HomeMy WebLinkAboutPermit Electrical 2006-3-8
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225......0 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPU~110N
City Job Number (,OM~(l)5{)'\O~Date 3-9;--00
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1. I LOCATION OF INSTAllATION
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LEGAL DESCRlPTION 17CJZ.. J041
N~ w~(:Q...hOvS'e..., ob60o
~OB D:;RlPTlON
3. I COMPLEl'E FEE &.n~uULE BEWW
A, I New Residential- Single or Multi-Family per
Service Included
1000 sq, ft, or less
Each additional 500 sq, ft, or
ponion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$19,00
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. I CONTRACTOR INSTAllATION ONLY I
$50,00
B, I Services or Feeden - Installation, Alterations or Relocation:
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3
Electrical Contractor JB Electric. Inc,
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsfVolts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
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Address 4685 Isabelle Street
City EUllene
Phone 687-5770
c. I Temporary Services or Feeden
SupeIVisor License Number 3782-S
~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Expiration Date 10/1/07
$ 50,00
$ 69,00
$100,00
Constr, Contr, Number 37587C
Expiration Date 711/06 (CCB 104929 3/14/08)
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Owners Name T-9 A (.J... )(-'d
Address . f'3 'RC":\ 'X A
City \\',do. PhoneCi\I..\<ti5
, 5'-/, -5~ 1- ;;no 0
OWNER INSTALLATION
Over 600 Amps or 1000 Volts see "B" above,
D, I Brancb Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or F:eeder Pennit
$ 43,00
$ 3,00
E. I Miscellaneous (Servictlfeeder not included) -Eacb InstaUatiou ,
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45,00 + Surcbarges
4,1 SlJiHoiALOFABOVE !3\Y_OO
8010 State Surcharge Z.s I z. ,~
10% Administrative Fee 31 . 'f G
370~2. -j\;~
+0 e)<',S+,Ylj ~(,'M)+
The installation is being made on r'"r-'~/ I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
TOTAL
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'Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
, SITE ADDRESS: 3766 Kathryn Avenue
j ASSESSOR'S PARCEL NO.: 1702304306600
v
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11110/2005
APPLIED: 08/10/2005
EXPIRES: 09/0712006
VALUE: $ 285,000.00
Springfield TYPE OF WORK: Warehouse
PROJECT DESCRIPTION: Industrial warehouse
TYPE OF USE: New
Industrial
'r Owner:
Address:
TED WEST
PO BOX A
VIDA OR 97488
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I CONTRACTOR INFORMATION I
Contractor 0 License
CASCADE VIEW CONSTRUCTI2~~tl~I\'J 155174
, JB ELECTRIC e.'l'i \eo,'-'Ie 01'\.\\1 0\\104929
MARS HALLS INS(e~OI' ~\J \'(\e 0\ ;\e se\ \ OC25790
S~~~sAN~~ICI~R~1J,s6 \,-,'6S J>.~ 9<;:''2.' sl5!l295
MCKEN~Q'8EX.f:_~.Y~ TIN.~,~C'(\ ~\ \'(\e \'-"~"e
~~~\\ee.~IO~?~o'l-iiJlliDING-INFOaMA'I'ION I
. OJ>.~ 9 \\'Ie.'1 v- e\. \1",v',I\\'\\'J '-'
II' "".'10'-' eel'\ II of-Storles:.?-:,AA).
OO"-'v ,'(\e ('II v ~ ,," ~~
Primary Occupancy Group: e~J\I'~ \0\ \'(\e ,!I~igJit,6f lllructure
,_ Secondary Occupancy Group: 1',-,\\'I'Oe\ Cel'\e\ ''Type of Heat:
'( Primary Construction Type lIB Water Type:
; Secondary ConstructIon Type: Range Type:
~ # of Bedrooms: Energy Path:
5! Sprinkled Building:
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
,
# of Units:
1
25,00
Electric
Electric
Path 1
nla
I DEVELOPMENTINFORMATION I
Total:
Han~apped:
x.~ t:
\l \~ \S
1 \ ~:~'?~~\t.~~~ 't\j~
I PUBLIC IMPROV-MJlNfsf S~~~t.~ \ ~~~'i)\)~~
',,,\S ~~~\tt.l~ @ilI~. Type:
~\\'\~\tt.~C;'i)~t9~nspoutslDralns:
, C~~'{ \'O~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dlst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
)
(
Street Improvements:
Storm Sewer Available:
~; SpecIal Instruction:
{ Notes:
~.
~I
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,
Pa!!e 1 of5
Phone Number: 541-521-2780
Expiration Date
04/16/2007
03/14/2008
1212312009
0111412008
Phone
541-896-3081
541-687-5770
541-747-7445
541-741-3553
541-689-3085
Lot Size:
Sq Ft 1st Floor: 7,260.
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
; 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
Pavine
Estimate
Use Bid Amount
"
;
.
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
, + 7% State Surcharge
:" Backflow Device
::' Building Permit
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review CommlIndlPuhlic
Plan Review Fire & Life Safety
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
i' SDC Sanitary/Storm Admin
SDC Transpo Admin
"I SDC Transpo Improvement
" SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - Ist 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - Ist 50 Feet
Water Line - Each Addtll00'
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 09/07/2006
VALUE: $ 285,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
220,000,00
65,000.00
Value
Date Calculated
$220,000.00
$65,000,00
$285,000,00
08/29/2005
08/29/2005
Total Value of Project
Fpp< PllilLI
Amount Paid
$684,55
$421.26
$10.00
$200,38
$110.23
$14.00
$955.65
$322,00
$36,00
$4.00
$429.15
$73.94
$45.50
$45.00
$648,25
$852,51
$14,00
$10,00
$890.03
$84.38
$432,06
$68.26
$1,003.45
$227.49
$6,290,39
$45.00
$56.00
$24.00
$45,00
$14,00
$5.00
$3,50
$50,00
$12,30
$8.61
Date Paid
Receipt Number
8/10/05
8/10/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/13/05
9/13/05
9/13/05
11/10/05
11/10/05
Paee 2 of5
2200500000000001074
2200500000000001074
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
1200500000000001337
2200500000000001255
2200500000000001255
2200500000000001255
2200500000000001567
2200500000000001567
i
.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Add, Alter, Extend Clrc Ea Add
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 8% State Surcharge
" Perm ServlFdr 200 amps or less
/ Perm ServlFdr 401 to 600 amps
,
.
Total Amount Paid
.
I
. i
LU :r' UJ< ~rIUl'\it.J<IELD~
.
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 09/07/2006
VALUE: $ 285,000.00
$60.00
$63,00
$5,00
$3.50
$50,00
$31,40
$25.12
$189.00
$125,00
11/10/05
11/10/05
11/15/05
11/15/05
11/15/05
3/8/06
3/8/06
3/8/06
3/8/06
2200500000000001567
2200500000000001567
2200500000000001583
2200500000000001583
2200500000000001583
2200600000000000284
2200600000000000284
2200600000000000284
2200600000000000284
$14,687.91
I Plan Reviews I
Fire Department Review 0811212005 09/0712005 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 08/11/2005 08/11/2005 APP LLH
LDAP Review 08/11/2005 08/11/2005 ' 10 VRJ Applicant submitted LDAP plans
8/10/05.
LDAP Review 08/2212005 08/22/2005 APP VRJ LDAP permit Is at the front counter
" and ready to issue, $1470,00 due at
Issuance, Applicant has been
contacted.
Plan nine Review 08/12/2005 APP Needs final site plan submittal and I
Development Agreement, Site Plan ,
Review DRC2005-00053
Public Works Review 08/12/2005 08/26/2005 APP SB Checked by E. Walter; SDCs added,
LDAP issued. No Encroachment
. proposed. Snbmit Encroachment
;- Permit application If work Is
proposed In City RIght-of-way or
within Public Utility Easements.
Structural Review 08/29/2005 08/29/2005 IO JMP WE, Received response to
structural comments, CaUed Ted
and asked for Items 3, 7, and 9 to be
completed,
Structural Review 08/11/2005 08/19/2005 WE JMP See attached documents for 9
structural comments faxed to Rene
" Fabricant.
Structural Review 09/01/2005 09/01/2005 10 JMP WI. Received additional
Information from Ted West. Faxed
the energy code forms to David I
Harris. .
Structural Review 09/0712005 09/0712005 APP JMP Received final Internal approval,
SUB Review 08/29/2005 09/0612005 APP DH JMP forwarded revised drawings
and mechanical design and energy
;t' code forms.
Paee 3 of5
.
.
CITY OF ~rlUNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0l089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 09/07/2006
VALUE: $ 285,000.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
08/12/2005
08/22/2005
WE
DO
See attached documents for JMP's
structural comments faxed to Rene
Fabricant 0" 8/19/2005 requesting
the energy code forms and
worksheets,
':
.,1'
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.
~r~rllIHi:ne~tion~ I
'-
Site Inspection: To be made after excavation but prior to setting forms,
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed,
Storm Sewer Line: Prior to filling trencb.
Final Plumbing: When all plumbing work is complete.
Backnow Device: Prior to covering and provide a copy of the test report on site at tbe time of inspection.
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Gas: After line Is Installed and required testing and capped if not attacbed to an appliance.
Final Gas: When all gas work is complete,
SUB Plumbing: Following City Rougb 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
Temporary Electric: Approval required prior to Utility Company energizing pole,
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 items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough In Inspections bave been approved.
Wall Insulation: Prior to cover.
Ceiling Insnlation: Prior to cover.
Roofing: Prior to installing any roof covering.
Pal!e 4 of5
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.
. CITY OF SPRINGFIELD-
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 09/07/2006
VALUE: $ 285;000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping,
Masonry:
Bolts Installed In Concrete: To be done by a State Certified Special Inspector. Provide Inspection test reports 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,
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Final Fire Department. After all requirements ofthe Fire Department have been met,
Final Building: After all required inspections have been requested and approved and the building Is complete,
Rough Grading: After gravel Is in place but prior to placing concrete,
Final Paving: After paving 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.
Undenlab Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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,
L
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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 oCany structure witbout 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 tbe
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
L
Page 5 of5
225 Fifth Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
.
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~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01089
COM2005-0 I 089
COM2005-0 1089
COM2005,O I 089
Payments:
Type of Payment
Change
Check
Cash
JoblJournal Number
COM2005-0 I 089
COM2005-01089
COM2005-01089
COM2005-0 1089
"
, P,ayments:
Type of Payinent
Change
Check
--:....sh
"ii
Jijb/Journal Number
GQM2005-01089
CPM2005-01089
COM2005-0 I 089
COM2005-0 I 089
Payments:
Type of Payment
Change
Check
,<:;-JIsh '
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3/812006
RECEIPT #:
2200600000000000284
Date: 03/08/2006
Description
Penn ServlFdr 40 I to 600 amps
Penn ServlFdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVIDCARY
JB ELECTRIC lNC
DAVIDCARY
Item Total:
Cheek Number Authorization
Batch Number Number How Received
In Person
In Person
In Person
Payment Total:
Received By
djb
djb
djb
16876
Description
Penn ServlFdr 40 I to 600 amps
Penn ServlFdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID CARY
JB ELECTRIC INC
DAVID CARY
Item Total:
Check Number Authorization
Batch Numher Number How Received
In Person
In Person
In Person
Payment Total:
Received By
djb
djb
djb
16876
Description
Penn ServlFdr 401 to 600 amps
Penn ServlFdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVIDCARY
JB ELECfRIC lNC
DAVIDCARY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb 16876 In Person
djb In Person
Payment Total:
Page I of I
11:55:25AM
Amount Due
125.00
189.00
25.12
31.40
$370,52
, Amount Paid
($1.86)
$367.38
$5.00
$370,52
Amount Due
125.00
189.00
25.12
31.40
$370.52
Amount Paid
($1.86)
$367.38,
$5.00
$370,52
Amount Due
125.00
189.00
25.12
31.40
$370.52
Amount Paid
($1.86)
$367.38
$5.00
$370.52