HomeMy WebLinkAboutPermit Electrical 2003-5-21 (2)
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2151.'''' in STREET. SP1UNGFIELD, OR 97477 . PII:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COf'.\ 1- 001... Cl \ '% '\ Date
~-,<;;:() c,ki~.JI','( Sf
LEGAL DESCRIPTION
-rJ>.,(2 cJLl --r- (.) (;, I L.
JOB DESCRlPTlON
A- 7B,~~~E~1i;'~~1l!;Mf.1W~~W!#.9.~ikf~1
sp-c we \-(y
c;;.-! <;;7 ~ ('-"1
Servl,,!, Indu~"!I
1 000 sq. ft. Of Jess
Each additioDllI 500 sq. ft. or
portion thereof
, $106.00
$19.00
Pennlts are Don.transferable alld expi1'e if ....rk is Each Manufuct'd Home or ~'l-.
notstarted within 180 clays of isswmce or if work Is Modular Dwelling Servi~ ~<::s :\ $5000
SlISp~:~~f:~.~.~,~:~..._..~ "r.._.......:""~,.=,...'~,~ F=:..."..'''. ~~~ ~~,,~-.-rr.'''''''<'~'''<~.~~f''':''~~'~~''
L@NTIt;.L:" '-;:~m .:. '-;",:;: B. fiS1!i""'" . :'.r{ii"":;~~~1J<i,."'''rQilY'{''
2. ,:,"..;.l,;,*]0,~o"<~...""",~,.""~:.",,.,,,,;;"~~q~~. :~*'~ '\~.. .~'€ .",.~ "<41~~..i-:;;;,>~;",,~k:i"'<'~
Electrical ContraCtor('''SS:AO~ Li n ~.X~~'Vt~'(\~r~~<::S $ 63.00
'X-\S \> ~~~~~~O Anlps . S 75.00
Address :r-':2 I Z? riD c:.:,.-r. <;.~ '\ S\'X-~<?' ~~~O AmpS $115.00
~cS}~~~~mpsto 1000 Amps SI63.00
City $AL 1'; 1""1 pbqne 9"Y31S'-??~'>{ \~Ovcr1000AmpsIVolts $375.00
Reconnect Only S 50.00
S\ll>c.-visor License Number 1';:;:z.. 8 J L [..
c. ~~~~li~i~.ni~1~Thi.&iilliklt~~~
Owners Name -r;... e.G~ 7
Address J'1,~,)
InstaUation, Alteration or Reloc.tlon
, 200 Amps or less o~ \0 $ 50.00
201 Amps to 400 AmPll..~\~eS 'llj'i.\\\\' .\ S 69.00
6 . .,~e'" "Of:'> \0'"
401 Amps to Olb.(\m~~"\~e." c"'\ _, SIOO.OO
nOf'. \ n.~ v ~'te - n,\l..J
Ovcr.~?Aii>RS;9t'iUl!M(OllS S!'!':?'1i" aboV,e,
D \~..wf'iW.;"~illfi!~~~~~~~~t:b'f:4\J!!~~~
t-\\ ~~;~~;;~'t::~ft~~~~~:~~~"";;i".~,;;~,,,,,,_w
,o\\~ c~(51~>C;:!rc.t~~~a\f:'>,~J.e"\':~" ~o'i.\\\V $ 43.00
~o\\\\ Etch'AdditiS~Gi1\cuitor-Mlhl 0.)'
'0 OI>>~SenliJ;;;rj:..rd~'f.ennit' ~~~'2-~o. S 3.00 .
C;')eP. \ ",g\}'~" ,,\'\\"'~ <>.0 v:;,,\y~
, Cl" Jt;}~l1ii,~@,~~t~ifiif"$:~~~~~~'M.l~
~l C.1 LLf:'7 ,'t::J A-L L . ~"~'G""""~"--";;'';o,~~~"'''"'~'}];.''o'",~,,,."'''''~''''~."......-,.,~:.
(\\)'" IC',' .
City ,1/hNN;"Ilbus' .Pbon. &\2.- {bl-~?2.l. . Pumporinigation' $50.00
Sign/Outline Lighting S 50.00
Limited EnorgylResidenlial S 25.00
Limited Enagy/Commen:ial \ S 45.00
Mialm'UJD E1ecl1'iI: Permit InspectiOD Fee Is 545.00 + Surcharges
7 O.J '3>
ExpiratiooDate. .. AJ0
Coostt. Contt. Number
i?18~C,
Expiration Dale Au/". COuQ
.-;t:A:;~
, OWNER INSTALLATION
The im;talIatioo is boiDg made on:property I own which
is not intended for sale. lease or rent. .
Owners Signature:
~~"<;~-i~r:'V;~~7.ifi:.Jre~F.:~~~,jl--.:.~~';:~~.;f':a:..%'~
4. !!S",~Q'l'~~v.-;~a~~g~~-;;",~""'"':~oi
~t.~:::~;;t~-i$~="~JI!:.r~~~~~~i;il
IDspeetlOn Request: 726-3769
TOTAL
4<;.00
>,1,;",
4,<;0
s2, lac;-
,7% State S=1large
10% Administrative Fe.
_ Drive(T,yBuilding FC)fl1lS1Eleetrleol Pennit Applic3l1eo I~J,dec:
.
. CITY OF M'K11~ld'1Ji,LD
Status
Issued
Building/Combhiation Permit
PERMIT NO: COM2002-01369
ISSUED: OS/23/2003
APPLIED: 12/1112002
EXPIRES: 11123/2003
VALUE: $ 2,000,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2750 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Interior
TYPE OF USE:
Remodel
Commercial
PROJECT DESCRIPTION: Exterior and interior,renovatlons
Owner: TARGET STORES #612
Address: % PROP TAX DEPT PO BOX 9456 MINNEAPOLIS MN 55440
I CONTRACTOR lI;rvn.n'lATlON I
Contractor Type
Architeet
General
Electrical
J\lechanlcaJ
Owner
Plumbing
Contractor
DH ARCHITECTS
CONLON CONSTRUCTION CO
L H MORRIS ELECTRIC
COMFORT FLOW
TARGET STORES #612
VOS PLUMBING INC
BUILDING INFORMATION I
License
Expiration Date
99048
01838
460
07/29/2004
06/08/2005
06/2712003
Phone
5 I 0-865-8663 --
503-583-1724
541-747-0811
541-726-0100
(541)485-0551
# of Buildings:
Primary Oecupancy Group: M
Secondary Oecupancy Group:
Primary Construction Type IINSpr
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Sethaek:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Sethaeks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
, I PUBLIC IMPROVEl\-.J'."'" I
ATTENsi~t;lalk"ifY/i'1! law reqUires you. ~o
follow n,les adopted by. the Oregon Utility
Downspoutsmrams:, I are set fo"
Notification "'<:II """.'H .0"" ,ues , .
in OAR 952-001-0010 through OAR 952-00
0090. You may obtain copies of the rules ~J
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storll\ ~'in<<~vallable:
SpecIllLiAUF&itlon:
THIS PERMIT SHALL EXPIRE If THE WORK
Notet\UTHORIZED UNDER THIS PERMIT IS NOT
C:OMMENCED OR IS ABANDONED fOR
ANY 180 DAY Pe\1OO.
Paee I of5
! \.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01369
ISSUED: 05/23/2003
APPLIED: 12/1112002
EXPIRES: 11123/2003
VALUE: $ 2,000,000.00
Dcscription
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Footaee
2,000,000.00
Value
$2,000,000.00
$2,000,000.00
Date Calculated
12/11/2002
Total Value of Project
I Fpp<, P..illJ
Fce Description Amount Paid Date Paid Receipt Number
l'lan Review Comm/lnd/Public $4,381.42 12/11/02 1200200000000000389
Plan Review Fire & Life Safety $3,033.29 12/11/02 1200200000000000389
-~Icchanicallssuance Fee-- $10.00 2/14/03 1200200000000000705
+ 10% Administrative Fee $5.00 2/14/03 1200200000000000706
+ 100/0 Administrative Fee $770.57 2/14/03 1200200000000000705
+ 7'Y. State Surcharge $3.50 2/14/03 1200200000000000706
+ 7% State Surcharge $539.40 2/14/03 1200200000000000705
Add, Alter, Extend Clrc Ea Add $432.00 2/14/03 1200200000000000705
Air Handling Unit Up to 10,000 $72.00 2/14/03 1200200000000000705
Appliance Not Listed $27.00 2/14/03 1200200000000000705
Building Permit $6,740.65 2/14/03 1200200000000000705
Fixture $182.00 2/14/03 1200200000000000705
PCI'm Serv/Fdr 200 amps or less $252.00 2/14/03 1200200000000000705
Sanitary Sewer - Improvement $453.33 2/14/03 1200200000000000705
Sanitary Sewer - Rclmhursement $596.43 2/14/03 1200200000000000705
SIlC SanitarylStorm Admin $52.49 2/14/03 ,1200200000000000705
Temp Power 200 amps or less $50.00 2/14/03 1200200000000000706
+ 10% Administrative Fee $4.50 5/23/03 2200200000000000918
+ 7% State Surcharge $3.15 5/23/03 2200200000000000918
Low Voltage - Commercial Indus $45.00 5/23/03 2200200000000000918
Total Amount Paid $17,653.73
I Plan Reviews I
Paee 2 of5
. . CITY OF SPRINGFIELD
'. Building/Combination Permit
Status Issued PERMIT NO: COM2002-01369
225 Fifth Street, Springfield, OR ISSUED: 05/23/2003
541-726-3753 Phone APPLIED: 1211112002
541-726-3676 Fax EXPIRES: 11123/2003
541-726-3769 Inspection Line VALUE: $ 2,000,000.00
Fire Department Review 12/13/2002 01/21/2003 OK DS Plan Review: remodel of hig hox
retail store. Type II-N construction;
M Occupancy.
Submit fire sprinkler plans showing
modifications to sprinkler system
Initial plan review conducted
1-17-03 by Dennis Shew.
Submit plans showing modifications
to fire alarm system
New pharmaey and retail areas may
require additional fire extinguishers
Fire Department Review 04/10/2003 04/10/2003 OK GRG Plan Review: Fire Sprinkler plans
for Target store remodel.
Plans appear to meet code
requirements.
Call for pressure test and site
inspections (Deputy Fire Marshal
Gilbert Gordon 726-2293)
Initial Review 12/12/2002 12113/2002 APP LLH
Plan nine Review 12/13/2002 12/13/2002 APP MFO No Planning Approval required per
letter from Mel Oberst to Joshua
Knott, Project Coordinator for
Target. See address file for copy of
letter.
Public Works Review 12/13/2002 12/18/2002 APP PJO
Structural Review 12/1312002 01/24/2003 APP DJP
SUB Review 12113/2002 01/10/2003 WE JF MV AC and lighting pass energy
code review. I requested additional
information regarding exterior wall
insulation. Upon receiving that
information, I then can verIfy
compliance.
Paee30f5
Building/Combination Permit
PERMIT NO: COM2002-01369
ISSUED: 05/23/2003
APPLIED: 12/1112002
EXPIRES: 11123/2003
VALUE: $ 2,000,000.00
"
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
01/16/2003
01/14/2003
APP JF
. CITY VI' ~.t"K11'luNJ!,LD
I can now pass the Building
Envelope part of my review based
on the
following condition being met:
"Insul- 3 " as described on A2 of
plans and 07200 - I of project specs
manual, to be changed to 2.5 Inches
of expanded polystyrene molded
bead
board, from 1.5 Inches. This change
has heen discussed with and agreed
to
by Ed White, MBH Architects. He
requested that the correction be
Included
on the plans review comment letter
so that he eould make the
appropriate
change In Insulation required.
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.
UeolliretUnsnections I
I Slab: To he made after alllnslab building service equipment, conduit piping and other equipment items are in
plaee but prior to eonerete.
2 Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
3 Walllnsulation: Prior to cover.
4 Roofing: Prior to Installing any roof covering.
5 Lath/PIaster: To be made after all lathing and gypsum board, interior and exterior are In plaee, but prior to
plastering.
6 Roof SheathlnglNaillng: Before eovering sheathing with finish material.
7 Epoxy Anchors: To be done by Certified Spclallnspector. Provide Inspection results to City Building Inspector.
8 High Strength Bolting: To he done during construction by a State Certified Speclallnspector. Provide Inspection
results to City Building Inspector.
9 Structural Welds: To be done during construction by State Certified Speclallnspector. Provide inspection test
results to City Building Inspector. .
10 Structural Concrete: In excess of 2500 psi. To he done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
II Final Fire Department. After all requIrements of the Fire Department have been met.
12 Final Building: After all required Inspections have heen requested and approved and the buildIng is complete.
13 SUB Insulation Vapor Barrier: To he called for at the same time as the SUB framIng Inspeetion.
14 SUB Framing: Following City Framing inspectIon approval
15 SUB FInal: After all required energy inspections have been requested and approved.
16 Rough Plumhing: Prior to cover and including required testing.
] 7 Final Plumbing: When all plumhing work is complete.
18 Rough Mechanical: Prior to Cover
19 Final Mechanical: When all mechanical work is complete.
Pal!e40f5
"
.
. CITY Vl< ~t'Kll'ilJl'l.Jj,LD
Building/Combination Permit
PERMIT NO: COM2002-01369
ISSUED: 05/23/2003
APPLIED: 12/1112002
EXPIRES: 1112312003
VALUE: $ 2,000,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
20 SUB Mechanieal: FollowIng City Rough Mechanical inspection approval and prior to any cover.
21 Rough Electric: Prior to Cover
22 Electrle ServIce: Approval required prior to utility company energizing service.
23 Final Electric: When all electrical work is complete.
24 SUB Ceiling Grid: Interior Lighting
25 SUB Exterior Lighting
26 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
27 Temporary Electric: Approval required prior to Utility Company energizing pole.
28 Low Voltage: 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 furlher certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furl her agree to ensure that all required inspections are requested at the proper time, that each address Is readable from the
streel, 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
Pal!e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2002-0 1369
C0M2002-0 1369
COM2002-0 1369
Payments:
Type or Payment
CreditCard
5/23/2003
CiIy of Springfield-
Development Services Department
Public Works Department
Official Receipt
Receipt #: 2200200000000000918
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid Hy
CASCADE LIFE SAFETY
Received By
jmp
1 I :36:28AM
Date: 05/23/2003
Amount Paid
Item Total:
45.00
3.15
4.50
$52.65
l:heck Number Confirm No
00077 104335
How Received
In Person
Payment Total:
52.65
$52.65
.
Amount Paid
.
Page I of 1
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LICENSE 121899
NUMBER:
NAME: CASCADE LIFE & SAFETY SYSTEMS INC
ADDRESS: 2701 22ND ST SE SALEM OR 97302
WORK PHONE 5033152204 ENTITY TYPE: Corporalion
NUMBER: ,
LICENSE STATUS: Active
EXPIRATION 4/17/2004
DATE:
DATE FIRST 4/17/1997
LICENSED:
COLONIAL
AMERICAN
BOND COMPANY: CASUALTY &
SURETY CO
BOND AMOUNT: $ 15000
BOND EFFECTIVE 4/17/2004
TO:
VIEW BOND VIEW CLAIMS
HISTORY HISTORY
VIEW VIEW
ASSOCIATED SPECIALIZED
NAMES TRAINING
ASSOCIATED LICENSES
VIEW BUILDING CODES DIVISION
LICENSE DETAILS
STATUS
CHANGED !;lATE:
LICENSE Generai
CATEGORY: Contractor/All
Non-Exempt (Has
EMPLOYER Employees - Must
STATUS: Have Workers'
Comp Coverage)
INSURANCE RED SHIELD INS
COMPANY: CO
INSURANCE $ 1000000
AMOUNT:
INSURANCE
EFFECTIVE TO: 4/8/2004
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