HomeMy WebLinkAboutPermit Electrical 2005-12-15
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225 FIFTH STIlliET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 .\~~~\:((B~~-;)JJJl:~.8geQUir~:~~~~t~,~: .'. ....
ELECTRICAL PERMIT APPLICATION l.on\ng\l; ,',.... '.
City Job Number r j)tv\'2D05 ~ 01520 appro Dateoni -~.__.-
3. COMPLEl'EllEE SCHEDJ;:;;:;;;u:!e'w~- '.'
, . C,' cJ SIgn"'''''' . . .
I,J\\lOn;..e
~/1;( trY /-p,-~ q~
NOl~:Manufact'd rs~ : 'F THE WORK
2. CONTRACTOR INsmlA.qoN ONLY t:!ii~~~~p.;}~i~a:io:::rO:".ocation:
. '. ;- '. . ANY 1800A,{Ptk(~u. ,.. . . .. .... .'.
Electrical Contractor V',^,- I f.t v' 10 Sty-like / I VI C . 200 Amps or less
( A ~ 4' 201 Amps to 400 Amps
Address (GO ~ 1.Slm Af'It _ ')-k.- . 401 Amps to 6,00 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
1. l,OCATlONOFINSTALLATlON
3 S---l G Si-Y e e.:t -.SpC(
LEGAL DESCRIPTION
~l06 Q(oJ.4-
I
JOB DESCRIPTION
q?tf77
OS']DO
L'~ 1M ; ~ f~f (Gtwt p. Ct:! ~ Il'lAl,'r
Permits are non-transferable and expire if l~ork is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City ~
Phone Sq (- 3 C()- 7fS-O
L.G~
3 571 ~
Expiration Date 10 10 \ I ~()u 6
Constr. Contr. Number 7 b S2$3
I-S~()"
Supervisor License Number
Expiration Date
l
7
~ ChI(
Owners Name IAJ::c!i6)'l r-+r bey-is L--LC-
Address 875 ~Lr- iAJ'ZUj V ~w
City l:::V1~eVl(.~ Phone 95>-'-1- J OJ 7 g
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
..
~
, ' " ".' " "": ;>,_~:,,' "" ~"' , ' " "' , c '-,'
A. New Residential- S~ligIi~ Of Multi-Family per dwelling un,it,
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c:
Installation, Alteration or Relocation U to
--r;r::\IT10!\I' OreGOn law requIres yo
2\]0 Atrnps or less, ,."';" b I the Or,."..,C'n Ill~i~}0.00
20ilWmr's\~~&QJR\Nc;P ~ ._'" $ 69l.1:\O
,.. f n C'''n.:.al fhose rulc~ :.CC> C:Al .C. .!'!'
NlO1l!lAnip9to 600 ~rrigso th gh (\M~ Q&:\?$jtQ@,oo
, ot D 052-001-001 roU - .
no.v. ~f)\6QP.~ A. mp.s \9[.0. 10(00. I rY.8!!..-S..'-'.'.$~. "'..' '....tB....-'..'.(..~..o.o....v...'e..'.) 8.. s...... bY.
0(1[... . tOl'. Oldy. tJ cA.' .' ~'. .""". ... "'"..........
D. 'JBj;li Rch - (fi5c,U LtsiteL,i'INdtetli1F!t~I~.jJ~{!~e;, ~..
-Cd\\,18-~;-~~ ~v~~r:::~";-~l'tiIiF' Notific'a:tron ......
N~~r.t,\lteliatlOn.ror-- E.xtenslOnlper Panel
O~e CircuiBenter is 1-800-332-~044). $ 43.00
Each Additional Circuit or with
Service or Feeder Permit
$ 3.00
-,' ~,i " ',,'",_,<: ~- ,^~"
E. .Miscell~~e~~s (Service/feeder::~~J iricluded}":Each Inst~l]ation "
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Ys
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. " SUBTOTAL OF ABOVE;'
7% State Surcharge
10% Administrative Fee
'3; IS-
l-f f So
5 (;r
),
TOTAL
Shared Dnve(T)/Building Fonns/Electrical Pennit Application I-03.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01520
ISSUED: 11/30/2005
APPLIED: 10/26/2005
EXPIRES: 06/02/2006
VALUE: $ 96,207.00
SITE ADDRESS: 386 Q St
ASSESSOR'S PARCEL NO.: 1703262405700
TYPE OF USE: New
Oregon Mortgage Group Te'ft'Ol~WE~ First Tenant E WORK
T~l~ PFRMIT SHALL EXPIRE I~ TH_ (-
AUTHORIZED UNUtM I t1\~ rlIj.'~~\I1 Iv ~~;
COMMENCED OR IS ABANOUN'Ef)~~
ANY 180 DAY PER\OD.
Contractor License Expiration Date
BINEHAM CONSTRUCTION 76336 10/24/2009
JB ELECTRIC 104929 03/14/2008
VALLEY TEL SERVICE INC 76528 01/05/2006
COMFORT FLOW 460 06/27/2007
ROBINSON PLUMBING INC 107124 07/13/2007
. s you lV
BUILDING INFORM-A:FlQN1egon law reqUIre Utility
".... d by the Oregon
. -folloW rules adopte , 1"'<: 'HP. set torth
# of Stones: . '.' Center. Those r'E.ot-Slze': ') 001-
. ~.",tl-flr.;:Jt\On , ~~.f-laJ;,-
Height of,StructureS2 001-0010 throul$'Q '1''t 1st'FlOor:~y
Type ofIiea~AR 9 - obtain COpilSq(Ftt2WJF1%~i?
Water Type:90. You may ter (NoteS'q'FttBast~erm:
Range Type:caUing the ce; Or'egon u~qlft\~iifagtW~Qrport
Energy Path:l.b.lmber tor th is 1_800-3S;...q1?jiQther:
Sprinkled Building: Center n/a Occupant Load:
PROJECT DESCRIPTION:
r'. Owner:
Address:
WATSON-ALBERTS LLC
875 FAIRWAY VIEW DR
EUGENE OR 97401
Contractor Type
General
Electrical
, Low V oUage Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
,,~. Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
, Storm Sewer Available:
',- Special Instruction:
Notes:
Springfield TYPE OF WORK: Office
Commercial
541-954-1978
I CONTRACTOR INFORMATION I
Phone
541-484-9405
541-687-5770
541-673-6030
541-726-0100
541-345-6909
B
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
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 CommlInd/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Building Permit
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Total Value of Project
~
Amount Paid
$342.32
$10.00
$64.40
$45.08
$31.00
$553.95
$42.00
$39.00
$3.00
$17.75
$221.58
$6.00
$4.50
$3.15
$45.00
$1,428.73
I Plan Reviews I
Pa{!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01520
ISSUED: 11/30/2005
APPLIED: 10126/2005
EXPIRES: 06/0212006
VALUE: $ 96,207.00
Square Footage
or Bid Amount
96,207.00
Value
Date Calculated
$96,207.00
$96,207.00
11/2912005
Date Paid
Receipt Number
2200500000000001501
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001637
2200500000000001707
2200500000000001707
2200500000000001707
10/26/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
11/30/05
12/15/05
12/15/05
12/15/05
." _ ~PAJN(llFJe:a..1) CITY OF SPRINGFIELD
- ~:
ii~
Building/Combination Permit
Status Issued PERMIT NO: cOM2005-01520
225 Fifth Street, Springfield, OR ISSUED: 11/30/2005
541-726-3753 Phone APPLIED: 10/26/2005
541-726-3676 Fax EXPIRES: 06/02/2006
541-726-3769 Inspection Line VALUE: $ 96,207.00
Fire Department Review 10/28/2005 11/21/2005 OK GRG Plan Review - Tenant Infill. Oregon
Mortgage Group. COM2005-01520.
Construction Type V-B.
Construction. 380 Q St is the
address for the shell building. A
final fire needs to be completed on
380 Q St along with this inspection.
Provide means of egress ilIuminatioll
meeting requirements of 2004 OSSC
1006.
Provide illuminated exit sign age
meeting requirements of 2004 OSSC
1011.
Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 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).
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Review done by MF, supervised by
GRG.
Initial Review 10/27/2005 10/2712005 APP LLH
Plannine Review 10/28/2005 11/08/2005 APP EMM Needs final site inspection and
approval before occupancy can
occur.
Public Works Review 10/28/2005 11/21/2005 APP SB SDCs all paid on COM2004-01509.
Tenant Infill only.
Structural Review 10/27/2005 10/31/2005 WE JMP See attached documents for 7
structural comments faxed to John
Demurs.
Structural Review 11/1012005 11/16/2005 10 JMP WE. Received response to
structural comments. Called Russ
Pierson to request special inspection
forms for the heavy duty ceiling
grid.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01520
ISSUED: 11/30/2005
APPLIED: 10/26/2005
EXPIRES: 06/02/2006
VALUE: $ 96,207.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
11/29/2005 11/29/2005 APP JMP Called Russ Pierson to address the
deficiency in Item #4 (heavy duty
ceiling grid). Agreed to issue the
permit with this item as a deferred
submittal.
10/28/2005 11/07/2005 APP JF
SUB Review
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.
I ReQuiredll'Insoections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
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.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
Low Voltage: Prior to cover.
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
Paee 4 of 4
225 Firth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~
-'~y of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01520
COM2005-0 1520
COM2005-01520
Payments:
Type of Payment
CreditCard
;1
)
. -
~ 1
. ~.
~
:1
'I
12/15/2005
RECEIPT #:
2200500000000001707
Date: 12/15/2005
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MICHELLE D FELTZ
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
06291 B In Person
Payment Total:
Page 1 of I
11:39:27AM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid .
$52.65
$52.65