HomeMy WebLinkAboutPermit Electrical 2010-7-6
Electrical Permit Application
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225 Fifth Streett Springfield, OR 97477. PH(541)726-375H FAX(541)726-3689
DEPARTMENT USE ONLY
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Penml no,:
Dale: 7- {-(O
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.
.' LOCAL: GOVERNMENT APPROVAG',_c"'';
Zoning approval verified? D Ves DNa
';CATEGORV)OFCONSTRUC"!'ION'.' .,.
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Name:
Address:
Ciiy:
Phone:
E-mail:. TrENTION: 0
This inslallalion is being made on residenlial or liil'e a
owned by me or a member of my immediale famil& a:/ n Ce
properly is not intended for sale, exchange, lease, ,@A4tOO -
479.540(1) and 479,560(1), . You may 0
, . calling the ce
SIgnature:
. . CONTRACTOR INSTAllATION
Business name: '{v\.Vf 110
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Signing supervisor's license no.:
Print name of signing supervisor:
Signatur~ of signing supervisor:
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NOTICE:
THIS PERMIT SHAll
AUTHORIZED UNDER
COMMENCED OR IS
ANY 180 DAY PERIOD
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440-2584-) (9/08/COM)
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. . .. , "., """. Qty. Cllst Total
Number' o~.inspeCtions per itein' (,). .j
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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) i $ 32,00 $ 3z.a
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 $
Reconnect only (2) $ 63,00 $
~mp.orary services or feeders: installation, alteration, relocation
o~~f Y?,U to $ 63,00 $
~ r.2iftll9SeJfIJle6'<OO Seif~;rh $ 87,00 $
J'6H91f.\M [21352-001- $126,00 $
~ 1O'{<Nit\!>:arn~ , , see services or feeders section above
~iticalIO'lftion, extension per panel
a. Fee or W 'rcuits with purchase of a service or feeder fee:
Each branch circuit $ 6,00 $
b. Fee for branch circuits without purchase of a 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 $
alteration, or extension (2)
Each additional inspection: (1) $58,00 $
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;,.j.~Q;l(,)2 x [AD $ b '6
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(C) Techno ogy (5% of [An $
TOTAL rees and surcharges (A lhrough C): $ 67~ -
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00531
ISSUED: OS/20/2010
APPLIED: 04/29/2010
EXPIRES: 01106/2011
VALUE: $ 45,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 2053 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002121
Springtield TYPE OF WORK: Interior
Commt'rcial
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TYPE OF USE: Alteration
PROJECT DESCRIPTION: Convert offices to retail - Constant Gardner
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Owner: HOMEBUILDERS OFFICE BUlLDiNG:INC'
Address: 2053 LAURA ST j .
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
G.eneral
Electrical
Plumbing
Contractor License
HONN DESIGN & CONSTRUCTION 39223
JB ELECTRIC 104929
ARPS PLUMBING CO INC 38123
. I BUILDINGINFORMATION~
011\0
# of Stor~u\IIlS "I \)\\\\\"1
M ~~1\'fIi~ll\l$e\ \0(\\\
_~. \O~'. Ole,~"\l'/,f~~~ ale 6'2..00\-
~~~\ ~e& e.do~~nq:lor-~ 911l\8S '0"1 :
\O\\O~ ~01\ cel\~i1Il~ 0\ \n~e~nol\e
~0\\\\ceYi.9~'2..{)0\ dit\~f.\ ~\1\ne ~o\\\\ca.\\Ol\
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{\Iltl\ en ,v I\lP .. T INFORMATION .
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
. # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~'
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
Expiration Date
10/2112011
03/14/2012
01/24/2012
Phone
541-485-5150
541-687-5770
541-484-7246
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type: .." .," ,.... ".'
...~. . ...' .', DownspouisiDci~'j~~~.""'~:10'?-.'f,.
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Notes:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
TVDe of CODstruction
Estimate
Estimate
Fee DescriDtion
Plan Review Comm/Ind/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Planning Final Occy Inspection
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
+ 12% State Surcharge
+ 5% Techuology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Initial Review
04/30/2010
Plannine Review
04/29/2010
Structural Review
04/29/2010
Fire Department Review
04/29/2010
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I Valuation Description I
.~ : ';
$ PerSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
45,000.00
Total Value of Project
~
Amount Paid";'"
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$278.62' l','
"'1"'<"<
$83.4'8":~'
$48.83 .,
$55.00
$60.00
$428.65
$152.00
$281.00
$6,698.5~
$1,837.89
$426.82 '
$6.96.:;,.
$2.90;
$58:00" ,
$10,418.73
, Date Paid
4/29/10
5/20/1 0
5/20/1 0
5/20/10
5/20/10
5/20/10
5/20/10
5/20/10
.5/20/10
. ~/20/10
5/20/10
7/6110
7/6/10
7/6/10
I Plan Reviews ~
04/30/2010
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05/04/2010
05/05/2010
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APP CJC
APP EMM
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Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00531
ISSUED: OS/20/2010
APPLIED: 04/29/2010
EXPIRES: 01/06/2011
VALUE: $ 45,000.00
Value
Date Calculated
$45,000.00
$45,000.00
04/29/2010
Receipt Number
2201000000000000434
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000504
1201000000000000797
1201000000000000797
1201000000000000797
MDS/LUCS enclosed done by Tara
Jones. Items listed as "conditions of
occupany" to be completed before
the Final Building Inspection.
Please call Tara .Jones for Final Site
Inspection at (541) 736-1003.
PLEASE GIVE 48 HOURS
NOTICE.
Need revisions~ see structural
corrections letter attached
GRG
See attached document for Fire
Department Plans Review
Comments.
",
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00531
, ISSUED: OS/20/2010
APPLIED: 04/29/2010
EXPIRES: 01/06/2011
VALUE: $ 45,000.00
Status
Issued
.(t"
Public Works Review
04/29/2010
05/10/2010
APP EW
SDC Worksheet Attached.
Total Credit available for future
development:
Sanitary Sewer - City ~ $2865.60
Sanitary Sewer - MWMC ~ $868.30
SUB Review
05/04/2010
05/10/2010
APP DH
Fire Department Review
05/19/2010
05/19/2010 '
APP GRG
See attached document fo,' Fire
Department Plans Review comment5
regarding the replys to the
architect's response letter to the
plans review comments dated 5/5/10.
As noted on plans and in Conditions
of Approval letter
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Structural Review
05/19/2010
05/19/20 I 0
APP CJC
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.
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lJeclIiireCU ns'nections ~
Framing Inspection: Prior to cover and afterall rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
Final Building: After all required inspections have been reque~ted and approved and the building is complete.
Rough Plumbing: Prior to cover and including required te~ting.
Final Plumbing: When all plumbing w~r~I~.complete. .
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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Paee 3 of 4
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00531
ISSUED: OS/20/2010
APPLIED: 04/29/2010
EXPIRES: 01/06/2011
VALUE: $ 45,000.00
Status
Issued
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 he done in accordance with
the Ordinances of the City of Springfield and the L~)1'~ of th~ State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any struct~rf,'yitl~'ourperm,ission of the Community Services Division, Building Safety.
I further certify that only contractors and employecs'who are,in compliance with ORS 701.005 will he used on this project.
I further agree to ensure that all required iuspections'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
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225,F.ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Date: 07/06/2010
I :23:02PM
1201000000000000797
Job/Journal Number
COM20 I 0-00531
COM20 I 0-00531
COM20 I 0-00531
Description
Low Voltage - Commercial Indus,
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
58.00
6.96
2.90
$67.86
,
Item Total:
Payments:
Type of Payment
CreditCard
cReceinll
Paid By
PHONES PLUS
COMMUNICA nON
Check Number Authorization
Received By Batch Number Number How Received
djb 260502 In Person
$67.86
Amount Paid
Payment Total:
$67.86
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7/6/2010
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