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-
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1. LOCATION OF INSTALLATION. " " '
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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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
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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
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3. '52MXLETEF~E.2CHEDULEBELOW
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,,; -.~ "\- ~ -- - ~ ... ~ . . . '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.
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.. 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
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3 .l1?-
Lf.~n
5/.1?d-.-
Shared Drive(T:)/Building FOl1ns/Elcctncal Permil Application I-06.doc
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.
.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