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Home My WebLink AboutPermit Electrical 2004-10-15 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~6o>J~9 ELECTRICAL PERMIT APPLICATION .- o' ,\':l-~-o~ City Job Number CCll'Y'l'WVL-f-mC01-Date \oJi.J../OJ ~,"'1o 'Q,;"'?';i _ r-=+-~ ),~ Q:-<'.... 'I:~,...,.,.~."'."'.",.,..~., "_"<~"",..,.c,-,.".,..,,,...t',>,,.. c- . ".. .' , ..'" J;j...,. "...~ ", ~~.... .. "'" ... . 1. /y?g~Z!9liigfl!t.~r{LY;~r!grx~*~l~~c~ 3, ;:~RiW:g~1{fj~":",,..: ~,~~t: ~tfi)Yl1!:';;2t'Ji;;:\~:.::;)~r'~;i <:rRt::L I ~",,",~,j,:"""""""""'"''';''''''''''~;>'l1''''''P''' ",",,~~%r"":""';"'" ", ',' ",', " '" !;~~~;:~;;I"!l;'!~, ~". <- ~.:j"* :;;.- ~ 1000 sq. fl or less . SWIlj)O Each additional 500 sq. ft. or C ~'" '" portion thereof $ 19.~i fo.--Tt=t-rTI'='" 1"'\ Each,Manufiict!i1'Home[90n law requir ModulaJ."Dw~lling<Servic~'!S Y J t F~de~ication C t ,..- y the Oreoo "II,~yO.oo iJ.-r., 9ffl'#c1cfl;. ':'''IT.'~.''f.,~~.H,~~.!f~~..~.~.~J~..,:,~.''.~m;.,~.,":\1:T::-,,; B. Y'~!!!",!lcesor.F.l'~ders:",~lhs ,\1!'ln.OIJjIS..l~~l!11qr ~elocahon:;;) """.',,,.,,,,~yq'ff'''o/.~,ma;tiI'e'opres''dlllr''''''',,'',j.. [,. ,'.'.''''.,,,', ,'" "s,',';.:,.' " 209~~p~~s~ente;. (Note:. the tel:~~~~Se%O 201 Amps l'l49R ~segon Utility Notificatb7fOO 401 Amps to ~06~Js800-332-2344). $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 5!:HO N1A I ~ LEGAL DESCRIPTION , Ai\ I/AJJCF A/1f"'t</(A JOB DESCRIPTION toM At. L1L4~"'" j, A-/tf iM , sysrEM Permits are non-transferable and expire if work is nnt started within 180 days of issuance or if work is Suspended for 180 days. V~'::;~~~-;;}':':;~~.;.~~~if'(: ~':::~..",."";J;~,,,~!:c~"c:!-(i(~_2R,\i't,'S~!~,:.t7:-'!'?'::-~ SCONTRA.CtOR1NST;.u;EATIONONLY,~ 2. ;"_l,:J,::,.~<$~:.{:.\:1~(.!$.J1jt1i2f.:,;~I.;u.j:~:!ft.iifJ~',.;;,";.i<,j;l~~jHl'.i."J;,~\f!:;h;'r'-t:~h;;,r6hii. Electrical Contractor ADI <:Ft' uR. 'TV Address !16/. () s:T' ~A 1M . MAIIJ CitySPt2.IAJI,FIELD. Phone 5(f.I.7~t-</973 Supervisor License Number -=('/7) LEA_ Expiration Date AM t::; Constr. Contr. Number r::;9 q t.f If Expiration Date _ "" / t'J. '" - , Signature of Supervising Electrician The installation is being made on property I own which is not intended for salet lease or rent Owners Signature: Inspection Request: 726-3769 ~ ~, ~~. ~oo~ i;t~:~,~~~~] c. ~~€pE~~~!3~~~Wt?!~!r~;r!~~,~:~{~f~JIMf~f~J~i~~2~7J.e~~1.~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps, $100,00 ': .l!Tl OYer 600 Amps or 1000 Volts see "B" above. I' H I fn? ~B~~ri~lr€if~~itW~~,~i'~~i~~}\~f.P<.?f\~~\~',~~r:i;i! j~~it.~}:?{::l;)~~~~~}t~;~~;.:.: AU THQ i'ii'7'''o<'i<;'~,;;i--;;'':;',~:;~v~;.I~:m~thVGRK'''' .'-"' ".,\"", <".n,',. '," CO' r;!eW~Iter.hon or 'Extenslonlll~rl!:laliuT . AN~r-"bAJ[<3i\Mltq IS ABANDONED FOR $ 43.00 1 ~d~~\idltional$X.ircuit or with Service or Feeder Pennit $ 3.00 E. ~~~~~;~~~~~~1,~r~~~~~~;1~~j~~.~~j;~~~il;i~;'~~'~,~~.~. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 x Minlmnm Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~l~t.?'f*1E2~Mg.YAlt{~;;*~~;~f:r~:f\:~ji'::~~:;; 7% State Surcharge I 0% Administrative Fee ~~ .1.5 TOTAL' ShDred Orive(T:YBuilding FormslElectricnl pennitApplicnlion I-oJ.doc ITOSPlAl/([ A:Jl/~ S96t9CLltS XVd CS:OT aaL tO/~T/OT 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1002 COM2004-01002 COM2004-0 1002 Payments: Type or Payment Ii Check I" '1' I' ~t " . 10/14/2004 . RECEIPT #: -~ ~ ~, tllllllity of Springfield Official Receipt Wevelopment Services Department Public Works Department 1200400000000001473 Date: 10/14/2004 10:36:17AM Description Low'Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By ADT SECURITY SERVICES Amount Due 45,00 3.15 4.50 $52.65 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 3 I 083 In Person Payment Total: Amount Paid $52.65 $52.65 Pa~e 1 of 1 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY UJ' ~rKlr\iljJ'u'LU Building/Combination Permit PERMIT NO: COM2004-01002 ISSUED: 09/0112004 APPLIED: 08/13/2004 EXPIRES: 03/03/2005 VALUE: $ 7,500.00 SITE ADDRESS: 5640 Main St ASSESSOR'S PARCEL NO.: 1702334103000 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Commercial Miscellaneous ATTENTION: Oregon law requires you to follow rl'FY:PE(@F-:USE,y theAlte-rationJtility Commercial Demising wall between tenant spac~:ll\'dVaiiceJAliieiica-€iiecID€:ishirige set forth in OAR 952-001-0010 through OAR 952-001- UU!:IU. YOU may omaln c~~,o~,JI me rUles oy calling the center, (Note: the telephone number for the Oregon Utility Notification ljemer IS l-ljUU-JJ~-~J'I'I). I CONTRACTOR INFORMATION I Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 Contractor Type General Electrical Contractor SKYWARD CONSTRUCTION BUILDERS ELECTRIC INC Phone 360-546-1625 541-485-0922 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License 158289 4296 Expiration Date 01/14/2006 12/10/2007 BUILDING INFORMATION I # of Stories: Lot Size: B Height of Structure Sq Ft 1st Floor: , Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Ene.rgy Pathl~OJICE: .," II EX~~~tf?t~fft WORK Sprmkled BUllilmg""RM\1 SilIa Occupant Load:1l01 \ H\~ , " .. .~rn .....1Ie. I'rKIV\1 1 'v , I DEVELOPMENT INFORMATION~i\iSI\BI\NOONEO rUt'I ~~Y"1'Bil '01\'1 PERIOD. REQUIRED PARKING Overlay Dist: " Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS. Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Value Date Calculated Paee I of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add Building Permit SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . $1.00 . CITY OF SPRINGFmLu Building/Combination Permit PERMIT NO: COM2004-01002 ISSUED: 09/0112004 APPLIED: 08/13/2004 EXPIRES: 03/03/2005 VALUE: $ 7,500.00 7,500.00 $7,500.00 $7,500.00 08/13/2004 Total Value of Project ~ Amount Paid $59.67 $5.80 $9.18 $4.06 $6.43 $43.00 $15.00 $91.80 $185.97 $3,032.12 $687.32 $4.50 $3.15 $45.00 $4,193.00 I Plan Reviews I Date Paid Receipt Number 1200400000000001214 2200400000000001119 1200400000000001296 2200400000000001119 1200400000000001296 2200400000000001119 2200400000000001119 1200400000000001296 1200400000000001296 1200400000000001296 1200400000000001296 1200400000000001473 1200400000000001473 1200400000000001473 8/13/04 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 10/14/04 10/14/04 10/14/04 Pa2e 2 of 4 . . CITY OF SPRINGFmLu Building/Combination Permit Status Issued PERMIT NO: COM2004-01002 225 Fifth Street, Springfield, OR ISSUED: 09/0112004 541-726-3753 Phone APPLIED: 08/13/2004 541-726-3676 Fax EXPIRES: 03/03/2005 541-726-3769 Inspection Line VALUE: $ 7,500.00 Fire Department Review 08/13/2004 08/18/2004 OK GRG Plan Review: Addition of a demising wall to separate tenant spaces. Job #COM2004-01002. Occupancy Classification: B. Construction Type: V-No Provide address numbers in contrasting color from the background positioned plainly visihle and legible from the street or road fronting the property (1998 Oregon Structural Specialty Code 502 and 1997 Springfield Uniform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating of2-A:IO-B:C every 75 feet oftravel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Provide illuminated exit sign age meeting requirements of OSSC 1003.2.8 Provide means of egress illumination meeting requirements of OSSC 1003.2.9. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (OSSC 1003.3.1.8, exception 1). Initial Review 08/13/2004 08/13/2004 OK RJB Public Works Review 08/13/2004 08/19/2004 APP SB SDC Charges for Change-in-use added. Structural Review 08/13/2004 08/13/2004 WI JMP Structural Review 08/19/2004 08/19/2004 APP JMP 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. Paee30f4 . . CITY OF ~rKll'\j\s1'l~LU . Status Issued Building/Combination Permit PERMIT NO: COM2004-01002 ISSUED: 09/0112004 . APPLIED: 08/13/2004 EXPIRES: 03/03/2005 VALUE: $ 7,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Tnsn~ctinns I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrieal work is complete. Low Voltage: Prior to cover. 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 strueture 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. " Owner or Contractors Signature Date Paee 4 of 4