HomeMy WebLinkAboutPermit Electrical 2006-8-7
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..".l! CITY OF SP~~ffiLI>; OREGON ,: ,
SPRINGF1~ELD' .... ZON c.~ I
, ,A INITIALS ,"'M
'i/ilfl- ~ DATE <?>/;/0v
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<(;/7 jOb
Date
225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELE.CTRICAL PERMIT APPLICATION
City Job Number C O.,c,\ z..o U , - 0 0 f{ b l'
I
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1. ; LOCATIONOFINSTALLATION,. ..
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B b"> y11A-,,.t/ Sl
LEGAL DESCRIPTION:
170~> S''t l.
r--- ---- .~--~-- .. - -, --------. . --
.3. ' COMPLETEFEESCHEDULEBELOW
'--.- ",- ,-- -----.-- --..- ..---- - - -. ---- '.' ---~---
r--.--- ----..----"- -- ,,"- -. "-'~-'.
A. ~!_"'_~~~den~iaI-=- Sin~le ~~M"_~~~~a~li'?: per dwc~I~_ __ __ .'
o f.S-o 0 Service Included
JOB DESCRIPTION:
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or.
Modular Dwelling Service or
Feeder. .
$106.00
1JtA:h.- LU,~/
Permits are non-transferable and expire if work is
nol startcd within 180 days of issuance or if work is
Suspended for 180 days.
$ 19.00
$50,00
:,e~~::::::9;;T;:::~;;:.i~'~6i~:~~:i~~~~~~~~~:~i~n~~I~rat:o::,~:Re~o:atioll:
,Ulfl ar\0P'''v ,10S a 00"
\ I' W (ule~ '201(Amps't6'400'Amps952' $ 75.00
{'nO J II) f:'ka.tl,~atiOn ceS06c1-,~psll6"66O' ku';~~~ (Ules 'o'{ $125.00
. 1'-' 952-001' ~0"'''S u' . "one
'Op.,B 60~~mi3s'toII000,Amps'Pl' $163.00
/ Cr.; :""r~, \11a:'i 'N'\te'. 'I'V' r allOil
Phone 1""<'I7-~~,& ne~l)~r,'lOoo?,,,"1B~{\K?ltsOtIIC. $375.00
call1n9 t Reconnec1,0nlY32 2344). $ 50.00
I \11betIO( ll'-.- \.€.OO-'" .
Supervisor License Number ~ ~ Qq ! d ('c:nL~e\~;;~"'~2~~rviccs orF~d;;" -- -::-~'~=-_~~~=-":='~I
Address 8"& ~
City ~bl
/0 :.... / - DJ?'
. -
Constf. Contf. Number ) I/? tj J J ej,
'-f /11/ D' 7
Expiration Date
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Expiration Dale
Over 600 Amps or 1000 Volts see "B" above,
r-='~ -~. ----.,-,,- - .--- ----- ..~._~--,-
D. I Branch Circuits
r;;;;;;;~
Owners Name /(-I-L...- ~(b~~kr
Address '36, c) E :r11-c-~ S rI..../
City m~fb.(\.~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3.00
E. i Miscellaneolls (Service/feeder not included) -Each In~tallatioll !
Pump or irrigation . $ 50.00
Sign/Outline Lighting $ 50.00
. OWNER INST ALLA nON Limited EnergylResidential, O?;V $ 25.00
The installation is being made on property I own which Limited EnergY/Co~rl:'iaIN ~O"i I $ 45,00 ~ r
is not intended for sale, lease or rent. ,c.Minimum E)ectfj~:P~~i~\litSJ;e~ilon Fee is $45.00 + Surcharges
~~\\C 1'~i:-\,~-m;~6iAYI~:'~b%\7\' _ --, I.{ ,-
Owners SignatUre: "I \\ " ?;\l\:;U-""-='S1\'O"'w - J
fI,\J"li\O \8~~S~en~~f~,harge 760
r""\'lI\'lIt.~ 10% $aminislrative Fee '(.......,
v\J Q\) "hI
fI,\\'{ '\ u 5% Technology Fee z: ' ,
TOTAL 5: ~ :J )
Phone
7ft7-:sJ7Y
Inspection Request: 726-3769
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Shared Drive(T)/Building Fonns/Eleclncal Pcnnit Application 8~06.doc
.
.CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: cOM2006-00868
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/12/2006
02107/2007
$ 1,609,052.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 863 Main
ASSESSOR'S PARCEL NO.: 1703354206500
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Car dealership Addition and Remodel
,
Owner:
Address:
LITHIA REAL ESTATE, INC
360 E JACKSON ST
MEDFORD OR 97501
Phone Number: 541-747-3374
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, _" "nl.l to
. \~\N leLl"" - _~ Utl\"'!
I CONTRAGTOR'INF.oRMA\')1JON I'et \O(t'n
. .,
I\,\C'" c10V\~-' l\l\"~-. ,,".00'-
,.... \l\e~dJ, l'nOse "lI,P, 9;;"-
Contractor 10110'/'1 ~\~ ce\"ltel~ t'nlO!,.!cense e (\l\!!,xtilration Date
DOUGLAS SNIDE~;.d>.RCH~t)~~I,R(;;J\ 0 collies 01 t\"l "o\"le
TTC COMMUNICA-J"IQN8 ~N~",,,,\j 0'ota\\"I'...\r.1~~li1'4 t~~~~,r.atiOl04/11/2007
I 'iiiILDING\INFORiV1A"m6Nfi~4i\).
-. 'oe1\0\ ".-, \-8\)')'''--
r#' \ll1f St .. .'ellS
o o:oes:.
Heighl of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-772-5203
541-689-2650
Contractor Type
Architect
Low Voltage Electrical
B
S-1
VB
Lot Sizc:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq. Fl Basemenl:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
10,060
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Selbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbsidc 7'
To Storm Scwer
Notes:
NOTIC':'
THIS P~RMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541- 726-3 769 I nspection Line
PERMIT NO: cOM2006-00868
ISSUED:
APPLIED:
EXPIRES:
VALUE:
In Review
I Valuation Descriotion I
Description
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or mulliplier
$1.00
Square Footage
or Bid Amount
1,609,052.00
Total Value of Project
~
07/12/2006
02/07/2007
$ 1,609,052.00
Value
Datc Calculatcd
$1,609,052.00
$1,609,052.00
07/12/2006
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Low Voltage - Commercial Indus
Amount Paid Date Paid Receipl Number
$3,557.55 7/12/06 2200600000000000963
$2,189.26 7/12/06 2200600000000000963
$4.50 8/7/06 1200600000000001209
$2.25 8/7/06 1200600000000001209
$3.60 8/7/06 1200600000000001209
$45.00 8/7/06 1200600000000001209
Total Amount Paid
$5,802.16
I Plan Reviews I
Fire Department Review
Initial Review
Planning: Review
07/17/2006
07/13/2006
07/17/2006
07/17/2006
APP LLH
WE
Public Works Review
07/17/2006
WE SB
Structural Review
07/17/2006
07/27/2006
10 LLH
Paee 2 on
needs Final Site Plan submittal and
Development Agreement
No final site plan received. This
review does not cover the quick lube
or lot paving, which will be
submitted under a separate
application. One Encroachment
permit application is required (for
all water, sewer, and storm
copnections). I called applicant
Architect and Engineer about
LDAP. LDAP required to be issucd
before this permit. SDCs calculated.
Might change with site plan.
NOTE: applicant proposes
"inserta-tees" for connecting 8"
storm laterals to the 8" main.
Factory Tees will be required. No
noor plan of the Quick Lube area
found, will call the engineer for info.
Sent to Tom Rogers for structural
review
.
.LIl 'i OF SPRIr~\.>..IELD
Building/Combination Permit
Status
In Review
PERMIT NO: cOM2006-00868
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/12/2006
02/07/2007
$ 1,609,052.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
07117/2006
07124/2006
WE
JF
JMP called Douglas Snider for the
energy code forms. Hc said they
were sent with the submittal
package.
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 Relluired In~
ErosionlGrading Inspection: Prior 10 ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut . Second: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placemeut of concrete.
Low Voltage: Prior to cover.
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, and
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 fronfof the property, and the approved set of plans will remain on the site at all
times during construction.
~~ WCfi> d
9'/' lor;
Owner or lontraclors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
"
Job/Journal Number
COM2006-00868
COM2006-00868
COM2006-00868
COM2006-00868
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
.........'in1i.!!!",...... ,.....'...
Wii!' ,
r ",~...,~ ~
+'.J .-
.' ,'.- -' .~.
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
1200600000000001209
Date: 08/07/2006
Description
+ 10% Administrative Fee
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
Paid By
TTC COMMUNICATIONS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb 32 I 94 I In Person
Payment Total:
Page J of J
9:44:07AM
Amount Due
4,50
45,00
2.25
3,60
$55.35
Amount Paid
$55.35
$55.35
8/7/2006