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HomeMy WebLinkAboutPermit Electrical 2005-4-26 f f '. ' i1t:r~ , Jd~ 7.!iJ 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,(. ~\ ~of'. r:- 1. ~.c;6CJTIl!"ifQi[/i1Vsf@TjQN.;;~;!i",~ 3, k({P)fttYJjjl".F.t.~W~l:H~'i;o~<"~' bb () "'/ 0' '" o vYl,4-( III' S,T "'-.. 0'0..'% -'-'''-'-h-~:--:''::'';<!j~,:1v.-''''';''''' '~~--'_-:':'~J-iS',--...C'1' '~-~j""'~-:'9t"~=:... _ "....~"~.--,. 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' "", "'......). 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 . LW.~"..~.;.,,: .' _n.' ~,.H',~'~ .:_~"fl ~';;:1\:;:;":S~~~~~~~;'~;;r~Jy1f0A~"~~Y;"'" 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 " 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 ~M'~ 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 ~ k: '.,-'" .. 'll - 't! 'iJ>. .~ ~~ ) .:, :.;; .:..( ~; ': I. .. .' , . SPRINQPIELD ............::1 ~". , -0-1 __~~~i": ',1- ;:., ... 'v .,/fIJi." ' 6!.. ....." , .~..~ \~ .."" c. ~t~PQrafY;~s.'~~I~fJi~9r.1f~~'a~~s:{:~ ,;'i:\/\:'.,: ""j' :"'-: . 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, D k-""::::.;J, ....h..'C.~,.';:J~. '''~.,:',,/.;.'~ ~ 'f'~'i. ~. .p, ~""';' '"c } , I . rL'!.ranc,~'I""reUlts';,,;;.,,..l-'\: ":".,'."1.. "." ," :',' ""'"",, -'-T~ttln:.;::"" "~'" ,-" "", ''', ," ,'" " , 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'\ I 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 . Wi~~'!'c'!~,'~','!1:!!, """~,"c,,' ','.,. I ", "" ",' i "..-... ; 1:. ,: .. , C""'-'(." '" 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