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Home My WebLink AboutPermit 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