000.00 Total Value of Project FpP~, ~ Amount Paid Date Paid $426.82 $262.66 $10.00 $70.17 $56.13 $656.65 $12.00 $4.00 $29.00 $15.50 $12.40 $30.00 $125.00 5/10/06 5/10/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 7/12/06 7/12/06 7/12/06 7/12106 $1,710.33 , Plan Reviews I 06/10/2006 OK GRG 05/11/2006 06/08/2006 APP LLH 10 JMP Plan nine Review 05/11/2006 05/12/2006 APP EMM Public Works Review 05/11/2006 06/01/2006 APP SB Structural Review 05/11/2006 05/1612006 WE JMP Structural Review 06/13/2006 06/13/2006 APP JMP SUB Review 05/11/2006 06/05/2006 APP JF Paee 2 of3 Value Date Calculated $128,000.00 $128,000.00 05/10/2006 Receipt Number 2200600000000000579 2200600000000000579 2200600000000000845 2200600000000000845 2200600000000000845 ,2200600000000000845 2200600000000000845 2200600000000000845 2200600000000000845 2200600000000000964 2200600000000000964 2200600000000000964 2200600000000000964 See attached document for Fire Department Plans Review comments. WE. Received partial responses. Called Wally Gresl to request information from items 2, 3, and 4. He said he will try to get them next week. SDCs previously paid. No new plumbing fixtures. No SDC's. See attached documents for 4 structural comments faxed to Reid O. Anderson. Received contractor data, Special inspection forms, and seismic calculations. . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00549 ISSUED: 06/15/2006 APPLIED: 05/10/2006 EXPIRES: 01/12/2007 VALUE: $ 128,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Rpnui~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Firewall: Located and constructed according to plans. 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior 10 Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Electric Service: Approval required prior to utility company energizing service. 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 aoy 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 10 ensure that all required inspections are requested at the proper time, that each address is readable from the street, Ihat 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 3 of 3 225 Fifth Street Springfield, 'Oregon 97477 541-7i6-3759 Phone · ii:'~ caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Nnmber COM2006-00549 COM2006.00549 , COM2006.00549 COM2006.00549 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 07/12/2006 2200600000000000964 Description Perm ServlFdr 401 to 600 amps Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By ALERT ELEC INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 012416 In Person Payment Total: Page I of I II :23:34AM Amount Due 125.00 30.00 12.40 15.50 $182.9U Amount Paid $182.90 $182.9U 7/1212006