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HomeMy WebLinkAboutPermit Electrical 2005-4-29 225 FIFTH STREET. SPRINGFI D, OR 97477 . PH:(541)726-3753 . FAX: ('" )7~J~ 0, '" ELECTRICAL PERMIT APPLICATION <(,~ '<>/ "\:~ e..... , I -v",." Q:.o~ City Job Number CO,"2cG)-OOz.o:>o Date I -.,:;,q - O..s; ~ ~ 0., 9-.,; 0.,." ';. d'I (I.... ~ '>. ., Q)- .~. "j'. .,. JOB DESCRIPTION 1000 sq, ft, or less C\ (' \ - Each additional 500 sq, ft, or \~\- ~\~, - l-y-~ '" ...._ <: portion thereof ... 'r\ ENTll'\Ny'rea2n law requires you u> Permits are non-transferab1h1nd expire if work is ATT E"~c1i Ii'd' ~l'Efgon Utility not started within 180 days of issuance or if work is follow rulfijb IIm%~~~61e~a~e set forth Suspended for 180 days, NotificatiOIjt&@e'}ter'hoshOAR952'uul_ ~: OAR95- - 1 trou 2, 90. YdU r, , calling the cen. . , , . Eiectrical ContractorOBE.Gr"IJ~: ~rTr!IC SERVICE-nYmberWPtl'Un~r61900 Utility Notiflcation/ P.O. BOX 223! OOilll.ttrrlps~~' ~UGENE, OR 9749~ 40i Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only 1, tll~Q:_@~:ft1_ l.a1,.() !nr.J Uu ~~ LEGAL DESCRIPTION 17c3'3 5"'] I o "000 Address City Phone ~3 - ( /qSL( Supervisor License Number -I.sq,::J..s- Expiration Date /0- f - 0'1 Constr, Contr, Number ~'-f&' c...... Expiration Date 10 - I - o..s '~Ci~~~;;: l ' -.If A (l.>l.\ '-> {~ILIM A-,./ Owners Name ,r!J~ <.. ~ ()() \),. {Y\.o--" k Address 9/167 ~(\.C..oc..r\ ~, City s.?~ Phone OWNER INSTALLATION Thc installation is being made on property I own which ;,." i"~"~ fu,",< '~ Owners Signature: or \~1CO '"'W'i., R....", n."" ~~lhtp ~,~V.J j ;;;~;.:.:;::/::~::':::". ,,'.' A, $50,00 $63,00 W ~ $ 75,00 $125,00 $163,00 $375,00 $ 50,00 C'~_~~!~J~~[g Installation, Alteration or Relocation 200 Amps or less $ 50,00 NG20~]c.A!nps to 400 Amps $ 69,00 THI4bl,A'mpsll060O,p,.mpSlPIRE IF THF WORfSlOO,OO ~ rrnli'l 1 \JIlt''''..\.. 1-^ . , . "l~""O -...~ n,O,!'T l"li w'\T AUCPV,~"lq9i>~l!;itips orel' OO:-Volcs see': -B!' a ove! @JI' . " ., -' ANNe~M~A\i~n~)tVlension Per Panel One Circuit ", ' '. Each Additional Circuit or with Service or Feeder Permit $ 43,OlJ $ 3,00 (~~ <-t E. Pump or inigation Sign/Outline Lighting Limited EnergylResidentiaJ Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4. ,;s 6-0 ..s d-S ...0S-o ~) ').S 7% State Surcharge 10% Administrative Fee TOTAL Shared Dtive{T:)lBuilding FormslElectrical Permit Application I-O).doc .,.......... . . CITY U.l' ~rKlr\ju.l'l~LD Building/Combination Permit PERMIT NO: cOM2005-00285 ISSUED: ' 04/26/2005 APPLIED: 03/1112005 EXPIRES: 10/25/2005 VALUE: $ 75,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line SITE ADDRESS: 660 MAIN ST ASSESSOR'S PARCEL NO.: 1703353109000 Springfield TYPE OF WORK: Retail TYPE OF USE: Alteration PROJECT DESCRIPTION: Remodel for Bright Oaks Meats and other retail use Commercial Owner: HARRIS AND BERKMAN Address: 91167 MARCOLA ROAD SPRINGFIELD OR 97478 Phone Number: 541-726-0327 Phone Number: 541-953-6963 I CONTRACTOR INFORMATION' Contractor Type General Eleetrical Engineer Mechanical Plumbing # of Units: Primary Oceupaney Group: Secondary Oceupaney Group: Primary Construction Type Seeondary Construction Type: # of Bedrooms: Contractor License JOURNEY BUlL !/fIOMffl~h~ 60396 OREGON ELEFl'RI<;\S.'t~VIcIPregOn law 161,518 KEA TING ENGINEEmtlR'~ adOPted by t reqUIres you t DENCO ENTERPRIS,ES}~.<;:nenter. Those he t;l389~n UtilityO BARNES HIGHLTEc~';fi~illNa(Jllllf", .:~/~!JIit Set f"..... n l.'a/j' 'BmbDiNG}NF6R~iibN'lI52-001_ II"..,,, TOrth (.IUle. th .'ules by e DIP" . e teleph Celjl~~.\ofle.:')n Utility Nt', one B Heig~t b~~~ If/cation Type of Heat: J. Water Type: Rangi,Type: Eri'ergy Path:::- Sprinkled Bu,ilding: Expiration Date 12/21/2006 09/04/2005 02/1312006 02/17/2008 Phone 541-686-5420 541-343-1681 541-726-9995 541-726-7010 541-726-9854 VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Oecupant Load: 'Ria' I DEVELOPMENT INFORMATION' Frontyard Setbaek: Side 1 Setbaek: Side 2 Setbaek: Rearyard Sctback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handieapped: Compact: Street Improvements: Sto.rm Sewer Available: Special Instruetion: NnTlf'r:. I PUBllLC l~PROV<E~L"Tli'.'/R E IF THE WORk' MU I HUH/ZED UNDER THIS pcSidewalk Type: COMMENCED cnlvII I I~ NuT ANY 180 0 OR IS ABANDODownsp,outslDralns: AY PERIOD, "W , '-'Il Notes: Paee 1 of 4 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeeUon Line Description Tvpe of Construction Estimate Estimate Fee Description + 10% Administrative Fee + 7% State Sureharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 100/0 Administrative Fee , + 7% State Surcharge Perm ServlFdr 200 amps or less Plan Review CommlIndfPublic -Mechanical Issuanee Fe..... + 10% Administrative Fee + 7% State Surcharge Appliance Vent BackOow Device Building Permit Evaporative Coolers Exhaust Hoods Fixture Minimum/Adjustment Mechanical Plan Review CommlIndfPublie Planning Final Oecy Inspeetion Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin Vent Fan -Meehanieal issuanee Fe..... + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanieal -Mechanical Issuanee Fe..... + 10% Administrative Fee + 10% Administrative Fee + 7% State Sureharge . I Valuation Descriotion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 75,000.00 Total Value of Projeet ~ Fpp<. tiWU Amount Paid Date Paid $8.50 $5.95 $43.00 $42.00 $6,30 $4.41 $63.00 $221.91 $10.00 $72.32 $5D.62 $6.00 $14.00 $468.15 $9.00 $9.00 $196.00 $15.00 $82.39 $143.00 $54.83 $72.13 $10.00 $4,499.90 $481.26 $255.91 $6.00 $10.00 $4.50 $3.15 $12.00 $33.00 $10.00 $4.50 $9.00 $3.15 2/1105 2/1/05 2/1105 2/1105 2/7/05 2/7/05 2/7/05 3111/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/7/05 4/15/05 4/15/05 4/15/05 4/15/05 4/15/05 4/26/05 4/26/05 4/26105 4/26/05 Paee 2 of 4 . CITY OF ~rK1j'''uN~LD Building/Combination Permit PERMIT NO: cOM2005-00285 ISSUED: 04/26/2005 APPLIED: 03/1112005 EXPIRES: 10/25/2005 VALUE: $ 75,000.00 Value Date Calculated $75,000.00 $75,000.00 03/30/2005 Receipt Number 3200500000000000039 3200500000000000039 3200500000000000039 3200500000000000039 2200500000000000142 2200500000000000142 2200500000000000142 2200500000000000280 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000405 2200500000000000439 2200500000000000439 2200500000000000439 2200500000000000439 2200500000000000439 2200500000000000493 1200500000000000510 2200500000000000493 1200500000000000510 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line + 7% State Surcharge Fixture Gas Outiets 1-4 Low Voltage - Commercial Indus Minimum/Adjustment Mechanical MinimumlAdjustment Plumbing + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Fire Department Review 03114/2005 Initial Review Plan nine Review 03/14/2005 03/14/2005 Public Works Review 03/14/2005 Structural Review Structural Review 03/14/2005 03/28/2005 Structural Review 03/30/2005 SUB Review 03/14/2005 $6.30 $14.00 $4.00 $45.00 $41.00 $31.00 $7.50 $5.25 $12.00 $63.00 $7,168.93 4/26/05 4/26/05 4/26/05 4/26/05 4/26/05 4/26/05 4/29/05 4/29/05 4/29/05 4/29/05 I Plan Reviews , 03/25/2005 03/1412005 03/21/2005 03/28/2005 03/22/2005 03/28/2005 03/31/2005 03/23/2005 OK GRG APP LLH APP EMM APP SB WI TCM 10 JMP APP JMP APP JF . LU f OF SPRlrliu.l'lELD Building/Combination Permit PERMIT NO: COM2005-00285 ISSUED: 04/26/2005 APPLIED: 03/11/2005 EXPIRES: 10/25/2005 VALUE: $ 75,000.00 2200500000000000493 2200500000000000493 2200500000000000493 1200500000000000510 2200500000000000493 2200500000000000493 2200500000000000513 2200500000000000513 2200500000000000513 2200500000000000513 See attached doeument for Fire Department plans review eomments. LUCS attaehed. Needs two street trees, restriping of parking lot with] ADA space and aisle and wheel stop placement. Design on site plan does not meet 16' minimum for baekup space. May need to remove parallel parking. SDC's ADDED. Almost all MWMC-Industrlal. Adjustment made for changed use with attached qualifieation letter. No LDAP Required. AN Eneroachment Permit application Is required If any work b proposed to connect to the CIty Right-of-Way or work within City Public Utility easements. WE. Reeeived last internal review. Waiting on plumbing data and updated value. Daria dropped off plumbing and general contractor Information, plumbing drawing, and updated valuation. HV AC only. No lighting or envelop. modifieations. 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. Paee 3 of 4 Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . I RellUirl'd Tosol'l'tiono . frl.. .... . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00285 ISSUED: 04/26/2005 APPLIED: 03/11/2005 EXPIRES: 10/25/2005 VALUE: $ 75,000.00 Framing Inspeetion: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspeetions have been requested and approved and the building Is eomplete. Final Building: After all Conditions have been eompleted as required on Development Agreement. Underslab Plumbing: Prior to filling the trench and Including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work Is complete. Grease Trap: Prior to Cover. Baekfiow Deviee: Prior to covering and provide a copy of the test report on site at the time of Inspection. Rough Mechanical: Prior to Cover Final Meehanieal: When all meehanical work is complete. Rough Eleetric: Prior to Cover Electric Service: Approval required prior to utility eompany energizing service. Final Electric: When all eleetrical work is complete. SUB Mechanieal: Following City Rough Mechanical inspection approval and prior to any eover. SUB Final: After all required energy inspections have been requested and approved. Rough Gas: After line is installed and required testing and eapped if not attached to an appliance. Final Gas: When all gas work is eomplete. Low Voltage: Prior to eover. By signature, I state and agree, that I have carefully examined the eompleted applieation 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 aecordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deserlbed herein, and that NO OCCUPANCY will be made of any strueture without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in eompliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspeetions are requested at the proper time, that eaeh address Is readable from the street, that the permit eard 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 Paee 4 of 4 Date 225 Fiflh Slreet Springfleld, Oregon 97477 541-726-3759 Phone . ~ JohlJournal Numher COM2005-00285 COM2005-00285 ,COM2005-00285 COM2005-00285 Payments: Type of Payment Check , " : 4/29/2005 RECEIPT #: 2200500000000000513 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By Received By OREGON ELECTRIC SERViCE djb Pagc 1 of 1 ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Dale: 04/29/2005 Item Total: Check Number Authorization Batch Number Number How Received 18590 In Person Payment Total: 1l:49:44AM Amount Due 63,00 12,00 5,25 7,50 $87.75 Amount Paid $87,75 $87.75