HomeMy WebLinkAboutPermit Electrical 2006-7-10
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J .~rt . INITIALS N M. .
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ll5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 --.... '""" SOURCElII\(lK.)
ELECTRICAL PERMIT APPLICATION ~~
City Job Number (' 0 viii z.." 0 S - 0 0 '3 6 '1 Date 7 7 'tJb
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1. .. LOCATIONOFINSTALLATION<';.'.~)': 3. ~COMPLETEFEESCHEDULE.BELOW~'''/';,:;
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LEGAL DESCRIPTION
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A. ;.;New: Residential-'Single or Multi:Familyper;lIwellitlg imit~Jc:.'
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02- ,"00
Service Included
1000 sq. ft. or less
( _ Each additional 500 sq. ft. or
r rr I A 7" \ ATTE)'\q'f~PJ~y,~Jon law requires you 10
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Permits are non-transferable and expire if work is folloWEiicli~Maiuf':ct'i1IHb:Ji'~o,?regon Utility
not started within 180 days of issuance or if work is NotificaMOdu'l'ariDwelili1'g;Ser-viH€or:olre set forth
Suspended for 180 days. in OAR F.ei:Oer01-001 0 through OAR 9!''' "",_
. '. ,,_, ,_ ..=;_" --..:/'h;".::' '-'" . .-,.,-' ,.-' .'" 0090. Yowmay O\}taifl,eopi~s.efttJe rules i:}y -~,-. ".', ','. -'''~-~">''- ..
r 2. ;.,~o.~~'Y!!lJ.}N~Ifl/;j!18!J.,9/f!:-Z:; cai\lilg~~~L'k"t.~..fff~f(t}lles~~'!.aJi.I',!i3,:.~\~.~i~?!ii~9.r:..R.2'~~iJ~nL~!
number for the Oregon Utility Notification
2~ttt\W?fgr1~fP')0-332-2344). $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
JOB ~:rzION /
$106.00
$ 19.00
$50.00
Electrical Contractor c::r(}JefJs etJJ:::TR Ie
-/
Address J)O f)O'/.. /0 b:3
Ci~ P-/m91nl ~lO
Phone
Qn-2JJSU
Supervisor License Number /.}-() q Li -c;
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C. /1.~TemporarvServic{,s'or,Feeders~';::~t':~ ;;t<':~~:,-;t:l;3'''.. -:~ ,.~"., -; , ;~
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Expiration Date ]T r 0 '7
NOTICE: 200 Amps or less . $50.00
Constr. Contr. Number 9 s-1.f 7'L- THlc: PERMI?OjitA"J'~ !?^,I.~if1~rw"rHE WOR;~ $ 69.00
uefr '2-00 ZS AUTHORIZEe<Ur1'..I'l.Il~ If'~?!!r t\~v1IT IS N07 ' $100.00
Expiration Date Ar: r; ',1 ME NC E b.~~fg~"~~NWQ,~~~~~l~e~,~:~~>~.?~~f:;,;,;t...,.",~ ''''':''?l'<;C',",--:-:"r>
Signature of Supervising Electrician NY 180 (b) Y2~K~I}~lif1!.:~~~~;'j~Ii:..~\'.L:~i~;iJ:',Cc ~~trS:9{.i;"~:~~,:'~::; .~.i~,j
~ ~ New Alteration or Extension Per Panel Li S-
. 1_ -rrr- . . One Circuit I : $ 43.00 - /
. L- - - -, Each Additional Circuit or with
. I I I I. .L i Service or Feeder Permit $ 3.00
Owners Name ltec...lI\. 1 =:...~,Mbv\13;
Address 72 '7 c- ~L... A .; E.;~i;;;X~Iidi,~;~i(S.~~~'ic~!!~ed;/ ';~;h.~l~d:~d)iE~~Ch i;~;'~iia!ii:'
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City e"'1A.G-Glfc Phone Lib ~-. 217]
Installation, Alteration or Relocation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergyIResidential $ 25.00
The installation is being made on property 1 own which Limited Energy/Commercial $ 45.00
is not intended for sale~ l:as~or r~tS' U1"1. . Mini~~,: ~~:~t:i~.r.:~m,~t l~s~e,~;i~nf~~.~~surChargeS
Owners Signature: (Y.Jl7 ~I l,r. {4. :'SUBTOTAL OF,ABOVE.,." .: >', :,..,}....., . c.f r-
c; oM?-. 1\ I ?-31 u.rDV8~..;:t:~~~c~~r;- '>':"-'::H r<_'::C:..: 5(;0
10% Administrative Fee if)o
r?(~
TOTAL ~ :> -
Inspection Request: 726-3769
Shared DrivI:{T:)/Building FonnsJElectrical Permit Application 1-06.doc
.
. Lll l' OF ~rK11~\J..IELD
Building/Combination Permit
PERMIT NO: COM2005-00363
ISSUED: 03/30/2006
APPLIED: 03/30/2005
EXPIRES: 01107/2007
VALUE: $ 11,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1448 MAIN ST
ASSESSOR'S PARCEL NO,: 1703363202900
Springfield TYPE OF WORK: HoteUMotel
TYPE OF USE: Remodel Commercial
PROJECT DESCRIPTION: Remodel two storage spaces into bedrooms for three existing living units and Pave
Owner:
Address:
HECHT INVESTMENTS LLC
329 E 8TH AVE
EUGENE OR 97401
Phone Number: 541-465-2173
Contractor Type
General
Electrical
Contractor
RODERICK PEARSON
.c . '0'" rf'('vires you 10
I CONTRACTOR INFORMATION., Oregon Utility
" " hose rules are set forth
'.. . ~. '.'.~' Licensl(, h c.Expiration .Date
11,0,,1'19:"2-00, -001's6l'77u ,g f'th" 04/09/io06
Y m'yob':-<'oILUpieso e.~,-.,
DOUG PALMER CORP 0090. ou ct.. _.J97~?^to. thp tplp'!!~!!);3l.7008
BUlLDIl~G'''iN~.'-;~I.:A;JlI0N;I'n Utility Notification
Center is '-tluO-332.2344).
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
521-1476
541-434-5600
# of U nils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R1
VB
, DEVELOPMENT 1I'.vn.n1ATION ,
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: I\1EomflaCi:
% of Lot ~:,~e:ragf:: S\-Il\ll t'~,\'IRE IF \"~ IS N01 J
1\-11S \'_E.::~~ Ilt,mER 1\-1IS~~~~f'\ .oR
I PUBLIC IMPROYEMEiiilis.,o OR \~ f\O"'W -.
- - OP,,'{ \,l'moD.
I\N'{ '\ BO Sidewalk Type:
DownspoutslDrains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
Bid Amount
Pavine
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review CommllndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
Appliance Vent
Building Permit
Minimum/Adjustment Mechanical
Encroachment Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Paving
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl100'
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Fire Department Review
09/2312005
Initial Review
Initial Review
LDAP Review
04/0112005
09/20/2005
09/30/2005
.
. Lll l' OF ~rK1J~ld'lJ!.L1J
Building/Combination Permit
PERMIT NO: COM2005-00363
ISSUED: 03/30/2006
APPLIED: 03/30/2005
EXPIRES: 0110712007
VALUE: $ 11,000.00
I Valuation Oescrintion ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
10,500.00
500.00
Total Value of Project
F...... P'WiJ
Amount Paid
$74.88
$10.00
$16.02
$11.21
$6.00
$115.20
$39.00
$130.00
$13.20
$6.09
$28.00
$45.00
$45.00
$14.00
$4.50
$3.60
$43.00
$2.00
$606.70
Date Paid
3/30/05
4/29/05
4/29/05
4/29/05
4/29/05
4/29/05
4/29/05
9/19/05
11/29/05
11/29/05
11/29/05
11/29/05
11/29/05
11/29/05
7/7/06
7/7/06
7/7/06
7/7/06
I Plan Reviews I
09/29/2005
04/0112005
09/20/2005
11/0412005
OK
GRG
APP SKG
APP LLH
10 BRC
Paee 2 of 4
Value
Date Calculated
$10,500,00
$500.00
$11,000.00
03/30/2005
11/29/2005
Receipt Number
1200500000000000393
1200500000000000537
1200500000000000537
1200500000000000537
1200500000000000537
1200500000000000537
1200500000000000537
2200500000000001289
1200500000000001761
1200500000000001761
1200500000000001761
1200500000000001761
1200500000000001761
1200500000000001761
3200600000000000364
3200600000000000364
3200600000000000364
3200600000000000364
Remodel two storage spaces into
bedrooms for three existing living
units and Pave. COM200-00363,
Plans appear to meet code
requirements.
Plan review done by Melissa Fechtel
- Supervised by Gilbert Gordon,
Paving submittal
No LDAP required. Notified Rod
(contractor) 521-1476
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-00363
225 Fifth Street, Springfield, OR ISSUED: 03/30/2006
541-726-3753 Phone APPLIED: 03/30/2005
541-726-3676 Fax EXPIRES: 01107/2007
541-726-3769 Inspection Line VALUE: $ 11,000.00
Plannine Review 09/23/2005 WE EMM Sent Letter out on 9/27/05 regarding
the need for Site Plan Review.
Plan nine Review 04/01/2005 APP Interior remodel only. Residential
Hotel permitted in Cc.
Public Works Review 09/23/2005 09123/2005 WE SB LDAP Required. Applicant notified
9/24/05. SDCs required.
Public Works Review 04/19/2005 04/19/2005 APP SB No SDCs. No new living units
added, just additional rooms in
existing apartments.
Structural Review 11/04/2005 11/04/2005 WE JMP Received folder back from Lisa,
Made all entries. Talked to Billy
Curtis about status and left voice
mail for Liz. Called Roderick
Pearson for valuation. He said that
the cost of the filters has postponed
the permit--they will just replace the
removed rock and regrade tbe site.
They will proceed to get tbe permit
wben adequate funds are available.
Structural Review 04/01/2005 04/14/2005 APP DLM Contractor confirmed the existing
storage areas to be converted have
raised wood floors similar to the
living areas. See permit #C5-0031 0
& C5-00311 for electrical permits.
4/14/05 dim
Structural Review 09/20/2005 09/30/2005 10 JMP Kaye Wilson delivered the folder to
Dave Puent.
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.
Ueollire'Unsnectinns I
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover,
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building 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.
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00363
ISSUED: 03/30/2006
APPLIED: 03/30/2005
EXPIRES: 01107/2007
VALUE: $ 11,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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 descrihed 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 agree to ensure that all reqnired 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
Pa~e 4 of4
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00363
COM2005-00363
COM2005-00363
COM2005-00363
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.
Itk.....~.~-.~-~...~.. ·
'.'.".. ,
,
,
~...' -
CA of Springfield Official Receipt
_Iopment Services Department
Public Works Department
3200600000000000364
Date: 07/07/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Paid By
RAQUEL E HECHT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1603 In Person
Payment Total:
Page I of I
3:12:41PM
Amount Due
3.60
4.50
43.00
2.00
$53.10
Amount Paid
$53.10
$53.10
7/7/2006