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Home My WebLink AboutPermit Electrical 2005-10-10 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72'60.689. . .' . ELECTRICAL PERMIT APPLICATION '.' ,,;~~/"IJ~/:"'I;'IJ ." . City Job Number CooK ZOO~ -CO $4 ~ Date 10 - 7- OS-' 0.", "" ";:%'CI '. o 8" "8 . 3. ~'CO.RfPEETEiFEE. ."'''~f;['''J.Th.'0jf;'"'.'''L~1'~t~1';f.~~:;;~~?!:iij{ .y.."'O':;.~~':<-;"'l~~'rSIttlQ,'ii:.".~:~~~:..,:k,"'...-.~1;Jc;r,;..-w,.... ....:n.i~iI~~~~.G~~~~~~~ "<6(1 _ C'lit" ~&t . .s> . /~ 0110 . ~~rrl:~~.=,~,....~'7~.;bo'~~q-&~7"''!''~~",,",. .1 =...:;;vr,~.'ffffi""''''I'~ A "N-"R'~'d' o"i""'.r"'s"""'r"'~'iMul'fi>F~' ",'>'$"- .~""h> 0"" .. fi_~1r1k,-~s.J...,~.J~.!,~....:~~U2ek~i .~.~ ~~~_ ~...~g~W.~~ -, l::). ........,0 . 00, .~\.- 200 Amps or less 201 Amps to 400 Amps Address 68 West "Q" Street 401 Amps to 600 Amps . . ,~" 'IoU to N 51~Amps<.!oJl',OOO:o;mps Tt . City Sprinqfield Phone 747_663~nENT\0 :RJS~~8Q9>,inPW6Iis'ln Ut1I~~h 101l0W rules aRecoDDeCt OnIYJles are set Notilication cem''',. ~';~;:;oh OAR 952.001 . AR 952.nf.)'J''''''' """"M._='",",,, \f1 0" . c. ~;r;<1'gHJ9r.'i.I1Y.i. ;~~_q~.s).\'~~.~!!!!! owu. You maY"9"" (Note: the 181"1.11 'V','" II' 9 the "enter. . '"f.iir.~\'On ca In rnstaUation~Altii,;ation or'Relocation number lor i~~ ~:""",.::-" C"'l.2344). .. ..... Cer"", ;".J'"pS.or' ess. 20 I Amps to 400 Amps 40 I Amps to 600 Amps' Over 600 Amps or 1000 Volts see <'B" above. D. iRr~ritifdifc'\n~~~~~--~ !ill!i::'4',-r~'''''''',-'-'''''. -a~'~'~;,'~:'"-"':.'~"~. .;;tl:l:;:......,,\;..:,':P~~.~.;Ht1".r,';'.'f.,..~-."::c-p. ~''ft.J~~.;i?i@';1!'Tt'. 1. 1'.\L00ATION.OFINSTAJjEAITON"''''~$;''d.~ ,*,,~'i~~'ii-;";'~i.~~~;'i.:...-{i'.t-"'~;""'::~~..$i;~'!t!~"1~,,;2-&.~~'~~~ :5233. F,. M. ~(.'-- ~I v d LEGAL DESCRIPTION /703343.5 OOzc>O JOB DESCRIPTION 200 Aw-\p . S12v<. . if L( C-I rc.~'. h PermitS are non-transferable and expire if work is not started within 180 days' of issuance or if work is Suspended for 180 days. . ~'~iNSTAWTI.ON~zt 2. ,... ., r." '. ~~~~:r.r"....fc.Y;~' ", Electrical Contractor L. R. Brabham, Inc. SuperVisor License Nuniber 49'44'S Expiration Date 10/01/07 Constr. Contr. Number 8699 Expiration Date 12/18/06 Signature of Supervising Electrician ~7 ~:// A' .c/ . Owners Name ~.if. . ~ A-s. . Address , 2.'Z.. S- . ~JL,. ~ +- sE City Slrlt-~Phone ~~"<L OWNER INSTALLATION .. '2. <6lP 7 is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 t Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder . $50.00 B.tv~~~,"'ft~~"":li~ti=~Imfti~ I $ 63.00 b '3 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel . One Circuit $ 43.00 Each Additional Circuit or with I z.. Service or Feeder Permit L-f $ 3.00 . . E ~~.: :-U'-"'~S' ~d~f"";'I"'d"~d)'~' iiI' -:'t~'U ..' ';' ~ sce~~~_ ~mC;t:l.1ee j~CL;!!!~r.'l.,"-~~J1~I1s.t~!!.ltJ..'ill'1' $ 50.00 $ 50.00 $ 25.00 $ 45.00 Shared Drive(T:)/Building Forms/Electrical Pcnnit Applic:J,tion I-Q3.doc . Status: Issued . . 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00545 ISSUED: 07/07/2005 APPLIED: 05/09/2005 EXPIRES: 03/28/2006 VALUE: $ 43,000.00 SITE ADDRESS: 3233 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703343300200 Eugene TYPE OF Gas Station PROJECT DESCRIPTION: Natural Gas refueling station TYPE OF USE: Addition Public Owner: Address: OR DEPT OF ADMINISTRATIVE SERVICES 1225 FERRY STREET SE moo SALEM OR 97310 ., ,. , Contractor Type Electrical Engineer Mechanical I CONTRACTOR lNFORMA TION I Contractor License LR BRABHAM 8699 SYSYEMS WEST ENGINEERS ,rlU \0 J LOGUE GAS WORKS INc..\lesi'47H:l\'l '-'-,' ...... \O\~. 'BUILDlNGorl"~v~'flONf .()()\. ~. U\V~e6 'O'i . IU\e'" - <;. 9":):2- s y,'j y:'~i.\O #. of(StoriesDSe X\ O~ \u\e , ~i.i. ... IU\~~ ~iglitlor'()' \'(\IOU':S 0\ \'(\~~rI'(\O\\" \\ \~o"''' )~ ,."" -o\v \e\~" r\ It) \0' '3-\10 yp.~ of'Heat:~O,. . \,\\e ~\\\,p\ V~O\I\\~~ 9<:>Water<t~~~; ~0\~~'i.1\1\'j ",00.')' \\\ Or 'loRl&~~l.typ.~:erlO\\ v",.,.??,o. B()' ,,,,e-v ,~\ '" ~"" ()'J ~\I\\t;n~.~~(f.'dli.Vo()()' ca:. ,Spnnkled IS nla ....\\'(\\\J r.e\\".~ # of Units: Primary Occupancy Group: Secondary Occupancy Yrlmary Construction Type Secondary Construction # of Bedrooms: ',. . . Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: ~ ! DEVELOPMENT INFORMATION I Overlay D1st: # Street Trees Paved Drive Rqd: % of Lnt Coverage: IP~BLIC IMPROVEMENTS I Expiration Date 1211812006 Phone 54I-747-6638 541-342-72IO 54I-345-7599 03/0612007 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Lnad: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: 'l-lQ~~ f.' Dow~ittll-~ ~ ~01 ~~~~~~~i~ ~~\\ :~~~~~~~ ~Gp. ~\}i\'\On D QP. \121 " COt/l~.t&~Ct;~,< ?~p.\OO. p.~'< ,~\) 0 ~ 1 of 4 Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54I-726-3769 Inspection Line . . Description Type of Construction Bid Amount Use Bid Amount Fee Description Plan Review commlIndlPublic + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review CommlIndlPnblic -Mechanical Issuance Fee- + IO% Administrative Fee + 7% State Surcharge Gas Outlets I-4 Minimum/Adjustment Mechanical + IO% Administrative Fee + 7% State Surcharge Add, Alter, Extend circ Ea Add Perm ServlFdr 200 amps or less Total Amount Fire Department Review 05/IO/2005 I nitial Review Planninl! Review 05/IO/2005 05/IO/2005 Public Works Review 05/IO/2005 Structural Review 05/10/2005 . " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00545 ISSUED: 07/07/2005 APPLIED: 05/09/2005 EXPIRES: 03/28/2006 VALUE: $ 43,000.00 I Valuation DescriDtion I $ perSq Ft or multiplier $1.00 Square Footage or Bid Amount 43,000.00 Value Date Calculated $43,000.00 $43,000.00 07/07/2005 Total Value of Project F....s Paid I Amount Paid $ 130.65 $32.97 $23.08 $329.70 $83.66 $IO.OO $4.50 $3.15 $4.00 $41.00 $7.50 $5.25 $12.00 $63.00 $750.46 Date Paid Receipt Number 5/9/05 7/7/05 7/7/05 7/7/05 7/7/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 IOn/05 1017/05 10n/05 IOn/05 120050000000000059I 1200500000000000962 1200500000000000962 I200500000000000962 1200500000000000962 1200500000000001101 1200500000000001101 1200500000000001101 I20050000000000IIOI 120050000000000IIOI 120050000000000I477 120050000000000I477 1200500000000001477 1200500000000001477 I Plan Reviews I 07/05/2005 05/10/2005 06/30/2005 06/01/2005 OS/20/2005 OK GRG See attached document for Fire Department Plans Review comments. APP LLH APP EMM needs Minor Modification of Site Plan Application through the Planning Division before building permit approval F(per Colin Stephens). Minor Site Plan Decision issued 6/30/05. Development Agreement received 7/1/05. No SDC fee's apply existing hard surface change to concrete pad sloped to existing CB 6/1/2005 CAS See attached 6 structural comments faxed to Jeff Graper. APP CAS WE JMP 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit" PERMIT NO: COM2005-00545 ISSUED: 07/07/2005 APPLIED: 05/09/2005 EXPIRES: 03/28/2006 VALUE: $ 43,000.00 Status: Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 54I-726-3769 Inspection Line Structural Review 07/0 I/2005 07/0I/2005 IO JMP Sent email to Jeff Graper, Public Works, Fire, and Building personnel to update status. Structural Review 07/07/2005 07/0712005 APP LLH All conditions of John Pearsons letter met. SUB Review 05/IO/2005 05/18/2005 WE JF JMP called Jeff Graper and requested the energy code forms and worksheets. SUB Review 05/I9/2005 05/3I/2005 WE JF WE. Received HV AC and L1ghllng forms only. JMP called Jeff Graper to request building envelope form. . SUB Review 06/08/2005 06/13/2005 APP JF Received BE Form. No energy code issues or inspections. To Request an inspection caD 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. wiD be made the following work day. ~ft'!In.~ Fooling: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are In place hut prior to concrete. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the huilding is complete. Rough Electric: Prior to Cover Final Electric: When all electricai work is complete. Rough Gas: After line is Installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Electric Service: Approval required prior to utility company energizing service. 3 of 4 . . CITYut< M"K1NGFIELD Building/Combination Permit PERMIT NO: COM2005-00545 ISSUED: 07/07/2005 APPLIED: 05/09/2005 EXPIRES: 03/28/2006 VALUE: $ 43,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , 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 wiD 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 ofthe property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date 4 of 4 , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Joornal Number COM2005-00545 COM2005-00545 COM2005-00545 COM2005-00545 Payments: T)lle of Payment Check \ . " ;~ :1 i , . " :\; :' , , I' 'L 1On/2005 . RECEIPT #: .!'A~_._~_~~8LD._",__._. __..,__"'__", wr. , '..,. 1 .Jiilty of Springfield Official Receipt .velopment Services Department Public Works Department . 1200500000000001477 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By LR BRABHAM INC Reeel ved By djb I of I Date: 10/07/2005 Item Total: LnecKNumDer AutnonzatlOD Batch Number Number How Received 32438 In Person Payment Total: 9:24:33AM Amoont Due 63.00 12.00 5.25 7.50 $87.75 Amount Paid $87.75 $87.75