HomeMy WebLinkAboutPermit Electrical 2004-7-7
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225~... '0 STREET. SPRINGFIELD, OR 97477 . PB:(54I)726-3753 . FAX: (54';F26-368'9 C1 <1o;%c/ ~v
ELECTRICAL PERMIT APPliCATION -1 '% <'0,>,. , ~ '>0/ ~~~"6' I,~,/
"/,j~:9 99. "'Iit.
CityJobNumberCOil1ZOOlf.-c>07Z-1- Date 6/8/04 or,;" ~"';'9 9C1,j
6(1 oS'.o9 ~.s'
I. I LOCATIONOPINSTALLAJ1OAT )1 3. I COMPLETBPEESCHED~t.J!.~ ..:S<. CI'~/;~Oqo.J
7tJ?301/AI\f),'r :sf: (':" '315- ~~~ v~..:9
LEGAL DESCRIPTION A. I New ReJldentlal- Single or Multj.Famlly~ I
I 70:3 2. S- 4f z... 0 I ( 00 Service Included ~ "-
JOB DESCRIPTION 1000 sq, ft. or less $106,00
Each additional 500 sq. ft, or
Arll Ou7t.tt$ - ~UANr ,~hi.,- portion thereof $19.00
CTI Y UI: S, ,<Ii\(il'lLl.l), ()R,:<;e)~ ., .
Each Manufact'd Home or
~.::ar Dwelling Service or $50,00
if_'\O
2. I CONTIlACl'OR INSTALLATION ONLY I B. ~il~n -Installation. Alterations or Relocation:
_~~~~ese\\V ....
Electrical Contractor JB Electric, loc, ~""" ~~ 'O'l ~~~~~~()() 1j $ 63,00
~~ ;o&60\' ""O~Q'~~~'0~Q/j?~ps $ 75,00
Address 4685 Isabelle Street ....\\(l'Cl~_..~~'\Ot\~~\o~orA'~"" $125,00
_ :'J,~"- ~,\..uw ;p~~ e \Il'u2.i.i(J\'
~:'''''{1,,9P'l.~ 0'O~(I R}I " s tllc1Vw'Amps $163,00
Phone ~'I.lS77~~~~' ~slVolts $375.00
~~\~<(i\tll t\S()( . '()n1y $ 50,00
off. ~ \at \9 '\
Supervisor License Number 3782-S ~ aa~ c. I Temporary Services or Feede"
Permits are non-transferable and expire if work is
not started within 180 days of Issuance or if work Is
Suspended for 180 days.
City
Eup;ene
Expiration Date 10/1/04
<CCB 104929 3/14/08)
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. I Bran~h Circuits
$ 50.00
$ 69.00
$100,00
Expiration Date 10/1/04
Constr, Contr. Number
37587C
Signatureo~rvisin~'cian
New Alteration or Extension Per Panel
One Circuit ,tiJ~~ $ 43,00 if 3 0 \I ~
Y - Each Additional Circuit or ~flt'\~t co Nol;) \ _
t:: . I" Service or Feeder pflI'IIIil\'\lI \\~\'\ \';z" $ 3,00 (,q 0 ~
OwnersName ke,tA1e.. t:JF ALbUlT N/~/M C~.L\.'\ _,\!>-\\..t.\~,~~~(}'(\
Address 'Z.o 73 OL Y,vI p" c. 5-r/!cc.r ~9j~1.~n~~1 ~1-'- not included) -E.~h InstaUatlon I
) ,I \~~~" \.II ~~7~tS),~~~(\':'"
City,'5IJA-/AJ9f'Ifi,:'\. Phone V/'J.KlIllwl\l r"ulll t\::O~~~"""V\l $ 50,00
, , !..'lI.'S~ghting $ 50.00
OWNER INSTALLATION ~t~EnergylResidential $ 25,00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges
The installation is being made on ~.v~_. ./1 own which
is not intended for sale, lease or rent.
Owners Signature:
4.1 SUBTOTAL OP ABOVE
7% Stale Surcharge
10% Administrative Fee
'I't.CJ~
'3. '(~
'(.90
e:;'7 . j .5
./
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inspection Request: 726-3769
TOTAL
.
. CITY OF ~r1Ul'luNJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-00722
ISSUED: 07/0612004
APPLIED: 06/1712004
EXPIRES: 01/0612005
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 Olympic St 315
ASSESSOR'S PARCEL NO.: 1703254201100
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Tenant improvement space 315
Owner: NISSIM ALBERT
Address: PO BOX 1733 ROSS CA 94957
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Contractor
MCINTYRE CONSTRUCTION INC
JB ELECTRIC
COMFORT FLOW
License
3550
104929
460
Expiration Date
10/08/2007
03/14/2008
06/27/2005
Phone
541-687-2841
541-687-5770
541-726-0100
I BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type ~reE: EY-PIRE !1(ilJli12~r.~~r:
Water ,'C! ERtJlIl' S\-\~LL p~q!!flwasement:
Range :P RIlEO UNGER 1\-\\S G MtI1'~Qge/Carport
Energy/l.1llat!O 0 OR IS ~B~N q'F'i' Other:
sprinkl~IAlill~~~ pERlOO. Occupant Load:
'r.oO ~Q"
-"J"lr .:-
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
IIlhr
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Streel Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~
I PUBLIC IMPROVEMENTS I ~~~\"3
, ~O~~~~~~~o
~\\()'CJtU\es~'S~~~~
~O\\\\ca~~.()o~~~'(,:;)~~~
\n Or:-'(()IJ ~~ ~dP'U:~l~
OO~\\l\9~~oO~~
\l\\1rn'00t ~n\G'l b ~
II' ,I
Notes:
Pal!e 1 of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF ~rKll~,-,..IELD
Building/Combination Permit
PERMIT NO: COM2004-00722
ISSUED: 07/06/2004
APPLIED: 06/17/2004
EXPIRES: 01106/2005
VALUE: $ 25,000.00
I Valuation Descrintion I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
25,000.00
Total Value of Project
U'PPO p"w
Value
Date Calculated
$25,000.00
$25,000.00
07/06/2004
Fcc Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublie $130.65 6/17/04 1200400000000000929
-Mechanical Issuance Fe..... $10.00 7/6/04 1200400000000001038
+ 10% Administrative Fee $31.84 7/6/04 1200400000000001038
+ 7% State Surcharge $22.29 7/6/04 1200400000000001038
Add, Alter, Extend Circ $43.00 7/6/04 1200400000000001038
Add, Alter, Extend Circ Ea Add $6.00 7/6/04 1200400000000001038
Building Permit $224.40 7/6/04 1200400000000001038
Miscellaneous Mechanical $45.00 7/6/04 1200400000000001038
Plan Review CommlInd/Public $15.21 7/6/04 1200400000000001038
Plan Review Fire & Life Safety $89.76 7/6/04 1200400000000001038
Total Amount Paid $618.15
Fire Department Review 06/2112004
Initial Review 06/18/2004
.. Planning Review 06/21/2004
Public Works Review 06/2112004
Structural Review 06/18/2004
Structural Review 06/25/2004
SUB Review 06/2112004
I Plan Reviews I
06/21/2004
06/18/2004
06/21/2004
07/01/2004
06/24/2004
06/25/2004
06/25/2004
OK GRG
APP LLH
APP EMM
APP SB
WE JMP
APP JMP
APP JF
See attached document for fire
department plan review comments.
No SDCs. SDC credit from existing
similar use.
Received 6/21/2004. See attached
structural review with 4 points faxed
to Ron Kreutz.
Ron Kreutz delivered response to
structural review.
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.
Ueouirerunsnections'
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Page 2 of3
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.
. UJ" OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00722
ISSUED: 07/06/2004
APPLIED: 06/17/2004
EXPIRES: 01106/2005
VALUE: $ 25,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
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 hercin, 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 ure that all required inspections are requested at the proper time, that each address is readable from the
:=.:~~,.. ~iip~' ~,ro.. "... ,ro~rt,. ",... ,,,ro; ': ':'~.: ~m". '"... ..... ,..
Owner or Contractors Signature 0 Date
Paee 3 of3
.
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225,FiHh $treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00722
COM2004-00722
; COM2004-00722
COM2004-00722
COM2004-00722
COM2004-00722
COM2004-00722
COM2004-00722
COM2004-00722
Payments:
Type of Paymeut
CreditCard
7/6/2004
~
RECEIPT #:
1200400000000001038
Description
-Mechanical Issuance Fee-
Miscellaneous Mechanical
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCINTYRE CONSTR
Received By
djb
Page 1 of 1
* of Springfield Official Receipt
_elopment Services Department
Public Works Department
Date: 07/06/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
000430 006632 In Person
Payment Total:
1:34:24PM
Amount Due
10,00
45,00
43,00
6,00
15,21
89,76
224.40
22.29
31.84
$487.50
Amount Paid
$487,50
$487.50