HomeMy WebLinkAboutPermit Electrical 2009-8-4
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753t FAX(541)726-3689
SPRINGFIELD
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1 Permit nt ci-~ +83'61
I Date: ~ /4- /e-Cf I
Electrical Permit Application
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This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days. '
.~~1!0.G~(,lfG~~V.EBJ'1MI:'N,flf~~!'lJ~;.Ov.e;~E1llf~ '~I;"'l~tQMEQEl~!'
=~~~;~~i~~;~0~~:~~~;RW~ll1[Q~B~\~11 Residential, per unit, service inclu!~~~ii~11
i~;~~~~mLE~INII1:~:~~~r;~;AJ'1~M~~~~t:;~;)1~~ 11,000 sq, ft or less (4) $134.00 $ I
I Job site address: :3 J J I' l'ta +ewav' C:::,'/. I 1~~~~:ritiona1500 sq, ft. or portion,: $ 25.00 $ I
1 City: <::;pF-/if- ,_ I State: !J r ~ Z~P: '17V711 Limited energy (2) $ 32.00 $ I
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f;i!!l~.g~""--~Jjf~R' '0.l1ERm.y"0WNE:Rfh~""'i~"""'&~ll'""il?"",1 I 20 I to 400 amps (2) $ 95.00 $ 1
~:~::-~~.~ y;;pct?Dw.""~~'~"'11401 to 600 amps (2) $158.00 $ 1
I Address: 1 1 60] to 1,000 amps (2) $205.00 $ 1
I City: I State: I ZIP: I 1 Over I ,000 amps or volts (2) $469.00 $ 1
Phone: I Fax: 1 1 Reconnect only (2) , $ 63.00 $ 1
E-mail: I I Temporary services or feeders: insfallation, alteration. relocation .J
,This installation is being made on residential or farm property I 200 amps or less (2) Ii $ 63.00 $ I
owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ I
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ 1
Signature: Over 600 amps or 1,000 volts, see services or feeders section above I
1~:~N~f!~~RAN$;:=L~f~:~. 1 :r;::~o:i::~:S~ :::~i::t:~:::r::t~~~:~:~::e:r feeder ree I
1 Address: .2 C; .:2-';- fA j I I / ~'Yl ~ by- 1 Each branch circuit I 1 $ 6.00 I $ I
I City: f'.I./I./j I,A1..t I Statei)Y" I ZIP?, 74 00 1 b, Fedor branch circuits without pu;chase ofa service or feeder ree: I
I Phone:' 1/ ;3q.q. , il1Jlf(j Fax: - Y/-1.f -'?57J. </ I First branch circuit (2) I I $55,00 I $~)-r-
I E-mail: 1 1 Each additional branch circuit 1 $ 6.00 1 $
1 CCB license no.: Ie;;;, 7&11 BCD license no,: ). () . ~ "5 t, I I Miscellaneous fees: service or feeder: nof included 3 00
" 1 Signing supervisor's license no.: l/7.1 t.j -:) 1 Each pump or irrigation circle (2)" "$ 63.00 $ 1
1 Print nam~ of signing supervisor:"", ) oL 7-5uf'2.c.~ 1 Each sign or outline lighting (2) $ 63.00 $ I
,I Signature of signing superVisor=' 10 - /l'A _;""'/( I I Signal circuit or a limited-energy parieI, $ 63.00 $ I
\...LL . 7J; .- -;r. l ./ alteration, or extension (2) I~
1 I, Each additional:nsp~:.tion:.(I),~:.. ,__ . _ $58.0~ 1,$ . _ ~_ 1
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I (A) Enter subtotal of above fees
(Minimum 'Permit Fee $58.00) $ 5'8t;?fl--
I (B)EnterI2%surcharge(.12x[A]); $ ii.erG
1 (C) Technology Fee (5% of [AD J' $ '2, i.81
I TOTAL fees and surcharges (A through C): $ G 7:,~
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440-2584-1 (9/08/COM)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY; OF SPRINGFIELD'
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Building/C~!mbination Permit
PERMIT NO: CbM2009-00483
ISSUED: 05/0112009
APPLIED: 04/1312009
EXPIRES: 02/04/2010
VALUE: $13,000.00
SITE ADDRESS: 3IlI GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Com.p>ercial Miscellaneous
PROJECT DESCRIPTION: Smoking area
Owner: BENTON PROPERTIES LTD
Address: 980 WILLAMETTE ST
EUGEN!' .oR 97401
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occup,ancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storrnwater to existing eaves.
Description
Tvpe of Construction
TYPE OF USE: Addition
Commercial
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Phone Number: 541-485-6991
I CONTRACTOR INFORMATION.
BUILDING INFORMATION I
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft I st Floor:
"
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load;
180
36
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I of 3
!; REQUIRED PARKING
Total: '
Handicapped:
I: Compact:
Sidewalk Type:
Downspouts/Drains:
Valu
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review CommfIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Non-Residential
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
Initial Review
Public Works Review
04/14/2009
04/17/2009
Structural Review
041l712009,
Structural Review
04/2l/2009
Plannin2. Review
04/17/2009
$1.00
CITY: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00483
ISSUED: 05/0112009
APPLIED: 04/1312009
EXPIRES: OZi0412010
VALUE: $ 13,000.00
Total Value of Project
13,000.00
~
Amount Paid
$107.41
$19.83
$14.21
$165.25
$18.00
$1l9.00
$3.21
$64.21
$511.12
I Plan Reviews I
04/17/2009
04/17/2009
04/20/2009
04/2l/2009
04/22/2009
Date Paid
4!l3/09
5/l/09
5/1109
5/l/09
5/l/09
5/l/09
5/l/09
5/1I09
APP
APP
LLH
TSS
WE
CJC
APP
CJC
APP
EMM
Pa~e 2 of 3
,
$13,000.00
$13,000.00
04/13/2009
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Receipt Number
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2200900000000000364
3200900000000000292
3200900000000000292
3200900000000000292
3200900000000000292
3200900000000000292
3200900000000000292
3200900000000000292
Storm water to existing eaves.
Nee dtrul~s doc's. and existing
occupant load for lounge- Called
Arch 4/20
Recieved occupant load info 412l/09,
truss doc's 4/29/09
Approvi as noted in review letter
Must ke~p all existing landscaping
intact to:~meet standards of approved
Site Plan Review, NC zoning
standards and screening from
residential'property to south. All
existing parking stalls to remain.
Area is ~nder 200 sq uare feet and
44' away, from south property line.
Approved as BP only in discussion
with Tara Jones.
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CITY OF SPRINGFIELD
Status
Issued
I~
Building/C?mbination Permit
PERMIT NO: COM2009-00483
ISSUED: 05/0112009
APPLIED: 0~/13/2009
EXPIRES: 02/04/20io
VALUE: $ 13,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/17/2009
04/29/2009
APP GRG
Plans RJview: Addition of 180 sq. ft.
fenced in smoking area. Job
#COM2009-00483.
Initial Review
04/29/2009
04/29/2009
APP LLH,
Provide .lire extinguishers with a
minimum rating of 2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between'i3 and 5 feet above tinished
floor (2007 Springtield Fire Code
906). I
Received truss drawings for project.
Forwarded to Kip Kaufman for
. f
review. '
Structural Review
04/29/2009
04/30/2009
APP CJC
Truss d~awings.
To Request an inspection call the 24 hour recording at 726-3769. All inspections r'equested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
wor'k day.
Reouirerl Tnsnections I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved. '
Roof Sheathing/Nailing: Before covering sheathing with finish materiat
Final Bnilding: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
, I
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 shad be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w;'rk 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 on this project.
I further agree to ensure that all required inspections are requested at the proper time, that eacb ;ddress is readable from the
street, that the permit card is locatejthe front of the property, and the approved set of plans Wi." ,.m,;. "" ... ,,".. ,"
"m..v;:""~ f- '1-;q
Owner 1 Contractors Signature Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
54~-726-3759 Phone
Job/Journal Number
COM2009-00483
COM2009-00483
COM2009-00483
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JOSEPH BUNCH ELECTRIC,
lNC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000874
2:47:09PM
Date: 08194/2009
Item Total:
Check Number Authorization
Received By Batch Number Number HO~lReceived
2577 In Person
Amount Due
58,00
2.90
6,96
$67.86
Amount Paid
$67,86
Payment Total:
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$67.86
Page 1 of I
8/4/2009