HomeMy WebLinkAboutPermit Electrical 2004-5-13
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION The following project as submitted has the following
- zoning, and does not rsquire specific land use
City Job N~mber (0....... 'ZOO'l- DC> /4,) Date . approval. ~
1fJll1rr
. 1. tfLbt:Atj6N,hFINSTjf",j4.TiijN.~"(.I'li\li.o/.itJ 3. BJ'COMPLE'i:Et;FElfsi:JJ.nWU1iE'BELii~ -. ""'!'''''''''''''~JJmj
~:;';O"" ~~;-=~;:.~!liJ1f'llill~ r~''-'-_''''\''''-'>UU~Bt'''' ..~" ''''~'A_''I~__ "-:'>;""'0
A. Ij'N~", 'R~ideiliial:~i~;~'i~KI~m;i\1Iffiii";11f;:;lii'fetll~~\~
LEGAL DESCRIPTION t":hLl.l"",;..,,~~,."'F~. ,.g"....... ..__.,:;g. ...J';I',~~""." ~~.
/70J J bH 2... 02.70 0 Service Included
SlA r3
f/
'1 c., a..."-"".; k
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
~
-~
JOB DESCRIPTION
I
Permits are non-transferable and expire If work Is
not started within 180 days of Issuanee or if work Is
Suspended for 180 days.
$ 19.00
$50.00
ft.<<t:~JVFRAGTORtiNST:Aji!T!4TiO.N'ONiJE'l' B. h:S~i5!lm'i8t1F.~~~,:~~:fa~ll.n~ii;'ifm:ll'&'ii1i';f1i '.l"f1i~IB~1Yn!I1:F
2. ^ .;t~!ridttl?:tt>'~f.'Kl'r.~'-"''''~'l~'QZ~bt~.... .' ~tttm~~"'~'~I~'lI~~!;a:;..'w"'j,.,tltll'rlfJt!~, :-..
Electrical Contractor ,G ~ S yJpC+YIC I :r:11\C . 200 Amps orIess I $ 63.00 6 "]
n B \ 201 Amps to 400 Amps $75.00
Address r.O. ..D'i \L~)_ 401 Amps to 600 Amps $125.00
(' ~ d 601 Amps to 1000 Amps $163.00
City U'O{\ II'\{ fl. Phone ILl 1- 22:?b A-r&y.ffll9PP. ~6r't>lmNreqUlresYOUlg $375.00
1 \~. 'R-ef8W5ca8l$ed by the Oregon U\lIllY $ 50.00
, foUow .. _ ..,.. t. ~ 'nJ A rnles are sel ToM
supervisorLicenseNumble~ q~~I;s ~08!\J~~~~:MrPt~~
Expiration Date D - () 1- '"1- 009 ns~a4latlOIL Altpra~t'AAIt~I~ne
ca IIng'\'ne Ctlnto'" \ .. t1
--, <7 L/ (l ' nu~\l961'WSlp,l;JI@'egon Utility Notillca on $ 50.00
,) () , 201 twmmt.9Q&nil.332-2344). $ 69.00
r; - / -olf 401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. m!i.;'~s!!i~JLsYI~J.itWlt~~&~
Constr. Contr. Number
Expiration Date
Signature of Supervising Elecirician
~f fie(JfJ
New A1teratlDn or Extension Per Panel
One Circuit $ 43.00
, Each Additional Circuit or with c::; 2 7' .
';-.. I C./ LL Servi~e or Feeder Permit / $ 3.00
Owners Name -M~~....+ rtL ftHE W(lRI'
Add 7"'>.^- -=oi'\:t\Ct:. c(^"ilI en EX,PIRt If '^11"S hi\m~~ii;r~~<frgAs~~€ir~,;a~: ..~(jb\~il'd~~Edmfiif1i1iuW~Al
ress F'-'.DI~ t'~f;;~ N'bER lri\::' r~R\V' ;0 (=""'/.1= "",!\iii=' ." .- ,.alni"'~"'-""~, .
City e-lA.Cr<...-;I~:~~~r~1i01~O U_{'. \~ ClMNOONEO Pump or irrigation $ 50.00, .
MpMMENCEU PERIOO. Sign/Outline Lighting $ 50.00
OWNER INST ALLA ~'?l"" 80 0(>.'( Limited EnergylResidential $ 25.00
The installation is being made on property 1 own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. Minimum Eleetrle Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4. l'l,SUBroT:;WOEllijOVEWt~\~~
~'~15~~~(~~~,'lWl~,:"t.~r.'j\:-=n~44~W~1!#!~illIli_~ts <70
030
900
loS~
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drivc(T:YBuilding FormslElcctricaJ Permit Application t-03.doe
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02/03/2004
EXPIRES: 11/12/2004
VALUE: $ 2,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2120 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Store
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Expand space of store.
Owner: PARAMOUNT CENTER LLC
Address: PO BOX 26125 EUGENE OR 97402
Phone Number: 541-232-1117
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Contractor
STANLEY L. HONN
ILO CONSTRUCTION
C & SELECTRIC
License
Expiration Date Phone
541-485-5150
0511212004 541-521-0114
09101/2004 541-741-2236
82355
3849
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
I BUILDING INFORMATION I
# of Stories: \al~ yOU ~
Height of StrA~l.~T\ON: oregon re ~r~lflbM\I\ity
Type of Hea!fullow rules adopted by ~~~~tllMj)rth
Water TYP~otilication Center. Thos tt!}AR~lit001.
Range Typeh OAR 952-001-001? thr'llt. to<P~~fEUplJrt
Energy Patl\~ O. You may obtalO cog, .i~I.wPhone
Sprinkled Btlt?JlnWng the ceWalr. lNctj.~ I\I\bhilaRUon,
ca I . ~___nn "till 'N .
I DEVELOPMENT INF6RWAilQ!.r~ 1_800-332-2344).'
REQUIRED PARKING
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Availab1e~OlICE: MIT SHAll EXPIRE IF THE WORK
Special Instruction: THIS PER lED UNDER THIS PERMIT IS NOT
AUTHORI CEO OR IS ABANDONED FOR
Notes: COMMEN
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
.
I Valuation Descrintinn I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,500.00
Total Value of Project
L.F""o, p"ilU
Amount Paid
Date Paid
$34.32
$5.28
$3.70
$52.80
$10.00
$92.34
$182.46
$116.80
$1,672.12
$379.04
$5.20
$3.64
$43.00
$9.00
$9.00
$6.30
$27.00
$63.00
2/3104
315104
315104
315104
3/5/04
315104
315104
315104
315104
315104
3118104
3118104
3118104
3118104
5112/04
5112104
5112104
5112104
$2,715.00
I Plan Reviews I
Paee 2 of 4
.
CITY OF ~rK11"GFIELD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02/03/2004
EXPIRES: 11/12/2004
VALUE: $ 2,500.00
Value
Date Calculated
$2,500.00
$2,500.00
02/0312004
Receipt Number
2200400000000000092
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
2200400000000000262
2200400000000000262
2200400000000000262
2200400000000000262
1200400000000000718
1200400000000000718
1200400000000000718
1200400000000000718
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00145
225 Fifth Street, Springfield, OR ISSUED: 03/18/2004
541-726-3753 Phone APPLIED: 02/03/2004
541-726-3676 Fax EXPIRES: 11112/2004
541-726-3769 Inspection Line VALUE: $ 2,500.00
Fire Department Review 0210412004 0310312004 OK GRG Plan Review: Enclose
breezeway-add 424 square fect of
retail space to existing 1140 sq. ft.
stDre (total 1564 sq. ft.). Job
#COM2004-00145. Occupancy
Classification: M. Construction
Type V-No
Maintain address numbers in
contrasting color from the
background positioned plainly
visible and legible from the strect or
road fronting the property (Oregon
Structural Specialty Code 502 and
Springfield Uniform Fire Code
901.4.4).
Maintain fire extinguishers with a
minimum rating ofl-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (Springfield Uniform Fire
Code 1002.1).
Provide illuminated exit signage
meeting requirements of OSSC
1003.2.8
Provide means of egress illumination
meeting requirements of OSSC
1003.2.9.
Initial Review 0210412004 0210412004 APP RJB
Plan nine Review 0210412004 WE Called Stan Hohn to obtain count of
parking spaces or plan. Previous
expansion of one other store spaces
issued In 2003. This requests
another. Need to know if the
existing parking Is adequate to
accomodate another expansion per
article 18 requirment.
Plan nine Review 0211212004 0211312004 APP EMM 115 existing parking spaces. 114
required using thc most lenient
requirement of one for every 300 sf.
Any additional expansion into
former breezeway areas will need to
look at parking requirement.
Public Works Review 0210512004 0212312004 APP SB SDC's ADDED
Structural Review 0210412004 0210512004 APP JMP
SUB Review 0210412004 0211012004 APP JF
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02/03/2004
EXPIRES: 11/12/2004
VALUE: $ 2,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
~uirerl ',\snection'j,J
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Final Fire Department. After all requirements of the Fire Department have been met.
1 Final Building: After all required inspections have been requested and approved and the building is complete.
8 SUB Final: After all required energy inspections have been requested and approved.
7 SUB Ceiling Grid: Interior Lighting
3 Drywall: Prior to taping.
6 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
9 Electric Service: Approval required prior to utility company energizing service.
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 1 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 Safcty.
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 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.
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fiftb Street
Springfield, Oregon 97477
54i-726-3759 Phone
.
ar~.R.!~~'!!!-D -'-." ... ;~.
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lIIIIIIIIiiiity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Nomber
COM2004-00145
COM2004-00 145
COM2004-00 145
COM2004-00 145
Payments:
Type of PaymeDt
CreditCard
511212004
RECEIPT #:
1200400000000000718
Date: 05/12/2004
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
C&S ELECTRIC
Item Total:
Check Number Authorization
Batch Number Number How Received
Received By
djb
000381
012336 In Person
Payment Total:
Page I of I
9:18:04AM
Amount Due
63.00
27.00
6.30
9.00
$105.30
Amoont Paid
$105.30
$105.30