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Home My WebLink AboutPermit Electrical 2006-4-14 " t'V1- ~ . ~~ .~ nOifq ire c'll la 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S4I)72~J~3 . .~. ) ELECTRICAL PERMIT APPliCATION Date ~, . 6~ ..~'" ~ City Job Number ~, DI-''''(~ QiJ/Iiori,eg s(i.at;/Lf - ot I. I WCATION OF INSTAlLATION 3. I COMPLETE FEE SCHEDULE BELOW ').('G'J S, CLOVE.IlL.fAf: l.-DoP LEGAL DESCRIPTION I, 03 1.:Z.. 4; or:RJ::t::t.. I New Residential- Single or Multi-Family per dwelling unit. PHGiJNIX ASSIS-r~D L-Il/iN& PAc-IU-ry Service Included JOB DESCRIPTION 1000 sq, It or less $106.00 Each additional 500 sq. ft. or EUc,1'tl./Ui. SEItv1t.f. C.llkN6E. J. ~EoEtt A"9tf"IO,J portion thereof $ 19.00 \ ) , , CITY OF $t'RINGFIELD, OREGON \....,) . Installation, Alteration or Relocation 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 401 Amps to 600 Amps,___ "..,gQ.(l.OO __ 'TIr'lM. 0'''ClfJn law r,,'1~" --, . Oveif600~Amps orl 000, 'lOllS see:\Bi,<aboveUtllity I I _..L" ,"1' , '........ ", _ -' tJrtn Signature of Supervising Electrician D. Bra'nch Ci~'!~t(;,'.~,_ T,'!~~;l' ~'"'\f'Ci L11 ,J :-.~H .. ~~flJ N~~.A:I~~~~i~:;;"E~'tenSi-O'ri(Per;PaCJ~IH ~:1U~I-e-USVbly- ,''''l..v,.~.,,-''h . .:'\ ottner " , - 0?e.9~cuit,q : n.,~' obtain COp IUS , ,+$1,100 '---'" Each Additional Circuit or witfilC: lIlt' '.,V",' ,;). . .... N \ t ($11 -- r , I ~ A Il ./\ _ _ . . Service or Feeder Permit '~f 'IJt. '"ev ' tJ I I 3:00 OwnersNamevvO\fe('''''"'l ~,sk-tLLlI\~ ' n :.').?344). Address 30 E. 1JV'a:uilAJ~ E./ Miscellaneous (Service/feeder not included)-Each Installatinn \ City ~ene. Phone fo~{g, 1 \ \ 't Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or irwork is Suspended for 180 days. 2. I CONTRAcroRINSTAlLATIONONLY I Electrical Contractor Wlfi )/(€'( H{u !L€l.f'Jl.t'"] Liit. Address P.D. 'uN ?_ot, City J.{1J.{IBHl.~ O~ Phone 5o?-'6/-1I(,<{o Supervisor License Number 1f';1./ S Expiration Date /0 - I - 07 Constr. Contr. Number c.. :n Expiration Date 7 - / - 0(, OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspe"'ion Request: 726-3769 ~~~ ~~~~~ ~ ~~ Each Manufact'd Home Or Modular Dwelling Service or . . $50.00 N'G~~.:l~: . 1,1 :i,l'.. ~!'.DIP.I' 1f1\it ~vuR~ BiT 1",_D~\-l[\~II" d 1 'I!""'''\;lllc. llicl. R I . . ~rvlt:es'o r.e, ~P\:r 1 PF,1.9 StiOD,l" te~ ODS or e ocatlOn: A r"r"n IS A.BANDUI~tU 1'01-, l2QO/AMP.~ior'lessOR IO/?ff,t;1(, / $ 63.00 (,1. po ~ n" r"\f,\1 o~R L.I. 20lYAmps to 400 Amps Jfl\.II,'-l. / $ 75.00 75'. D. 40 I Amps to 600 Amps $125.00 60 I Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 c. I Temporary Services or Feeders Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4./ SUBTOTAL OF ABOVE /3 fl. Ob 8% State Surcharge 10% Administrative Fee II. o~ 11, g lJ /(,,7..'34 TOTAL Shared Drivc(T:)IBuilding Fonns/Electrical Pcnnil Application 1~06.doc . .CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 10/17/2006 $ 191,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2669 S CLOVERLEAF LP ASSESSOR'S PARCEL NO.: 1703224300800 Springfield TYPE OF WORK: Care Facility Owner: Address: CLOVERLEAF ASSISTED LIVING LLC 30 E BROADWAY STE 160 EUGENE OR 97401 TYPE OF USE: Addition Addition to existing care facility and interior remodel NnTlr.E~ THIS PERMIT SHALL ~~rit'NJhtbr!: v'Wr.686-1119 AUTHORIZED UNDER THIS f'cKMII IS NU I COMMENCED OR IS ABANDONED FOR Commercial PROJECT DESCRIPTION: ANY IOU UMl rl.l\IVU. I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor BURTON WALTER WHISKEY HILL ELECTRIC INC License 114163 162985 Expiration Date OS/24/2006 02101/2009 Phone 503-775-1962 503-981-4640 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: II SR-I VA # of Stories: I Lot Size: Height of Structure 19.00 Sq Ft 1st Floor: 463 Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: . Sprinkled BuildingATTENTIQI,',a Oreg8ff.\'.IJ~'J,'Y~~,tdJ you to 5 I DEVELOPMENT INFORM:4.TlON~I,;oopleo oy L11~ U't::YUII VlI'ILY - 'nter Those n,lp~ "rp ~pt fnrth . '_,HU' - . -. REQUIRED PARKING in OAR 952-001-0010 througn V",t1 ",~~-Uu ,- Overlay Dist: 0090. You may obtain copie:Total:.e rules by # Street T.rees Rqd: calling the center. (Note:!:I,!n_<!i~~PP.ed:J Paved DrIve Rqd: number for the Oregon Utl>~~~P_~~'2at,on % of Lot Coverage: Center is 1-800-332-2344). Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Stre~t Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of 4 Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review Comm/lnd/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 80/0 State Surcharge Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add + 10% Administrative Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Total Amount Paid Fire Department Review 01/03/2006 Initial Review Plannine Review 01/03/2006 01/03/2006 Public Works Review 01/03/2006 Revised Plan Review - Fir 01/31/2006 . .CITY OF ~rJ(ll~\.:,"11'.,LD- Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 10/17/2006 $ 191,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 185,000.00 6,000.00 Value Date Ca1culaled $185,000.00 $6,000.00 $191,000.00 01/31/2006 01/31/2006 Total Value of Project FpP~, ~ Amount Paid $409.92 $252.26 $10.30 $8.24 $43.00 $60.00 $13.80 $11.04 $63.00 $75.00 $946.56 Date Paid Receipt Number 3200500000000000712 3200500000000000712 1200600000000000393 1200600000000000393 1200600000000000393 1200600000000000393 2200600000000000470 2200600000000000470 2200600000000000470 2200600000000000470 12/30/05 12130/05 4/3/06 4/3/06 4/3/06 4/3/06 4/17/06 4/17/06 4/17/06 4/17/06 I Plan Reviews I 03/30/2006 01/03/2006 01/06/2006 02/0212006 OK GRG Fire Department Comments include revision. See attached notes. APP SKG APP EMM Planning application not needed per Tara Jones. Does not increase parking requirment or extend into any existing parking area or setback. SIDEWALK INSPECTION REQUIRED FOR WORK IN RIGHT-OF-WAY. Call hefnre placement of concrete. SDC's added. LDAP application is required if more than 50 cuhic yards of material is proposed to be removed. APP SB Drawings received 2/10/2006. Paee 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: Revised Plan Review - Str 01/31/2006 01/31/2006 10 JMP Structural Review 01/24/2006 01/24/2006 10 JMP Structural Review 01/26/2006 01/26/2006 10 JMP Structural Review 01/03/2006 01/13/2006 WE JMP SUB Review 01/13/2006 01/04/2006 WE JF SUB Review 03/06/2006 10 JF 02127/2006 SUB Review 04/06/2006 04/17/2006 APP JF 12/30/2005 10/17/2006 $ 191,000.00 WE. Received partial response from Tony Koach. Contacted him 10 request the second set of revised drawings, the energy code forms and the subcontractor information. WE. Called Tony Koach and he said he will be submitting revised drawings to address the cnmments including the concern about the pantry door opening into the corridor exit path. WE. Emailed struclural comments to Tony Koach at his request. See attached documents for 8 structural comments faxed to Tony Koach. See Item 5 of JMP's structural comments (attacbed) for the reqnest for the energy code forms and information. WE. JMP faxed energy code forms to Jack Foster. JMP called and left a message for Burton Walter letting him know that we are still waiting for Building Envelope forms. Bldg. envelope forms received 3/31/06 jf. Received Building envelope 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. Ueollire~nsnections I 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 inslah 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Paee 3 of 4 . .CITY OF SPRINGFIELD. Building/Combination Permit Status In Review PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 10117/2006 $ 191,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof SheathinglNailing: Before covering sheathing with finish material. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , Sidewalk - Setback: After forms are erected but prior to placement of concrete. SUB Mechanical: Fnllowing City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Electric Service: Approval required prior to utility cnmpany energizing service. 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 al the front nf the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 4 of 4 . .~~;~ UM. .". . ~ 225 fifth Street Sptingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 Payments: Type of Payment Check cReceint 1 cwf Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 2200600000000000470 Date: 04/17/2006 1:35:13PM Description Perm ServlFdr 200 amps Or less Perm ServlFdr 20 I to 400 amps + 8% State Surcharge + 10% Administrative Fee Amount Due 63.00 75.00 11.04 13.80 $162.84 Paid By WHISKEY HILL ELECTRIC INC. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid ddk In Person $162.84 1082 Payment Total: $162.84 Page I of I 4/17/2006