HomeMy WebLinkAboutPermit Electrical 2005-5-16
,.
- 225 FIYI'H STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5
ELECTRICAL PERMTT APPLICATION
City Job Num~ tov't'- 0 \ <<-t8'"'fbate
t .(;~Q0:~lg&ih:}S~J~~i}4,1jQS/i~MT;~:~ 3.
J. \;1. 0 fit I'\-+^' .$)
LEGAL DESCRIPTION
S'Ec,ul+-/ ALII"'M ::r:,vS-\"..' \
JOB DESCRIPTION
\ '{ 0"3 '3 ~ '-f':l
Od../crV
Pecmit$ :ire nOD-tr:msfenble smd eJpire if work is
not 5tart~d withiD 180 d...ys of hsulInce or if wnrk L";
Suspended'for 180 d'Yl.
2. If:~~8i~?i~~1i[trE~[;~'g~~k~11
.Ele<:tricalConll"acLOr Strvr:t-/ flLA-t"" (ot,;:>
Address d. 11 M 1\ Xf'! SI n
City ALfsAJJ-{
Phone ?Z8~4S4~
Supervi.or licen.eNumber . C;ocf Lx:.'"A.
ExpiralioD DOle 10/0 :;
Cons".. Con 11. Number '-ioS 9 I
0'1/0'7.
Expiration Date
W~i~:gEIcCmQml
OwnmName J~i~ MI'\N'Z.O
Address 1. \;2..0 ~~;,.; .sl""
. City S'?(',,,,, f\~\\)
Phone "36-553'1
OWNER JNST ALLA nON
The installation is being made on property I own which
i!' not'intended fOf sal~.leas<: or rent.
Owners SigntllUre:
Inspection Request:
"''''' . 4
.~~~
16-3689
'"'
/ ;. ~ -.?'o/)/._G-o~
5 (0 65 <0.0,,".9, 0..".
0" .." ",9
}i;2i#L~tif:t~~~F~~iK~~i~;~;';'::~\Y}~i>Hk:\
;:;o?~ "'''t> . 'I "9?~~/) .
A. s::~~:~~~~:~~i;+,s~r.:~~;;~;;;'~':;~~~~:~:~!;f:"~:
1000 sq. n. Dr less ,,~ 00 ...,0' ~:;O"":'
Each additional 500 sq. ft. or 0'''' .,
portion thereof
"
Each MMufact'd Home or
Modular J)W~IS.!Qtde Qregon law requirf,'Oll6 10
~ee.'.:~::'N~'~~~~I.ru~~~~~;~;k...~~.;~;~~,~'l~fill~,>.",....,
B. {Sehic"'''''lfj~'"'''' '(":'i~ii:~d:1J:itJ~>\1 _. ~~ DVIUCJllf:j.-,:,,;
:O:'c;;,.'JiWN.i.. a-iOO'.l~'G'tl'irbuynfOAt{'9~2:O(ff~c"';'<';;
200 Amg.O~rq~~ou may obtain copies oS!6JmoJles bv
201 Ampsrc?MIi3~m~center. (NOle:.the~E1l5lQllion9
401 Ampmrw,eAllljr.th~ Oregon Utility PmlifOcation
601 A IOOOCAenterlS 1-8lJo-aJ2-2~"~00
mps to mp$. ""Yrw....
Over 1000 AmpsNoll, 1375.00 ~
Reconnect Only S 50.00
,-.
c. -~~~t~:~$j~f~~~~lg~!lii~~~j{{~~~1f&1!@~j~t~~~~~f~{t~t@J~
Installation, Alteration or R.eloc:ation
,. (" ~.-, .
200 Amps orlds , I CI;:. S 50.00
7:- ,,-,
201 AJnp$l0400~^"'~HM S 69.00 .
401 Amp' to'600AnlP'ZFIT SHAll r:"~'RSlOO.oo
.. ".'Vdl 0 UMn -''', t IF TH
~~~.~.,~g.~J<~;Y,~~.;~!'C;~:L~lj<])';;R'[:!r".t..S~~R8.((-."..
D.' 'B'. .. "e'h. .,.,.,. 'It."J,~.,....,.>;,~~..~""o;;.."'<~'''''iJi- N:;".~M'U.'.;!",.~ 'ilI1.~" ,...."
. ;t... .r::l:l.l.L .!~~!".C!'~... ,~.'t.p:'ld:-'~,:....'.-::'''':~:-~''t;Y.(r:':trt:{-lF'' .:::'\:~5';:~4;'1;;t,7l!1!~:t'~.;;<n" , . d'A;il:
_....,....,.._~.-"_..r.-...'..'"..U'Al"-pFH(ih .,." e'<iNCO''f''rr'" .... ~'.
New A1teratiou or Extension Per(Pilnel R
One Circuit $ 43.00
Each AdditioDIIl Circuit or wilh
Service or Feeder Pennil S 3.00
E. ~~~]i~~~t~~'~~~~i~~~1~~~Jt~~~~e1~i:~~~~~:~:~~~~eI~~ti~~~
.
Pump or i.nigotioD
Sign/Outline Lig,htinS
Limited EnergylResidenti.'\I
limited Encrgy/Conll11ercial
S 50.00
S ~O.OO
$ 25.00
S 45.00 - Lf ') DV
Minimum Elrcrrlc Permh Jm:pectJon Fee L~ 545.00 + SUI-chDr:es
4.,~~.g1;~;~{~1~t~~~By~~fi~~i;#~~:~!~[~~i?~j~.
7% Sene SUl'chcu'ge
10% AdministrAtive Fec
4560
l'50
--.------
I-f 10
S;).0
TOTAL
Shanxl CJivc{T;}lBuiklin~ I~unns/l::l~blcuf pcnnil Applicl1tinn l-l).ldnc
.
Status
Issued
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
l..U ~ OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 05/13/2005
APPLIED: 12/0312004
EXPIRES: 11/13/2005
VALUE: $ 0.00
SITE ADDRESS: 2120 MAIN ST Springfield TYPE OF WORK: Store
ASSESSOR'S PARCEL NO.: 1703364202700
TYPE OF USE: Remodel t Commercial
PROJECT DESCRIPTION: Zamora Market & Deli Tenant Im~;HON: Oregon law reqUires you 0
Low Voltage added 05/13105 follow rules adopted by the Oregon Utility
...,.-,.:t:;........+;,...,,., "",..""t.ol' Thnc,o '1IIPoQ :::.rp ~ptf(\rth
Owner: ZAMORA MARKET
Address: 512 67TH PL
SPRINGFIELD OR 97478
'. Contractor Type
Architect
General
Electrical
Meehanical
Plumbing
in OAR 952-001-0010 thrtl~S~~ti\!'}:l.0~r-741-4922
0090. You may obtain copies of the rules by
calling the center, (Note: the telephone
flU"IUtJl 'VI 111'0 VI'C'~Vrll :";,,;!;~, :\....~~_ti_...
! CONTRACTOR 1NFORMAWI@,.,1-80Q-332.2344).
Contractor License
APAZ
MARKUS THOMPSON CONSTRUCTION IN 158184
BUILDERS ELECTRIC INC 4296
PORTLAND QUALITY ROOFING 158738
BARNES HIGH TECH PLUMBING I~.G 83311
Phone
541-744-2046
541-284-1121
541-485-0922
503-254-4277
541.726.9854
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
B
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date
01/1312006
12/1012007
0211912006
02/1712008
BUILDING INFORMATION I
q- . ~'"'''' SHALL EXPIRE IF THE
# of Stories: AUTHORIZED UNDER THllot..Slze: IT ~ORK
1"""" 'EN 'V l' L",;A I~ NOT
Height of Structure CED OR IS AB~S9.E(tlSt.:~F~oiir:
~ 'h' II~'" J 'ID
Type of Heat:NY 180 DAY PERIOD qFt2n loor:
Water Type: . Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dlst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDralns:
Paee 1 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Description
Estimate
Tvpe of Construction
Estimate
,
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 05/13/2005
APPLIED: 12/03/2004
EXPIRES: 11113/2005
VALUE: $ 0.00
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
52,433.00
Value
Date Calculated
Total Value of Project
$52,433.00
$52,433.00
01/19/2005
~ Fpp<. p.,W
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $240.92 1213104 1200400000000001692
-Mechanical Issuance Fee- $10.00 1/21/05 1200500000000000094
+ 10% Administrative Fee $58.14 1/21105 1200500000000000094
+ 7% State Surcharge $40.69 1/21/05 1200500000000000094
Applianee Not Listed 515.00 1/21/05 1200500000000000094
Backllow Device $14.00 1/21105 1200500000000000094
Building Permit $382.35 1/21/05 1200500000000000094
Exhaust Hoods 59.00 1/21/05 1200500000000000094
Fixture 5140.00 1121105 1200500000000000094
Minimum/Adjustment Mechanical $15.00 1121/05 1200500000000000094
Plan Review CommlIndlPublic 57.61 1/21/05 1200500000000000094
Plan Review Fire & Life Safely $152.94 1121105 1200500000000000094
Sanitary Sewer - Improvement $292.43 1/21105 1200500000000000094
Sanitary Sewer - Reimbursement 5384.70 1/21/05 1200500000000000094
SDC SanitarylStorm Admin $33.86 1/21/05 1200500000000000094
Vent Fan $6.00 1121105 1200500000000000094
+ 10% Administrative Fee $7.60 1/24105 1200500000000000105
+ 7% State Surcharge $5.32 1/24105 1200500000000000105
Add, Aiter, Extend Circ $43.00 1/24105 1200500000000000105
Add, Aiter, Extend Circ Ea Add $33.00 1/24105 1200500000000000105
Plan ReviewlCom,Ind,Pub Hourly $45.00 2/16105 2200500000000000183
Temp Occy (RIA/A) C & I $100.00 4118105 1200500000000000459
+ 10% Administrative Fee $4.50 5113105 2200500000000000585
+ 7% State Surcharge 53.15 5113105 2200500000000000585
Low Voltage - Commercial Indus $45.00 5113105 2200500000000000585
Total Amount Paid $2,089.21
I Plan Reviews I
Pal!e 2 of 4
Building/Combination Permit
PERMIT NO: COM2004-0I484
ISSUED: 05/13/2005
APPLIED: 12/03/2004
EXPIRES: 11/13/2005
VALUE: $ 0.00
.
.'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
03/1512005
0311512005
OK GRG
Fire Department Review
1210712004
12110/2004
OK GRG
Initial Review
Planninl! Review
12/06/2004
1210712004
APP LLH
APP EMM
12106/2004
12/08/2004
Public Works Review
12/07/2004
12109/2004
APP SB
Structural Review
12/06/2004
12/10/2004
WE JMP
Structural Review
01/18/2005
01/18/2005
10 JMP
Structural Review
01/19/2005
01/1912005
APP JMP
Structural Review
SUB Review
0210312005
12107/2004
0210312005
12/17/2004
OK TCM
APP JF
.
CITY OF ~rK11~t...mLD
Plan Review: Commercial Kitchen
Hood and Duct Fire Suppression
System. Job #COM2004-01484.
Designer: Justin Boruff. Contractor:
Valley Fire Control; Albany, OR.
Plans appear to meet code
requirements.
See attached documents for fire
department plan review comments.
Last permit submitted
(COM2004-01375) had LUCS
requirements for shopping center
site to be completed (street tree,
catch basin filters, bicycle parking,
ADA spaces. Copy of requirements
enclosed. These Improvements must
be completed before final of either
projects.
SDCs added for new fixtures. No
change In use within shopping
center. No new Impervious.
Connecting to existing Sanitary
Sewer Lines.
See attached 11 structural comment!
faxed to Art Paz.
WE. Art Paz dropped off a Job
estimate and general and electrical
contractor Information. Still
waiting on Information for 11
comments.
Art Paz delivered his structural
response letter dated 12/21/2004.
Nick at Markus Thompson said he
would fax the balance of the
contractor data.
Mechanical hood only
Energy code forms submitted
12-16-04.
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.
UeollirerUn~nectinn~ I
Framing Inspection: Prior to cover and after all rough In Inspections have been approved.
Wall Insulation: Prior to cover.
Pal!e 3 of 4
.
.
CITY OF :srK11~td'1~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01484
ISSUED: 05/13/2005
APPLIED: 12103/2004
EXPIRES: 11/13/2005
VALUE: $ 0.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping.
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.
Crease Trap: Prior to Cover.
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.
Low Voltage: Prior to cover.
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 ofany structure without permission of the Community Services Division, Building Safety.
1 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 the front of the property, and the approved set of plans will remain on the site at all
times during construction.
.~~iir-.n ~rO ~ ~cto "~ 'L. ~
'-'" l\ . ~.- \=\-'
Ownerur Contractors Signature
'511-s./0S
P lr--
Date
Paee 4 of 4
r'j
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LICENSE 40591
NUMBER:
NAME: MARTINVEST INC
ADDRESS: 217 MAIN ST SE ALBANY OR 97321-3023
WORK PHONE 5419284544 ENTITY TYPE: Corporation
NUMBER:
LICENSE STATUS: Active
EXPIRATION 912812007
DATE:
DATE FIRST 9128/1982
LICENSED:
BOND COMPANY' Call CCB - (503)
. 378-4621
BOND AMOUNT: $15000
BOND EFFECTIVE 912812007
TO:
VIEW BOND VIEW CLAIMS
INFORMATION HISTORY
VIEW. VIEW
ASSOCIATED SPECIALIZED
NAMES TRAINING
ASSOCIATED LICENSES
VIEW BUilDING CODES DIVISION
LICENSE DETAILS
STATUS
CHANGED DATE: 711112003
LICENSE General
CATEGORY: Contractor/All
Non-Exempt (Has
EMPLOYER Employees - Must
STATUS: Have Workers'
Comp Coverage)
SL-EVEREST
INSURANCE INDEMNITY
COMPANY: INSURANCE
COMPANY
INSURANCE $ 1000000
AMOUNT:
INSURANCE
EFFECTIVE TO: 611112005
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State of Oregon Liabilily Statement
http://ccbed.ccb.state.or.us/New_Web/asp/new _search Jesults.asp
5/13/2005
225 Fifth Street
~prjngfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1484
COM2004-0 1484
COM2004-0 1484
Payments:
Type of Payment
Check
'.
'.
5/1312005
.
RECEIPT #:
~
Wire i
2200500000000000585
DescrlptloD
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MARTINVEST INC.
Received By
njm
Page 1 of I
.City of Springfield Official Receipt
evelopment Services Department
Public Works Department
Date: 05/13/2005
Item Total:
Check Number Authorization
Batch Number Number How Received
42164 By Mail
Payment Total:
10:07:25AM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
$52.65
$52.65