HomeMy WebLinkAboutPermit Electrical 2009-4-23
Electrical Permit Application
-
225 Fifth StrecttSprin{tlield, OR 97477+ PII(541)726-3753t FAX(541)726-3689'
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I Penn it no.: (ltf - O()Lfd ~
I Date: ~/~ 23 ~ 09 I
This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
1'!l!iI~ii)l~l;'i1!lOCAII~,GOVERNMENT,\'APF!ROVAIM~li~;;i,:,,~:?:) . F:EE,SCHEDULE
I Zoning approval verified? 0 Yes 0 No 1 (N~~b~~foi~~~:~ri~~'i~:;;'it~~ ()"'~;~lQtf:1 : 'Cost "'1
1\:'~4)~~~:"::}~LCATEG-ORy~rOF;t:CONSTRUCTION'~;;,::,"~&~'~~:;_: ,"'>"!iJ'~~"t,_",~.';,';'<',;,:r:"",,~,,-"-:,~ '. -"'<~'" " " ,'.. '. ea.
r l I Residential, per unit, service included:
.,l?~~~,~~;t~~ITE'INF~R~;~~;~n~ND .l:C~~~~~rci~~;,;<j 11,000 sq. fi. or less (4)
Job site address: /.t::; c:; \l11l. ."')-1-1) . 1 I :~~~:Fditional 500 sq. ft. or portion
CityJJ~'t(ft':Jqt/' J ct. ] State: /)Jej I ZIP: c(]..i/77 I Limited energy (2)
S bd' I. r I
U IVISlon: Lot no.: Each manufactured home or modular
1~~i':;~.~~;,~:~~\~ff.:;~~~yr'\<~i~~~~DESCRIP.:rION~~'Oe','i....WO-RK"~r:~,~:;;;,i ',"":~ifE>J',c_" ,o'-1Sf~.(':.';"l dwelling service or feeder (2)
i,"',,~,_", ........,...,_".".-"'",....4~ 0.. ._.. r..,'L '- . '- \\~"!:~f:;;.ii,V::;...,",',.".~'t>,''"'''\I..,~\.'~.:-;,;,<h
Ild rL ~ ~ o+-{ J-, t ) j J _-r I Services or feeders: ins/allmion, alteration. relocqtion
..u . I,S lIZ/..l/llJ/J ,_ l'1Y1Al~1
,. U'1 ~ l J J.. _ . 1 200 amps or less (2) $ 8.1.00 $
I,''''''' ........" ",'lit'.. "'PROPERT.Y 'OWNER..... ..,....." ,... .0"'''1 1 201 to 400 amps (2) $ 95.00 $
.~:::1f#"tt~A't'~' d./~'1J;~~~;;'1(W", 1 401 10 600 amps (2) $158.00 $
I Address4<S 55 /'Yh./~ &., - 1 601 10 1,000 amps (2) $205.00 . $
1 C'ty ~ " J r S ..rr?J 1 ZIP..a7d..., () lOver 1,000 amps or volts (2) $469.00 $
I:. '/~...uP/I.7' tateolt' T '!.LeT
I Pho~~:~4/. .'1ftfl-:'SJUI 1 Fax: 1 Reconnect only (2) $ 63.00 $
I E-mail: I Temporary services or feeders: i,,!stallation, alterarion, relocation
This installation is being made on residential or fann property I 200 amps or less (2) $ 63.00 I $
owned by me or a member of my immediate family. This 1 201 to 400 amps (2) . $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). ' 140t to 600 amps (2) $126.00 I $
Signature: lOver 600 amps or 1.000 volts, see services or feeders section above
I', ,.''t~~'''7J~i:'C,ONTRACTOR.''~INSTALlATION ~:~-"- I Branch circuits: new, aiteratioll, extension per panel
1 Business name: ~ I \ I A )n A l [' 11""~ I;' ..) I a. rec for brunch circ"ils with purchase of a scrvice or feedcr fec:
I Address: tJD ~,,.:;u f;'t)3. . I I Each branch circuit I $ 8.00 1 $
I City: f i I q P /YfO , 1 State: 1'J1'. I ZIp(J7Q 0 21 I b. Feefor branch circuits without purcha,c of a service or rccdcr fec: I
1 Phone:[;iIU'Rt,-~3j51 Fax:,5(/ / -t:,gt, -;).715 1 First branch circ"it (2) II I $ 55.00 I ~oq
I E-~aJl:J J./J"/J /1tfl/7IJ11 ittJ/.M..i 0 J fU,:tk ;L, LoJ:D Each additional brunch circuil 5 $ 6.00 1S?t'l aJj
I CCB license no.: 5/ () X"& I BCD license no~~1 C/5C... I Miscellaneous fees: service or feeder 110t included I
I Signing supervisor's license no.: ,..:;-;;>5;;; S....... I I Eachpump or irrigation circle (2). $ 63.00 $ I
1 Print name of signing superviso~ , ."'>~ 1111 JI1 Each sign or outline lighting (2) $ 63.00 $ I
I Signature of signing supervisor: / ,~ I Signal. circuit or a li!nited-cnergy panel, I $ 63.00 $ I
......-n ... J alteration. or extension (2)
. {/ A II "';~;"';:~';::;~i~;~:Actpi':;/I"CI)'A' 'N' 'T. -'UIS'Ef' ,R:",~~8;:~~;.,$..e." ....,:.'..11
. ?/. !~,\"(,.,v,,,,,Cf(~,,,,,~,\1,,a!\H~_~,",~,,!,~o;",,,:\Ii_'li ,_ ",1;1;; . "iB, ,.{,S':~'1;1!:!,'tL,f'i:'i:f,"ff\'11,\.;,.~:J;!,:,,~, .."
-::::>V ..0... I (A) Enter subtotal of above fees
~ ~. (Minimum Permit Fee $58.00) $S":) .00
~~ ~o/ I (B) Enter t2%surcharge(.12x I^D $ /O.:J.o"
~ 1 (e) Technology Fee (5%of[AJ) $1.( )5
~ 1 TOTAL fees and surcharges (A throngh C): . $qq. 'IS
$134.00
I
'Total"'1
cost
1
I
]
I
]
j
I
1
1
$
$ 25.00
$
$ 32.00
$
$ 63.00
'$
.,....
440.2584.J (9/08/COM)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 155 S 5TH ST
ASSESSOR'S PARCEL NO.: 1703353110400
CITY OF SPRINGFIELD'
Building/Combination Permit
,PERMIT NO: COM2009-00422
ISSUED: 04/21/2009
APPLIED: 03/30/2009
EXPIRES: 10/23/2009
VALUE: $ 20,000.00
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE, Remodel Commercial
PROJECT DESCRIPTION: Shoe repair shop TI in New Royal Bldg. Shell- see C9-423 for mechanical permit
Owner: ROYAL BUILDING LTD PARTNERSHIP
Address: PO BOX 24608
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
ILO CONSTRUCTION
NEW WAY ELECTRIC INC
HOME COMFORT HEATING & AIR
License
82355
51088
84164
Expiration Date
05/15/20 I 0
06/27/2009
06/25/2011
Phone
541-521-0114
541-686-2365
541-345-2838
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat: Heat Pump
Water Type:
Range Type:
Energy Path:
Sprinkled Building: Yes
M
F-l
IA
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
930
31
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Qfi)"Im -~~. ,h"ailabletaw r' t
":: .":"."".",, ,,' t.'! _~_" , eqUlr8S you 0
fSPec,ahhu;!r!!g!J~~~d by the Oregon Utility
Notification Center. Those rules are set forth
inNO,tes:952-001 ~0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800~332-2344).
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa~e I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax '
541-726:3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Non-Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
.SDC Sanitary/Storm Admin
SDC Tnlnspo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
+ 12% State Snrcharge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Public Works Review
04/16/2009
Structural Review
Structural Review
03/31/2009
04/16/2009
Initial Review
03/31/2009
Fire Department Review
03/3] 12009
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
Total Value of Project
F'pp.~ P~irU
Amount Paid
Date Paid
$]51.78
$28.02
$]1.68
$233.50
$93.00
$84.]5
$110.66
$]0.00
$190.73
$18.50
$10.15
$3,870.81
$] ,062.03
$257.]9
$]0.20
$4.25
$55.00
$30.00
3/30/09
4/21/09
4/21/09
4/21/09
4/21/09
4/21/09
4/21/09
4/21/09
4/21 109
4/21/09
4/21/09
4/21/09
4/21109
4/21109
4/23/09
4/23109
4/23/09
4123/09
$6,231.65
I Plan Reviews I
03/31/2009
APP LLH
04/01/2009
WE LLH
Pa2e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00422
ISSUED: 04/21/2009
APPLIED: 03/30/2009
EXPIRES: 10/23/2009
VALUE: $ 20,000.00
I
il
:'
Value
Date Calculated
I
03/30/2009
$20,000.00
$20,000.00
Receipt Number
]200900000000000225
]200900000000000283
]200900000000000283
]200900000000000283
1200900000000000283
]200900000000000283
]200900000000000283
1200900000000000283
1200900000000000283
1200900000000000283
1200900000000000283
]200900000000000283
]200900000000000283
1200900000000000283
]200900000000000292
1200900000000000292
1200900000000000292
]200900000000000292
Revised drawings as requested by
Chris Carpenter
Fire fee not applicable. All fire
square foot fees paid when building
was constructed.
only two sets of plans submitted.
Plans are originally being routed to
engineering and planning then they
will be routed to fire.
CITY Vi< ~t'KINGFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00422
ISSUED: 04121/2009
APPLIED: 03/30/2009
EXPIRES: 10/23/2009
VALUE: $ 20,000.00
-WlES;R'NOF;,I.'ll-'O; .
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...,....'
... . .....w .
Status
Is"sued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 04/03/2009 04/03/2009 WE KLK
Plannine Review 03/31/2009 04/06/2009 APP EMM
Public Works Review 03/31/2009 04/06/2009 DON CTM
Structural Review 0410912009 04/09/2009 REC KLK
Initial Review 04/10/2009 04/16/2009 APP LLH
Plannin~ Review 04/16/2009 04/16/2009 APP EMM
Structural Review 04/17/2009 04117/2009 WE KLK
SUB Review
04/0212009
04/17/2009
APP
JF
Fire Department Review
Fire Department Review
04102/2009
04/16/2009
04/2012009
04/20/2009
APP
APP
GRG
GRG
Emailed correction letter to
contractor.
Received corrections per Correction
Letter from Richard Aiello.
Revised drawings as requested by
Chris Carpenter
Called Richard Aiello, waiting for
CFM's of Outdoor Air provided by
HY AC Mechanical System. Passed
S.U.B. Energy review,
Energy forms attached to plans. See
attached documents for piau
approval
See revised submittal,
Revised drawings as requested by
Chris Carpenter.-LLH.
See attached document for Fire
Department Plans Review
comments. GRG
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.
IRp~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to reqnesting any occupancy approval,
Fiual Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and llpproved llnd the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00422
ISSUED: 04/2l/2009
APPLIED: 03/30/2009
EXPIRES: 10/23/2009
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 I'hone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that 1 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
that NO OCCUPANCY will be made ofany 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 eaeh 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
times during construction.
-/" ~d//
.L/ .
Oer/or Contractors gnature
~Z3-t:J.?
Date
Paee 4 of 4
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ilji(
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00422
COM2009-00422
COM2009-00422
COM2009-00422
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
1200900000000000292
Date: 04/23/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
NEW WAY ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
20241
In Person
Payment Total:
nJm
Page I of I
10:57:5IAM
Amount Due
55.00
30.00
4.25
10,20
$99.45
Amount Paid
$99.45
$99.45
4/23/2009