HomeMy WebLinkAboutPermit Electrical 2009-4-6
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:R.B.LADD@OREGON-ELECTRIC.COM
Receipt # EC54957J }C\ \
4/6/2009 1 :05:41 PM t IJ....I
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction lliJ Addition/alteration/replacement
I. ~~V~CAtEG6RY"OF:d)NSTkUCTION::.L~~jjl,~~t::;,.;;?~~'':~
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101or2familYdwelling 0 Multi-family [KJ Commercial/Industrial
/JobnQ.: 25192 !Jobaddrrss; 650 QST
I City/Stlltc/ZII); SPRINGFIELD, OR 97477-2353
Suite/bldg./apt.no.:
I Proj~ct name: CHASE BANK'
Cro!Js street/directions to job Jiite:
Subdivision:
I Lot no.:
Tax mllp/pllrCCI no.: 1703261405500
HANK REMODEL
IName: MONTE SMITH
I Phone: (593) 849-2094
!Emllil:
IFa"
Ea.
11;000 sq_ ft. or less [4]
I Ea. add 1 500 sq. n. or portion
I-Limited energy, r~sid~nti(jl
(with above Sq. ft.)
- Limikd energy, multifamily
resid~ntial (with above Sq. ft.)
- Limited energy, commt:rcia-I not oOered online at tllisjurisdiction
(with above SQ, ft.)
I - Stand-alon~ limited energy,
residential
I - Stand-alone limited energy,
multi-familv .
. Stand-alone limited energy,
commercial
r~~~r~;2I}1Je,~#f~~fii!~~J1~~":~Herail~ifti\N,9?Q;~{tfic:lt~~1~j0'1
200 amps or less [2]
1201 amps to 400 anips [2]
1401 amps to 599 amps [2]
I.t. ;f;~M)~QRA. ".,~{tl~~~~'iC~S2.R.,.;, feed.lrs:.~.i.i1FiaJiil-~().n.!:}i(i~rllti~(:; ~ ".~2,+< ~&:>.' . 'I
:cAND/ORrelocat;QlJ{'K~:<"~" ,,~ >:"lf~~,~? :"'.",,,q,~;~'<:e."- ,,,-(~~~,jt"'i:.
_.". ~ "'-"""""""_"' ,t_ ",,_~~-_,,~ '1 "",-qh'~',c"",_ ,;';" . 'P,".
1200 amps or less [2] I
1201 amps LO 400 amps'12] I
1401 arilps Lo 599 amps [2] I
1;:~tiln~ti~i~!JJ~,i;',N~5Y;',a~f~}1o,~I,"~~:e{t~li~~ri,~p:Ep~,~el:;;l:?~tf:;'-ll
I A. Fee for branch circuits with I I
service or feeder fee, each
branch circuil <
1 B, Fee for branch circuits 1
without service or feeder fee,
firsl branch circuit r21
I each add I branch cireuit
I EI. lit. no.: 26-95C ICCR lie, no,: 203
I Business Name: OREGON ELECTRIC CONSTRUCTION INC
I CUlltaet: RICH LADD
!Address: IOIOSE IITHAVE
I City/Stale/ZIP, PORTLAND OR 972] 4-2507
I Phone: (503)2349900 ) Fax: (503)5352763
I [mail: R.B.LADD@OREGON7ELECTRIC.COM
I Metro lie. no.: !City lie. flU.:
ISUI)ervising electrician's lie. no.: 45495
I Supervising electrician's name: RICHARD THOMAS MCELLIOTT
Upon review and approval by your local'jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
~ <J-.
k~~
~J
$55.00
$55.001
$6000 I
]0
$6.00
I Servic~ rCl:onnect only [2 j
I Each manufal:tured or modular
dwelling, servIce and/or feeder
121
I Pump or irrigation circle [21
I Sign or outline lighting [2]
I Signal circuit(s) or limitcd- L
energy panel. alter:J.tion, or ,
extension 121
+~~~J;"';~~~EEEfcfRicAiHfERMiTF,EES.:" ','
,._....t . '". o,"^""''-' "';'"'__-"'__'''''',,'__''''.., ",',Y_'
Subwlal
State Surcharge (12% of pennit fee)
City Of Springfield fees ..
I TO'I~\L PERl\lIT FEE <
.. City Of Spririgtield fees: 5% Technology Fec
I peJoll/t humber oJinspec/iuns allowed}
V,..l()'" Lei\) '/ - Cx:J 6' I
$] )5.00 I
$]3.S0 I
$5.75 I
$)34.55 I
4~~-,OI
I\JI'v\.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00291
ISSUED: . 03/03/2009
APPLIED: 03/02/2009
EXPIRES: 09/1112009
VALUE: $ 43,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 650 Q ST BANK
ASSESSOR'S PARCEL NO.: 1703262405500
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Tenant Improvement/ Qnick Permit; WaMu changing to Chase Bank
Commercial
Owner:
Address:
METROPOLITAN LIFE INS CO
PO BOX 35547
TULSA OK 74153
I CONTRA~TOR INFORMATION I
Contractor Type
General
Electrical
Contractor License
FORTIS CONSTRUCTION 155766
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
Expiration Date
06/05/2009
07/01/2010
Phone
503-459-4477
503-535-2652 .
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Consll'Uction Type
Secondary Constl'Uction Type:
# of Bedrooms:
B
M
VB
VB
# of Stories:
Height of Stl'Uctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
NOTICE-
Storm Sewer A v,ailab~:_ .
Speciallnstl'Uctjo'1':" tRMIT SHALL EXPIRE IF THE WOR' K
I,U I HORIZED UNDER TH
Notes: C.oMMENCEO OR IS ABA~:O~MIT IS NOT
t..I'JY 1 SO DAY PERIOD ED FOR
I PUBLIC IMPROVEMENTS I
f\TTE'~i'JJ(?~lkCfrp'1,?n law requires you to
foHow rlJles aaol:"ed by the Oregon Utility
NotrfICDownspolits/Drains:, rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090;. You may obtain cO(lies of the rules by
caldng the center. (Note: the telephone
number for the OregGIJ Ulility Notification
CSIl,el' is 1-,,00-332.2344).
Page I of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2009-0029I
ISSUED: 03/03/2009
APPLIED: 03/0212009
EXPIRES: 09/11/2009
VALUE: $ 43,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V alu~tion DescrIotion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
43,000.00
Value
Date Calculated
Descrintion Tvpe of Construction
Total Value of Project
$43,000.00
$43,000.00
03/11/2009
Fpp",.~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$49.68
$20.70
$414.01
$269.11
$13.80
$5.75
$55.00
$60.00
3/3/09
3/3/09
3/3/09
3/3/09
4/6/09
4/6/09
4/6/09
4/6/09
1200900000000000155
1200900000000000155
1200900000000000155
1200900000000000155
2200900000000000339
2200900000000000339
2200900000000000339
2200900000000000339
Total Amount Paid
$888.05
Public Works Review
SUB Review
03/03/2009
03/03/2009
Plan Reviews I
APP CTM
Fire Department Review
03/0312009
03/03/2009
APP GRG
See attached document for Fire
Department Plans Review
comments: Fred Meyer/Chase Bank
tenant in till/remodel.
Plannio2 Review
Structural Review
03/0312009
03/03/2009
03/0312009
03/03/2009
APP EMM
APP KLK
Approved per plan docnments and
attachments per Fire Marshal.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested befOl'e 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.
L.~P'1l1irprl I~~nections I
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Final Building: ,After all required inspections have been requested and approved and the building is complete.
Rough Electric:. Prior to Cover
Pa2e 2 of 3
_4!;t~IJ'!~!1.I~p) :
I
I'
Status
Issued
CITY Vi' ~ndNGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00291
ISSUED: 03/03/2009
APPLIED: 03/02/2009
EXPIRES: 09/11/2009
VALUE: $ 43,000.00
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.
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
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
thnt NO OCCVP ANCY 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 in compliance 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 from the
street, that the permit card is located at the front of the property, and the approved set of plabs will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
,
Paee3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0029I
COM2009-0029I
COM2009-0029I
COM2009-0029I
Paymcnts:
Type of Payment
ONLINE CHGS
cReceintl
,
RECEIPT #:
2200900000000000339
Description
Add, Altcr, Extcnd Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/06/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of 1
ONLINE OREGON Online
ELECT
CONST
Paymcnt Total:
1:31:48PM
Amount Due
55.00
60.00
5.75
13.80
$134.55
Amount Paid
$134.55
$134.55
4/6/2009