HomeMy WebLinkAboutPermit Electrical 2006-3-14
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (5~q %~ 891 ;;i~j~~';;:-'! '-'01:;'{/ m /
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ELECTRICAL PERMIT APPLICATION ==""':.=. 1l\Jl A..i. Wvv-.'fIf,j
City Job Number ('11Y'n.267J1o ~ OOO~ Da;e'o -7 -7;';,t. ~ '''1
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Permits a~e 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
$50.00
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-=. . . ~~.",~__~.d .-,.... .-...... AUTHO"RIZE[nJNtiEfrrnrS''PERMtT'IS'"Ntlr'~L'~''~'-''-~
Electrical Contractor )2.1.-1 Z.f &,/ /..., j;cv;-v~OMt~~~E'Etf'O'R'IS ABANDONEn FOR $ 63.00
. ANV2f'JG"rlPN'1-1lWIOl'Jps $ 75.00 .
Address 1() 71 tu. //77 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
.
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LEGAL DESCRIPTION
1"1 D? ~':.? 4\O?OD
JOB DESCRIPTION
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City C. /,.,:) I'A/.e
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Phone q7~9:J..g 2
Supervisor License Number '( '97"7 oL. <2- tf9.
Expiration Date
/O~/r(:1&
Constr. Contr. Number /l1rJ-o ?-
Expiration Date
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Owners Name f1'~f~"'A~ ->>J-.t.-I'LC...J
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City ~"v -( Phone V,,)'" 7?!. C
OWNER INSTALLATION
Address
The installation is being made on property I own which
is not intended for sale, lease,or rent. '
Owners Signature:
Inspection Request:, 726-3769
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A. ~~ ~ e~\" Residential:,~_' ~Ingl~ ~'r.I\~u 'ti';',Fa'mil~"~p'er.:...d,~~elli rig"u ii it~;f}~.
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
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C.',;TemporaTv.Servlces'or Feeders::~" ", {";', \~~~\~.l' ',..1._._;--t<..,.,,,,.., ':'--~""~i i
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Installation, Alteration or Relocation
200 Amps or less $ 50.00
20 I Amps to 400 Amps $ 69.00
401 Amp's to 600 Amps . $100.00
ATTEI~TION: Oreqon law re4W''''~ yvu to
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D'JO' ,Branch,qr~uitsi,":Th'k,':.;:'il""'),r\>....at'Jo' 1"1""., .f':' : t"l"-' I
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irN~'\~I~'i-~d6~~.GE~~~~ion'.Pe7- P'a^n~1952-001-
C'0R.f'cii'cuitmay obtain copies of the rules 43!00
Each'IKddiiiofuil'CirEtiit bNwith' the telepnone
Ser.vice or Feeder,Permi!jon Utili!" ~lnltf,r'lth~.OO
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Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
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Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. t~~~t8.f1XJii:~?~:i~(;~~1s;;:.i~~\~:!~t..,<I s . <>'"
~/. State Surcharge
10% Administrati ve Fee
"7.,~ ()
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TOTAL
. Shared Drive(T:)/Building FormsJElet:trical Pennit Application I-D3.doc
Status
Issued
; 225 Fifth Street, Sprtngfletd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRlNGFlJi.LU
Building/Combination Permit
PERMIT NO: COM2006-00032
ISSUED: 02/09/2006
APPLIED: 01/06/2006
EXPIRES: 09/02/2006
VALUE: $ 34,000.00
SITE ADDRESS: 5608 Main St
ASSESSOR'S PARCEL NO.: 1702334103000
Springfield TYPE OF WORK: Tenant Inflll
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Inml- Jaspers Bistro
Phone Number: 541-912-1895
NOTICE: RE IF THE WORK
THIS PER~\~ ~~~~~ ~~~ DI'RMIT IS NOT
AU I Munl~'-LJ v...- - . EO FOR
I CONTRACTOR INFOIfllW'HON:I OR IS ABANDON
ANY YtiU LM PERIOD.
Contractor License Expiration Date Phone
DANIEL LANSING 112061 03/0712006 541-933-1779
NEW WAY ELECTRIC INC 51088 06/27/2007 541-686-2365
RUlZS CUSTOM SECURITY SYSTEMS INC 108202 08/2512007 541-687-9202
READY ROOTER DRAIN CLEANING & R SP./2524 02118/2009 541-744-7991
Owner:
Address:
PSMMR LLC
3474 SPRING BLVD
EUGENE OR 97405
, Contractor Type
General
Electrical
Low Voltage Electrical
Plumbing
# of Units:
, Primary Occupancy Group:
, Secondary Occupancy Group:
. Prtmary Construction Type
Secondary Construction Type:
# of Bedrooms:
r.
. Frontyard Setback:
Side I Setback:
Stde 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
,
, Storm Sewer Availabte:
Special Instruction:
Notes:
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I BUILDING INFORMATION I
# of Stortes: Lot Size:
A-2 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: ATTENTION: Ore~.<I'F.tBas~11IeD!:3 you to
Range Type: follow rules adopt~9 gIG!'.r~geL~l!rp!!Jitlity
Energy Path: Notification Center. S,q1E!;9'~~!;~ are set forth
Sprtnkled Building: OAR 95,n1aJ1 OO',OccupanU,oad:. 952 001
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.,,"..' ...no, r"':JY UUldllll;UfJlt:::i VI lilt::: I Ult::t1 uy
I DEVELOPMENT INFORMATION. " t (N t . thp tplpnh n .
_ 1 cen er. 0 e'REQUlREBp~RKING
number for the Oregon Utilll)l ,'Ollllcallon
Overtay Dist: Center is 1,800'33J~l:!Il:4)..
# Street Trees Rqd: Handtcapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
.
I
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Pal!e I of4
;.
Status Issued
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Descriptton
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Revtew CommllndlPublic
+ 10% Admtnistrattve Fee
+ 8% State Surcharge
Backllow Device
Building Permit
Fixture
ptan Revtew CommllndlPublic
ptan Review Fire & Life Safety
Sanitary Sewer -Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Admtntstration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admtn
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00032
ISSUED: 02/09/2006
APPLIED: 01106/2006
EXPIRES: 09/02/2006
VALUE: $ 34,000.00
I Valuation Descriotion I
$ Per Sq Ft
or muttiplier
$1.00
Square Footage
or Bid Amount
34,000.00
Vatue
Date Calculated
Totat Value of Project
$34,000.00
$34,000.00
01/2312006
)?pp< PiilLI
Amount Paid
Date Paid
Receipt Number
$95.16
$34.71
$27.76
$14.00
$277.05
$56.00
$84.92
$110.82
$266.92
$351.03
$10.00
$2,196.80
$208.26
$151.65
$7.00
$5.60
$43.00
$27.00
$4.50
$3.60
$25.00
$20.00
1/6/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/9/06
2/22/06
2/22/06
2122/06
2/22/06
3/14/06
3/14/06
3/14/06
3/14/06
1200600000000000022
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000139
1200600000000000187
1200600000000000187
1200600000000000187
1200600000000000187
2200600000000000318
2200600000000000318
2200600000000000318
2200600000000000318
$4,020.78
I Plan Reviews I
Fire Department Revtew 01/12/2006 01/20/2006 OK GRG See attached document for Fire
Department Comments
Inttial Review 01/09/2006 01/10/2006 APP LLH
Planntng Review 01/12/2006 01/1812005 APP EMM Prior cbange of use requtred
upgrade to shopping center.
Public Works Revtew 01/12/2006 02/06/2006 APP SB SDCs added for Sanitary Sewer.
Page 2 of 4
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CITY OF ~r.lUl'\jlJN1!,L1J.
Status Issued
225 Fifth Street, Sprlngfietd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2006-00032
ISSUED: 02/0912006
APPLIED: 01106/2006
EXPIRES: 09/02/2006
VALUE: $ 34,000.00
Puhlic Works Review 02109/2006 02109/2006 APP SB Applicant has brought in new
information changing the proposed
use from Deli to Drinking Place.
SDCs have been revtsed.
Structurat Review 01/10/2006 01/19/2006 WE JMP See attached documents for 12
structural comments faxed to Dan
Lansing. :
Structural Review 01/23/2006 01/23/2006 10 JMP WI. Recetved faxed response from ,.
Dan Lansing.
Structural Review 02107/2006 02/07/2006 APP JMP Received final tnternat approval.
SUB Revtew 01/12/2006 01/13/2006 APP DH
.~
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.
IR~r~
!'
SUB Final: After all required energy inspections have been requested and approved.
SUB Ptumbing: Following City Rough Plumbing tnspection approval and prior to cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Grid: After drywall approval but prior to cover.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required tnspections have been requested and approved and the building is comptete.
Rough Plumbing: Prior to cover and IncIudtngrequired testing.
Final Plumbing: When all plumbing work is comptete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electrtc: Prtor to Cover
Final Electric: When all electrical work is comptete.
Low Vottage: Prior to cover.
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Paee 3 of 4
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. CITY UJ< ~rKll'luJ<lJ!.LD'
Building/Combination Permit
PERMIT NO: COM2006-00032
ISSUED: 02/09/2006
APPLIED: 01/06/2006
EXPIRES: 09/0212006
VALUE: $ 34,000.00
Status
Issued
225 Fifth Street, Sprtngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
tnformatlon hereon Is true and correct, and I furtber certtfy 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 descrtbed bereln, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servtces Division, Building Safety.
I further certify that onty contractors and employees who are in compliance with ORS 701.005 will be used on thts project.
I further agree to ensure that all required inspections are requested at the proper ttme, that each address ts readabte from the
street, that the permit card ts located at the front of the property, and the approved set of plans will remain on the site at all
times durtng construction.
Owner or Contractors Stgnature
Date
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Page 4 of4
...
225 Fifth Street
v Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00032
~()M2006-00032
C.OM2006-00032
COM2006-00032
Payments:
l'~'pe of Payment
Cileck
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3114/2006
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RECEIPT #:
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RUIZ'S CUSTOM SECURITY
SYSTEMS, INC
~.":
~
.liJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200600000000000318
Date: 03/14/2006
Item Total:
Cbeek Number Autborization
Received By Batcb Number Number How Received
ddk 1833 In Person
Payment Total:
Page t of I
I2:32:28PM
Amount Due
25.00
20.00
3.60
4.50
$53.10
Amount Paid
$53.10
$53.10 .