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HomeMy WebLinkAboutPermit Electrical 2007-9-17 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Qo ~ ZOO?-- 00 96+ Installation, Alteration or Relocation 200 Amps or less $ 55.00 201 Amps to 400 Amps $ 76.00 ATTENT\ON: orwd~~~~~~~M~i~::V $110.00 folloW rutes ad~~~ :~~~a~Q~t\fotthsee "B" above. Notification C€JJl.ter~6~\\~~~~2~091. \n OAR 952-001-00 . ...n.niAWiOf,~_!ute~ bY O You may ~wU\JWml~ O{~ffim81 Per Panel 009 . "+.01' ''''O~. e . C-c.\II.,g the celJ.lllR!'CM"MeOIUtiliW Notification number for thEfiQ~i i1{~~44)Jjt or with Of. - L " center~~ :-neder Permit Owners Name /~ f' ~ L--~ Address ~e tr ~ '2 ~(2~- City ~&,:,,,,..K::!' Phone Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 O'YNER INST ALLA nON Limited Energy/Residential $ 28.00 / !he in.stallation is being made on property I own which Limited Energy/Commercial I $ 50.00 -r::;-C IS not mtended for sale, lease or rent. NOT\SiHimumEllti~~JWlf~~EtMlM~iS $50.00 + Surcharges THIS P&B~~1tfff~~\SNOl S-O AUTHORIZ ~~\S1fd3A~ONED FOR If COMMENct~~aDtrative Fee ~ ANY 180 ~Jtrfe~~ology Fee Z TO b/rE-- 1. LOCATION OF INSTALLATION: itfo( U 77; q-r <- LEGAL DESCRIPTION: I '7 ~ ~ 7 s- c> c..::::> (9 t:::::' g-- 0 ~ JOB DESCRIPTION: J,. J /[;,'Lt!"I.\~TJYU,,\::> / ' t . 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 1tz-i.M~( ~, Address ~'S-lfO ~,U kLA:rl ~ ~f1gewd59 ~i) t "1;frO(/V , ,./ City .,U kUTlI-J Phone Expiration Date Z-1(X>~ 11 foe:, ( i L/-f? ~ 2- (6 ro Itb , Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~.o rkJ~ (.7 Owners Signature: Inspection Request: 726-3769 Date 3. COMPLETE FEE SCHEDULE BELOW A. New ResideIltial- 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 $117.00 $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 C. Temporary Services or Feeders $ 48.00 $ 4.00 E. Miscellaneous (Service/feeder not included) -Each Installation TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc Status Issued CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-00834 ISSUED: 07/27/2007 APPLIED: 0.6/08/2007 EXPIRES: 03/17/2008 VALUE: $ 908,688.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 21ST ST ASSESSOR'S PARCEL NO.: 1703250000802 Springfield TYPE OF WORK: Retail TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant Improvements. Owner: OL YMPIC LLC Address: PO BOX 26125 EUGENE OR 97401 Phone Number: 541-232-1117 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Landscape Low Voltage Electrical Mechanical Plumbing Contractor ERIC HALL ARCHITECTS, INC. ILO CONSTRUCTION NEW WAY ELECTRIC INC GARY F BAUMBERGER AZIMUTH COMMUNICATIONS INC. BEYMER HEATING & SHEET METAL CO DICK BAILEY PLUMBING CO License Expiration Date 82355 51088 11834 145828 4483 107255 05/01/2008 06/27/2009 07/31/2009 07/26/2010 11/14/2008 06/29/2008 Phone 541-688-5594 541-521-0114 541-686-2365 541-343-1450 (503) 639-0110 541-688-5004 541-344-6996 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M SI , VB BUILDING INFORMATL~uires you,t,o .'\,~'~:.'~.:' d~~te-d by the Oregon Utility . . ),1 #.of~tone,~ t p Those rules are set fllrthl Size: 1\ "Hr'~'Ii,~)n{-s1n.\~r. 952 ~ ~-!Ul 'e~g T 8. J(l'~~\1ihrough OAR -WXj,Ft 1st Floor: In cwa~8f'~~=Obtain copies of the rule$q't 2nd Floor: OO~~~9~~~t3nter. (Note: the tel~~hO~ Ft Basement: ~y ~QPffie Oregon Utility Notlflcat~Ft Gan~ge/Carport n'E9i''iPg~~i\t~r is 1-800-332-2344). Sq Ft Other: Sprinklea"Building: n/a Occupant Load: 4,032 1,087 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: N(jof~C~t Coverage: ORK THIS PERM1T SHA~~ ~PII~Er['fn~~;I~ "'OT puam~ij~pl . .. "'T I \ ~DONEriFOR I ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: Total: Handicapped: Compact: Notes: Pae:e 1 of5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00834 ISSUED: 07/27/2007 APPLIED: 06/08/2007 EXPIRES: 03/17/2008 VALUE: $ 908,688.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Bid Amount Pavinl?: Tvpe of Construction Use Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 603,808.00 304,880.00 Value Date Calculated Description Total Value of Project $603,808.00 $304,880.00 $908,688.00 07/26/2007 07/26/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $1,740.80 6/8/07 1200700000000000724 Plan Review Fire & Life Safety $1,071.26 6/8/07 1200700000000000724 + 10% Administrative Fee $30.80 6/11/07 1200700000000000731 + 5% Technology Fee $15.40 6/11/07 1200700000000000731 + 8% State Surcharge $24.64 6/11/07 1200700000000000731 Fixture $308.00 6/11/07 1200700000000000731 -Mechanical Issuance Fee- $10.00 7/27/07 1200700000000000970 + 10% Administrative Fee $388.46 7/27/07 1200700000000000970 + 5% Technology Fee $194.23 7/27/07 1200700000000000970 + 8% State Surcharge $212.21 7/27/07 1200700000000000970 Add, Alter, Extend Circ $43.00 7/27/07 1200700000000000970 Add, Alter, Extend Circ Ea Add $189.00 7/27/07 1200700000000000970 Building Permit $2,203.65 7/27/07 1200700000000000970 Fixture $42.00 7/27/07 1200700000000000970 Miscellaneous Mechanical $45.00 7/27/07 1200700000000000970 Miscellaneous Plumbing $45.00 7/27/07 1200700000000000970 Paving $1,231.90 7/27/07 1200700000000000970 Plan Review CommlInd/Public $335.89 7/27/07 1200700000000000970 Plan Review Fire & Life Safety $206.70 7/27/07 1200700000000000970 Storm Sewer - 1st 50 Feet $45.00 7/27/07 1200700000000000970 Storm Sewer Each Addtll00' $28.00 7/27/07 1200700000000000970 Vent Fan $12.00 7/27/07 1200700000000000970 + 10% Administrative Fee $5.00 8/20/07 2200700000000001320 + 5% Technology Fee $2.50 8/20/07 2200700000000001320 + 8% State Surcharge $4.00 8/20/07 2200700000000001320 Low Voltage - Commercial Indus $50.00 8/20/07 2200700000000001320 + 10% Administrative Fee $5.00 8/29/07 3200700000000000577 + 5% Technology Fee $2.50 8/29/07 3200700000000000577 + 8% State Surcharge $4.00 8/29/07 3200700000000000577 Backflow Device $14.00 8/29/07 3200700000000000577 Minimum/Adjustment Plumbing $36.00 8/29/07 3200700000000000577 Refund - Electrical $-40.00 9/7/07 VOUCHER #123403 Refund - Surcharge $-4.00 9/7/07 VOUCHER #123403 + 10% Administrative Fee $5.00 9/17/07 1200700000000001201 + 5% Technology Fee $2.50 9/17/07 1200700000000001201 Pal?:e 2 of5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00834 ISSUED: 07/27/2007 APPLIED: 06/08/2007 EXPIRES: 03/17/2008 VALUE: $ 908,688.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 8% State Surcharge Low Voltage - Commercial Indus $4.00 $50.00 9/17/07 9/17/07 Total Amount Paid $8,563.44 I Plan Reviews I Fire Department Review 06/13/2007 07/09/2007 OK GRG Initial Review 06/11/2007 06/11/2007 APP LLH Plannifi!!: Review 06/13/2007 06/14/2007 APP EMM Public Works Review 06/13/2007 06/18/2007 APP JHJ Structural Review 06/11/2007 07/26/2007 APP DLM Structural Review 09/04/2007 SUB Review 06/13/2007 07/02/2007 APP JF 1200700000000001201 1200700000000001201 See attached document for Fire Department Plans Review comments. To be constructed per approved Site Plan Review Major Mod DRC2007-00017. Attached SDC Worksheet. No New SDC's. (JHJ) Received with 3 large projects on a cart 6/13/2007jmp. Faxed initial plan review comments to architect's office. Major issue is bldg area. 6/29/07dlm. Received revised analysis for area increase from architect & revised documents for addemdum #2 7/26/07dlm. Revised structural dwgs & cales. for graden structure. 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. ~eouiredJnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Roof Sheathing/Nailing: Before covering sheathing with finish material. Ceiling Grid: After drywall approval but prior to cover. Pal!:e 3 of5 CITY OF SPRINGFIELD I Building/Combination Permit Status Issued PERMIT NO: COM2007-00834 ISSUED: 07/27/2007 APPLIED: 06/08/2007 EXPIRES: 03/17/2008 VALUE: $ 908,688.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. 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 Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trench and including required testing. 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. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Low Voltage: Prior to cover. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Pa2e 4 of 5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00834 ISSUED: 07/27/2007 APPLIED: 06/08/2007 EXPIRES: 03/17/2008 VALUE: $ 908,688.00 225 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 5 of 5 225 Fifth Street Springfietd;Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00834 COM2007 -00834 COM2007-00834 COM2007-00834 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001201 Date: 09117/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By STEPHEN BURNETT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 002843 In Person Payment Total: Page 1 of I 10:30:53AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/1 7/2007