HomeMy WebLinkAboutPermit Electrical 2006-9-14
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SPRINCFIELO
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ,A!."'
ELECTRI~ PERMIT APPLICATION ~ <;>;iII.J'
City Job NumbeL()m /..Jr1Y /I - CD tS/ Date q - l 't- 2.0"00
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1. LOCATION OF INSTALiitfrOjtj+ '(;;~/J 3.:, COMPLETE FEjfsCHEliUI.li:iiELoW:T~!:-.'!.> :: .
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LEGAL DESCRIPTION A. ; ~e'W~Residentia!,~.~~gJ~,or Mulrt,:~~!!i.~i}W!!I!!i.~ ~~it, . ,,:~
\,OJ,. ~~ SS 0<.-, '";}..O<.j..
......
JOB DESCRIPTION
Q;JYtt\lf~ /
Servlee Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof . I ~, r.
$106.00
- , ,~
..... '''"'I
J 19.00 rH_:;
U'"'' .
Permits are non-transferable and expire If work Is Each Manufact'd Home or ., . 8
not started within 180 days of Issuance or if work Is Modular Dwe~~ng Servi,e or c ' . $50.00", 'r r ~J
Suspended for 180 days. Feeder _, . . '.~ . 1 C.,' _ . " "!
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2. COl'fTRACTOR INSTALlATION ONLY. j B. 'S~rVic.esor.,F~ders~'histall~tion;~t~rati~ns or Rclocation:' .;
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Electrical Contractor L, fl. m.o.u.:S Hc.9u C 200 Amps or le~l il~l~ ~;j;, H.lU'j '",.., U[)~_v,$:6~:00 ;~:\":~.l.~
IA' 201 Amps to 400 Amps $ 75.00
Address .If{', Q ~ ~+_ 401 Amps to 600 Amps S125.00
I 601 Amps to 1000 Amps $163.00
Phone 'J~I C>~ /I Over 1000 AmpsIVollS S375.00
Reconnect Only S 50.00
Ci~~~:~./I.cl
Supervisor License Number ~ 0 0 "" S
/0- 1-01
/836
/.;-8-01
c. '.'!~".'P!~.i-r .~ervi~,:" or i;;i;";:".. -~:=-~ :..:~:~.,
InstiUIatlon. Alteration or Relocation
200 Amps or less S.50.00
201 Amps to 400 AmpsOOl83d lun M, S~69.00
401 f,.ill,Ps'],j~0:Aii!~\t SI 80 C";:"~.':fIOO.OO
ln~1 01 '1'~1\.J:J J ".... . . JV'u""O:J
)jpve~O ~ps~~,IOOO V:ol~r~e~ i'.~I)a\l~~~J.-R.~";"""""._~_",
Signature of Supervising Electrician D. ~nui%'furcuiii1>."J~.1114:'\1$fl!~SWt4:.':;':~=.. :.:.... '_.:"'~_j
- / .LJ New Alteration or Extension Per Pauel;lf.t(l~; 2
~- .:,:..' !' '~7 - f? - One Circuit I S 43.00 47
/ ~ Each Additional Circuit or with &:) I c;
ownernNameC;V,,~ . ~ ~~ce~~~:~:rpe~tr,"_~_, '.\_S.3.00~=-..__"r,
Address~d5 ~...\ ~ IV ~ E. ~~~I!.~~7~~1"vI.~~ee!"~~I!~~~~~~~~.!!,stallation-,;
City~ 0. OJ / Phon0~( 0 ~ 'i '1 ~3
OWNERlr~ALLATION
Expiration Date
Constr. Contr, Number
Expiration Date
Inspection Request: 726-3769.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges
4: ~~~~Jl-&~~;,: ..
8% State :iurcharge .---
~:~:~nistratiV?; 1/. 3 +
..._~j
/5 'to ~
0).00
q.. . 10 tf
5.gV
The installation is being made on property I own which
is not inteUlled for sale. lease or rent.
Ownern Signature:
Shared
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
..~
Wit. '
C&of Springfield Official Receipt
"Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00857
COM2006-00857
COM2006-00857
COM2006-00857
COM2006-00857
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
2200600000000001288
Date: 09/14/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
L.H. MORRIS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
njm 085090 In Person
Payment Total:
Paj(e I of I
9:16:56AM
Amount Due
43.00
15.00
2.90
4.64
5.80
$71.34
Amount Paid
$71.34
$71.34
9/14/2006
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00857
ISSUED: 08/08/2006
APPLIED: 07/10/2006
EXPIRES: 03/07/2007
VALUE: $ 82,611.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6853 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353306204
Springfield
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TYPE OF W()R,K: t"t~rior. r,',:, '("" ,,' J
.,...", ",,' "", .1 I .\" " --:I~ ;J'~I, ' .' _
\.. _ . -r' I - I " ,~_, "r' ''J
TYPE OF USE: . Repair" ~ .\. . ,. Public"
~;" ., ,: '~ ~'-~.. ~ <~:'\.~,.~ ;~'-,." . ,~~
. n('l .~ ," ~ ." I J..,. J .......1
PROJECT DESCRIPTION: Maintenance upgrade for fire station 1
Owner: SPRINGFIELD CITY OF
Address: 225 FIFTH STREET
SPRINGFIELD OR 97477
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tl,"" . _,l'honeNumber:.~. .541-7~6:17.63
{,"I"n,t', ....... _, ,-I :",.L..~O.I,'......l.!-~ .
, ,<;""'\.1.J0,1 hlVl-
01 nUI\ ~l,".
Contractor Type
Architect
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
AFFOLTER WEST & JONES
MORRIS P KIELTY GEN CONTRACTOR IN 32772
L H MORRIS ELECTRIC 01838
TWIN RIVERS PLUMBING INC 17695
Expiration Date
12I1I/2007
06/08/2007
03/1112007
Phone
541-342-6511
541-687-2287
541-747-0811
54 I -688-1444
BUILDING INFORMATION I
1'1 "
,. ,.1
, .
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: '
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUDLIL IlVIPROVEMENTS I
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curhside 7'
To Storm Sewer
Notes:
Pa2e 1 of 4
-[i...-.~~
~ti .
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Type of Construction
Estimate
Fee Description
Plan Review Comm/lud/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Dryer Vent
Fixture
Minimum/Adjustment Mechanical
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF SPRIl'i'-'I'1I!,LD
Building/Combination Permit
PERMIT NO: COM2006-00857
ISSUED: 08/08/2006
APPLIED: 07/10/2006
EXPIRES: 03/07/2007
VALUE: $ 82,611.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
82,611.00
Value
Date Calculated
Total Value of Project
$82,611.00
$82,611.00
08/07/2006
!<pp< P'WIJ
Amount Paid
Date Paid
Receipt Number
$145.86
$10.00
$64.54
$51.63
$499.35
$6.00
$56.00
$39.00
$178.72 .
$199.74
$45.00
$118.74
$156.16
$13.75
$5.80
$2.90
$4.64
$43.00
$15.00
7/10/06
8/9/06
8/9106
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
8/9/06
9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
1200600000000001045
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
1200600000000001225
2200600000000001288
2200600000000001288
2200600000000001288
2200600000000001288
2200600000000001288
$1,655.83
I Plan Reviews I
Pa2e 2 of4
. LIt l' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00857
ISSUED: 08/08/2006
APPLIED: 07/10/2006
EXPIRES: 03/07/2007
VALUE: $ 82,611.00
.
Wi
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Deportment Review
07/1112006
07/26/2006
OK
GRG
Initial Review
Plan Review Comments
07/1112006
07/11/2006
07/18/2006
APP
10
LLH
JMP
Plan Review Comments
08107/2006
10
JMP
Plannin2 Review
Public Works Review
Structural Review
07/11/2006
07/11/2006
07/11/2006
07/11/2006
08/04/2006
07/11/2006
APP
APP
WE
EMM
SB
JMP
Structural Review
08/07/2006
08/07/2006
APP
JMP
SUB Review
07/11/2006
07114/2006
APP
DH
Plans Review: Fire Station 1
remodel (convert truck
bay/dormitory separation wall from
gypsum board to CMU. Job
#COM2006-00857. Occupancy
Classification: B. Construction
Type: V-B.
Existing fire extinguisher shown on
Plan Sheet A2 in both existing and
proposed elevations. The top of the
extiuguisher(s) shall be mounted on
the wall between 3 and 5 feet above
finished floor (2004 Springfield Fire
Code 906). Will verify on inspection.
WE. Received a letter from David
Jones stating that the requested
information will be made available
after the contractors have been
selected.
WE. JMP made a courtesy call to
David Jones to remind him that we
still need the contractor and
valuation data. He said that he will
try to get it delivered soon.
SDCs added.
See attached documents for 3
structural comments faxed to David
P. Jones.
Received contractor and valuation
data.
No energy code issues or inspections.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. .
1?r,rnirp'\Jnsnectinns I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Masonry:
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have heen requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Pa2e 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00857
ISSUED: 08/08/2006
APPLIED: 07/10/2006
EXPIRES: 03/07/2007
VALUE: $ 82,611.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Line: Prior to filling trench 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
Final Electric: Wheu 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 1 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 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 plaus will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 4 of4