HomeMy WebLinkAboutPermit Electrical 2008-6-2
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (" QuA /"00 7 - 01 S S-7
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LOCATI:ON OF lNSTALLfiTION:
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3. ,COMPLETE FEE SCHEDULJi BEWW
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Date
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LEGAL DESCRIPTION:
R 0.\ '( .601<. 0 /70"5364 (
01\
4.-6--
ZON
INITIALS N ~
DATE b -OL~'i!)"
SOURCE 0\ p5 ~V
> >,4"~,,1kpi~jM~> ' ,,> '<< '> > i/ ,<i~
A. New Residential-;$ingle or Multi-Family per dwelling unit.
~~ >, /.' " ,
02-']"00
Service Included
JOB DESCRIPTION:
1000 sq ft orless
I Each addItional 500 sq ft or
(< (j~.4 / I( r: /L L /I /-1 "z /'VI. J ( ( J '1 . 1/ .portlOn thereof
, C/4..LJ.-fj
Permits are non-transferable and expire if work is - Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwellmg Service or
Suspended for 180 days. Feeder
2. ~1FJONTRACTOR?J:iJSTALLATION ONLY;;.
$11700
$ 21 00
$55.00
B. Servicis"l~rFeeders -'-.Installation, Alterations or Rel~cation:
~ .' ,t <, : <i,,)iH<, d~ ,
SupervIsor License Number ] 7 /~ L~:.1 c. Temporary Services or Feeders
J J ATTCHT!ON Oregon law requires you to . .
ExpIration Date /0/ I LgI~" flilC\~ i'lnopted by the Or~l\lQJt1JJty, Alteration or Relocation
I / Notlflc~~@ent(:lr. Those rules aoo~ 9.!tJJ less
Constr. Contr. Number rnvJOAYl_ 1111 ..olin 0 through O~@~~ ?P.!> 400 Amps
9090. You may oOt.atn. copies Of&9~ riM~e~J 600 Amps
ExpIration Date <II 8'~~ng the center. _(~ote:.~he .pl'1'tln " "
, 'fliJnib~1 IVI lIle:; O,~~vn Utility Nbt~ps or 1000 Volts see B above.
~i ature of SupervIsing Electrician Center is 1-800-332-~4)sranch':~ir~uits "Nt'I7H 1,1 "'I',: .' "I I
tI.1 If New Alteration or Extension Per Panel
~ IJ~ One CIrcuit $ 48 00
Each Additional CIrCUIt or with
ServIce or Feeder Permit
Electrical Contractor
\ - I
~e...( )A.."_ (1"_ ,-_ -
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
Address 6 z y (
(<. J j)
,
;::; /(.-v -<. /1
City S ;? ,: ()
Phone 6 '15- f'62:7
Owners Name ~C ~ I~ 6 a-6
-=PC) ,'"30 >C
~pr-= "b
$ 70.00
$ 83.00
$138.00
$180 00
$413 00
$ 55 00
~ 1 "')~ WL
';:",.l.l-/<~< 11 '/
$ 55.00
$ 76.00
$11 0 00
~ "~', 'II
$ 4 00
Address
e<:.:::>>
, , '" " v , ~'t:.. '" , '" , f/"
E. ~M:isCeihineous (Service/feeder not inCluded)-':Ea~h Installation
" ~ , " "
Pump or Irrigation
Sign/Outline Lightmg
Lirmted Energy /Residential
f
The mstallatlOn is being made on property I own whIch Limited Energy/Commercial V $ 50 00 ~~
IS not mtended for sale, lease or rent. NOi'CE~ Mini ~~~ llWin\tJ ction Fee is $50.00 + Surcharges
lH\S PERM1T S\:JA",
1HOR\ZEO U~1)1 " '''''\I=n'
AU 0 OR \S2Ai~~M'(arge
COM,,^ENC~v PER\l1m Administrative Fee
ANY 180 0/"\1 5% Technology Fee
City
Phone
OWNER INSTALLATION
Owners SIgnature
Inspection Request: 726-3769
TOTAL
Shared Dnve(T )IBUlldmg Forms/Electncal Permit ApplicatIOn 1-08 doc
b3!E-
$ 55 00
$ 55.00
$ 28 00
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01557
ISSUED: 12/05/2007
APPLIED: 10/16/2007
EXPIRES: 12/02/2008
VALUE: $ 145,528.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2509 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364102300
Springfield TYPE OF WORK: Office
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Office bldg 1 improvements, office space alteration
Owner: ROSBORO LUMBER CO
Address: PO BOX 20
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
Contractor License
PIVOT ARCHITECTURE
MCKENZIE COMMERCIAL CONTRACTOR 45539
CHRISTENSON ELECTRIC INC 458
SECURETECH INC 156618
I BUlLDIN.GIIN~ATIONI
_ ,\ . Otegon laW I t;"I....~ ~
# of Units: ~,:rT'.::\\,:I/)~I~doPted bY ~tffg{Jn~et forth
Primary Occupancy Group":\\o'N r\.1\ev~~teL i\lOsm!l~lfBpJ:,,~()ae~
Secondary Occupancy G~~p.hcat\On ,9,QI -001 0 t\lr~e 8r~~\es bY
Primary Construction TYIAA OAH go2~y obtain c~~\lfe1t~hO~e
Secondary Construction T&-P@P'. '{o~ne center. (Nlmtf.i~O\\ncat\on
# of Bedrooms: ca\\lng for the oregor};; ~~:
numbercenter is 1-80cg nnkled Building n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Industrial
Expiration Date
Phone
541-342-7291
541-343-7143
541-688-6121
541-521-2837
07/21/2009
05/01/2009
08/08/2009
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
17
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTICE: Downspouts/Drains:
THIS PERMrT SHAll EXPIRE rF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pae:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01557
ISSUED: 12/05/2007
APPLIED: 10/16/2007
EXPIRES: 12/02/2008
VALUE: $ 145,528.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriutioJ
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
145,528.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$145,528.00
$145,528.00
10/16/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $511.89 10/16/07 1200700000000001310
-Mechanical Issuance Fee- $20.00 12/5/07 2200700000000001770
+ 10% Administrative Fee $83.75 12/5/07 2200700000000001770
+ 5% Technology Fee $41.88 12/5/07 2200700000000001770
+ 8% State Surcharge $67.00 12/5/07 2200700000000001770
Building Permit $787.52 12/5/07 2200700000000001770
Minimum/Adjustment Mechanical $50.00 12/5/07 2200700000000001770
Plan Review Fire & Life Safety $315.01 12/5/07 2200700000000001770
+ 10% Administrative Fee $13.00 1/4/08 3200800000000000010
+ 12% State Surcharge $15.60 1/4/08 3200800000000000010
+ 5% Technology Fee $6.50 1/4/08 3200800000000000010
Add, Alter, Extend Circ Ea Add $60.00 1/4/08 3200800000000000010
Perm Serv/Fdr 200 amps or less $70.00 1/4/08 3200800000000000010
+ 10% Administrative Fee $5.00 6/2/08 2200800000000000798
+ 12% State Surcharge $6.00 6/2/08 2200800000000000798
+ 5% Technology Fee $2.50 612/08 2200800000000000798
Low Voltage - Commercial Indus $50.00 612/08 2200800000000000798
Total Amount Paid $2,105.65
I Plan Reviews I
Initial Review
Plannin2: Review
10/17/2007
10/17/2007
10/17/2007
10/17/2007
APP LLH
APP EMM
Public Works Review
10/17/2007
10/1812007
APP JHJ
Attached SDC Worksheet. No New
SDC's. (JHJ)
SUB Review
10/18/2007
10/22/2007
APP DH
Pass energy code review.
Inspections required - Interior
Lighting and Final. See attached
documents for sub approval.
Structural Review
10/17/2007
10/26/2007
APP LLH
Plans reviewed by Mick Nolte with
the Building Department for review
under contract with the City of
Springfield.
Pa2:e 2 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01557
ISSUED: 12/05/2007
APPLIED: 10/16/2007
EXPIRES: 12/02/2008
VALUE: $ 145,528.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
10/17/2007
11/15/2007
APP GRG
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insoectioruj
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
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.
SUB Ceiling Grid: Interior Lighting
SUB Final: After all required energy inspections have been requested and approved.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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 3 of 3
225 Fiftlt Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01557
COM2007-01557
COM2007-01557
COM2007-01557
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000798
Date: 06/02/2008
DescriptIOn
Low Voltage - CommercIal Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratJve Fee
Paid By
SECURETECH
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 002771 In Person
Payment Total:
Page 1 of 1
9:16:33AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
6/2/2008