HomeMy WebLinkAboutPermit Electrical 2005-2-22
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
869 W. Centennial
LEGAL DESCRIPTION
t \Cf?J'L l 4 ~ C> S6oCo
JOB DESCRIPTION
Temp power for car wash
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, CONTRACTORINSTALLATIONONLY
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle St.
City Euaene. OR 97402 Phone 541.687.5770
Supervisor License Number 3872-S
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'0~ '\.
&-~c~
Constr Contr, Number 37587C .. "'~A i:>~92Jl
&- '" ~" <<.'Y
Expiration Date . 711/06\Q~ 4<"~3i..&/08
'<.F~'"':> $J'Y
S ,. ~.~.<,~ ~~
u ervJ.smg ~ti1Clan:>.. r
~ . $J"Y ,,<,'V
. ~"~..::s r-..<<:- -f(:> <;0<V'
'(]'l ,,"'~~<vv !W v
....~:> - - .' .
la ~'"'~ ~~ ~'
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Owners am~~~'~ ~'Y'V\ \\.0"V'1
I Cf~ff ~'l-\-ZMG h
A?dress~V\~~V\~c~ '"
Ctty SeFI::t:,;c1J.9R Phone 3(01-361;2
OWNER INSTALLATION
Expiration Dat~
10-1-07
Signa
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
JB Job #
ELECTRICAL PERMIT" -'-'uLICA TION
City Job Number CO C'I\. 'ZJ?O~"" () \ ~ e
-e '..1
_, 0 (9
~ ", '0
3, COMPLETE FEE SCHEDULE ~~~~
o :t- ~ 1)
, <;9~ <;9/ "0' \9
'd 'al S' l"'lc:...~ III 'Q:'O.....
A. New Rest entI - mg e "'0 ~ Ocs> g.~
Multi-Family per:iwe ' g '?$tit \l'.,o (\"'<;9
0' \9 "Il'
Service Included: ~. '&Q 1l'''6 .
\9., ~' '?;r. ost
~' '@.~
~ III
"'(9 ~CS> ~
$~~ $
~ "'?;
"0' o-:t
"<I' ~,
9.00 19 $~
,0
200 amps or less &~.~ X'
.,~ {:.,
201 amps to 40Q~ 'V -:..,0 ('-,'
Over 401 to 6~ ,?eJ ~\j-'O~
Over 600 ~p~ &i)190~~1 ~-' 0
B above~''li -ws-0 ,s.eJ O~ "&-0" ~o~.:..'-o<{<
..~ >..'O~ S0" ~ ~~ q;.&.,.;.:o..r;jb-
^-\"':.~v 0 ~ S ~ ~'
D. Bran~~~~,<.,,\~ ~o il -ws-0 ~o~,
, ^~~~q}a~~.~r<lIDIto~si~~tP"allel
.~~ '4,s.0~ <>.0<:' ~'\S ~,~ ~ ~.;sC):)<J}~
~ ~ ~\ 'O~~tt 0 0\' ,,-0 ;!)
~ 0"'" ~($ ~ -">~ ~0~.) ~
,& .~$iI~.fi~OfYl'l ~~r with Service
~~r$"~~r~~~
.....<-- ,~"~. " ......~l ,<;-..:: . _~ '
, ~.!:S;'.Jl ~" G?'" e;f'
E. Mis~Tl~~~eMce/feeder not ingliided)
- Eaab~stallationl:'~:"
Pump or irrigation ,>,'i1
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Corom
1000 sq. f1.. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
10% Administrative Fee
TOTAL
Sum
$63,00 $
$75,00 $
$125.00 $
$163,00 $
'$375,00 $
$50.00 $
$50.00 $
$69.00 $
$100.00 $
50.00
$
$43.00 $'
$3.00 $
$50,00 $
$50.00 $
$25,00 $
$45.00 $
/
$45.00 $
$
$
50.00
3.50 ./
5.00
./
$
58,50 v
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 08/16/2005
VALUE: $ 297,290.00
Status
Issued
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
PROJECT DESCRIPTION: Car wa'sh and coffee kiosk.
Owner: FULTON INTERNATIONAL LLC
Address: 1944 HEITZMAN WAY
EUGENE OR 97402
Phone Number: 541-913-1619
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
Sewer
Contractor
EVANS BUILDING CO.
JB ELECTRIC
OLSON & MORRIS \;')<<::-*: '\
COMFORT FLO't~ ~\:)
DICK BAILEy'pllJMBI~G CO
,,< ",,, ,,","
EMERALD<>..~XX~VA DNG INC ,,0
*~f, '-<.~~I'BUILDING INFORMATION ~ --\o~,~ ~
'v '\'<...' ~W 'V ,0. ~
~ ~ ~--.. ~ o~ 0- ~~ ~.
# of Units: S'0 ~<<: c.. ~ # of Sto'ries: \(QC:X ~(Qt0 ~(Q1~CV ~ot 'Size:
Primary Occupancf~ro~Jy~ '0~ ~ "~S-l)' Height of Structur~~ (Q (j (Q~\.~ \.s-~~t ~st Floor:
Secondary Occup~~'h.8;1oup::\) \:) k--~'V Type of Heat: o~ ~~ \~ ~ 0 ~~(Q &Sq.~nd Floor:
Primary Consfr'tihiQlJ~~'t-N~ ~ <<. VB W ater Type~(Qt0 ,;9'0 of.)(Q "vt0 c_ 0 ,q;..(Q SitVFt Basement:
" '0-'v-." /.'\.~ ,'C v' ~'<.I-<'<:' v.<i)J (Q ~>t
Secondary Cons1r.uction~\)I.pe:\) Range Ty~ ~p~ -... ~ o~-..;: . '$' ;:;\ ~1SQ\Ft Garage/Carport
# of Bedrooms: ~~()~...\" ,'b'.:J En~rg ~)~'li ~r$'~'~',~G~o,(Q~.;# ;DS'q Ft Other:
~ Spr' e~uitdl~~ ~,~ ~ ~ ~O::>CV Occupant Load:
. ~\ f"~ N t 0 'f~' ,"" N
I DEVELO~E~~m;~J~'f\Y
~ 0 ,v ~ ~ & 'J
.~~~. .~C>.> &,0 ~(li
Overla~ ~t~~ ~(lj u(li
# Street Trees~:
Paved Drive Rqd:
% of Lot Coverage:
License
63898
104929
Expiration Date
03/01/2007
03/14/2008
Phone
541-485-8071
541-687-5770
541-302-9740
541-726-0100
541-344-6996
541-345-1505
460
107255
06/27/2005
06/29/2006
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of6
Commercial
3,360
CITY OF SPRINGFIELD'
Building/Combination Permit
.
Status
Issued
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 08/16/2005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Modular Unit
Pavinf.!
Tvpe of Construction
Estimate
Modular
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
213,490.00
20,000.00
63,800.00
Value
Date Calculated
Description
Total Value of Project
$213,490.00
$20,000.00
$63,800.00
$297,290.00
11/18/2004
11/18/2004
11/18/2004
~
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/Adjustment 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 E~ch 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,Ind,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 Serv/Fdr 200 amps or less $63.00 1/26/05 1200500000000000118
Perm Serv/Fdr 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
Total Amount Paid $13,578.54
Paf.!e 2 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
Fire Department Review
Initial Review
Planninl! Review
Planninl! Review
Public Works Review
Public Works Review
Structural Review
Structural Review
10/14/2004
10/18/2004
10/14/2004
10/18/2004
10/14/2004
10/14/2004
10/18/2004
10/14/2004
11/15/2004
I Plan Reviews I
11/01/2004 OK
11/01/2004
10/14/2004
11/22/2004
10/22/2004
10/22/2004
10/15/2004'
11/15/2004
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02116/2005
APPLIED: 10/13/2004
EXPIRES: 08/16/2005
VALUE: $ 297,290.00
GRG
OK GRG
APP SKG
APP EMM
WE EMM
APP SB
APP SB
WE JMP
10 JMP
Pal!e 3 of 6
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 of 2-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
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. '
See attached structural review faxed
to Dan Fulton.
WE. Received from Ken Evans the
vacuum canopy calculations.
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: 08/16/2005
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 297,290.00
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.
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.
SUB Review 11/02/2004 11/15/2004 APP JF Received steel drawings and energy
code forms.
SUB Review 10/14/2004 10/22/2004 WE JF Lighting approved. JMP requested
energy code forms in 10/15/2004
structural comments and followed
up with em ail reminder today.
Pa2:e 4 of 6
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 08/1612005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
10/18/2004
10/22/2004
WE
JF
Drawings C2-C6. Waiting for
balance of energy code forms.
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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection 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.
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 by a 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.
Sanitary 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.
Paee 5 of 6
_S:bG~'~
Wic.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 02/16/2005
APPLIED: 10/13/2004
EXPIRES: 08/16/2005
VALUE: $ 297,290.00
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.
CLA.~, ""2--II.-o~
Owner or Contractors Signature Date
Pae:e 6 of6
· 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii:~
('ity of Springfield Official Receipt
lelopment Services Department
Public Works Department
RECEIPT #:
2200500000000000178
Date: 02/16/2005
9:21:41AM
Job/Journal Number
COM2004-01268
COM2004-0 1268
COM2004-0l268
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check JB ELECTRIC, INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 015386 In Person
Payment Total:
Amount Due
50.00
3.50
5.00
$58.50
Amount Paid
$58.50
$58.50
2/16/2005
Page 1 of 1