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Home My WebLink AboutPermit Electrical 2008-9-10 ':~c ,CITY OF'SPRINGFIEIo,P, OREGON , -"- ." ~25 FIFTH STREET. SPRINGFIEID, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO.HAZ-ob g - 0 0 5~-; 1. miM.lj;IONlORilNSijI'41ijE~TPieN:'!fF.'!Ij. , "'"'-'~~-~''''Jl''~'~'-~;J'''''~.~'~''''i,.Jlt'IJ,. 2. L1cz- VV\ 1'\ r ' LEGAL DESCRIPTION: " 17o:s3b~ I 200 Amps or less', 20 I, Amps to 400:Amps 40 I Amps to 600Ainps 60 I Amps to 1000 Amps Over 1000 AmpsNol15 Reconnect Only YOU to ~,-,.J.N:- ~egon law req "'" ,"","'4"_Ij","-".'_') , l-l'/J . d t"rI by th~ 'Se~ces,oriF~,eaers:, fo lOW r~'~c~n~:r. Those rules a 2.()01~, Expiration Date :--I-n - ~~flca~~2 On1_Q010thrOU,ghQle~lll\I OferatioD or Relm:atioD ? 5'q.7 ~ '"~ l1)l\yObtainCOPleS~~~",,_ess Constr, Contr, Number ;;)0 (I. ~ih~lt-Genter. l~~tUi,~itPN~O Amps , (~O 0 l\umb8ICt~:: ~~~ps to 600 Amps Expiration Date 0 .... I Over 600 Amps or 1000 Volts see "B" above, D. 'mli~h~€iir~ti~r3ill\iiiillR%"':Wft"'. f ",,'''. ' ".",~ '"',,' -,.- .' ';~~frP'"" , Each Additional Circuit or with D 0 .r - 'i- I l I 'Service or Feeder, Permit ' / $ 5,00 5< Owners Name r-~l \ ;--'1 ~ )/91..)... rl , . , " .' I r - .~ it E. ~M~lll.~{Se~c~f~~a~~~I7f~iimfdll~~Ef~~1ifiilli~7i Address 1:-71 ( ~...... ....... L ~ l) ," ,",' ' , " ',~~-""_."",,,,\I"""MM_''''~'''''''''_'''''''' _" City {( rl'1:"1 'f/ "';K Pbone Z Sf - 3 18 . l' f n 012-00 JOB DESCRIPTION: .AOOrJ:Jr\t>N / l2f'lfY\OQeL Permits are non-tralsferable and expire if work is not started witbin 180 days of,issuance or if work is Suspended for 180 days. ' ~'eo~€i8R1lNsf~meNT;oNEIJ.; 2. . . """"""1iiYtiC:"h "P'''''~A1m;ti3l1Iffi~;;ilhWdml}lmH.0t''''''i:\iR~ .!i0ill:1l" Electrical Contractor 5l&NS ~\ <!... City jo g,X 6b3 fl~b\f tJl'll Phone 1 Jd~2650 Address Supervisor License N~b,er , .;'i'C" OWNER INSTALLATION NOTICE: Th install" 'b' d' m~. SHAll e anon is emg ma e on t'..v.t'....~'d is not intended for sale, lease or rent UTHORIZ U~_~ . , COMMENCED oR''!'$' Owners Signature: " ANY 180 DAY PERl , ,Inspection Request: 726-3769 A. .~\im~aiTffii~sll.=Mfilfi~Fmr~~~*a~iiiliWffi~iii~~ N~""",_ri~""^""",,,,,,,~,,",J!g"',"'ibc",,,,,,"i,,,~,,,,",,,~,,,,",.,,,,,,,,,Y;:m_;"'\".",..~.~,g*....,~...,--.1 Service Included 1000 sq. ft, or less Each additional 500 sq, ft, or portion thereof $121.00 $ 22,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $57,00 '1!~~~~~~ib~fmM~~1mr~0itJWL~~~1)Wi~?~ilS$la8t4;~~ . ..,,'W'" B. 1~~!~~~D~~~~idb~!~'JJ>>i~,:97t~~2l~~I!~,t9;;~51~S!!!221!;,~t0'''' t $ 73,00 $ 86,00 $143,00 $186,00 $426,00 $ 57,00 73 $ 57,00 $ 79,00 $114,00 . '~.-:';', ':""!- - , New Alteration or Extension Per Panel , One Circult $ 50,00 .,.)~.,;:. Pump or irrigation $ 57,00 __Sign/Outline Lighting $ 57,00 W~a1 $29,00 E1tm7~~..~ial $ 52,00 ' . it Inspection Fee is $52.00 + Surcharges 123 fl{7b J z go ?,/r ) 56 !:i ,12% State Surtharge 10% Adnllnistrative Fee 5% Teciulology Fee _ TOTAL ShlU<d Drive(T:)/Building FormslElectrical Permit Application 7-08,doc CITY OF ~rKmGFIELD Building/Combination Permit PERMIT NO: COM2008-00557 ISSUED: 06/27/2008 APPLIED: 04/22/2008 EXPIRES: 03/0912009 VALUE: $ 15,834.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 2422 MAIN ST ASSESSOR'S PARCEL NO.: 1703364101200 . , '--'_'SpringHdd TYPE OF WORK:, Interior TYPE OF USE: Alteration , PROJECT DESCRIPTION: Tenant Improvements - Alibi Tavern l.....-.-~.ITi,....,~I, ,.-.,...~____ . k . ,1; :" _ -., "_IV~ .t'LjUlres yo t FITZGERALD,KRISTIY L,.'" ';"," :.'''' :Jp<ed by the Ore U ,0 2711 AUTUMN LAK" DR ,,_,1,),) tAcllrer Tho I gon Utility "1(, uAF; 9~0 "0 . 5e ru es are set forth KATYTX 77450 0090, Y "~:v 1-0010 through OAR 952-0Q1 au 11l;:}1I "h+.....~ ~ . .. "ailing t,he~(\;;.t..v,~ VI me rUles by number fo ~CL~R'I'N~liION I , Cen 8r is 1-800-332_d3411~,rr."~I~on . Contractor, 4). LIcense FM SHEET METAL 89710 STEVEN GEISLER 95472 ,TWIN RIVERS PLUMBING-INC 17695, Owner: Address: .Contractor Type General Electrical Plumbing BUILDING INFORMATION I # of Units: Primary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: A-2 Height of Structure ~OT Type of Heat: ICE: Water Type: IS PERMlfo~!ll~e: . ' AUTHORIZEctqNtJf~ ;&PIRE IF THE Wi;I/Y( .~~\M~crn(J ,~ ~~~/I I,~ M'}; I ,DE"Vl!lJOBlIf?l1lI~M1\lrWN , Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'Ov'erlay Dist: # Street Trees Rqll:' "h' Paved Drive Rqd: 0/0 of Lot Coverage:' I PUBLIC IMPROVEMENTS I Commercial Phone Number: 281-398-9877 Expiration Date 03/15/2011 11123/2008 03111/2009 Phone 541-726-3000 541-726-0618 541-688-1444 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 82 REQUIRED PARKING Total: Handicapp'ed: Compac,t: Street Improvements: Storm Sewer Available: Special Instruction; Sidewalk Type: Downspouts/Drains: Notes: '.. Paee I of 4 Status 'Issued 225 Fifth Street, Springfield, 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 CommllndlPublic -Mechanical Issuance Fee- + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fixture MinimumlAdjustment Mechanical Minimnm/Adjustment Plumbing Vent Fan + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Revie\v Public Works Review 04/23/2008 04/23/2008 Structural Review 04/23/2008 SUB 'Review 04/2312008 . I ValuationDescrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 15,834,00 Total Value of Project PPIr:>~ P,'.li,i I l~ Amount Paid Date Paid $110058 $20,00 $27.01 $32.41 $13,51 $170,12 $32,09 $43.00 $18.00 $7,00 $12,30 $14,76 $6.15 , $50.00 $73,00 4/22/08 6/27108 6/27/08 6/27/08 6/27/08 6/27108 6/27/08 6/27/08 6/27/08 6127/08 919108 919108 919108 919/08 919/08 $629,84 I Plan Reviews I 04/23/2008 APP LLH 04/23/2008 APP JHJ 05/09/2008 APP LLH 05/09/2008 APP JF Paee 2 of4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00557 ISSUED: 06/27/2008 APPLIED: 04/2212008 EXPIRES: 03/09/2009 VALUE: $ 15,834.00 Value Date Calculated $15,834,00 $15,834.00 04/22/2008 Receipt Number 1200800000000000387 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 3200800000000000435 1200800000000000952 1200800000000000952 1200800000000000952 1200800000000000952 1200800000000000952 Attached SDC Worksheet. No New SDC's. (JHJ) Plans reviewed by Mick Nolte with the Bnilding Department contract with the City of Springfield, See attached documents for plan review approval. CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2008-00557 ISSUED: 06/27/2008 APPLIED: 04/22/2008 EXPIRES: 03/09/2009 VALUE: $ 15,834.00 Status Issued 225 Fifth Street, Springfield, OR 541-726;3753 Phone 541-726-3676 Fax 541-726_3769 Inspection Line Plallnine: Review 05113/2008 05116/2008 WE EMM Fire Department Review GRG 04123/2008 05119/2008 OK Plannine Revie,,, 06/23/2008 06/23/2008 APP EMM Per Jim Donovan applicant needs to submit MDS application. Adding smoking area and expanding into Springfield Radiator Service portion of building adjacent to residential in rear across A Street. Called contractor on 5/15108, Will send letter to property owner on Monday. Plans Review: addition (extension) to existing building, Job #COM2008-00557, Plan Sheet I shows existing and new fire yxtinguisher locations. Will ' verify on inspection. An additional 2-A:I0-B:C tire extinguisher shall b, located in the storage room, No occupancy of newly constructed area until MDS decision is issued, Development Agreement signed and all conditions of MDS are complete, Call Liz Miller at 726-2301 for Final Site Inspection. 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. Uennired Insnections , Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and aft~r all rough in inspections hav~ been app"roved.. Drywall: Prior to taping, Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: P~ior to cover and including required testing. Final Plumbing: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required priorto utility company energizing service. Paee 3 of 4 ( _l?~!!,'""~,~'3I~~\,,.I.iif\'~~,J I .' , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676,Fax 541,-726-3769 Inspection Line Final Electric: When all electrical work is complete, U 1 Y OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008c00557 ISSUED: 06/27/2008 APPLIED: 04122/2008 EXPIRES: 03/0912009 VALUE: $ 15,834.00 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 eorrect, and I further certify that any and all work performed shall'be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work-described herein, and that NO OCCUPANCY will be made of any structure without permission of the fommunity ~er.vices Division, Building Safety, I further certify that only contractors,and employees who are in compliance with ORS 701.005 .will be used on this project, I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the . ' "~ . 'l 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 times during construction. ! , Owner or Contractors Signature. cReccintl Page 1 of 1 Paee 4 of4 Date 9/9/2008 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2008-00557 COM2008-00557 COM2008-00557 COM2008-00557 COM2008-00557 Payments: Type of Payment Check cReceintl RECEIPT #: Description Add, Alter, Extend Circ Ea Add Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By STEVENS ELECTRIC 1200800000000000952 City of Springfield Official Receipt Development Services Department, Public Works Department Date: 09/09/2008 I,tern Total: Check Number Authorization Received By Batch Number Number How Received djb Page I of 1 2788 In Person Payment Total: ,,' 11:47:34AM, Amount Due 50,00 73,00 6,15 14,76 12.30 $156,21 Amount Paid $156.21 $156,21 9/9/2008