HomeMy WebLinkAboutPermit Electrical 2005-4-26
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION ,/
City Job Number UlWl z.oO ')' - 0 a z.. R' S- Date Yr'Z,(. ~\
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LEGAL DESCRIPTION /703353 I 0 crOClO A, ~,,-~~-,-,eiia..!;6!r@-isL: '~~~!ti1Plo~)~'1p_~r~~~!!ii; ]Iiii~ ,,]
lAi V.( t. MfAr AA ~ (' fi. """'... Serviee Included 0' ~.i>. ' ~0~~:i,-,,0'
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JOS DESCRIPTION 1000 sq, ft, or less ''''"'''' '- ,_ -...~iJ6>~O
c::... L Each additional 500 sq, ft, or "-.. """) ~ ~'? 1>/,<
__..,>;, eM "portion' thereof "-.. ....""Or-- $ 19,00;:0,,>;,
... 19.rc
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 Dwelling Service or ires ou ~~
2sus~;~:~;~::~STALMTIONO~V1 'B. F~~~k~~\o~;i~~~;.~r~~i~~6~5~;~~,:at'Re'locatigri,'.:J
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Electrical Contractor ~ .5zCt-crc b15",c;~5 20q,N!lpS'0'T!ie'sPO btain copies 01 the r~ ~SJ~
. 20lOtriips lb')4b8'~fter {Note: the te'~~~H
Address Z-~ 'L 5" 4 Vif(/c ~ ~ 40 I ArilpS\;t'OQ;O~ef'ffi\1;'o;egon Utility Iw;,ll$iiS,oo
601 AfIIP\n~1r~rtW1Jm 1_800-332-'~4 . $163,00
Phone )'(( -b[("I-<Tl5")Over 1000 AmpsIVolts $375,00
Reconnect Only $ 50,00
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City ElA-j ~
Supervisor License Number Z~,j.::i;.G A-
Expiration Date t D ( <D I I 0 S-
I 5'VT3>/
Expiration Date' Y {'1..,. 71 c:J (,
Constr, Contr, Number
Signa DIre of Supervising Electrician
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Owners Name H-;f-(1. (U ':. '/ 'K't:;-(l..ll:-W\A,.,{
Address .:1// b 7 1!lli1& LA- ~.J
S'?Fl\ Phone 726 - 0]2-7
City
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners SignaDlre:
Inspection Request: 726-3769
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Installation, Alteration or Reiocation
$ 50,00
$ 69,00
$100,00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "S" above,
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N I ' ,- E"" ,. n''''Dr I~ :THE WORK
ew :Alterat on\or xteRS10nlPerYanel T
One:~~~u'it'''R'I'Z''E'D' UNDER THIS PERMIT I~ tjQlo
"u'''U OR
Eac~.Additional' Circf1W,cir3witli A N UU N t u r
servk~f~f~Bdffl,~e~fiIOD, $ 3,00
E. [~~teIl.,,~~i~{(s~r:;i~ed~~de(tio~~\#~d)'-iI!',aChll)st~lI~tiOIJ
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidentia1
Limited Energy/Commercia1
$ 50,00
$ 50,00
$ 25,00
$ 45,00
4'\
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Minimum Eleetrie Permit Inspection Fee is $45,00 + Surcharges
4. ~:sUBTOfA.t$FM(:iVE;/' .,. ,:,,:.':- ':'1
~,\.t"':-:::;.hI<Ur;~:"'1._';'. .~i!'. '1>:".11' t-,i.~~~':!:.;\',~ -- -~ "~* i' _
7% State Surcharge
10% Administrative Fee
Lfr-
3/)
I..(\'o
'5 '2- i:.S-
TOTAL
Shared Drive(T:)IBuilding FonnslElectrical Pennit Application 1-Q3.doc
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 660 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109000
. U 1 i' OF ~r'KI1'\jGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00285
ISSUED: 04/26/2005
APPLIED: 03/11/2005
EXPIRES: 10/25/2005
VALUE: $ 75,000.00
Springfield TYPE OF WORK: Retail
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Remodel for Bright Oaks Meats and other retail use
Contractor License Expiration Date
JOURNEY BUILT HOMES LLC 60396 1212112006
OREGON ELECTRIC SERVICE 161518 09/04/2005
KEA TING ENGINI~'i'10N: Oregon law requIres you. ~
DEN CO ENTERP ~~ m~s adopted by thecD'899JOn Utlhty, 02/13/2006
BARNES HIGH 1 .a~lr.r.\WMN~rJlWIose nmtilre set f?~ 0211712008
In UBl1llilJ1Nl>;;rNFWKil1fid~ "",..-vv..
OO~U. I~U lIIJI \](J..!.!n ! J ~, '''the rules by
callirtydtSt6fiet!3r. (Note: .t."e tel~~~~:n Lot Size:
numbQ~fllIrtI~mUtlhty Noti) Sq Ft 1st Floor:
T~l1I1Wi!llti-800'332-2344 . Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
RangeType:,.,... -,-'''-' Sq FtGarage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: ,_ nla Oecupant Load:
Owner: HARRIS AND BERKMAN
Address: 91167 MARCOLA ROAD
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
# of Units:
Primary Oceupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
Front yard Setbaek:
Side 1 Setbaek:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Commercial
Phone Number: 541-726-0327
Phone Number: 541-953-6963
I CONTRACTOR INFORMATION ,
,~. '1
Phone
541-686-5420
541-343-1681
541-726-9995
541-726-7010
541-726-9854
B
VB
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE:
- _ -. '. . l ,.."nln~ If'" TUr: 'A/nOLt
. ......- _....-r'O'''.~J. ... '''I \. L-'" ".- ..
I P.lJBL((:;.IMPRO~EM~iflll'ERMIT IS NOT
COMMENCED OR IS ABANDONESideWAlk Type:
ANY 180 DAY PERIOD. DownspoutslDrains:
Total:
Handicapped:
Compact:
Page 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Deseription
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Aller, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 7% State Sureharge
Perm ServlFdr 200 amps or less
Plan Review CommlIndlPublie
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Sureharge
Applianee Vent
Baekfiow Device
Building Permit
Evaporative Coolers
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanieal
Plan Review CommlIndlPublie
Pianning Final Oecy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
Vent Fan
-Mechanical Issuanee Fee--
+ 10% Administrative Fee
+ 7% State Sureharge
Heat Pump
Minimum/Adjustment Mechanieal
-Mechanieal Issuance Fee--
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Sureharge
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$8.50
$5.95
$43.00
$42.00
$6.30
$4.41
$63.00
$221.91
$10.00
$72.32
$50.62
$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
Square Footage
or Bid Amount
75,000.00
Total Value of Projeet
Fpp< P'Ii'U
Date Paid
211105
211105
2/1105
211105
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
4/26/05
4126105
Paee 2 of 4
. CITY OF :srK1j'\iul'l~LD
Building/Combination Permit
PERMIT NO: cOM2005-00285
ISSUED: 04/26/2005
APPLIED: 03/11/2005
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 Inspection Line
+ 7% State Sureharge
Fixture
Gas Outlets 1-4
Low Voltage - Commercial Indus
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
Fire Department Review
03/14/2005
Initial Review
Plan nine Review
03/14/2005
03/14/2005
Public Works Review
03/14/2005
Structural Review
Struetural Review
03/14/2005
03/2812005
Structural Review
03/30/2005
SUB Review
03/14/2005
$6.30
$14.00
$4.00
$45.00
$41.00
$31.00
4/26/05
4/26/05
4/26/05
4/26/05
4/26/05
4126105
. Lll l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00285
ISSUED: 04/26/2005
APPLIED: 03/11/2005
EXPIRES: 10/2512005
VALUE: $ 75,000.00
2200500000000000493
2200500000000000493
2200500000000000493
1200500000000000510
2200500000000000493
2200500000000000493
See attached document for Firc
Department plans review comments.
LUCS attaehed. Needs two street
trees, restriping of parking lot with I
ADA spaee and aisle and wheel stop
placement. Design on site plan docs
not meet 16' minimum for backup
space. May need to remove paraUel
parking.
SDC's ADDED. Almost aU
MWMC-Industrial. Adjustment
made for changed use with attaehed
quaUfieation letter. No LDAP
Required. AN Eneroaehment Permil
applleation is required if any work b
proposed to eonneet to the CIty
Right-of-Way or work within City
Public Utility easements.
WE. Received last Internal review.
Waiting on plumbing data and
updated value.
Daria dropped off plumbing and
general eontraetor Information,
plumbing drawing, and updated
valuation.
HV AC only. No lighting or envelopl
modifications.
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.
$7,081.18
I Plan Reviews I
03/25/2005
OK GRG
Framing Inspeetion: Prior to eover and after aU rough in inspeetions have been approved.
03/14/2005
03/21/2005
APP LLH
APP EMM
03/28/2005
APP SB
03122/2005
03128/2005
WI TCM
10 JMP
03/31/2005
APP JMP
03/23/2005
APP JF
IRp~
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00285
ISSUED: 04/26/2005
APPLIED: 03/1112005
EXPIRES: 10/25/2005
VALUE: $ 75,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Piumbing: When all plumbing work is eomplete.
Grease Trap: Prior to Cover.
Backfiow Device: Prior to eovering and provide a eopy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Eleetrie Service: Approval required prior to utility eompany energizing service.
Final Electric: When all electrical work is complete.
SUB Mechanical: Following City Rough Mechanieal 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 V oUage: Prior to cover.
By signature, I state and agree, that I have earefully 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 aceordance with
the Ordinanees of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed 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 contraetors and employees who are in compliance with ORS 701.005 will be used on this projeet.
I further agree to ensure that all required inspeetions are requested at the proper time, that each address is readable from the
street, that the permit card is loeated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contraetors Signature
Date
Paee40f4
225 Fifth Street
Svcingfield, Oregon 97477
541-726-3759 Phone
.
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ilii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00285
COM2005-00285
COM2005-00285
Payments:
Type of Payment
Check
'r
'r
!
4/26/2005
"
RECEIPT #:
1200500000000000510
Date: 04/26/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
"
Paid By
DANE SECURITY SYSTEMS
INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 586 In Person
Payment Total:
Page I of I
1:31:16PM
Amount Due
3,15
4,50
45,00
$52.65
Amount Paid
$52,65
$52.65