HomeMy WebLinkAboutPermit Electrical 2005-4-25
2251'J.l< uI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753. FAX:~.ti:3689
ELEt.;lK1CAL PERMl! APPLICATION' . , () >'"ot.;( ~I)~,..%C
City Job Number CO&.-V\ 'ZOO t..t - 0 12 b g bate, -<J:'rfJ 'tt.f j Z;k' & /):;::< <>(;,
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LEGAL DESCRIPTION
\7D3 7-74"]
A.
o ~ DOb
1000 sq. ft. orless 06.
-( I / f J (;0 jLE~c~1!~~~l{Jfu90Arlaw requires y~o
y- ~ {ov In~,'cmt)tl3er&~s adopted bytheGfeg:::1 ~tilfy9.00
, Permits are non-transferable and expire if work is ~i!titafttit'ai3tcaEl1fi:Dftfe clIhose rules are set forth
,':" not started within 180 days of issuance or if work is NtlP~l~~UJ:ilSOOi@furough OAR 952-C!8lroo
Suspended for 180 days. F~O. You may obtain copie~ uf L111::: niit:S by'
B.
JOB DESCRIPTION
A 1> \\ If c- ( JL.CN\. "d-S
2.
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Electrical Contractor S l?n,~ rt.p(~1-, Gc... 200 Amps 09r~~er is 1-800-332-2344).
-::? _ . J _r:J n 20 I Amps to 400 Amps
Address 'Jtii)1).Lp' e;eV\ \~ 401 Amps to 600 Amp~
, 60 I Amps to 1000 Amps
Phone L)L{ (-C;rc;-lf{5 Over 1000 AmpsIVolts
Reconnect Only
City0'V(lIJ:,e_
)
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number
~()(QoS
c.
Expiration Date I ().- 0 I
. Inf{tPrve'E~teration or Relocation. ~ 'r)C I .'
200,A'mrt<: ~f)tPl>ST SU .~! l r:'x\TtP\f~ t~ 'ii~.f '$ 50:00
Irl'vrrL:.fl,,,"YI'1 I,\,'\\'""~b. ,-" . ",.., tlnl
20A~p.~mliQ9~p~E-F; n{~ r[P\~\ i,', 1, \~t 69.00
40a'Amps tLo,pOOrAmps IS ,{)\r,>~\"\\\Um,I[[i ~9$'100.00
UtnVA,;Vl l'iUI.-CJ U. I'..." ", \, . -".
'"" \ ~'o. n[,\I "";::!::1'G)f.\
Ov.e.t\1lDOltuD s/or 1I000d~~olts see "B" above.
Constr. Contr. Number I 5 ~ e ~ q
Expiration Date O.~ - ()U/
r~eI'Vlsin-- El~~
I ~., ~ ~
(~~ L/ '- --
Owners Name ~v\.-l +c:..--.~V\. ..f- 'f LL L
,
Address j 9 'It.{ lIe7 f~",4--. ill 7 E.
City ~-uC-C--f'VC- Phone
D.,
New Alteration or Extension Per Panel
One Circuit /
Each Additional Circuit or with ID
Service or Feeder Permit
$ 43.00
$ 3.00
LIs
30
OWNER INSTALLATION
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial ) $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4)
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
4.
7% State Surcharge
10% Administrative Fee
LI8
8Z-b
U80
r:>8 ~
Inspection Request: 726-3769
TOTAL
Shared DriveCT:)lBuilding FonnslElectrical Pennit Application 1-03.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 10/21/2005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 869 W CENTENNIAL BL
ASSESSOR'S PARCEL NO.: 1703274305806
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Car wash and coffee kiosk.
Owner: FULTON INTERNATIONAL LLC
Address: 1944 HEITZMAN WAY
EUGENE OR 97402
Phone Number: 541-913-1619
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
Sewer
Contractor
EVANS BUILDING CO.
JB ELECTRIC
OLSON & MORRIS
COMFORT FLOW 0 law ~~lres you to 06/27/2005
DICK BAILEY PL~I~tJ: dor;t~~nbY thJ~~n Utility 06/29/2006
EMERALD EXCA W\l~~~~ _ ~_ Th"c:'~ rlllp.~ are set forth
I'll' "\:..~..?ln",! 9_~.L. " ~' R 952-001.
In 1r->>.'WbmrM~<OOUttk.lI.l,'!~'l_
0090 You may obtain caples he rules by
calii&ff~~lMter. (Note: the tel~~hp~e Lot Size:
~fo81W1~t!J~tJtm Utility Nahfl5CJ.t1onSq Ft 1st Floor:
num'TYp..~ ~~t'-600-332-2344). Sq Ft 2nd Floor:
WMer ype: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path:' T'-~- Sq Ft Other:
Sprinkled Buildi~g: ,,~.,.IJ!,a,;.,,~., Occupant Load:
License
63898
104929
Expiration Date
03/0112007
03/14/2008
Phone
541-485-8071
541-687-5770
541-302-9740
541-726-0100
541-344-6996
541-345-1505
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction .Type
Secondary Construction Type:
, # of Bedrooms:
S-l
3,360.
VB
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. ,
Overlay Dist:
NOTICE' # Street ~rees Rqd:
. Paved Dnve Rqd:
THIS PERMITofolb'JtlIL.ch ~~Mfg~F TH~ wom~
AUTHORIZED UNDER THIS PERMIT IS NO'f
,...,.,/". '1-'-- -;- 1- -
,JU viiv', 1~\'..J....J...L..L'h -1 .u"~..~I\lI",!.L,.11 po FUR
ANY 1 I I OVEME TS
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pae:e 1 of6
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Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 10/21/2005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,I Valuation DescriDtion I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Estimate Estimate $1.00 213,490.00 $213,490.00 11/18/2004
Modular Unit Modular $1.00 20,000.00 $20,000.00 ' 11/18/2004
Pavinl! Use Bid Amount $1.00 63,800.00 $63,800.00 11/18/2004
Total Value of Project $297,290.00
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $756.37 10/13/04 2200400000000001282 '.
-Mechanical Issuance Fee- $10.00 12/2/04 2200400000000001470
+ 10% Administrative Fee $204.88 12/2/04 2200400000000001470
+ 7% State Surcharge $113.65 12/2/04 2200400000000001470
Backflow Device $28.00 12/2/04 2200400000000001470
Building Permit $936.15 12/2/04 2200400000000001470
Fixture $196.00 12/2/04 2200400000000001470
Furnace - Unit Heater $12.00 12/2/04 2200400000000001470
Minimum! Adj ustment Mechanical $33.00 12/2/04 2200400000000001470
Modular Building $185.40 12/2/04 2200400000000001470
Paving $425.25 12/2/04 2200400000000001470
Plan Review CommlInd/Public $29.58 12/2/04 2200400000000001470
Sanitary Sewer - 1st 50 Feet $45.00 12/2/04 2200400000000001470
, Sanitary Sewer Each Addtll00' $42.00 12/2/04 2200400000000001470
SDC Transpo Improvement $10,000.00 ' 12/2/04 2200400000000001470
Storm Sewer - 1st 50 Feet $45.00 12/2/04 2200400000000001470
Storm Sewer Each Addtll00' $28.00 12/2/04 2200400000000001470
Water Line - 1st 50 Feet $45.00 12/2/04 2200400000000001470
Water Line - Each Addtll00' $28.00 12/2/04 2200400000000001470
Plan Review/Com,lnd,Pub Hourly $90.00 1/6/05 1200500000000000030
+ 10% Administrative Fee $22.80 1/26/05 1200500000000000118
+ 7% State Surcharge $15.96 1/26/05 1200500000000000118
Add, Alter, Extend Circ Ea Add $90.00 1/26/05 1200500000000000118
Perm ServIFdr 200 amps or less $63.00 1/26/05 1200500000000000118
Perm ServIFdr 201 to 400 amps $75.00 1/26/05 1200500000000000118
+ 10% Administrative Fee $5.00 2/16/05 2200500000000000178
+ 7% State Surcharge $3.50 2/16/05 2200500000000000178
Temp Power 200 amps or less $50.00 2/16/05 2200500000000000178
+ 10% Administrative Fee $11.80 4/21/05 2200500000000000468
+ 7% State Surcharge $8.26 4/21/05 2200500000000000468
Add, Alter, Extend Circ $43.00 4/21/05 2200500000000000468
Add, Alter, Extend Circ Ea Add $30.00 4/21/05 2200500000000000468
Low Voltage - Commercial Indus $45.00 4/21/05 2200500000000000468
Sanitary Sewer - Improvement $621.42 4/21/05 2200500000000000458
Pal!e 2 of 6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Fire Department Review
Fire Department Review
Initial Review
Planninl! Review
Planninl! Review
10/1412004
Public Works Review
10/14/2004
$817.49
$10.00
$6,605.03
$645.16
$87.61
$1,941.96
$15,998.91
$5,893.45
$46,337.63
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
I Plan Reviews I
10/14/2004
11/01/2004
10/18/2004
11/01/2004
10/14/2004
10/18/2004
10/14/2004
11/22/2004
10/22/2004
OK
OK GRG
APP SKG
APP EMM
WE EMM
APP SB
Pal!e 3 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 10/21/2005
VALUE: $ 297,290.00
2200500000000000458
2200500000000000458
2200500000000000458
2200500000000000458
2200500000000000458
2200500000000000458
2200500000000000458
2200500000000000458
GRG
Plan Review: Self-service car wash.
Job #COM2004-01268. Occupancy
Classification: B. Construction type:
V-No 3360 sq. ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 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).
Drawings C2-C6. Site Plan-separate
submittal. See DRC Comments
dated 7/20/04
Drawings C2-C6. Development
Agreement Signed. Project to be
built as per approved site plan dated
11/18/04. No changes have been
approved. Changes may require a
Site Plan Modification application.
Waiting for final site plan and
development agreement
CITY OF SPRINGFIELD.
Building/Combination Permit
Status Issued PERMIT NO: COM2004-01268
225 Fifth Street, Springfield, OR ISSUED: 02/16/2005
APPLIED: 10/13/2004
541-726-3753 Phone EXPIRES: 10/21/2005
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 297,290.00
Public Works Review 10/18/2004 10/22/2004 APP SB Drawings C2-C6. SDC's added.
LDAP already issued.
Encroachment permit application
required if any work is performed in
the City Right-of-way, or in Public
Utility Easements.
Structural Review 10/14/2004 10/15/2004 WE JMP See attached structural review faxed
to Dan Fulton.
Structural Review 11/15/2004 11/15/2004 10 JMP WE. Received from Ken Evans the
vacuum canopy calcuhitions.
Structural Review 11/17/2004 11/17/2004 10 JMP WE. Received incomplete Special
inspection forms and a plumbing
plan from Ken Evans. Notified him
of items still outstanding.
Structural Review 11/18/2004 11/18/2004 10 JMP WE. Received fax from Ken Evans
with revised restroom drawing and
statement about minimum freeze
protection. Dan will deliver
drawings and sign special inspection
forms next week.
Structural Review 11/23/2004 11/23/2004 10 JMP WE. Received from Scott Morris
revisions to site drawings. Adjustin~
plumbing information and fees.
Structural Review 11/24/2004 11/24/2004 APP JMP WE. Received from Dan Fulton the
7 Star drawings of the vacuum
canopy and structural calculations.
Requested in an em ail to Dan and
Jim the foundation drawings and
calculations and direction for
permitting. Ken asked for the
permit with the canopy as a deferred
submittal.
Structural Review 12/27/2004 12/27/2004 10 JMP Received a fax from Ken Evans with
calculations from Bill Brackman on
vacuum canopy foundation. Called
and requested the balance of the
faxed pages and the cost/value for
this addition.
Structural Review 12/28/2004 12/28/2004 10 JMP Received fax of foundation section.
Structural Review 12/29/2004 12/29/2004 10 JMP Received fax stating that there are
no new values for the
foundation-they were included even
though the design had not been
performed.
Structural Review 10/18/2004 10/18/2004 WE JMP Drawings C2-C6. Still waiting on
items listed in structural comments.
Structural Review 10/25/2004 10/26/2004 10 JMP WE. Received kiosk tie down
information in the mail from Dan
Fulton.
Paee 4 of 6
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 10/21/2005
VALUE: $ 297,290.00
'.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
10/29/2004
10/29/2004
10 JMP
WE. Received from Ken Evans a
cover letter, revised structural
calculations, metal building
drawings, and energy code forms.
Received steel drawings and energy
code forms.
Lighting approved. JMP requested
energy code forms in 10/15/2004
structural comments and followed
up with email reminder today.
Drawings C2-C6. Waiting for
balance of energy code forms.
SUB Review
11/02/2004
11/15/2004
APP JF
SUB Review
10/1412004
10/22/2004
WE JF
SUB Review
10/18/2004
10/22/2004
WE JF
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Ufer Electrical Ground: Install ground rod at footing and call for ins,pection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Pa2e 5 of6
CITY OF SPRINGFIELD C
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 10/21/2005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any'roof covering.
\
Drywall: Prior to taping.
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
High Strength Bolting: To be done during construction bya State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Modular Set Up: After all required inspections have been requested and approved and project is complete.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanit~ry Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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
Pae:e 6 of6
225 Fifth Street
Sptingfield, Oregon 97477
541-726-3759 Phone
r"ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000468
Date: 04/21/2005
3:15:36PM
Job/Journal Number
COM2004-0 1268
COM2004-01268
COM2004-0 1268
:"<
COM2004-0 1268
COM2004-0 1268
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
Low Voltage - Commercial Indus
Payments:
Type of Payment Paid By
CreditCard BRAD ROGERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 920507 In Person
Payment Total:
Amount Due
8.26
11.80
30.00
43.00
45.00
$138.06
Amount Paid
$138.06
$138.06
'f
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4/21/2005
Page 1 of 1