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Home My WebLink AboutPermit Electrical 2010-7-22 Electrical Permit Application .t_" "l' , '.," .......... :,CITY OF SPRINGFIELD~jnREGbN;':" ~ '"" . 1'." ., ,.. "'.'''''' +~ ..,... ": "0; 1 . " . ' 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726-3689 . DEPARTMENT USE ONLY Permit no.: {;;(}- 9// Date: 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. .....LOCAVGOVERNMENTAp,PROVAl:Y>...... .,' Zoning approval verified? 0 Yes 0 No ';'CATEGORV?OF:CONSTRUCTION.i o Residential 0 Government 0 Commercial if14!14'*~;j'J.OBI$rrE::.INF:QRI\IIATION!?AN[j.;il):OCAiJ;ION~'i!{~~'I' Job site address: 7 City: Taxlo!.: DESCRIPTION OF WORK Name: Fax: 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: Business name: Signing supervisor's license no.: Print name of signing superviso : Signature of signing supervisor: ~. ~ ~.~ .\f\.. w ~'\,<u\\) ~'&~ ~ 440.2584.J (9/08/COM) v '.;'~...':;?~~r.3:!:;;,f,\;~fW;tj;;>:}~:~EE;~~SCH E_[jJl1jE;f::;W~~?:i&~\~jX;;:~~~€~\~j~Wfi'* .. Cost 'Total ,Num~er Qf,~nspeCti-onsper item' (.) .:,' Qty. .. _ d" "'C'," - .........;:.,>.':' 'i" '....'. _;" .,~~.~. . 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 $ 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 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circui,ts: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit r $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $ Each additional branch circuit I I $ 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 $ :~~,~S~;~~~~~5~\~~H;ff~81.ti:~'7~!t~AR~IlfCANTA:tDsJ=\;~~~{:;:!;;:,'~x;in;,';X,;:~~~'.;;t::}o:~' " (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 1'2./- (B) Enter 12% surcharge (.12 x [AD $ 1'1 2- (C) Technology Fee (5% of [AD $ ~~ TOTAL fees and surcharges (A through C): $ /4/ E.! k::- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00911 ISSUED: 07/20/2010 APPLIED: 07/08/2010 EXPIRES: 01/21/2011 VALUE: $ 20,000.00 I" . p" G@:A~et(fyio ' ,.;,' .. ;"'''''' i",., _~.,.. wi , h ! "r" " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line ~'" ."',',,.':d - , ,~tl'~;~~ .' ~ ,;\'. Springfield TYPE OF WORK: Tenant Intill SITE ADDRESS: 374 Q St ASSESSOR'S PARCEL NO,: 1703262405700 .. . "."TYP.E OF USE: Alteration PROJECT DESCRIPTION: Te",nt Improvements- Emergence Counseling~~;ter ,-, ' Owner: Address: WATSON-ALBERTS LLC~TT5NTlq~:,q;;tJgO~law fa " . 875 F AIRWAY VIEW DRIVE?'W ru.les .adopted 'bY theqUlrBS Yll.u.\t9 EUGENE OR 97401 Notll:catf9,n.yen,tei N;o9-e~ I~~~~~ ~lJjl!itly In OAR Qt:;') !"'ot"H ,..,...... ~ " -' ,\.1 ~~~ ,Wte~~ B9.@9. yn;,; m"''-A,di~':'_''1'I'::~~';~j~tl't':l.4\ff{(~ tgiW~~ '€ONTRACTORHNF0RM^"iJlI RllmB(~' ~''r (Ii'-",~'~ "'~'.U'''':XI'' L~'?pn(lrr@ Contractor e!'e@flIf/lif1~g()~ tJ1~~Y /'i6tL~lil! BINEHAM CONSTRUCTION aOg ~9g-2lJ44)'76336 JB ELECTRIC 104929 BROTHERS PLUMBING LLC ~., 190892 BUILDING tNFORMA T10N I Contractor Type General , Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: #of Stodes: . '\..:', .,'-' BHe;gh(o(Structitre 'Type ,,(Heat: ,,'."__'_ NOTICE:'"Wiiter Type: .' TH IS PERMI'M\lltLtwxPIRE IF THE WORK AUTHORIZEDEt!)~I\'~NlS PERMIT IS NOT COMMENCE[fuPPl*'!i.!}AllNJ@IlED FOR "/a f\l~ y I bl};~U)~~Ii:'#T INFORMA nON ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved 'Dri"e l'l.q'd: " " .. .. ~,.. . ., . '. '%i.nfLot Coverage: i..-':.;.,~"q..' t I' ;,}' I PUBLIC IMPROVEMENTS ~ Commercial Phone Number: 541-343-9714 , I I i Expiration Date 10/24/2011 03/14/2012 06/03/2010 Phone 541-484-9405 541-515-5973 (541) 937-2994 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compaci: Street Improvements: Storm Sewer Availahl,e: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: ., , N:~I-r :1 ,'i. ,'h~:I:~ '~'WC~'t ~;i";L"~,,[!. '~(~:: i...n!.;.' ,:~Yr' : , - Paee 1 on Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Mechanical CII Estimate Use Bid Amonnt Fee Description Plan Review CommllndlPublic + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Mechanical-Value + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Planninl! Review Public Works Review Fire Deoartment Review Structural Review SUB Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00911 rSSUED: 07/20/2010 APPLIED: 07/08/2010 EXPIRES: 01/21/2011 VALUE: $ 20,000.00 '\ :.., , ".," I Valuation Description ~ $ Per SqFt" Square Footage or multipiier';:' '"." or Bid Amount : '$f:oo "~'~"" ' 20,000.00 '.' ,':," ",.~, ,,$1:00 .. 6,000.00 ;:",; Total Value of Project ~ Amount Paid Date Paid Valne Date Calculated $151.78 $53.34 , $22,23 $233.50,," : $114:00-'." , $97.00 . $14.52 $6.05 $55.00 $66.00 7/8/10 ',:7120/10 7120/10 7120/10 7120/10 7120/10 7/22/10 7122/10 7/22/10 7/22/10 $20,000.00 $6,000.00 $26,000.00 07/0812010 07/20/2010 -' ~ $813.42 07/12/2010 1"pi~n';Re~iews :11 " , I .,..~ i;" . 1. ; ".. 07/103/2010 APP EMM Receipt Number 1201000000000000806 3201000000000000459 3201000000000000459 3201000000000000459 3201000000000000459 3201000000000000459 2201000000000000855 2201000000000000855 2201000000000000855 2201000000000000855 Tenant InliJI for Emergence counseling and addiction center. No new SDC's. Previously paid under COM2004-01509 Per GRG As noted on plans Per David Harris- inspections 206, 209 .. " To Request an inspection call the 24 hohi"fecording 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. 07/12/2010 07/16/2010 APP EW 07/12/2010 07/20/20 I 0 APP CJC 07/1212010 07/20/2010 APP CJC 07/12/2010 07/20/2010 APP CJC , , " .. l.JleouiredJ nsnections I Framing Inspection: Prior to cover and after fl,l ,rough in in~pections have been approved. ..",,~,... .."T.........,...<"... ~ ',. . ....4..W. ,.~'..,:;.'-:.:;:.t".~_ '. .. . '~1Ht lRt \'Page'2 of 3 :-:z:.;~d"J:, i:t",:JL; .,t ''}1j1f: ." , U:~!J~~';;~' .,," .....:.r'~i " .~:~1'~ ".. CITY OF SPRINGFIELD - "1 'r Building/Combination Permit Status Issued PERMIT NO: COM2010-00911 ISSUED: 07/20/2010 APPLIED: 07/08/2010 EXPIRES: 01/21/2011 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to ,cover" Underslab Plumbing: Prior to filling the trench and inchi'ding required testing. .~.-,. . ,r . . . ~. <' . Rough Plumbing: Prior to cover and includi~g required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is coi'iitlete: ":;:~ ..' .-1J.Jii ',-::" SUB Ceiling Grid: Interior Lighting ..~;.::t::;...'!:. ......... . SUB Final: After all required energy inspecHMls have been requested and approved. Final Building: After all required inspections have been requested and approved and the building 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 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 inspectio'1s are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ?f.th.e proper!y,.and the approved set of plans will remain on the site at all times during construction. ,~:~~Y i' ~- ~r~~ Owner or Contractors Signature 7122//0 Date ~d\M!.: -il.:;;:. -'1'~ .~;" ", "1'. ;{lr, :;. ,,/",;.:" : ..'... . ~;-;/.:: .r . ~ r ~ l' , Pa!!e 3 of 3 225 Fifth Strl'et I . , .. Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000855 Date: 07/22/2010 9:37:34AM . Job/Journal Number COM2010-00911 COM20 I 0-009 I 1 COM20 I 0-009 I I COM2010-00911 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee ~:;~~' . \ .:':., ~:'... Amount Due 55.00 66.00 14.52 6.05 $141.57 Payments: Type of Payment Check Paid By METRO PLANNING INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc 359 In Person Payment Total: $141.57 $141.57 ;:' "'''''''~''W'''_"........."" ,_;~~~f' '::;'. '~'/,;~~" .' ., ,l;~, . .~, 'I.'" cReceiml Page I of I 7/22/20 I 0