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Home My WebLink AboutPermit Electrical 2003-3-31 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION /, '6ctassubmittedhasthetolloWing City Job Number LOVV\200Z- 0(2-8'3 Date 0 3.13 1/ D ~~i~O~IO:~~9:;~~ n~t require specific land use / val, Signature of Sup ervising Elec~'c' . ,D. /:). (j New Alteration or Extension Per Panel T.....ar:.ry \.hApman l ~_ _One Circuit , Each Additional Circuit or with ~ ~~ /')_1 A " Service or Feeder Permit~O .~\\~ Owners Name roc; rcsS. I v <:::' JL.c/ltr<-b , ~,\e':) '" \j\'\ , Address I D '7 0 / ~--fcvv/~7 Go E. r Sl?r- ~ . '0\eYJ ~~" '{\)W ~Y\ \).Wc;, . ~ Phone '- \v';PU~g~~~yIDn\~'(\ 0 \$'l3'\ 0(\0 \\:~. ~e'8tgllf..Q&itline'~g~~ing;, 0\ ~e\e9'<'! ",\\O'{i .p..\ ,<U ee". PI''-\ C'l~\'" P.I \; 'K,G" OWNER INSTALLATION ~ ~\O~ .' o'\L'i~6(G.Ehyr.gy9Re~~e'Rti'al~o\\ $ 25.00 . .,. . \0 . -\v'j,\~ dl,..IJ. ,(?o'Q'\li" I,~).O ~.~\\':\ f>(),....,. ( r- The mstallatton IS bemg made on property I own whlc~O\.\\ d ~':J!;unlt$q "t:,~~gy:('L-~~erc:t.16 I $ 45.00 l( j . . d d fi 1 1 '" ~.'p '/,,\$ '{\\ t:e~ r:>.OP n?,'t IS not mten e or sa e, ease or rent. . (\ . 'imu.......lllrectria'Pe~mit'nispection Fee is $45.00 + Surcharges '\. n:. '\\V"';e '" 1'.,;-' (J\)'o . , {f {\ 1. (090 G-fr.-kw A--/ I Lp j LEGAL DESCRIPTION 170~ 2-220 JOB DESCRIPTION -A ~0 \..o.-J \I 0 (~,A-r F Permits are non-transferable and expire (f work is not started within 180 days of issuance or if work is Suspended for 180 days. 02300 2. Electrical Contractor ilir; ~tpn.S!lll...J<'.l prtr; r. Address 1?qR Rptnpl Orivp . City li',11opnp oJ Phone C:;LJ.1-fiRR-fi121. Supervisor License Number 37S9S Expiration Date 10/01/04 Constr. Contr. Number ?h-1LJ.C: Expiration Date 10/01/03 City Owners Signature: Inspection Req~t: 726-3769 6.\.r:JJ t ~J~ ~'6fb ~ 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 200 Amps or less 201 Amps to 400 Amps . 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 . $375.00 J"'1l $ 50.00 \),,,,", c. $ 50.00 $ 69.00 $ 43.00 $ 3.00 $ 50.00 $ 50.00 - '-I) '$/) 7% State Surcharge 10% Administrative Fee Lf S-c 5-Zb) TOTAL Shared Drive(T: )lBuilding Forms/Electrical Pennit Application 1-03.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01283 ISSUED: 01113/2003 APPLIED: 11/1312002 EXPIRES: 09/28/2003 VALUE: $ 219,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1090 GATEWAY LP ASSESSOR'S PARCEL NO.: 1703222002300 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Interior remodel and elevator structure addition. Existing Structure is approx 6,000 square feet. Adding 395 Sq Ft. Owner: FRED HAMPLE Address: 372 W 12TH AVE #4 EUGENE OR 97401 Phone Number: 541-683-0653 I CONTRACTOR INFORMATION. Contractor Type Contractor License Expiration Date Phone Architect DA VID JONES 541-342-6511 General MElLI CONSTRUCTION CO 63771 02/1212004 541-485-1417 Electrical CHRISTENSON ELECTRIC INC 458 05/0112003 541-688-6121 Mechanical COMFORT FLOW 460 06/2712003 541-726-0100 Owner FRED HAMPLE 541-683-0653 Plumbing ROBINSON PLUMBING INC 1Q7124 07/1312003 541-345-6909 BUILDING INFORMATION. # 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: 395 . LP""WLOPMENT INFORMATION. IOU \0 . SETBACKS <. ~ ....,\)' U\~eS \RE~\;fWfRED PARKING' ~~'V S '.-' :oN ~eOi nO~ u\:. ~O~\ Front yard Setback: 4~O ~ '\ ~ Overlay Dist: e~O~ \?J. '(\eO~e", ~EFgtil: ~)"\' 21 Side 1 Setback: 9..~'~~ ~ ~\j # Street Trees R9d\O~"O~ i\.eO 'o~ ~ ~u\eS?J. ~R3'D'diP~,p.ed: 2 Side 2 Setback: 0\,~~~~~~ Paved Drive\~Q.a:\\ S ~oo\l ,'(\ose n'{\ O~ COIl1p~ct:;J J 5 ~\" '\ '- ';,....~ IX N ~u\e ~\e~' 'n~O\}'" 0\ \'(\\:i O~e Rearyard Setbac~: C::J~~ ~~ ~u % of Lot GlbV.~'a~\\O~ Ce "\,OO"\~20'88~\eS \e\e?~ ~\O~ Solar Setback~~. ~~ ~~(J ~ ~ . ...'O\.\\\C() 9'6~'OO O'O\~\~ ""OW..\~e ~o\\\\C?J. ..c:\: .o.~'.<"\ ~9- {'''> '" _I\~ "",'::\'J _" h'6 ....\\\'J ,.... ~~~C::J <v.~~\"~~x,~ ~ Q"x'~\- I PUBLIC IMPRovjMENT$:i~e ce~O~e~O~ ~;~,~'3IJ("" I ,\'-' ~~ Sv~ <'\~ a.'\" - \ ~\'{\e '1,<nOG Street Impro~ln'ell:~ ~ v c rl\'Oe~ 0 Sh;fewalk Type: ~\.~ ~'" C~ Storm Sewer AN~e: Downspouts/Drains: Special Instructio~ Notes: Pal!e 1 of 4 ----=~~~IJ~~ftl,"ta,:'q\ ,,_,..':;~ V. Ii- i' Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2002-01283 ISSUED: 01113/2003 APPLIED: 11113/2002 EXPIRES: 09/28/2003 VALUE: $ 219,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft $1.00 SQuare Footal!e 219,000.00 Value $219,000.00 $219,000.00 Date Calculated 11/20/2002 Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number Plan Review Comm/lnd/PubIic $619;06 11/18/02 2200200000000000195 + 7% State Surcharge $80.88 112/03 1200200000000000486 + 8% Administrative Fee $92.43 112/03 1200200000000000486 Boiler/Comp 3-15 HP $44.00 1/2/03 1200200000000000486 Building Permit $952.40 112/03 1200200000000000486 Fixture $84.00 1/2/03 1200200000000000486 Furnace - up to 100,000 btu $24.00 112/03 1200200000000000486 Plan Review - Planning $55.00 1/2103 1200200000000000486 Planning Final Occy Inspection $110.00 112/03 1200200000000000486 Sanitary Sewer - Improvement $100.74 1/2/03 1200200000000000486 Sanitary Sewer - Reimbursement $132.54 112/03 1200200000000000486 SDC MWMC Administration $10.00 112/03 1200200000000000486 SDC MWMC Improvement $135.12 112/03 1200200000000000486 SDC MWMC Reimbursement $1,291.49 112/03 1200200000000000486 SDC Sanitary/Storm Admin $15.02 1/2/03 1200200000000000486 SDC Transpo Admin $693.25 1/2/03 1200200000000000486 SDC Transpo Improvement $10,156.82 112/03 1200200000000000486 SDC Transpo Reimbursement $2,301.96 1/2/03 1200200000000000486 Storm Drainage Impervious Area $36.66 1/2/03 1200200000000000486 Storm Sewer - 1st 50 Feet $45.00 112/03 1200200000000000486 Vent Fan $6.00 1/2/03 1200200000000000486 + 10% Administrative Fee $21.60 1/13/03 1200200000000000530 + 7% State Surcharge $15.12 1/13/03 1200200000000000530 Add, Alter, Extend Circ Ea Add $90.00 1/13/03 1200200000000000530 Perm Serv/Fdr 200 amps or less $126.00 1/13/03 1200200000000000530 + 10% Administrative Fee $4.50 3/31/03 1200200000000000911 + 7% State Surcharge $3.15 3/31/03 1200200000000000911 Low Voltage - Commercial Indus $45.00 3/31/03 1200200000000000911 Total AmountPaid $17,291.74 I Plan Reviews I Pal!e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2002-01283 ISSUED: 01113/2003 APPLIED: 11113/2002 EXPIRES: 09/28/2003 VALUE: $ 219,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 11/20/2002 12/1712002 OK GRG Plan Review-Remodel/addition to office building-Medical o ffices-reha bilitation Specify method for monitoring all smoke detection per International Mechanical Code 606 as noted on Sheet M-1. Post address numbers visible and legible from the street fronting the property. Initial Review Planninl!: Review 11/20/2002 11/20/2002 11/20/2002 11/20/2002 APP' LLH APP AJD Land Use Compatibility Statement issued-see attached document Applicable Conditions that have to be satisfied prior to occupancy: 1. Install 3 bicycle parking spaces 2. Install enclosed trash receptacle area Public Works Review Structural Review SUB Review 11/20/2002 11/20/2002 11/20/2002 12/02/2002 12/06/2002 12/05/2002 APP APP APP PJO TR JF Approved as noted on plans Pass Building Envelope. HV AC and Light energy code review 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. ~e(lllirec:Unsnections . 1 Foundation: After forms are erccted but prior to concrete placement. 2 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but priorto concrete. 3 Shear Wall Nailing: Before covering shcathing with finish materials. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Roofing: Prior to installing any roof covering. 8 Drywall: Prior to taping. 9 Ceiling Grid: After drywall approval but prior to cover. 10 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 11 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. 12 Final Building: After all required inspections have been requested and approved and the building is complete. 13 Rough Plumbing: Prior to cover and including required testing. 14 Final Plumbing: Whcn all plumbing work is complete. 15 Rough Mechanical: Prior to Cover Pal!:e 3 of 4 _?~~.I,~~!'1I~iI?J ~~;,. ,..;~ "Ii, Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01283 ISSUED: 01113/2003 APPLIED: 11113/2002 EXPIRES: 09/28/2003 VALUE: $ 219,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 16 Final Mechanical: When all mechanical work is complete. 17 Footing: After trenches are excavated. 18 Roof SheathinglNailing: Before covering sheathing with finish material. 19 Final Fire Department. After all requirements of the Fire Department have been met. 20 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 21 SUB Final: After all required energy inspections have been requested and approved. 22 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 23 SUB Ceiling Grid: Interior Lighting 24 Rough Electric: Prior to Cover 25 Electric Service: Approval required prior to utility company energizing service. 26 Final Electric: When all electrical work is complete. 27 Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that lill 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 Pae:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-01283 COM2002-0 1283 COM2002-0I283 Payments: Type of Payment Check Paid By Description Receipt #: 1200200000000000911 Date: 03/3112003 Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee PHILIPS ELECTRIC Received By Check Number Confirm No djb Page I of I 3/31/2003 . 9:09:17AM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 45.00 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 Payment Total: -- cRcceipl.rpt