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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: ~i;,;":;,':.';;,\Ni;;:'{A"~~7';~i[;;;1J::~:f~ F-EE:~SCAE[jJiiJjE~:'iji}~~tif~:~](f:fF~tf~~1~~~;*~!r~f ,. . ' ',- 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 $ :.[(fff~)~~~3f~~1~-g~1Sl.~'ARei2icA-Nt~(J~fE'!;:i~,.:;:i;::~:.~:.~t:':,;?~:,:XS.,;'~:~;~ (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). ~ .' ~~ \t>o' ~ 440-2584-J (9/08/COM) ~ .9)\!,,\- - 'bAA.. .\'2" ('\, ~ ~ " .\;. '~.. ',' 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, " '~,:t,~:;i,~~~~/:\}g;~'~~;,:,:"" . " " , \~.:' \~. '" t " Page I of 4 ~iii". ',),Iulll ' ;-._ r- 00".. .'''' ,. ",". ~ ,~. "",...,:r -C" 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 ! , ,j',. -~ # SI ,'i,'! ';'1,::.'" C... ~;~::lii... ';l}~T~r';: , 'i'i" '~/'I- n : .il}i",! 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 .~ .f,' .:.~i .~U ,', (" " :;~~i~: ;~i):, F,,'. r"J' . I I.,',"""'" ';':..1";' ',I., 15' (... '" Paee 2 of 4 ..'~ ~ :~ oj':' 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 ""'1, (",1.' ;.~ ';' ,!.-.~~, ";;,,... I':, 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 ~;... -~!~i ,.:, ~'\ :,".' I.:." .! ;'.1: ."'. 'l.',' ........ .:1: "',.1," !;r.' l,f,. ::f~; lJ , '7'~: ~ ,: ,.,: ';..~ ( "'t:' 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 ." . .,',.n 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. . ",(fI,,, d,jn':<l" ", ,. ~;& (~''..''WI.... ~'h . dill 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. tl.-~ '.;.;~;-.;_.__ . : Rough Mechanical: Prior to Cover ':l$.U~,~ '~~t :};~(..- 't..J. .' Final Mechanical: When all mechanical wor-k.is.complete. ,;:.1 : 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. .~..: , "., .h...... ! ,'"Ii: {l: Owner or Contractors Signature Date 4~~~~ J '.; ~. ,:~~i~ .~~~~t l;~.:~ 'l !li~k.b~ i. ~...p~~!l ,., ........:, !". ,r Pa2e 4 01'4 i'1I 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone a~Q~;~; ldii:, _ - _~""M-~""'."""~" 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 ',r ~',..~~ ',' .;1 ,,:.! l,.L'-. Paid By 18 ELECTRIC , x:' Received By djb : ,q .JI. .. ~.I~~~ r, +'~i~,,'i:'\.! " , , . ;~ . . , ,:'1< ,..;;.=.:::::.;' .-. " . '., . ~ '{I~:~:~t~ .' ..:...'~:L-,., , ,. Page 1 of 1 .-: ~'l:. I' Check Number Batch Number "'1 , t ,;. I 'J,'-'r: .:(;) " ";'''' . f{!. - .:,.,.... : ' ,7 -:-~r ~J ., ..;' J' }\f?' . r' " .! .-.~;;!. . 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