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HomeMy WebLinkAboutPermit Electrical 2009-2-4 . ZON M~ DATE J-'\' -{ M :::: jJ,(q\~ Date :L,b./tJ9 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 ELECTRICAL P~RJI.!IT 4PPLICATlON ( City Job Number COtM wol?-- 0/20 I. LOCA1'l0N OF TNSTAUATlON: 3. COMPU,TE FEE SCHEDULE BELOW" AN':I7i"1t: hr/ol.ci J-;lO't()O!y"",;C)"': LEGAL DESCRIPTION: A. New Residential-Single or Mnlti-Famil)' per dwellillg IInil_ 170'5; 2S<.t 2- 0 ( )0 ( Service Ineluded Constr, Contr. Number ~99 C :5 Expiration Date 7/!<f!:J...o/D , Over 600 Amps or 1000 Volts see "B" above, Signa~re 0 upervising Electrician 4'0,. D. Bmnch Circuit' ~- h /1/'1 4, '1{s> "'l'. New Alteration or Extension Per Panel 7 /'!~ Ul"I,{!,f'I(~ One Circuit J11 C-(.~ ~~~?' Each Additional Circuit or with - J Z. '4.1 Service or Feeder Penmt Owners Name cJ [L~y 11 f/ASoA! - \J1 V. <{ ~ Address 7b C~-:, ~.A.( '4y" 0-9/S(C"-'iY",y,/!l1-9l,,"eoIlS (Service/feeder 1101 meluded) -Each IIISI"II:lliOIl City t:::lAf;'Wc Phone l./?V- 7f()~oo48~1~~~,,1.: $57.00 . Sighfc ~~~ $ 57.00 OWNER INSTALLATION Limited ~~tial $ 29,00 Limited Energy/Commercial ~ l_ $ 58,00 ' ~ 8 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 5'b 6'ib~ ~7'O '678b JOB DESCRIPTION: ;t;.J67Att.mc,i) 0/ Ji:CUXI/Y (J";,(.1I11!4wa )Vi, Permits are non~traDsrerable and expire irwork is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor 7i!.{l,.H eL:v;c Address i,).2~ A!;ctf,,4dtlJlfo-/ .rP7// [. / City SA am Phone .J2J3,U;l.tJ6/t) Supervisor License Number tf2L.-/i/iE4 Expiration Date J& /.;{(J1~/ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Reqllest: 726-3769 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $121.00 $ 22.00 $57.00 B. Services or Feeders - Installation. Alterations or Relocation: ",,:, '. ' ~, '(' ( , ')11 qQ~A,!,~j'~f. ,Ie~s ~" 0,., $ 73,00 CZOI'Ain"s'to'400'lo.m ~ $ 86,00 /)v '';/-- ul: '. 'Or ...!)~ ~'"' 90 '7!10J}Amps,to'600 \\mps0'6" 1;,. $143.00 Vt9... (/),() 'Clv 'Of'}" /'~ .11- "'{/ 60J Anips,to lOOO,Amps, .Y 1"- r6>" $186,00 (} ....r~. ~6'Q" vt.... ..., ~~ '"'&S '1$ 'Iv.- O\le'i;)"OOIl ~lI!PSNplls'-o. I'v,.: 0,::.11'6>: $426.00 Reconn<;c, 9~J)' i'Ik 00.0 ,"'.90:> 6>0'0>.9,., Yn. $ 57.00 o ?,,,,YOA 016>, "6>0' O-</,,:r6> "(,;,':10 vQ "u: bI Ot. 'r 0'6> 'I/.' C. TempOr"r}~<'~i,''';{~.!I~$'<< 1/0 '~ \? CY1o; 6>1; rvl. '00 "'1.7 "'ihJ.O";O~ 6>" ?, Installation, A1terat. r~I~~t1~ , . 0>/,,6> 200 Amps or less 10" 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 57,00 $ 79,00 $114.00 $ 50,00 $ 5,00 4. SUBTOTAL OFABOVE 12% State Surcharge . 1 no/" A .-hnini...trHtive fee 5% Technology Fee -I TOTAL Shared Drive(f:)!Building FormslElectrical Permit Application 7-08.doc , Status Issued CITY OF SPRINti1<mLD' Building/Combination Permit PERMIT NO: COM2008~01201 ISSUED: 10/08/2008 APPLIED: 08/12/2008 EXPIRES: 08/03/2009 VALUE: $ 100,000.00 225 Fifth Street, Spri'1gfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2090 OLYMPIC ST C ASSESSOR'S PARCEL NO.: 1703254201501 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant Infill- Anytime Fitness Owner: MCKAY COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOPSTE D EUGENE OR 97401 Phone Number: 541-484-7102 .1 CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing Contractor ORDELL CONSTRUCTION COMPANY JB ELECTRIC ARRA Y LEE ROBINSON INNOVATIVE AIR INC TOMS PLUMBING SERVICE INC License 63030 104929 89963 161742 159425 Expiration Date 01/02/2010 03/14/2010 07/14/2010 10/11/2010 05/1212010 Phone 541-747-8734 541-687-5770 503-362-0010 541-746-1040 541-607-8879 I, BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Units: # of Stories: Primary Occupancy Group: A3 Height of Structure ' Secondary Occupancy Gr~hTENT'O!lllOregon lalln!~B~Mfft: t Primary Construction Ty'~f'elrOW ruleWB:1opted by M'8'er{lf'D ,oUUt'/'tO . I'lld'~atl'o C t '" I I Y Secondary ConstructIOn jY8e:-' n en er. Thos~ ar~set forth # of Bedrooms: O~ AR 952.001-001? throi!l;Y:~'lllY-\.'l'!l~2'001_ 90" You may obtain cop>priyNllI! IUlUg'B2: , callmo thp t":pntol" n.~~_..LL .. _ y number ior the, '1r~Eii@~if~I'N;9,RMATION I Center IS ."-vuu-,jVC.-~~f4/ 1 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 108,464 Yes REQUIRED PARKING I Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHAll ~mr'tjt~W0RK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Notes: Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpeof Construction Bid Amount Use' Bid Amount Fee Description Plan Review Comm/Ind/Public -Mech Iss 2+ Appliances", + 10% Administrative Fee + 12%.8tate Surcharge + 5% Technology, Fee Boiler/Camp Up To 100,000 btu Building Permit Fixture Gas Outlets 1"4 Minimum/Adjustment Mechanicai Plan Review Fire & Life Safety Sanitary Sewer - Improvement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDCTransportation Admin Vent Fan + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st lIio Feet + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indns Total Amonnt Paid I Val~Mi,on Des,criDtio~ I $ Per Sq Ft or multiplier $1.00 Amount Paid $404.85 $42.00 $81.45 $97.74 $40.73 $15.00 $643.53 $119;00 $6.00 $15.00 $257,41 $1,363.65 $10.00 $1,068.50 $103.57 $111.98 $388.52 $88.08 $39.14 $16.00 $9.12 $3.80 $76.00 $59.40 $24.75 $90.00 $405.00 $6.96 $2.90 $58.00 $5,648.08 Square Footage or Bid Amount 100,000.00 Total Value of Project F,,"~ ~'\i,IU Date Paid 8/12/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 10/8/08 1/20/09 1/20/09 1/20/09 1/30/09 1/30/09 1/30/09 1/30/09 2/3/09 2/3/09 2/3/09 Paee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01201 ISSUED: 10/08/2008 APPLIED: 08/12/2008 EXPIRES: 08/03/2009 VALUE: $ 100,000.00 Value Date Calculated $100,000.00 $100,000.00 08/12/2008 Receipt Number 2200800000000001231 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 1200800000000001048 2200900000000000070 2200900000000000070 2200900000000000070 1200900000000000066 1200900000000000066 1200900000000000066 1200900000000000066, 2200900000000000129 2200900000000000129 2200900000000000129 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01201 ISSUED: 10/08/2008 APPLIED: 08/1212008 EXPIRES: 08/03/2009 VALUE: $ 100,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Fire Department Review 08/13/2008 WE Initial.Review 08/13/2008 08/13/2008 APP LLH Public Works Review 08/13/2008 08/15/2008 APP RP . Plannin2 Review 08/13/2008 08/18/2008 APP EMM SUB Review 08/13/2008 08129/2008 APP JF Structural Review 08/13/2008 09/02/2008 APP CJC Fire Department Review 09/25/2008 09/25/2008 APP GRG Floor plan of exercise equipment; occupant load study Used Shopping Center parking ratio. See attached document for Fire Department Plans Review comments. 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, iDspections requested after 7:00 a.m. will be made the following work day. I Rp\Wi.rprI In<nections I SUB Mechanical: Following City ~ough Mechimical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Final: -After all required energy inspections have been requested an~ approved. Framing Inspection: Prio'r to cover and after all rough in inspections have heen approved. Drywall: Prior ,to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. , Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been counected to .. minimum of one appliance including required testing. Presure test done at this point. ' Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Paee 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When aU mechanical work is complete. Low Voltage: Prior to cover. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01201 ISSUED: 10/08/2008 APPLIED: 08/12/2008 EXPIRES: 08/03/2009, 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 fnrther 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 Community Services Division, Building Safety. I further certify that only contractors and employees who are incompliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable fr:om 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 times during construction. Owner or Contractors Signature Paee 4 of 4 Date 225 Fifth Street ." ,. Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt, Development Services Department Public Works Department Job/Journal Number COM2008.01201 COM2008-01201 COM2008-01201 Payments: Type of Payment Check cReceintl RECEIPT#: 2200900000000000129 Date: 02/03/2009 Description Low Voltage" Commercial Indus + 5% Technology Fee + 12% State Surcharge Paid By HELEN,ROBINSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1444 In Person Payment Total: Page I of I 2:01:27PM Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 2/3/2009