The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-7-21 .. 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA./&: ELECTRICAL PERMIT APPLICATION ~ City Job Number COvn zeoLI -0 ObO 3. Date 1000 sq, ft, or less _l'.llcll'#tJlI\~~naI500 sq, ft, or - I _~"~.~i~l \\'It Of~""_ at t~ " Permits are non-transferable It if ~~ bY cu\eBa!i.,;<i Home or nol slarted wilhin 180 days o~~ i~g\\gbtTh ' 'g Service or $5000 Suspended for 180 days, ,oo~.oG'O""-~esfA~' v ' ~"~~'_fi''''''''"'''.''''_'~' ~'.ClI!..~, ;I>'f~'~''''''','''''''._*~~'''t,'''''!<O.lI<_~' 2 ',CONTRACTOR INS fIlJ~€l" ""u"'B.:p.S~",.qi'c eeders.';;liistallationi'Alteralio~elocation:'" . ,'-"" 'M'lOlJW~':Il,;tli!'UW' .!l ~U\l\\\'fl!~ ~:!.tW1~~:ll<-',' ,",!1.__' Electrical Contractor' '~~s or less I $ 63,00 " ~ ,fT) 201 Amps 10 400 Amps $ 75,00 40 I Amps 10 600 Amps S 125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsIVolts $375,00 Reconnect Only $ 50,00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps 10 600 Amps' Over 600 Amps or 1000 Volts see "B" above, :!i.">m!J\l.~':m>~~M'~~-tf!!f;)li1~~~'l,~1!!'isi Signature of Supervising Electrician D. ~~i!ll.\;!i~!~,f~~~~~~l!;_'r.~~ /J 1 N01'CE:I~AL~i~p~t~MWCRltel .' . , ~~ JfA 0, A .t.kt lHIS POER~ i"~ER lHI$ PERMIT IS NOT $ 43,00 Owners Name !1T~~ n1~M/^(~~~i~ ~i.~:::::~~~~::~~::::.~ Address ,.Q~An t-!/!;N",Coo;M' . E. ft~,~~,!Jil!1.!'2!J.s~(~,~!D'!~;:(!~~gi!'J"2ti:IJ~1!!~~<!)~1l&!;!!.'.s.t!'UA!.i~ , ..- CIty I::::J )f.~L: I. ~ElcAlroN7fiF).INsTjiiZff4.tY{jN1.,,..,.''.''lI5ti''/:WJ;, . ~~",......~i;f4~~~,~"i..~ .p2,{)() t-!;::..AInh:J<:,/l,A/ 4,;;:;, LEGAL DESCRIPTION &~,4v;::;: I g-O~05W '. JOB DESCRIPTION' OO~O Address c?J=?=1 5-<'l"o/a/}"jp Phone &:f:5J- 3t.fl/7 City ~"~ Supervisor License Number LI& -;q S ExpirationDate /0/01/ t9CXJY' f / Constr, Contr, Number /tf150Q Expiration Date t \. / D :;;l-- / o..oC\ 5 . Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. Service Included $106,00 $,19,00 ~, "\t.l;;;:'1~,"ti;;i'tt~j&;01'fr;;""'''~,_ :'~:~, ~J:.t~4li(~ ._~~~, . "~~~, .~. ( c. ~Ism~O!~rYiS~~l.!:!1~~~~~~~~~~ . Installation, Alteration or Relocation $ 50,00 $ 69,00 $100,00 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspeclion Fee is $45,00 + Surcharges ~;~!;:~"~"iitj-,!~'~'" 4.' "'SUBTOTAL'OFABOllE ~~~icl\'~:-,t~~~~ "'" -;7<: Do 5"''Z-\ 750 877r 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)lBuilding FonnslElectrical Pennit Application l-03.doc . . CITY OF ~rKlNGFIELD . Building/Combination Permit PERMIT NO: cOM2004-00603 ISSUED: 06/17/2004 APPLIED: OS/20/2004 EXPIRES: 01/21/2005 VALUE: $ 23,574.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2300 HENDERSON AVE ASSESSOR'S PARCEL NO.: 1803032000600 Eugene TYPE OF WORK: Storage Building TYPE OF USE: New Industrial PROJECT DESCRIPTION: Equipment storage building Owner: PETERSON MACHINERY COMPANY INC Address: 2300 HENDERSON AVENUE EUGENE OR 97,405 .. ' Phone Number: 541-465-8406 Contractor Type Architect General Electrical 1.1' ,tell \El I CONTRACTOR I,I'1-E~'TlONI"i!I~ ~,Ote9'w \ne\l,W'1l g!l\\Sl"', Contractor A~\Os.i~o~\lld '0':/ se t\1II!J'I~Sjl~,:?"~Piration Date ERIC HALLARC~3'.fi~:cef\\et.1no to\19nO ijllJ\~W 1996 LLC ..\n~r:;a'don .()I)\.()()\~\"co~\em~~\e9~ 05/30/2007 CONRICH ELEOJl{.l.~n~_^" o'O\\\It\,..\n\e'J~ALi\i~ 11/02/2005 "~[bI~~F'''nf~\O;~li \,I~\:VV ~J/:?"",&WY5. ~ \'I\l~~?~~\.sr \a '\- I HelgM'~f Structure 16.00 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-688-5594 541-687-9445 541-607-3447 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: S-3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 800 VN nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Selbacks: Overlay Dist: Total: # Street Trees Rqd: Handicap~ed: Paved Drive Rqd: ~ % of Lot Coveratc~. l t~\ll?t If \i \S ~ai ~~1 o~~~\i 't~~~R ii\\S ~:~~n fa? I PUBLIC IMPRo~t~\) a? \S f>.'O~\'l.t: C()~N~~O \)t-.~Sl~~.Type: t-.~ Downspoutsffirains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimale Paving Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 7% State Surcharge Building Permit Paving Plan Review - Planning Plan Review Comm/Ind/Public Plan Review Fire & Life Safely SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Fire Department Review 05125/2004 Initial Review Planning Review 05/21/2004 05/25/2004 Public Works Review OS/2512004 . I VaIlJation Oescrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 22,424.00 1,150.00 Total Value of Project Fpp< PiWIJ Amount Paid $100.23 $25,38 $14.62 $208.80 $45.00 $71.00 $40.56 $86.64 $10,00 $48.97 $71.92 $14,20 $21.52 $286.53 $64,95 $232.00 $7.50 $5.25 $12.00 $63.00 $1,430.07 Date Paid 5/20/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 7/21104 7/21104 7/21104 7/21104 OS/26/2004 I Plan Reviews , 05/21/2004 05/26/2004 05/25/2004 OK GRG APP LLH APP EMM APP SB Page 2 of 4 . CITY OF SPRINlj1<lJj,LD Building/Combination Permit PERMIT NO: cOM2004-00603 ISSUED: 06/1712004 APPLIED: OS/2012004 EXPIRES: 01/21/2005 VALUE: $ 23,574.00 Value Date Calculated $22,424.00 $1,150,00 $23,574,00 06/1112004 06/11/2004 Receipt Number 2200400000000000617 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000000924 1200400000000001117 1200400000000001117 1200400000000001117 1200400000000001117 See attached document for fire department plan review comments. Approved by Me' Oberst with no planning application required. Building to be built over an existing pad of equipment. SDCs added, Downspouts must be PIPED to adjacent storm sewer, not splashblocked. SWBB . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00603 ISSUED: 06/17/2004 APPLIED: OS/20/2004 EXPIRES: 01/21/2005 VALUE: $ 23,574.00 ,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 05/21/2004 OS/25/2004 WE JMP Received 5/25/2004, See attached fax sent to Ted Corbin requesting special inspection forms and missing information, 5/27/2004 Met with Dave Hoffman and received forms and letter stating that there will be no deferred submittals. Faxed energy code forms to Jack Foster for approval. Still waiting on wrlUen verification of cost/value, Structural Review 06/1112004 06/11/2004 APP JMP Received fax from Dave Hoffman with Chambers Budget Proposal. Had to adjust all fees. Called Dave for pickup with fees and counter hou rs. SUB Review 05/25/2004 06/0112004 APP JF No energy code issues, no inspections. 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Slab: To be made after all inslab building service equipmenl, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Roofing: Prior to Installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector, Provide inspection results to City Building Inspector, 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 Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete. Page 3 of4 . . CITY OF ~rKll~un~L1J Building/Combination Permit PERMIT NO: cOM2004-00603 ISSUED: 06/17/2004 APPLIED: OS/20/2004 EXPIRES: 01/21/2005 VALUE: $ 23,574.00 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 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 Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00603 COM2004-00603 COM2004-00603 COM2004-00603 Payments: Type or Payment Check 7/21/2004 RECEIPT #: a..p~~",,~I'I~__ ,- I,'. Wit, - "~ i ~ "" .__..-. ' . '. lliiii..ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000001117 Date: 07/2112004 Description Perm ServlFdr 200 amps or less Add, Aller, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CON RICH ELECTRIC LLC Received By djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 1772 In Person Payment Total: 9:19:34AM Amount Due 63,00 12,00 5,25 7,50 $87.75 Amount Paid $87,75 $87,75