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