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