HomeMy WebLinkAboutPermit Electrical 2004-4-1
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX~~~JZ.26-3689
ELECTRICAL PERMIT APPliCATION "/)/)'>''>9. ~"'i"9h
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CityJobNumber,-->-,\'~"-z..r:ol:\-.CO\S l Date O;r 3\ -0 "'r' ,~1. 0'0"8 "CI.&s
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1. ~L,:OCA1iONOI:INSTAibi770Nf; 's"';:''';,,~' 3. ~'COMPLET"';"'En HE . iBELUflI, m,:,if.' r,1i;,,.,,.,',l''f,,
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LEGAL DESCRIPTION A. ~N~~~:R~. i~n~l;i?Sifigle~t{tiiI(tic-Pik,-\D . .\~-:uilig.~1iTt!;"..\i
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65., i M.w", S} ~v : "j ~.IJ (J)r ~ Service Included
JOB DESCRIPTION llc>-z..'"2>:;;4"L6~~) 1000 sq. ft. or less ~
Each additional 500 sq. ft. 0
U 0 ; <.. ~uJ.--<> portion thereof _
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
Installation, Alteration or Relocation ,\0
200 Amps or less '0';. ,\oj\\\I.'\ ~~ 50.00
201 Amps to 400 Amps ^,>,\c,.,o(;o Q'\'~~69.00
0'" ,'1) ..-~
401 Amps to 600 Amp.~b-~ ~ 0\0 ~\0 ~",'l:-$o!. 00.00
___.~ '\ 1(:>0 0~ ~L':, ~0
Over 600 Amps !~\,I;t;l~Q;oY'SI!S>~e ~~~. 0,,0
D. ~~ih~~~i~~e{~~'\'~~~~'<k~<fij,?'~~~~1
,~\~~e~. ';:'~O:;'\0~V'.0...fl)d.~;p.r t. ..,
N<;)Z~.es.~n0'l~E~n~1O\!.\Ye0ra~~~ ~\.
~'@t~b" G C"O '$)'\'lP ~o'l. ,\\.~' ,,'"t>~ $ 43.00
~'li Md~l~fCi~ucri:O.eW~o" ",n:,/;
s~~~e!!yfP~ro1i't'-O<..0 9-'0(:0" $ 3.00
Owners Name L"....M../C.'''.J '^'L-'.j...~ ...A- ....:..ov\-l...~ ~t .~<: ~ 'is:0 <v
Address /1, 00 I)" l I." ~,'.aJ W,,+, " E.l~f~~~~il~"4~~?~if~'~~!~)~E~fi!;~\~hiIiri~:1
City .t:"J ~"'D (Q7<{QljPhone C.;~b-~6'Rb PumporiJj~ation $50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential , $ 25.00
Limited EnergylCommercial I / $ 45.00 46. ceo
'I
2. ~f~&M~{!~:'!ij~t~~lZf1~p~~
Electrical Contractor
1\ldL,.J klJ.."lL 5t1"j<~
Address '30-z.
51-. lie,
,~ ",ftf::,
City 5f-l :)1:. d
Phone 77(.,- 'flOC{
, R-'*-
Supervisor License Number 3>5"7 DR.6.~~~\:)'\ '
~ ,. ~ \~
Expiration Date /0 -/ - 6'5" .o~\.:<(.~\. ~\:)<(.
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Constr. Contr. Number cRf':k..lscCJ1L"?-~
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Expirationpate oeh~;Ii<J-\J~o.'\\:)<;)
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.gnature of uperviSm ~u ,Clan
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OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
$ 19.00
$50.00
B. ~'S~a~~ic,1~~~;;>F:~~~~~~~lg~ill~'f{6rif~it~mi~~." s~~'R~lif~:rr,~'jJ~
ta""""'!1"';M'~('i\;E~:~~""" . .!f~'{""~,;':O:'''.0'''~l_ cri')f.:."';'tt~...:rw. '-'''.'j,~L~
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. ~iem'p6ia~~Set,~ice~;.~JF~;d~i~2&~~~~i\~~f~~~1
U\~_~'-"--"',:_'''-"""~.~,,,,:'-,'..,--.r_- ',,:< ,'-.".,~ir~ - ,
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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~. t~r!l!Jl?~.~13:Jl-tfi~R;YGt~.>~-;~:^::~~~~fs:'~~:<~:'J'
4-5.00
3.\S'
4:-,50
.$Z-C:>5
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectricaJ Pennit Application 1-03.doc
.
. Ul i' OF SPRINGFIELD'
Building/Combination Permit
~.
..
Status
Issued
PERMIT NO: COM2004-00157
ISSUED: 03/31/2004
APPLIED: 02/10/2004
EXPIRES: 09/30/2004
VALUE: $ 133,882.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5531 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203300
Springfield TYPE OF WORK: Office
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Selco Credit Union infill
Owner: COMMERCIAL INVESTMENT PROPERTIES
Address: 1600 V ALLEY RIVER WAY EUGENE OR 97401
Phone Number: 541-686-8080
'.
.,
I CONTRACTOR INFORMATION I
Contractor Type
General
Use Initials
Electrical
Mechanical
Plumbing
Contractor License
MCKENZIE COMMERCIAL CONTRACTOR45539
KAREN KRUGER
SCOFIELD ELECTRIC
COMFORT FLOW
TWIN RIVERS PLUMBING
Expiration Date
07/21/2005
38702
460
17695
12/21/2005
06/2712004
03/11/2005
Phone
541-343-7143
541-915-2946
541-686-8612
541-726-0100
541-688-1444
,! R~llLDINGINFORMATION'
~\.l' -,
# of Units: '0\. S ~~ of Stories: !<!l1.t~e:
Primary Occupancy Group: ~ "'_~" ~~eight of Structure '" ~'SQ,'Fl~ Floor:
Secondary Occupancy Group: ~ ffJ:'",. ~ <<. Type of Heat: ,.j0 ~~2.,iFI~or:
Primary Construction Type 41~ rJ~<<; Water Type: <..0<S:. ~0Q)~fi'I!1;&~ent:
Secondary Construction Type:0- '\~ ~'S Range Type: ,,!>.:r. 0 0 ~0~'g'Pt Olfr~~!Cilrport
# of Bedrooms: S'0'?'~q. ~ Energy Path: 0" ~>$' <..v ~<Sq~~~~r:~
~. _~ '0~ {o ~. ~0Q) O'Q 0~0 >>Q) Wi'pe~":.u\'<Surface Area:
'~. .,~ ","".00 ~<(- _,\:5 ("\ ,0 ,,<, ~o ,0- .~0 ..:>..0'_
~~ :~'X.~~v;,,->\.<o$ :A ~'Y" I DEVELOPMENT INF:~TJ(:lN~.'~C,o"0~0'~";:' n~l>v.
S 'r- ,,"" <-,,~ ~ . I II 1'"," -'" ~ ^;"
ETBA\,....'-~" \:) ..."'-" ~0' 00' ..,>-J......''1l' ~- ~ ~', REQUIRED PARKING
~ ~ <0<::> j,V <..v ~ ~ OV 0<'" ~o "
Front yard Setbacl{:,,\:5 :A.... Overlay 1ll'~:o.:r. ~o 9;0 fbo'" ~O~0 9-'0'0 Total:
Side 1 Setback: >!' # Street Tr~~ !!o.ij9tl-'QI~ >>~ 0 c,0 0 ,~' Handicapped:
Side 2 Setback: Paved Driv~"'ll' 4,0 ,,>$' ~>$' /' Compact:
,--'0 1:)' 1>.~'<J ,0 ?
Rearyard Sethack: % of Lot Covfi#= c,$- ~~ r r
Solar Setbacks: >>~
<:'
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
To Storm Sewer
Notes:
"I,
Pa2e 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
''''.
Description Tvpe of Construction
Bid Amount Use Bid Amount
,<,
.
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% Slale Surcharge
Building Permit
Fixture
Furnace - up to 100,000 htu
Gas Outlets 1-4
Minimum/Adjustment Plumbing
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
.
. L1 n OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00157
ISSUED: 03/31/2004
APPLIED: 02/10/2004
EXPIRES: 09/30/2004
VALUE: $ 133,882.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
133,882.00
Total Value of Project
Fpp<, PIiliJ
Amount Paid
Date Paid
$420.49
$258.76
$10.00
$77.32
$54.12
$676.15
$14.00
$24.00
$4.00
$31.00
$19.01
$11.70
$24.00
$4.50
$3.15
$42.00
$3.00
$4.50
$3.15
$45.00
2/10/04
2/10/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/22/04
3/29/04
3/29/04
3/29/04
3/29/04
3/31/04
3/31/04
3/31/04
$1,729.85
I Plan Reviews I
... Fire Department Review 02/11/2004 03/12/2004 OK AG
Initial Review 02/11/2004 02/11/2004 APP RJB
Plannine Review 02111/2004 WE
Paee 2 of4
Value
Date Calculated
$133.882.00
$133,882.00
02/25/2004
Receipt Number
2200400000000000114
2200400000000000114
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
3200400000000000010
2200400000000000295
2200400000000000295
2200400000000000295
2200400000000000295
1200400000000000418
1200400000000000418
1200400000000000418
See attached documents.
Addition of drive-up window and
A TM requires Site Plan Review
Modification - Minor submittal.
Will be removing 17 or 18 parking
spaces. Will need to check traffic
pattern also. Called Designer and
left message on 2/16 and contractor
on 2/19 and left message.
. CITY OF SPRlNGl'l1i.LJJ
Building/Combination Permit
PERMIT NO: COM2004-00157
ISSUED: 03/31/2004
APPLIED: 02/10/2004
EXPIRES: 09/30/2004
VALUE: $ 133,882.00
.
Status
Issued
....'.
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl1 Review
03/0912004
03/09/2004
APP EMM
Public Works Review
02/12/2004
APP SB
03109/2004
Revised Plan Review - Str
03/04/2004
03/04/2004
APP JMP
Structural Review
02/11/2004
02/23/2004
WE JMP
"'-i::
Structural Review
03/29/2004
03/29/2004
APP JMP
SUB Review
02/11/2004
WE JF
02/12/2004
SUB Review
03/1112004
03/1112004
APP DH
"
.~
Interior work only. No exterior
work to he performed for the drive
thru window until Minor Site Plan
Modification has been approved
(Sarah Summers Planner)
No SDC's. Shopping Center Use
with less fixtures.
Met with Lonnie King at the front
counter and approved with all
requested information.
Called Lonnie King for cost value.
Called Scott Olson for seismic
calculations. Called Dick Gerber fOl
plumbing information.
Added 3 more fixtures per Steve
Graham and Danny Palanuk.
2/10/2004 JMP requested energy
code forms from Lonnie King when
the application was turned in at the
counter. 2/17/2004 JMP called
Lonnie King to remind him that
energy code forms have not been
received. 2/20/2004 HV AC forms
received and pass. 2/23/2004 JMP
left a message for Lonnie King
requesting lighting energy code
forms. 2/27/2004 JMP left voice
mail for Lonnie King requesting
lighting energy code form 5a to be
resubmitted.
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.
l..ReollirerUnsnections I
1 SUB Final: After all required energy inspections have been requested and approved.
2 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
3 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
4 SUB Ceiling Grid: Interior Lighting
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
6 Drywall: Prior to taping.
7 Final Fire Department. After all requirements of the Fire Department have been met.
8 Final Building: After all required inspections have been requested and approved and the building is complete.
9 Rough Plumbing: Prior to cover and including required testing.
10 Final Plumbing: When all plumbing work is complete.
11 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
'> 12 Rough Mechanical: Prior to Cover
Pal1e30f4
"
,
.
. L.11 i' OF SPRlNGFl)i,LlJ'
Building/Combination Permit
PERMIT NO: COM2004-00157
ISSUED: 03/31/2004
APPLIED: 02/10/2004
EXPIRES: 09/30/2004
VALUE: $ 133,882.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
13 Final Gas: When all gas work is complete.
14 Final Mechanical: When all mechanical work is complete.
15 Rough Electric: Prior to Cover
16 Final Electric: When all electrical work is complete.
17 Final Plumhing: When all plumbing 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
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 plans will remain on the site at all
times during construction.
~S)/~"y
::'-'7,/- n i-I
Owner or Contractors Signature
Date
't,
...
Paee40f4