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Home My WebLink AboutPermit Electrical 2007-4-11 . . CITY OF SPRr~0FIELD, OREGON ", :.X, 1 ' ZON lU INITIALS Nt'" DATE l...) - jI , 0 1 SOURCE Y'I\ <... us FIFO! STREET . SPRINGFIELD, OR 974n . PH:(541)726-37SJ . FAX: (541)726-3689 ELECTRICAJ,- PERMIT APPLICATION City Job Number (' /)(Y'ld. r:f/Y.:J - 0 I ~ 015 II! 0 YI C E !ustallatiou, Alteration or Reloc:atiou THIS '200 Amps or less $ 50,00 . PERMlr~f~r199p}mr $69,00 tHJ 'HORIZ~ ~ffl:~~oo~IF THE WORlt $100,00 ExpirationDate~;1I1-Q I D '& COMMENC-t>b.- HIS Pr:Q/'!'T '"'' ~ m;.~~q~gsA%I\OOO Volls see"lfTabove, Signature.::;o upervi' gEl "an ANY 1801iA~rnm~~rcuift'ONED FOR New Alteration or Estension Per Pune/l One Circuit $ 43,00 M Each Additional Circuit or with ,r I' A f\ 11 f\v._ Service or Feeder Permit '-=' $ 3,00 Owner.; Name u.>~ rv1.JlllJ1 nO (LL~ . . 4 CO \ fu-tP v i'\A&1 Mr..Q py L..;::.L) E. Miscellaneous (Service/feeder not Ineluded) -Each Instnllntion Phon.,Q I) -1 Rtf Pump or irrigation $ 50,00 "- 0 &:3> I Sign/Outline Lighting $ 50,00 OWNER sTALLATION Limited EnergylResidential $ 25,00 The installation is being made on ._ -...-.J I own which Limited Energy/Commercial $ 45,00 is not intended for sale, lease or renL Minimum Electric Permit 1m,. " :" '. Fee is $45.00 + Su""bargts a-D Owner.;Signatwe: 4. SlJ1HV1ALOFABOVE <5 %. ~ . fJ; <f. ,I)"~J 5% Technology Fee r::J ' 90 TOTAL Shared Drive(T:YBuildina FonnsIEI_ ~E~:!.:[ 1. LOCATION OF INSTALLAJ:lON: ,5/5-;). I5\W~clL LEGAL DESCRIPTION: \'In~ 15~2-(')\\ IT?) JOB DESCRIPTION: \0b-\cL ~ Permi" are uon-transferable aud espire if work is oot started witbiu 180 days ofissuauee or if work is Suspended for 180 days. CON7'RACTOR INSTALLATION ONLY 2. Electrical c...._-;.,.\'oU!3 OC\\mJl.V' 7.U!L:hlC Address~ ~rl'~., ~ - City ~A.L Phone 4-"lL~ Supervisor License Number !J'/ LI ~ S Expimtion Date \D /I ID, Constr. Contr, Number \I\\~ las.. ...~." Request: 726-3769 4-l\ -01 Date 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Fnmily per dwelling unit. Serviee Induded 1000 sq, fl or less Each additional 500 sq, fl or portion thereof $106,00 $ 19,00 Each Manufiu:t'd Home or Modular Dwelling Service or F~er $50,00 B. I ~'~~~ii!e~~b:ti;eedersJf.~i~st~'I'at;in;:)\It'erii1ions 01. Relocation: . Oi!fICafior> C::mt~r, Th v ~ II ,:!~(!)lJcn '200'='1,::1 n''''I_ O"e rul..s :lre $'6300 ~..psor, ""<-0010" . .",~ . - 'Inr0Ut, .-. 20\'~fu400.Amps". ,,,II U,'\K 9$,75:00 _....". - ,",~t,~ljl ConIC' - -- 401<Ampsto'60Qb'1'p:l. (/" ( '" or thO 1$125;00 60i'Ainps t<i'IOOO:~~~., ,~7 -;:. t~I(; ;C:'Jpr$163\00 Ov 1000:Am'sIY I ., Utll"" I ,(.I/I:C$'7'5 00 er p,(j ~ 'Ie, ''l'~' . . ~ , Reconnect Only . " ~ ' <,," q I $ 50,00 C. Tempornry Senices or Feeders .L.J3 /5 8% State Surcharge 10% Adminjstrative Fee 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01608 COM2006-01608 COM2006-0 1608 COM2006-0 1608 COM2006-0 1608 Payments: Type of Payment CreditCard cReceinl1 . T;~~ Wit. " - Cwf Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 2200700000000000525 Date: 04/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DOUG PALMER ELECTRIC/JULIE F. FORD Item Total: <":heck Number Authorization Received By Batch Number Number How Received njm 113031 In Person Payment Total: Page I of I 9:31:09AM Amount Due 43,00 15.00 2.90 4.64 5.80 $71.34 Amount Paid $71.34 $71.34 4/11/2007 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01608 ISSUED: 03/20/2007 APPLIED: 12/14/2006 EXPIRES: 10/10/2007 VALUE: $ 140,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iospection Line SITE ADDRESS: 3752 INTERNATIONAL CT ASSESSOR'S PARCEL NO.: 1703153201100 Springfield TYPE OF WORK: HoteVMotel TYPE OF USE: Remodel 'PROJECT DESCRIPTION: Remodel existing rooms & provide access to meet ADA requirements (Motel 6) Commercial Owner: ACCOR NORTH AMERICA Address: 4001 INTERNATIONAL PKWY CARROLTON TX 75007 Phone Number: 972-789-6831 Contractor Type Geoeral Electrical Plumbing I CONTRACTOR ."tv",YlATlON I Contractor License EAGLE RIDGE ROOFING & CONSTRUCTl0I73523 DOUG PALMER CORP 90725 CHAPIN ENTERPRISES INC 81994 BUILDING INFORMATION I Expiration Date 12120/2008 05103/2008 05/06/2008 Phone 916.570-1460 541-434-5600 541-485-1146 VA # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basemeot: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-I nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC II"'.. "" ,rEMENTS I Fully Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 7' To Storm Sewer Notes: Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Estimate Estimate Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fixture Paving Plan Review Comml1ndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . I Valuation Descriotioo I , , $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 19,000.00 55,000.00 Total Value of Project ~ Amount Paid Date Paid $119.13 $59.57 $60.66 $464.25 $294.00 $433.05 $452.17 $278.26 $5,80 $2,90 $4.64 $43.00 $15.00 3/20/07 3/20/07 3/20/07 3/20/07 3/20/07 3/20/07 3/20/07 3/20/07 4/11107 4/11107 4/i 1/07 4/11107 4/11107 $2,232.43 I Plan Reviews , Paee 2 of4 .ITY OF SPRIr~t"<lJ!.,LD Building/Combination Permit PERMIT NO: COM2006-01608 ISSUED: 03/20/2007 APPLIED: 12/14/2006 EXPIRES: 10/10/2007 VALUE: $ 140,000.00 Value Date Calculated $19,000.00 $55,000.00 $74,000.00 02/15/2007 12/14/2006 Receipt Number 2200700000000000381 2200700000000000381 2200700000000000381 2200700000000000381 220~700000000000381 2200700000000000381 2200700000000000381 2200700000000000381 2200700000000000525 2200700000000000525 2200700000000000525 2200700000000000525 2200700000000000525 Status Issued 225 Fifth Street, Springfield, OR 541 -726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review Initial Review Plan Review Comments' Plannine Review Public Works Review Structural Review Structural Review SUB Review . 12114/2006 12/14/2006 12/14/2006 12114/2006 12114/2006 02115/2007 12114/2006 0l/14/2007 12/14/2006 0l/25/2007 12/15/2006 12118/2006 12126/2006 02115/2007 01105/2007 OK APP 10 APP APP WE APP APP .ITY OF ~rKI1~lJNI!.LD Building/Combination Permit PERMIT NO: COM2006-01608 ISSUED: 03/20/2007 APPLIED: 12/14/2006' EXPIRES: 10/10/2007 VALUE: $ 140,000.00 GRG LLH JMP EMM JHJ JMP DLM JF Plans Review: Remodel 7 rooms- 1 42 1 sq. ft. on first noor to meet ADA requirements. Job #COM2006-01608. Occupancy Classification: Rot. Construction Type: V-A non-sprinklered. Plan Sheet ASt.1 Architectural Site Work: New Work #3 notes requirements to maintain fire extinguishers around the exterior of the building. Will verify on inspection. Subcontractor shall suhmit fire alarm plans to Springfield Development Services Building Permit Technician for Springfield Fire Marshal's Office review and approval (2004 Springfield Fire Code 901.2). Received through mail. Only three sets of plans submitted and no plan review fee was enclosed. WE. Received incomplete faxed structural comment responses from Frank W. Neal, PE. Frank was out but 1 talked with Bill Page and then David Peeler and was told that they will get the contractor and valuation requests to me as soon as they can. Received general contractor info for Eagle Ridge Const & Roofing l/3l/07dlm Attached SDC worksheet. No new SDC's (JHJ) Received with 3 projects. See attached documents for 5 structural comments faxed to Frank W. Neal. Approved as submitted No energy code issues or inspections, To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01608 ISSUED: 03/20/2007 APPLIED: 12/14/2006 EXPIRES: 10/10/2007 VALUE: $ 140,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line [..Renuired Inmections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Fire Department. After all requirements ofthe Fire Department have been met. Final Building: After all required inspections have heen requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover ) Final Electric: When all electrical work is complete. 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 readahle from the street, that the permit card 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 Date Paee 4 of4