HomeMy WebLinkAboutPermit Electrical 2006-7-20
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225 F~FTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541l7i26rJ60Q ~
ELECTRICAj- PERMIT APPLICATION ""*,""~ Sl9natu~
City Job Numbe(.Wl 2rrry;. - fflYd-.9 Date l--dO~d(J()~
JD73~U=;;~I~:r.' 3, COMPLETE FEE SCHEDULE BELOW
LEGAL DES~~I;;:M~' - T' , A. New Resideutial- Siugle or Multi-Family per dwelling ullit.
/7 03 ~S Jf~ (J// fJ7)
'" /;BDESCRIPTlONamw, " . ~
r~i:re~~ra~~:' ~~~
not started within 180 days of issuance or if work is
Suspellded for 180 days.
2.
CONI'RACrOR INSTALlA'rlONONLY
Electrical Contractor
SCOFIELD E1.ECTRIC GO.
Address
PO BOX 2765
City~... nil'
97402
Phone
6R6-R61?
Supervisor License Number
4218S
Expiration Date
10/01/2007
Constr.C ontr. Number
38702
Expiration Date
12/21/09
Signature of Supervising Electrician
f! ' ,c;;/j:0 , ,
Owners Na~.Jlc.o (J, .Ldd ~Ul"N
Add~ f/d MJL 7-vx7
Cir:Zb~ Phone&!iR -5j~o
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Serviee Included
1000 sq, ft, or less
Each additional 500 sq. ft. or
portion thereof $ 19.00
~ _ '^'N requireS you IU
Each ~~r)l.fpc(d{H.9me or lilil
MOduI1\8:,;~~l'1w.~eNic.e'ore Orc~,~n"~1 IO~ll$50.00
Feeder C ter Those rules.
c., J,l cr> ' h OAR 952~001-
B 'S' ,^ ~~1L,nf'\fJn Ihwu911' N' .. tjs "I '
I ;', er,\o'IC'es',or Teet ers -Iosh. at IODIn ,t~rutIO , or ne ociltlOn:
I...... " . COPIU::) ut II l,;i t.!.
OQ~~. YeU may obtain , tile lelephone
200 Amns'or,lesslter, (Note. I' .._",,^~r\''''''3.00
",.."t>""" ur ty "'.
Its!ri'llp;{to 40o..AJn'PS1on ~1-2: ::)' $ 75.00
401 Am~,tO\6001)>.~p~OO~33, $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsNolts $375,00
Reconnect Only $ 50,00
$106.00
C. Temporary Services or Feecters
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps , .r .,.u~ II\} H9;00
401 A'mps tOI60Q,Amp~, E~P\KEE':",';';{~ $100,00
rL~ ~"..I\I\1 I ';a:rQ }\-'\5 PI\IH" ....;.1 ,.~.
Over 600 A'mRs 'dr:llOOO Volts seeO"B'/'above.R
D "UB\['U'I\'"C"~'~ .", \S fI,\.Ji'lNU ,.tu'"
. ,.- r~nc ~\;:.,I!:~Ulb)' .
.lll.,," "p' RIOD.
New Alteration or Extension Per Panel
One Circuit . ~
Each Additional Circuit or with I ~ I
Service or Feeder Permit --L.:::F- $ 3,00
</3
<!/..2
f
$'43,00
E. Mis('cllnneolls (Service/feeder not included) -Each Instllllation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
S 50,00
$ 50,00
$ 25.00
$ 45.00
"15
J
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
61J
4, SUBTOTAL OF ABOVE IJ-o '
J () . "to
/~ . trV
c4153. -</0
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:}lBuilding FormslElecU'ical Permit Application ).06.doc
.
. Lilt' (JI< ~rKII~ld<lI'.,LD '
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-00829
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/05/2006
01/20/2007
$ 133,600.00
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: 2nd noor remodel for Selco Community Credit Union
Commercial
Owner:
Address:
SELCO COMMUNITY CREDIT UNION
PO BOX 7487
EUGENE OR 97401
~,
.':-......:1 1:,\.Iv reat/ires VOIl tn
" -11' [!l~ lh........,......... I h",
. ' " Pbone Number:" 541-686-5320'
. '. -...,L ~ ~c"'~,, IfI;)SG ru/('s are set forth
"~~~"'.~C~~01-001O through OAR 952.001-
Ou,J\.... YOU m{~v Obf::lln (""nine" ....1 H..._ _.., .
ca",nq the center. (Note: tile telepho'n'e.'
I CONTRACTOR INFORMA 1110Nrl,r for the Oregon Utility Notification
Center is 1-800- 132-23t. -.\
Contractor License Expiration Date PMne
MCKENZIE COMMERCIAL CONTRACTOR 45539 07/2112007 541-343-7143
SCOFIELD ELECTRIC 38702 1212112007 541-686-8612
HARVEY & PRICE CO 77 10/31/2006 541-746-1621
HARVEY & PRICE CO 77 10/31/2006 541-746-1621
Contractor Type
General
Eleclrical
Mechanical
Plumbing
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
Lot Size:
, , Sq Ft lsl Floor:
.; I ir;~:Sq Ft 2nd Floor:
r illS PtH.Sq;F!;ll~ls,e~~'J,ti>IF<1= r
AUTHORIL~l!J%9.~~,~fJCalJlorl THE WOHK
COMMEN(S,q:fh~I~,~r: ':I~ PtRfl'lIT IS i\lJT
A' nla 1"" I OccupanHfoad:NDONED FUH
'\;I uu U/W t-'r-Rlnn
I DEVELOPMENT INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
IIA
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Selback:
Solar Setbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
To Storm Sewer
Noles:
Paee I of 3
.
. CITY OF I)t'Kll'lt.I'IJ!.LD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-00829
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/05/2006
01120/2007
$ 133,600.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I Va'uation Descriotion I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
133,600.00
Value
Date Calculated
Description
Tvpe of Conslruction
Total Value of Project
$133,600.00
$133,600.00
07/05/2006
~I?IP.IIJ.~ P'liri I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $439.50 7/5/06 2200600000000000917
+ 10% Administrative Fee $13.00 7/20/06 2200600000000001015
+ 8% State Surcbarge $10.40 7/20/06 2200600000000001015
Add, Aller, Extend Circ $43.00 7/20/06 2200600000000001015
Add, Aller, Exlend Circ Ea Add $42.00 7/20/06 2200600000000001015
Low Voltage ~ Commercial Indus $45.00 7/20/06 2200600000000001015
Total Amount Paid $592.90
I Plan Reviews I
Fire Department Review 07/07/2006
Initial Review 07/06/2006 07/06/2006 APP LLH
Plan nine Review 07/07/2006 07/10/2006 APP EMM
Public Works Review 07/07/2006 07/19/2006 APP SB NO SDC's Interior remodel only.
Removing total fixtures.
Structural Review 07/06/2006 07/07/2006 WE JMP See attacbed documents for 9
structural comments faxed to Loren
R. Berry.
SUB Review 07/07/2006 07/14/2006 APP JF
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.
UeollirerUnsnections I
Framing Inspection: Prior to cover and after all rough in inspections bave been approved.
Ceiling Grid: After drywall approval but prior to cover.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
.
. CITY OF SPRINt-I' II!.LD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-00829
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/05/2006
01/20/2 007
$ 133,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When an electrical work is complete.
SUB Final: After an required energy inspections have heen requested and approved.
SUB Ceiling Grid: Interior Lighting
Low V oUage: Prior to cover.
By signature, I state and agree, Ihat I have careCuny examined the compleled application aDd do herehy certiCy that an
inCormation hereon is Irue and correct, aDd I Curther certiCy that aDY and an work perCormed shan be done in accordauce wilh
the Ordinances oC the City oC Springfield and the Laws oC Ihe State oC Oregon pertaining 10 the work described herein, and
that NO OCCUPANCY will be made oCany structure without permission oCthe Community Services Division, Building SaCety.
I Curther certiCy that only contractors and employees who are iD compliance with ORS 701.005 will be used on this project.
I Curther agree to ensure that an required inspections are requested at the proper time, that each address is readable Crom the
street, that the permit card is located at the Cront oC the property, and the approved set oC plans will remain on the site at an
times during construction.
Owner or Contractors Signature
Date
Paee 3 oC 3
225 Fifth Street
Sp'ringfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00829
COM2006-00829
COM2006-00829
COM2006-00829
COM2006-00829
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.
L:~,','
1ttiL, '
, ,
, ',~' I ,_
-, "
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200600000000001015
Date: 07/20/2006
Description
Add, Alter, Extend Circ
Low Voltage - Commercial Indus
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOFIELD ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
karen
010292 Phone
Payment Total:
Page I of I
8:29:34AM
Amount Due
43,00
45,00
42,00
10.40
13.00
$153,40
Amount Paid
$153.40
$153,40
7120/2006