HomeMy WebLinkAboutPermit Electrical 2008-9-4
, '
lit ,J'"~"""'r= .(,<t>,'~~ 1"::<1<-",. 11,1:-"'> - . ..... ' l'>:>' j'.. "
\~ ~~ ,i~F /;:!;F~:9l~~~~}~'JiNGtrn:~R1;9~~~:wr;o:;: ~~
ZON C~
INITIALS I \~ _
DA IE ~ \ r :f"\~.2o-C:fi)
SOURCE \'\I\. De rz;r -
225 FIFiH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (54t)726-3689 ,
ELECTRICAL PERMIT APPliCATION
City Job Number (6tM zooy- 0 II z.. ( Date
, ,
7_) j~--~ ~',
Owners 1e CfJf-':,-S7Jiff.C!::C ~ NOTICE:
G-'~7 3 7~--"/~ ~ J -Ll.,/^ ?--'-I;i-.lU~-rERMIt ~_I:'14'.."'tm," &;;~i!i.....~oo.lomr.W14'%llit",,'ii.'tfu"lw'&d"")l!"d' ~'IiIi!lIWta'WII''''t'''$l1!il
Address I >''';> .C>..}/ c;' vv (I ( Ute, ~ 0',y;j'j,roRIZElj0iJfi:ntmM1m1f~,:!!!~Jl~~_)a;~~~..,,~~~:.._!!I!!!!1
City ,;A/6~,r-1.J.;J.,.-11L~-1' Phone SV~4-COMMENCED lJdL4YBAAUaONED FOR $ 57,00 ..'
, ) IVy , ANY180 DAY ~lhiine Lighting , $ 57.00
OWNER INSTALLATION Limited EnergylResid~ntial . $ 29.00
The installation is being made on property I own which Limited Energy/Commercial $ 52.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $52.00 + Snrcharges
rLO""r';TipN:(iE'iNSfi..''''T2~''o'iit.;F
I. ..," w_ y:. ._,,_.... .." ~"_,--
I 8 ~(
Io)",,~ '
j)~
,
LEGAL DESCRIPTION:
/70s Zf,Z3
02-102..
JOB DESCRIPTION:
'~r~:~l~~nd ex~e~work~~ { I-
not started within 180 days of issuance or if work is
Snspended for 180 days.
, ~recr~~QmINsrr~~m;MONEy!1
2. ~1~@""l;',"""lirr~!lli?'1\m;;.%%:;;;;:",;;O"",,,,~!Zv-m\b1iii2B0&'YTh~ij~~
Electrical Contractor
Supervisor License Number
Expiration Date I D - D l - ,0 ~
'i'i "-i''1. J
Constr, Contr. Number ~~G
Expiration Date
(,,-1'- -?,. OIl)
Signature of Supervising Electrician
Owners Signature:
,Inspeetion Reqnest: 726-3769
3.
i0ik~-"tI%'M!Z4lli0i&t0~C't\SS%"meVWJifl'0"*""""''''''''~,",'''''_'''''''mib;itilltJitf''2rTIi'WM~"!>!,! ._
A, ,~Selt;1Raill~n!l:1I'~Slrgler~!rLM1!lti~a)l!i1~~~jID:iitm!l:fjJl!!ll
Service InCluded
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof "
Eacb Manufact'd Home or
. Modular Dwelling Service or
Feeder .
$121.00
$ 22.00
$57.00
B.
$ 73,00
$ 86,00
$143,00
$186,00
$426.00
$ 57.00
$ 79.00
$114.00
New Alteration or Extension Per Panel
, One Circuit
, Eacb Additional Circuit or with
Service or Feeder Permit
$50,00
$ 5.00
4.
5z _00
12% State Surcharge
10% Administrative Fee
5% Technology Fee
0b9!:-
TOTAL
Shared Driye{T:)lBuilding Forms/ElectrieaJ Pennit Applicalioo 7-QS,doc
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Une
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01121
ISSUED: 08/21/2008
APPLIED: 07125/2008
EXPIRES: 03/04/2009
VALUE: $ 100,000.00
SITE ADDRESS: 1891 PIONEER PARKWAY EAST
ASSESSOR'S PARCEL NO.: 1703262302302
Springfield TYPE OFWORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tcnant infill- US Bank
Owner: PK SALE LLC
Address: 3333 NEW HYDE PARK RD #100
NEW HYDE PARK NY 11042
Phone Number: 503-574-3329
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
Mechanical
, ' I CONTRACTOR I~FORMATlON I
n law requIres you II)
contr~NTION: oregod by the Oregon Utill\Xceose
ST ANTdlltlw r~les adopteThose rules are setlorth
MA\U{1m1if\9~~~r.g~l\rllDgh QAR 952.([ \33
NEW \lv* ~()b\Nm copies ofthe rule ll!l8
D1EB~~~ center. (Note: .t~e ~1~r~93
COMF<}~~ the Oregon ~~~.~ I 460
Cen~~G INF,ORMATlON I
Expiration Date
12/13/2008
06/27/2009
Phone
425-896-5959
503-255-0977
541-686-2365
330-490-6841
541-726-0100
06/2712009
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
#of Bedrooms:
,# of Stories:
B,,~ '.., c, Height of Stru~ture
"
Type of Heat:
VB Water Type:
Range Type:
Energy Path:
Sprinkled Building:
, Yes
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INF()RMATION I
NOTICE: ':If
THIS PERMIT SaAbbEXl?mE 111M
AUTHORIZED UtIJOOPl'mti'81'WlIT m NO
, COMMENCED dfn~Atr~IYCl"ED FOR
ANY 180, DAY pERlblf.t'Coverage: ,
REQUIRED PARKING
Total:
Handicapped:
'Compact:
, I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Specialllls~ruc_tion:
, Sidewalk Type:
Downspouts/Drains:
Notcs:
Page 1 of 4
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Building Permit
Gas Outlets 1-4
Heat Pump
Minimum/Adjustment Mechanical
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 12% Statc Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Initial Review
Public Works Review
Structural Review
Plannine Review
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$404.85
$40.00
$67.48
$80.98
$33.74
$9.00
$622.84
$5.00
$14.00
$24.00
$249.14
$5.20
$6.24
$2.60
$52.00
$1,617.07
Square Footage
or Bid Amount
100,000.00
Total Value of Project
FpP~, P<:lirlJ
Date Paid '
7125/08 :,
8/21108
8/21108
8121/08 i'
, 8/21/08
8/21108 '
8/21 108
,8/21/08 .
8/21/08
8/21/08
8/21/08
9/4/08
9/4/08
9/4/08
9/4/08
CITY OF SPRINGFIELD
!Building/Combination Permit
PERMIT NO: cOM2008-01121
ISSUED: 08/21/2008
APPLIED: 07/2512008
EXPIRES: 03/0412009
VALUE: $ 100,000.00
Value
Date Calculated
$100,000.00
$100,000.00
07125/2008
Receipt Number
2200800000000001153
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
1200800000000000900
2200800000000001327
2200800000000001327
2200800000000001327
2200800000000001327
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO:cOM2008-01121
225 Fifth Street, Springfield, OR ISSUED: 08/21/2008
541-726-3753 Phone APPLIED: 07/25/2008
541-726-3676 Fax EXPIRES: 03/0412009
541-726-3769 Inspection Line VALUE: , $100,000.00
SUB Review 07/31/2008 08/0612008 APP JF See attached documents for energy ,
plan review approval.
Fire Department Review 07/31/2008 08/19/2008 APP GRG Plans Review: addition of partition
walls for bank in Safeway. Job
'#COM2008-01121. Occupancy
Classification: B. Construction
Type: III-B. Sprinklered. Proposed
remodel area: 430 sq. ft. out of a
total Safeway store area of 49,266
sq. ft. Occnpant Load for bank area:
5.
Received fax from Omlid and
Swinney noting the addition of three
sprinkler heads. No other changes.
Plans appear to meet code
requirements.
Structural Review 08/20/2008 08/20/2008 APP CJC, See attached condition of approval
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.
~eOilirerUnsnections ,
Framing Inspection: Prior to COver ~rid after all rough,in inspections ha~e been approved.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have been requesied and approved and the buildingiS'Complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Filial Gas: When all"gas work is complete.
Final Mechanical: When all mechanical work is complete.
Drywall: Prior to taping.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Final: After all required energy inspections have been'reqnested arid approved.
Low Voltage: Prior to cover.
Pa!!e 3 of 4
Status
Issued
225 Fifth Street, SpriIigfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-0Il21
ISSUED: 08/21/2008
APPLIED: 07/25/2008
EXPIRES: 03/0412009
VALUE: $ 100,000.00
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
thc Ordinances of the City' of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO O'CCUPANCY will be made of any structure without pcrmission 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 nsed on this project.
I further agree to ensure that all required inspections 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 remain on the site at all
timesduri!1g construction.
Owner or Contractors Signature
Page 4 of 4
Date
225 Fifth Street ,
Springfi~ld, Oregon 97477
541-726-3759 Phone
City of Spriugfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000001327
Date: 09/04/2008
8:35:50AM
Payments:
Type of Payment ,Paid By
Item Total:
Check Number 'Authorization
Receive~ By Batch Number Number How Received
Amount Due
52,00
2,60
6,24
5.20
$66.04
Job/Journal NUll}ber
COM2008-01121
COM2008-01121
COM2008-01121 ,
COM2008-01121
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Paid
Cred itCard
'ERIK CAIN
djb
027854 In Person
Payment Total:
$66,04
$66.04
;
cf3.eceiotl
Page I of I
9/4/2008