The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-3-29 The following project as SUbm~.~Jll!!9wing . ,and does not reqUl'r'qp!f~~~W , val NM' g ...f'" /l ~ .. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54I\726-3611Q at JJ..utflonzeO"Slgn ELECTRICAL PERMIT APPLICATION City Job Number COWl. u:so~ - 0 , il? b Date 3: - 2. 9 -oc... 1. 3. ac...c.:=t---.5. C~vcf L.J L-p LEGAL DESCRIPTION A. J 70 ~ Z -z.. q 3. 00 8' 0 0 Service Included ~.. ~ ':I~W JOB DESCRIPTION 1000 sq. ft. or less 0' ,iteS .',' () Each adM~'l5',ql\500 k~. ftib"{\on 1.),," , tn Ke.v...oJ-c.L. W 00::. ~,:(IPottioQt~ere(t\)':I t\'le 0 ate set lot p...rtE:\~ ,v .?oollte "tuleS 52-Vv \ Permits are non-transferable and expire if work is IIO'l'J (\lEa'i:nM~~.rac\'alFi6m\\?op..P. 9 \ s 0':1 not started within 180 days of issuance or if work is 10'f atiMddtl"lb\! 8W!'!lill~S~ce'Rr\\'Ie tU e Suspended for t80 days. t<lOtl ICa 95'i!'dlli'\ - Vt~in collIes v \e\e?,:"n~e . 101':1' - . nO " , . the .. _, (\ , >!c 2. 0090.? _ . callIng \Q( tne ~'" O-'3'32-~"~ Electrical Contractor uJ..:,~kNt' I-{.(l Fr....M,...\1uff\1200 t':e'l\~~loril~O 1\ 0 20 I~mps to 400 Amps Address folD {h~ 2..Cc:. 401 Amps to 600 Amps 'Sc,J-18!- r, 'to 601 Amps to 1000 Amps City f...f...Aioc..vJ Phone -0 Over 1000 AmpsNolts Reconnect Only Signature of Supervising Electrician /""> LL..;..ru ., own:~Name do,,~/6I.p A.<.~~ L~;,~-..: Address SO E Ur..~ ~-lz:.-/i.O E. City euG-e?'li!' Phone {"<lb -111 ~ Supervisor License Number L/(... 2. f .s. Expiration Date I 0 - J - 0 7 Constr. Contr. Number .L..,~ h Expiration Dale /- / - nC-.. OWNER INSTALLATION $106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C- -,' ,,0..'1< Installation, Ait;rat~,!!'li~I\lC~iOn 200 Amp~~~ '" ~&\S ~O , $ 50.00 ~t~\_Cf.', ~",~~~s If>J~'A\'.Thl~'~()'Y- $ 69.00 ",\\\'2> ?'t.~I'1\'t.~I{\~t~~R\l\~@~ $100.00 1>-\.1 II \()~~, :ilolR s or 1000 Volts see "B" above. C()~~t: i\ \1'>0 u' I>-~i New Alteration or Exteusion Per Panel One Circuit I $ 43.00 Each Additional Circuit or with ,., Service or Feeder Permit _'^ () $ 3.00 L./3.00 hO.~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 l~~: ~(Q?';1~\Sl-od\ n. t)d- \0\ n 'J..y~ Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 8% State Surcharge 10% Administrative Fee J 03. ()~ )?2.I./ 10. .30 12.) . ~"1- TOTAL Shared Drive(T:)lBuilding FonnsIElectrical Permit Application I-06,doc . . CITY OFSPK11~\':'1'1J!,LD Building/Combination Permit, , Status In Review PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 07/31/2006 $ 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 TYPE OF USE: Addition PROJECT DESCRIPTION: Additinn tn existing care facility and interior remodel Commercial - Owner: CLOVERLEAF ASSISTED LIVING LLC Address: 30 E BROADWAY STE 160 EUGENE OR 97401 Phone Number: 541-686-1119 " # of Units: Primary Occupancy Grnup: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION.,'equires youto AliEN I IV". v' -~ the Oregon Utility Contractor lollow rules adorEi2e~~e. ruleExpifaii~nt'nate C tel" I flll;:)v ".-!"') no;: BURTON WALTER ~ot.llication en 114163rough OAP05/2412006 : 01 C()1111l1 ..\ .... 1"\\1 ' WHISKEY HILL ELECTRI ....I)I\<<;;.R 952-0 '" 1~29_8~nnies 01 tl102JOf12009 BUlLDING'INFORMATION ',Note: the ~I~i~~~~i'~n """" '" . Oregon UtilitY 0 # of Storiesper lor ~h~ is 1_800-3,12-23tihize: Height of Structffe e 19.00 Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: . Sprinkled Building: n/a Occupant Load: ,. Contractor Type . General . . Electrical Phone 503-775-1962 503-981-4640 II SR-I VA 463 5 I DEVELOPMENT INFORMATION' Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: If.. Paved Drive Rqd: r I\-\C 'l'J'0\\ n1'\Ct:'~ OfLotC~t'tg'!IlI\\C I o~ll IS 1'\'01 l\v' o~l\ S\-\IX 1\-\IS \lC" c'0\\ ,U\c, \lc" _~ \\M~E\\ .,n('\\'olH)' (~L~C:tMi\~Oi\{~m~-1 tu~w!'t. 'i)~~ I'CrM- ~I'\~ ,I'>I) REQPlRED PARKING Tntal: Handicapped: Compact: - Frontyard Setback: . Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Sidewalk Type: DownspoutslDrains: , Notes: !.~ Paee I of4 . . CITY OF SPRINGFIELD. Building/Combination Permit Status 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: In Review I Valuation Descrintion I ~. Description $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 185,000.00 6,000.00 Tvpe of Construction Estimate Pavine Estimate Use Bid Amount Total Value of Project L.Fpp< P'WLI 12/30/2005 07/31/2006 $ 191,000.00 ,. Value Date Calculated $185,000.00 $6,000.00 $191,000.00 01/31/2006 01/31/2006 Fee Descripllon Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $409.92 12130/05 3200500000000000712 Plan Review Fire & Life Safety $252.26 12130/05 3200500000000000712 + 10% Administrative Fee $10.30 4/3/06 1200600000000000393 . + 80/0 State Surcharge $8.24 4/3/06 1200600000000000393 Add, Alter, Extend Circ $43.00 4/3/06 1200600000000000393 Add, Alter, Extend Circ Ea Add $60.00 4/3/06 1200600000000000393 Total Amount Paid $783.72 I Plan Reviews I Fire Department Review 01/03/2006 03/30/2006 OK GRG Initial Review Plan nine Review 01/03/2006 01/03/2006 APP SKG APP EMM 01/03/2006 01/06/2006 Public Works Review 01/03/2006 02/0212006 APP SB Revised Plan Review - Fir Revised Plan Review - Str 01/31/2006 01/31/2006 10 01131/2006 JMP Paee 2 of 4 Fire Department Comments Include revision. See attached notes. Planning application not needed per Tara Jones. Does not increase parking requlrment or extend into any existing parking area or setback. SIDEWALK INSPECTION REQUIRED FOR WORK IN ,. RIGHT-OF-WAY. Call before placement of concrete. SDC's added. LDAP application is required if more than 50 cubic yards of material is proposed to be removed. Drawings received 2110/2006. WE. Received partial response from Tony Koach. Contacted him to request the second set of revised drawings, the energy code forms and the subcontractor Information. ., . i . . Lll r OF SPRIN\':'l'lt-LD' . Building/Combination Permit. Status . 225 Fifth Street, Springfield, OR 541-72lJ.3753 Phone 541-72lJ.3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: In Review Structural Review 01/24/2006 01/24/2006 10 JMP Structural Review 01/26/2006 JMP 01/26/2006 10 Structural Review 01/03/2006 01/1312006 WE JMP SUB Review 01/04/2006 01/13/2006 WE JF SUB Review 0212712006 JF 03/06/2006 10 12/3012005 07/31/2006 $ 191,000.00 WE. Called Tony Koach and he said he will be submitting revised drawings to address the comments including the concern about the pantry door opening into the corridor exit path. WE. Emailed structural 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 (attached) for the request 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 stili waiting for Building Envelope 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 3.m. will be made the following work day. -.. I ~'~n/.;rp,t 1~ , 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 inslab building service equipment, conduit piping and other equipment Ilems are in place but prior to cnncrete. 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 cnver. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspectlnn 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 inspectinns have been requested and approved and the building is complete. Paee 3 of 4 " , . . CITY OF SPRI1~\':'Nt-LD Building/Combination Permit Status In Review PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 07/31/2006 $ 191,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rnugh Plumbing: Prinr to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is cnmplete. 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. 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 I 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 nfthe 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 inspectinns are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at the front of the prnperty, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date , Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 Payments: Type of Paymenl Check ol :0 ',. at \; " 0' 'i~' ',. 4/3/2006 . RECEIPT #: .f~~IN!'"~-.""1 1It...~~ .\ ..... ; ~,,___':J'....! ' .ity of Springfield Official Receipt .evelopment Services Department Public Works Department 1200600000000000393 Date: 04/03/2006 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By WHISKEY HILL ELECTRIC INC Item Total: Check Numher Authorization Received By Batch Number Number How Received djb 1055 In Person Payment Total: Page I of I 10:19:55AM Amount Due 8,24 10.30 43.00 60.00 $121.54 Amount Paid $121.54 $121.54