HomeMy WebLinkAboutPermit Electrical 2006-8-30
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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
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3. ::.COMPLETEFEE $CHEDULE.BELOW~:f,::"'I';:'i!;:,'Ji,".
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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.
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2. {i.F9l'!~ge~l!!~1.'J:Ji!!!;r.!91Jigtflt!ilil
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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.
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A. "New Resideiitial'-"Siilgle,orMulti-FarnilY'per.d,.eliiii 'UDl ;~)!:'
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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~
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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 ~,
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- "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,
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D. .BrancmClrcwt:S.,. ..._~"'3""''l,I~~'~"~''''=''Pl'''-""",,, .' \~\~_""\'. .h->!.':"i!.'...."':~...c.
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/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:
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4. '.:oC11HOTAE.OE'ABOVEi. ..........".,.. ".c.
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~/o State Surcharge
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~ ro:-(() Sh",riDrivelT,)lBuildingF
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Inspection Request: i26-3i69
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/308
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Elecuical Permit .--\ppiication I-D3.doc
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.
. 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