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HomeMy WebLinkAboutPermit Electrical 2007-3-23 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (0 '^^ -ZOO 7- 0" t...l 0 1. IBo/ ASTE/L Sfrai J:Plfi..Ht ",;eIJ, LEGAL DESCRIPTION /7D33boo ~o30D JOB DESCRIPTION ::[.tJ-&i'A....t.. .:2 pflNeJs cf-W'lre- O~~Ic...e- Blc1 't., PermH~ are non-transferabie and expire if work 'i~ .... not started within 180 days of issuance or if work' is Suspended for 180 days. --3/23/0 7 Date 3. A. 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: 2. Electrical Contractor [', f Y 4 SLA hl.ll"'hA tJ E I E.Lf RJ(:'~:~ I ~60 Am~~' ~,r'l~;~: " 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only 5~/'lfsl.5009 NOnCE: r HIS PER Mn }lICB~~ij;~~f~Je!~~~fF~~srs IW I HORIZED U.~ f! tF THE WORK COM M ENe EarrJa~~fio~liffiJt!ia~lqrIBemJ~ion ANY 1BD DAy2BQ.~J~A~ONEO FOR 1Or~~ to 400 Amps 40 I Amps to 600 Amps Over 600 D. Address i;),/o (v. l1iRwl1~ 'RD, City LEBA !Uoi) . 0/2. Phone Expiration Date 33 JLt.!i. I () I a./o 9 Supervisor License Number Constr. Contf. Number Q'l4>// Expiration Date / I /3/0 8 Signature of Supervising Electrician .,~~ Owners Name P 0(' bo ro Lu M Ie, l'.r Address / go ( flST~t2- Slree.( . () .' (1)41) 73'-". "iLL'f City ~ prl /lJ 'f fie L..f) Phone , ~, 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 2- /:110..00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 /Bo" 0 () 60 E. , Pump or irrigation Sign/Outline Lighting Limited EnergyIResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 3 6 0, () 0 8% State Surcharge jL/~ '13 10% Administrative Fee + 5% Te~*" ~~ ...9 0- (PO TOTAL (~-;:;b~) /S.~ Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-D3.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00210 ISSUED: 03/23/2007 APPLIED: 02/16/2007 EXPIRES: 09/23/2007 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1801 ASTER ST ASSESSOR'S PARCEL NO.: 1703360000300 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: Office building #4 improvements, office space alteration Commercial Owner: ROSBORO LAND ANNEX LLC Address: PO BOX 20 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License MCKENZIE COMMERCIAL CONTRACTOR 45539 CITY AND SUBURBAN ELECTRIC PHOENIX MECHANICAL INC 127082 ENDEAVOR PLUMBING,'&rCONTR\'\CTORS 173692 . ~ ., ". '. .. ~ .II~L'" . BUlUD1NG;INFDR'NI1\iLIOnJ I~ .,. ''-''I". '/ "-("'111;;;;' . \~,'1f i G5'~ ....ol/(er. _-.Y f ?e Or. :::; y '/O'fjwJ ~tJf~i~~(JO i -00 1 ~ hOse rUles egClbtSi_~e: {lI.~J.~m ?E~tT.J(C!'l!fmi through 0 ar€s.:.<JsVp~~ Floor: ,{;:r;rP.f;:l!t~ea:t!?nter n COPies ~R .5~..?ftt 2hd Floor: Water1':y.~p'\!':I<~ n . (!\Jot... t" Of the 'sa FlBasement: ~.... '- \.."'~l v. lie. ut~ I Range q,yp~,: lS' ':!iOn Utili!, ,'alep"~fn Garage/Carport Energy Path:' I "''':ir;~:j<33'': y N01ifk ~q1Ft Other: Sprinkled Building: <>'..?iftA4), ....~(')I6tupant Load: Expiration Date 07/21/2007 05/07/2007 01/04/2009 Phone 541-343- 7143 541-451-5609 541-747-0999 541-554-8282 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A-3 B VB I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: OvNafJj,SF, # Sft1,~ ,Tr~ Rqd: P~rAAprfJefH.fld . 't1ootftEJrnfrfJa~/tALL EX ANI/~~~~CFn g~~~R r~;;;;E IF rtJ: j I PUBLIC IMPR~~#t~fAND tRMq IS ~YRI( ,~U ON!:f) I~Or . Siaewa~pe: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00210 ISSUED: 03/23/2007 APPLIED: 02/16/2007 EXPIRES: 09/23/2007 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 375,000.00 Value Date Calculated Description Total Value of Project $375,000.00 $375,000.00 02/16/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $948.61 2/16/07 2200700000000000212 -Mechanical Issuance Fee- $10.00 3/23/07 1200700000000000316 + 10% Administrative Fee $176.44 3/23/07 1200700000000000316 + 5% Technology Fee $88.22 3/23/07 1200700000000000316 + 8% State Surcharge $141.15 3/23/07 1200700000000000316 Air Handling Unit 10,000 & Ovr $15.00 3/23/07 1200700000000000316 Air Handling Unit Up to 10,000 $8.00 3/23/07 1200700000000000316 Building Permit $1,459.40 3/23/07 1200700000000000316 Fixture $252.00 3/23/07 1200700000000000316 Plan Review Fire & Life Safety $583.76 3/23/07 1200700000000000316 Vent Fan $30.00 3/23/07 1200700000000000316 + 10% Administrative Fee $30.60 3/29/07 2200700000000000423 + 5% Technology Fee $15.30 3/29/07 2200700000000000423 + 8% State Surcharge $24.48 3/29/07 2200700000000000423 Add, Alter, Extend Circ Ea Add $180.00 3/29/07 2200700000000000423 Perm Serv/Fdr 200 amps or less $126.00 3/29/07 2200700000000000423 Total Amount Paid $4,088.96 I Plan Reviews I Fire Department Review 02120/2007 03/20/2007 OK GRG See attached document for Fire Department Plans Review comments. Initial Review 02120/2007 02/20/2007 APP SKG Plannine: Review 02/20/2007 02/26/2007 APP EMM Interior remodel existing office space. Public Works Review 02/20/2007 02/27/2007 APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) Structural Review 02/20/2007 03/02/2007 APP DJP SUB Review 02/20/2007 03/02/2007 APP JF 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. Pae:e 2 of 3 Status Issued .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00210 ISSUED: 03/23/2007 APPLIED: 02/16/2007 EXPIRES: 09/23/2007 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 3 of 3 225 Fifth Street . . Springfield, Oregon 97477 541-726-3759 Phone Cit-. qf Springfield Official Receipt D ./opment Services Department Public Works Department Job/Journal Number COM2007-00210 COM2007-00210 COM2007-00210 COM2007-00210 COM2007-00210 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 2200700000000000423 Date: 03/29/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DAVID ROBINSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 093251 In Person Payment Total: Page I of I lO:33:33AM Amount Due 126.00 180.00 15.30 24.48 30.60 $376.38 Amount Paid $376.38 $376.38 3/29/2007