HomeMy WebLinkAboutPermit Electrical 2007-4-16
. ,CITY OF SPRINOELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CoM.1f')O.).. - D I ),41
I t
,- - - - -- --------- --- ----------- -1 ----- --- -- --- - - - -- -
~~~:CATI~t~I:-L4T~:J-~--'U\c\- 3. l COMPLETE FEE .\~C!!!!f)ULE B-";l:!}l~ ___ h _ _.__
lYfj'l\~""ON, r7~ I'll"" Of;;;}:, A. l!o~ R~""',,,:, S;';;. .:".":,;,,;,,, ";,;".;;.",,
~'..c>____ l'A I - 6.QvUl,r".\ Service Included
JOB DESCRIPTION: 1000 sq. ft. or less
\'-~ ~ Each additional 500 sq. ft. or
o ~LII tL~ LL\;!-.<> NOilortion thereof
9TGt.
THI$!Ul.h1Manufact'd Home or
AUTM~u~'ljJPJ~1ittl&SE'lfflr $5000
COM Fe'e'1lbrEO UNDER T E IF THe wa .
II1fNCED01r-HISP5BMtr- RK____ - - ._
AN\B! ~~lfJA~$ER~~~~l't.d/}/litD~'b~A.~fa~i()n~ ~r _Rel~)~ati()n:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
Address p.n ~K ~4 401 Amps to 600 Amps $125.00
~ t:.. \, 601 Amps to 1000 Amps $163.00
City . _ Phone~:;U ~ /).14;: .' I;O~er 1000 AmpsNolts $375.00
f'lJ.AUO . ?W Reconl!.."6tPnly , . .' $ 50.00
-z:::;-- ~o~.,Q. ,'" U VOllflcation r'_ "":u bj ',le OT .
C-V ~~( CnOAR ,,-'-'-'"'nler-'[I,,--, --- :egOn-----------
Supervisor License Number _ L') r -->""9 G!q",T!,'mpQrarY/~eP{;&slor:iEccderj;.
- J o. YOlimay--'ftOVihrOrJgli OAFt''''''liU--
10 /0\ 0' cal/'r"'I' 119 talr.1 ",,-.. R I 9.".?!)(
Expiration Date r' '>1 nsta abon, n teration:or" e ocabon
, 'wmlJ'f/^2'OO-,:::'''lCf. ({'IOI'" 111'-' ':.'''' rUleS
) C4 :2 " I . .'nmp's)o.[,less -. '" :€:<>Oh-
con~tr..contr. Num;:''1)({'J /-: to C~~:i~:~:i::;:I~f~~;~~J;p.:c;;'~'
Expiration Date U,,(, 0 1.
1 I Over 600 Amps or1000 Volts s"'- "B" above:
Signature of Supervising Electrician D. '_ Br-",!c.~ <?!.':ctJits_._ ._. _ ___ __ __. _ _ _ .
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
r- ~.- --~.- -,T-~'-~T- -7.~~ ---;-~'~ ._-'~ ---~-I
2 ! CONTRACTOR IfoISTALLATION ONLY I
. I __n._ ~_..o, .-:::-L. '-T-:J
Electrical Contractor "It ~ .' 1=:l ec ~
,
#_'-V~~ ...........
;
'B?-\NC,
Fi~
City ~ ~<= Phone 71(~ - 'SOa
Owners Name
Address ? ~ (1 c::. ~
OWNER INSTALLATION
The installation is being made on ,..~t'-.;j I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Requesl: 726-3769
SPRINGFIELD, ^ .::'- ~
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Lit\.!
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INITIALS _ IU
DATE ~
SOURCE ~~. ?/
I o-';:f-~'
ZON
Date
$106.00
$ 19.00
$ 50.00
$ 69.00
$100.00
New AlIeralion or Extension Per Panel
One Circuit I $ 43.00
Each Additional Circuit or with t a
Service or Feeder Permit --/....J.- $ 3.00
43,00
S -:t-. <:Jft
.-- -- ---'---~- ----_.__.._---_......_~.
E. liVliscellaneous (Service/feeder nnl included) -Eaeh Ins;allatinn
l._.....___.~_.__.._. _~._ .___.____~_ _.__ __,___. -:_ _ _ .' ..
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Mirtimum Electric Permil Inspection Fee is $45.00 + Surcharges
r- ... ...,...~,-_.._.._~- --.,.-"_ --_. ___~
4.1 SUBTOTAL OF ABOVE . .
---~. ""-"----
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
100
8
10
"5
( 2-]-
Shared Drive(T:)/Building FormslEleclrical Permit Application 8-06.doc
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01241
ISSUED: 01/25/2007
APPLIED: 09/29/2006
EXPIRES: 10/06/2007
VALUE: $ 47,395.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4446 FRANKLIN BLVD 2
ASSESSOR'S PARCEL NO.: 1703344401500
Engene
TYPE OF WORK: Miscellaneous
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Repair / remodel of existing structure. also - DEMOLITION of house at east of
property 012505 DB.Gary Karp Planner Site Plan Review Journal 2001-07-0143.
Issued Foundation Only 12-30-02 per DLM. DB
51088 06/27/2007
NOTICE: r
THIS PERMIT $l;6A~L EXPIRE Ir04JO.ill~lI1lRK
^"TI.Jt1QI7i=n IINnFR THIS PERMIT IS NOT
BUlLDlNG'INFORMAiI0MI::i ABANDONED FOR
ANY 180 DAY PERIOD.
# of Stones: Lot Size:
Height of Structure: Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: ~.FI-r::(\ITiui'J:Gi<' ;,:"1 'Sq-\F(0-ili~r:S ~ '
Sprinkled Building: _. II'" .- .n/aJleJ b0c.cup..ritTo-....d: I
!Ollti:il ,I ~,:J o.'~"'I_.' ,~_ ~,......... ,. . ..
- .'P' ..~. - ... ... 0" -:,. 'I.................... - -
I DEVELOPMENT INFORMATION. "010 throL'gh OAR 952-00
,,~n" --- b'ain COnIeS ,REQUlREl!;PARKING
')090 You mu" f) , ~~' ". - ...-
Overlay Dist: ..ail'"'' (hI) ;en\~r. (Note: tf1(foial~~tIO~e
# Street Trees Rq<I,' '.': i' r .t _ ()r't'xltl Utiljl:,HaJiilibippeitl1
. ~1"n!),L ..., \ t..... - ~ * .
Paved Dnve Rqd:' C"1I1srls 1_8G-o-3'32.~<;iolllpact:
% of Lot Coverage: J
Owner:
Address:
BRING RECYCLING
PO BOX 885
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
General
Designer
Electrical
Engineer
Plumbing
Primary Contact
Contractor
BRING RECYCLING
COMMON PRACTICE BUILDING DESIGN
NEW WAY ELECTRIC INC
KEATING ENGINEERING
VOS PLUMBING INC
EGGERT MADSEN
License
119422
Expiration Date
01117/2009
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
. Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
Frontyard Sethack:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downsp?utslDrains:
Notes:
Paue 1 of7
Phone
541-746-3023
541-683-9863
541-686-2365
541-687-8608
541-485-0551
541-687-8608
44,867
3,000
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeclion Line
Tvpe of Construction
Description
Estimate
Estimate
Estimate
Estimate
Foundation Onlv
Pavine
Pavine
Estimate
Estimate
Estima te
Estimate
Use Bid Amount
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
+ 7% State Surcharge
+ 8% Administrative Fee
Temp Power 200 amps or less
+ 7% State Surcharge
+ 8% Administrative Fee
Foundation Permit
Planning Final Occy Inspection
Plan Review CommfIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixtu re
Minimum/Adjustment Mechanical
Plan Review CommfIndlPublic
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review/Com,lnd,Pub Hourly
+ 100/0 Administrative Fee
+ 7% State Surcbarge
.
.CITY OF SPRIN(j1<l~LU .
Building/Combination Permit
PERMIT NO: COM2002-01241
ISSUED: 01125/2007
APPLIED: 09/29/2006
EXPIRES: 10/06/2007
VALUE: $ 47,395,00
I Valuation Descriotion I
$ Per Sq FI
or multiplier
$1.00
$1.00
$1.00
$1.00
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
120,000,00
1,000.00
40,000.00
45,315.00
10,000,00
2,080.00
15,000.00
Value
Date Calculated
$120,000.00
$1,000.00
$40,000.00
$45,315.00
$10,000.00
$2,080.00
$15,000.00
$233,395.00
02/28/2003
05/1 0/2005
07/25/2006
01/24/2007
10/28/2002
01/24/2007
07/25/2006
Total Value of Project
FpP~, PIiLI
Amount Paid
$69.81
$3.50
$4.00
$50.00
$7.52
$8.59
$107.40
$110.00
$431.05
$10.00
$69.88
$48.91
$555.75
$98.00
$33.00
$-69.81
$0.42
$6.88
$1.56
$12.00
$9.00
$6.30
$45.00
$45.00
$4.50
$3.15
$45.00
$90.00
$33.30
$23.31
Date Paid
Receipt Number
1200200000000000130
1200200000000000221
1200200000000000221
1200200000000000221
1200200000000000474
1200200000000000474
1200200000000000474
1200200000000000474
1200200000000000751
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200200000000001496
1200500000000000110
1200500000000000110
1200500000000000110
1200500000000000110
1200500000000000634
1200500000000000634
1200500000000000634
1200500000000000634
2200500000000000854
2200500000000000854
10/24/02
11/12102
11/12/02
11/12/02
12/30/02
12/30/02
12/30/02
12/30/02
2/28/03
6/11/03
6/11/03
. 6/11/03
6/11/03
6/11/03
6/11/03
6/11/03
6/11/03
6/11103
6/11/03
6/11/03
1/25/05
1/25/05
1/25/05
1/25/05
5/17/05
5/17/05
5/17/05
5/17/05
6/29/05
6/29/05
Paee 2 of7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Paving
Plan Review Comm/lnd/Public
+ 10% Administrative Fee
+ 5% Tecbnology Fee
+ 8% State Surcharge
Building Permit
Paving
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01241
ISSUED: 01125/2007
APPLIED: 09/29/2006
EXPIRES: 10/06/2007
VALUE: $ 47,395.00
$195.00
$63.00
$75.00
$45.86
$24.97
$312.15
$146.40
$253.60
$40.01
$20.00
$27.78
$347.25
$52.80
$233.32
$10.00
$5.00
$8.00
$43.00
$57.00
2200500000000000854
2200500000000000854
2200500000000000854
1200600000000001249
1200600000000001249
1200600000000001249
1200600000000001249
1200600000000001249
1200700000000000074
1200700000000000074
1200700000000000074
1200700000000000074
1200700000000000074
1200700000000000074
1200700000000000403
1200700000000000403
1200700000000000403
1200700000000000403
1200700000000000403
6/29/05
6/29/05
6/29/05
8/1lI06
8/1lI06
8111/06
8/11/06
8/1lI06
1/25/07
1/25/07
1/25/07
1/25/07
1/25/07
1/25/07
4/12/07
4/12/07
4112107
4/12/07
4/1 2/07
$3,823.16
I Plan Reviews I
Paee 3 of 7
. ,
.ITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2002-0I24I
225 Fifth Street, Springfield, OR ISSUED: 01/25/2007
541-726-3753 Pbone APPLIED: 09/29/2006
541-726-3676 Fax EXPIRES: 10/06/2007
541-726-3769 Inspection Line VALUE: $ 47,395.00
Fire Department Review 03/20/2003 04/11/2003 APP GRG Plan Review: Job #
COM2002-01241. Remodel of
mercantile store. M occupancy
classification (no change). Type V-N
construction. 2939 square feet, Shell
plan.
Provide 2-A:IO-B:C fire
extinguisher every 75 feet of travel
distance (Springfield Uniform Fire
Code 1002.1)
Provide or maintain address
numbers in contrasting color visible
from the street fronting the
property. (Oregon Structural
Specialty Code 502; Springfield
Uniform Fire Code 901.4.4)
Provide battery back-up emergency
egress lights. Emergency egress
lights accessory to exit lights are
acceptable. (OSSC 1003.2.9)
If further partitioning of the floor
plan is to be done, an infill submittal
plan will be required to verify exit
widths and distances.
Initial Review 03/18/2003 03/20/2003 APP LLH Held for application. Not received,
processed plans so not to hold up
applicant. Ih
Initial Review 10/25/2002 10/28/2002 APP LLH
Initial Review 10/0212006 10103/2006 APP LLH Supplemental information provided
by TBG Architects & Planners for
Phase I, Boardwalk and walkway
cover.
Plan Review Comments 07/25/2006 10 JMP WE. Received incomplete response
from John Lawless and faxed energ)
code form to Jack Foster. Still
waiting for the balance of energy
code information and CCB
contractor data.
Plan Review Comments 08/08/2006 to JMP WE. Called Ben Rippe to tell him
that I called Jack Foster for his
approval. Ben said that they will
deliver a letter soon to address the
missing contractor data requested in
7th structural comment.
Paee 4 of7
_.tI!"..AI!'I~~~~ _ . .ITY OF SPRINGFIELD.
IIr
. ...-.."',.
Building/Combination Permit
Status Issued PERMIT NO: COM2002-01241
225 Fifth Street, Springfield, OR ISSUED: 01/25/2007
541-726-3753 Phone APPLIED: 09/29/2006
541-726-3676 Fax EXPIRES: 10/06/2007
541-726-3769 Inspection Line VALUE: $ 47,395.00
Structural Review 07/12/2006 07/12/2006 WE JMP See attached documents for 9
structural comments faxed to John
Lawless.
Structural Review 01/15/2007 01/24/2007 APP JMP Received contractor and valuation
information.
Structural Review 10/03/2006 10/13/2006 WE JMP Supplemental information provided
by TBG Architects & Planners for
Phase I, Boardwalk and walkway
cover. Received 10/9/2006. See
attached 2 structural comments
faxed to John Lawless.
Structural Review 10/28/2002 12/13/2002 APP DLM Foundation Only
Structural Review 12/13/2002 12/13/2002 to JMP Per Gilbert Gordon: Okay to issue
permit for Building I only. Any new
construction will Deed to meet water
supply requirements. Liz Miller
said to check with Gary Karp 12/16
if we can now issue the permit.
Structural Review 06/04/2003 06/09/2003 APP JMP
Structural Review 03/20/2003 04/21/2003. WE JMP Faxed request for 16 items to be
addressed to Rudy Berg on
4/21/2003. See attached.
SUB Review 03/20/2003 04/02/2003 APP JF Pass energy code review
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.
~e(]lJiredJnsnections I
Temporary Electric: Approval required prior to Utility Company energizing pole.
Footing: After trenches arc excavated.
Foundation: After forms are erected but prior to concrete placement.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Roof SheathinglNailing: Before covering sheathing with finish material.
Paee 6 of7
.
.ITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2002-01241
ISSUED: 01125/2007
APPLIED: 09/29/2006
EXPIRES: 10/06/2007
VALUE: $ 47,395.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building 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 tbe building is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as.the SUB framing inspection.
SUB Framing: Following City Framing inspection approval
SUB Final: After all required energy inspections have been requested and approved.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: Wben all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify that all
information bereon 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 ofany structure without permission oftbe 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 tbe proper time, that each address is readable from the
street, that the permit card is located at tbe 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
Page 7 of7
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
. TI;~
u... 'H "
IlL
Cwf Springfield Official Receipt
.opment Services Department
Public Works Department
Job/Journal Number
COM2002-01241
COM2002-01241
COM2002-01241
COM2002-01241
COM2002-01241
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000403
Date: 04/12/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ANDREI DZIEDZIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 085615 In Person
Payment Total:
Page I of I
10:50:19AM
Amount Due
43.00
57.00
5.00
8.00
10.00
$123.00
Amount Paid
$123.00
$123.00
4112/2007