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HomeMy WebLinkAboutPermit Electrical 2006-5-26 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Q.o'v>, ;:).'/)7)70 - mUoS- . , ~ - .~.' ". )'.-. ...... " 1. LOCATION OF INSTALLATION. " " ' ,/_ 7~1 (; ~~~f't'("sT "5{ii;eE4t I L\9(b~15~\N ro:lV JOB DESCRIPTION f\ IDV 5 osrLe\S 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. ,CONTR1!:CT?~f1!~!.AfI:?or:!()!i5>'N!:.!', Electrical Contractor Si'eue,U S &-Le<.'f\fZ. \e Address .f~ q,Of.. (,~3 City fJleQ~tll1r !-fll! Phone 12-b-obr<t Supervisor License Number J.-(-{)crL/-f Expiration Date I> -()<t' Constr. Contr. Number '151-/ 1 L Expiralion Date n -2::)':'-0 b Signature of Supervising Electrician g^- -ff2P '-J ..: Owners Name De 0 U'r ~e,e9e.. Address 54 t S (.Nl ~1A~s City ~ YIt- Phone ~11:2- ~I--L 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 Date .~., ,- 'L' . .. .' ," -...... "',-'- .... '.' .. 3. '52MXLETEF~E.2CHEDULEBELOW '.. t. " ' ,,; -.~ "\- ~ -- - ~ ... ~ . . . 't' . A. ' Ne';' Re.sjdenti~i:- Single or Multi-Family per .dwelling unit., :uo _" ...~. ._~. _..~. . _ _...... __ . . _~._ ..u _'_ _. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 '" ""'li J"O::. Each Manufact'd Home or E IF --HE W' \.1 . '11"" r:l ,,'''T "'.1"\' >-1....:14 I un", lMoaular'I'lweIlmg ServIce or.. . . II f '\lFeeder,;7ED UNlJER THIS PtKiVllT IS I~ $50.00 ~Oi't;:JE!(f.~f\-BHiS' AUAWlJQNED fUK . "'.- -. " . - - - . ~,;lvServ.i~~s. <.>dl,,!,ders - Inst~Ilation, Alterations or R~loc"'tion: .........i... _t,,>~.-_U~4... ___'...... ." . .-.....- ~ ..-' - .<--.....- ~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only ".~ --, ~.~" -. -t.... -. "....- - c. t:.ts~B_O!~i?:.~trVic_~~.~~..~..e.e~.e~~..' Installation, Alteration or Relocation ^T~~,,~,200 Amps or less . . - , I ...-.r; I .-.;'1: U' .'non lnw rO('l!llreS you 1u " . 20 I Ampsto 400 Amps , ' . , ,'~'..~.J ~'\.' t,l;': U~~nJn Utility , . 40 I Amps to,600 Amps '. . f .. . __ Ill..... II -.J. 8 IU,,:ti d~a Sl1t G, UI -Over 600'A:mps:or 1000 Vol!,'; see':~::above. :,'_' ,'" ._' -'H~'--' ,..~ ..,' - ." .. D.' ::;Branch' ~ifclli~s~' Gf tJ;~ f': ~tJ3' t)y-' . ._.~ -~'-r.(,..--.-~. !~.~-t""'r)'''~~e'--- New Alteration,iii' Extensiori Per Panel . .'.L. '. ~ ',t G., ./1'.'..;' ",.....aLan I ~ ~qn~"C.fSC}l.l!~,...u :~, .::-2:)t...) Each Additional Circuit or with 2- Service or Feeder Pennit .- - .~~.. - ~ ,"'-' $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 0_' .. ,_,",. $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 -~_...-._,. " .~~-. .-" 13- 6 - E. ' Miscellaneous (Service/feeder not included) -Each Installation -_:,',.-:...:.~.:::~~'-----,:::_:.._-':"'._- - - -~ - . - .... ...- Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 .. .~,1-"~ ~'''" ~ \'0'- _-,-;;-,. ..<' Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4..SUBTOTAL OF ABOVE "..._..,.,. ____.-__-"0 ~.~. ."__ 8% State Surcharge 10% Administrative Fee TOTAL /.f?- 3 .l1?- Lf.~n 5/.1?d-.- Shared Drive(T:)/Building FOl1ns/Elcctncal Permil Application I-06.doc lii . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00405 ISSUED: 05/04/2006 APPLIED: 04/05/2006 EXPIRES: 11/11/2006 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2787 OLYMPIC ST I ASSESSOR'S PARCEL NO.: 1703254100500 Springfield TYPE OF WORK: Tenant In fill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant infillallerations for Wash Your Dog Spot Commercial Owner: WHITLOW BRIAN J & LYNDA C Address: 541 SPYGLASS DR EUGENE OR 97401 Phone Number: 541-726-2903 NOTlC':'.: Contractor Type General Electrical Plumbing '/-I;~ "LKII'II ::,tiilL~ tXf'lclt It' INt VVUII<\ I CONTRACTOR INFORMATlON1'JNDER THIS PERMIT IS NOT ~C:':',1r ,'.Ir:r;) On IS A9AI\IDONED FOR Contractor ,~'" License ?F*,~'!,iration Date Phone PETERSON & MOORE CONSTRUCTION IN 106969 06/13/2006 541-998-5320 STEVEN GEISLER 95472 11/23/2006 54t-726-0618 BARNES HIGH TECH PLUMBING INC 83311 02117/2008 54t-726-9854 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: VB nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION" luN: Orf'f]on law rElC]lIires you to , '.. w,e' [Jr.Gpicd byREQ~I~D. ~~RJ<ING O I D. t. " -, ,.c'Jtion C~I1I-:r, TilD~;~T"td'l;s are set forth ver ay IS. , " - "V) ~Ol 0 0 a . # Street Trees Rqd: .. \, "~: ,., - Jl0ttlflH.n'dR~.;p~ii;2-001- Paved Drive Rqd: .. ' "',may 01..:.1111 CtJ,Cofuii~Ct':) rll:GS by % of Lot Coverage: '.. t :c :[,':tor, (,\'0;): t;l~' t~;.;phone , ilk U'"t'on Uti,ly NO~ltic;jtion (', ,t.~r; ,. 1 '_'I'" ".,..... "'" . " I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page I of4 ~Wi".. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Use Bid Amount Estimate Pavin!! Fee Description Plan Review CommflndlPublic + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Paving Plan Review Comm/lndlPublic Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + t 0% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . I Valuation Des~ription I I I 111111 $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 3,600.00 400.00 Total Value of Project ~ F'pp<, ~ Amount Paid Date Paid $29.25 $24.86 $16.29 $60.60 $98.00 $45.00 $10.14 $45.00 $400.39 $526.55 $10.00 $229.68 $21.77 $49.89 $134.25 $2,033.43 $461.00 $4.90 $3.92 $43.00 $6.00 4/5/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/4/06 5/26/06 5/26/06 5/26/06 5/26/06 $4,253.92 I Plan Reviews I Pa!!e 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00405 ISSUED: 05/04/2006 APPLIED: 04/05/2006 EXPIRES: 11/11/2006 VALUE: $ 4,000.00 Value Date Calculated $3,600.00 $400.00 $4,000.00 05/04/2006 05/04/2006 Receipt Number 1200600000000000416 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000560 2200600000000000670 2200600000000000670 2200600000000000670 2200600000000000670 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00405 225 Fifth Street, Springfield, OR ISSUED: 05/04/2006 541-726-3753 Phone APPLIED: 04/05/2006 541-726.3676 Fax EXPIRES: 11/11/2006 541-726-3769 Inspection Line VALUE: $ 4,000.00 Fire Deoartment Review 0411112006 0512212006 OK GRG Plans Review: Tenant infill for "Wash Your Dog." Occupancy Classification: B. Construction Type: V-B. Provide or maintain address numbers and suite number in contrasting color from the background positioned plainly visible and legible from the street or road fronting tbe property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). Provide fire extinguisbers with a minimum rating of2-A:10-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfield Fire Code 906). Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2004 OSSC 1008.1.8.3, exception 2.2). Initial Review 0410612006 0411112006 APP LLH Plan nine Review 0411\12006 0411212005 APP EMM Site approved by LUCS on last tenant infill. SUB has looked over MSDS sbeets and determined that no DWP app is needed. Public Works Review 0411112006 0412712006 APP SB SDCs added for change-in-use from warehouse, and fixtures. Structural Review 0411112006 0510112006 10 RWC Structural Review 0510312006 0510312006 WE JMP See attached documents for 5 structural comments crooHed to Debra Reese. Structural Review 0510412006 0510412006 APP JMP Per Dave Puent. SUB Review 0411112006 0411812006 WE JF JMP called Debra Reese and requested the energy code forms. SUB Review 0412512006 0412512006 APP JF No energy code issues or inspections. 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. Paee 3 of4 ~ii. . .\..,11 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00405 ISSUED: 05/04/2006 APPLIED: 04/05/2006 EXPIRES: 1111112006 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insnec~ Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 furtber 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 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 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. Owner or Contractors Signature Date Pa~e 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ .~ Caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-00405 COM2006-00405 COM2006-00405 COM2006-00405 I Payments: ! Type of Payment Check cReceinll RECEIPT #: 2200600000000000670 Date: OS/2612006 Description Add, Alter, Extend Cire, Add, Alter, Extend Cire Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By STEVENS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 1829 In Person Payment Total: Page I of I 10:26:18AM Amount Due 43.00 6.00 3.92 4.90 $57.82 Amount Paid $57.82 $57.82 5/26/2006