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Home My WebLink AboutPermit Electrical 2004-10-20 .<:', ~. .:'.:.CnY,OF~--',IN'GFiELD OREGON . . : '-, . '. -,: . .' ~ . . . - . ", ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION /. City Job Number CoWl 'l.OoL{ ~ 00 92 Z. Date ro,llD/;'-i /i,.., , 1. '1(jG'AWON{@'E'qNSTiA;T~i':f4.f& 'ONi:' ~ii'-~ 3. riJC@MP.I1Bp~i!L~~~" ~~'~-EOOT'7Jl<*,A>lll~mii\f:J![;w" " ,~ . ~''''J..;I'''''''''J:::l;~''' ___':-ol'ttJI~W;:~ ,/_ ~ '0 / b Z r;- HC;IA GiLSo ........ 9, ~ <10./;'':.' "s ' A. ~iN~;;fJl:iisWi~~i~IJt11'&~~ti~.;;;~i>t;~~nrg. .rii~~i!!fi,~;fil LEGAL DESCRIPTION ~...........r"" . 'rk---" .,~~. . .....","'" f 70 :$ 3 l( L( 3, I 'J 30 Z. Service Included 00"".". 10 ~ s/J.o,,,"$ItJ. 05', -J. 0;. fOij, JOB DESCRIPTION 1000 sq. ft. or less Y'>",/:V, 106.00"'>" ,.0",,;, ^ / I Each additional 500 sq. ft. or .~ · " n bo / E: >< ,G...-N ,) 10 Cc r'Z6-<.:-\r portion thereof . Permits ar{non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2 lJ!li;;;NfffK1Jte.FbR1!fNST.l"i..jli~iffoNi(jNI!:Y~ B. ri:sfg.'itf~V~W~;fif.!'llT"Ws'raii~ti~'\ilimit'llWll . ~~:1i'i'':''~''''~';'B~''''1lA'_~'.'flI.i'~~ ~n'~lo'.M<....~'.j{~;kn"ka~~.1...." . ' Electrical Contractor G & S S!ef'in'{'/.];7~ p() &x ) lf~d City Ep", () JAr Jr) Phone 7 f./I- ;;/&30 Address Supervisor License Number Lj~9ljS jo -0 /-0'/ 3 <g '1<1 q -J- DB Expiration Date Constr. Contr. Number Expiration Date ~::f3F~-_ \ . Owners Name ~",c:::-t-C- (ya.a.c..Lo W Address hive{ SI-./ rZt-l-.. City ?on.--\{~A 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 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amp~(to1qQ9[P;mps $125.00 601 Ami?~.,\<SIP<!.9~;\wpSSHALL EXPIRF IF lIHflVllDPI( Over 10P,~P,>.p)B~~Q~teJ UNDER T~I<: D~Qr..~pgl\l.J()T Reconnect.OnlYENCED OR IS A" ^ ,onr",<:;150,OO VUI'w'ml ,"" .I\I.....~r\l...[J r1lrt Jj~,~i>~~~~~'.""&-~'~'.i1~r~~~~~"""'i'f@,\~ c. t!f~r~:iY;tS:Cr,vIc.<;SlRx:;~~Oj!f~f,!,~~~~'Mi::&!l Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.60 $100.00 Over 600 Amps or 1000 Volts see "B" above. >Y;'""".~-""-'=3~'''' .,~. -'J.~"-'-~""""~' D. ,,\:Bl~8nch~nlrcUltsl .:-; ~ ~ _..h .t :.'",~~. "'l:';~;- ~~:.il~~'" .~';.. New Alteration or Extension Per Panel ( One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 I(~ 27 9 $ 3.00 E. \lfMi;~~il;\'="ms~fWfW~f;~i"t1~S'J1fE"fi&~!W~i~iI',;'fi~~~ ';" ,.,.. .,........- ~,.,.,..~..\~\.~..+}"."".,'."',..........;"..'~':.f.""'~'... .~";"..~ . ...".,,<,:f.. '_' '.....,' """\_( ..,' :............~<~~""...."4............~__.......~....._ __""""-' ,-.... ._._~ ...._~"'...~:...... ~-rmf~gm~iiQregOn law requires \IOU t~ 50.00 Nfg}IiJW6&'tI~~ i!~tl~bY the Oreoon Utili~50.00 01 IQat Ce r Inleml\"~~tlll!(j~oett\l~ ru~es are se~o$l1:!5.00 . OCl9rnitn!JPnlID'!.Gammelcla~g W\H 952-Qqtt5.00 ". ""Iomarn copies of"." IUII~S by' Minimu1l\iIl!l!.OllntI~~t{~Wfuli13T~P~~ao T Surcharges ~l~",.""",~ 4. lfiS'ft1l-l't;).. . '.'" .. 70 !'.:~"', ~. L( 90 '7 'll !!?- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T;)IBuilding FormslElectrical Permit Application 1-Q3.doc . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 04/20/2005 VALUE: $ 40,000.00 -Wlt&~~!:~~~;" . } .- -_.':-- -. '<''"I'' ...' .....-1 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1625 HENDERSON AVE ASSESSOR'S PARCEL NO.: 1703344313302 Eugene TYPE OF WORK: Accessory Building TYPE OF USE: PROJECT DESCRIPTION: Expansion and remodel Rec. Center for Midway Manor Owner: KENNETH GARCHOW Address: 6944 SW 12TH DRIVE PORTLAND OR 97219 I CONTRACTOR INFORMATION I Contractor Type General Electrical Engineer Contractor RICHARD RAYMOND DOSS C & SELECTRIC MORTIER License 128582 3849 1 BUILDING INFORMATION I "OUto # of Units: law f~stl1rl"sni\i\'J Primary Occupancy G~~f{\ON:..g3agon t\1~'f s~'t.i\\5!\\re Secondary Occupancy 'l\~UIIF~ $ adopted b~ e f~'O~ :OO~- Primary Construction ~pw~le ~ef. 1\10$ ..~,~1'YP ~ $ b~ Secondary Constructi~ll~jna\iOn OO~.()O~O t\1fO"R~\1iyp~ e ne # of Bedrooms: \II O~952' II obtain cOPE.''\~BXOtilor:o . on ""90..'toU \'Ill! entef. lNot~biinlded\BlifUllDg: nla .... . _ .nA C _n \It\\\\~ '''.\ Ii<''''''~ tneW.-:t ~2.'\.::r\ ;""",\)ef \Of . j~ElWJ;ePMENT INFORMATION I ,...... cel\\ef I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Addition Commercial Phone Number: 503-799-7071 Expiration Date 08/23/2006 09/0112008 Phone 541-344-2987 541-741-2236 541-484-9080 Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I N01ICE: Sidxpi~{n-"~'HE ~ORK 11-1\S PERM\l SI-I{I.\hMmgopt~.~!iI~ N01 {l.U11-10RlZED UN~~; {l.B{l.NDONED fOR COMM\:.NCED On {l.N'{ 180 D{I.'{ PERIOD. Street Improvements: Storm Sewer A vailahle: Special Instruction: Notes: Pa!!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Fire & Life Safety Plan Review Minor - Planning SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . LtJ l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/2512004 APPLIED: 07/2312004 EXPIRES: 0412012005 VALUE: $ 40,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated Total Value of Project $40,000.00 $40,000.00 0712312004 Fpp<, p"W Amount Paid Date Paid Receipt Number $202.90 $31.22 $21.85 $312,15 $124.86 $59.00 $10.00 $303,80 $28.80 $53,60 $602.84 $136.65 $7,00 $4.90 $43.00 $27.00 7/23/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 8/25/04 1 0/20/04 1 0/20/04 1 0/20/04 1 0/20/04 2200400000000000966 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 3200400000000000220 2200400000000001317 2200400000000001317 2200400000000001317 2200400000000001317 $1,969.57 I Plan Reviews I Paee 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00922 225 Fifth Street, Springfield, OR ISSUED: 08/2512004 541-726-3753 Phone APPLIED: 07/2312004 541-726-3676 Fax EXPIRES: 04/2012005 541-726-3769 Inspection Line VALUE: $ 40,000.00 Fire Department Review 07/26/2004 08/03/2004 OK GRG Plan Review: Remodel portion of accessory recreational huilding and pool site for senior retirement community. Joh #COM2004-00922. Provide or maintain address numbers in contrasting color from the hackground positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating of 2-A:I0-B:C every 75 feet of travel distance, The top ofthe extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Provide illuminated exit sign age meeting requirements of OSSC 1003,2.8 Initial Review 07/26/2004 07/26/2004 APP SKG Plannin!! Review 07/26/2004 07/2812004 APP EMM Visited site - Demo in progress - expansion does not extend into parking or access areas. Public Works Review 07/26/2004 07/28/2004 APP SB SDCs added. Structural Review 08/25/2004 08/25/2004 APP JMP Received active general contractor data and added to file. Structural Review 07/26/2004 ,07/27/2004 WE JMP See attached structural comments faxed to Bradley R. Meyers. Structural Review 08/04/2004 08/04/2004 WE JMP David Miller submitted response to structural comments. Still waiting for a contractor with an active license. Also asked for structural changes to be submitted in writing. Structural Review 08/06/2004 08/06/2004 WE JMP Reviewed structural revisions from Bradley R. Meyers-columns, beams, and geometry. David Miller says that confirmation of license renewal should come next week. Discussed with David Miller the need to make the toilet rooms accessible. Pa!!e30f4 . . CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2004-00922 ISSUED: 08/25/2004 APPLIED: 07/23/2004 EXPIRES: 04/20/2005 VALUE: $ 40,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 08/1112004 0811112004 WE JMP Received fax from David Miller stating that the restrooms wiD be remodeled to make them accessible. Still waiting for confirmation of license renewal. 07/26/2004 08/02/2004 APP JF SUB Review 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. IRf'OIl~ Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover, Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof SheathinglNailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 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. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, 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 Pal!e 4 of 4 225.Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone . lIi:.1:;.~-- ~ f, '. I i - ~ "'"',...... .. '" ..::r~ . ~'., aity of Springfield Official Receipt .evelopment Services Department Public Works Department Job/Journal Number COM2004-00922 COM2004-00922 COM2004-00922 COM2004-00922 Payments: Type of Payment CreditCard 10/20/2004 RECEIPT #: 2200400000000001317 Date: 10120/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MELISSA GEHRKE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 020594 In Person Payment Total: Page 1 of 1 2:26:43PM Amount Due 43.00 27.00 4.90 7.00 $81.90 Amount Paid $81.90 $81.90