HomeMy WebLinkAboutPermit Electrical 2008-8-8
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11&..~ DATE ~.~.(r:o
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3 l COMPLETE iiiESCHEDUiE BEWW
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-_" ;Jt,,~ 'T 1,
, 0 CI)!Y- OFSP.RIN{iFIELD, OREGON ':- .
" . .. - "~o...
225 FIFfH HREET . SPRINGFIELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL Pf:.R>>q:.~1Jl:JCATION
CIty Job Number cr, "'~D
1 LOCATION OJ< INSTALLATION:
1/1/ J1f/?f/~,.(' #.L.01
LEt~ n~Rl~~~ O\-wJ
JOB DESCRIPTION
C-:rC)/~F PE,,-n~
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
CONTRACTOR INSTALLATION ONLY
A
New Resldentlal- ~ingle o! !Vlultt,FamIly per d"elhng umt
ServIce Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwelhng ServIce or
Feeder
$11700
$ 2100
$55 00
B Services or Feeders - Installatton, AlteratIOns or RelocatIOn
ElectrIcal Contractor <~,8g:?4- N~~O Amps or less
20] Amps to 400 Amps
Address ,;:?/J._8h /4/:;;: 401 Amps to 600 Amps
601 Amps 10 1000 Amps
CIty RF71/YJMlL Phone ;j::f/-923~verI000AmpsNolts
, Reconnect Only
C Temporary ServIces or Feeders
. ~
~O-"
InstallatIon, AlterliflllnAt. Relocallon
~() -(.~
200 Amps,9,r I~s;: i? ~ "
201 Amps fot400'AinJh~
/- <';;--~. Q-
401 Amps 10 6Q9 ^&'~>o &
Over 600 Amps ~!?~( "B" above
D Branch c.rcUlts~ '9/.n <1> <<'L
, - -'-<: v/;;7;()
New AlteratIon or EX~~~I
One CrrcUlt ~ ~A~ ~ $ 48 00
Each AddItIOnal CIrCUIt or WIth ~~~
I ServIce or Feeder PeTllllI ~ 4 00
. ~'V r J_' IJ -- ~ ~~
ePQUlre E MIscellaneous (Servlce/feeder not Ificlull)>CJY-Each InstallatIOn
In OAI'l.." n enter Th y ,ne oreg~:~OU to -. . - --
. PIlliile()Ol nn.^, ose rUles are s ~or rrngatlOn $ 55 00
callmYrgOtUhnJay Obt~; '~',ough OAR 9S~_ utlme Llghlmg $ 55 00
e Cf.-'f t '- ('I ~ 't/ .
OWNER INSTALLAmIO~(.'r " III> r~' '" _ ',~ 1~ r,U1LIe1l~Wed Energy/Resldentlal $ 28 00
The mstallatlon IS bemg made 'On property I own which 'r, U1mlted EnergylCommerclal $ 50 00
IS not mtended for sale, lease or rent - _ 'c -)MlIllll\U'm ElectTlc PermIt InspectIOn Fee IS $50 00 + Surcharges
4 SUBTOTAL OF ABOVE
ExpIratIOn Date
42.$.53
/~/~ ~/?
SupervIsor LIcense Number
Constr Contr Number /2/A 74
ExpIratIOn Date r94 /;.?h9
CIty
Owners SIgnature
InspeCllon Request 726,3769
2. $7000 /4a,ot)
$ 83 00
$13800
$18000
$41300
$ 55 00
$ 55 00
$ 76 00
$110 00
/h9d6
12% State Surcharge
10% Admmlstratlve Fee
5% Technology Fee
3(90', /3f0
~"'J\Q.~ I
4.0 _ c:..:.-
1.~~1J
O~~ .rJ-I
TOTAL
Shared Dnve(T )/Buddmg Fonns/Electncal Permit ApphcatlOn 1-08 doc
-~
Status
Issued
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
225 FIfth StI eet, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541-726,3769 InspectIOn Lme
SITE ADDRESS 1111 MOHAWK BLVD
ASSESSOR'S PARCEL NO 1703253317000
Spnngfield TYPE OF WORK Intenor
TYPE OF USE
Remodel
Commercial
PROJECT DESCRIPTION Intenor remodel
Owner THABET INVESTMENTS-Illl MOHAWK LLC
Address PO BOX 70567
EUGENE OR 97401
I CONTRACTOR !NFORMA TION ,
Contractor Type
Electncal
Engmeer
Contractor
KRONSBERG ELECTRIC
KEATING ENGINEERING
BUILDING INFORMATION I
License
121874
ExpiratIOn Date
04/16/2009
Phone
541-923,4664
541,242-0613
# of Umts
Pnmary Occupancy Group
Seconddry Occupdncy Group
Pnmary Construction Type
Seconddry Construclton Type
# ot Bedrooms
M
# 01 Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Gdrage/Carport
Sq Ft Other
Occupdnt Load
20
VB
nla
I DEVELOPMENT INFORMATION I
Frontyard SetbdCk
SIde I Setback
SIde 2 Setback
Rearyard Setback
Soldr Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpeCIal InstructIOn
S,dewalk Type
DownspoutslDrams
Notes
Paee I ot 3
Status
Iss u ed
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541-726,3769 InspectIOn Lme
DescriptIOn
Tvpe of ConstrnctlOn
EstImate
Esllmate
Fee DescnptlOn
Plan Review Comm/lnd/Pubhc
+ 10% AdmlUlstrallve Fee
+ 12% State SurchJrge
+ 5% Technology Fee
BUlldmg PermIt
DemohtlOn
FIXture
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Orc Ea Add
Pel m ServlFdr 200 amps or less
Total Amount PaId
ImtIal Review
Puhhc Works RevIew
0412912008
04/29/2008
Planmnf! Review
04/29/2008
StrncturJl RevIew
04/29/2008
SUB Review
04/29/2008
I V aluation De~crlDtlOn I
$ Per Sq Ft
or mulllpher
$100
Square Footage
or BId Amonnt
36,15500
Total Value of Project
F~f'<, P1,'I' I
Amount PaId
Date PaId
$211 00
$45 46
$54 55
$22 73
$32462
$50 00
$80 00
$30 00
$36 00
$1500
$16000
$14000
4/28/08
5/29/08
5129/08
5/29/08
5/29/08
5/29/08
5/29108
8/8/08
8/8/08
8/8/08
8/8/08
8/8108
$1,16936
I Plan RevIews I
04129/2008
04/29/2008
APP LLH
APP JHJ
04/30/2008
APP EMM
05/06/2008
APP LLH
05/16/2008
APP JF
Pa!!e 2 013
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO' COM2008-00598
ISSUED 05/29/2008
APPLIED 04/28/2008
EXPIRES. 1112912008
VALUE. $ 36,155 00
Value
DJte Calculated
$36,15500
$36,155 00
05106/2008
ReceIpt Number
1200800000000000407
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
1200800000000000566
2200800000000001215
2200800000000001215
2200800000000001215
2200800000000001215
2200800000000001215
Attached SDC Worksheet No New
SDC's (JHJ)
Needs a mmlmum ot 6 parkmg
spaces to accomodate size ot store
RequIres one ADA spJce, 9 loot
Wide With an 8' Wide access aisle,
marked V In AcceSSIble
Plans revIewed by Mlck Nolte WIth
the BUlldmg Department under
contract WIth the Oty of Spnngfield
Requested energy forms See
attached documents for energy code
plan revIew approv JI
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00598
ISSUED 05129/2008
APPLIED 04128/2008
EXPIRES: 11/2912008
VALUE: $ 36,155.00
225 F,fth Street, Sprmgfield, OR
541,726,3753 Phone
541-726,3676 Fax
541,726-3769 InspectIOn Lme
FIre Department RevIew
04/29/2008
05/26/2008
APP GRG
See altached document for FIre
Department Plans RevIew
comments
To Request an mspection call the 24 hour recordmg at 726-3769. All mspechons requested before 7:00
a.m, wIll be made the same workmg day, mspectlOns requested after 7:00 a.m Will be made the followmg
work day.
I RellUlred I "S"ectlO"sJ
Shear Wall Nallmg Before covermg sheathmg WIth fimsh matendls
Frammg InspectIOn Pnor to cover and after all rough m mspectlOns have heen approved
FIrewall Locdted and constructed accordmg to plans
Fmal FII e Depdrtment After all reqUirements of the Fire Department have heen met
Fmal BUlldmg Alter dll reqUired mspectlOns hdve heen requested and approved and the hUlldmg IS complete
Rough Plnmbmg Pnor to cover and mcludmg reqUired testmg
Fmal Plumbmg When all plumbmg work IS complete
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUired pnor to ullhly company energlZmg servIce
Fmdl Electnc When all electncal work IS complete
By Signature, I state and agree, that I have cdrefully exammed the completed apphcdtlOn and do hereby cerllfy that all
mfOI mallon hereon IS true and correct, and I further cerllfy that any and all WOI k performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descllbed herem, and
that NO OCCUPANCY WIll be made of any shucture WIthout permISSIOn of the Commumty ServIces DIVISIOn, Bmldmg Sdfely
I further certify thdt only contractors and employees wbo are m comphance With ORS 701 005 will be used on thIS pI oJect
I furthel agree to ensure that all reqUired lDspectIOns are requested at the proper tIme, that each dddress IS readable from the
street, thai the perm.t card IS located at the front of the properly, and the dpproved set of plans will remam on the sIte at all
times durmg construction
Owner or Contractors Signature
Date
Pa2e 3 013
225 FIfth Street
Sptmgfield, Oregon 97477
541-726-3759 Phone
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
cRecelOtl
RECEIPT #
2200800000000001215
Date. 08/08/2008
Descnptlon
Perm ServlFdr 200 amps or less
Add, Altel, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
Paid By
KRONSBERG ELECTRIC
Item Total
t:heck Number AuthorlLatlOn
Received By Batch Number Number How Received
]820
Ilh
In Person
Payment Total
Page I of 1
I 18 40PM
Amount Due
]4000
16000
1500
3600
3000
$381 00
Amount Paid
$381 00
$381 00
8/812008