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Home My WebLink AboutPermit Electrical 2007-8-8 ZON <:. G INITIALS \'-J M DATE ~ --Oc.. ' 0', SOURCEfl(, V:\00 ~-'S.. ~"1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION /' City Job Number CO,lV'\. 'Zo a 7 -DO '77 b Date 1. LOCATION OF INSTALLATION: 20 C{ -:s 0 ftr.. s +- LEGAL DESCRIPTION: /702.. 3/60 A. -re VL<> VI +- (v--1.f7T'oL':e..vt-?€Vl+ oSZOO JOB DE1CRIPTlON: A Jd z~ ClrCl,A(." Owners Name C:>00~ W~ \\ \~,,-'S.~r.e., Addre~s 8S- J S t7V ~ N ATTENT,6N* bliscellaneous (Service/feeder not included) -Each Installation . (~/- m!jO~{ rIJ;es a.t;lQ':tg~n Faw requtres YOu to City _ C~ u-otie Phone Noti:'i02.tlon cl\wmr.~rc.tll/!&Onlgon Utilily $ 50.00 :~~?AR e52.~OQl1~~ oWlJ!~ie set forth $ 50.00 OWNERINSTAL~ATION Ou~~" Youmarli~lfv~OJ 't~~001. $25.00 cwllng the CAm~ Aw... .lKhes by !he in.stalIation is being made on property I own whWh1ber for tfftfOiid \e1m'g;rttJ~pMine $ 45,00 IS not mtended for sale, lease or rent. ~qi'm&~~tuJttQ\lpat8tqp Fee is $45.00 + Surcharges Owners Signature: 4. SUBTOTAL OmOVE il J c;-z,o 8% State Surcharge 10% Administrative Fee /IJ 0 5% Technology Fee S- ') r- 1'1/ ~),- 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor ,\ ~ f \e~e.A'~;.e.. l (vC- Address tf to '85 \ ~c...\c.~ \ \ t.. ~ +- .- City 1:-: v..s,l\Ae _ Phone (O~ 1. sll~ Supervisor License Number 3KJ)..S Expiration Date /Q-\-ci)'l Constr. Contr. Number I D y.~ 1.<1 Expirati~e~'- \c..t ~o~ Signatm~ of ~~!ing ~an !L~ 7',/?~ 'J. Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOl1T New Residential- Single or Multi-Family per dwelling unit. 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 B. Services or Feeders - Installation, Alterations or Relocation: a less $ 63.00 Y'J~SM4!l EXpmE fF THE w,~' 0 t'!r'tl&s~ nUS PfiRMrr'IS:".' .00 t.~~~GRJ$4\8ANDONED FOR~' ,00 ~~R~DiiUOD. . $375.00 Reconnect Only $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 '-f'~ ).:1' $ 3,00 7 :z TOTAL Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application 8-06.doc . , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00976 ISSUED: 07/23/2007 APPLIED: 06/29/2007 EXPIRES: 02/08/2008 VALUE: $ 210,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 204 30TH ST ASSESSOR'S PARCEL NO.: 1702310005200 SPRINGFIE TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant/ interior remodel for DMV Owner: GOODWILL IND OF LANE COUNTY Address: 855 SENECA RD EUGENE OR 97402 Phone Number: Not Listed Contractor Type General Electrical Mechanical Plumbing , ~: ''''"~N: Uregcm 'aw~ you to . ~Vfto~~"'_O~ Utility In 0 ~IUD'. IfI e ruleS are set fortfa Contractor 0090~X:~-:10th"lWl!4QMt ~ation Date IMAGE CRAFT CONSCi~am~~~the rules bfT5/28/2008 JB ELECTRIC number for the or~g~:' :r:hone 03/1412008 HARVEY & PRICE CO Centetla1 _ 0 catJon 1 0/3112008 ROBINSON PLUMBING INC 10 .). 07/13/2007 BUILDING INFORMATION' Phone 541-988-2030 541-687-5770 541-746-1621 541-345-6909 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I NOTlCe~ewalk Type: THIS PImMIit.&HAhirlm(P:IRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: 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 Type of Construction Bid Amount Use Bid Amount I Valuation Description I. $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 210,000.00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00976 ISSUED: 07/23/2007 APPLIED: 06/29/2007 EXPIRES: 02/08/2008 VALUE: $ 210,000.00 Value Date Calculated Total Value of Project ~ $210,000.00 $210,000.00 07/02/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $600.05 6/29/07 1200700000000000846 Plan Review Fire & Life Safety $369.26 6/29/07 1200700000000000846 -Mechanical Issuance Fee- $20.00 7/23/07 2200700000000001182 + 10% Administrative Fee $110.32 7/23/07 2200700000000001182 + 5% Technology Fee $55.16 7/23/07 2200700000000001182 + 8% State Surcharge $88.25 7/23/07 2200700000000001182 Boiler/Comp Up,To 100,000 btu $12.00 7/23/07 2200700000000001182 Building Permit $923.15 7/23/07 2200700000000001182 Fixture $126.00 7/23/07 2200700000000001182 Furnace - up to 100,000 btu $12.00 7/23/07 2200700000000001182 SDC MWMC Administration $10.00 7/23/07 2200700000000001182 SDC MWMC Improvement $1,670.30 7/23/07 2200700000000001182 SDC MWMC Reimbursement $159.17 7/23/07 2200700000000001182 SDC Transpo Admin $305.59 7/23/07 2200700000000001182 SDC Transpo Improvement $3,482.88 7/23/07 2200700000000001182 SDC Transpo Reimbursement $789.52 7/23/07 2200700000000001182 Vent Fan $30.00 7/23/07 2200700000000001182 + 10% Administrative Fee $11.50 8/8/07 2200700000000001269 + 5% Technology Fee $5.75 8/8/07 2200700000000001269 + 8% State Surcharge $9.20 8/8/07 2200700000000001269 Add, Alter, Extend Circ $43.00 8/8/07 2200700000000001269 Add, Alter, Extend Circ Ea Add $72.00 8/8/07 2200700000000001269 Total Amount Paid $8,905.10 Fire Department Review Initial Review Planninl! Review Public Works Review 07/03/2007 06/29/2007 07/17/2007 07/03/2007 I Plan Reviews I 07/20/2007 OK GRG 06/29/2007 07/17/2007 APP LLH APP TAJ 07/03/2007 APP JHJ Pal!e 2 of 4 See attached document for Fire Department Plans Review comments. OK to do the internal work. Planning received the Site Plan Review application for the site work on 7/12/07. Attached SDC Worksheet. (JHJ) CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00976 ISSUED:. 07/23/2007 APPLIED: 06/29/2007 EXPIRES: 02/08/2008 VALUE: $ 210,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 07/03/2007 07/0312007 10 LLH Structural Review 07/05/2007 07/05/2007 APP LLH SUB Review 07/19/2007 07/19/2007 WE LLH SUB Review SUB Review 07/23/2007 07/03/2007 07/23/2007 07/17/2007 APP DH WE DH Forwarded to Mick Nolte with the Building Department for review under contract with the City of Springfield. Reviewed by Mick Nolte with the Building Department under contracl with the City of Springfield. David Harris has contacted JB Electric (John Brumback) and he said he would submit revised lighting plans. Harvey and Price have submitted HV AC forms and specs - the review for the HV AC has been approved. No building envelope forms required. See attached memorandum froJ:ll David Harris. JMP left a message for Rod with Irene requesting the energy code forms and worksheets. 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. ~eouiredJnsDections I Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 3 of 4 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2007-00976 ISSUED: 07/23/2007 APPLIED: 06/29/2007 EXPIRES: 02/08/2008 VALUE: $ 210,000.00 225 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 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 Pa~e 4 of 4 225 Fifth, Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00976 COM2007-00976 COM2007-00976 COM2007-00976 COM2007-00976 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000001269 Date: 08/08/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 089707 In Person Payment Total: Page I of 1 1:17:16PM Amount Due 43.00 72.00 5.75 9.20 11.50 $141.45 Amount Paid $141.45 $141.45 8/8/2007