HomeMy WebLinkAboutPermit Electrical 2007-5-29
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION 6:0
City Job Number c..Ovt.-.. Z007 - 00 Z CJ <) Date 0
I
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/ /) - / zJ 7 1/ / I.... S PP/f. . Installation, Alteration or Relocation
eoit. I/jOil! '/11/1 SllOO Amps or less $ 50.00
/ 56eP 7~.. 'I4/!/!r-r" '?[O U;v, Z1iILA!1(P.S to 400 Amps $ 69.00
"IIY 180'v~!:0 0' 'O~Cfl -Ad-.{#/PfOO Amps $100.00
(f' -/ C/ -c:) 7 OJ/.v Pr, 'IY ISorU/t68 ~t(J/f~p. V~!~~, s~~ "B" above.
!l1{jA' B1~ct{d(f.". sr~~li.:n'"',,''' '-
Signa:::::"n:;:," ___ "~;w :,~1ta:~MJ='::;'~~~;'1
r - - . One Circuit $ 43.00
J oA 'U Each Additional Circuit or with / l{
, I A ""7' _ ,.. LLLService or Feeder Permit $ 3,00
Owners Name lJVW ) ',c, '
Address ~ 7)" 17\ rv.) A-'~/i~~ ~.,.;.,... 'NJ E. :l)\'Ii~F~lla~c,pt~ (Ser~ib~f;,,~~~~h~t.i,n~I~~~~i.;~i~Ki~stalla~on:
C;ly eu.&e?/ if Phon. ~i~~~eg~.~; i;;;~:t;:~"~~--' ..~5~~~-" .. .
/ OOGO. .~~ (}8<_O'-fJriter. ~O's~1ButI~l~lltj~hting $ 50.00
OWNER INSTA:tiATlON ~ Cffll/ir) OlJ tntt 01~0010 l1JJ@e;itf.~i;?~WbIfelnaW!31 $ 25.00
The installatioxlk being made on p;~UpQ;,h".I~~~hr.ChObt;U,. t~i>nif-~/~t'i'e~~/(?oht})~ff)al $ 45.00
. . ";]~ . :'1i ,.4ot 'I Co ,!:I" 0 e Se1 .Y
IS not mtend for sale. lease or rent. \j '.", et: l)1lnlh'la~~le~t11i{1l?m:wl{[l:Ispection Fee is $45.00 + Surcharges
~ . Or I VOt. Or f.J... ~<,.O
. . sqot?'{{I1' (/'$ r: 0", ">; :" -
Owners SI nature: :p, 4~' ,.ft.@/liMi.J!ISstBO~,j,: '. .. ." 80
. ~"'YlVol' '!?l)onG .d"U ..., .. . B6
8% 'Statl: ~~f.G:laatl!e b
, "'crt
10% Administrative Fee IIJ tj.s:__"S 8'6"D
) ~ , Ct.-*, Fe"€" C( zr
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LEGAL DESCRIPTION
J7D::S Z-b Z,Lf
JOB DESCRIPTION
AcLJ / s-
oS7ao'
Ct rUA.\ ~
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. f~f??~Et2:~fm~JT~:!~~;~~;;
Electrical Contractor A 6'.5 ,E/C"'cl'//c J/7c.
Address /V &)Y ~l)dJ
City fi./ael"le
>.J
Phone (; cf6-5YI/S!
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
Inspection Request: 726-3769
'17t(f) '?
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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
,~:~., l~'~:''- I ,_.f",., 'f".' ..', -".'... '. .,;'
B. ~~'scrvices or~Feeders~:
J~ :,(,S:~".. , 1~":.i,..:~-...dBS.;,,~.:.. ,~~.... '
,~l'S,~,I. ':.':I':"t,i~~?;;.nr::;', ~t-~}J:~rj,,~"'~;~};:>;]1t~~~"~,,' > ;~{'-~ ~,''':'' :~;"'<.~
. don~;AJtel:ationsor:Relocation:, .>
~i;W':~ (j--':. l:~:~_ ':::':-,:~i;'.,R:,G.~-<3~~~:i;."~"f~'~.~~d .~; :':.,~~ ~,:~-.";'./' "
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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43
41
Shared Drive(T:)/Building Fonns/Electrical Permit Application J .06.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00299
ISSUED: 04/27/~007
APPLIED: 02/27/2007
EXPIRES: 11/22/2007
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
SITE ADDRESS: 370 Q St
ASSESSOR'S PARCEL NO.: 1703262405700
Springfield
TYPE OF WORK: Office
TYPE OF USE: Alteration
PROJECT DESCRIPTION: New lease space in existing shell - Metro Planning
Commercial
Owner: WATSON-ALBERTS LLC
Address: 875 FAIRWAY VIEW DRIVE
EUGENE OR 97401
Phone Number: 541-343-9714
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Engineer
Mechanical
Plumbing
Contractor
ROBS ELECTRIC INC
OLSON & MORRIS
SUNSET HEATING & AIR INC
CRAIG ARNEY PLUMBING LLC
License
156678
Expiration Date
08/14/2007
167015
10/25/2007
Phone
541-686-5444
541-302-9790
541-988-3181
541- 736-9582
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
BUILDING INFORMATION I
II! Or/,,..
# of S'~les: ~'f: . Lot Size:
Hei~1 of5S,~~}tf.re: Sq Ft 1st Floor:
Ty~e WfrlJ't1h: ~r SIi Sq Ft 2nd Floor:
watfhmWle;lltD U ~LL E,t Sq Ft Basement:
R4~ 1}.P~:'CtD 0 'lVDER rliPIRE If ~9. Ft Garage/Carport
Energy F'atlDAk 'R /S A ~S Pc. S'q'l.Ft!~her:
Sprinkled BtiiltliRiRlO'/'}'18Aft1f10 RA1,qcmp'!lJlfr,oad:
'!IJJ::,.. Ii:) 71ln,.
I DEVELOPMENT INFORMATION I -OJ I'OIl - I
REQUIRED PARKING
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved,;Qrive Rqd:
% of iJo'tr<m"er.age:
fOllOW IIO/V.O
VOtiF;_ rUle.r:.: ""~ regon 1_.
I PUBLi~ '1~~~EMEN~'~d bYt;;~~qUlres Yo
"'<:JtJ.)I; - v~J..O' rho~, re.Do,~,to
C: I. Ou rr,D.' /~ 010 /1.. ~d"e>>,~lk 'yyjlHJe,1,ty
aillrlfl ...y Obt ' IlrOUah .;> a.re Se 1-
r..lJf'I')b~ ,the cen a.m CO~()Wi1~ft1sillr~ifist-
.. f' """"'/ , ter. IN es Of 101.. ~:'<-OO
t It::! 0 I' ote' t II II! r
..- regon u: .he tele Ules (
~ . flhty No ,~hone
" "'l tlftC~l"
")1.1). "-C Jor;
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of 4
Status
Issued
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00299
ISSUED: 04/27/2007
APPLIED: 02/27/2007
EXPIRES: 11/22/2007
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$20,000.00
$20,000.00
02/27/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $120.51 2/27/07 2200700000000000267
+ 10% Administrative Fee $7.00 3/22/07 2200700000000000393
+ 5% Technology Fee $3.50 3/22/07 2200700000000000393
+ 8% State Surcharge $5.60 3/22/07 2200700000000000393
Fixture $70.00 3/22/07 2200700000000000393
-Mechanical Issuance Fee- $10.00 4/27/07 1200700000000000470
+ 10% Administrative Fee $40.41 4/27/07 1200700000000000470
+ 5% Technology Fee $11.52 4/27/07 1200700000000000470
+ 8% State Surcharge $18.43 4/27/07 1200700000000000470
Addressing Assignment $31.00 4/27/07 1200700000000000470
Building Permit $185.40 4/27/07 1200700000000000470
Fire SF Fee - Non-Residential $173.70 4/27/07 1200700000000000470
Minimum/Adjustment Mechanical $39.00 4/27/07 1200700000000000470
Plan Review Fire & Life Safety $74.16 4/27/07 1200700000000000470
Vent Fan $6.00 4/27/07 1200700000000000470
+ 10% Administrative Fee $8.50 5/30/07 1200700000000000654
+ 5% Technology Fee $4.25 5/30/07 1200700000000000654
+ 8% State Surcharge $6.80 5/30/07 1200700000000000654
Add, Alter, Extend Circ $43.00 5/30/07 1200700000000000654
Add, Alter, Extend Circ Ea Add $42.00 5/30/07 1200700000000000654
Total Amount Paid $900.78
I Plan Reviews I
Fire Department Review 03/02/2007 03/25/2007 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 02/28/2007 02/28/2007 APP LLH
Pal!:e 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-00299
ISSUED: 04/27/2007
APPLIED: 02/27/2007
EXPIRES: 11/22/2007
VALUE: $ 20,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
04/17/2007
10
JMP
Plan Review Comments
04/19/2007
10
JMP
Planninl!: Review
Public Works Review
03/02/2007
03/0212007
03/07/2007
03/07/2007
EMM
JHJ
APP
APP
Structural Review
Structural Review
04/23/2007
03/23/2007
JMP
JMP
APP
WE
04/23/2007
02/28/2007
SUB Review
03/23/2007
WE
JF
03/02/2007
SUB Review
04/23/2007
APP JF
04/23/2007
CITY OF SPRINGFIELD
WE. Received incomplete responses
to the structural comments from Jed
Truett. JMP called Robert Stevens
who agreed to supply the missing
special inspection forms and
mechanical contractor (Items 8 and
9). Forwarded the energy code
forms to Jack Foster for his review.
WI. Received mechanical
contractor and special inspection
forms.
Attached SDC Worksheet. No new
SDC's. (JHJ)
Received final internal approval.
Received 3/1/2007 with 7 other large
projects and plus a large backlog.
See attached documents for 12
structural comments faxed to Jed
Truett.
See the attached documents for item
#4 on JMP's structural comments
for the requested energy code forms
and information.
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.
l..ReouiredJnsnections I
Underslab Plumbing: Prior to filling the trench and including required testing.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Grid: After drywall approval but prior to cover.
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 building is complete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!:e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-00299
ISSUED: 04/27/2007
APPLIED: 02/27/2007
EXPIRES: 11/22/2007
VALUE: $ 20,000.00
'225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
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
Pal!:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cit-. of Springfield Official Receipt
D, Jopment Services Department
Public Works Department
Job/Journal Number
COM2007-00299
COM2007-00299
COM2007-00299
COM2007-00299
COM2007-00299
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000654
Date: 05/30/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
DA VID LAWLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 053227 ]n Person
Payment Total:
Page] of 1
3:05:44PM
Amount Due
43.00
42.00
4.25
6.80
8.50
$104.55
Amount Paid
$]04.55
$104.55
5/30/2007