HomeMy WebLinkAboutPermit Electrical 2009-6-8
225 F;(th Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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Electr.ical Permit Application
This permit is issued under OAR 9]8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for ]80 days.
1 ;'1'::':":yli!0CAL~,GOVERt)iMEN'nAP'pR.0YA15!~~~'\I%1'ti:~~':\7;1 1~;;;:.'?!~~,j;riftlll~ii.Nl1:fF'EE~SQHEOJ2JI1JE!l14,1!'%ii:i\i~;.,,~~R~1
I Zoning approval verified? ",0 Yes, 0 No I 1.,:NiJrri';;er;iii~i~;ai&V;:p~'kft~r:;rcn;'[IQ1~::1 :C()Sf:;I,".TOiar-1
\r~;)Jfi~,i'ilf};lCA'rE G,O RYc!rOFi:.CONS'liRUC:T:JON~,tf~,1;;il'V:y,j~1 I' ~~;;~:'~'t~':,o ~';r':~~,"S'~;:'i~~' i-~'CI~~:;: '."" ;:teit:~,;"cl:lst,:,'
~~~~~~i~lmE;jUN~~R.~~~7~Nf;AN[j!1~~7;~~;'~;~:~j:.i 11.000 sq ft or less (4)' . $134.00 $ \ .
'11 f, - . I I Each additional 500 sq. ft. or portion $ '25.00 $ I
Job site address: /VI ",,, '" T th f
-, ,'/ p, ereo ~- -- )
\ City: ,~ft/J \ State: OJ( I ZIP: 1 ?'lorl I Limited energy (2) ! (~2.00~~$/ I
1,,~,~:~~e:~c~}3'~~~~~~0F':.wJ;~~'~~~f~'~:~ I ~~~~I:;nS~~~~~~r~~ Fe~~~r (~)odular$ 63.00 $
I Lov.J vel f- V p, L~ I,MrA I Services or feeders: installation. alter.afion, relocation
I I 200 amps or less (2) $ 61.00 $
I,'" '~'iPROgERT'(";QWNER"'.~N:U(egOQ.I\P^[r~qdir:tQ;1 ',lOJI!Il(Olmps (2) $ 95.00 $
I Name: ~c.oG ~/v/lig~~~bLL~~~I;~I~;:~0~~~gP2:~~PS(2) $156.00 $
. I Address s~-r' [,'.... '-0 (...... ' :;5>'0\;1-0010 Ihrougt 0 ;1Pb!921&8q~mps (2) $205.00 $
I City: t-"'U.C.--eN~' I State;6~~~I]i~J.f~9i7"l[Cf,'e; 01 I~\ioTLll:OOd:Wnps or voits (2) $469.00 $
I I .~-- ,..,~ ........ --..,-.' \" ..:-:-:-:--t" 18 lRt:iJIIUIIt: I (2) '$ $
Phone: f,~~'lb8dor {he Oreqon Utili y ""c.'iRQilr.<i\,l/n Y. . 63.00
I E-mail: Center is 1-800-33212311~1,"porary services or feeders: installation. alteration, relocation
Th" II' . b' . d 'd' I C I 200 amps or less (2) $ 6300 $
IS msta atlOTI IS emg ma e on reSl entIa or JarID property - .
owned b~ me or a member afmy immediate family. This I 201 to 400 amps (2) $ 67.00 $
property tS not mtended.for sale, exchange, lease, or rent. OAR I
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Signature: lOver 600 amps or 1,000 volts, ~ee services or feeders section above
I '. :',':-'.':..:C0NTR'ACTOR"INSTAtl.ATION'.,': .1 I Branch circuits: new. alteration. extension per panel
) Business name: A '5 Tro ~ t l"'" h I h C,.-. I i a, Fee for branch circuits with purchase of a service or feeder fee:
I Address: f3 0 If [j fj 0/,1 LUCHt c- R J . II Each branch circuit I I $ '6.00 I $
I City: E {/ C, c J1 r, I State: tfl P.. I ZIP: t 7 'tP} I I b. fee for branch circuits without purchase of a service or feeder fee,
I Phone, r;'g3 -S'7/"1 I fax: I I firstbranch circuit (2) $ 55.00 $
\ E-mail: I I Each additional branch CirCUIt $ 6.00 $
I CCB license no.' I111 7 j I BCD licenU~J.ID~:, ,F-;j;.,I Miscellaneous fees: servlse or feeder not Included
I ;-:-Jk rITfrilfl -v, 1.'\: .L ~~
Signing supervisor's license no.: L e 1h'l11'ffllf]RI7"D "NO :R ~~~i~~iht!;rc1e (2) . $ 6300
I Print name of signing supervisor.. ~oC101V1~0fliOO 13 ,,~.~'illtl~!'E~U~\;}Fr,g llOg (2) . $ 63.00
I Signature of signing supervisor: ' A~IY 100 nAY PERIIO[ SignaIcircuit or a limited-energy panel, $ 63.00 $
~ ~. -alteratIOn, or extensIOn (2)
I Each additional inspection: (I) I $56:00 $ I
Pi!lJ4.tiQj:t~~},;}'l1ll!R~G."'i}i.ririi~TC'.cN':TJ;-U-S"-E=lt~'ff,:)]<<r;"",i\~'fl,-".,fj!~!,'"!:',:,,1
'h...,.",_;mG""'<r"!Ji:1,_,,""'''?~2S-,,,-_\~r;::r;;,_L; _,,,. _. 'lrt~,__ .._ .,:TIh"-~,~'1";,,,;n'\',,,--.,;,.!N,<'~""!"'"
(A), Enter subtotal of above fees, I
(Minimum Permit ~5s.y $ S- e:,
.1 (B) Ent~r 12% surch~r12 x [A]) $ b ~~,
I (C) Technology fee (5% of[A]) $ Z S:cj>
I TOTAL fees and surcharges (A through C): $ h 7 8~ .
$
$
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fb'
~(;(Xct
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~\5'
440-2584-J (9/08/COM)
$F!RINGF,laI-D,.
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~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00584
ISSUED: 06/01/2009
APPLIED: 04/29/2009
EXPIRES: ]2/08/2009
VALUE: $: 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2]6 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353204800
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant infill- NEDCO
Owner: ROSCOE DIVINE LLC
Address: 555 LINCOLN ST
EUGENE OR 9740]
Phone Number: 54]-342-5310
'J">
I CONTRACT0RJIl\IF:ORMATlON ,
1130."" gO{\ ~ \ \01\\\
Contractor o.O{\ \,/>'>1\:1\13 Ole e.le ,,13 'J...(J(J\- License
L YNNS ELECfRiC30 D'l c~ 10\<3"0"" 9"""13" 'O'l ]02316
-<\v" oO\" \\O-~ X\ r I'"
A~H.I,tO~T~gW _'OIl. '\ ,,,,00<;\ e 0\ \:I\~^"\,\O{\~,, 111175
, ~. - \J"" "''-' _,,,- - n..... .._....u-
\O\\O'd;"O{\ ..(J(J\..CCBUIEDING'INF0RMATlON'
00\\\\ ?o 9S'J. e.'l c. ". \." \),,,,.... nC.~I' .
. 01" " 0\1\ {\wl... o{\ nn..'[.:>
# of Units: \{\ 9" ,0 ."13 Ge OI\#)of..Stories: .
(J'J v'. Co '\':1\13 9,"V
Primary Occu~ancy Group: G~'i\{\'~1 \01 ~ I \" 'Height of Structure
Secondary Occupancy Group: {\0\1\'O Ge{\\e Type of Heat:
Primary Construction Type Vlhr Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
Electrical
Low V oUage Electrical
Expiration Date
]0/14/201 ]
03/04/2010
Phone
54 I - 726-7895
54]-683-5719
Lot Size:
Sq Ft 1St Floor: 6,642
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 135
No
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. Total:
Handicapped:
.. Compact:
Street Improvements:
Storm Sewer A vaiIahle:
Special Instruction:
t~nT,r.E:.. .,,' /,\\...L -;:Y.010t: If I\-1PN~~~
I PUBLIC IM~WYEMl)NTS1~DER 1\-1\S PERM\I~R .
f;U \ I1Vr.'.......[ R \a,~~R\fNER F
. MMENCED 0 "" yp
;~Y 180 Df;Y PER\~gwnspoutslDrai,ns:
Notes: No new impervious, two bathrooms added.
Page] of 4
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Description
TVl>e of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
+ ]2% State Surcharge
+ ]2% State Surcharge
+ 5% Technology Fee
+ 5% Technology .Fee
Building Permit
BuiIdi'ng Permit
Fixture
Fixture
Reversal - + 12% State Surchar
Reversal - + 5% Technology Fee
Reversal - Building Permit
Reversal - Fixture
Reversal - Sanitary Sewer - 1m
Reversal - Sanitary Sewer - Re
Reversal - SDC MWMC Administr
Reversal - SDC MWMC Improvem
Reversal- SDC MWMC Reimburse
Reversal - SDC Sanitary/Storm
Sanitary Sewer w Improvement
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
I Valuation Descriotion I
II IIII
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$460.69
$94.]7
$94.]7
$39.24
$39.24
$708.75
$708.75
$76.00
$76.00
$-94.17
$-39.24
$-708.75
$-76.00
$-84.15
$-] ]0.66
$-]0.00
$-],676.38
$-] 62.62
$-51.10
$84.]5
$84.15
$110.66
$110.66
$]0.00
$]0.00
$1,676.38
$1,676.38
$162.62
$162.62
$51.10
$5UO
$26.64
$11.10
$60.00
$162.00
$6.96
Square Footage
or Bid Amount
] 00,000.00
Total Value of Project
FpP~, P~irIJ
Date Paid
4/29/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1109
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
. 6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/1/09
6/2/09
6/2/09
6/2/09
6/2/09.
6/8/09
Page 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00584
ISSUED: 06/01/2009
APPLIED: 04/29/2009
EXPIRES: 12/08/2009
VALUE: $100,000.00
Value
Date Calculated
$100,000.00
$] 00,000.00 .
04/29/2009
Receipt Number
2200900000000000456
]200900000000000580
]200900000000000597
1200900000000000580
1200900000000000597
]200900000000000580
]200900000000000597
]200900000000000580
1200900000000000597
1200900000000000596
]200900000000000596
]200900000000000596
]200900000000000596
]200900000000000596
1200900000000000596
120~900000000000596
1200900000000000596
1200900000000000596
1200900000000000596
1200900000000000580
]200900000000000597
1200900000000000580
]200900000000000597
]200900000000000580
]200900000000000597
]200900000000000580
1200900000000000597
]200900000000000580
]200900000000000597
]200900000000000580
]20~900000000000597
2200900000000000590
220q900000000000590
2200900000000000590
2200900000000000590
1200900000000000631
$l!!Atl\lllll'rlm;.o"
-t'~ - -." ",_d
Ji ,
~~
~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2009-00584
ISSUED: 06/01/2009
APPLIED: 04/29/2009
EXPIRES: 12/08/2009
VALUE; $100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
Low Voltage - CommercinI Indus
$2.90
$58.00
6/8/09
6/8/09
]20090000000000063]
]200900000000000631
Total Amount Paid
$3,801.36
Fire Department Review
04/30/2009
I Plan Reviews I
APP
See revised submittal for Fire
Department Plans Review
commen(s.
Initial Review
Planning Review
04/30/2009
04/30/2009
04/30/2009
04/3012009
APP
APP
LLH
EMM
Public Works Review
04/30/2009
05/01/2009
APP TSS
No new i~pervious, two bathrooms
added. Change of use from specialt)
retail to office.
Structural Review
04/3012009
05/0512009
WE CJC
Review letter sent to architect
05052009 (doc attached)
Initial Review
0512012009
05120/2009
APP LLH
information and plans submitted
related to Chris Carpenters plan
review letter. Forwarded to Chris
Carpenter and Gilbert Gordon
Fire Department Review
OS/20/2009
05126/2009
APP GRG
See attached document for Fire
Department Plans Review
Comments.
Structural Review
06/01/2009
06/01/2009
APP CJC
. I
Approved as noted on plans and
conditions letter
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.
I. Rp'l~m.npPt~
Undert100r Plumbing: Prior to insulation or decking.
'Rough Plumbing: Prior to cover aud including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final MechnnicaI: When all mechanical work is complete.
Rough Electric: Prior to Cover
Page 3 of 4
CITY OF SPKmui' lELD
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-00584
ISSUED: 06/01/2009
APPLIED: 04129/2009
EXPIRES: 12/08/2009 .
VALUE: $)00,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-37691nspecti'on Line
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have heen requested and approved and the b~iIding is complete.
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do he,reby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shaH.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 Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 70] .005 will.he 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 plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
DeveIopme~t Services Department
Public Works Department
RECEIPT #:
1200900000000000631
Date: 06/08/2009
]] :44:43AM
Paid By
SCOTT WALTERS
Item Totat:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
2.90
6.96
$67.86
Job/Journal Number
COM2009-00584
COM2009-00584
COM2009-00584
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
CreditCard
Amount Paid
djb
00896d In Person
Payment Total:
$67.86
$67.86
\.
cReceiotl
Page I of I
6/8/2009