HomeMy WebLinkAboutPermit Electrical 2004-12-30
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54
ELECTRICAL PERMIT APPLICATION
CityJobNumberCO~VJ04-01 s"l{L Date 12-2 '1-0 l(
I. rlITl0(Ufjlo&{b'E.,'INSTJI'i~;T:r4.Vr...JON,1Wf~~1lfiJf!
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Z (l.{ L MA-w' S,
LEGAL DESCRIPTION
I 70 "\ \ b,-( 7
0"2.(00
JOB DESCRIPTION
.A- ~ 1\ b
CII1...L~i+S
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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
2 tW"I'i'~:mr~T.8~. ~1i~~fff"ijl:JJiiiN~.'%.;fl B. r~S~~'i~~'\1~i~i~}l(';-~Thlrf{~~y..tro~~J~'Ai'ili:'m'i&'n~
. ~~~lt,'i~~~_if~1l rs.- . .. . -, .... L1:~'.'i''''''''''-:'''~''''''-a:'''''''' ,~:.*"!tfid1~~~:w,;~~~~~1~
Electrical Contractor t;,. S sIc('k/~/ Me.... 200 Amps or less $ 63.00
() I? _ ) 201 Amps to 40~~AmPtE' $ 75.00
Address yl) rY.JX lf~d 401 Ampsto 60 ~J~ERMIT SI :".~l [~T~~1.pIlrH[ '.'.'~fH~
~' r_ J.l 601 Amps to 10~,f;fm~t\IZED Ut!~:R TlJl~~6e8Rw I~ ~II}T
City ~i () ~tJQfI Phone 7tjJ-;;i"d.3!; Over 1000 AmPm\?Jifv1ENCED or. I:: .'.:::.\IP~~,O~D r~r.
J Reconnect Only p__ __ $'5b'.\l'0
ANY 180 DAY cnluu.
Expiration Date
LJ<Z9lfS
)0 -0 /-D'l
3<gLjq
q -J- ()B
Supervisor License Number
Constr. Contr. Number
Expiration Dale
~nature of Supervising Electrician
~ 1\arrrr'~ ~ M.. a.
Owners Name ~fZ-A.lo'V\o-_..J-
City
Po ;S"J<
r-
~v<.. &&vc
CE"'-~
7-6f z ')
Address
Phone
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
c. rUfe:lrt~p~'or"8i!"'iSifr.~'ices!'O~iJ:eealrsM!~~~~~;~\)~
t.~>...:t;.~~''''.1 ,.. '~"'):~'~""_ ""..., .. ~~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volls see "B" above.
r~J!$!""""<:"~~~'" ""~. ""T,,'.~ ..."'~
D. I.~BI~incll."Gircuits, ~ .~ - :".'., 1\ ir.I~ . 'f ""irt\
~~~~li'dm:' ;>iif . 1 . . .~\'
-
New Alteration or Extension Pcr panel;
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
Lf3.
I~
S- $ 3.00
E. ~~fu~m;r1iWglt'~~t~w..~l'Wr~~'d~W;;;;'f;~c1!r~J~EW~I!Ir"!fsi~'ii'iifi1,'~"l
"""~";~t;;if~~.1~""""""'w"'~~':!i'~.ilSli~1t.- . uu~'~~oH.~':;~:!~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
A~r~_1requtr~ vnu to $ 25.00
foIl1eiw~dDtlfed1l!lyrlfull Oreaon Utility $ 45.00
l\IldiimtlM&qPWrnli~~~~llt~fjf,!le1 15 ~ + Surcharges
~~~~i!%t~!$fJlil:: ;~ '..:,,'.'. ~- :.
iiiuuna \Oeli'8~tllt \ . t ,
~~\l'RJl6regon Utility Notification
I 0% ~ftlstMl~fle332-2344),
:;-'2>
'106
sBG>
6786
,.
TOTAL
Shared Drive(T:)fBuilding FormslElectrical Permit Application I.()),doc
.
. CITY VI' ~rtoNGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/20/2004
APPLIED: 12/16/2004
EXPIRES: 06/29/2005
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2142 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Office
TYPE OF USE:
PROJECT DESCRIPTION: Demising and partition walls and remodeling.
Alteration
Commercial
Owner: PARAMOUNT CENTER LLC
Address: PO BOX 26125 EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Plumbing
Contractor
ILO CONSTRUCTION
C & SELECTRIC
SS & W INC - ENGINEERS
DICK BAILEY PLUMBING CO
License
82355
3849
Expiration Date
05/01/2008
09/01/2008
107255
06/29/2006
Phone
541-521-0114
541-741-2236
541-485-8383
541-344-6996
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
M
VN
# of Stories: Lot Size:
Height of Structure Sq Ft Ist Floor:
Type of Heat: S.q Ft 2nd Floor:
I Water Type: Sq Ft Basement:
f Rang~Tyi>.ei Oregon law requires YO~Ft Garage/Carport
N~,I';~!.t#Y!i!tIi:JoPted by the Oregon U <Ft Other:
. Spnnkled-Bulldlngfhose rUldM'1lre I ~~pant Load:
In ()AJ:) Qt::') f"ln~ ^....1- S9 OM
I DEVBIlOPMENli1jlSF.6~Tlli'N:~ 111 952-001.
...all"'g me cenler. (Note: the t h,e rhUles by REQUIRED PARKING
numbe' fn:..th 0 e ep one
uvei'\l\Y-u ~ regon Utility Notification
# Str~P~ms~DCl-332-2344).
Paved Dnve Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
N OTI C E: DownspoutslDrains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of3
.
. CITY OF ~rKlj'l~FIELD .
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/20/2004
APPLIED: 12/16/2004
EXPIRES: 06/29/2005
VALUE: $ 10,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,.
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculatcd
Description
Estimate
Tvpe of Construction
Total Value of Project
$10,000.00
$10,000.00
12/16/2004
L.Fpp< PlilU
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $10.74 12/20/04 2200400000000001533
+ 7% State Surcharge $7.52 12/20/04 2200400000000001533
Building Permit $107.40 12/20/04 2200400000000001533
Inspections - Other Plumbing $45.00 12/20/04 2200400000000001533
Plan Review Comm/IndIPublic $69.81 12120/04 2200400000000001533
Plan Review Fire & Life Safety $42.96 12/20/04 2200400000000001533
+ 10% Administrative Fee $5.80 12/29/04 1200400000000001801
+ 7% State Surcharge $4.06 12/29/04 1200400000000001801
Add, Alter, Extend Clrc $43.00 12/29/04 1200400000000001801
Add, Alter, Extend Clrc Ea Add $15.00 12/29/04 1200400000000001801
Total Amount Paid $351.29
I Plan Reviews I
Structural Review
12/16/2004
12/16/2004
WE JMP
Requested missing drawings and
information.
Received drawings from John
Stapleton and Information from
Richard Aiello.
Structural Review
12/17/2004
12/17/2004
APP JMP
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.
~lirl~lrllnl~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough In inspections have been approved.
Wall Insulation: Prior to cover.
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.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of3
.
. CITY OF SPRIrOjut<u'LD.
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/2012004
APPLIED: 12/1612004
EXPIRES: 06/29/2005
VALUE: $ 10,000.00
Status
Issued
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 herehy certify that all
information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordancc 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 he 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 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 nn the site at all
times during construction.
Owner or Contractors Signature
Date
Pa~e3 of3
225 Fifth Street
SpringfieJd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1542
COM2004-0 1542
COM2004-0 1542
COM2004-0 1542
Payments:
Type of Paymeut
CreditCard
12/2912004
.
RECEIPT #:
8J:a_~~ ~._... '.:.
~-.:
- ;
. .
'" -, "._-. "
~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200400000000001801
Date: 12/29/2004
lO:08:56AM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MELLISSA GEHRKE
Amount Due
43.00
15.00
4.06
5.80
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Reeelved
djb 336428 In Person
Payment Total:
Amount Paid
$67.86
$67.86
Page I of I
f
\
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. Ll1}' OF ~rKJI'I~t<u..LD-
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/20/2004
APPLIED: 12/16/2004
EXPIRES: 06/20/2005
VALUE: $ 10,000.00
SITE ADDRESS: 2142 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202700
Springfield TYPE OF WORK: Office
TYPE OF USE:
PROJECT DESCRIPTION: Demising and partition walls and remodeling.
Alteration
Commercial
Owner: PARAMOUNT CENTER LLC
Address: PO BOX 26125 EUGENE OR 97402'
I CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Plumbing
Contractor
ILO CONSTRUCTION
SS & W INC - ENGINEERS
DICK BAILEY PLUMBING CO
Phone
541-521-0114
541-485-8383
541-344-6996
# of Stories: Lot Size:
B Height of Structure Sq Ft Ist Floor:
M ~ Type of Heat: Sq Ft 2nd Floor:
VN ~<;;J~ <;s\'!ater Type: Sq Ft Basement:
'<;-.'v fJ ~ Range Type: Sq Ft Garage/Carport
~ "\. {::. '\ R\<(Energy Path: ,:,....0 ~ Sq Ft Otber:
-&-'v (:<:-~ \J <<. Sprinkled Building: n~_ ,;.# 9cc!'pant Load:
,Q'\ 0'-' ...Y. 'IQ~;-'\J .,\.0 ..."-
. ;:;- ..<,),,~'? ~~rDEVELOPMENT INFORMA llIONe;I'~'O ''.;'' f0fl,:'J~c,'<)'"
. Sy:-"?'-~'v<:(.. ~'f- .....<fi'''''~ ~'oc,'I>~Oj ,.s-'o ~'o ~QUlREDPARKING
(,'. {::. '\:>~ ~ 0<:- ~'" ,~ 0 ",,'0 '!:-oo .,0
Front yard Setbac.!\.:v ~~ \J <;;J<:(.. ~<v. Overlay Dist: ~0(;jj r::? oc,'o ,if (yo'" ~'o"<'i..'(,~ Total:
Side I Setback-.:i' Q.<<; ~'\.<<; <y<V Q.'v~ # Street Tr~~~~ ...:(' ~O .~'oc, ",,'o"'~o~ Handicapped:
Side 2 Setba~I~\~~,\y:-\:::l K.~" <v~ Paved D~G!'~/o..'O" ~<:::J '" (,0"< /o..e,~.~4, ~~. Compact.:
Rearyard Setbac~':) ~~ <<:,\::' % of~'c$e'i!B<;;~j:)<:::J /o..1P ~O -.0'" (l,''''
Solar Setbacks: <:.,\:::l ~" ~ ~... .,0<:- j:)<:::J.\ cJ> /0..'0,. pf ~':'J":>
~ ~ .,.- ,,0 ~ ",_'1.; ~~, _<" _..eI _C\'"
~ ., .
I PUBLIC lI\f~!):\$i~ ~'O....~ "'-
, - "J \,) - '0'
,<:- f;j<:::Jo:>V;jr '0' rf?,~ Sidewalk Type:
CJ ~'<) v
~~ DownspoutslDrains:
# of Units:
Primary Oceupaney Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
82355
Expiration Date
05/0112008
107255
06/29/2006
I BUILDING INFORMA nON,
Pa2e 1 00
r'
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/20/2004
APPLIED: 12/16/2004
EXPIRES: 06120/2005
VALUE: $ 10,000.00
,
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$10,000.00
$10,000.00
12/16/2004
F pp< PIilLI
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Inspections - Other Plumbing
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Amount Paid
Date Paid
$10.74
$7.52
$107.40
$45.00
$69.81
$42.96
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
12/20/04
Receipt Numher
2200400000000001533
22004000000000015~3
2200400000000001533
2200400000000001533
2200400000000001533
2200400000000001533
Total Amount Paid
$283.43
I Plan Reviews I
Structural Review
12/16/2004
12/16/2004
WE JMP
Requested missing drawings and
information.
Received drawings from John
Stapleton and Information from
Richard Aiello.
Structural Review
12/17/2004
12/17/2004
APP JMP
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~'pn~
Footing: After trenches are exeavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspeetions have been requested and approved and the building is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Pal!e 2 of3
,
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01542
ISSUED: 12/20/2004
APPLIED: 12/16/2004
EXPIRES: 06/20/2005
VALUE: $ 10,000.00
,
.
Status
Issued
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 herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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 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 agrce 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.
? vi. . -{,- a.:a
/Z-.l...7-0Lj
Owner or Contractors Signature
Date
Paee 3 of3
; '225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20Q4-0 1542
COM2004-01542
COM2004-01542
COM2004-0 1542
COM2004-0 1542
COM2004-01542
Payments:
Type of Payment
Check
12/2012004
.
~.
,ty of Springfield Official Receipt
. elopment Services Department
Public Works Department
RECEIPT #:
2200400000000001533
Date: 12120/2004
Deseriptlon
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Building Permit
Inspections - Other Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ILQ CONSTRUCTION
Item Total:
Check Number Authorization
ReceIved By Bateb Nnmber Number How Received
Jmp 6448 In Person
Payment Total:
Page I of I
9:14:56AM
Amount Due
69.81
42.96
107.40
45.00
7.52
10.74
$283.43
Amount Paid
$283.43
$283.43