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Home My WebLink AboutPermit Electrical 2010-4-8 . - Electrical Permit A 225 Fifth Street+Springfield, OR 97477+PH(54I)726-3753+ FAX(541)726-3689 ~ DEPARTMENT USE ONLY CoW' ZOO" - 00(1..{0 Pennit no.: Date: I.{ - 8" - ( 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. E-mail: Temporary services or feeders: installation, alteration, re/oCalion Th" II' . b' d 'd' I < 200amp$alIOless(2) . 6300 $ IS IOsta atlOn IS emg ma eOn resl entia or larm property :nitfeS J) . owned b~ me or a member of my immediate.fJ!lf\\I~~n laW re q :.:mbh>l!J\lIll.1/ips (2) $ 87.00 $ property IS not Intended for sale, ew'llW'\lIlia!ie';o ~\',%@j)ft\1e Ol! 479.540(1) and 479.560(1). f \loW rules a op T\1oSe I Ie MiltS"," s (2) $126.00 $ Signature' N~ti\ication ~~~~~~1 0 t\110U~ \1 r 1,000 volts, see services or feeders sccllon above CONTRACTOR~N~ -.. ^htain COp' ~~ . flits: new, ai/era/lOn, ex/enSlOn per panel , Business name: m 1lr. ~L,.-L . \~ m ~~ circuits with purchase of a setvice or feeder fee: Address:.:21~ lI-/ltiA 161 ~tb}!~O-3: 2-~3'1!llh branch circuit $ 6.00 $ City:!: "_fl' I State:O!.. 'zIPy1i(Od..AJ~ 7 b. Feefor branch circuits without purchase ofa service or feeder fee: Phoned!f-'!loJ 631(1 I FaxiJll-'Ild '-I (j(PJ-. E_mail{..A".AJIl..II."D..I.j::;).....I.JP../ CCB license no.:rt 4 k:34 I BCD license no.;;((}-.~/7C./ Signing supervisor's license no.: A/1'f c:<. S Print name of signing supervisor: -'VY1/J ,,,I', 11. 1/, & y().. \I Signature of signing supe'l"isor'A . ", . C:..j- ./....-;;1' / v ('VI b ') 'f. " , f APPLICANT USE V (A) Enter"subtotal ofabo~~s (Mini~~ ,P{$58.0Q)> t.\01'Ct~ "'''-\.\. t~?\~'iEArer " (.12 x [A]) 1r\\S ?t~w.tt ~NDt~ "{ ~ (5% of [A]) f>..1.l1\'10RIIEO OR IS ,,~~ rees and surcharges (A through C): COMMHI~\~ Pt~IOD. f>..\'l'i '\ \lQ LOCAL.GOVERNMENT APPROVAL Zoning approval verified? DYes D No , CATEGORY OF CONSTRUCTION' o Residential I 0 Government IBCOmmerciaI JOB SITE INFORMATION AND LOCATION Job site address: IlL k S--t City: S)>rD I State:OQ... ZIP: 971.{77 Reference: (70:?3. 5 ::s 2 I Taxlot.: D II 0 ( , DESCRIPTION OF WORK 1\J ""J 7t1;o I Ll "'-c..'^-\ + ( PROPERTY OWNER , Name: vu';+ T...-L ~~ I.&Jr (....... ......1.---.4...\ II Address: \ I L A- ~ I- City: SVyO I Siale: o<L- ZIP:"l7'{77 Phone: - - I Fax: - - ~ ~~ . ,10 ~" ~~\J IX.. ~ ~V ~":J'\:., ~ 440-2584-J (9108/COM) FEE SCHEDULE Number of inspections per item () Qty, Cost Total ea. cost Residential, per unit, sen'ice included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 S dwelling setvice or feeder (2) SCn'iccs or fecders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95,00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $105,00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63,00 $ First branch circuit (2) I $ 55.00 $ 6.00 $ c;-< $ Each additional branch circuit M isccllaneous fees: service or feeder not included Each pump or inigation circle (2) $ 63,00 $ $ Each sign or outline lighting (2) $ 63.00 Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ Eaeh additional inspection: (I) $58.00 $ $58/ $ b I $ Z 7- ::/ , $L7Bb CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00140 ISSUED: 02/24/2009 APPLIED: 0113012009 EXPIRES: 10/06/2010 VALUE: $ 35,000.00 Status Iss u ed SITE ADDRESS: 112 A ST ASSESSOR'S PARCEL NO.: 1703353201101 Springtield TYPE OF WORK: Omce Commercial TYPE OF USE: Remodel PROJECT DESCRIPTION: Remodel Fnneral Home)/31/10 - Essex doing bath remodel only/llh Owner: MAJOR F AMIL Y FUNERAL HOME" Address: 112 A STREET SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plnmbing Contractor License FOREST BETTS 157386 CROW VALLEY ELECTRIC " ; 149834 RS PLUMBING CONTRACTOR INC 103816 ATTEit.II}~;/Ii"'n!#a~iWuto follow rules adopted"Dy the oregon'tJtillty Notification t!;elitilllril9ose rules are set foI1hl Aih OAR 952-fl(tlgeilt.O!llIto~cOAR 952.001- 6090. You rffiWlebtain,roples of the rules by VB calling th~\er.y~te: the telephone number foRt:llit;~1W[1 Utility Notification Ceoogergy 1r\lOO-332-2344). Sprinkled,Building:No '.l,\;. '1' l.- # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: I PUBLIC IMPROVEMENTS I Phone Number: 541-746-9667 Expiration Date 10/22/20 II 12/13/2011 01/04/2012 Phone 503-717-1512 crowvalleyelectr 541-461-4714 Lot Size: 17,421 Sq Ft 1st Floor: 736 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 282 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: , . ,-',,~. ,,:. ,_"".:~:,::~.;,,\>}',.;'i'~'::~~~~:"Dow":.~outs/Drains: '. I,' ,.' , ,,'.., l\-\E '/1I0?\\ NO,.,ct. It $~~t\. tl{?I?E '~~It \5 t40i :, 1\-115 ?ER~ED UNtlER 1\'\15 POE NEtl fOR \ " !>.UlrlO?\L. \S ~AtlO " ' OMME~CEtl OR tl ," ' ~N,{ 180 DAY PERla . Notes: ':':>})l:' ',I, \,t',., /., .. .:' Page I of 4 ;j .j!;.(i! CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00140 ISSUED: 02/24/2009 APPLIED: 01/30/2009 EXPIRES: 10/06/2010 VALUE: $ 35,000.00 '.i>I"_lJ 'n Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Descriotion $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amonot 35,000.00 Tvoe of Constrnction Estimate Estimate , Total ,Value of Project ,-'J, .. . ~ "~ - ~ Value Date Calculated $35,000.00 $35,000.00 01/30/2009 Fee Descriotion Amount Paid Date Paid Receipt Number + 12% State Surcharge $104.99 2/24/09 1200900000000000126 + 5% Technology Fee $49.70 2/24/09 1200900000000000126 1st Appliance $79.00 2/24/09 1200900000000000126 Bnilding Permit $355.45 2/24/09 1200900000000000126 Fixture $76.00 2/24/09 1200900000000000126 Penalty Fee - BWOP Building $355.45 ' 2/24/09 1200900000000000126 Plan Review Minor - Planning $119.00 2/24/09 1200900000000000126 Vent Fan $9.00 2/24/09 1200900000000000126 + 12% State Surcbarge $6}6 4/8/10 1201000000000000314 + 5% Technology Fee $2.90 '" 4/8/10 1201000000000000314 Add, Alter, Extend Circ $55.00 4/8/10 1201000000000000314 Minimum/Adjustment Electrical $3.00 4/8/10 1201000000000000314 Total Amount Paid $1,216.45 Plan Reviews ~ Public Works Review 01/30/2009 -,d ,':.r'":J APP CTM ,0 ".~~ ...... t'- ...,......."", '-"',. ,- Initial Review 01/28/2009 o l'/3i)!200'9~ , APP LLH Plan nine: Review 01/30/2009 02/02/2009 APP EMM Structural Review 01/30/2009 02/04/2009 APP CJC Pa~e 2 of 4 i: ~ ., '0'" A site visit on 2/3/09 shows the exterior end walls of the carport at north and south ends already constructed. East wall was constructed through previous permit. Addition to building area of approx 700 square feet. Any further additions to building or parking areas will require Planning Review. Current MUC zoning. See notes on plan regarding parking calcnlation. As noted in conditions of approval letter Ltc _,;. . '~/ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00140 ISSUED: 02/24/2009 APPLIED: 01/30/2009 EXPIRES: 10/06/2010 VALUE: $ 35,000.00 Status Issued ,.,J,," 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line (fll';); '._ '-, Fire Department Review 01130/2009 02/20/2009 APP GRG Plans Review: interior remodel-create new "slumber" room for funeral display (Phase I) and upgrade of bathrooms to ADA standard (Phase II). Job #COM2009-00140. Occupancy Classifications: A-3, Band M. Construction Type: V-B. 736 sq. ft. to be remodeled out of a total building area of 6722 sq. ft. ,,' ., ...,-'.. Provide fire extinguishers with a minimum rating of 2-A: 10-B:C . every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above tinished noor (2007 Springtield Fire Code 906). SUB Review 01130/2009 I'.'W'.; . ~ 02/23/2009 . APP JF Energy forms sent to sub with plans/lIh Passed 2/6/09 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. ~e(]nireCUnsnections ~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Special Inspection: High Strength Bolting Inspection: To be done during construction by a State Certitied Special Inspector with approval from the City of Springtield. Copies of inspection results shall be provided to the City of Springtie/d. Rough Plumbing: Prior to cover and includinj(required testing. !,q. . Final Plumbing: When all plumbing work is'complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Pa2e.3 of 4 " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00140 ISSUED: 02/24/2009 APPLIED: 01/30/2009 EXPIRES: 10/06/2010 VALUE: $ 35,000.00 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 I have carefully.examined the completed application and do hereby certify that all information hereon is true and correct, and I furthe~certify tliat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the L~";s 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 remaiu on the site at all times during construction. Owner or Contractors Signature Date .."" '~." .f..' \",_, , , ,i> ',': ..,~,,;..i !.-. Paee 4 of 4 225 Fifth ,street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000314 Date: 04/08/2010 l2:00:3IPM Job/Journal Number COM2009-00 140 COM2009-00 140 COM2009-00 140 COM2009-00 140 Payments: Type of Payment Check cReceintl Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Paid By MAG ELECTRIC INC Amount Due 55.00 3.00 6.96 2.90 $67.86 Item Total: Check Number Authorization Received By Batch Number Number How Received DJB ...,' '. " ~: -.V. Page 1 of 1 Amount Paid 1519 $67.86 $67.86 In Person Payment Total: 4/8/2010