HomeMy WebLinkAboutPermit Electrical 2005-1-28
ELECTRICAL PERMIT 'TJCATION .
City Job Number CO~~b <.-(- 0 i 2. 6 ~
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N R'd . 1 S' VA.,. 0.." "0 <\'IS'
A. ew eSI entia - m5~,.,or "".9 :.- r6) IS'v6
Multi-Family p~w g t. 90,;., ~/~6)
~, 6) 0'
,Service Included: ~.f'> ~ ~61 ~c$l
"<$>I, c. ~/J '
vre ms ~-6%~6) ~ Sum
"" I...... <$>.., o~
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06 00 VIS'&$ "'.9 -
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. I 225 FIFTH STREET"
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
:.. ,"v
1. LOCATION OF INSTALLATION
869 W. Centennial
LEGAL DESCRIPTION
1103 27L{~
os-gDb
JOB DESCRIPTION
electrical for car wash and coffee kiosk
1000 sq, ft.. orIess
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
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 ONL Y
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor JB ELECTRIC. INC.
200 amps or less
201 amps to 400 amps
City Euaene. OR 97402 Phone 541.687.5770 401 amps to 600 amps
__ ATTENT10N6~."ttaV0~ctW~S you to
3872-S : follow rules ~~fbf1ln6t~ttagon Utility
. otificatlon C~~wles are set fonn
: OAR,9!;2..Q01..o010 through OAR 952-0U1.
-- CCB 0 VC l_ijt)tW~~esOf~rules by
1 049~:aliin~Uthe cente,. ,(Not~.:.t~e tel~~ho~e
. ber for ~r~Utility NotificatIon
7/1/06 '.., ,__ ,3/14108, :ftum rf. 2-2344)..
. Oen~ amps to 00 amps
Signature Apervising Electrician Over 401 to 600 amps:
\ .~ ' .. Over 600 amps or 1000 volts see
\ ...... ~ Babove
1 /~
Owners NJ: FUlt~n International
Address 4685 Isabelle St.
Supervisor License Number
Expiration Date
10/1/07
Constr Contr. Number 37587C
Expiration Date'
Address 1944 Heitzman Way
City Euaene. OR Phone
OWNER INSTALLATION
D. Branch Circuits
New, Alte~cY6IH3~1WWfrt~1
, HOj 03t>1Q(@l-~ SI HO 03JN3l^JlN08,
10 N S 111l^.~~~W!1Iiotlal@Mf1ft1 dl~tit Is~~fte
>itlOM 3Hl ~~~lff)f:5iij11trjHS lllNH3d SIHl 30
. :33110N
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
10% Administrative Fee
$45,00 $
$
$
JB Job #,
TOTAL
$50,00 $
$63.00 $
$75,00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $
$50,00 $
$69.00 $
$100.00 $
$43,00 $
$3.00 $
$50,00 $
$50.00 $
$25,00 $
$45,00 $
$
63,00
75,00
$
90,00
228.00
15.96
22,80
266,76
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 12/02/2004
APPLIED: 10/13/2004
EXPIRES: 07/26/2005
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 I
Contractor Type,
General
Electrical
Engineer
Mechanical
Plumbing
Sewer
Contractor
EVANS BUILDING CO.
JB ELECTRIC
OLSON & MORRIS
COMFORT FLOW
DICK BAILEY PLUMBING CO
EMERALD EXCAVATING INC
BUI I ' fOO W
ATT t: . d b the re Utmty
follow r.uw>~~~Fi\;h:se rules are set fqrt~
S-1 NotificatloD~OOt~r~[\Wf8fJQh OAR 9~2~1Q
in OAR 9~yp'Qb-me~N copies of the rules bV
VB 0090. YO=l1W\i\l: (Note: the te'ephO~e
. ca\ling~{Ct\ e: on Utility Notification
numbe '. . 1~M.332-2344).
, ~We6 Jmltmng: ,n/a
License
63898
104929
Expiration Date
03/0112007
03/14/2008
460
107255
06/27/2005
06/29/2006
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd 'Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
3,360
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. -"', - \r l' ut: \NOR\(
I pq~<twrIfWSti~s'[~ERM\1- \S N01
A\.11\-\OR\IEDD U;~~; AB~NDO~lJJ~ype:
COMMENCE \J PER\OD. Downspoutsillrains:
AN'< '\80 D~l
REQUIRED PARKING'
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:,
Notes:
. Pa2e 1 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Modular .
Use Bid Amount
Estimate
Modular Unit
Pavinl!
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 12/02/2004
APPLIED: 10/13/2004
EXPIRES: 07/26/2005
VALUE: $ 297,290.00
I Valuation Descriotion I
$ 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
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 CommlIndlPublic $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
Backtlow 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 CommlIndlPublic $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,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
Total Amount Paid $13,520.04
I Plan Reviews I
Pal!e 2 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
-.
Status Issued PERMIT NO: COM2004-01268
225 Fifth Street, Springfield, OR ISSUED: 12/02/2004
541-726-3753 Phone APPLIED: 10/13/2004
541-726-3676 Fax EXPIRES: 07/26/2005
541-726-3769 Inspection Line VALUE: $ 297,290.00
Fire Department Review 10/14/2004 11/01/2004 OK 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 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).
Fire Department Review 10/18/2004 11/01/2004 OK GRG Drawings C2-C6. Site Plan-separate
submittal. See DRC Comments
dated 7/20/04
Initial Review 10/14/2004 10/14/2004 APP SKG
Plan nine Review 10/18/2004 11/22/2004 APP EMM 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.
Plannine Review 10/14/2004 WE EMM Waiting for final site plan and
development agreement
Public Works Review 10/14/2004 10/2212004 APP SB
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 calculations.
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.
Paee 3 of6
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO: COM2004-01268
225 Fifth Street, Springfield, OR ISSUED: 12/02/2004
541-726-3753 Phone APPLIED: 10/13/2004
541-726-3676 Fax EXPIRES: 07/2612005
541-726-3769 Inspection Line VALUE: $ 297,290.00
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 email 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.
SUB Review 10/18/2004 10/22/2004 WE JF Drawings C2-C6. Waiting for
balance of energy code forms.
Pal!:e 4 of6
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01268
ISSUED: 12/02/2004
APPLIED: 10/13/2004
EXPIRES: 07/26/2005
VALUE: $ 297,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Pae:e 5 of 6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01268
ISSUED: 12/02/2004
APPLIED: 10/13/2004
EXPIRES: 07/26/2005
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.
Owner or Contractors Signature
Date
Pae:e 6 of 6
225 Fif.th Street
Springfield, Oregon 97477
541-726-3759 Phone
,....~ty of Springfield Official Receipt
..;velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1268
COM2004-0 1268
COM2004-01268
COM2004-01268
COM2004-0 1268
Payments:
Type of Payment
Check
1/26/2005
RECEIPT #:
1200500000000000118
Date: 01/26/2005
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB 15316 In Person
Payment Total:
Page 1 of 1
9:43:16AM
Amount Due
63.00
75.00
90.00
15.96
22.80
$266.76
Amount Paid
$266.76
$266.76