HomeMy WebLinkAboutPermit Electrical 1997-1-23
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonina I-I--r:
974]}, 1-7 ~-7-J
726-376'9 -f
AU~;10rlZ3d SIgna1ura
I'_II IPYfIIIOWQf) INSTALLATION
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--11~~S~~ IBI9.0~
JOB DE~PTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Expiration Date
Electrician
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~TE~-------------~~:3-~-r------~---
RECEIPT ll: ~ 1)A.-?f)/} ~
RECEIVED BY: t~ <XTCT1P"'-
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Q \ 0\1 \ \
tvM
3.
COMPLETE FEE SCHEDULE BE LOll
A. Nev Residential-Single or
Mul ti-Family per dvelling uni t.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
It:ems Cost
Sum
2. CONTRACTOR INSTALLATION ONLY .B. Services or~
\\ -.J. Cl -r Installation, Alterations
Electrical Contracto,r1\.\D.lf1 ,( 'Q~./ or Relocation:
Addri:-s \C\ I\() ?~~'"' "tJt- ). , 200 amps or less
Ci ti:J~ rL Pho:e\4l. 'ZlL3 ~gi ::~~ ~~. ~gg ::~~
\. ~ .....S 601 amps to 1000 amps
Superviso License Number ~~~ Over 1000 amps/volts
\D. \ .~! Reconnect Only
t 1'\ ("\r\ C. Temporary Services or Feeders
Constr Conn. Number \ 'I"i.' t' \ Installation, Alteration or Relocation
(~.~~
$ 85.00
$ 15.00
$ 40.00
I
~o
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit 1-7" $ 2.00 ~.""
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
tJW~P P~A~TY
SUBTOTAL OF ABOVE
5% St<!.t.L~urcharge
. minis tra r
TOTAl. \ \A.c .
E.
5.
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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SPRINQFIELD
~-
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Nmaber: 961711
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Of:Eice: 726 - 3 759
Inspection ::'ine: 726 - 3 769
Location of Proposed Work: 2197 OLYMPIC ST
Assessors Map #: 17032542
Tax Lot #: 01202
Owner: DOLLAR STORE/POLEN
Address: 2197 OLYMPIC STREET
Phone #: 746-6732
City/State/Zip: SPRINGFIELD, OREGO:~ 97477
Description Of Work: REMODEL UPSTAIRS
REMODEL
Value:
0.00
Name
Architect: SCHAUDT STEMM
Address
Phone
Contractor
Canst.
Contractor #
Expires
Phone
General: ORDELL CONSTRUC 0063030
360 Shelley St Springfield OR 97477
Plumbing: TWIN RIVERS 0017695
PO Box 40397 Eugene OR 974040000
Mechanical: HARVEY & PRICE 0000077
PO Box 1910 Eugene OR 974400000
Electrical: ALERT ELECTRIC 0012772
1970 N 28th St Springfield OR 97477
01/02/98
747-8734
03/11/97
688-1444
10/31/97
746-1621
OS/22/97
747-2213
--- PLUMBING ---
No.
2
Fee
Charge
20,00
Single Fixture
TOTAL PERMIT
20.00
--- MECHANICAL ---
NO.
Fee
Charge
6.00
3.00
6.00
10.00
1
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
CONDENSING UNIT
Permit Issuance
TOTAL PERMIT
25.00
QUAD AREA: 2CNW
-- OFFICE USE --
LAND USE: 5300
Item
Sq. Ftg Main
INTERIOR REMODEL
Square Feet
1186
x
$/Square Feet
= Value
10,000.00
0.00
TOTAL VALUE OF PROJECT
10,000.00
SPRINGFIELD
Job Number: 961711
Page 2
Plan Check Fee:
52.33 Rec #: 24177 Date: 12/30/96 Rec By: LI:;A HOPPER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
BWOP-BLDG
BWOP-PLMB
BWOP-MECH
BWOP-ELECT
80.50
6.45
25.00
1.20
20.00
1.60
80.50
20,00
15,00
80.00
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
330.25
943.12
~
1,273.37
~(o :'\0
1'~!'\'l.A1l
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all insp'2ctions are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address. t~?e of
inspection requested and when you will be ready for inspection. R'2quests
received before 7:00 a,m. will be made the same working day, reque;3ts made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*" work.
shall be furnished to Building Safety.
Section 306 of the State ,3pecialty Code
the Owner/Contractor duri:~g
A copy of the special tes:ing reports
In addition to the inspections specified, the Building Official ma'y make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved .nd
the building is complete.
PERMIT FEES DOUBLED.
BUILT WITHOUT PERMITS
--- ADDITIONAL COMMENTS ---
WORK DONE WITHOUT PERMITS
OR INSPECTIONS, DOUBLE FEE
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 01/16/97
SPRINGFIELD
Job Number: 961711
Page 3
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, anc, that
NO OCCUPANCY will be made of any structure without permission of tt,e
Community Services Division, Building Safety. I further certify tt~at only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are request.ed at the
proper time, that project 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.
0/Y ~',~
signat~
/uM7
Date
Date Paid:
~L\~~IDATION
\. t~ 'C\1
\~~._.ll
~~
Receipt Number:
Amount Received:
Received By:
SPRINOFIELD
CITY OF SPRINGFIELD SYSTEMS DIlVELOPMENT CHARGE:
(COMMERCIAL / INDUSTRIAL)
Name or Company: DOLLAR STORE/POLEN
Location: 2197 OLYMPIC ST
Developement Type: C Building Size:
Job No,: 961711
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X 0
0.216
X
Per Sq Ft =
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1.0 X 5
X
44.75
Per PFU =
3. TRANSPORTATION
Number Of Units
1.0 X 1.680 X
X Trip Rate
0.740 X
X
Cost Per Trip
451. 26 =
$561. 01
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
5
Per PFU +
20.690 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) x
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 01/02/97
Page 1
Sq Ft
$0.00
$223.75
$561.01
$113.45
$0.00
$113.45
$898.21
$44.91
$943.12
.l
~/7l d!r.h//c
tf/!J0/3
SPAINOFIELD
Job Number: 961711
'I
Page 2
FIXTURB UNIT CALCULATION TABLB
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/So1ids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
U"it
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
1
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
4
o
2
2
1
6
4
TOTAL FIXTURE UNITS 5
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00 =
0.00
o
0.00
X
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)