HomeMy WebLinkAboutPermit Electrical 2005-4-29
225 FIFTH STREET. SPRINGFI D, OR 97477 . PH:(541)726-3753 . FAX: ('" )7~J~
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ELECTRICAL PERMIT APPLICATION <(,~ '<>/ "\:~
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City Job Number CO,"2cG)-OOz.o:>o Date I -.,:;,q - O..s; ~ ~ 0., 9-.,;
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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
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LEGAL DESCRIPTION
17c3'3 5"'] I
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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
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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
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Owners Signature:
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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
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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
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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
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7% State Surcharge
10% Administrative Fee
TOTAL
Shared Dtive{T:)lBuilding FormslElectrical Permit Application I-O).doc
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. 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