HomeMy WebLinkAboutPermit Electrical 2003-8-8
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/i.;n'e' "t. e' CITy'bF'sLlNGFIELI1~!,GREGON~ . ,/';
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,. as submitted has Ihelol/owing
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX:'(5l11~g(~llot require specific land use
ELECTRICAL PERMIT APPLICATION 00 ""prova Z . r (I
~ orlmg
City Job Number CD~2003 - oe:3?7 Date g b a-:> _ c:f .~>O~
I I _Ie
I. LOCAnON OF INSTALLAI10N 3. COMPLETE FEES(JHElll!JM!)<BE~.1
C2289 ~ l,'
LEGAL DESCRIPTiON n -
J703.,Z")l{Z O(LfOO
JOB DESCRIPTION
100 fr/Mf'
S l20fL
Permits are non~transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractob ~ k ;'L/J'&-Il.. ~
Address8707 l-
City PJ,./~~
/:::d{/#J rr-JL,
Phone 6<6.) 7-i;l77
Supervisor License Number 3f? I C/S
Expiration Date .~. q-
Constr. Contr. Number, I () .:> b 7 7
06//) L/
Expiration Date
Signature of Supervising Electrician
t/l
/ .?
Owners Name 0Ae-~ CD '-'\.( t:
Address Z. 772..) '\2<:;,.,./> ( Mf'
City
P'Vo..&er.fe
Phone
OWNER INSTALLATION
The installalion is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Rcqucst: 726-3769
A. Ncw Residential - Single", Multi-Family pcr dwclling unit.
Service Included
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
$50.00
B. Services or Feeders - Installation, AHerations or Relocation:
200 Amps or less / $ 63,00
20 I Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
'/O\)\V
Over 1000 AmpsNolts IlIII'IS...i375.00
Reconnect Only 00 1a.'Ille:; egtln U\IIi' A 50.00
\ \U~..u{e9 d b'/ \"e { a.le se\ ..00'
f{lI~l\\I!!!filr-~CS!;~,,/~~,or. FJ~'(\;rf.-~ 9S2 \.
\o\lO'llI. n centel. ,0 \\'I{Ollg~ V \ \\'Ie {1l\~S .
~0\ijifs~b~tiOftpAln9atillnl\lnlR:~I'3g,tlorn~\'IOne n
n"P. 9"'~ - ,ob\tl." \e' \"0 IV' 'fea.\iOI'
in "iOTI ~1ll1ll'1or;il!ss tad NO :~\\k} NOtl 1 $ 50,00
Oo%\'\\\IWJ!Ito~40'0~'\.,nwgon ~I 12-,,<>.44). $ 69.00
46r AmD1''t6'6llO~'\g>l1seoo-~''3 . $100.00
ou'/f\V~ e ~en\el \
Over 600 Amps or 1000 Volls see "B" above.
D. Branch Circuits
63,
New Alteration or Extension Pcr Pancl
One Circuit
Each Additional Circuit or wilh
Service or Feeder Penn it
$ 43.00
$ 3.00
E. Miscellaneous (Service/feedcr fH~~WJ\WI) -Each Installation
~(\''{\Ct'. LL r:~I'IRt IF S NOl
1~j>~'VItl'ltiilig~\~~ ER lHIS PERt:^\1 I. h $ 50.00
1\ \~Q.\iJgJ\.l~\Ri~ 1\6I\t,mONE.U tV $ 50,00
C Wli_~~~t.ial $ 25.00
I\~'l'i~~lt-ommercial $ 45.00
Minimum Electric Permit Inspection Fce is $45,00 + Surchargcs
4. SUBTOTAL OF ABOVE
~~---
Yo/I
7% Stale Surcharge
10% Administrative Fee
(,,")0
1; 73 ']L
TOTAL
Shared Dri~l.iT:)/Building Fnnns/Ekctricnl Pcnnil Application 1-03.doc
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. CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00397
ISSUED:
APPLIED:
EXPIRES:
VALUE:
OS/22/2003
02/05/2004
$ 3,000.00
SITE ADDRESS: 2289 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201400
Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Interior Walls for B & B Distributors. 080603 Issue electrical only- DB.
Commcrcial
Owner: LOUIE JACK H & I 71.015%
Address: 27725 ROYAL AVE EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
SETBACKS
Contractor License
GLOBE BUILDING & ELECTRICAL CONTRI03677
MCINTIRE DESIGN
GLOBE BUILDING & ELECTRIC 103677 01104/2004
, BUILDING INFORMA nON Ilfes '10U t~
all law . ~~. on U\II\W
'\Ett:l'flStotiQ!e~d '0'1 \nEl Ofeg feI.>e\ IB~ Size:
p.l "mig!1~ 6r;~Pt\ctl\'i~se fuleS ~f\ 9SZ.~lq Ft 1st Floor:
101~~'1!~B\'1otHel"i':f.1 0 \nfoUgn 0 ne fUIGkt 1<t 2nd Floor:
VNSpr No\\I\CW~ter_~ypePO. COpIeS 01 \ nO~\CjlFt Basement:
In O"'~~.r~~l!p'e:)'o\a\~\'lo\e', \M \ele~IC~~f:t Garage/Carport
0090E!,~r~~B!I!:,\ef. \ n U\I\\\'1 \'lotI Sq Ft Other:
ca\I\f\9 , f \.ne Of ego "","_Z'344). Impervious Surface Area:
_...."'r ,0 .. ClOO,,,,,,,
....... - --;JJ~.....
I DEVELOPMENT INFORMATION I
E~:piration Date
01104/2004
Phone
541-683-7077
541-517-4304
54 I -683-7077
Electrical
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
5,943
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vanable:
Special Instruction:
MnYlr.IF'
I PUBLIC IMI.,IUll..VEMENI11S;iHALL EXPIHt: II. I Ht V'lUt11\
l\mt,unlLl:u JNDE8.1H1S PEflMIT IS NOT
COMMENCED OR 1S'~}{f!JbcT~IP.U FOR
ANY 180 DAY PERIOO,wnspoul!/Drains:
Notes:
Page 1 of4
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. CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00397
ISSUED:
APPLIEI):
EXPIRES:
VALUE:
OS/22/2003
02/05/2004
$ 3,000.00
I Valuation Descriotion I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$ 1.00
Square Footage
or Bid Amount
3,000.00
Value
Date Calculatcd
Description
Tvpe of Construction
Total Value of Project
$3,000.00
$3,000.00
05/2212003
~ Fpp< PlW
Fee Description Amount Paid Date Paid Receipt Number
Plan Rcview CommlIndlPubIic $34.32 5/22103 1200200000000001305
+ 10% Administrative Fee $7.30 6/Il103 2200200000000001036
+ 7% State Surcbarge $5.11 6/Il103 2200200000000001036
Add, Alter, Extend Circ $43.00 6/IlI03 2200200000000001036
Add, Alter, Extend Circ Ea Add $30.00 6/11/03 2200200000000001036
+ 10% Administrative Fee $6.30 8/6/03 1200200000000001903
+ 7% State Surcharge $4.41 8/6/03 1200200000000001903
Perm Serv/Fdr 200 amps or less $63.00 8/6/03 1200200000000001903
Total Amount Paid $193.44
I Plan Reviews I
Paee 2 of 4
. . CITY OF SPRIl'ltd'lJ!,LU
Building/Combination Permit
Status Pending PERMIT NO: COM2003-00397
225 Fifth Street, Springfield, OR ISSUED:
541-726-3753 Phone APPLIED: OS/22/2003
541-726-3676 Fax EXPIRES: 02/05/2004
541-726-3769 Inspection Line VALUE: $ 3,000.00
Fire Department Review 05123/2003 06/30/2003 OK GRG :Plan Review: InfilVremodcl to vidco
,;tore. Joh #2003-00397. Occupancy
dassification: M. Construction typc:
'V-N (sprinklercd). Floor area: 5943
:;quare fcet.
Providc or maintain address
numbers in contrasting color from
I he hackground positioned plainly
visible and legible from thc street or
I'oad fronting the property (Orcgon
Structural Specialty Code 502 and
Springfield Uniform Firc Codc
\101.4.4).
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance
(SUFC 1002.1).
If more than 20 sprinkler hcads
require relocation, submit sprinkler
plans and calculations to Springficld
F'irc Marshal's Office for rcview and
approval. If less than 20 sprinkler
heads are relocated, provide
s'.bmittal showing rclocation of
sprinkler heads and cnsure systcm
maintains compUancc with NFPA 13
fI:~quirements.
A special investigator's report
v'~rifying egress illumination
ITIceting OSSC 1003.2.9 (notlcss
than I footcandle) will be rcquired
p.rior to any occupancy being
gl'anted. Also, dcpcnding on the
cunfiguration of the booths in thc
video viewing area, additional
ill uminated exit signage may bc
Tl'quired.
Initial Review 05/2312003 05/2312003 APP LLH
Planninl! Review 05/23/2003 0712212003 APP EMM Final Plot Plan submittcd and
Oevelopment Agrecment signcd.
Public Works Review 07/0212003 07/09/2003 APP PJO
Structural Review 05/23/2003 07/0112003 APP JMP
SUB Rcview 05/23/2003 05/28/2003 WE JMP L"ft a voice mail message for Barry
at Globe Building on 5/2812003
requesting cnergy forms pcr Jack's
request.
Pal!e 3 of 4
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. Lll f OF SPRll'lhl'lI!,LIJ
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00397
ISSUED:
APPLIE)):
EXPIRES:
VALUE:
OS/22/2003
02/05/2004
$ 3,000.00
SUB Rcvicw
05/28/2003
07/02/2003
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.
l..Reouirelllnsneetions I
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Drywall: Prior to taping.
5 Final Fire Dcpartmcnt. After all rcquirements of the Fire Department have been met.
6 Final Building: After all required inspections have been requested and approved and the building is complcte.
7 SUB Final: After all required energy inspections have been requested and approved.
8 SUB Exterior Lighting
9 Electric Service: Approval required prior to utility company energizing service.
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 perform,~d shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining tn the work described hcrein, and
that NO OCCUPANCY will be made of any structure without permission of the Communi~~ Services Division, Building Safcty.
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 required inspections are requested at the proper time, that each address is readable from thc
street, that the permit card is located at the front of the property, and the approved set of plans will remain on thc site at all
times during constru.ction.
Owner or Contractors Signature
Date
Paee40f4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00397
COM2003-00397
COM2003-00397
Payments:
Type or Payment
Check
J;'~;~~.. ..1..
1Ii:. . .
. ..."'.' ]
.. .' '''~'-"
Receipt #: 1200200000000001903
Description
Perm ServlFdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BARJ SWARTZ
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt '
Development Services Department .
Public Works Department,
Date: 08/06/2003 9:12:55AM
Amount Paid
Item Total:
63.00
4.41
6.30
$73.71
How Received
In Person
Payment Total:
Amount Paid
$73.71
$73.71
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