HomeMy WebLinkAboutPermit Electrical 2004-3-19
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project as submitled has the following
zoiJ.'~a..llP does not require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54W~~'
ELECTRICAL PERMIT APPLICATION Zoning Q....C!....
.:;.=;;-~=~~. ?l~~it~~~~
21 'Z-c::::. mlJ-l# $.\"
Over 600 Amps or 1000 Volts see "B" above.
D.li~~!illi.{g~~t~.~.Jti\~Jf~~~~~l~
New Alteration or Extension Per Panel
One Circuit { $ 43.00 L(3
Each Additional Circuit or with' -;> c; ,.
S '--"1'''1:1"' P . ..> $ 300 {
Owners Name S /C:v/:;7"/.~){CfTIi1iN:oregon laW r(,~:~~~ uiilifv ermlt .
~. - - ~'f:7?ted by the l,r.....'''.w.ihJli'A~".'''',':'/l!"..<.''Y:d''I''''Ii;;'.@l:I'.v.:>>..H,'ri''..,:"'11"''',1
;>D e cJ AollowZ.$ I' 2 <{ . _ J'hose If;) !lW'~~[.~~"!ho.d'~~~,'lrlUlt!!~.~ "~~Ji,!JJii~J.~>~l!~li,,.,!1~!~~,....'~_ht!
/'.,.... ,Iotilicatton v'" ,,~.. hroUOh OAH ::102-
(.:::-t.A.. ~ Phone"" 0l;?_001-001 0 t . 'P.umPlor,irriga' lion $ 50.00
n Ur' .' copte" v ..~ .
0090. You may obtam Note: ~,i~~IQ~!lirie(\l~ghting $ 50.00
OWNER INSTALLATION calling the center. ( Ut"-imited,EnergyIResidential $ 25.00
Oregon ""J
,,"'. for the \). -. 'dIE' IC . I $ 500
The installation i. being made on property 1ro~ whichl_p('\n-~" :,m,te nergy ommerc,a 4 .
is not intended for sale, lease or rent. MInImum Electric Permit Inspection Fee Is $45.00 + Surcharges
Owners Signature: 4. ~~sUBroTmltUBOVE1~W/;j c 7..
NOTICE: r~:l!::!.:~~tl.~~~~ :;b'l
TI!lS f"€RMIT ~~,~ I I I=YPIRE IF THE We.oy,~tate Surcharge
AUTHORIZED UNDER THIS PERMIT IS ((Oij; Administrative Fee S; z.o
InspectIon RequestCC7~~~ED OR IS ABANDONED FORTOTAL fj) 8'i
ANY 180 DAY PERIOD. .
Shared Drivc(T:YBuilding FormslElcclrical Permi' Application 1~3.doc
LEGAL DESCRIPTION
J703 '3b'12
JOB DESCRIPTION
o......-H~-h i- /1 ;l,)':j
Permits are non-tra.(.ferable and expire If work is
not started within 180 days of Issuance or If work Is
Suspended fDr 180 days.
02.700
[eg,N.fRAGtOR;iNSTXi!~TioN'oNi;'~-j
2. ....., e.':bd'~~l4!tHu~'r<i."'Ii'>',1o;'}~_l:I4l;'m;};1l1ftl("'.~~
Electrical Contractor . C ~ s r; Ifdrlc, I II-"C. .
Address r. D. BD:l \ L) ~ 7-
City Si(fl\;Teld.Phone iYI-223l,
Supervisor License Number L{,<:s q Lj S
I D-OI-OL~
3'G'LjQ
Cf'-/c;?l/
Expimtion Date
Con.tr. Contr. Number
Expimtion Date
Signature of Supervising Elecirician
~'~~
Address
City
A 1"N~'''i''~E'R'''''I'i1('~''t''I'''''I'''i>rS''li'''I'~'''''''M''';1"ti":'lli'''~I'I'''ji'.'''."i1''''!!;I''I''~Ilo''''(.;''I~~''
. '. e". es cn a '-: I1g e"orc: u , om y, c!'i; w"-' ng un "
i;~fU.~~Z;~.~....f. '."...... ,1.'_ ""'-"".z...~.... .....'"
Service Included
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
$ 19.00
$50.00
B. ~~I~~\~1mt~~~rli'i;;"~ "I~iH~I1t'Jint~l~f1i1i~f"
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. ~lfem"oi'll:i<fSiffi\'l'e'fO~:F~~ellslQ_"~~i
f.\.~~..~..l..~~,.~...", " "
InstallatlDn, AlteratIon or Relocotlon
200 Amps or less
201 Amps 10400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
225 Fifth Street '
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00 145
COM2004-00 145
COM2004-00145
COM2004-00145
Payments:
Type of Paymeut
CreditCard
.
.
I.'
. f
~
~~)~;;;~~
_.'
--.-..,,...... ..-
Receipt #: 2200400000000000262
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Received By
lkw
Check Number
Batch Number Authorization Number
Paid By
C & SELECTRIC
000005 018991
Ci~j' of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/18/2004 10:18:39AM
Amount Paid
Item Total:
3.64
5.20
43.00
9.00
$60.84
How Received
In Person
Payment Total:
Amount Paid
$60.84
$60.84
'l;.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectiDn Line
SITE ADDRESS: 2120 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
PROJECT DESCRIPTION: Expand space of store.
Owner: PARAMOUNT CENTER LLC
Address: PO BOX 26125 EUGENE OR 97402
~
. CITY VI' ~nUl~uN1!,LD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02/03/2004
EXPIRES: 09/18/2004
VALUE: $ 2,500.00
Springfield TYPE OF WORK: Store
TYPE OF USE:
Alteration
Commercial
PhDne 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
05112/2004 541-521-0114
09101/2004 541-741-2236
82355
3849
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
M
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
'l>
, DEVELOPMENTINFORMATION I
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street 1mw.ovt;.l\lents:
TIU, ,c;l=.
Storm Se"'~~/~val11ible:
Speciallns~uctl;;\i~MIT SHAll EXPIRE
" I HURIZED UNDER IF THE WORK
Notes: COMMENCED OR /S A~H/S PERMIT IS NOT
ANY 180 DAY PERIOD. ANDONED FOR
"
Sidewalk Type:
DownspoutslDrains:
ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
'otification Center. Those rules are set forti
" OAR 952-001-0010 through OAR 952-00
0090. You may obtain copies of the rules l
calling the center. (Note: the telephone
number for the Oregon Utility Notification
,,-..,-.,- 1-<~"n-~"?-2344).
Paee 1 of4
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
Fee Description
Plan Review CommlIndIPublic
+ 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
Total Amount Paid
~
.
I Valuation Descrintion I
5 Per Sq Ft
or multiplier
51.00
Amount Paid
534.32
55.28
53.70
552.80
SIO.OO
592.34
5182.46
5116.80
51,672.12
5379.04
55.20
53.64
543.00
59.00
52,609.70
Square Footage
or Bid Amount
2,500.00
Total Value of Project
Fpp<, V"ilLI
Date Paid
2/3104
315104
315104
315104
3/5104
315104
315104
315104
315104
315104
3118104
3118104
3118104
3118104
, Plan Reviews I
Paee 2 of 4
. CITY VI' ,:)rRINu1'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02/03/2004
EXPIRES: 09/18/2004
VALUE: $ 2,500.00
Value
Date Calculated
52,500.00
52,500.00
02/0312004
Receipt Number
2200400000000000092
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
1200400000000000278
2200400000000000262
2200400000000000262
2200400000000000262
2200400000000000262
. . CITY 0.. ~1'K11'1uN~LD
Building/Combination Permit
(ft.. 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: 09/18/2004
541-726-3769 Inspection Line VALUE: $ 2,500.00
Fire Department Review 0210412004 0310312004 OK eRG Plan Review: Enclose
breezeway-add 424 square feet of
retail space to existing 1140 sq. ft.
store (total 1564 sq. ft.). Job
#COM2004-00145. Occupancy
Classification: M. Construction
Type V-No
Maintain address numbers In
contrasting colDr from the
background positioned plainly
',. visible and legible from the street 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 orz-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 sign age
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
Plannin!! 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.
Plannin!! Review 0211212004 02/13/2004 APP EMM 115 existing parking spaces. 114
required using the mDst 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 02/0412004 0210512004 APP JMP
SUB Review 0210412004 0211012004 APP JF
Pa!!e 3 of 4
.
. \..-11 l' OF SrKll~ld11~LD
Building/Combination Permit
PERMIT NO: COM2004-00145
ISSUED: 03/18/2004
APPLIED: 02103/2004
EXPIRES: 09/18/2004
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.
I Rp'olJirp.r1 Jnsnp.~tion'iJ
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved:
3 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 complcte.
6 SUB Final: After all required energy inspections have been requested and approved.
5 SUB Ceiling Grid: Interior Lighting
2 Drywall: Prior to taping.
7 Rough Electric: Prior to Cover
8 Final Electric: When all electrical work is cDmplete.
\,
By signature, 1 state and agree, that I have carefully examined the eompleted application and do hereby certify that all
inrormalion hereon is true and correct, and I further certify that any and all work performcd 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.
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.
Owner or Contractors Signature
Date
''"'
Paee40f4