HomeMy WebLinkAboutPermit Electrical 2005-2-8
. CITY OF SiYGFIELD, OREGON r) .
~ ~rRINOPIELD :"
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225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~89 o"~'_".,">.;~. h!., '. '.
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ELECTRICAL PERMIT APPLICATION '? '" S Oi;"~g...' ' '.
City Job Number COwIz-oot{ - C>oS~)" Date ~ - "f" ~~~
'0' -,& '"-'d
'1!f' COMPLETEFEESCHEDULb'?~J';L 11 .,,,,,90~&~.:.&
~ ~.." ""'''0'1
. . ....~ '\j'~ ('!.($).$I
o '-'2 "
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' , . : New Residential- Single or Multi-Fami . 'e 'ng unf~O'1>~
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.. '>.!
Serviee Ineluded " <9
I. . LOCATION OF INSTALLA110N
L/300 ~ 11410
LEGAL DESCRIPTION
170Z3.23 I
VZIO(
JOB DESCRIPTION
III U'l -6talA<:i5 UIT LltJe(5
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
i
2. ~ C?.NTRA_c:!:?l!~Sr..~~I1~rv. ?~L~~,:
Electrical Contractor
CMLI\D5" E1-EUf
Address ..:3~.3 ~
~
(;-1L6ur::: .
ct4iG
[(solO
Phone '7';;"'1- s(.vr
City
Supervisor License Number .PU S
i0/0 (,
/
56;)11
7' j; xjo C.
Expiration Date
Constr. Contr. Number
Expiration Date
Si7j::Jj;ng~
Owners Name i::=o C l--l
Address 277 g W
City C;v<-Gu/l/E Phone
"l'r2...
Qt.\!
27+~
OWNER INSTALLATION
The installation is being made on property i own which
is not intended for sa~e, lease or rent.
Owners Signature:
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. i Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to ,600 Amps
~.....'" ,
60 I'A'';'ps to 1 000 Amps
Over 1000 AmpsN olts as 'IOU \0
Reconnect O\W\a~ ~U\T l\ Uti1iW.
-moN: OT~d b'l \tIa O~egoe sa\ I.ott". _
"1 ~r-'.i~~r.jl.SL>!iwtlil~ W~Aen.OO\-
~\lu.'.flU . oter. ,T\IJ .. :n Op.h5;:r",
Not\\\cat\on ce ~~R\Q.~IO~~oMr.?ol~I~S '0'1
. Op..\'\ ~ ob\~'i!'\!lV. a t~~~' tiqlO " .
~n90 _~lR\>s orJpst!-lote. t~ "otilicatlon
-' aJl\wr: , \ \\illW \.
ca\\i~~ s~~fu~2._2.344).
llutl\~ElI WIn Stt\S6\lillIl~1'S"
cane
Over 600 Amps or 1 ()()o Volts see "B" above:,
D. Branch Circuits
4. SUBTOTAL OF ABOVE
7% State Surcharge
10% Administrative Fee
TOTAL
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
L()
,2-.
New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with . 1/
Service or Feeder Permit L $ 3.00
r .. -...----' .. -' ~I()\\"'" ..
E. Miscellaneous (Ser\'i~~tf.ed~r.lJro~ IncIuqed) -Each Inslanation
1_ . ... -.. ''C,'iS'Il'-1:. II ',~\\ IS \'l\J - ,. . , ,
!,\1'\r.~. , p\-\f?-\'\' \e:. ?tl\\" r\\\
\\v 'Pump. ol\lITigationn ,\-\" r\~IC:\'\ \,-v $ 50.00
C \Jt:'~'" I I~I\ II:." ~\\)v"'-
,i'\I'SigiilOutline..r.igliting,'i)!\" $ 50.00
I 11'\:I\J\"I\~- -r\ \'\~ \;;J '.
I\\.> Limited\EnergyIResid,glltial $ 25.00
a~~'N\'-\'- \J \,I-.\"IIV
C rimite<!Iih'l,rgy!Commercial $ 45.00
Min~~~m'~lectric Permit Inspection Fee is $45.00 + Surcharges
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Shared Drivc(T:)/Building Fonns/Elcctrical Pennit Application 1-03.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00535
ISSUED: 06/10/2004
APPLIED: 05/0612004
EXPIRES: 07/18/2005
VALUE: $ 934,185.00
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4300 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323102101
Springfield TYPE OF WORK: Storage Building
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Additional storage buildings
Owner: LOUANNE BAKICH KOCH REV TR
Address: 2778 W 29TH AVE
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Sewer
Contractor
W A STEVENS CONSTRUCTION INC
DAVID A WHITE
GEOMAX ENGINEERING
MORSE BROS INC
License
89150
56279
Expiration Date
03/11/2005
04/18/2006
Phone
541-579-4426
541-942-7040
541-942-0126
541-451-5141
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
S-I
BUILDING INFORMA TION1 requireS ~'Uti\iW
:TJE.Nl\UI~' J!.! d b'l tne orego et \orth
jg;t r/.!\U5 adopte ihose ruleslare 2f2.t~
~ 'l~tlUi!fdW'10 through Of>-R ~'l&! '1fiI Floor:
W91l1 Y5!!tO01-OO. COPieso~theS'ii~~'nd Floor:
W~ r ma'l obtaIn Note: t\19 \ele.g sement:
~fJ.I!'\he centet. ~ n Utili\,/ Not~ Garage/Carport
En 'ji~JIiot \tie Orego n...'>.32-2344);q Ft Other:
Spli\\llle'il'B~\Y.I!lI:\S ,\-&0., n7a Occupant Load:
I DEVELOPMENT Il"'vKJ>1A TION I
30,380
UN
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
't \)'JO\'llv..
,.~!: \~ ,\,\ _ ,,(\,
I PUBLIC IMPRQVEMEN1;S'IS\,\r>-\..\" t.;~\'~; ?'t\'llI'J\\ \ ~G\'II
\e:. \'<-, ,. ""\l~\'II . ",(\lo\'tO
irl" 00\'1'.0 VI' Sidewa!l0T-ypc;
irl "L 0\'11 I';) rw
r>-\) .~.~c:~e.'t0 n<-Do~ilspoutsmrains:
e.O'''''''- r>-'l r ,-I"
r>-~'l ,I'll) 0
Yes
To Storm Sewer
Notes:
Pa~e I of 4
Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Pavine
Warehouses
Tvpe of Construction
Use Bid Amount
II or V N
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Not Covered Plumbing
Paving
Plan Review Fire & Life Safely
Planning Final Occy Inspection
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvcment
SDC Transpo Reimbursement
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Water Line - 1st 50 Feet
Water Line - Each Addtl ioo'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$27.50
Square Footage
or Bid Amount
98,735.00
30,380.00
. CITY OF ~rtOj'llJFIELD
Building/Combination Permit
PERMIT NO: COM2004-00535
ISSUED: 06/10/2004
APPLIED: 05/06/2004
EXPIRES: 07/18/2005
VALUE: $ 934,185.00
Value
Date Calculated
Total Value of Project
Fpp< P~iIiLI
Amount Paid
Date Paid
$98,735.00
$835,450.00
$934,185.00
05/06/2004
05/06/2004
$2,131.61
$399.04
$240.01
$2,957.65
$98.00
$45.00
$561.75
$1,311.76
$143.00
$182.79
$203.98
$5,484.3 I
$1,243.19
$45.00
$ I 96.00
$45.00
$42.00
$5.50
$3.85
$43.00
$12.00
5/6/04
6/1 0/04
6/1 0/04
6/10/04
6/10/04
6/10/04
6/10/04
6/10/04
6/10/04
6/10/04.
6/10/04
6/10/04
6/10/04
6/10/04
6/10/04
6/10/04
6/1 0/04
2/3/05
2/3/05
2/3/05
2/3/05
Receipt Number
1200400000000000668
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
.2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
2200400000000000736
1200500000000000138
1200500000000000138
1200500000000000138
1200500000000000138
I Plan Reviews I
Fire Department Review 05/11/2004 05/14/2004 OK GRG See attached document for fire
department plan review.
Initial Review 05/11/2004 05/1112004 OK RJB
Plan nine Review 05/11/2004 05/13/2004 APP EMM To be built as per Final Site Plan
Review submittal DRC2004-0006
$15,394.44
Paee 2 of 4
.
. CITY OF S"'K.ll~\jt<u'LD
Building/Combination Permit
PERMIT NO: COM2004-00535
ISSUED: 06/10/2004
APPLIED: 05/06/2004 .
EXPIRES: 07/18/2005
VALUE: $ 934,185.00
Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
05/1112004 05/17/2004 APP SB Applicant must submit an
Encroachment Permit application if
any work is proposed within a
Public Utility Easement or Public
Right-of-Way. SDCs included.
0511112004 05/19/2004 APP TCM
0511112004 05/14/2004 APP JF
Structural Review
SUB Review
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.
I Rpn..irl~lrllnsnection~ I
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
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 Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Storm Sewer Line: Prior to filling trench. .
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all Conditions have been completed as required on Development Agreement.
Water Line: Prior to filling trench and including required testing.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00535
ISSUED: 06/10/2004
APPLIED: 05/06/2004
EXPIRES: 07/18/2005
VALUE: $ 934,185,00
Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 hercin, and
that NO OCCUPANCY will be made of any structurc without permission of the Community Servlccs Division, Building Safcty.
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will bc used on this projcct.
I further agree to ensurc that all required inspections are requested at thc proper time, that each addrcss is rcadablc from the
street, that thc permit card is located at the front of thc property, and the approvcd set of plans will remain on thc site at all
times during construction.
Owncr or Contractors Signaturc
Date
Paee40f4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
Job/Journal Number
COM2004-00535
COM2004-00535
COM2004-00535
COM2004-00535
Payments:
Type of Payment
Check
2/3/2005
.
RECEIPT #:
"'~CIIFIIILCII ,
Wi='l--.-...-.... ......., "...
'.,.,
" --. .." '.'''-' ..
JiiiY of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000138
Date: 02/03/2005
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CASCADE ELECTRIC
Item Total: .
Check Number Authorization
Received By Batch Number Number How Received
djb 3435 In Person
Payment Total:
Page I of 1
8:38:47AM
Amount Due
43.00
12.00
3.85
5.50
$64.35
Amount Paid
$64.35
$64.35