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HomeMy WebLinkAboutPermit Electrical 2006-8-30 :;:",<:;:::,,"'..r"...~ "'~TV'O,," "'i"""n1i.~~' '.' 'ODu:6' O' 'Ni.:.~".':" '.... ; ... ,'~, ""''',00 .' 'V~'.I' Ii' F ~'1' . ~ ,-,,,,,... -;-~~~:-fi-(;':.~-:-'. '~,:/-~:;>. '7~.,~..;.:;:;';;:... :"'':o~.~ .....,.:~ .n.... ". . .' ".' :'.::~~; J ',__ ',,' . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA:\(: (541)726-3689 ELECTRICAL PERMIT APPLICATION 1 City Job Number CoIMZQOb-c.,C,\ 'If Date O~() /7---Oby, 1. ~ LOCATIWflPINST:Ji rFi:{TiON''d~'Y!igfiJ?i'1 ~.~'.'~',..1.:;'......":-"'-' ....-, "," -' ...,..... ."":~......,.:.<.:..._..;:...'.:.:;l;iO...........<i - ---..~,- .-.."" ..-.'''''' .~?RINCrIS-O ._ ~ ~~~~~J c; /0 S- :J:-"'" =--', ',' ~. ~"-'","r"""'''~'~~''''''',~__-~"-:",,_,,,,":2';:;'',_.''_'~__ 3. ::.COMPLETEFEE $CHEDULE.BELOW~:f,::"'I';:'i!;:,'Ji,". ..::..;...;..._........:.:.:...-....__._.;'-'-~.:...:.;'~,......~ .." "---.. .".-.,' ._..,::'~';;;" . : LEGAL DESCRlPT10N /702. >>12 lMrttN sr ObMO JOS DESCRIPTION SCI.->J Ice- (z \ i IS- C./('(........f....s Permits are DOD-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. :':~!!';T."..,_..,.,--....__.....,~~ .,......'c.......:.. H.........____,'.."".;..._,.,......,.~ 2. {i.F9l'!~ge~l!!~1.'J:Ji!!!;r.!91Jigtflt!ilil h''''''__' _ -"~".....,.,!>:..........".__ _. Elecnical Contractor ,y 1), I ,'In I{i~ E.\vrTn<.. I Address d lIS LO ;:;:! rA A \j i? City e U(:r; '" l" Phone ,"'lL1?> .'l';;)q l Supervisor License Number ;<SOlCl S Expiration Date \ 0 ' I . 0" Constr, Contr, Number ~('" ISSG Expiration Date ',- \-\1v, Signature of Supervising Electrician City Sf>r::}. Phone OWNER INSTALLATION The installation is being made on properly I own which is not intended for saie, lease or rent. .:>:.-'-::-'":...,.....,~:'t:.,\J~~?;::~~,'~:t'~~.~;::,,~:S.~,:~.~G:'~, :;.::~r',,;";o;;.;:;'~, --' ", :~fli1 A. "New Resideiitial'-"Siilgle,orMulti-FarnilY'per.d,.eliiii 'UDl ;~)!:' ~_.,..;.....;:.........._......._.. _a~.~''',':;'=r.''._--'-''', ..' '~:;";;;='."_"_"<>-'''''~'~~~~~ Service Included 1000 sq, ft. or less Each additional 500 sq. f1. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder S106.00 S 19.00 S50.00 ............-.......'''..,.,....".."..., ..- .-. ~"'''-''-''' ~ B. :1Se~ic~~~~~Fe;~~~rri]t:riIifiiDrAlt~ti.riri:;~;-R~lli8tfoii~~F~ ~~~,;~.....;,_-:~;.;j~~':~:.;,.~-~~.,....,"'~-i:;\-"'.;.t;.:~:.'"~..~ .'." ;~.. .~:;.;...;...:.:2.;;:.:.i;.:;:.:.:.:::.';..~~,..,.lil' .;.,,,,..:~s~ 2- S 63.00 S 75.00 $125.00 $163.00 $375,00 S 50.00 itC:::. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 100,O.~,~~s 'IOU to O"ier,1009'AmpsNol~con Utili\'} . Reconnect Only.,e Orv:; set \on\\ ..,-~, lesare ~, "'"-' ~ ;~.. -r1........<::.8 rl1.. _ "'cI')J....u I ~ :.,. '?:..~o_~'f~.:~~..;".:t....,..~l:11>o"'"'''.':-;;;'-;:::-':t~'~i>~':':'4!'''''''~'':;;!'';~:O"~'~~'h-'C";~""'--'-~~l .. C.,J~mpo~rx:.Si~Q'I~~(Jr.i~~...tt~~~1.tJ\;;.,0~::1l:R~~.~<;;!t:.~~:j?,~:.;r:.:?;~L - "ClJ ~ =v~ . eS L)I ~,.- ~~ ............. -..... , ".. ,.... -' .., ~'.,I,:J.\n COpl ....~ 1"\80hon~ I ~ \0U IInstallanon,AlteralIon or ReIocanon ;:.: J..... ~ .....poter. \"'.... - .' N01.\\lvU'-'- Ca',i\n9 t\200'Ampsor.lessUtl\IW3' A) 1-"\\':'.8 ""IV~ ....").I)_? "'t"'t. ..... umber 201 Amps\to~400Amps- C~'"t"r '" 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "S" above, ,~:,...,.-,~.,..,.::- .:-:';-: ~~'-':~i:.??~<7,t~f.l~~?-f.::~_::'.I.i)~.'-':~-~;:':'';'~~~AH';~;';,v+~J:{''::~f~~t.". D. .BrancmClrcwt:S.,. ..._~"'3""''l,I~~'~"~''''=''Pl'''-""",,, .' \~\~_""\'. .h->!.':"i!.'...."':~...c. . ' ..""~~:.;;.,..... "-'--~- "',,-. ,'. ".'"'''i:!;;:;:.,;~:::'"-i:.~i~...'''2~~..;.i;;.''' /J _ ~ New Alteration or Extension Per Panel "' \. ~/e:-~~ One Circuit S43.0p ~ame ';/0 r-' Af~/N:. LLC- ~~0:~:~~~~~E;:~:,:h1iW,~,.~S3'~~?;'~"~~~~m Address 5/0 .!.- 1M ;fIN ~ r "O~'G l!."'iscel1anepus(S~tficCtreeder. not1in~Iuded) -E.c)j,Iilscillati~n'\ ".N\llSW\\.....ot..., ~"""WT'\"-""'u.\.., .....'-,.,,~-"~.,_. 1\1\5 PER ,,,\,.,t~ i\'\\~ ~\I'R I'R'R ' . r!lu!'l\'L't!0rt:tg~tion tl.\\~\I\.I;)\)\~~t1 rlJ S 50.00 ~ p,\l1 Si~~Utlinmi~[ting S 50.00 , CO~ti~iied:Eriergy"~~Ps\dential S 25.00 .' t-I'i IOV V" P, Limited Energy/Commercial. S 45.00 S 50.00 S 69.00 $100.00 \t Minimum Electric Permit Inspection Fee is S45.00 ~ Surcharges Owners Signature: ".;~..,. ..........;" ,'-"~~~"'"=;~:~'.:,:::;/" :,-~. ;;'_;~:.T'"'_ 4. '.:oC11HOTAE.OE'ABOVEi. ..........".,.. ".c. ._.. i-..._.._._.."~.:" ___. h;:"'.~., _..~....:'::.~::':":".:::;.~~'i.::2~..~;....: ~/o State Surcharge ~0~ If:t:;;:,;;;' ,,, ~ ro:-(() Sh",riDrivelT,)lBuildingF ~'X Inspection Request: i26-3i69 /71 /308 17,0 l:J s:r- t} $ ~lO --' Elecuical Permit .--\ppiication I-D3.doc -iif~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00191 ISSUED: 07/24/2006 APPLIED: 02/15/2006 EXPIRES: 02/28/2007 VALUE: $ 144,041.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5105 MAIN ST ASSESSOR'S PARCEL NO.: 1702333206000 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Veterinary clinic moving into SFR Owner: Address: :/00: :1:/:/ SSJREET LLC lec,Ul1es 'JO~\~~'J SPRINGFIELD OR 97478 01\ \3'1'1 Olegol\ \101\'\\ _......,,'. O~e9 -' \o'"\\.1 \\"\e . _'"' ?~e Se _ .....n'\~ p.."i"it:.\'l' ,- . ~nO\"v:;...,,<;e IV'. ,-,1>.\\ "'''~ _ ,",\I 10\\0'l'l1\l\6) .CO~:rRACTOR)JNF.ORM';;TION I 'lo\IIIC3\\OC _OOi-\lv' ~ CO?I"O - \e\e?':-:;\Ol\ Contracto':jp..\\ 9',:,'2- 3'J 0'0\311\ I~o\e'. \,\\e ~o,fulcense ESSEX G'ENERA.i)'C()'N~iJ1RiifCTIOf'l.l\I\I\'J 30,0,54531 REYNOLDslt~"(;:,TRfc\'\\e Ole~~O_33?-'Z i 7252 INNOV ATIV~,0\!R\Irt.S.I\\el IS i- 161742 BARON PLUMBING INC 147744 Expiration Date 11/10/2006 02/08/2007 10/11/2006 05/14/2007 Phone 541-342-4509 541-343-7297 541-746-1040 541-935-108 I Contractor Type General Electrical Mechanical Plumbing BUILDING INFORMATION I . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a ..Occupant Load: 1,298 620 VB 15 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .. I DEVELOPMENT INFORMA nON"I. \\ '\~'- \'0 ~\) \ Overl~y, D~t:'~~\x.'i'~\'\ \\j'i' Co' # Street.'frees,Rqd;,,,\'\:.'V r.\. - ....",. -o:l \' .(\\J\~ ,,~\'v . ..'Paved.Drive Rqil':V ""\j' c.'i"" \ ""'v t>.u. " y.,\S 'i''- \l~vofLOf\~overage: '\ :\y.,\.l'i" ~'\:.'V '0";.'i\\\.l'V' ~,\ . ,c.~ .,0,- c,'t'~ljBUI(:::IMPROVEMENTS I r.'- REQUIRED PARKING Total: Haudicapped: Compact: , . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541- 726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Type of Construction, Estimate Use Bid Amount Fee Description Plan Review Comm/lnd/Public -Mechanical Issuance Fee- + 10% Administrative Fee + 80/0 State Surcharge Building Permit Curbcut Permi't Fixture Fu rnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Paving Plan Review Comm/lnd/Public Plan Review Fire & Life Safety SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Aller, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Fire Department Review 02/15/2006 Initial Review 02115/2006 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00191 ISSUED: 07/24/2006 APPLIED: 02/15/2006 EXPIRES: 02/28/2007 VALUE: $ 144,041.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 125,416.00 18,625.00 Value Date Calculated $125,416.00 $18,625.00 $144,041.00 07/14/2006 07/14/2006 Total Value of Project FpP~ PqirlJ Amount Paid $431.05 $10.00 $94.28 $61.21 $650.15 $80.00 $70.00 $24.00 $4.00 $17.00 $177.60 $31.69 $284.76 $10.00 $1,031.45 $97.78 $44.61 $304.43 $4,153.37 $941.61 $746.67 $17.10 $8.55 $13.68 $45.00 $126.00 $9,475.99 Date Paid Receipt Number 2115/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 7124/06 7/24/06 7/24/06 7/24/06 7/24/06 7/24/06 8/30/06 8/30/06 8/30/06 8/30/06 8/30/06 3200600000000000070 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 2200600000000001031 1200600000000001349 1200600000000001349 1200600000000001349 1200600000000001349 1200600000000001349 02120/2006 I Plan Reviews I GRG 02/15/2006 OK See attached Fire Department Comments APP SKG Paee 2 of 4 -~~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Plan Review Commeuts 07/14/2006 10 Plan nine Review Public Works Review 02/15/2006 02/15/2006 03/21/2006 APP APP Structural Review 0212212006 WE 02115/2006 Structural Review SUB Review 07/20/2006 02116/2006 APP WE 07/20/2006 02/24/2006 SUB Review 03/17/2006 03/17/2006 APP DH . CITY OF ~rKll'ltd'lJ<..LD' Building/Combination Permit PERMIT NO: COM2006-00191 ISSUED: 07/24/2006 APPLIED: 02/15/2006 EXPIRES: 02/28/2007 VALUE: $ 144,041.00 JMP EMM SB JMP JMP DH WI. Received responses to structural comments from Siri Dharma Khalsa. Planning to excavate only 40 c.y. per Schirmer/Schlesinger Arch (686-4540 ex. 2) so no LDAP Required. SDCs added. Curbcut added. See attached documents for II structural comments faxed to Siri Dharma Khalsa. Received final internal approval. JMP called Siri Dharma Khalsa to request the missing energy code information. 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. Footing: After trenches are excavated. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Structural Concrete: In excess of 2500 psi. To be done during constructiou by a State Certified Inspector. Provide results to City Buiding Inspector Glu-Lam Beams: Inspection Certificate by au approved agency to be provided to City Building Inspector prior to placemeut. 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. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Paee 3 of 4 . . CITY OF ;:,rKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-00191 ISSUED: 07/24/2006 APPLIED: 02/15/2006 EXPIRES: 02/28/2007 VALUE: $ 144,041.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Followiug City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Ligbting Curbcut - Second: After forms are erected but prior to placement of concrete. 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 ou 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 frout 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 of4 225 Fifth Street Sprinl:fielil, Oregon 97477 541-726-3759 Phone ~ .'~\ ~. "" ~ Ca>f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-00191 COM2006-00 191 COM2006-00 191 COM2006-00 191 COM2006-00 191 Payments: Type of Payment CreditCard cReceiflll RECEIPT #: 1200600000000001349 Date: 08/30/2006 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Lheck Number Authorization Received By Batch Number Number How Received djb 015918 In Person Payment Total: Page I of I 8:45:37AM Amount Due 126.00 45.00 8.55 13.68 17.10 . $210.33 Amount Paid $210.33 $210.33 8/30/2006