HomeMy WebLinkAboutPermit Electrical 2010-4-7
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477.PH(541)726-3753tFAX(541)726-3689
'. DEPARTMENT USE ONLY
Pennit no.: C/O ~d4-3
.'
Date: q~7~/O
This permit is issued under OAR 918-309-0000. Permits are nontral)sferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
'!.:OCAL'GOVERNMENTAPf>IWVAC;
Zoning approval verified? DYes D No
',: .c)i. TEGORVOFCONSTRuCtION:
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o Residential
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Job site address:
City:
Reference:
o Government 0 Commercial
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Name:
Address:
City:
Phone:
E-mail:
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
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440-2584-J (9/08/COM)
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,Num~er "finspect,,,n, per,item() Qty. Cost Total
, . ",,, -.' ,'. .......-.....;... .. ~3:.:' cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) r $ 32.00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
Services or feeders: installation, altrration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps Of 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase ofa service or feeder fee:
First branch Circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alterC3;tion, 9f extension (2)
Each additional inspection: (I) $58.00 $
1i!ii:;;(;iK~~i.~;;\i>it!i;'~!A~eL1CA1\ITiiiiJs~ M" ;:;"/."~,;,~;;;~),~;, ,: ."
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~_Ent""subtotalofabove.rees, ~ $ 6'g:.
((Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) $ h. c
(C) Technology Fee (5% af[A]) $ :2
TOTAL fees and surcharges (A through C): $ 6.'/-
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Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: <C:OM2010-00243
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 10/07/2010
VALUE: $ 250,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 925 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300100
Springfield TYPE OF WORK: Bank
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Minor interior remodel- vestubule and new awnings- electrical/mechanical to be pulled
by specialty COli tractors- Steel fabrication by Gibson Steel- Engineering and shop dwgs
deferred, to be on-site for footing review and approval '
Owner: SELCO COMMUNITY CREDIT UNION,
Address: PO BOX 7487 ...",,;
EUGENE OR 97401
. ~l
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
I CONTRACTOR INFORMATION I
Contractor License
BERRY ARCHITECTS
MCKENZIE COMMERCIAL CONTRACTOR 45539
SCOFIELD ELECTRIC "38702
RICHARD JASON DAVID 185249
BUILDING INFORMATION I
Expiration Date
07/21/2011
12/21/2011
01/23/2011
Phone
541-338-7696
541-343-7143
541-686-8612
541-285-6345
# of Ullits:
Primary Occupancy Group:
Secondary Occupallcy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Struct~re
Type of Heat:
Water Type:
Rallge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
Yes
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
..'.1"";"
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Speciallllstruction:
Sidewalk Type:
Downspouts/Drains:
"
. ,I....,
Notes:
Pa!?e I 00
w' '''''-''',
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amonnt Paid
, ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00243
ISSUED: 02/24/2010 .
APPLIED: 02/24/2010
EXPIRES: 10/07/2010
VALUE: $ 250,000.00
"
I Vahlation DescriDtion ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
250,000.00
02/24/2010
Value
Date Calculated
Total Value of Project
$250,000.00
$250,000.00
~
Amount Paid
Date Paid
2/24/10
2/24/10
2/24/10
3/31/10
3/31/10
3/31/10
3/31/10
4/7/10
4/7/10
4/7/10
2201000000000000165
2201000000000000165
220]000000000000165
3201000000000000109
320]000000000000109
3201000000000000109
3201000000000000109
]20]000000000000308
]20]000000000000308
1201000000000000308
Receipt Numher
$158.3]
$65.96
$1,319.25
$14.52
$6.05
$55.00
$66.00
$6.96
$2.90,,;.: ii,,, ,,;,.,
$58.00,);
$1,752.95 i
I Plan Reviews ~
. P.s yOU to
re on laW reQ1JIr J Oil Utility
" p.iTENTION: 00 ~ed by tne Ore~e set lartn
1 H['A,rn\eSad P -:-\_~'''''Clnl\eSa 'Z.3~"
,V'.',._ .." . Geolt:l. ,- " hOA.h.t1,)
To Request an inspection call the 24 hour recording,atoJg~'i\t~?Do4\l:ICi1fs\feet(O~~IrtffiUel@ltlbefore 7:00
a.m. will be made the same working day, inspections j1e~'t69#'ftf.,t!\m~J~ro:tW<ilI~~e the following
work day. . 00 caliing the cen~~'egon Utility NotlllcatlOn . .
, ~er lor the, 1_800-332-2344).
l..Peollire1Jnsne~~i ~ Fenter \5 .
Footing: After trenches are excavated. ,
Foundation: ~ffi;P&~s are.i'r~cted eutJl1t.i()I\\loT<lolicWQJ1,1h,cement. '
THIS pFRMI1 ~MI-\LL ''',' ~ MI"J BS NoT
Framing Inspection'Ol''''liOr.{OIcR1'elliln1Hlfiell\i,\1'1'l!tg .iP inspections have heen approved.
AU I H K LCU'u ~ OONEO r K .
Drywall: PrioCiJ"tmlLI\gCEO OR IS ABAN, . ,
Final Building;\~(te',{'.rh 1;)~~Prfctql~s~ectiOl;s'have'been requested and approved and the huilding is complete.
Rough Electric: Prior to Cover
Final Electric: Wheo all electrical work is cli'mplete.
Low Voltage: Prior to cover.
Paee 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00243
ISSUED: 02/24/2010
APPLIED: 02/24/2010
EXPIRES: 10/07/2010
V ALUE:$ 250,000.00
j',
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture 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.
1 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
Pa2e 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000308
'.---,' li
12:23:23PM
Date: 04/07/2010
Job/Journal Number
COM20 1 0-00243
COM20 1 0-00243
COM20 I 0-00243
Payments:
Type of Payment
CreditCard
cRcceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Description ,._ ,'-
Low Voltage - Commercial Indus;
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
RICHARD J DAVID
Amount Paid
njm
$67.86
$67.86
064657 In Person
Payment Total:
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Page 1 of 1
4/7/2010