HomeMy WebLinkAboutPermit Electrical 2010-7-13
Electrical Permit Application
:CITY OF SPRINGFIELD~ QllE(;ON ~ '
225 Fifth Street. Springfield, OR 97477tPH(S4t)726-375HFAX(541)726-3689
DEPARTMENT USE ONLY.
Co~ C:Or C - 007SZ
Permit no.:
Date: 7-/3-/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. .
,
. . ";LOCAL-:GOVERNMENTA~PROVAt':,.:..,
Zoning approval verified? DYes D No
:." 'i' ,,".CATEGORy:(jr=,CONSTRUCTION')' ;,
o Residential 0 Government .12tCommercial
~~f'~,0l3iSITE:INFORMATION'/'AN[j1i}80,C'A",IONTi;i),~t;
Job site address: S <j5"{ D A' '" ~ '(
City: ":::> t',:: \\ uIL. ZIP: '7 7l( 7 g
Reference: /702. 314 \ Taxlot.:oz-300
DESCRIPTION:OF-wdRK.'~;' ", ,'.'-"::, ,..
.wi f S c.. D<=",^O ;Z,=,-v"L~ ~
Name:
Address:
Ct2-T'
ZIP: '77<{O 8
Phone:
E-mail:
This installation is being made on residential or farm 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:
. CONTRACTOR INSTALLATION
Business name: "8 ~
Signing supervisor's license no.:
Print name of signing supervis :.
Signature of signing supervisor:
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,. . ' ',- Cost Total
Num~er' Qf,ir1.spectio'ns,per i.tem-O Qty. "
_ ." ' - '-, . ~ ,.,-,', ."j" '. . '" " - - ' , ea.', 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) $ 32,00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
Services or feeders: installation. alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) . $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over J ,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 $
20 I to 400 amps (2) , tA"-' . .$rll7l.6.0
'. $
40 I to 600 amps (2) ,~'o~ W i\-\:1,6fA~ $
<i1~~1~~U: s ~e~tion above
B~~~,sh ~il . <\l. ~it~'~~\J\f~r panel '
a. p.ee ~r~6r ~~rchase of a s~rvice or feeder f~e:
B~~~~~;q~ <%~t t' I $ 6.00 $
b. F~'tor branch circuits without purchase ofa service or feeder fee:
First branch circuit (2) I $ 55.00 $ S$'
Each additional branch circuit 2- $ 6.00 $1 Z
Miscellaneous fees: service or feeder f}ot 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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(A) Enter subtotal of above fees (,,1
(Minimum Permit Fee $58,00) $
(B) Enter 12% surcharge (.12 x [A]) $ 'j5'()L{
(C) Technology Fee (5% of [A]) $ 3)5"'
TOTAL rees and surcharges (A through C): $ 781'
~
ATTENTION: Oreg law requires you to
follow rulss adopted by the Oregon Utility
Notification Centsf, Those rules are set forth
In OAR 952-o01-0010through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephcne
number fOf the Oregon Utility Notification
Center is 1-80~-332-2344). ~
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440-2584-J (9/08/COM) ~ .9)\!,,\- - 'bAA.. .\'2" ('\, ~ ~
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00752
ISSUED: 07/08/2010
APPLIED: 06/10/2010
EXPIRES: 01/13/2011
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5810 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334102300 :" :
, .
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Infill: 1291 s,f. Goodwill
Owner: AMIGOS III LLC
Address: 32929 ROBERTS CRT
COBURG OR 97408
I CON'FRAeT0R-INFORMATlON ,
Contractor.
JB ELECTRIC
G & C VENTURES LLC
METRO WESTERN SIGN & AWNING
GOODWILL INDUSTRIES
. ATTENTION' 0 I BUILDING INFORMATION ~
'O//ow r / ' regon I
# of Units: Notificatr es adoPted b aw reCfl.\i:f~~I"'"
Primary Occupanc1~95on Centeli',l Tho;ethe CHe!g!l,\ 'lJM9f~H!u~e.
Secondary occupa~rw?-OOI-001lo throu'U1e:rjlPJ> 9tI'18r(~';" '
Primary ConstructioQaJ)y~ th:ay O/}(~n COPi~h ~a1tf:j'[~'.J~ei: '
Secondary Construllilll).:r:vne: center, (Note' tSh ORang~Jf,Xp'e:
vtJf'lor the 0 'e' ,. '0 lTV
# of Bedrooms: Cent ' regon Utin E\i~tgyJ,'1i!th:
er IS 1'800-33/k;~ffinkle9.-,BUilding: No
I DEVELOPMENT INFORMATION ~
Contractor Type
Electrical
Plumhing
Sign
Use Initials
-~,_.. . ... ~
License
104929
157056
160384
Expiration Date
03/14/2012
11103/2011
09/22/20 I 0
Phone
541-687-5770
54] -544-5258
541-746-3312
Lot Size:
Sq Ft I st Floor: 1,291
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 7
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
_fS!re~t.:ire~~R.qd: ,
h'Paved'D'rive:Rqd:" .
~~tr''!!'''~.,"'1,rl''i' .,
_ ,"Io,.ofLot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDl'ains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
" ,AUTHORIZED UNDER THIS PERMIT IS NOT "
. , ,.:, ;,', ~OMMENCED OR IS ABANDONED FOR
'-, ; ",W 180 DAY PERIOD,
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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
Tvpe of Construction
Fee Description
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
+ 12% State Surcharge
+ 5% Technology Fee
Buildiug Permit
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Planning Review
06/1012010
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I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
"
Total Value of Project
"~
Amount Paid
$120,09
$7.56
$3.15
$63.00,'+: "
$29.l3E'~~ ::~-\ !.:.~'..~
'"1'111'> l'h,'[l\',
$12.14''''''' ... c,' ,
$184.75 ';".. '..': ~,
$38.00
$20.00
$8.04
$3.35
$55.00
$12.00
$556.21
Date Paid
6110/10
6/16/10
6/16/10
6/16/10
" ,'7/8/10
J'l'
7/8/10
7/8/10
7/8/10
7/8/10
7/14/10
7/14/10
7/14/10
7/14/1 0
I Pl,a,n Revj~~s, ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00752
ISSUED: 07/08/2010
APPLIED: 06/10/2010
EXPIRES: 01/1312011
VALUE: $ 15,000.00
Value
Date Calculated
Receipt Number
2201000000000000670
2201000000000000705
2201000000000000705
2201000000000000705
1201000000000000804
1201000000000000804
1201000000000000804
1201000000000000804
1201000000000000804
2201000000000000827
2201000000000000827
2201000000000000827
2201000000000000827
...~........."., .' ...
, mi/l5/2010'" APP EMM
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approved by Minor Site Plan
Modification DRC2007-00015
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
06/10/2010
Structural Review
06/10/2010
Puhlic Works Review.
06/10/2010
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00752
ISSUED: 07/08/2010
APPLIED: 06/10/2010
EXPIRES: 01/13/2011
VALUE: $ 15,000.00
06iI6/2010". . APP GRG
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06/21/20 I 0
Plans Review: tenant in fill in former
Quiznos space for SI. Vincent
DePaul. Joh #COM201 0-00752.
Occupancy Classification: B.
Construction Type: V-B. 1,291 sq. ft.
Occupant Load: 12. Plans reviewed
under the 2007 Springfield Fire
Code and 2007 Oregon Structural
Specialty Code.
'"
Maintain address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2007
Oregon Structural Specialty Code
501.2 and 2007 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2007 Springfield Fire Code
906).
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED WHILE
OCCUPIED" if key locking
hardware is employed (2007 OSSC
1008.1.8.3, exception 2.2).
APP CJC
Waiting for pubwks approval
l..Pe~~:I'i'~~~~snections ~
"
Sign Electrical: After connection is made but prior to energizing
07/0212010 APP EW
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Pa!!e 3 of 4
No New SDC's
Change of use to lower impact
Credit remaining on property from
COM2008-00289
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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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I;;'.,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00752
ISSUED: 07/08/2010
APPLIED: 06/10/2010
EXPIRES: 01113/2011
VALUE: $ 15,000.00
Framing Inspection: Prior to cover and af~er,all rough in inspections have been approved.
Rougb Plumbing: Prior to cover and including required testiug.
Final Plumbing: Wben all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have .been request~d and approved and the building is complete.
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Rough Mechanical: Prior to Cover ':l$.U~,~ '~~t :};~(..- 't..J.
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Final Mechanical: When all mechanical wor-k.is.complete.
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By signature, 1 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 per-taining to the work described herein, and
that NO OCCUPANCY will be made of any structure 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.
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.
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Owner or Contractors Signature Date
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225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000827
Date: 07/14/2010
8:44:21AM
Job/Journal Number
COM20 I 0-00752
COM20 I 0-00752
COM20 1 0-00752
COM20 I 0-00752
Payments:
Type of Payment
CreditCard
cReceinLl
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
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Paid By
18 ELECTRIC
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Received By
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Page 1 of 1
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I' Check Number
Batch Number
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Item Total:
Authorization
Number How Received
Amount Due
55.00
12.00
8.04
3,35
$78.39
Amount Paid
099890 In Person
Payment Total:
$78.39
$78.39
7/14/2010