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Home My WebLink AboutPermit Electrical 2003-9-23 projecl as subm'tt ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541'-l72'61-J61l9does not requi ' ed has the fol/owing approval re specIfiC land ELECTRICAL PERMIT APPLICATION . ' use . -. 9 3 Zoning ~e.. City Job Number CCWr z..O 0.5 ~ 001'65 7 Date - :2 3- 0 Date Of ~ ~4-() 1. ~~()jjJtiqN,oJFiRSf@tf9ri;~i:;;':~ 3. ;;Sq~kL'~-:i~J:~$qn.E~~~w':;r2;~~~~€ I (j; tJO ;-J S f-( r:-e c. ;T'T~~~Ol"~~t:~~~~i:r~~9J~~:I:f4f" \r \\\~ ~Q\ /6 - J - OJ- . ~~'Th~o~~k~lOn or Relocation ~'\\t't-. ~\\ S\\~\.~~~~~~Ie~ rQ~ $ 50.00 ~\\\S ?'t.?\:1..'\:.\) ~~\) ~ o~~~'(o 400 Amps $ 69.00 ~~\\-\\)W C't.\) Q~ ~mps to 600 Amps $100.00 ~CJ~~\\f\~~ \)t-.'{ ?'t.~ye.~'692_ A!?ps or. 1000 Volts see "B" above. t-.~'{ "\ D. B~~~ce.Cjrc.~its Signature of Supervising Electrician ~ ~ n New Alteration or Extension Per Panel "- ~ ~ ~ One Circuit ( \ Each Additional Circuit or with '\.,j \ ~ Service or Feeder Permit . _.. ~('\ $ 3.00 Owners Name JVk.. 'rk....~\e-lJ, \ OM~ C. Pl'. .,.", ':'""i"-?v(\~;;lC),\J~ j~(J.;l,.~S:;~~:.:;,t,v:, ',....."...v.... '_ ' Address J 4C::,t) G- . S:T . - ' A': \ fE~~ iWd~w~~,~~u,.~~tS~Wt.i~~'fe~:d~r:I~~~.b!2iuded)7EaclllnstallatiOIl' ," "\'Gl"'~".ljJtJ, .... ......-.. "'("l",.\~..-H <,,- ....... '0, ' . ... o . .'),.i\""\:Vt;..h ,~, . ""-~'I:1~3LL.:'I~,"~- ',-r}""'~ -=::::. r t ~ ,vtV .'. ... \- 1"'-':. ,'\. - . ni.....,"") .~~~4.'''4d City Df'-t'l;-,~\o.\ Phone //- b ::--'-/ \U:(),.;;,.:~;,..'lP-ump/6'r.ii!'jgatio\l..:.:\:'\r(\ ".: .. ~ :...".,..' $ 50.00 I "f'" ~.,:;"I'i....,.<,.- . ,,\"7'~'~,,>,_ :'-. '~.U.\..Sigii/O~t.lm.e.pghtin'g"'~f, >.':_,~""c. $50.00 "\.......,~rri\.~,' 0; ,. -., ,,,....'"'~.,',.~\e: ,.' JQJ)\ . Lil'\lited)~'pergYfResiaenti~~ . ~ \ I,,~;.;,,~f')r: .$ 25.00 :.::..\">Li~~~d;~g~fgY1.~bmhiJ~~a1r;~~,~'" / $ 45.00 ~ <- D\I\\10~>".." . 1 '1",O_~3~._.:.H.1 MinimUfi:i:.'BlectHfPehn:it Inspection Fee is $45.00 + Surcharges LEGAL DESCRIPTION 9 Pr-\,.J<;:~l,="J 0 f2 JOB DESCRIPTION fh +CL- / P~~e.. W \ r e.. )~SJA If A-,rorJ I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '77'-177 ~~.. , ., '";" h', _ ., ' r 'f;Q!VI'RAC,TOR'INSTALI:JATION ONLY 2. L.....,'>:"ii.~". ;';'6,2>:{'s,",:i,,;,.-:::~~u:,;~~:~:,~:,.;,L.f-:,~:,., ;,. ,:i/~:<<Q1:~;~';"" _..:":',;';'<,:~~:", ~~i:^~".~,':..:~ _;,;~._ .~:" :. Electrical Contractor ;0c ~t".d :U..._W, \~e.~ Address ) Y ~ G-. S-t I' ee-\- City .s 0J' \.,)~\€J Phone 7;2.. ~ -4'1 JO Supervisor License Number J ~ to~ LEA Expiration Date Constr. Contr. Number Expiration Date OWNER INST ALLA TIqN The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 v:";". 0;,',;,./:,:;:;:, ,H",,' ,x:..... ,,:co'::.;..,...,..'...: ,,;'.',....,' ,,:' c" A.New:Re;ide~itial.2Singie:or IVluiti~FarUilyper d'tveUirig, uliiUi}; ,{v~':,.,"<:),/'"i..>4.',,:"":",;.,..":' .~'.:!""....,'.:.~",~,^ \;:,i~':;'~ "f"',," .,. ;. .M..\ ->'.~'.' "~..Y.'$,~':';r;:-"2:-.,: 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 :)C' h,~<:;---:~"T/'"''~T:','<''' .. '''''':'',,,":.,'':V''':'';;; :.:"":-:";::":". '''~''~',~^, '1~r;',"'\~<. ;>:,~;::;;:::::':;";;:,:::::~",,::;.?,,v:'." '<, :.'^^': B. ~"Sen;ices{(irFeeders - Irlstallatiori,.AlteratioIisorRelocatiori: ,,' ~~.;:.;:_"~;,. ~'__ 0:-.. ~ '.~ '_ . ~,,,~_,':'~.... ' ~:.."" --':."~<'-<"h "::~;_L..,^"~L~". ')::'..~;~;'/t'~ :.".~.. '''::':''".:);;S-(:~\:st~:;:". ;', :::. ,<>,,: :,},:: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43,00 '~f?2:,;:::,:>:':-'?~' . ',r::;;':,:,;:,^ ,:,i:: V" ,':"?':?',;T ~:-E '. '". ., " 4. . "SUB]'OTA.t;OF'ABOVE' I.. ' '. ,. ':': ':>~::>~":,:',';:::~ ": :.:~:~" :-:::.)~;!: t; ""<: '-I) 3/'> 'i -:s 0 ~2b) 7% State Surcharge 10% Administrative Fee TOTAL Shared Dtive(T:)/Building Fonns/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/23/2004 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1600 H ST ASSESSOR'S PARCEL NO.: 1703362405700 Springfield TYPE OF WORK: Office TYPE OF USE: PROJECT DESCRIPTION: Creating office space out of existing library area. Alteration Commercial Owner: MCKENZIE- WILLAMETTE HOSPITAL Address: 1460 G STREET SPRINGFIELD OR 97477 Contractor Type Applicant Architect General Electrical Mechanical Phone Number: 541-726-4432 I CONTRACTOR INFORMATION I Contractor License MCKENZIE-WILLAMETTE HOSPITAL GERALD MCDONNELL AND ASSOCIATES LEE CONSTRUCTION COMPANY 63579 ALERT ELECTRIC INC 12772 HARVEY & PRICE CO 77 BUILDING INFORMATION I Expiration Date Phone 541-726-4450 541-344-9157 541-683-3607 541-747-2213 541-746-1621 01/16/2004 OS/22/2005 10/31/2004 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: ~~ Energ~{al~ c;J\ ,~\ f~~ _\~Y. _..~\\ ...... . ~~\.\{}~~~~~l~FORMATION I ~\'\,~. ~:v.. CO ~~~ ~~~~v~ ~~ S ~\.~ J..\.\) \) ~ ,<0 Overlay Dist: \'0\ 0.'0\J~~CJ~~ ~'?~~\)\)# Street Trees Rqd: ~\) ~~~ \)~ Paved Drive Rqd: \;~~~ \ lQ~ % of Lot Coverage: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN REQUIRED PARKING Total: Handicapped: Compact: fes 'IOU to . _,AI I"AOU\ . OL":hl I PUBI:.I~f~M'fRO;Y'EMiNi:'~~i; the Ofeg~~'s~;:i~r\ . . \eo~"'-I erl\\esa,.." 00' io\\OW t,U centef.1hOS Si~~a.\k illype: \ 'f cat\on O~ 0 throUgt ~ tnA f\ I\es Not\ \ a 952-00~ -0 , cop:Q.Q;w-nspotitsIDrains: \n Op..r> obta\f\' e te\epnOIIO 0090. YoU roa'l enter. ~Note: ~~ Not\t\cat\on ca\\\n9 ~~ ~he Ofegon~~~~i344). number centef \S ~ -800, Pal!e 1 of 4 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 Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Not Covered Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Total Value of Project ~ Amount Paid Date Paid $69.81 $42.96 $10.00 $15.24 $10.67 $107.40 $45.00 $4.60 $3.22 $43.00 $3.00 $4.50 $3.15 $45.00 7/31/03 7/31/03 9/9/03 9/9/03 9/9/03 9/9/03 9/9/03 9/11/03 9/11/03 9/11/03 9/11/03 9/23/03 9/23/03 9/23/03 $407.55 I Plan Reviews, Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/23/2004 VALUE: $ 10,000.00 Value Date Calculated $10,000.00 $10,000.00 07/31/2003 Receipt Number 2200200000000001329 2200200000000001329 2200200000000001490 2200200000000001490 2200200000000001490 2200200000000001490 2200200000000001490 1200200000000002102 1200200000000002102 1200200000000002102 1200200000000002102 1200200000000002193 1200200000000002193 1200200000000002193 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/23/2004 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 08/01/2003 09/0312003 OK GRG Plan Review: Remodel library to two offices and a storage room. Job #COM2003-00687. Occupancy: R-3. Construction: V-No Maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A:I0-B:C every 75 feet oj travel distance (SUFC 1002.1). If less than 20 sprinkler heads are relocated, provide submittal (as builts) showing relocation of sprinkler heads and ensure system maintains compliance with NFP A 13 requirements. (This requirement is supplied by your licensed sprinkler subcontractor). Initial Review 08/01/2003 08/01/2003 APP RJB Plannine Review 08/01/2003 08/15/2003 APP EMM Public Works Review 08/01/2003 08/18/2003 APP SB Public Works Review 08/18/2003 PEND Structural Review 08/01/2003 08/07/2003 APP TCM SUB Review 08/01/2003 08/05/2003 APP JF No change in use or expansion $0 SDC page attached. 8/18/03 - Assigned to Steve Barnes for review. KJV 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. L.Jl.eouire~nsnections I 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Building: After all required inspections have been requested and approved and the building is complete. 4 Final Fire Department. After all requirements of the Fire Department have been met. 5 Rough Mechanical: Prior to Cover 6 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. 9 Low Voltage: Prior to cover. Paee 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00687 ISSUED: 09/09/2003 APPLIED: 07/31/2003 EXPIRES: 03/23/2004 VALUE: $ 10,000.00 225 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 will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only cont~actors 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 COM2003-00687 COM2003-00687 COM2003-00687 Payments: Type of Payment Check Receipt #: 1200200000000002193 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By MCKENZIE WILLAMETTE Received By djb Check Number Batch Number Authorization Number City of Springfi~ld Official Receipt Development Services Department Public Works Department_ Date: 09/23/2003 1:13:42PM' Amount Paid Item Total: 3.15 4.50 45.00 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65