HomeMy WebLinkAboutPermit Electrical 2007-11-28
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PI}l1l'1IT APPLICATION
City Job Number eJ I-I t::J?
B.
I' ./ d S fA eC)r/ C-r;:-;e-. 200 Amps or less
- (
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
1. 3.
~ .:if . Or/n'1: ~/J
LEGALDESCR}PTI!- I~D~~31 ~ A.
~Or-/ (/. UShte- (~kr
JOB-D'ESCRIPTION: .
f...Jl/~ /lo/lC~ /Cbt/f5 / \a,-'/
Permits ate non-transf~rable and eX~ir~ work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Supervisor License Number
Expiration Date
Constr, Contr. Number
3~yq
q//JO't
Expiration Date
Signature of Supervising Electrician
\., {"l, /
_ ']),(Ct',-J'r/~~fl,- VlL
- ~'
:if.i 1~ ~i;;J
Ci'T '\ ~n. 1Vrrffi:B
OWNER INSTALLATION
~Oif~tition is being made o1~W"tHE'W~1,{h
i~1W~WFffl\"r$~~~~S PERMIT \S NOT
~cir%1~~~Pe:UOR IS ABANDONED FOR
COMMENCE~ __
ANY 180 UAY n:RIOD.
[n'P.won R"In.." 726-3769 ~ \D
~ \0-\-1}])
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
$106.00
$ 19.00
$50.00
42-
il..-
'2.-
. "'
7- 4: 1 b~
'1CC:':-
7 c;z!;r::--
$ 63.00
$ 75,00
$125.00
$163.00
$375.00
$ 50.00
...---,/.."
"7.,7.., .....----
c.
InstaIJation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit 7.<; tc
$ 43.00
$ 3,00
( d'~
7.'1/(7)
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25,00
-OG.o.
Limited Energy/Commercial f $ 45,00 L( S :---
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. .~O, ((I L/ 'll/ ~
8% ~i$enter. Those rules are set forth S- 13/ ~ 7 L.
I 0~i&+OOIf.e01 ~ through OAR 952-00J. &, '~-.E.. YO
5%COOUho~ may obtain copies of the rufps bV'7 2 "f. ;>0
calling the center. (Note: the telephone .
TOlMmberfor the Oregon Util:ty NotificawJ,;?q 7 S. 3 d
Share<Geiqt~r)~ifdi8~fl!t@(5i4at f,ermit Application 8-06,doc
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Your query for: License no: 4894s.
,-
DAVID E GEHRKE
SPRINGFIELD, OR 97477
County: LANE
Employer: C & SELECTRIC INC
CE required (CR + CC): 24
Of the total CE required, you must have at least: 8 CC
Currently you have CC: 0
CR: 0
Total CE: 0
License/Registration No: 48945
Type: S-General Supervising
Electrician
Status: Active
Expiration Date: 10/01/2010
CC = Code Change
CR = Code Related
CE = Continuing Education
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Text Onlv I State Directorv I Aoencies A-Z I About Oreoon.oov I
Oregon.gIDLI Site Mao I File Formats I OAR I ORS I Privacv Po Ii CII I Web Site Feedback
http://www4.cbs.state.or.us/ex/aIVrny licsearch/index.cfm ?fuseaction=search.get_ name JesuIts
11/28/2007
CCB Business Detail for License: 3849
Page 1 of3
BUSINESS DETAIL FOR:
C & SELECTRIC INC
License: 3849
The business detail record includes business contact information and information about the business'
bond, liability insurance, worker's compensation insurance, licensing category, business entity and
other associated CCB licenses.
License 3849
Number:
License Active
Status:
Date First 7/21/1972
Licensed:
Exoiration:
9/1/2008
Name: C & SELECTRIC INC
Address: PO BOX 1482 SPRINGFIELD OR 97477-0189
Work Phone: (541) 741-2236
Entity Type: Corooration
Class of Non-Exempt
IndeDendent
Contractor:
License Soecialtv
Category: Contractor/All
WORKERS' COMPENSATION INSURANCE INFORMATION
WC 5730692
Compliance
Number:
Insurance Carrier: EMPLOYERS COMP INS CO
Policy EIG 1057793-0
Number:
/ Insurance
Amount:
UABIUTY INSURANCE INFORMATION (HISTORY)
$1,000,000.00 Insurance NATIONWIDE MUTUAL INSURANCE CO
Company: C/O ALLIED INSURANCE
Effective 9/1/2008
Through:
Bond Amount: $10,000.00
CCB BOND INFORMATION (HISTORY)
Bonding Company: DEVELOPERS SURETY AND INDEMNITY
CO
Effective 9/1/2008
https://ccbed.ccb.state.or.us/ccb_ frames/consumer _info/business _ detail.asp?license _ humper=3849
11/28/2007
CCB Business Detail for License: 3849
Page 2 of3
Through:
$30,000 PUBLIC WORKS BOND INFORMATION (INFO)
Effective 8/14/2007 Effective Through: UNTIL CANCELLED
From:
Company INDEMNITY cd OF CALIFORNIA
Name:
Previous Name
ASSOCIATED NAMES (INFO)
MAX L SCHUMACHER
JOHN R RENKEN
SHARON L THARP
MELISSA A GEHRKE
DAVID E GEHRKE
ORVILLE A THARP
Previous Name
Previous Name
Corporate Officer
Corporate Officer
Previous Name
Cross-referenced CCB Licenses and Associated Records:
No Records Found
I BACK
https://ccbed.ccb.state.or.us/ccb_frames/consumer_ info/business _ detail.asp?license _ number=3849
11/28/2007
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 230 4th St
ASSESSOR'S PARCEL NO.: 1703353101500
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00157
ISSUED: OS/2412007
APPLIED: 02/0112007
EXPIRES: OS/28/2008
VALUE: $ 22,395,060.00
Springfield TYPE OF WORK: Office
TYPE OF USE: New Public
PROJECT DESCRIPTION: Springfield Justice Center - This permit is valid only for the area of the north side of A
Street to the south side of B Street between Pioneer Parkway East and 4th Street.
Owner: CITY OF SPRINGFIELD
Address: 344 NORTH A ST
SPRINGFIELD OR 97477
Phone Number: 541-726-3672
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Sewer
Contractor
JOHN HYLAND CONSTRUCTION INC
C & SELECTRIC
INTERST ATE MECHANICAL INC
MORSE BROS INC
License
46071
3849
55190
2101
Expiration Date
07/11/2008
09/01/2008
11/07/2009
08/10/2008
Phone
541-726-8081
541-741-2236
503-233-7171
(541) 928-6491
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:.
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A3
B
IB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
3 Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
61,900
31,317
13,860
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: :aved Drive Rqd: ATTENTION: Oregon faw f.o..!!1.~act:
Rearyard Setback: Yo of Lot Coverage:follow rules adopted b th requlrO 81 you to
Solar Setbacks: "'ot'f'cat' eye regon Utility
, I,~ ,..'.' '?~,enter. Those rules are ,sat In"'"
NUT8CE: I PUBLIC IMPROVEME~"~~',;~~~Ub~in(~~:h~:952-OOt.
Street {~~~t~n.M.~I:SHALL EXPIRE ,; ,,"uE ilcalr~g ~~~ft(.TWme: t~: tel:p~::.by
{ I HURflr"NDER T ' n WORK urn er ,or lfie Orego,!! Ufility Notlftcatlon
Storm':SJmTh~t,~~. HIS PERMIT IS NOT C~(l&yqIP9JfW~2-~344)
Specia~r~~~rB'6t~AY PE~:~~BANDONED FOR ·
Notes:
Pa2e 1 of5
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
Estimate
Fee Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Encroachment Permit
-Mechanical Issuance Fee-
+ 1 % Seismic Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Addressing Assignment
Air Handling Unit 10,000 & Ovr
Air Handling Unit Up to 10,000
Building Permit
Fire SF Fee - Non-Residential
Fixture
Furnace - Unit Heater
Gas Outlets 1-4
Gas Outlets 4+
Miscellaneous Mechanical
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Thermal Unit
Vent Fan
Water Line - 1st 50 Feet
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
22,395,060.00
Total Value of Project
~
Amount Paid
Date Paid
$45,786.42
$28,176.26
$130.00
$10.00
$734.24
$8,567.53
$3,894.53
$6,231.25
$31.00
$60.00
$32.00
$73,027.65
$7,784.60
$4,284.00
$108.00
$4.00
$6.00
$18.00
$1,681.55
$1,034.80
$45.00
$2,458.91
$3,234.23
$14.00
$10.00
$44,236.51
$4,214.80
$514.90
$4,903.78
$44,199.80
$10,019.43
$45.00
$14.00
$594.00
$174.00
$45.00
2/1/07
2/1/07
3/2/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
5/24/07
Paee 2 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00157
ISSUED: OS/24/2007
APPLIED: 02/01/2007
EXPIRES: OS/28/2008
VALUE: $ 22,395,060.00
Value
Date Calculated
$22,395,060.00
$22,395,060.00
OS/24/2007
Receipt Number
2200700000000000151
2200700000000000151
1200700000000000228
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
1200700000000000623
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line - Each Addtll00'
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00157
ISSUED: OS/24/2007
APPLIED: 02/01/2007
EXPIRES: OS/28/2008
VALUE: $ 22,395,060.00
$14.00
$12.00
$120.00
$648.40
$324.20
$518.72
$2,268.00
$45.00
$375.00
$2,646.00
$900.00
$250.00
5/24/07
8/16/07
8/16/07
11/28/07
11/28/07
11/28/07
11/28/07
11/28/07
11/28/07
11/28/07
11/28/07
11/28/07
1200700000000000623
1200700000000001049
1200700000000001049
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
2200700000000001743
I Plan Reviews I
Initial Review 02/02/2007 02/02/2007 APP LLH
Structural Review 02/02/2007 02/02/2007 10 LLH Dave Puent will deliver plans to
Tom Rogers the week of February 5,
2007.
SUB Review 02/02/2007 02/02/2007 10 SKG Steve Graham delivering set of plam
to Springfield Utility Board
SUB Review 02/09/2007 02/09/2007 WE JF JMP left a voice mail at the office of
Heery International requesting the
missing energy code forms.
SUB Review
03/12/2007
Fire Department Review
02/02/2007
Public Works Review
Structural Review
OS/23/2007
OS/23/2007
Fire Department Review
08/15/2007
$304,446.51
03/12/2007
APP JF
04/13/2007
APP GRG
OS/23/2007
OS/23/2007
APP JHJ
APP DJP
08/15/2007
OK GRG
Paee 3 of 5
See attached document for Fire
Department Plans Review
comments.
Attached SDC Worksheet. (JHJ)
Plans reviewed by Tom Rogers,
Rogers Engineering, under contract
with the City of Springfield.
Plans Review: Underground fire lin~
stub up for sprinkler system. Job
#COM2007-00157. Plans show a six
inch fire line of approximately 10
feet in length coming from a future
12 inch public water main and valve
to a 90 degree ell with stub-up from
ground.
Plans appear to meet code
requirements.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00157
ISSUED: OS/24/2007
APPLIED: 02/01/2007
EXPIRES: OS/28/2008
VALUE: $ 22,395,060.00
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 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.
~eauiredJnSDections ,
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
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.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roof Sheathing
Firewall: Located and constructed according to plans.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results 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.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Underground 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.
Paee 4 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00157
ISSUED: OS/24/2007
APPLIED: 02/01/2007
EXPIRES: OS/28/2008
VALUE: $ 22,395,060.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Clean Agent System: Coordinate inspection with City Fire Marshal's Office
Fire Department Kitchen Suppy System: Coordinate inspection with City Fire Marshal's Office
Underslab Plumbing: Prior to filling the trench and including required testing.
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.
Underslab Gas: After line is installed and required testing and capped if not attached to an appliance.
Underslab Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low V oItage: Prior to cover.
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
Paee 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00l57
COM2007-00 157
COM2007-00l57
COM2007-00l57
COM2007-00157
COM2007-00157
CO M2007 -00 I 57
COM2007-00l57
COM2007-00157
Payments:
Type of Payment
INT CHGS
cReceintl
RECEIPT #:
2200700000000001743
Date: 11/28/2007
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
428-622 I 1-850 158-P50434
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
JUST CTR
In Person
Payment Total:
Page I of I
12:13:28PM
Amount Due
2,646.00
900.00
250.00
375.00
2,268.00
45.00
324.20
518.72
648.40
$7,975.32
Amount Paid
$7,975.32
$7,975.32
11/28/2007