HomeMy WebLinkAboutPermit Electrical 2007-6-18
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Covvt ZOc7- oo~3 Z.
B.
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(d.,ty-,e0\~\S ~Q.~~ S~~~t~ "\\-\\;\J\)~t.\) rQ~
. \ . (<? ~ "\ \~~1?~ps to 4{\C\~~~
Address 'l9-Z0 IV Z-Bn.JT ~\j 4~\\:\tQ~\fo~~~s
Qf'vl nV ~ <, C'}) ~o~ ~Jt'h Y 000 Amps
City .d1(\~ ~tlD Phone 7 4'7-1/ZJ3 ~~~ver 1000 AmpsNolts
. Reconnect Only
Installation, Alteration or Relocation
200 Amps or le~~ S 'JOU t? $ 50.00
201 AmDs,teC4'OO~mpslt\\\\.'J $ 69.00
\(3.\N - ',,,. 01. (.) 'II
"I' 0\er9(jl<Amp~,\tg ~O')XIt\P.ge\ \O'\: $100.00
......\\,\01'''' leo'o'l ,\\\es3.\e_t::""_()O'\~
;...-"';~>-I'l u\eS (3.00\Over 6, Q,fAmps r 1 ,o.e~V'olts se,e "B" above.
\0\\0\N '. \I cen\
"IO'iW\C3.\.\O {')-OO'\- . r,O?. ~ \9,\e? . . ~
I'" 01\0 gSc- N~wA.)ferabonl:ov ~tenslOn.cp.er Panel
. 1"''' 3.'10 . ,(NOW", NO\.II'\J""
\\1 '-r:,r:; "lou '" cR,\l!2CI.:~~~ U'l\\I\~,() .~. , $ 43.00
\)U \\\\19 \.\'Ie ~Eacfu*11(;htlOnaJ't9fro&tor wIth Jt:>
c3. ~ ,\: t:. "nCI-"d" $ 3 00
be' 10 e.rrJC'~.ot'J1"ee er PermIt . .
(II,)'" Ce(lt8\
E.
1.
170 ,
LEGAL DESCRIPTJON
17tT3]bOO
JOB DESCRIPTION
c/ObOO
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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.
2.
Electrical Contractor
Supervisor License Number '24'2:>...$
Expiration Date t o-l - 01
Constr. Contr. Number \ 'L lt7.-
Expiration Date
:5 -2.'2.,-n7
E::J;;::;'"
Owners Name S V\. ~
;f ~+-
Phone ~b -~l{ ~I
Address
2)"0
'- ~rtl
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature: 4.
1.,p"U.. R'q."" 726-376~c. # 1'l11;t ) ,
JJ < l"t lJ
elr oJ
':::b~
Co -t g' -b1
Date
3.
A.
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
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
'0
Pump or irrigation
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
IS-b
tiIio State Surcharge ; ~= ~ I Z 4 9
10% Administrative Fee /#/ C!)G. ) 11""6D
5% "rf'LJi F"t?!" / t 0/ ()~/ 7lJa
Tdf AL . I ~./
Shared DriVe(T:)/BU'g.Eom1s1E~::nnit Application I-03.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 SA ST
ASSESSOR'S PARCEL NO.: 1703360000600
Springfield
PROJECT DESCRIPTION: Generation plant conversion
Owner: SPRINGFIELD UTILITY BOARD
Address: 223 A ST
SPRINGFIELD OR 97477
\} \.0 12772
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n-~ "\" - ""I
I BIUIflDIN((;)'IINFORMitT!ON I
..'I' O~e';O) ,\ '0'1 ". ~eS 0-' gS't-V
. -1'"\0\.... ~ev ~ ~u. p...?- S 'O"l
# of Umts: \S~ \ '3-60? \~\(ift:\Sto,\l,e'S) \\}\e
Primary Occupancy Group: p...\ ..1 ~~~ce\l\e~. \R~ig6f~t:.Sj'rh~~ur,e,.O(le
\~O'l' O~' ",~_ ~ev' . O{\
Secondary Occupancy Group:\O\., 3.\\0~ 00\-0 ,,~p"eJof~~~:\e ~\\\c'3-\\
Primary Construction Type ~O\\\\C ~<!J)'2.- '3-'1 O'O\W a~e.f>~t~l(i.'<j \,\0 '\.
Secondary Construction Type: \\1 O~ 'to\} (\\ ce{\\I'R~elij~'\I'Y~~:>~?l,l\:)
# of Bedrooms: 00gO'~\{\9 \'\Ie \'\Ie ~n~~JJFit1li:. .
c'3-\ :oe~ \O~ ;\e~ Sp\:mkled Buddmg:
~, .,(\\ rp,{\
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I DEVELOPMENT INFORMATION'
Contractor Type
General
Electrical
Engineer
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor
OWNER
ALERT ELECTRIC INC
BRANCH ENGINEERING
License
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
_ c \NO~"
. .-net:. . ~~'1B~1l?W1~~~~ I
\\\0 \'t..~W\\\ S Dt..~ \\"\\~ r ~t..\) rQ\\
\\"\\S ~\1t..\J \J~ c. !\\)~~\JQ
!\\J\\"\G \J G~ \v
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Pa2e 1 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 06/08/2007
APPLIED: 03/07/2007
EXPIRES: 12/08/2007
VALUE: $ 75,000.00
TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
Commercial
Phone Number: 541-746-8451
Expiration Date Phone
OS/22/2009 541-747-2213
541-746-0637
n/a
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:
Compact:
Sidewalk Type:
Downspouts/Drains:
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
Estimate
Fee Description
Plan Review Comm/Ind/Public '
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Plan Review/Com,Ind,Pub Hourly
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
75,000.00
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 06/08/2007
APPLIED: 03/07/2007
EXPIRES: 12/08/2007
VALUE: $ 75,000.00
Value
Date Calculated
$75,000.00
$75,000.00
03/07/2007
Amount Paid Date Paid Receipt Number
$304.30 3/7/07 3200700000000000135
" $51.32 4/26/07 1200700000000000461
$25.66 4/26/07 1200700000000000461
$41.05 4/26/07 1200700000000000461
$468.15 4/26/07 1200700000000000461
$14.00 4/26/07 1200700000000000461
$31.00 4/26/07 1200700000000000461
$135.00 6/8/07 2200700000000000939
$15.60 6/18/07 2200700000000000980
$7.80 6/18/07 2200700000000000980
$12.48 6/18/07 2200700000000000980
$30.00 6/18/07 2200700000000000980
$126.00 6/18/07 2200700000000000980
$1,262.36
I Plan Reviews I
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 06/08/2007
APPLIED: 03/07/2007
EXPIRES: 12/08/2007
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
04/14/2007
GRG
04/14/2007
OK
Initial Review
Public Works Review
03/08/2007
03/0912007
03/0812007
03/0912007
APP LLH
APP JHJ
Structural Review
Structural Review
03/08/2007
06/01/2007
APP DJP
APP JMP
03/11/2007
06/07/2007
Plans Review: Removal of natural
gas generator control equipment,
convert to truck shop. Job
#COM2007-00332. This submittal
was reviewed under the 2004
Oregon Structural Specialty Code
and 2004 Springfield Fire Code.
Occupancy Classification: S-1.
Construction Type: V-B.
Approximately 3950 sq. ft.
This occupancy is classified by
NFP A 10 Standard for Portable Fin
Extingushers 2002 edition as an
Extra (High) Hazard occupancy.
Provide fire extinguishers with a
minimum rating of 4-A:40-B:C
every 30 feet of travel distance or
4-A:80-B:C every 50 feet of travel
distance. The top of the
extinguisher(s) shall be between 3
and 5 feet above finished floor (2004
Springfield Fire Code 906).
Smoking is prohibited by the order
of the Fire Chief. "NO SMOKING"
signs shall be posted in the areas
noted. (SFC 310.3)
Attached SDC Worksheet. No New
SDC's. (JHJ)
Substituted a complete new drawing
set for 6 changes listed in the
Storage Room and 11 changes in the
Generation Room.
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.
~eouireCUnsoections I
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pal:!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00332
ISSUED: 06/08/2007
APPLIED: 03/07/2007
EXPIRES: 12/08/2007
VALUE: $ 75,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work 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 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
Pa~e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
(':tv of Springfield Official Receipt
eloprnent Services Department
Public Works Department
Job/Journal Number
COM2007-00332
COM2007-00332
COM2007-00332
COM2007-00332
COM2007-00332
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000980
Date: 06/18/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALERT ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 018843 In Person
Payment Total:
Page 1 of I
2:50:39PM
Amount Due
126.00
30.00
7.80
12.48
15.60
$191.88
Amount Paid
$191.88
$191.88
6/I 8/2007