HomeMy WebLinkAboutPermit Electrical 2010-6-15
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Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
SPRINGFIELD
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DEP,ARTMENT USE ONLY
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Penmt no.:
Date: (" . / ::; - / Cl
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.
.'120C::AVGOVERNMENTAppFWVALJ..: ,. ','
Zoning approval verified? DYes DNa
. ',":CATEGORY<:OF"CONSTR.UCTIONi\ i.
D Residential D Government ommercial
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Job site address: 10 ( 0+1.... S
City: ~,lv.lG-(:::(c'l-d State: oL ZIP: 97l(7 7
Reference: /70 2 3/ O'D Taxlot.: os / D
.. DESCRIPTION QF WORK",.. ..'
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PROPERTY QWNER
Name: Goc:::. Lv\(l c-~r ~""/~
Address: (5SS >~nA
City: N. (- t=-t<fC
Phone:
E-mail:
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~ ' '\.~ THIS PERMIT SHAll EXPIRE IF THE WORK
A .\!>'-' AUTHORIZED UNDER THIS PERMIT IS NOT
'0 COMMENCED OR IS ABANDONED FOR A:'
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ANY 180 DAY PERIOD.""""" -
440-2584-J (9/08/COM)
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. '-. . ....,- . Cost Total
. ,'. - ',', Qty.
,Num~,e~' ?f}~_~pe~~i~:?~~~r ,~t~!~.'~.) . ;'eso'- . cost.
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134,00 $
Each additional 500 sq. ft. or portion ,
thereof $ 25.00 $
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, 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 $
NArnnn"ct ooly (2) $ 63.00 $
e;r~Il'If~{ . eeders: installation, alteration, relocation
r 6 -~forth $ 63.00 $
, W~W 1. $ 87.00 $
[I\I@!Q~ lIue I9fd~ne -, $126.00 $
~~"~ll,tiOlllvolts, see services or feeders section above
Branch circ~1.ts: 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) I $ 55.00 $ ss-
Each additional branch circuit '3 $ 6.00 $ /3
Miscellaneous fees: service or feeder ':lot 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 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
~~1';il~i~"11~~';~J~;~~;AeeLiitANTKiJSE:'i:;.!::: '.~:{::j;;i~;:;;;~;~Y( ,\
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $ 7J
.(B) Enter 12% surcharge (.12 x [A]) $ I::> 7b
~
; :(C) Technology Fee (5% of [A]) $ J'~
TOTAL fees and surcharges (A through C): $Bs'!J--.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM20I0-00643
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/1912010
12/16/2010
$ 15,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 10] 30TH ST
ASSESSOR'S PARCEL NO.: ]7023]0005]00
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Interior remodel
Owner: GOODWILL IND OF LANE COUNTY
Address: 855 SENECA RD
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Low Voltage Electrical
Contractor License
VIK CONSTRUCTION " 57]
JB ELECTRIC ,-"'~ ~"".,,",' . 104929
ARONSON SECURITY GROUP INC ]85024
BUILDING INFORMATION I
Expiration Date
]0122/2011
03/]4120]2
02/05/2011
Phone
54]-484-] ]88
54]-687-5770
206-284-3553
# of Units: # of Stories:
Primary Occnpancy Group: B Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ~~:;':-&'oath:
\lit~\)\\\'t ~uilding: nla
OW. Ot~~d \:l'l @, iNFORMATION
~-rt;,~\ell e.:~~t. i\\~~O\l~\\ 0 \ne tUleS
Frontyard Setback\O\\~\\oe.\iOI\ ~\_OO\O~ 009ies ol\~~Iy~li
Side] Setback: ~O\i ~ 9'O?o e.'/ O'o\~1\ l'\o\e'. ~~~~ ~~t\P~~~es Rqd:
Side 2 Setback: \(10 'IOU tt\ oet'\et. ~ 01\ U\\\I 3l\l!/I.Drive Rqd:
Rearyard Setback: ~\\I\g \~~l \\\e Ote~oO_33'2'- 0 of Lot Coverage:
Solar Setbacks: I\Ul\\'o8l eel\\et \e \
. ,.' I PUB~~::.I~PR~VEMENTS I
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~, CI..C:
t,<,
Sidewalk Type:
Notes:
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DownspoutslDrai~
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Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction'
Estimate
Estimate
Fee Description
Plan Review CommlInd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
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.'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00643
ISSUED:
APPLIED:
EXPIRES:
VALUE:
,f.jC>~ .1}?{>..)\:.l
.;'~:;~? l},;'q/ ;:;.,~~t;
~ '. . ,"\
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I Valuation Descriotion ~
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,000.00 '
Total Value of Project
,~'
. - . ' . .
,.. ',:
Amount Paid
Date Paid
$120.09
$6.96
$2.90
$58.00
$8.76
$3.65'':,~r-1 -j,,:-;,' .~.
, " ~. ", ..> " .
$55.00BJi'" '?'''' 1i, " .
$18.00
5/19/10
6/10110
6/10/10 .
6110/10
6115/10
6(15/10
6/15/10
6/15/10
_i,'iM ",
$273.36 .
I Plan Reviews l
SUB Review OS/2012010
Initial Review 05120/2010 OS/20/20 I 0 APP DJB
Planning Review OS/20/2010 OS/24120] 0 APP EMM
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Fire Department Review OS/20/2010 . 95/i812010' :: . APP GRG
Public Works Review
Structural Review
_ ,T,~'~1 :n," :i"€~.\ ~
In.~u.i~~ ,.;;li;.!$ ~;'<,,'l' _,
: ~r'
!~'<', "
06108/2010
06/08/2010
APP LKW
OS/20/2010
06/08/2010
APP CJC
Paee 2 of 3
05/19/2010
12/16/2010
$ 15,000.00
Value
Date Calculated
$15,000.00
$15,000.00
05/1912010
Receipt Number
1201000000000000499
2201000000000000677
2201000000000000677
2201000000000000677
120]000000000000698
]201000000000000698
1201000000000000698
1201000000000000698
SUB - david harris
Plans Review: remodel of 4 office
spaces. Joh #COM2010-00643.
Occupancy Classification: B.
Construction Type: V-B
Sprinklered. Plans reviewed under
the 2007 Springfield Fire Code and
2007 Oregon Structural Specialty
Code.
Plans show the relocation of up to 4
sprinkler heads. Call Deputy Fire
Marshal Gilhert Gordon
(541-726-2293) for piping inspection
prior to cover.
NO SDC's no new surfaces and no
new fixtures
As noted on plans
.CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
::,!;),
PERMIT NO: COM2010-00643
ISSUED:
APPLIED:
EXPIRES:
VALUE: .
05/19/2010
12/16/2010
$ 15,000.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, injp'~cti~Iij'requested after 7:00 a.m. will be made the following
workday. ....: .....".. '" ..
I Retiiiired Insoections ~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Grid: After drywall approval but prior to cover.
Rou'gh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have .been ~equest~d and approved and the building is complete.
Low Voltage: Prior to cover.
j:.."
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 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 ofth'~ property, and the approved set of plans will remain on the site at all
times during construction. ;':~.:~.:;:""'~~),+\~,;,~": ~ "..
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Owner or Contractors Signature
Date
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Pa2e 3 01'3
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225 Fifth St~eet
Springfield, Oregon 97477
541-726-3759 Phone
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1tIt.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000698
Date: 06/15/2010
11:10:24AM
Job/Journal Number
COM2010-00643
COM20 I 0-00643
COM20 I 0-00643
COM20 I 0-00643
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add ,"..
+ 12% State Surcharge
+ 5% Technology Fee
,.
Amount Due
55.00
18.00
8.76
3.65
$85.41
Payments:
Type of Payment
CreditCard
Paid By
JB ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
055678 In Person
Payment Total:
$85.41
$85.41
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