HomeMy WebLinkAboutPermit Electrical 2008-6-10
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CITY OF SPRINGFIELD, OREGON
SPRINGFIELD ZON C cJ
~ ......... INITIALS ~ "\~ .
~ DATE \0-'<") - ~
, SDUR~\,,..J
225 FIFTH STRE....l . SPRINGFIELD, OR 97477 . PI' (541)726-3753 . FAX (541)726-3689
Date Co h (\ \ (\ Y(
3 @OMPLi!,~ F!..E SCHEDUu ~EL~W --
ELECTRICAL PERMITAPPLlCATION
CIty Job Number [OM z.oc./i- 00 S"l( t
1 [LCJCA-~~NO!iN~T.A-l~1~4ri~~ =--]
110-'3 ~ ~flj('j 91ill
LEGAL DESCRIPTipN
1)03.], b 31 OL/ g-oo
JOB DESCRIPTION
C!~~~;:~~~!~~~-~:e~~!~:'lll ~
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
2 I CONTRACl'OR INSTALLATION ONLY I
Electncal Contractor CcrrJr~G eM
Address S(jlJ Sf J.,\-+L A WlllJ ,L _
CIty 16(+1.0.1)),
q1Jo~
Supervisor License Number
EXpiration Date
Constr Contr Number
EXpIratIOn Date
I
__J
A I New Resldentlal_~~1DgIe or MUItI-iamily per d~II;~ ~~~~~ ]
Service Included
1000 sq ft or less
Each add'tlOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServICe or
Feeder
$11700
$ 2100
$55 00
B I ServIces or Feeders - IDstaUahon, AlteratIOns or Relocaoon
New AlteratIOn or ExtenSIOn Per Panel
One CIrcUIt
Each AddItIOnal CircUIt or WIth
ServIce or Feeder PermIt
$ 70 00
$ 83 00
$138 00
$18000
$41300
$ 55 00
$ 55 00
$ 76 00
$110 00
$ 48 00
$ 400
Owners Name Qw6r C~~
Address bS sO S S" Y ~& eEl Miscellaneous (ServIce/feeder not IDcluded) -Each InstallatIon I
C1tY~<-./P7/Of06d (OPhone Pump or 'mgatlOn $ 55 00
., NOTICE: Slgn/outhne~91~~ If 1HE WORK $ 55 00
OWNER INSTALLATION 1HIS PERMJ;fn~~b- ~~I~MI1IS NOT $ 28 00
The mstallatIOn IS bemg made on property I own wh'Ml1HOR1ZEI;\,~Q;~~ l,\Ilt)IJ\'itU fOR 1 $ 5000 ..n. fn>
IS not mtended for sale, lease or rent - COMWfhWillibl ~IR ermlt Inspecllon Fee;; $50 00 + Surcharges
ANY 1lPO~~~'OFABOVE I
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Phone Q1)1' ~;l~ lOver 1000 AmpsNoll'b
Rto lJil~ yOU t
..~'''N :)r'agor\T~legon Utility
,- , ."ct bV-tne- - - et loltl'
,J;}1o 1 S . "" " 9dO?\C:.l~pbtlirY~.ij!{.\""""t Feeders
, ntel -,,, -,:;-oJl,R ~'5'2-uu
" ",,,)n l,e 0010 t\'\loUg" lules by
/0-/ - /0 . ',->/\\-\ t152-001'obtatWU3\1at1i>li'~t:mj:llt~r RelocatIOn
-pOgO '{ou ~\\"jentel2~~W,fii~~~8tlllcatlon
to 39 j: f ca\\\l.g \"~ tne OI~OPIA~_ttA;\mps
.; nU!l\O"" c:ntel IS 'l4599\mps to 600 Amps
;J - f - I () Over 600 Amps or 1000 Volts see "B" above
D I Branch CirCUits
Owners S'gnature
InspectIOn Request 726-3769
,'11) fY)
fnl'iO
_! u
-Con
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~.5f:)
Shared Dnve{T )/Bmldmg FormslElectncal Penmt ApplIcatIon 1-08 doc
12% State Surcharge
10% AdmlTIlstrat,ve Fee
5% Technology Fee
TOTAL
-ili..~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED:
EXPIRES:
VALUE:
COM2008-00548
0512212008
0411812008
1210612008
$ 75,000,00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1613 MAIN ST
ASSESSOR'S PARCEL NO 1703363104800
Sprmgfield TYPE OF WORK Heatmg System
TYPE OF USE
PROJECT DESCRIPTION Install two roof top dIr handling UOlts to replace eXlstmg
THIS IS A DESIGNATED ESSENTIAL FACILITY
AddItIOn
Commercldl
Owner
Address
QWEST CORPORATION
6300 S SYRACUSE WAY STE 700 US WEST INC
ENGLEWOOD CO 80111
I CONTRACTOR INFORMATION I
Contractor Type
Low V ollage Electncal
MechaOlcal
Contractor LIcense
CONTROL CONTRACTORS INC 63927
HARDER MECHANICAL CONTRACTORS I 74
BUILDING INFORMATION I
ExpiratIOn Date
02/14/2010
04/10/2009
Phone
503-328-1730
503-281-1112
# 01 UOIts
Pnmdry Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
B
# of Stones Lot S,ze
HeIght of,struCtUl,ew reqUireS you to Sq Ft 1st Floor
Type of H~a; Je~d bY- the Oregon Utl\ity~q Ft 2nd Floor
, '10' et fort
Water Type, Those rules are s 1 q Ft Basement
Rarige TyptOiO through OAR 95~~~Ob~q Ft Garage/Carport
Energy,p,at!)..'taln copies of t~e r~one ~q Ft Other
Sprmk!edcBUlldmg ote the NtEWctOi tlOrPccupant Load
~_^~M Iltljltv ollca
I DEVELOPMENi IN FORM'k'flfuJ ~I
REQUIRED PARKING
Frontyard Setback
S,de I Setback
S.de 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
Notes
I PUBLIC IMPROVEMENTS I
NOTILt: ~Ma!F~WORI<
THIS PERMIT S~~~~ T~~~Ml~MPT
~~~~~~~~D UOR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Street Improvements
Storm Sewer Available
SpeCial InstructIOn
Paee I of 3
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
DescnptlOn Tvpe of ConstructIOn
Bid Amonnt Vse BId Amount
Fee DescrIptIOn
-Mech Iss 2+ Apphances-
+ 1 % Seismic Fee
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
AIr Handlmg VOlt 10,000 & Ovr
Bmldmg PermIt
Copies - Ea AddU @ 50 Cnts Ea
Copy 6th @ 75 cents
Mlmmum/AdJustment Mechamcal
Plan ReVIew Comm/lndlPubhc
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commerc..1 Indus
Total Amount Paid
InItial ReView
04/1812008
Structural ReVIew
04/18/2008
Structural ReVIew
05/0112008
I Valua~lOn Descrlnhon I
$ Per Sq Ft
or multlpher
$] 00
Square Footage
or B,d Amount
75,000 00
Total Value of ProJect
Fpp~. P~ilLI
Amount PaId
Date PaId
$40 00
$566
$56 56
$67 87
$28 28
$34 00
$5]559
$44 00
$075
$]600
$335 13
$500
$600
$250
$50 00
5/22108
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
6/10/08
6/10/08
6/]0/08
6/10/08
$1,20734
I Plan ReVIews I
04/18/2008
APP LLH
04/2112008
WE DLM
05/0112008
WE DLM
Paee 2 of3
CITY OF SPK11~l.iJ<IELD
Building/Combination Permit
PERMIT NO: COM2008-00548
ISSUED. OS/22/2008
APPLIED, 04118/2008
EXPIRES' 12106/2008
VALUE' $ 75,000,00
Value
Date Calculated
$75,000 00
$75,000 00
OS/21/2008
ReceIpt Number
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000738
2200800000000000879
2200800000000000879
2200800000000000879
2200800000000000879
Need seismiC restraint deSign
mformatlOn for HV AC umts aud
ductwork This IS an essential
facIlIty ReceIved response from
engmeer, stdJ unresolved Issues
4/26/08 E-malled addd'l request for
mformatlOD to contractor and
engmeer 5/1I08dlm
ReceIved response to request for
mfo on 4/28/08dlm StllI,sssues,
e-malled contractor and engmeer rOJ
addItional mformatlOn 5/112008dlm
(see documents)
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00548
ISSUED 0512212008
APPLIED 04118/2008
EXPIRES: 1210612008
VALUE: $ 75,000,00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeclIon Lme
SUB RevIew
04/18/2008
05/09/2008
APP JF
See attached documents for energy
plan revIew approval
Structural RevIew
05/14/2008
OS/21/2008
APP DLM
ReceIved a phone call from Bob
Hardy at Harder Mechamcal
Contractors, QWest has determmed
that th,s fac,hty IS an essenlIal
facd,ty 5/14/08dlm ReceIved
seismiC engmeenng for umts from
Balzhlser & Hubbard Engmeers
5/14/08dlm
See documents for Plan revIew
comment
To Request an Inspection call the 24 hour recordIng at 726-3769 All InspectIOns requested before 7 00
a m, wtll be made the same workIng day, InspectIOns requested after 7:00 a m, WIll be made the follOWing
work day.
I Remllred fnsnectlOns ,
Bolts Installed 10 Concrete To be done by a State CerlIfied SpecIal Inspector ProvIde mspeclIon test reports to
CIty Buddmg Inspector
Fmal BUlldmg After all reqUIred IDspectlOns have been requested and approved and the bnddmg IS complete
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
Low Voltage Prior to cover
By sIgnature, I state and agree, that I have carcfully exammed the completed apphcatlOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and I further cerlIfy that any dnd all work performed shall be done 10 accordance wIth
the Ordmances of the CIty 01 Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY Will be made of any structure Without permls"on of the Commumty ServIces DIVIsIOn. Bulldmg Safety
I further cerlIfy that only contractors and employees who are 10 comphance wIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all requIred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all
times durmg constructIOn
Owner or Contractors Signature
Date
Paee 3 of 3
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
".-G~~ttl
c-P 1'1
iii: '
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00548
COM2008-00548
COM2008-00548
COM2008-00548
Payments
Type of Payment
Check
cRecemt 1
RECEIPT #:
2200800000000000879
Date. 0611012008
DescnptIon
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admm,strat,ve Fee
Low Voltage - Commercial Indus
Pa,d By
DIANE GARSTKA
Item Total
Check Number Authorization
Received By Batch Number Number How ReceIVed
dJb 8087 In Person
Payment Total
Page I of I
2 10 38PM
Amount Due
250
600
500
5000
$63 50
Amount Paid
$63 50
$63 50
6/1 0/2008