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HomeMy WebLinkAboutPermit Building 2013-9-30 • SPRINGFIELD 225 Fifth St _di ' CITY OF SPRINGFIELD Springfield,OR 97477 `( ` Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02114 www.springfield-or.gov • pe rmitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/30/2013 EXPIRES: 03/29/2014 STATUS DATE: 09/30/2013 APPLIED: 09/19/2013 SITE ADDRESS: 919 KRUSE WAY,Springfield,OR 97477 SCOPE: Site Work Only ASSESOR'S PARCEL NO: 1703222007000 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Electric vehicle charging stations . OWNER: GOPURA LLC Phone Number: ADDRESS: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED ` I Inspections • 1999 Final Building Final Building: After all required inspections have been requested and approved and the building 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 or 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 cated at the front of the property, and the approved set of plans will remain on the site at all times during construction. g Owner or Co.tractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility THIS P NOTICE: Notification Center Thane rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification ' Center is 1-800-332-2344). Springfield Building Permit 9/30/2013 2:35:07PM Page 1 of 1 ` SPRINGFIELD CITY OF SPRINGFIELD • hr A. 225 FH1h S1�O OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2013-02114 www.springfield-or.gov 919 KRUSE WAY permitcenter @springfield-or.gov RECEIPT NO: 2013002175 RECORD NO: 811-SPR2013-02114 DATE:09/30/2013 ,DESCRIPTION _ _____ <.: �.__.ACCOUNT,;CODE/TRANSCODE - ^, :AMOUNT DUE. Building Permit Fee 224-00000-425602 1002 711.77 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 85.41 Technology fee(5%of permit total) 100-00000-425605 2099 35.59 ------ — • _—' ---------- TOTAL DUE: 832.77• LPAYMENT TYPE PAYOR CASHIER:ccnRPeNreR i i i COMMENTS ' _ AMOUNT PAID- "'L. - • 1 Credit Card Alan Kangas 832.77 030470 TOTAL PAID: 832.77 • • Structural Permit Application SPRINGFIELD DEPARTMENT USEONLY . .. .I •d x"4�c' , ;gv &.'-i.js`-°t + t'.,.y- '�# nt' tx.,, Lr-" -;1Ec.! da ,:.. .,.■ s:C ttYJ Y'OFaSPRINGFIELD, OREGON el ti;..6[~;�v` t - ell Permit no.: 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 .OREGON S 1 3 -0Z //q Date: 92//3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL;GOVERNMENT APPROVAL `, Plumbing This project has final land-use approval. • Signature: Date: Mechanical This project has DEQ approval. Signature: Date: - .� g approval ❑Yes Li No Zonin a royal verified: Property is within flood plain: ❑Yes ❑No le'Valuation information` x rz '>A.,- x1� ,q. CATEGORY OF'CONSTRUCTION a''- r (a)Job description: Electric vehicle charging stations ❑Residential ❑Government ]Commercial Occupancy N/A JOB SITE,;INFORMATION AND`,L`OCATION v! Construction type: Job site address: 919 Kruse Way Square feet: concrete pad 24,6" x 10'6" City: Springfield State: OR ZIP: 97477 Cost per square foot: Subdivision: Lot no.: 1700 Other information: Reference 1703 Z 2 zU Taxlot 1"7032220 Type of Heat: N/A -+ :PROPERTY`OWNER r., Name: GOPURA LLC Energy Path: Address: 840 Beltline Road, Suite 202 new ❑alteration ❑ addition Springfield (b)Foundation-only permit? ❑Yes 3 No City: OR ZIP:97477 Total valuation: $90,000.00 • Phone: Fax: - - 2 Bwhigg fees° „„ 7 i E-mail: . .,... .__ .. ... . �- . , (a) Permit fee(use valuation table): $ Building Owner or Owner's authorizing this application: (b)Investigative fee(equal to[2a]): $ (c) Reinspection($ per hour): (number of hours x fee per hour) Sign here: {(,L / (d)Enter 12%surcharge(.I2 x[2a+26+2c]): ['This installation is being made on residemial or rm property owned by (e) Subtotal of fees above(2a through 2d): $ me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. 3 Plan �ti t 1, CONTRACTOR,INSTALLATIONy i (a)Plan review(65%x permit fee[2a]): $ Business name: (b)Fire and life safety(40%x permit fee[2a]): S Address: - (c)Subtotal of fees above(3a and 3b): S 4 Miscellaneous'fees. City: State: ZIP: - - - - ... Phone: - - - Fax: - - (a)Seismic fee, I%(.01 x permit fee[2a]): $ E-mail: • (b)Technology fee,5%(.05 x permit fee[2a]): $ CCB license no.: TOTAL fees and surcharges(2e+3c+4a+4b): S Print name: **Note: The fence needs to be 8 '6" tall to Signature: screen/secure the cabinets which are-90"-94" tizg R SUB=C O NT RACTORINFORMATIONr A , ;, tall . C�'tJ Name CCB License# Phone Number x K Electrical • SPRINGFIELD 225 Fifth St '{ _�° CITY OF SPRINGFIELD Springfield,OR97477 c l� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02117 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/30/2013 EXPIRES: • 03/29/2014 STATUS DATE: 09/30/2013 APPLIED: 09/20/2013 SITE ADDRESS: 919 KRUSE WAY,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703222007000 TYPE OF STRUCTURE: .Commercial PROJECT DESCRIPTION: New Testa Electric Car Charging Station OWNER:. GOPURA LLC Phone Number: ADDRESS: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor ADK ELECTRIC INC CCB 148882 08/31/2015 360-546-5155 INSPECTIONS REQUIRED • Inspections 4220 Electrical Service Electric Service: Approval required prior to utility company energizing service. 4999 Final Electrical 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 or 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 Contractor Signature Date • ATT,ENTION:-Oregon law requires you to NOTICE: foilgw rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK in Notification A 9 Center. Those rules are set forth in OPH 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 009Q.. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification • • Center is 1-800-332-2344). Springfield Building Permit 9/30/2013 2:23:45PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD htz- -�.(1C�Ca... 225 Fifth St 1 0 OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-02117 www.spring field-or.gov 919 KRUSE WAY perrnitcenter©springfield-or.gov RECEIPT NO: 2013002174 RECORD NO:811-SPR2013-02117 DATE:09/30/2013 DESCRIPTION ! ^ „_ _. . ___ _- _ --____-.— __ ACCOUNT_CODE/TRANS,CODE�:_ __. .,-AMOUNTDUE _, Electrical Plan Review(25%of electrical fee) 224-00000-426102 1085 234.25 Services 200 amps or less 224-00000-426102 1004 712.00 Services 601 amps to 999 amps 224-00000-426102 1004 225.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 112.44 Technology fee (5%of permit total) 100-00000-425605 2099 46.85 TOTAL DUE: 1,330.54 . PAYMENT TYPE." _PAYOR• CASHIER:CCARPENTER : - 'COMMENTS � _ ,;__ AMOUNT PAID -... _.11 Check ADK ELECTRIC INC 1,330.54 49312 TOTAL PAID: 1,330.54 • • • SPRINGFIELD UTILITY BOARD ELECTRIC SERVIC7ti CENTER 1001 Main Street Springfield, OR 97477-4819 Tel 541.726.2395 Fax 541.726.2399 www.subutil.com 9/19/2013 • Todd Nielsen ADK Electric Re: Fault current available at Tesla Project, located at 919 Kruse Way Dear Todd: The Proposed service has the following characteristics: Primary feed: Silver Circuit out of Laura Substation at 20.8 kV Service: 277/480 Transformer: 750 kVA 4.9 % impedance Transformer#To Be Determined Given these criteria, the expected fault current is 18,410 Amps. These values may increase based on future system changes to either the Springfield Utility Board electric systems or the regional high voltage power system. Prepared by, Tony a of Engineering Technician . . . . ■ Electrical Permit Application DEPARTMENT USE ONLY SPRINGFIELD - w F.SP !fl F'IJELD, OREGON Permit no.: 5 13-2117 225 Fifth Street45 rin Field.OR 974774 P11(541)726-3753•FAX(541)726-3689 i-----ctom I P B ( N.OREGON Date: //2v /( 3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. EE LOCAL GOVERNMENT APPROVAL . FEE SCHEDULE I . Zoning approval verified? ❑ Yes ❑No Number of inspections per item() Qty. Cost Total f ea. cost CATEGORY OF CONSTRUCT!, Residential,per unit,service included: ❑Residential ❑Government „m-/Commercial 1,000 sq.ft.or less(4) $147.50 $ JOB SITE INFORMATION AND LOCATION Each additional 500 sq.ft.or portion $ 27.50 5 Job site address: 1[q KRU SE WAY thereof City: SQa,.thJGFtLL State: oft . ZIP: 17''77 Limited energy(2) $ 35.00 $ Reference: /705 ZZLn TaxlotO 7oQb Each manufactured home or modular $ 69.00 $ DESCRIPTION OF WORK dwelling service or feeder(2) N Ev.J TESLp EL ec4 .t C COIL CJ-4#R61A.)6 Services or feeders:installation,alteration,relocation 200 amps or less(2) if $ 69.00 $ 1[2. S'MTI 0 s PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name: GOPUAA LLC 401 to 600 amps(2) $174.00 $ Address: 'L(0 bat TOtJE R . 5i lot 601 to 1,000 amps(2) 1 $225.50 $Z7�� City: Spit IN6E/EIA State: Oa ZIP: 97171 Over 1,000 amps or volts(2) 5516.00 $ Phone:SYf•28'1. 0 70Y Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation,alteration,relocation • This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease,or rent.OAR 479.5400)and 479.5600). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits:nett,alteration,extension per panel Business name:AD K L LELrtf C /A/C a.Fee for branch circuits with purchase of a service or feeder fee: Address: b000 me- 70 Jr. Each branch circuit $ 6.50 $ City:VA'A)C0d dcr2 State: (A% ZIP:9s:264 Z b.Fee for branch circuits without purchase of a service or feeder fee: Phone:360 S'16 .Sin- Fax:36,& - First branch circuit(2) $ 60.50 $ E-mail: TbAd111 eAbkcLEC77!IC/A/C • Conk Each additional branch circuit $ 6.50 $ CCB license no.:/y S 33 Z BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Y8'53 5 Each pump or irrigation circle(2) $ 69.00 $(�/t t Print name of signing supervisor:/� / /(ANciAS Each sign or outline lighting(2) $ 69.00 $ S( Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $ B g g p �C (/ alteration,or extension(2) Each additional inspection:(1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) g31,S0 (B)Enter 12%surcharge(.12 x[A]) $//2.5-0 (C)Technology Fee(5%of[A)) $16,77 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): $ /0749•31 "bpi led 2s .2..3-116- / 3YD F i