HomeMy WebLinkAboutPermit Electrical 2006-5-10
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" Q C1:r,y OpojRTNQFIELD, OREGON 'oj
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number rCW\ Lf)Ob -001 7_ 7
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1. LOGATION,OF-/N.STALLAI10N:'- .:'
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LEGAL DESCRIPTION
170JZ200
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J08 DESCRIPTION
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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.
CONIRACrOR INSTALDlTlON ONLY
Electrical Contractor BEACON ELECTRIC
Address ? r, R r, ROOSEVEL'I'
Cill' Rrlr.EI"P.
Phone
Supervisor License Number 34855
Expiration Date 1 0 / 0 1 /07
Constr. Contr. Number
38497
Expiration Date
()1/19/~~
Signature of Supervising Ele . cian
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owne",'d hp..~ S~<;
AddrV"""?6 "]SOX ?I(f"b
City .Atll(",,~(~,. Phone 6rZ-7{'(. zab
I JIll{
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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A. tj~€ia~~~~.~W!i~fr~~l~,.~~ Mult~-.F~mily pc~ dw~lIing unit.
Service InCluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
C. Tcmporary.~~n'!ccs or Fc(.'dc.'rs
Installation, Alteration or Relocation
200 Amps or less
20 I Amps 10 400 Amps
40 I Amps to 600 Amps
$106.00
$ 19.00
$50.00
S 63.00
$ 75.00
S125.00
S163.00
S375.00
S 50.00
63
Each Manufact'd Home or
Modular Dwelling Service or
Feeder . teS '101.1 \0
. ,~r"\ . ,,',\\\,'
~...'.,i-:,~' ,- _' t, '.l;~~. ,... '. ~..,"10 ul... 'l,_ .
B. Services or Fccdcrs--:!JDstallatirin~(Alterations or Relocation:
'. . ,- < .' e .......~.
. -, ,-'-;. ';tl,',e,,; at ;.,2.00\-
200 Amps or lesS- J\.lQ\~ Ojl,?- '.IOC, t'i
,. \\"\.I"":;.J \\ne f\;
201 Amps to 400 Ampss 0 "nne
'. - .' CU\-- \e\--
Sf,VO 401 Amps 10 600 it'mps \\,\e \e ,\,~~'\O(l
" \ "", J ", ~,,~ Il'\.UI..-'",. N,ot\..
,.' '601 Amps to-IOOOGA,m.ps\'\\} ^)
\.. . " .:1'\\\0' nfeO' . 2'34'"t .
S 41 _ 4 h 1-=..02 91c,.""Over.1090?/\mps!,y,ol~32-
I ...., \\..1' ~ \_UVV
I\\.ln' ReconnectlOnly
\.;\;::\1'-
S 50.00
S 69.00
SIOO.OO
Over 600 Amps or 1000 Volts see "8" above.
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D, \....BrancJ1":.Ci~cuits'..". - 'f-
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- ....... C)"
New Alteration or Extension Per Panel \\'\'t. 'tll\\G\
One Circui~~. \ 't.'j.,?\'i\l:.. ~rn,M"'$\l3.00
Eacb'Adoitional Circtiiib~'wit~iLl'\S n"~''c\$(,G'i\
""v. . "'~I" \ - (,U" (\ ,Co '300
Service or.Reeder'Permit~\)Co" . ,'f' .
. ,i'\\,)' 'S\! u'.... \'i':>.r>.~.'w=. ... . .
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E. )\fiS~I1'~ti~~l~~~~ff}!~rn~t !~51~.ded) ,--E~~h .Instn!'ntio".
Porn ," ,,) ~.I'lCl $ 50 00
P orllIrtgal1on .
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
MinImum Electric Permit Inspection Fee Is 545.00 + Surcharges
4. 'SUBroTAL~1BOVE~~~fL t". .;i?':l' ':
. ~ '..' '1:.!,.~:.1.,., ;:...:_.:_..:i;L.j
8% State Surcharge
10% Administrative Fee
TOTAL
{,3
SOIl(
630.
'74 ?!L
Shared Drive(T:YBuilding.FonnslEleclrical Pennil Application ).06.doc
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00127
ISSUED: 04/2l!2006
APPLIED: 02/02/2006
EXPIRES: 11/08/2006
VALUE: $ 350,000.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2750 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Add refrig cases, walk-in cooler freezer and condensor units
Commercial
Phone Number: 612-761-2116
Owner: TARGET STORES #612
Address: % PROP TAX DEPT PO BOX 9456
MINNEAPOLIS MN 55440
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION .,
Contractor Liceris~,>~ Expiration Date
..... :\"'.
SD DEACON CORP OF OREGON 134328' cc\\O R,'" 03/31/2007
STONER ELECTRIC 448P:?' ~<:>'):~ -0"03/20/2008
SOURCE REFRIGERATION & HV AC INC '~'492~~ \.s-e~"eI0/01/2009
MIKE PATTERSON .",:) ',8.I.7:46^\""~nO,\\O,,(1'2/2112008
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BUILum.... INFORMATION 1# ","0'"
>','c,,,)"- ~\'O-" ~O"\)0~'\ ':,~fi;:.,'
, # ,of Stories: '0-'\ 0 ~e\' 0" n,'):"t Lot Size:
. ,"~, ,(\ eC$ ~~
\"'-Heigbt~'!f.Structure;)\ ~<:J\r Sq Ft 1st Floor:
\\Type:of Hejji? ,>is'e \~ '" Sq Ft 2nd Floor:
Wat'<f~T~8~: \0 e\\\e\ Sq Ft Basement:
RaDg~~Type: G Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
IINSpr
I DEVELOPMENT INFORMATION'
Phone
503-297-8791
503-462-6500
714-578-2300
503.632-7374
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
lH'IT I C'E', evnlQI' IF 1\-1E WOf\~
I PUBLIC IMPROVEMEll/if,S Itf\\\~\ \ ~NDER 1\-115 Ptf\M\lI::>~'V I
AU \ nOf\\IEPd "1 '"T ,0 C\\'lDONto fO
.,,8i, ewa Ii ype:
Fullv Improved COMMEI'VLIJ V" ~nn
Yes I\N'I180 IPowli'fp9.lItslDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
i
Paee I of 4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
350,000.00
Estimate
Total Value of Project
~ Fpp< ~
. CITY OF ~rluNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00127
ISSUED: 04/21/2006
APPLIED: 02/02/2006
EXPIRES: 11/08/2006
VALUE: $ 350,000.00
Value
Date Calculated
$350,000.00
$350,000.00
02/02/2006
Fee Description Amouut Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $895.80 2/2/06 1200600000000000102
+ 8% State Surcharge $25.92 3/20/06 2200600000000000354
+ 8% State Surcharge $32.40 3/20/06 2200600000000000354
Add, Alter, Extend Circ Ea Add $72.00 3/20/06 2200600000000000354
Perm Serv/Fdr 200 amps or less $252.00 3/20/06 2200600000000000354
-Mechanical Issuance Fee- $10.00 4/21/06 2200600000000000496
+ 10% Administrative Fee $160.42 4/21/06 2200600000000000496
+ 8% State Surcharge $128.33 4/21/06 2200600000000000496
Appliance Not Listed $54.00 4/21106 2200600000000000496
Boiler/Comp Up To 100,000 btu $60.00 4/21106 2200600000000000496
Building Permit $1,378.15 4/21106 2200600000000000496
Fixture $112.00 4/21106 2200600000000000496
Plan Review Fire & Life Safety $551.26 4/21106 2200600000000000496
Sanitary Sewer - Improvement $495.72 4/21/06 2200600000000000496
Sanitary Sewer - Reimbursement $651.92 4/21106 2200600000000000496
SDC Sanitary/Storm Admin $57.38 4/21106 2200600000000000496
+ 10% Administrative Fee $6.30 5/10/06 1200600000000000630
+ 8% State Surcbarge $5.04 5/10/06 1200600000000000630
Perm ServlFdr 200 amps or less $63.00 5/10/06 1200600000000000630
Total Amount Paid $5,011.64
I Plan Reviews I
Fire Department Review
05/08/2006
05/08/2006
OK
Paee 2 of 4
GRG
As-Builts for addition of three dry
pendant sprinkler heads for walk-in
cooler and freezer. Plans appear to
meet code requirements.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00127
ISSUED: 04/21/2006
APPLIED: 02/02/2006
EXPIRES: 11/08/2006
VALUE: $ 350,000.00
.
-~..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
02/03/2006
GRG
04/10/2006
OK
Initial Review
Plan Review Comments
02103/2006
APP SKG
10 JMP
02103/2006
04/1112006
Plannin!! Review 02103/2006 02103/2006 APP EMM
Public Works Review 02/03/2006 02127/2006 APP CAS
Structural Review 02/03/2006 02/1312.006 WE JMP
Structural Review 04/19/2006 04/19/2006 APP JMP
SUB Review 04/17/2006 04/17/2006 APP JF
SUB Review 02/03/2006 02/17/2006 WE JF
Plans Review: Remodel and
replacement of commercial
refrigerator coolers and freezers.
Job #COM2006-00127. Occupancy
Classification: M. Construction
Type: II-B.
Project manual pp. 15300-1 through
15300-4 indicates requirement for
addition of sprinkler coverage to be
extended to walk-in cooler and
freezer as required per NFPA 13.
Subcontractor shall submit
sprinkler plans to Springfield Fire
Marshal's Office for review and
approval (2004 Springfield Fire
Code 901.2).
Provide documentation of the
refrigerant coolant to be used for
this installation. The type of coolant
may require further information if i1
falls into a hazardous material
classification.
WI. Energy code forms faxed to
SUB. Requested original signature
on electrical application. Mct with
Earl Bell and talked with Gary
Peterson to update them on
progress, status, and outslanding
items.
Interior remodel fixtures only for
SDC fee 2127/2006 CAS
See attached documents for
structural comments faxed to Dennh
C. Woody.
Pending confirmation of mechanical
inspections and fees.
No energy code issues or inspections.
JMP called for Dennis C. Woody
and left a voice mail requesling the
energy code forms and worksheets.
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.
Pa!!e3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00127
ISSUED: 04/2112006
APPLIED: 02/02/2006
EXPIRES: 11108/2006
VALUE: $ 350,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Reouired Insoec~
Final Fire Department. After all reqnirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When an plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Electric: 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that an 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 an
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Spring'field~ Oregon 97477
541-726-3759 Phone
.~
<& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journa' Number
COM2006-00127
COM2006-00127
COM2006-00127
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000000630
-Date: 05/10/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Perm ServIFdr 200 amps or less
Paid By
GARY JOHNSEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 081228 In Person
Payment Total:
Page I of I
8:36:40AM
Amount Due
5.04
6.30
63.00
$74.34
Amount Paid
$74.34
$74.34
5/10/2006