HomeMy WebLinkAboutPermit Electrical 2009-2-4
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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
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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