HomeMy WebLinkAboutPermit Electrical 2003-8-6
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' 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(54l)726-3753 · FAX: (_ 1)726-3689
ELECTRICAL PERAfIT APPLICATION
City Job Nunz;o'fY'2 00.:; - 00547 Date
1. LOCA lION OF INSTALLA110N
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
CONTRACTOR INSTALLATION ONLY
2.
Electrical Contractor Beacon Electric
Address 2585 Roosevelt Blvd
City Eugene
Pho;le ( 54 1 ) 4 6 1 - 029 1
Supervisor License Number 3485-S
Expiration Date 1 0/01 /03
ConsO', ContI'. Number
38497
Expiration Date
01/10/04
s,gn"",1C:'~
Gart;. J hnsen
Owners N 1e J i ~f:::tZ
Address 'ft12 5 ('OU AJ7f.-Y r...w A ((f)
City EUG~, Phone54/-3i/5- Cf~()8
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease' or rent.
Owners Signature:
Inspection Request: 726-3769
The tollowing project as submitted has the following
-..Z - (p-03'.n~, and does not require specific land use
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3. COMPLETE FL~J=f"E1Jv- -- .L3.DLJJ3'-
,.. ~'f-O
Date 0'"
, ' 1".UtiiliilZt;;(J Sifinature ~lA..J -
A. New,H.esidential- Single or Multi-Family per dwelling unit.
, ,Service Included
I ~~~d~TfdNI '.~. regon law reqw:-es ,'ell ttl06,OO
&:a ad, 1 t na 5 ' ft. or . .
T~l. ~}rt~~f~~a~ p~eH l:1y the Oregon Utll~Yt 9,00
rfotl~catlon Center. Those rul~::s dl~ ::s~l fort
irf0AAI~OOi1~through OAR 952-00
~6t!lvdtlvfflh~~2ilffebpies of the ruleS:lo,oo
Fec~'fing the center. (Note: the telephone .
B. ny~tw~sfg, t4~(fdr~t~mIHO'J,J,.Q~t~JU1o; Reloca tion:
" Center is 1-800-332-2344).
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63,00
$ 75,00
S125,OO
S 163,00
S375,OO
S 50,00
C. Temporary Services or Feeders
Installation, Alter;1tion or Reloc;1tioIl
S 50,00
$ 69.00
$100.00
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
cjl~&1tP8f':mps or 1000 Volts see "8" above,
O. T~&f4!ffNm.ugi1ALL
~j.(T(;(\ml.6&' WNl1l'Rn~~~M~ jE WORK
f;QMMUJCED OR IS ABANDONEd T ~S "iU13,QO
i~t'h 186i1fiJA1)ilfUE'Rronr Wl'rfl q FUH .,
Service or Feeder Pell11lt . $ -'.00
3.3. a:1_
2 7. IJlJ
E. "l\:1iscellaneous (Service/feeder not included) -Each Installation
Pump or iITigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial '
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
4. SUBTOTAL OF ABOVE
70.QrJ
if. q 0
'7 nD
.
-g/90
7% State Surcharge
10% Administrative Fee
TOTAL
Sl1c",;d Drin,(T')iBuilcling FOrlnsiEkclr;ccli Pcrlll;l Applicalion 1.(J,I,doc
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00547
ISSUED: 08/08/2003
APPLIED: 06/23/2003
EXPIRES: 02/0812004
VALUE: $ 75,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 311 MILL ST f~I:~@rmi~~~~~X8~?ihif~~rAfRf1;Y
ASSESSOR'S PARCEL NO.: 1703352312900 'f' t' C t~JJlPse ruJes are set fort
Notllca Ion en ::>6i6fhoF uRlQ ~~ Bon
PROJECT DESCRIPTION: Tenant Improvement reIDJJAaJ3MPRbo9 . ro~g fAthR l!CJl
0090:"\fou may obtain caples 0 e ru es
II' II I. 'Fl-~- ~'-.~-18-"'1.:'~'"
\,,0. II'~ I'C;'....~I ''''..{ ;".._...f.......'I:_ .-. .----
Owner: LYNDEN MITTLEIDER numberforthe Oregon Utility~Jital;J....r:
Address: 625 COUNTRY CLUB EUGENE OR 97401 Center is 1-800-332-2344).
Commercial
541-345-9608
I CONTRACTOR INFORMATION I
Contractor Type
Architect
Electrical
Mechanical
Contractor
ERIC HALL ARCHITECTS, INC.
JOHNSEN ELECTRIC INC
COMFORT FLOW
License
Expiration Date Phone
541-688-5594
01/1012004 541-461-0291
06/27/2005 541-726-0100
38497
460
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
SETBACKS
I DEVELOPMENT INFORMATION ..
, REQUIRED PARKING
NOT'I' . '
T9.y~.st~J],)ist: Total:
#'Sfi-r~fH,m ii~dcLL EXPIRE IF THE WORK Handicapped:
AM.t'il~fil-l~it1D~R THIS PERMIT IS NOT Compact:
AC9q~rv~~QeMJ.S ABANDONED fOR
Ny 1 ,0 DAY P-ERIOD.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!:e 1 of 4
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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
Bid Amount Use Bid Amount
Fee Description
Plan Review CommlInd/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Not Listed
Building Permit
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Planning Final Occy Inspection
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
75,000.00
Total Value of Project
~
Amount Paid
Date Paid
$304.30
$10.00
$55.82
$39.07
$12.00
$468.15
$28.00
$12.00
$21.00
$17.00
$118.00
$0.99
$19.74
$7.00
$4.90
$43.00
$27.00
6/23/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/4/03
8/8/03
8/8/03
8/8/03
8/8/03
$1,187.97
I Plan Reviews I
Pa2;e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00547
ISSUED: 08/08/2003
APPLIED: 06/2312003
EXPIRES: 02/08/2004
VALUE: $ 75,000.00
Value
Date Calculated
$75,000.00
$75,000.00
06/23/2003
Receipt Number
1200200000000001608
1200200000000001882
,1200200000000001882
1200200000000001882
1200200000000001882
1200200000000001882
1200200000000001882
1200200000000001882
1200200000000001882
1200200900000001882
1200200000000001882
1200200000000001882
1200200000000001882
1200200000000001923
1200200000000001923
1200200000000001923
1200200000000001923
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00547
ISSUED: 08/08/2003
APPLIED: 06/23/2003
EXPIRES: 02/08/2004
VALUE: $ 75,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
06/24/2003
GRG
07/15/2003
OK
Initial Review 06/24/2003 06/24/2003 APP LLH
Planninl! Review 06/24/2003 07/14/2003 APP EMM
Public Works Review 06/24/2003 07/25/2003 DON SB
Structural Review 06/24/2003 08/04/2003 APP TCM
SUB Review 06/24/2003 NOK JF
Plan Review: interior remodel and
re-roof; convert from medical to
accounting office.
Job#COM2003-00547. Occupancy
Classification: B. Construction
Type: V-No 1500 sq. ft. Occupant
Load: approx. 15.
Provide address numbers in
contrasting color from the
background plainly visible and
legible from the street or road
. fronting the property (1998 Oregon
Structural Specialty Code 502 and
1997 Springfield Uniform Fire Code
901.4.4)
Plans call for one minimum rated
2-A:I0-B:C fire extinguisher.
Location identified on Floor Plan
B/A-2 appears OK. Will verify on
inspection.
Post sign above main entry doors:
"THIS DOOR MUST REMAIN
UNLOCKED DURING BUSINESS
. HOURS." (Oregon Structural
Specialty Code 1003.3.1.8)
Final Plot Plan and Development
Agreement Submitted. Ashely
Deforrest Planner
7/3/2003 Fail lighting. Code forms
submitted and plans differ in fixture
count. Plans indicate interior
lighting system exceed energy code
wattage budget by 335 watts. JMP
called Diana Ketts at Beacon
Electric requesting revised plans.
Received revised lighting plans
7/9/2003.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Pal!e 3 of 4
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00547
ISSUED: 08/08/2003
APPLIED: 06/23/2003
EXPIRES: 02/08/2004
VALUE: $ 75,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
/
L Reouired Insoections I
1 Foundation: After forms are erected but prior to concrete placement.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
3 Drywall: Prior to taping.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
6 SUB Final: After all required energy inspections have been requested and approved.
7 Underfloor Plumbing: Prior to insulation or decking.
8 Rough Plumbing: Prior to cover and including required testing.
9 Final Plumbing: When all plumbing work is complete.
10 Rough Mechanical: Prior to Cover
11 Final Mechanical: When all mechanical work is complete.
12 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
13 Rough Electric: Prior to Cover
14 Final Electric: When all electrical work is complete.
15 Final Fire Department. After all requirements of the Fire Department have been met.
16 Final Building: After all Conditions have been completed as required on Development Agreement.
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00547
COM2003-00547
COM2003-00547
COM2003-00547
Payments:
Type of Payment
Check
.
Receipt #: 1200200000000001923
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BEACON ELECTRIC AND
LIGHTING
Received By
ddk
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/08/2003
8:29:13AM
Amount Paid
Item Total:
43.00
27.00
4.90
7.00
$81.90
How Received
In Person
Amount Paid
$81.90
Payment Total:
$81.90