HomeMy WebLinkAboutPermit Electrical 2006-3-10
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225 FIFf~ STRE~T · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S41)72~~trso, '..:~~t/~
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LEGAL DESCRIPTION
I., n3 \ S 3DbO~ crt> Service Induded
JOB DESCRIPTION .... . 1000 sq. ft or less
~~ d (\ A J-...r1' t LC/)I 'hov\. Each additional 500 sq. ft or
~ r \.. \"~ J L!'--' portion thereof
Permits are non-transferab and e.",,,:,,, '" if work is Each Manufat~id7l!J~~j..Jj-008- ~ 5! .l8lU8:)
not started within 180 days of issuance or if work is ModularlQwr:~~ ~~~,Cf19,!j58.l0 8ljl.loJ .l8ql$~!m
Suspended for 180 days. Feeder,UOljC:8;8l 8ljl :8WN) '.l8lU8:) 8ljl DUille:)
:;eoOi::=~;E1:jJJ:~ rLt2:!!:!!=!!!~:~~~."6~O~'....
,.".) k ,/ .! J /J J! 4 201 ~to~o:xmpsn Aq p8ldope saln.l$fi1~~OQ
Address t(""S~.llwplllel(!t;~ ~J y //ft>S' 401 AinjWtb!60000npg'\llel U058.l0 :NOllI\IH~2.~{10
C ?;J,r 71(1-~Cfj 601 Amps to 1000 Amps $163.00
City -.Cu.JJ-Cn. <.. Phone 1/<"5-67'11 7q,l-~ Over 1000 AmpsIVolts $375.00
J Rc:.............ect Only $ 50.00
Supervisor License Number .!Ii!Lo <; C.J'empr~t3f:.~;Sli~~;i.~~i,Li11~f~~~'-'ey:> '
Expiration Date / (}-o /-07
Constr. Contr. Number /<. iz9'if
Expiration Date t - ,(-07
S~lJ;)71f~~
t............. I __..__"
ownersN~~ B:
Ad~c= rt.lJD , ~ ~ ~ QQ
Ci~'" 0 d_./ Phone '(4(0 -' 15 <f4<j- Pump or irrigation $ 50.00
J . Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergylResidentiaI $ 25.00
Limited" Enp.T'fnI/Commerct.al $ 45.00
The installation is being made on property I own which -ttJ'
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is S45.00 + Surcbarges
_..:--fta.Ji.ff.p(;;ii.:~i:/Jt$Ifsqt~l?VL:15,-jjtEL~O:;Jl:.~~-.->... '.
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A";~~~~;:}~~~~~~~~hF+~ft*~t~it~:;,"I~~"Kn)~iii~~~''t~I~i,rig:~Hik~.: ,','
$106.00
$ 19.00
Installation, Alteration or Relocation
200.t\.mps or less $ 50.00
2R;1~~400Amps $ 69.00
'~~~rr~ . $100.00
~~~'~~_~O}vll8~ir~~f:L8t~~ JtJ~WORK
D':=:~~~~tP~b~ NOr ......
One Circuit ': 7 $ 43.00
Each Additional Circuit or with : / $ 3.00
Service or Feeder Permit
~3. ~
3 . (jl)
E. '.'~~I.~~~#~~;~~:t!~bi#fjt4~~~,~#t;i~c,~#{i~~tI:g~~s~f:iiiii.~Haif~~."
Owners Signature:
4.:~~~~ti:>:Z!~fti~itt~g:~f~~~{~.!-~~~\".,~,L:L~
8% State Surcharge
10% Administrative Fee
4b " on
f 3.(pi
~. .. (,;0
$ <J. dgt
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Inspection Request: 726-3769
TOTAL
Shared Drive(T:}/Building FOnns/Electrical Permit Application 1-06.doc
Status
Issued
CITY OF SPRINGFI~
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 09/09/2006
VALUE: $ 10,000.00
, 225 Fifth Street, Springfield, OR
~ 541-726-3753 Phone
, 541-726-3676 FilX
'" 541-726-3769 Inspection Line
Owner:
,~, Address:
SYCAN B CORP
840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
"~,,,,"irp.S yOU lU
_, n" I, Orp.ClUII \c.,,. ~ . Ut\\\l'j
Springfield-'\TYPEI.OF WORK:_Ot\f,;ceOregon t th
p' I - d 1.eu u Y ~... t or II
tolloW rule~~ _~~y 1hose rules are se _ ( 1-
\\Ioti(HmE<OF.:;USF;:: 0 tt~l~l:J~t.oDAR 952 O~o.Q1mercial
OAR 952-001-0u1 , pies at the rules by
In obtaIn co hone
('IlIan You may ("'ntp' the telep '..
calling the ~~~';i.wne NqWt'b~~1.)\1S~1~746-8444
number tor , 800-332-234'"1' .
, center IS 1-
SITE ADDRESS: 840 BELTLINE RD 210
ASSESSOR'S PARCEL NO.: 1703153000900
PROJECT DESCRIPTION: Tenant in fill to create 3 offices
I CONTRACTOR INFORMATION I
," Contractor Type
I General
. Electrical
Contractor
SYCAN B CORP
BEAR MOUNTAIN ELECTRIC LLC
License
72619
136298
Expiration Date, Phone
03/25/2008 541-746-8444
08/06/2007 541-953-6747
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:.
# of Bedrooms:
B
I BUlLDINft;WIll...RMATION ~XPIRE IF 1HE WORK
~~S ~ ~t1I-\L\.. ~1MN01
# 0 ~I' RIlED UNDER lHIS PER . e:
He tl~ J:~~eoR IS ABANDONE st Floor:
Ty tVJ )': DA'( PERIOD. Sq Ft 2nd Floor:
Wa~NTy . Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
VB
I DEVELOPMENT INFORMATION.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
.. Special Instruction:
Sidewalk Type:
DownspoutslDrain's:
Notes:
Pa2e 1 of 4
-.:t.~~~1~~9~1~' """.~,.
f .
l
.;:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
:, 541-726-3769 Inspection Line
I Valuation Description I
Description
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Date Calculated
Tvpe of Construction
Estimate
Total Value of Project
~
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 09/09/2006
VALUE: $ 10,000.00
Value
$10,000.00
$10,000.00
11/15/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlIndlPublic $69.81 11/15/05 2200500000000001584
-Mechanical Issuance Fee- $10.00 12/14/05 3200500000000000694
+ 10% Administrative Fee $15.24 12/14/05 3200500000000000694
+ 7% State Surcharge $10.67 12/14/05 3200500000000000694
Building Permit $107.40 12/14/05 3200500000000000694
Miscellaneous Mechanical $45.00 12/14/05 3200500000000000694
Plan Review Fire & Life Safety $42.96 12/14/05 3200500000000000694
+ 10% Administrative Fee $4.60 3/10/06 2200600000000000296
+ 8% State Surcharge $3.68 3/10/06 2200600000000000296
Add, Alter, Extend Circ $43.00 3/10/06 2200600000000000296
Add, Alter, Extend Circ Ea Add $3.00 3/10/06 2200600000000000296
,-
Total Amount Paid $355.36
I Plan Reviews I
Paee 2 of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
Initial Review
Planninl! Review
Public Works Review
Structural Review
Structural Review
Structural Review
11/23/2005
11/16/2005
11/23/2005
11/23/2005
11/16/2005
12/02/2005
12/05/2005
12/02/2005
11/16/2005
11/28/2005
12/02/2005
11/30/2005
12/02/2005
12/05/2005
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 09/09/2006
VALUE: $ 10,000.00
OK
GRG
APP LLH
APP EMM
APP SB
WE JMP
10 JMP
APP JMP
Pal!e 3 of 4
Plan Review. Tenant in fill to create
3 offices. COM2005-01616.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property. The
back door of each tenant space
should have the numerical address
and the store name on or above the
door that faces an alley or road.
(2004 Oregon Structural Specialty
Code 501.2 and 2004 Springfield
Fire Code 505.1).
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 means of egress illuminatioll
meeting requirements of 2004 OSSC
1006.
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2).
mfechtel/ggordon
Plans state that this is an interior
remodel with no change of use. Doe!
not require planning review.
Change in office occupant, no
change in use. No SDCs
Received 11/23/2005. See attached 6
structural comments faxed to Betsy
Jones.
WI. Received faxed response from
Betsy Jones. Faxed energy code
forms to Jack Foster for his
approval.
Received final internal review.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01616
ISSUED: 12/14/2005
APPLIED: 11/15/2005
EXPIRES: 09/09/2006
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
"i; SUB Review
12/05/2005
11/23/2005
12/05/2005
APP JF
No energy code issues or inspections.
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 Reouired Insoections I
"
'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 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.
'.~
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 t~e 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
i times during construction. '
Owner or Contractors Signature
Date
..
.\
Pae:e 4 of 4
2~5 Fifth Street
-I ,-.....-----
. S'pdngfield, Oregon 97477
541-726-3759 Phone
rity of Springfield Offici
~velopment Services Depar
Public Works Departmen
~' ~l
Job/Journal Number
COM2005-01616
COM2005-01616
COM2005-01616
, COM2005-01616
Payments:
Type of Payment
CreditCard
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3/10/2006
. RECEIPT #:
2200600000000000296
Date: 03/10/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CHAD PERKINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 045260 Phone
Payment Total:
Page 1 of 1
lO:44:45AM
Amount Due
43.00
3.00
3.68
4.60
$54.28
Amount Paid
$54.28 .
$54.28. !