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HomeMy WebLinkAboutPermit Electrical 2007-12-12 C CITY OF SPRINGFIELD. OREGON . OPA'.' ZON i-\-17 wa:. ....... INITIALS N M- ~ DATE \::2--\2- - 0\ 'tiIJ1 SOURCE0>- ,~~ l Date j.J. -10 - 07 225 flIT" STREET. SPRINGFIELD, OR 97477 . PH:(54I)72~753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number (OeM ZOO 7 - 0 1 bYf Electrical Contractor t)'" rfh / ,I p});/- E/"r/rrrc{ , 200 Amps or less $ 70,00 ~ j/1 201 Amps to 400 Amps $ 83,00 Address 1/19 k,,rA.. J'f,}('~ 401 Amps to 600 Amps $138,00 601 Amps to 1~~,~~Srequires Y~",'~ $180.00 City b,J"l~()d{(', Phone 0:th q/<V~ ATTemllQOOtAm!""d'gbhe Oregon Utility $413.00 follo"IJ.'il(j1QJl!,ctd~ljly3 Th:se rules are I'Bt fortn $ 55,00 Notification Center. 0 ttlrougo OAR 952-001- In ~R 'Jfe~-~erv'65lJ\I!'~$t/lll81rUleS b\f 0090.' You may 0 all(Note: the telephone ~ ca~iMlllll.t~~!iR.oti\if,e~liiftlluon nu~~~ ~~-800-332.2344)' 201 Amps to 400 Amps 401 Amps to 600 Amps /J1..//~/ /74_ k>> Owners Name KtLL ifot, or I..... "" 't E. : Mis~enaneous(S~rvice/feeder not included) -Each Instanation fl' . Phone 726 - Sl:>1 V Pump or irrigation $ 55,00 NOTIC'Sig.vOutlin~' RE IFTHE WORK $ 55,00 OWNER INSTALLATION THIS P6!lMIL~ 'l'5"PI!!RMIT IS NOT $ 28,00 !he in,stanation is being made on y.vy...J I own which AUTHOB~~~t ~~l:Ifll'l'DVt\ED FOR $ 50,.00 IS not tntended for sale, lease or rent C(MMl\litl\Cfilil..Q ~ it Inspection Fee Is 550.00 + Snrcharges NV l11n nAY P ;~ . Owners Signature: A 4.'mJBT01ALOFABOVB .... .. ~~n(') 00 8% State Surcharge ~. [,~ I.{~o 10% Administrative Fee -/ / '....,y '" 5% Technology Fee .;; 7' ,,' .;>- ~ I. ,WCATION OF INSTAllATION: "]Y?(') n/'r'r11,o/r, S~SA--,,<.c.(r\()C' LEGAL DESCRIPTION: Y7-Y7J'" VO/I;:, 17'?!;~~2rrf _ 0 z-oo I JOB DESCRIPTION: ~f3:; ~~[l~ r;f-k~) Permits are non-transferable and expire if work Is not started within 180 days ofissnance or if work is Suspended for 180 days. 2. CONTRACl'OR INSTAllATION ONLY Supervisor License Number .;'3"-10....,'\ Expiration Date _/r)/r)~~" /0 Constr. Contr. Number ~/ ~r Expiration Date '?4 / ') rv,>'s?- , Signature of Supervising Electrician Address Z8'8"S- ':)?rZ-1 City Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BEWW A. ! rl'ew ~esidential- S_i"lll,,-or Multi-Family per dwelling unit Service Inrlnded 1000 sq. ft. or less Ench additional 500 sq. ft. or portion thereof Ench Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $21.00 $55.00 B. I Senrices or Feeders -Installation, Alterations or Relocation: $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts ..."B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit J Ench Additional Circuit or with Service or Feeder Permit . '1 $ 48.00 ~/?" 00 /.2. 00 $ 4.00 TOTAL 7:S8D -71- fI~5- Shared Drive(T:)'Building Forms/Electrical Permit Application 7-o7.doc . __.. i' OF ~rKIl~GFIELD . Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: 11/14/2007 EXPIRES: 06/10/2008 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: 2885 OL YMPIC ST ASSESSOR'S PARCEL NO.: 1702300002001 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Interior remodel- enclose 4 offices Owner: KRC ROLLS Address: 2885 OLYMPIC ST SPRINGFIELD OR 97477 Phone Number: 541-726-5014 Contractor Type General Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License DORMAN CONSTRUCTION 68801 NORTHWEST ELECTRICAL CONSTRUCTI 155877 INNOVATlVEAIRINC 161742 I BUILDING INFORMATION I Expiration Date 08/3112010 06/13/2009 10/11/2008 Phone 541-984-0012 541-466-320 I 541-746-1040 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Lot Size: Height of Structure ~t9Il yoU \Cl;;q Ft 1st Floor: . Type of He~'egOn ~ t~regon U\i\~Ft 2nd Floor: ~~' . led '0'1 \M \ 5 arB se\ \0 Ft Basement: ~\I~~~S i\~t. 'OIose 1\1; O~f\ 952-0 8J't Garage/Cnrport NO\~~:.oo~0\l\tOU.9 501 1M ru\e~.!l \<'t Other: In ~Afl/iiaiPl!.~'lItimin COP'? thfY\l5\e~hO:<>;~~upant Load: "^' I ma'Y ~ ,"'ote. 1 _+i'hr:.a\\O I DEVf'i;~~ iNFORM!\ u8'N;lL\L\). !\'JlU"1 1/1 1 nUlI\ o'"cen\eI15 I....... Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING lIB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: _ \NO\\\<. e. D01):MP.~m>l>>Xs' "01 ~O,.\C~. \-I~ll \:/1.. I E\\Wii'i \S \~ 1\-1\S ?E\\WI\1 ~~OE\\ 1\-1\S ~O~EO fO\\ ~\li\-lO\\\lEOO 0\\ \S ~'Ot>.N COWlWlE~Ct.~'{ ?E\\\OO. ~~'{ ~a\) 0 Notes: Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I - 726-3676 Fax 541-726-3769Inspeclion Line Description Tvpe of Construction Estimate Estimale Fee Description Plan Review Comm/lnd/Public . -Mechanical Issuance Fe.... + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Not Covered Mechanical Nol Covered Mechanical Total Amount Paid Initial Review Structural Review 11/15/2007 11/1512007 . &:ITY V.. ~rt<.mtJJ<I~LD . Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: 11/14/2007 EXPIRES: 06/10/2008 VALUE: $ 25,000,00 I Valuation Oescriotion I $ Per Sq FI or multiplier $1.00 Square Foolage or Bid Amount 25,000.00 Value Date Calculated Total Value of Project $25,000.00 525,000.00 11/14/2007 F'P~~, ~ Amount Paid Receipt Number Date Paid $160.77 $20.00 $6.00 $34.73 $3.00 $17.37 54.80 527.79 $48.00 512.00 $247.34 $50.00 $50.00 11/14/07 12/10/07 12/10/07 12/10/07 12110/07 12/10/07 12/1 0/07 . I 2/1 0/07 12/10/07 12/10/07 12/10/07 12/10/07 12/10/07 3200700000000000750 2200700000000001805 2200700000000001808 2200700000000001805 2200700000000001808 2200700000000001805 2200700000000001808 2200700000000001805 2200700000000001808 220070~000000001808 2200700000000001805 2200700000000001805 2200700000000001805 $681.80 , Plan Reviews I 11/15/2007 APP LLH 11/19/2007 Plans routed to Gilbert Gordon and Don Moore only per David Bowlsby/llh. Wrong wnn framing detail submitted. Engineer will submit revised detail for steel framing 11/19/07dlm. WE DLM Pa2e 2 of 4 . _ITY OF ~rKINl>1<u.LD' Building/Combination Permit PERMIT NO: COM2007-0I68I ISSUED: 12/10/2007 APPLIED: 11/14/2007 EXPIRES: 06/10/2008 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 11/15/2007 11/20/2007 OK GRG Plans Review: Interior office remodel-creation of 4 offices in open cubicle area. Job #COM2007-0168\. Maintain fire extinguishers with 0 minimum rnting of2-A:IO-B:C every 75 feet of trovel distance. The top of the extinguisher(s) shon be hetween 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). If more than 20 sprinkler heads are added or require relocotion, submit sprinkler plans and colculntions to the City of Springfield Development Services Division Building Permit Technicinn for Springfield Fire Marshal's Office review and opprovol. Ifless thon 20 sprinkler heads are relocated, provided submittal showing relocotion of sprinkler heods and ensure system maintoins compliance with NFPA 13 requirements. Structural Review 11/26/2007 11/26/2007 APP DLM Engineer submitted revised frnming detail sheet for steel wan framing. OK 11/26/2007dlm . To Request an inspection call the 24 hour recording at 726-3769. All inspections 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, IRpll~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywan: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Final Fire Department. After an requirements of the Fire Department have been met. Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work is complete. Rough Electric: Prior to Cover Paee 3 of 4 _~.~IUNcal'l~ . " - - - . eu 11' OF ~rKll"GFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01681 ISSUED: 12/10/2007 APPLIED: 11114/2007 EXPIRES: 06/10/2008 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefuny examined the completed application and do hereby certify that an information hereon is true and correct, and I further certify that any and an work performed shan be done in nccordance 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. 1 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 an 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. , I Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Sprip~.fi~Id, Oregon 97477 541.726-3759 Phone . ~;:~;~: ~ Ciar Springfield Official Receipt D.opment Services Department Public Works Department Job/Journal Number COM2007-0 1681 COM2007-0168l COM2007-0l68l COM2007-0168l COM2007-01681 Payments: Type of Payment Check cReceinll RECEIPT #: 2200700000000001808 Date: 12/10/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By NORTHWEST ELECTRICAL CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4756 In Person Payment Total: Page I of I 1:08:54PM Amount Due 48,00 12,00 3,00 4,80 6,00 $73.80 Amount Paid $73,80 $73.80 12/1 0/2007