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Home My WebLink AboutPermit Electrical 2009-11-20 I' ", "':l[OCAL::GOVERNMENT~AP,PROVA!:~~i\i,j'tt'Y',\'\,1 1~~',',y;ifi~\~WtW.;f,.f.ii;.l';'t'\ fEE:fSCH E[)tJI!:E;lf!!1$1.~@,il\';~~.!\\)1 I Zoning approval verified?, ,0 Yes, 0 No I INUniber'OrJ~spe~iio'ns ~er;t~In{);';{IQty.I'fost.\1 JotaII 1,:fl,)Jf,-;1i:L:ii:~"CATEGORYiiOE;~CONSTRtJC:rION~:iY ,";;;.,'.".:'1 ""'~'" ','" 'i" '.-.."P:,' ',"- ,.,.,., '.:,,, '. ea.'l. ,cosL... 0 1~~:~~~~~'TE~IN~~R~~;7;~;AN[)M~~;7;~~;~i;~\!t,\i I ~~~~::tJ:I,:,el:S:n(:; service IOcluded: $134,00 $ I Job site address: 5816 (VIc.,^ st ,I I ~~~~:rltlOnal 500 sq, ft, or portion $ 25.00 $ I City:S:x."'~iM 1 State: OQ. I ZIP: Q7'-f76 I 1 Limited energy (2) $ 32.00 $ i"~e;~~e~ce'i ~~'DESCRIPrION'0F:wJ;~X,~;t'i:;:;::i"':'~1~r7;.C>,:~i I J~~I~~nS~~~~~r~~ Fe~~:r (~)odular $ 63.00 $ 1 Lcw \b\~l\qtn\\l lIP ~vter I Services or feeder" installation, alteration. relocation 1 - 1 200 amps or less (2) $ 81.00 $ I 'PROI"ERTY.,QWNER, 1 I 201 to 400 amps (2) $ 95,00 $ 1 Name: ______ 1 I 401 to 600 amps (2) $158.00 $ I Addr~s: _______ 1 1 601 to 1,000 amps (2) $205.00 $ 1 City: ~Stale: I ZIP: I lOver 1,000 amps or volts (2) $469.00 $ 1 ~ ~ 1 1 Reconnect only (2) $ 63,00 $ Phone: ::.----'" - I Fax: ~"'---"- I E-m~ -----..._ I I Temporary services or feeders: installatj~n, alteration, re'oc~tion ThiS installation is being made on residential or farm property 1 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange. lease, or rent, OAR 479.540(1) and 479,560(1), 1401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above , :c, ,:, ;"CQNTRACTOR:',INSTAl.lATl0N:" I Branch circuits: new, alteration, extension per panel I Business name: ~o..t:'lv-4.0"" G\c.~~c. I I a. Fee for branch circuits with purchase ofa service or feeder fee: 1 Address:;2\ 1 \ &~ca:::) ~ 1 I Each branch circuit I $ 6,00 I $ I City: GL?\ev~ I State: a'lL I ZIP: '11'10 I I I b. Fee for branch circuits without purchase of a service or feeder fee: 1 Phone:~T':JiS, 935\ I Fax:S4I-95-849'-f 1 I First branch circuit (2) I $ 55,00 '$ 1 E-mail: '~-olu-l->G" e \0.v'L (fl (.c..v-c,<l'S+ ,,^,,,--\- 1 I Each additional branch circuit I $ 6.00 $ 1 cell license no,: 1710Gb 1 BCD license no,: Cb5<-f 1 I Miscellaneous fees: service or feeder not included 1 Signing supervisor's license no,: '5). 4'15 1 I Each pump or irrigation circle (2) $ 63.00 1 Print name of signing supervisor: f\^.o.-""*'S:.\t... t-\-z:.. 1 Each sign or outline lighting (2) $ 63,00 I Signature of signing supervisor: \ 1 .~'u'rlli r. I Signal circuit or a limited-energy panel, $, 63.00 $ 1VV1>>\ ;::o~ -.. alteration, or extension (2) ~' "r:J'()~ ~ rv ~Q( ~ 1 I I I I 1 1 I I 1 1 I I 1 1 1 1 I I I 1 1 I I I 1 I I Each additional inspection: (1) . $58.00 I $ I "~':;i"~VN.Jl~:''i<'~';;;,;'.''''''''''''''''''-'' '~"",- .. ..~--..-- ...... ---- ---r".-~ ..... -.-f"'I'-..r" . '-'" -. . ~r~,:\E'~0$i:,,,,iltc!'~1:tt'~rl~lk~{ARR,I1IC:ANI~_USE~~~~i&'J}f~!1~;~)p~~~~;{:i~~jl;;::1 $ S8-l $ 0 ,Cf~ $ ;:), ~iJ $f7~_~& Electrical Permit Application I~FDEp',~,~TMENtu~'E'ONLY ,-I I Permit no. (lcJ" {J/So i I' I Date: /J--;x)/cJtj I 225 Fifth StreeltSpringfield, OR 97477tPH(541)726-3753tFAX(541)726.3689 This'permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' .&\~~ ~ \J~ ~ (A) Enter s~btotal o~~e.It~~ (Minimum P';9"ifFee $58.00) ) ,I (B) Enter 12% ~harge\:12XTA]) 1 (C) Technology Fee (5% of [A]) 1 TOTAL fees and surcharges (A through C): I 440-2584-J (9/08/COM) $ $ _~I?'~,I~P,l'!llt~Q'.'~.I~I~.~', \ ' 11 _l Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01504 ISSUED: 11/02/2009 APPLIED: 10/13/2009 EXPIRES: 05120/2010 VALUE: $ 18,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phonc 541'-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5818 MAIN ST ASSESSOR'S PARCEL NO:: 1702334102300 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION:, Tenant infill- Sporting Goods Owuer: AMlGOS III LLC Addrcss: 32929 ROBERTS CRT ATTENTION ROGER LANGLIERS COBURG OR 97408 Phone Number: 541-726-0054 I, CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor REVOLUTION ELECTRIC, INC J COO INC "', , License 179066 169209 Expiration Date 10/30/2011 04/12/2010 Phone 541-505-8351 541-746-7065 BUILDING INFORMATION I # of Uoits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type, # of Bedrooms: M # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Fl 1st Floor: Sq Fl 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport' Sq Ft Other: Occupant Load: 1,276 No 43 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setbuck: Sidc I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicappcd: Compact' " Strcet Improvements: Storm ~~'~ef[~~!lable: Special'lnstruction:, ;; ;'0 ,rCMlvliT SHAll EXPIRE IF THE WORK NOles:::O T~10RIZED UNDER THIS PERMIT IS NOT :; ~"MENCED OR IS ABANDONED FOR tiNY i 80 DAY PERIOD. 1 PUBLIC IMPROVEMENTS I f;;;;o':NTlON: OregO~i,~walk Type: ' NotifiCar.Ules adoPtedfJiMhreq~!~~'!{'91,1.to In OAR J~2~~enter. Those 1'= ~1J'1'l't1mity 0090. You m 1-001~through OA~esettorth Calling the ay Obtam Copies of th 952-001_ nUmber for t:n~r. (Note: the tel:;~/es by Center ;s ;~Oo~<>~tility NOtifica,:en --2-2344). Paee I of 4 Status Issued 225,Fifth Strcet, Springfield, OR 541'-726-3753 Phone 541-726-3676 Fax 541-726~3769 Inspection Line Description Tvpe of Construction Bid Amount Mechanical C/I Use Bid,Amount Use Bid Amount Fee Description Plhn Review Comm/IndlPublic + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Orc Add, Alter, Extend Circ Add, Alter, Extend Orc Ea Add Building Permit Mechanical-Value Minimnm/Adjustment Electrical Minimum/Adjnstment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 12% State Surcharge ' + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Planniue Review 10/22/2009 Initial Review 10/2212009 Structural Review 10/2212009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01504 ISSUED: 1I/02/2009 APPLIED: 10/13/2009 EXPIRES: OS/20/2010 VALUE: $ 18,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 18,000.00 3,200.00 Value Date Calculated j 0/26/2009 10/26/2009 $18,000.00 $3,200.00 $21,200.00 Total Value of Project ~pp~, ~ Amount Paid $139.10 $13.08 $42.12 $5.45 $17.55 $55.00 $55.00 $54.00 ,., $214.00 " . $77.50 $3.00 $1.50 $250.64 $513.52 $38.21 $6.96 $2.90 $58.00 $1,547.53 Date Paid Receipt Number 10/13/09 11/2109 11/2/09 11/2/09 11/2/09 11/2/09 11/2/09 11/2/09 11/2/09 11/2/09 11/2109 11/2/09 11/2/09 11/2/09 11/2109 11/20/09 11/20/09 11/20/09 2200900000000001180 1200900000000001219 2200900000000001241 1200900000000001219 2200900000000001241 2200900000000001241 1200900000000001219 1200900000000001219 2200900000000001241 2200900000000001241 2200900000000001241 2200900000000001241 2200900000000001241 2200900000000001241 2200900000000001241 3200900000000000765 3200900000000000765 3200900000000000765 Plan Reviews I APP EMM 10122/2009 10/26/2009 Sporting goods and apparel store. APP LLH APP CJC As noted on plans Paee 2 of 4 " _SPIiUNGI'IE,I,.D I' i j~ Status, Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Li~e Fire Department Review 10/22/2009 10/30/2009 Public Works Review 10/2212009 11/02/2009 CITY OF SPRINGl< mLD Building/Combination Permit PERMIT NO: COM2009-01504 ISSUED: 1I/02/2009 APPLIED: 10/13/2009 EXPIRES: OS/20/2010 VALUE: $18,000.00 APP GRG Plans Review: tenant iufill. Job #COM2009-01504. Occupancy Classification: M. Construction Type: V-B. 1,396 sq. ft. Occupant Load: 43. Provide address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2007 Oregon 'strnctural Specialty Code 501.2 and 2007 Springfield Fire Code 505.1). Provide fire extfnguishers with a minimum rating of 2-A: 10-B:C evcry 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). Illuminated exit signs shown on the plan sheet. Will verify on inspection. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED" if key locking hardware is employed (2007 OSSC 1008.1.8:3, exception 2.2). DON CTM To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Rf\Wirprl Irl<,nections I Framing Inspection:' Prior to cover and after all rough in inspections have been approved. 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. Paee 3 of 4 Status Issued 22!i Fifth Street, Springfield, OR 541-726-3~53 Phone 541-726-3676 Fax 54'1-726-3769 Inspection Line CITY Vi< ~n~mL.i<IELD Building/Combination Permit PERMIT NO: COM2009-01504 ISSUED: 11102/2009 APPLIED: 10/13/2009 EXPIRES: OS/20/2010 VALUE: $ 18,000.00 Rough Electric: Prior to Cover Final Electric: Whe~ all electrical work is complete. . Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 of any structure without permission of the Community Services Division, Building Safety. I further certify that only c~lItractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensnre th~t 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 constr ction. " IJIJEJIP ." -/ Owner or Contractors Signature Paee 4 of 4 /~~ Date 225 Fifth Street Sprillgfield, Oregon 97477 541-726-3759 Phone ' Job/Journal Number COM2009-01504 COM2009-0 1504 COM2009_0 1504 Payments: Type of Payment " CreditCard cRece.intl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000765 Date: 11/20/2009 Description Low V'oltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge Paid By MATTHEW SCHULZ/REVOLUTION ELECT Item Total: Check Number Authorization Rec~ived By Batch Number Number How Receive~ nJm 03777z In Person Payment Total: P~ge I of I 10:21 :56AM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 ] ] /20/2009