HomeMy WebLinkAboutPermit Electrical 2008-4-2
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225 FlFTH STREET. SPRINGFIELD. OR 97477 ePH':(54I)726-375J' .l<~Ax: (541)726-3689
ELECTRICAL PERMITAPPLICATION ".",
City JobNumbei'.wW\ZOc:::. ~ - obO 54
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Expiration Oat" i 6 ':"/7,:b ',~"" Rd(,~l~d by the <!II~tglJAt19tili~te'ration or Relocati?';'
"',i' !1"'''Cl!iCenler.'ThOSerUII2()@i~!91~ ' " $55,00
Coostr:Contr, Number '<r~!r2,,~ 952-O'O,1:001OIhrough2M-M ffig~AmPS' $76,00
,'" , 0090, You rn~y oouITn COPlesm, II~Jl.SY8~ps" $110,00
ExpirationDate <.f''L'-ia'l:iilg the center. (Note: the E!lef1l1o~ ': ',', , "
Signature of SUPeIVising Ei~etric~a~moeid~~~~~t\~; ~~oo~~i~t~~;ft;iif~l~~}i~f;i~~ifi~[,.~#!f~t\I~~~1.1i~iii~ ,r'
. Ii Nc:",;A,I~cration ~r :Extc~sion Per Panel
Orie Circuit " .. <, :,' '$ 48,00
Ea~b Additional CJc~ii;'r with 3 I Z
.Sertici6~r Feeder P~~t ,$ 4.00
';,:. j~~'~r~t;'~ri,:~wr~;',w!;J;~,p~~r:: r --. ::~';: -:'-~;r~):',;';;~..r:~;,:if;.~Y.;{::::'i:",%!i/-::h:)~;;~~:i?0i~:~flJ;f~i:]~
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City l S-?t=~ "t": 1:,,'_Pho~'~ .:"." ::,r,': ,,' ;:'I;! pump,or;rrrig~~qnl::. " . $ 55.00
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, l~' ''''j,. ~(! 1 ,~r I', ,.I~~~ 1 ~ .' Ii ~~'f.~ l' SlgIy'OUtlincLightin'g . I $5500
OWNER'INSTAI1;A'HON ,'i ' ' N'OTI~E: ~~~~DR1{ i' $ 28,00
The in~talIation,ls ~eing lll!'1eim ~roperty i oW,iS"JR.wM1i SH ~rntwS'~~b\PT , '$ 50,00
IS not mt~n,ded f~r sal~,.Ie~sc or~eot.' "fl.UTHOR\ZE~!.lt~~1S' ~~~~~~~t,io~ .~~~ ~~, $~O:~o, ~~urcharges
o 'S" 1 '!, . ,.. i',': COMMENCE~,O;$XHNOTA.e'OF;4BOVE'" 1 <:,-,\',,:',,(' "1"',. 8 z.
wners, Igna~e; I': ,\ ANY 180 Dfl.) PtI:\1IJV;o"""""~",,',,",, :,' ,,,'''~ :;,' 1'~"'\_"'",
, , 1 "'", i, ' 12% State Surcharge " . 'i 8'1
; ", i ;:' 10% Achn~isirative'Fee B Z'"
~, 5%' Ted~ol~~ Fee 'I'';'
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lnspectionRequest: 726-3769' " TOTAL
Shared Drive(r:YBu,ilding Forms/Elcctrical Permit Application l..oS.doc
LEGAL DESCRIPTION: I
lI.70~"SSI2
JOB DESCRIPTION:,
o 2.. bOO
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Permits are non~~sferable ~d'e.1pire if work is
not startc,d wiJ~iI!~~Od~y;,.i'~bs~anc~?r if.w~r~ is
Suspended fo..,180 days. ,:' " ,'"
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Address ',gZ'S- ;"'" V\I\"j i ( ',' sf-)
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Service Included ' \..
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1090' ~q:'ft or]~ss: ,
Eath additiooal 500 sq, 'ft, or
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p6ruor(there6f t:."
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$117,00
$ 21.00
, '
Each Manufaet'd Home or
ModulliiDwcUing Service or
l''''..I'','.-,'' t"',i,' .---, '.
Fceder~.;I' 'I" ' ~, .
B. i~~~:~'i~~~~,~tV~ri*~~~!ti;~Iij<il~i~~~~,~~~:ii~h~~~~~j~~f~f~iITh~~l
"'1~,,",r~'!~i;~~: '.~. "-~~6~-;,:l;;'''''';;''',!;~.if ;.~, --;; . '- ~ _',,1;, t. .,,-;;i~ '~;d-~ w: ,~~;::. '1'ii.~,,~t"ii;';,,~;r.'1~~:';5,~"t:dl:i;f,;~
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$55,00
200Amps:or less
20.; ~i>s to 400 Ainps
, ,d, . ", ,I. ~}'
401:Amp. to 600 Amp,s
601AInps to 1000 Amp~
Ov~r 1000 AnipsNolts,
, ',",' -,'!',
Reconnect Omy: '
I
70
$ 70,00
$ 83,00
, $138,00
$180,00
$413,00
$ 55,00
104 II(
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-00054
ISSUED: ' 04/02/2008
APPLIED: 01114/2008
EXPIRES: 03/02/2009
VALUE: $ 174,000.00
"SITE ADDRESS: 875 7TH ST
ASSESSOR'S PARCEL NO.: 1703351202600
Springf\eld TYPE OF WORK: School
PROJECT DESCRIPTION: Elevator Replacemeot for Accessibility
Owoer: SPRINGFIELD SCHOOL DISTRICT 19
Address: 1890 42ND STREET
SPRINGFIELD OR 97477
Contractor Type
Architect
Geoeral
Electrical
'# of Units:
Primary Occnpaocy Gronp: '
Secoodary Occupaocy Gronp:
Primary Coostruction Type
Secoodary Coostructioo Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvemeots:
Storm Sewer Available:
Speciallnstroction:
Notes:
TYPE' OF USE: Alteration Poblic
Phooe Number: 541-744-6375
I, CONTRACTOR ,INFORMA TlON II.
I DEVELOPMENT INFORMATION I
~.'t
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: '
% of Lot Coverage:
Contractor
ROBERTSON/SHERWOOD/ARCHITECTS
MCKENZIE C, ,OMMERClAL CONTJM'l~t1~9
lNTEG~JE[)"<;~tj:,<r~~i~~,~on U~
, )\\(NI rUl~I'_BtlILDt1'J\l61SlNPl'fg" ,f;) .
.': _ If "ation '- 11 lii'h 15 'gN S" 14 ,II
hu 11'R952._001.0010t I ujSsoHh&ruleS ,
In 0"- u may a\9k.ll1~,. Ul; telephone
0090\i'~gO the ce#i\.~~hth\ll~ri~'MO\iflcaUO"
ca \ el tol thiffl1efjPR .,T .2344)-
numb center'*" . , '
Raoge Type:
Eoergy Path:
Spriokled Build,iog: '
.... .,i:l.
. ~ \,' I, .. ".;_
License
Expiration Date Phone
541-342-8077
07/21/2009 541-343-7143
07113/2009 541-485-4456
o/a
Lot Size:
Sq Ft I st Floor:
, Sq Ft 2nd Floor:
Sq Ft Basemeot:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Haodicapped:
Compact:
I PUBLIC IMPROVEMENTS I
- ~~'~ 1~:~MIT SHAll EXPIRE If THS;W- Type:
UTHORIZED UNDER THIS PERMIT ~JiIQ!outslDraios:
~OMMENCED OR IS ABANDONED FOR '
ANY 180 DAY PERIOD. ' ..
, Page 1 of 4
J'
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00054
ISSUED: 04/02/2008
APPLIED: 0111412008
EXPIRES: 03/0212009
VALUE: $ 174,000.00
Sta tus
Issued
225 Fifth Street, Sprioglield, OR
541-726-3753 Phooe,
541-726-3676 Fax
541-726-3769 Iospectioo Lioe
I Valuation Descrintion I
Estimate
Estimate '
$ Pe,:Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amoun,t
200,000.00
Value
Date Calcolated
Description
Tvpe of Construction
Total Value of Project
$200,000,00
$200,000,00
01/14/2008
,,;..Jt~ PlilU
Fee Descriotion
Plan Review Comm/lndlPublic
Plan Review Fire & Life Safety
+ 10%.Administrative Fee
'+ 12% State Surcharge
,+ 5% Techoology Fee
,Building Permit
+ 100/0 Ad_ministrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial10dus
+ 100/0 Administrative- Fee
+ 12% State Sorcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amouot Paid
Date Paid
Receipt Number
$577.04
$358,14
$88,78
$106.53
$44.39
$887.76
$5,00
$6,00
$2,50
$50,00
$8.20
$9,84
$4.10
$12,00
$70.00
1/14/08
1/14/08
4/2108
4/2108
4/2/08
4/2/08
5/15/08
5/15/08
5/15/08
5/15/08
9/2/08
9/2/08
9/2108
9/2108
9/2/08
1200800000000000031
1200800000000000031
2200800000000000395
2200800000000000395
2200800000000000395
2200800000000000395
2200800000000000672
2200800000000000672
2200800000000000672
2200800000000000672
2200800000000001311
2200800000000001311
2200800000000001311
2200800000000001311
2200800000000001311
Total Amount Paid
$2,230.28
I Plan Reviews I
Initial Review. 0111612008 0111612008 APP LLH
Public Works Review 01/1612008 01/1612008 APP JH! SDC Worksheet, No New SDC's,
(JHJ)
Planning Review 01116/2008 01/17/2008 APP EMM
Structural Review 01/1612008 01/25/2008 APP LLH Plans reviewed by Mick Nolte at the
Building Department uoder cootracl
with the City of Sprioglield.
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00054
ISSUED: 04/0212008
APPLIED: 01/14/2008
EXPIRES: 03/02/2009
VALUE: $ 174,000.00
225 Fifth Street, Spriogfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-3769 Inspectioo Lioe
'.
Fire Department Review
01/16/2008
0211112008
OK
GRG
Plaos Review: Replacemeot of
elevator, Job #COM2008c00054,
Plan Sheet A2 shows existing fire
extinguisher to be maintained in
elevator control room. Will verify on
i.uspection.
Plan Sheet E2 shows additioo of 3
smoke detectors and one heat
detector to theexistiog fire alarm
system for elevator operatioo.
Cootact Depoty Fire Marshal
Gilbert Gordon (726-2293) for fire
alarm trip testing,
To Request an inspection call the 24 hour recording at 72.6-3769. 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.
Footiog: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipmeot, conduifpiping and other equipment items are in
place but prior to concrete.
Framiog 10spectioo: Prior to cover aod after all rough io inspections have been approved,
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Buildiog Inspector.
Final Building: After all required inspections have beeo requested and approved aod the buildiog is complete.
Low Voltage: Prior to cover.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing~,ervice.
Fioal ElectriC: When all electrical work is complete,
Pa2e 3 of 4
sp'l1lf,IClI?Im.l;I,'
711 ," .'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769lnspectioo Lioe
CITY OF SrK11'IGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00054
ISSUED: 04/02/2008
APPLIED: 01/14/2008
EXPIRES: 03/02/2009
VALUE: $ 174,000.00
By sigoatnre, I state aod agree, that 1 have carefully examioed the completed applicatioo aod 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 Ordioances of Ihe City of Spriogtield and the Laws of the Stale of Oregon perraioiog to the work described herein, aod
that NOOCCUP ANCY will be made of any structure wilhout permission of the,Commuoity Services Division, Building Safety,
I further certify that only coo tractors aod employees who are io compliaoce with ORS 701.005 will be osed on this project.
I forther agree 10 ensnre Ihal all reqnired inspectioos 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 remaio on the site at all
times during construction.
Owoer or Cootractors Signatnre
Pa2e 4 of 4
Date
225 Fifth. Street
Sp'ringfield, Oregon 97477'
541-726-3759 Phone
Job/Journal Number
COM2008-00054
COM2008-00054
COM2008-00054
COM2008-00054
COM2008-00054
Payments:
Type of Payment
CreditCard
cReccintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: , 2200800000000001311
Date: 09/0212008
10:56:44AM
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+- 12% State Surcharge
+- 10% Administrative Fee
AmountDue
70,00
12.00
4,10
9,84
8.20
$104,14
Paid By
JEFFREY GUCKENBERGER
Item Total:
Check Number Authorization
Received By. Batch Number Number How Received
Amount Paid
djb
05591D In Person
Payment Total:
$104,14
$104.14
'~
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Page I of 1
912/2008