HomeMy WebLinkAboutPermit Building 2004-7-7
.
Status
Issued
.- CITY OF SPRIr~t.J<1J!,LD
Building/Combination Permit
PERMIT NO: COM2004-00766
ISSUED: 07/07/2004
APPLIED: 06/23/2004
EXPIRES: 01107/2005
VALUE: $ 10,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectiou Line
SITE ADDRESS: 590 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353108600
Springfield TYPE OF WORK: Office
TYPE OF USE:
Remodel
Public
PROJECT DESCRIPTION: Remodel for office on mllin floor
Owner: CITY OF SPRINGFIELD
Address: 225 FIFTH STREET SPRINGFIELD OR 97477
Phone Number: 541-726-3753
I CONTRACTOR INFORMATION I
Contractor Type
General .
Electriclll
Mechanical
Contractor
OWNER
CONRICH ELECTRIC LLC
COMFORT FLOW
License
Expiration Date Phone
149509
460
11/02/2005 541-607-3447
06/27/2005 541-726-0100
I BUILDING INFORMA nON I
# 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:
VN
n/lI
I DEVELOPMENT INFORMATION'
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vllilable:
Special Instruction:
Sidewalk Type:
DownspoutslDrllins:
Notes:
ATTENTIUIJ'uregu' , .
follow rules ado ted'~''''W requires you to
Notification Centtr Th Y the Oregon Utility
in OAR 952-001-00'10 t~se rules are set forth
0090 You ma . rough OAR 952-001
cailing the !e~~~~7Nc~p~e~ of the rules b}
number for the Or~nn~ J~;L.~ !?'~~hone
l,.;enter i~ 1.SU'lf"l. ~'"J"" ;:..... ~:-:.,'...QUUrl
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Miscellaneous Mechanical
Plan Review CommllndlPublic
Total Amount Paid
I nitial Review
Structural Review
.
. CITY OF ~nor\jGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00766
ISSUED: 07/07/2004
APPLIED: 06/23/2004
EXPIRES: 01/07/2005
VALUE: $ 10,000.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$ 1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
Total Value of Project
$10,000.00
$10,000.00
06/23/2004
Fpp< p"W
Amount Paid
Date Pnid
Receipt Number
$10.00
$19.84
$13.89
$43.00
$3.00
$107.40
$45.00
$69.81
717104
717104
717104
717104
7/7/04
717104
7/7/04
7/7/04
1200400000000001052
1200400000000001052
1200400000000001052
1200400000000001052
1200400000000001052
1200400000000001052
1200400000000001052
1200400000000001052
$31 1.94
I Plan Reviews I
06123/2004
06123/2004
APP LLH
Called Rich at Con rich Eleclric for
number of circuits. He will be
meeting with Barb Magce tomorrow
(6/24) and will call me with the
information for permit then. Barb
Magee phoned me with information
on circuits. Enlered 6/25/2004
See attached documents for plan
review notes
06/23/2004
06/25/2004
APP DJP
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.
U-eolliredJnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall1nsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Paee 2 of3
,
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00766
ISSUED: 07/07/2004
APPLIED: 06/23/2004
EXPIRES: 01107/2005
VALUE: $ 10,000.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the Cily of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wlIl be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wlIl be used on this project.
1 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 properly, and the approved set of plans wlIl remain on the site at all
times during construction.
~ ,)--In yy)~(i''ff~--,
- ..;
I} - CO . 01
Owner or Contractors Signature
Date
Paee 3 of3
.
~ 225 Fifth Street
. ..
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004.00766
COM2004-00766
COM2004-00766
COM2004-00766
COM2004-00766
COM2004-00766
COM2004-00766
COM2004-00766
Payments:
Type or Payment
!NT CHGS
7/7/2004
.f~A-'~_'!.F1~ __ ~,,",, 1
war, i
---'.. ,
, "
,. _J"'" )
Jli..ty of Springfield Official Receipt
"eIopment Services Department
Public Works Department
RECEIPT #:
1200400000000001052
Date: 07/07/2004
Description
Plan Review CommlInd/Public
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Miscellaneous Mechanical
-Mechanicn! Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
618-63301-810038-P50248
Item Total:
Check Number Authorization
Received By Batch Number Numher How Received
llh !NT CHGS In Person
, Payment Total:
Page I of 1
2:30:47PM
Amount Due
69.81
107.40
43.00
3.00
45.00
10.00
13.89
19.84
$31 1.94
Amount Paid
$311.94
$311.94
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL,.. ~l!!!JrI,!i{pr..IL.4-rION
City Job Number ~. ( J nX',::)ate
1. ~~~Th:i9~ 3.
LEGAL DESCRIPTION
~3\ rf61.Jd)
"
JOB DESCRIPTION' 1000 sq. ft. or less
, _~^ l"\rll ~ Each additional 500 sq. ft. or
~ '''O.J portion th,ereof
Permits are non-trll s erable d expire if work is Each Manufacr'd Home or
not started within 18 days of i uance or if work is Modular Dwelling Service or
Suspended for 180 days: Feeder
Il.lr,.";.~<.,.,,,,-.,,~~.<<Ptlil ,~"""""..,." lie-l.:J<~~~'''''~~'''''''''~llV.;~<'~''''';'':i'~""",.~",g,;,~t=I
2. &f~M.CP:ORiI1VS' '< ,ql\WN~Y;, B. i~~~tllf.4:t~~.;t,i~~~~fJ;~~=n:' ."
AT..' SHfiI/M,c ,
~ Rt, . v - ~IFOOf}.n;~sor1ess
rtJv::'/,VlMEjNCEfiJ l1R ut:H 1HIS PEFiifAmP'S'to 100 Amps
Address ::2/::s3 ~ l$iB4NDON 4~\TpJ.nIi~~oi600 Amps
'-cl1/0D. , El6ffillQps to 1000 Amps
City .0../opnp./ Phone .!d::>1-:-L5t/..tf"J Over 1000 AmpsIV01ts
(J Reconnect Only
'~"'jj;'tJ'e'itt'_~'~:"""iAm\Ii(6;..~.i,,~"'j1':~"'~!<l""'''<' ~-
A. Ne\v:Resiilenttn!.lfS;;""lf,"r:;lYIUl, ti-, 'F:amih';'percilwclliriuiunft>!! "
.,~~...-.-.+........ro~I*l"_1.!.1\':'-'l'I;lo .', .....A:.ji;~4i.:;rJ'l::~.~~~;:a.:.~it'.z..1':'.a~...'..";.\
.\\0
Service Included'"
$106.00
$ 19.00
$50.00
Electrical Contracto
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number
Lj-'9nq .s
n-'~~t"~,,.tl":::'_m'~,' '.~;:-~-~,~l;.'~~i1~~i:;'~~~:rtt>J&, .,~' .,
c. ~"11'J1<!r;L~~!::y!s~~riF:e~der~~...~U~
Expiration Date ;O/Ol/,::)/y:) cJ.
7 l I '
200 Amps or less
J <f q 5 OCt 20 I Amps to 400 Amps
401 Amps to 600 Amps'
Expiration Date l \j Oa.! ,;(00 -[ff"t[:^" 0 600 A 1000 V Its "B" b
/ ' 1\ -"0'... . 'u ver mps or 0 see _ a Qve.
lor 'v 'Ul ~'~D !!W;""""-"~:~J1:~~.w"lJi'''M~~''''''i!;~,1!lt$;-,'m;~J;",Il.,1,~
Signagture ofsuperviSin2g Electrician II) O:~qfiOI) 8~ q~o~(.IijQif~;m~~~r..w.m~;,,.a"\f~~tm.\.; ..
. J 0090 9S<_ Lenfe ~q~ew'A1~ration or Extension Per Panel ' A0rl")
'~ , / ff . Yo 001 or. fl-oYffG. 'lU1f& \ $ 3 lJV
/ oK /. ~/W C:H.. U ~ -OQ fie ne 1fCJ;lt oS- Yo 4 .00 .
~ ~?U t"191b "CfJrObl TOthE"fclilA:ddifiSlialCiletli1orwith \ 0 dJ
. \ . ~ . ' 'f\\l\~ (c,'oL~ c '~rvic~':'8A;ee~Ml~it I $ 3.00 C\ .
Owners Name ~ \ ;"l \X)~ 'I! O/)/e:' v..<J ~ef to .
. ~. F,~ '\'~ rVO .rnJfi.." ~ ~~m4\~~~m'.r;j>%,\~!~;P':~~-:
Address ffi.f) \ (\ 'AS f;:Oon8;,:\. fi dllaIl.me~._~'\;.~~a:e~.!;~~~,t:lI~!'i1~~l;;;~g:~!!'..s.t~!.~'!!~
~A - -1t'l I ^ t.~/~-a. f!,fyl\f, 'lJhQ Sliy
City ( ^ Phone H..UI'-UV ;:;><~'BB.~~AtrJ.,r8n $ 50.00
~ _. Signt15utline Lq~ting $ 50.00
.'
OWNER INSTALLATION . Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
l\-finimum Electric Permit Inspection Fee is $45.00 + Surchllrges
k.~,,,,:..,,.~:;tJt,,,,~jo...~'i~..ifh>-'"
4. "iSTJBTOTAHOFYABOVE/S"
~-~:ti~ik.~_~~it,l
Instlllllltion, Alteration or Reloclltion
Constr. Contr. Number
$ 50.00
$ 69.00
$100.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
~oSO
7% State Surcharge
10% Administrative Fee
A.~
Inspection Request: 726-37~~ \)~ '
TOTAL
Shared Drive(T:)lBuilding FonnslElectricnl Pencit Applicntion 1..Q3.doc
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