HomeMy WebLinkAboutPermit Electrical 2004-2-23
,'. : .' . , CrTY OF S..,)INGFIELb, OREGON' OirO"t';';,}?,
ng project as submitl~d has the following
zonlng._ and does not require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)'ij,V;ri~B~
ELECTRICAL PERMIT APPLICATION . Zoning (!.<!...
City Job Number c..'{) m j(){)t( -t2:ZJ.f ,5;ate C) '2 ZOO \. (Date . ~ - 913 ...()-r
. um9!1~<l9"Silroll1ll1 ~I,A.
I 3, ICOM"PLE;TE.'.fEESCHEDULE,BELUI-r '" ,'" ,
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residential $ 25.00
The instaliation is being. made on property I own which Limited Energy/Commercial .$ 45.00
. . is, not intended for sa1e~t~l(tH;:nt. Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
o:ne;:~i~n~tur: "THIS PERMIT SHALt EXPIRE IF 'IjHaS'~TALOF. '.ABQVE.(',i.':-," ". ,'j' I /J/I
. ,.." ,'.. _, ;AUJHORIZED UNDER THIS PERMllf!~Ml ,'i. """", ." , '. {,/,(/(/
. COMMENCED OR IS ABANDONED FOIlf> State Surcharge , 1Z-
ANY HlU UAY PERIOD. 10% Administrative Fee ,;;C
'7, (J Z-
I. I LOt.A7:IQN QRIl'fSTALEA1!ION
;;// J1'1/11A1 '5i7fa-i
LEGAL DESCRIPTION
/711 ?3.53/t/9 ,leJCJ
JOB DESCRIPTION. _
jJ1tJt7 i r1 IJ 61117 IV {7 C:/ ,lfCt/i 1
HLJ //,ff r L!61'f"7:5
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, ECONTRACrOR INSTALi.;4no.'VoNiyl
Electrical Contractor .
LI "t:VYIKt: t:Lt:1,,; I KII,,;, INl;,
P.O. BOX 23154
Address
City
l:UI:lt:I'lt:. UI'( l:l ('IV":
Phone 31(f(-WJ-~
Supervisor License Number '3313 - S
ItJ-/-()'/
~~ti'f7
5' -/~ -?Jtj
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
U/1a--
Owners Name S (,If; ic.l-tc;cL 0l~1
VVl .. ( ( c:, \--
Address
s z. <;'"
~ \> r~
Phone
City
Inspection Request: 726-3769
A. I Nej,- Residential - Single Qr.Multi-Fan;ily per dwelliiig lI~jt.~
Service Included T
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. L~e,~,'\;l~e:~;o~;:f,~ed'ers,'~,In~~an~'tiOl~; ~lte..~~i0J1~ Qr,<Relocation: 1
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75,00
$125,00
$163.00
$375,00
$ 50.00
c. !'feil1~;ll;a~y.$~l'.yices;(l!:.Fe"edeIS,:, ~9~' ".;;;.. \~i;io"
ATTEN t IUI~,V'o~~" l~.. 0 on' Utility
,', ~~C\-,,,rI h" the reg
Installati.9.it~W1teralion'or Relocation I s are set fort
;'" ,'on Cen-ter, Those ru e
200 An\j)Sol'lgsg. 001 0 t"-~' ,nh n~.~P!.P92-00
f".^r.> ""2-001- ." - - ~
201 Am.ilps.m."OO'A:mps bt'n ~nn;O" f)1$~fi,(bQOJles I
.Y\,C\" Yo'! may 0 al - . , .
401 AlIIpS'lo 6uO A:mps ter (~Into' th", '1\Jil.q:Oo)ne
calling the cen ,. , , "t' n
OV:~c600'~~~r I~Q9tV.~I~ IS~~ltBr'lao(\~e': NotlflcalO
D. fi'B~~l1ch c.rcu.lt""~.1-.;,.~.~f~~;~.~'1\Z.~~q.l'.:. ."
.1
. I
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or ,vith
Service or Feeder Permit
$ 43.00
$ 3.00
~
b.;;J()
E. t~c~l!~ijeO'i,s'(S.erVice/fee~er notin~ltujed) -E~,ch Installation I
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application l-Q3.doc
.
. CITY OF ~"'K.11'lt.I'I""LD
Building/Combination Permit
PERMIT NO: COM2004-00055
ISSUED: 01/27/2004
APPLIED: 01/15/2004
EXPIRES: 08/02/2004
VALUE: $ 15,000.00
.~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 611 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109200
Springfield TYPE OF WORK: Office
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Awning and remodel
Owner: SPRINGFIELD SCHOOL D1ST #19
Address: 525 MILL ST SPRINGFIELD OR 97477
Phone Number: 541-744-6375
'\
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
LIVEWIRE ELECTRIC, INC
License
Expiration Date Phone
56697
05/16/2004 541-344-4928
BUILDING INFORMATION'
# 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:
Lot Size:
Sq Ft 1st Floor:
. Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
SETBACKS
I DEVELOPMENT INFORMATION I
I '" Frontyard 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:
St S ATTAENITbIO, N:Oregon law requires you to
orm ewer val a e: d d b h 0 U '1'
S ' II TOt,.1I0Vlt', rilles a opte y t e regon !llty
peels os r:uc IOn:
'Jotltlcatlon Center, Those rules are set fort
Notes: n OAR 952-001,-pO,l q '~rough OAR 952-00
0090, You may obtain copies of the rules I
calling the center, (Note: the telephone
number for the Oregon Utility Notification
"._'M;~ 1-<1fln-:;l'-2.2344),
Sidewalk Type:
Downspouts/Drains:
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
Estimate
Estimate
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
'''. + 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00055
ISSUED: 01127/2004
APPLIED: 01115/2004
EXPIRES: 08/02/2004
VALUE: $ 15,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,000,00
Total Value of Project
Fpp. tIilIJ
Amount Paid
Date Paid
$95.16
$58.56
$4.60
$3.22
$43,00
$3.00
$0,60
$0.42
$6.00
1/15/04
1/15/04
1/27/04
1/27/04
1/27/04
1/27/04
2/20/04
2120/04
2/20/04
$214.56
I Plan Reviews I
Fire Department Review 01/20/2004 01/28/2004 APP GRG
Initial Review 01/15/2004 o l/15/2004 APP RJB
Plannine Review 01/22/2004 01/22/2004 APP EMM
Public Works Review 02/02/2004
Structural Review 01/20/2004 01/20/2004 WE JMP
"\
Value
Date Cnlculnted
$15,000.00
$15,000.00
01/15/2004
Receipt Number
2200400000000000034
2200400000000000034
1200400000000000113
1200400000000000113
1200400000000000113
1200400000000000113
2200400000000000164
2200400000000000164
2200400000000000164
See attached documents,
Leasee is Mckenzie Photo & Copy
Center per Steve Anderson at
School District
1/20/2004 JMP called Steve
Anderson. He says he does not have
an awning but a roof structure. He
will get dimensional data as it relate!
to beight, property line and curb.
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 I?r,...i~nsnections I
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete,
3 Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
4 Roofing: Prior to installing any roof covering.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00055
ISSUED: 0112712004
APPLIED: 0111512004
EXPIRES: 08/02/2004
VALUE: $ 15,000.00
"
Status'
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
5 Final Fire Department, After all requirements of the Fire Department have been met.
6 Final Building: After all required inspections have been requested and approved and the. building Is complete.
7 Rough Plumbing: Prior to cover and Including required testing.
8 Final Plumbing: When all plumbing 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, nnd
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.
I
\~
Owner or Contractors Signature
Date
.~,
'.
Paee 3 of3
..,
','
~I
~~ ~.~-~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2004-00055
C0M2004-00055
COM2004-00055
Payments:
Type of Payment
Check
Receipt #: 2200400000000000164
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ Ea Add
Paid By
L1VEWIRE ELECTRIC INC
(:beck Number
Batch Number Authorization Number
Received By
djb
09547
,"
City of Springfield Official Rl!Ceipt
Development Services Department
Public Works Department
Date: 02120/2004 2:S6:18PM
Amount Paid
Item Total:
0.42
0.60
6.00
$7,U2
How Received
In Person
Payment Total:
Amount Paid
$7.02
$7,U2
.
.