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Home My WebLink AboutPermit Electrical 2007-6-18 1 ZON C-:> Ict,' €A. , . INITIALS 1'\ J :.J\ DATE {." '"I ('I -t;1 SOURCE en ~ t 225 FIFTH STREET. SPRINGFlELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Li'l1/1z.oc.7- oa7bS- Date COJS'TRACTOR INSTALLATION ONLY 2. Electrical Contractor Eef 'c S Dr} PI f!.tJrfc) {} C . 200 Amps orless , 201 Amps to 400 Amps Address .-p: () . 'J36'i, .z. 7 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only _ . .~p~ \,1 1\.." ',:.C S!lpe~isor License Numb~:r:._,--3 q '2 7 S _ c,:,\?o~?J,3ct.y~e~f~~i;lfeerl,~rs. I -"'lV"" ",\~~ "'01'\ Expiration Date I D I / C I :~:~~~~'(~ietn~f~~~;~~~I\~lt~e~~~Jh~~~ :~~, '., iO,n , ,re,\tt. ,,'nLl." '-,\' ~\ ~'\:~:c~t\0f\2~U.'Amt\!lot-rlissL:~ ~ < t\'\3 (L"c;S, \..:, . Q -/)r'l9 ?J;"\ .''?'' : "r?_)./Ji"'v'"'l1 , - ~- ,0;:, 0\, ~".' Constr. Contr. Number -, b"'7LJ . pCJ".,', \ ~'.)'2ul ~s:16'400,~R~ t3\8IJDG:'" $ 69.00 ,.~. I' / Ic ...-.~~J. \c.,u:mf\"~P.s,t0600cXn:msl NO,t\\\Ct:.:i.\'" $100.00 , ,,,~ 0 9 ..., 0"0: \,' "\(~ "(r.c ct':~, r ,," -"\ \]':\'" ') \ Expiration Date tv f 1 c.,t(, 11\\ ':::I () ..,...t\O~}{fims," - 1-J110n~'t."~fS'" "B" b ., \ o!""iM~'lU'" ~ ~-E('''J:1Vl' tI,'\'OI see a ove. ;;un'))'. C:aiafiJfi b;~~its ' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 O~ER n:ST~L.ATION .... . ._ .._, ., _, ,.Lim~t~~vt,~kfm-~~i~(Il~~R~ $ 25.00 !he m.stallanon IS bemg made on property I OWlf\"Wl;1re~, \-\ \\11 \ , . SI\.ItlMte~l}~rWR~r~~~tl.: . $ 45.00 IS not mtended for sale, lease or rent. AU'~~-\ D~; \~~~~:~\~1-~flf-j~w~~~ection Fe~ IS $4,~'00 ~ Surcharges , Owners Signature: ;:; G \\!lll!\ t.l" \, '-~4. ,~~pBl'OTAL OF ABOVE ~ l A~.IV 'i 81, I)/l,'; \j~~\QMte Surcharge , 'lIb 10% Administrative Fee S-Zo 5% Technology Fee /?- bO TOTAL 63 ?b Shared Drive(T:)/Building FonnslElectrical Permit Application 8-06.doc 1. LOCATION OF INSTALLATION: 3. _SO 3 S ~~ .;/ L/O~ LEGAL DESCRIPTION: )7D55 ~uD 00]07 JOB DESCRIPTION: ,kM Lf C{ r (,&(l~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if wotk is Suspended for 180 days. CiV YY'-bixJ 0}Phone.9.9B set1-0 C}744-8 Signature of Supervising Electrician Address ?i-".)x~~.? So/d -S-~ rL.fI- ,/ Phone 7U"'"3 7.)] Owners Name (, ~.... f ,.f- City 2Z:r S?f=~ Inspection Request: 726-3769 . ..: <( ... -Kl \!J ' I ',J V' ". -.'. .- COMPLJ<-l.l!, FEE SCHEDULE BELOl1T' A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 New Alteration or Extension Per Panel ( One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 l(] cr ~ E. :Miscellaneous (Service/feeder not included) -Each Installation Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-00765 ISSUED: OS/29/2007 APPLIED: OS/29/2007 EXPIRES: 12/11/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 303 S 5TH ST STE 400 ASSESSOR'S PARCEL NO.: 1703350000307 Springfield TYPE OF WORK: Interior TYPE OF USE: Remodel PROJECT DESCRIPTION: Modify space for IncIusiLife Inc - food manufacturing Commercial Owner: CITY OF SPRINGFIELD Address: 225 N 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor KELLEY MCKINNEY BUILDERS LLC ERICSON ELECTRIC INC CHAPIN ENTERPRISES INC License 158836 95909 81994 Expiration Date 02/26/2008 01106/2009 05/06/2008 Phone 541-902-7914 541-998-5848 541-485-1146 _ . '-..r!' I BUILDINGcL~F.@:RM~TION I ..\. Ote\Ju\,' .- OregO\ \ V'" , lEN1\Or'". \ h~r ,\Ie t 'ort\l # of Units: {\1 \ s adopte# of'~tor~fl~s are se 01- Primary Occupancy Group: '0\\0\[1/ r~ e'center. R~iglir ~f Str[,tf~fu9.~:2.-0 b Secondary Occupancy Group: "\ot\'ica\lon OO~ _oo'\Cypergf~iI~ati \\le rules Y \'1 ^52.- \ ~or.l'e5 U e Primary Construction Type 'In O{\'''B ob\~(ater ITYRe:e +elep\lon I' '\.1 may \ 'c.' tD I , n Secondary Construction Type: 0090. ,OU ntc~an~g'~T-vp'e: "\otilicatIO \Ie ee" OJ" . ~\'\\'W \'1 # of Bedrooms: calling t \Ie dt{!~g~ Pa~~';n44). number 'or t .' Sp.rJi!~I@BiJifding: n/a \. ronte\ IS . Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carpor,t Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: IM01JC~ fUBLIC IMPROVEMENTS WO THIS PERMIT SHALL E I ~dewalk Type: ZED UNDER THIS PERMIT IS Nai' AUTHORI 0 Downspouts/Drains: COMMENCED OR IS ABANDONED FOo. ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00765 ISSUED: OS/29/2007 APPLIED: OS/2912007 EXPIRES: 12/11/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $10.00 5/29/07 1200700000000000640 + 10% Administrative Fee $9.00 5/29/07 1200700000000000640 + 5% Technology Fee $4.50 5/29/07 1200700000000000640 + 8% State Surcharge $7.20 5/29/07 1200700000000000640 Fixture $42.00 5/29/07 1200700000000000640 Minimum/Adjustment Mechanical $33.00 5/29/07 1200700000000000640 Minimum/Adjustment Plumbing $3.00 5/29/07 1200700000000000640 Vent Fan $12.00 5/29/07 1200700000000000640 + 10% Administrative Fee $5.20 6/18/07 2200700000000000981 + 5% Technology Fee $2.60 6/18/07 2200700000000000981 + 8% State Surcharge $4.16 6/18/07 2200700000000000981 Add, Alter, Extend Circ $43.00 6/18/07 2200700000000000981 Add, Alter, Extend Circ Ea Add $9.00 6/18/07 2200700000000000981 Total Amount Paid $184.66 I Plan Reviews I Plan nine Review OS/29/2007 OS/29/2007 APP TAJ Public Works Review OS/29/2007 OS/29/2007 APP JHJ No New SDC's. (JHJ) Structural Review OS/29/2007 OS/29/2007 DON JMP no building issues 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(]uirerUnsnections I Rough Plumbing: Prior to cover and including required testing. Grease Trap: Prior to Cover. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00765 ISSUED: OS/29/2007 APPLIED: OS/29/2007 EXPIRES: 12/11/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 further 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 a'ny 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 Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone r:ty of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2007-00765 COM2007-00765 COM2007-00765 COM2007-00765 COM2007-00765 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000981 Date: 06/18/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DEBE MCQUILLEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 018196 In Person Payment Total: Page 1 of 1 2:52:40PM Amount Due 43,00 9,00 2,60 4,16 5,20 $63.96 Amount Paid $63,96 $63.96 6/18/2007