HomeMy WebLinkAboutPermit Electrical 2005-12-8
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-37S3 . FAX: (S41F~6-3689 \' i,'~ ~<,\.:
ELECTRICAL PERMIT APPliCATION . ' .' ' ... ~ ~
City Job Numberc.oMZcX>~ - (J/$ 7 ') Date 12- ~-6S- . --" ~,g..a\u~a
Each Manufact'd Home or
Modular Dwelling Service or
Feeder \, .
'.i'(",c-,'4
2. Itii:i#fRA:q9R '~STALLAit.6NONLY 1 l\ ~v,~"S~h,i~~,~r;~eeders 7,I#sIliJI~!!0i.; Alte~atio-;'s~~'~ei~c~tion:' .I
e0P ,,\I"" ..
Electrical Contractor SCOFIELD ELECTR:U;,pp91 ~eO '02~0,A;ripsor less
,,-<~<t:.""" "'eS 'i!J.Vv~el, W~OtAJi,ps;o 400 Amps
r" 10' l\' \)"" .~"
. _1\0'l'l . _" c,e \ .\)\)\ ,40!(Amps~!, 600 Amps
~:0\1'i\e~'9":)7.-\)V ,\ o'O\'i!J.fOI~'A~ps~to \'000 Amps
\" ,",b..''p '('(\'0:1 'e~" .,)... ,('!, \ 1
City El\IO""" "R qnn?Phone ~R~;'RI\1,?,,0 eel'" 9~'rr)109~...~mpSIVolls
, (::J:J9V' 1\Q, We \'l'e C'Re~ect Only
e'if:." el \01 el 1'0 '
(\u((\'O (j~;(\~ C. ~TeiDpora'r)i Servic_es~'();.Fet;'d~~
1. I LOiiA,T!ONpFI/{STALM'[ION
570 <7 MAtH ST.
LEGAL DESCRIPTION
/702331..( f 03/DO
JOB DESCRIPTION
Ad/. /<6 C"lrw.,.h.
Permits are non-traosferable and expire If work is
not started within 180 days ofissuance or If work is
Suspended for 180 days.
Address
PO BOX 2765
Supervisor License Number
508-S
Expiration Date 10-1-2007
ConSIT, ConlT, Number 38702
Expiration Date 1 ?_? 1 _?f)('r::.
Signature of Supervising Electrician
a~k~1/
- - ~
Owners Name 1M c. t:.€"l(~- C-n:,SS,:,<
Address 2~lf C -::.+
Cityf:<< Q.1:~A. I LA Phone707.j4f' - ~bO(
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
,J
3. ~'c.(jitlptEtE FEE:sc:.:$iiiI,Lf(BELOW"
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,.'4 6!:\.~;.
A. ffi~;:jt~~id~iitl;i(:M~gle.;} !\'i~lti~Fam.i1Y-pe~ d~!Ili~g ~';It.,l
Service Included
1000 sq. ft, or less $106,00
Each additional 500 sq. ft. or
portion thereof $ 19.00
$50.00
$ 63.00
$ 75,00
$\25.00
$163.00
$375.00
$ 50,00
.\
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Valls see "B" above.
D. t;Jif~~ch Circui# .
$ 50.00
$ 69.00
$100.00
",'
. .
,
New AlteratIon or Extension Per Panel
One Circuit I $ 43,00 l( :3
Each Additional Circuit or with 1 -. r- (
Service or Feeder Permit c' $ 3.0Q ~
~~ .
E. r,MiscellaneOn~'(ServicelL.l~!.)\~o..\lIed) -Each Installation I
f .. . ~ ,,'" ~~Ir' ..
Pump or irrigation ~,:+~.~ ~~~t~ \\S $ 50,00
SignlOUtlineL~'':-.~~<:O ~'V~ - $50,00
L~~d ~~ ,.~~ $ 25,00
~~'\~~'\~ ~~~I $ 45,00
Ml~~~..[~tspectIon Fee is $45,00 + Snrcharges
!~Y'~~~).>'" ' '. ", .., II
4. ~~W':Of~OYE~" '" >" 'I,
~\ . ..
7% ~tate Surcharge {, SI?
10% Administrative Fee "liD
TOTAL I 0 '7.1!?-
Shared Drive(T:YBuilding FormslElectrical Permit Application I-03.doc
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
PERMITNO: COM2005-01575
ISSUED: 12/0112005
APPLIED: 11/07/2005
EXPIRES: 06/07/2006
VALUE: $ 74,000.00
- SITE ADDRESS: 5709 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334103100
Springfield TYPE OF
Office
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant InfilI.
Owner:
Address:
MCKENZIE CROSSING LID
2811 E ST
EUREKA CA 95501
Phone Number: 707-445-9601
Contractor Type
General
< Electrical
Mechanical
I Plumbing
rn'tJc.~: Eh'l'lrri II: T\.l~ WORK
1~1" Jl~~\l ~!'~\.'" ~Il\~ NOT
. Al.lt,':~"T=rj{l'MI~U~,I..rwR
Contractor COM~~~~~ lilH\lOD. License Expiration Date
MCKENZIE CO~~l"'ct>'NTRACT0R:4SS39 07/2112007
SCOFIELD ELECTRIC 38702 1212112005
PACIFIC AIR COMFORT INC 39237 0312512006
TWIN RIVERS PLUMBING INC 17695 03/1112007
Phone
541-343-7143
541-686-8612
541-672-95 I 0
541-688-1444
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
primary Construction Type
Secondary Construction
# of Bedrooms:
B
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a. Ossu,pant Load:
__,'"n 1\t'eS ~'h _
I DEVELOPMENHNFORMATio'N'1 oregon s~~';~rth
,.. rules aUuy'- -t'hoSe lules areg52.0Ql:lEQUlRED PARKING
10110W center. I h O{>.I'\ <..,
O.t,'J",~y,D~~~ ~ -OO~ 0 throUg 01 the rules 'fotal:.
# Str\ej;t.ITrees-OO btain caples telep\'lOnEHand,capped:
P~~~~c,lJriye,Rijii~"o ter, ~Note', the NotilicatiC€ompact:
% of~l,~.l1verioge:n oregon \)tl\l\'/ 44).
mber lor the ~_800-332.23
nD .... _.....\Or \5
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
VB
Frontyord Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
.~ Solar Setbacks:
IPUBLIC IMPROVEMENTSI
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrahts
Notes:
1 of 4
Status: Issued
225 Flftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
-
,
c
,I:
Fee Description
Plan Review Comm/IndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
MlnimumlAdjustment Plumbing
Miscellaneous Mechanical
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
+ 10% Administrative Fee
+ 7% State Surcharge
, Add, Alter, Extend Circ
;: Add, Alter, Extend Circ Ea Add
Total Amount
.'
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CITY OF SPRINGFIELD-
Building/Combination Permit
PERMIT NO: COM2005-01575
ISSUED: 12/0112005
APPLIED: 11/07/2005
EXPIRES: 06/07/2006
VALUE: $ 74,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multipUer
$1.00
Square Footage
or Bid Amount
74,000.00
Value
Date Calculated
1lI071200S
$74,000.00
$74,000.00
Total Value of Project
Fees POliti I
Amount Paid
Date Paid
llntOS
121l/0S
121l/0S
121l/0S
1211105
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
121l/0S
1218/05
1218/05
1218105
1218105
Receipt Number
$301.76
$10.00
$55.43
$38.80
$464,25
$14.00
$31.00
$45.00
$143.00
$57.20
$75.22
$6.62
$9.40
$6.58
$43.00
$51.00
2200500000000001546
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
3200500000000000676
1200500000000001791
1200500000000001791
1200500000000001791
1200500000000001791
$1,352.26
I Plan Reviews I
2 of 4
. . CITY OF SPRu'luI'll'.,LJJ
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-01575
225 Fifth Street, Springfield, OR ISSUED: 12/0112005
541-726-3753 Phone APPLIED: 11/07/2005
541-726-3676 Fax EXPIRES: 06/07/2006
541-726-3769 Inspection Line VALUE: $ 74,000.00
Fire Department Review 1lI10/200S 1lI2l1200S OK GRG Plan Review - Tenant infill. Oregon
Community Credit Union.
COM200S-01S7S. Construction type
VB. Occupancy Type B.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property. The
back door of each tenant space
should have the numerical address
and the store name on or above the
door that faces an alley or road.
(2004 Oregon Structural Specialty
Code 501.2 and 2004 Springfield
Fire Code 505.1).
Provide fire extinguishen with a
minimum rating of 2-A:I0-B:C
every 75 feet oftravel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Provide illuminated exit sign age
meeting requirements of2004 OSSC
1011.
Provide means of egress illumination
meeting requirements of 2004 OSSC
1006. A special inspector's report
verifying emergency egress
illumination meeting 2004 OSSC
1006d.
Review done by MF, Signed oITby
GRG.
Initial Review 11108/2005 1lI10/200S APP LLH
Plannlnl! Review 1lI10/200S 11/17/2005 APP EMM See Attached LUCS form.
Screening of dumpsten required
before occupancy.
Public Works Review 11110/2005 1lI18/200S APP SB SDCs added for one new fixture.
Change-of-use within Shopping
Center. Interior remodel. SDCs
previously paid.
Structural Review 11110/2005 11/18/2005 WE JMP See attached documents for 6
structural comments faxed to
Jonathan StaITord and Todd Glenz.
3 of 4
.
.
CITY OF SPRINGFIELD-
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01575
ISSUED: 12/0112005
APPLIED: 1110712005
EXPIRES: 06/0712006
VALUE: $ 74,000.00
Structural Review
11123/2005
1lI30/200S
APP JMP
Received response from Jonathan
Stafford and Todd Glenz.
No code issues or inspections.
SUB Review
11110/2005
11118/2005
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.
Framing Inspection: Prior to cover and after all rough in Inspections have been approved.
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 Plumbing: Prior to cover 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: When 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 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 wiD 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 thefront of the property, and the approved set of plans wiD remain on the site
at all times during constructiolL
Owner or Contractors Signature
Date
4 of 4
,
f225 Fifth Street
I Springfield, Oregon 97477
541-726-3759 Phone
"
,
Job/Joumal Number
COM2005-0l575
COM2005.o I 575
COM2005-01575
,COM2005-0 1575
Payments:
T)1le of Pa)1l1ent
\ CreditCard
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12/8/2005
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RECEIPT #:
.."~AI."!!I'IIl!-oo.......,'.
IIiL '..,
,
I ,
-- - - ,
--..- '.. '
~ of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001791
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ En Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SCOFIELD ELECTRIC
Received By
djb
1 of 1
Date: 12/08/2005
Item Total:
L:heckNumber AuttIOI1Z8lton
Batch Number Number How Received
118091 In Person
Payment Total:
9:31:3SAM
Amoont Due
43,00
51.00
6.58
9.40
$109.98
Amount Paid
$109.98
$109.98