HomeMy WebLinkAboutPermit Electrical 2008-8-13
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A!. DATE ~.\~~
.,. SOURCE ~
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3 I COMPLETEFEESCHEDULEBEWW
.. ,~ CITY OE)iRRJN@FIELD; ORBGQ~. '.
~bJ . T"~ ~ ",- J_1> *"iir,IU", th t..;;. I, ~_
225 FIFTH STREET. SPRINGFTELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689
200 Amps or less '-- $ 73 00
20 I Amps to 400 Amps $ 86 00
40 I Amps to 600 Amps $ I 43 00
AtrENTIO!itlnM~lljrfqaWq.<h~s $18600
I S ~7. ~~:/~\'i rUfefO\.>b\JPOflJl ~y~: you to $42600
_ f :"tJon IR1fd5lrneRJ~ goo UtIlity $ 57 00
In 0", ~52-001-001O th ules are set forth
0080 You ma~:tJ,5F,.._1R-U9h_OAR952-~.' _. -....
cal/lrg tll~ G~'fP'9f.lIijllS8nvf<ttfe%1lIif
fJUI"--. '-'lh - ."~.,,,. ihe Ie/ep"o
"u-C'~;Jtd;s.'.i,rfa'i'.b\l~liti~~I'Jtlijllf~~ ;.
. " -oUU-J3'2-2344j ....-:-/
200 Amps or less' (~ $ 57 00
201 Amps to 400 Amps $ 79 00
401 Amps to 600 Amps $114 00
/1 /I New Alteration or ExtenSIOn Per Panel
jJ/l~J--% ({./~ OneCrrcUIt
Each AdditIOnal CirCUIt or with <'/
. ./ (" jj $ 5 00 4/).::
L .. fL/77-I-Mer .J:" ..Esf.,c.obltlervIce or Feeder Pennlt
"? c> i?,,)t.' 705"6-, E I MIscellaneous (Service/feeder not mcluded)-Each lustallatlon I
Pump or lITIgatIOn $ 57 00
NOTICE:slgn/Outhne Llghtmg . .. d $ 57 00
OWNER INST ALLA TION THIS PERMlliI&IllAUr@!k'dElieIliIJiHE WUl"\l\ $ 29 00
The m5tallatlon IS bemg made on property 1 own whlc~UTHORlilIiallJfllilmagJ~IT IS NGT $ 52 00
IS not mtended for sale, lease or rent COMlWD'l&69 flQ,lSAll,MlR~Pcf.g.f\,ee IS $52 00 + Surcbarges
ANY 1Jlq-Q"~'OF ABOVE I /86
12% State Surcharge Zz7L.
10% AdmInIstrative Fee I ~
5% Technology Fee '/ TO .
Z1 b!!:.-
ELECTRICAL PERMIT APPLICATION
CIty Job Number COIoY\. 7..CTO<;;-~ 60S'??
I I LOCATION OF INSTALLATION:
111\ 1J.<-.l........:>1.- {~LI A
LEGAL DESCRIPTION I 703 Z 53 3
S p C.9 (C),"-. 17000
JOB DESCRIPTION
5/D,,,- L&1.
PermIts are non-transferable and expire If work IS
not started wlthm 180 days of ISsuance or If work IS
Suspended for 180 days
2 I CONTRAcrORINSTALLATIONONLY I
ElectrlealContractor ~"')"I~ (( R..,~"
Address
ro( "J0 \ t "';--u~,t
(S'''Y
Phone {7 '( -
City G".....;;( > f..."
SupervIsor Lleense Number
ss~s
ExpiratIOn Date
I"' - /
- 10
Constr Contr Number
</o4"?"L
ExpiratIOn Date
'1- 2. - oC,
Signature of SupervIsmg ElectrICian
Owners Name
Address
City ~,^G-t::1Ve
Phone
Owners Signature
Inspection Request 726-3769
Date
A I New Resldentlal- SlDgle or Multi-Family per dwelhng UnIt.
ServIce Included
1000 sq ft or less
Eaeh additIOnal 500 sq ft or
portIOn thereof
Eacb Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$12100
$ 22 00
$57 00
B I ServIces or Feeders,- InstallatIOn, AlteratIons ,o,~at~.;)
-I-:Il ~
---1
Over 600 Amps or 1000 Volls see "B" above
D I Brancb CIrcUIts
$ 50 00
TOTAL
Shared Dnve(f )/Bulldmg FormslElectncal Permit Application 7"'()8 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED.
EXPIRES:
VALUE:
COM2008-00598
OS/29/2008
04/28/2008
11/29/2008
$ 36,]5500
225 F,fth Streel, Springfield, OR
541- 726-3 753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn LlDe
SITE ADDRESS 1111 MOHAWK BLVD
ASSESSOR'S PARCEL NO 1703253317000
SprlDgtield TYPE OF WORK Interior
TYPE OF USE
Remodel
Commerelal
PROJECT DESCRIPTION Interior remodel
Owner
Address
THABET INVESTMENTS-1111 MOHAWK LLC
PO BOX 70567 ATTENTION Or
EUGENE OR 97401 ~~~~~~_~u'e~ ado:t~~~~~~e~~~res you to
~_..._" Vt1IHer Tho -;;'''''' vUlIry
- - ~~~'E rules are If
I CONTR \I' , l}'Jllm~W;ga9h OAR g~e orth
Call1Og the ~;~v...r1,;oPles of 'hllr 2~~1.
Contractor nUmber for Ih /icm~ thE&~ orrlDate
KRONSBERG ELECTRIC Centere/s t'J1ilj) Ullllty NOli ~009
KEATING ENGINEERING 0-332-2344).
INNOVATIVE AIR INC 161742 10/11/2008
Phone
541-923-4664
541-242-0613
541-746-1040
Contractor Type
Electrical
Engmeer
MechaOlcal
BUILDING INFORMATION I
# of UOIts
Primary Oecupaney Group
Seconddry Occupancy Group
Prlmdry Con,1I ucllon Type
Seeonddry Con,trulllOn Type
# of Bedrooms
M
# of Stones Lol SIze
HeIght of Strueture Sq Ft 1st Floor
Type 01 tI.':.!!t Sq Ft 2nd Floor
Water TlJlUTICE: Sq Ft Basement
Range 1OhI1S PERMIT SHAll ~ Sq Ft Garage/Carporl
Energy !!'~~ZE CAP'RI5IF~WOR~
Sprlnk'e'b v.. 0 UNDERilHIS P~MPi''IS''8a 20
. r;Fn no ,<" A!ll\l:C- IVU
I DEVELOPME~~~- . V'VCIJ tU/i
REQUIRED PARKING
VB
FrontYdrd Setback
SIde I Setback
Side 2 Setbdek
RearyJrd Setbdck
Solar ~etbacks
OverldY Dlst
# Street Trees Rqd
raved Drive Rqd
% of LOI Coverage
Total
HandIcapped
Compaet
I PUBLIC IMrROVEMENTS I
Street Impl ovemenls
Storm Sewer Available
Special InstruetlOn
Sidewalk Type
DownspoutslDrdlOS
Notes
Pd2e I of3
, _~Gr-AIN~Plm..o
,- .'
'-'-
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
DescrlotlOn
T, pe of ConstructIOn
Eshrndte
Estimate
Fee DeserlptlOn
Plan Review Comm/Ind/Pubhc
+ 10% AdmIDlstrdtlve Fee
+ 12% Stdte Surchalge
+ 5% Technology Fee
BUIldlDg rerm.t
DemolitIOn
Flxtu re
+ 10% Admllllslratlve Fee
+ 12% State Surcbarge
+ 5% Technology Fee
Add, Alter, Extend ClrC Ed Add
Perm Serv/Fdr 200 amps or less
+ 10% AdmIDlstralIve Fee
+ 12% St,lte Surchdrge
+ 5% Technology Fee
Add, Alter, Exleud CIrc Ea Add
Perm Serv/Fdr 200 amps or Ie"
TOtdl Amount PaId
IOlhal ReView
Pubhe Works ReVIew
04/29/2008
04/29/2008
Planmne: ReView
04/29/2008
Structurdl ReVIew
04/29/2008
I Valuation DescrIPtIOn I
$ Per Sq Ft
or multiplier
$100
Square Footdge
or BId Amount
36,15500
Total Value of Project
Fpp~. P'luU
Amount PaId
Date Paid
$211 00
$45 46
$54 55
$22 73
$324 62
$50 00
$80 00
$30 00
$36 00
$1500
$16000
$14000
$1860
$22 32
$930
$40 00
$14600
4/28/08
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
8/8/08
8/8/08
8/8/08
8/8/08
8/8/08
8/12/08
8/12/08
8/12/08
8/12/08
8/12/08
$1,40558
I Plan ReVIews I
04/29/2008
04/29/2008
APP LLH
APP JHJ
04/30/2008
APP EMM
05/06/2008
APP LLH
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00598
ISSUED OS/29/2008
APPLIED. 04/28/2008
EXPIRES: 11/29/2008
VALUE: $36,15500
Value
Ddte Calculdted
$36,15500
$36,155 00
05/06/2008
Receipt Number
1200800000000000407
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
2200800000000001215
2200800000000001215
2200800000000001215
2200800000000001215
2200800000000001215
2200800000000001229
2200800000000001229
2200800000000001229
2200800000000001229
2200800000000001229
Attacbed SDC Worksheet No New
SDC's (JHJ)
Needs a mID,mum of 6 parkIDg
spaces to accomodate size of store
ReqUires one ADA space, 9 fOOl
Wide With dn 8' Wide aCle~s aisle,
marked Van AccessIble
Plans revIewed by Mlek Nolte WIth
the BUIldIDg Department under
conlract With the CIty of Springfield
CITY OF SPRINGj< lELD .
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00598
ISSUED. OS/29/2008
APPLIED' 04/2812008
EXPIRES: 11/29/2008
VALUE: $ 36,15500
225 Filth Street, Springfield, OR
541-726-3753 rhone
541- 726-3676 Fax
541-726-3769 InspectIOn LlDe
>
SUB RevIew
04/29/2008
05/16/2008
APP JF
Requested energy forms See
attached documents for energy eode
plan review approval
Fire Department RevIew
04/29/2008
OS/26/2008
APP GRG
See attacbed document for Fire
Department Plans RevIew
comments
To Request an IOspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7 00
a m will be made the same working day, inspecttons requested after 7.00 a m will be made the followmg
work day.
ReoUlrerllnsnections I
Shear Wdll NaIlIng Before covering sbeathIDg wltb fiOlsh materials
FramlDg Inspecllon Prior to cover and after dll rougb ID IDspectlOns hdve been approved
Firewall Loeated and constructed accordlDg to plans
FlDal Fire Department Afte, all, eqUlrements of the Fire Department h,lYe been met
FIDal BUlldIDg After all reqUIred IDspeetIons bave been requested and approved and tbe bUlldlDg IS complete
Rough PlumbIDg Prior to cover and IDcludlDg required testIDg
FlDal PlumblDg When all plumbIDg \\ork IS compIele
Rougb Electric Prior to Cover
Electric Service Approval reqUIred prior to utIlIty company energIZIng service.
FlDal ElectriC When dll eleetrleal work IS eomplete
By sIgnature, I state dnd agree, thai I have carefully eXdmIDed tbe eompleted applIcatIOn and do bereby eertIfy Ihat all
IDforIDatlOn hereon IS tI ue and correet, and Ilurther cerllfy thdt any and all work performed sball be done ID dccordance wltb
the 0, dIDdnces of the CIty of SprIDgfield and the Laws of the Stdte of Oregon pertaIDIDg to the \\ork deSCribed herelD, and
thdt NO OCCUrANCY Will be made of any structure WIthout pcrm..,"on of the Commumty ServIces DIVISIOn, BUlldIDg Safety
I furtber certIfy that only contractors dnd employees who are ID complIance w,th ORS 701 005 WIll be used on tb,s proJeet
1 further agree to ensure that all reqUIred IDspectIons are requested at the proper lime, that each dddress IS readdble from the
street, that the permIt card IS located at the tront of the properly, and the approved set of plans wIll remalD on tbe site at all
times dunng constructIOn
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
~Ii
CIty of Sprmgfield OfficIal Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00598
COM2008-00598
COM2008-00598
COM2008-00598
COM2008-00598
Payments
Type of Payment
Check
cRecemtl
RECEIPT #
2200800000000001229
Date' 08/12/2008
DescnptlOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Ore Ea Add
+ 5% Technology Fee
+ 12% Stdte Sureharge
+ 10% AdmlDIstratlve ree
raid By
DOUBLE R PRODUCTS
Item Total
<;heck N umber AuthOrizatIOn
Received By Batch Number Number How Received
dJb
5046
In Person
Payment Tolal
Page 1 of 1
8 04 48AM
Amount Due
14600
4000
930
2232
1860
$23622-
Amount Paid
$23622
$236 22-
8/J 2/2008