HomeMy WebLinkAboutPermit Electrical 2005-11-14
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CIT'r' OF SI "INCiI:IU,I), ORLGON '...
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number rOfv\~m-5-(Jln<6? Date '- - 11- / '-i-OS
t. I LOCATION OF INSTALLATION
'37 biP K cJ-h Y\f Yl
LEGAL DESCRIPTION
/702 304'3 (](o(dXJ
JOB DESCRIPTION
~ fJ POUJ-€-P
I
Permits are non-transferable and expire if work is
not started witbin 180 days of issuance or if work is
Suspended for 180 days,
2, I CONTRACTOR INSTALLATION ONLY I
Electrical Contractor JB Electric, Inc,
Address 4685 Isabelle Street
City EUj!ene
Phone 687-5770
Supervisor License Number 3782-S
Expiration Date 10/ I/07
Constr, Contr, Number 37587C
Expiration Date 7/1/06 (CCB 104929 3/14/08)
SigMtureG~~
/
Owners Name -led (Ales-!-
Address :37~ kqjh/\th
City ::pri ,~e/d' Phone 6-2/-:<7iS(J
OWNER INST ALLA nON
The installation is being made on ~,v~-"f I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3, I COMPLETE FEE SCHEDULE BELOW _
-'
A, I New Residential- Single or Multi-Family per
Service Included
1000 sq, ft, or less $106,00
Each additional 500 sq, ft, or
portion thereof $ 19,00
EactUIA~M:d ~'f:@..1. EXPIRE IF THE WORK
ModitlPi\$>~ii <u~15E'R THIS PERMITISs~Jo
FeedroJTHORIZ 0 UN M\WNtU l"uR '
B,I Se~I:~ion, Alterations or Relocation:
200 Amps or less $ 63,00
201 Amps to 400 Amps $ 75,00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsIVolts $375,00
Reconnect Only $ 50,00
c. I Temporary Services or Feeden
Installation, Alteration or Relocation
C/:l, 0 0
200 Amps or less I $ 50,00 :JJ
201 k,n!,~~pr1~!L~p~gon law requires YC~I;~?,oo
40IeJ'.~%@O b!1w.sted by the Oregon L$IOO.OO
, ' r~~'M Tr.nse p ,IPs are set forth
0Iver;,600~f~ ,or: 1000 ~o~t~'s~~"B'~abov~c')nn1..
D, BIiliJcb Cin:ilits" , '" , ','!
uu~u. TUU Ilia)' v,.m.._'" --1-
New ~~~~~'1~&t~xtensitiD;PerPanel'leph~~:
One C;;tr~ih . 10' ,'1e ()rGclC,n Utility NOlllic$143rOO
Each Additional,Circuit or~th332. 204<.),
Service or F"';-dei-'Pe~it $ 3,00
E. I Miscellaneous (Service/feeder not included) -Eacb InstaDatlon I
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 + Surcharges
4. I SUBTOTAL OF ABOVE
15':7. 00
5v
E,
5. o~
t;<(?: S-o
7% State Surcharge
10"10 Administrative Fee
TOTAL
.
. CITY OF SPRINGFIELD'-
Building/Combination Permit'
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
VALUE: $ 285,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PROJECT DESCRIPTION: Industrial warehouse
Springfield TYPE OF WORK: Warehouse
NOTICE' TYPE OF USE: New Commercial
THIS PER'MIT SHA
AUTHmll7cn Wi) II EXPIR,F It T.... ,~\.,
l;UMMENCED OR ts~'HIS IMiRMffVS'1't8; 541-521-2780.
ANY 180 DAY PER/OD.BANDONED FOR '
SITE ADDRESS: 3766 Kathryn Avenue
ASSESSOR'S PARCEL NO.: 170.230.430.660.0.
Owner: TED WEST
Address: PO BOX A
VIDA OR 97488
I CONTRACTOR INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor
CASCADE VIEW CONSTRUCTION INC
JB ELECTRIC
MARS HALLS INC
SHAD CHASAN SURRETT
MCKENZIE EXCAVATING INC
BUlLDING,INFORMATION ',quires you to
fOliO'" rulE;S adopted by the Oregon Utility ,
No'~f!!!8~~8~lfS;'nter Those rules arb set~9t,SlZe:
, (Heiglit.o, f Str,ucture throuoh 25.0.0. 952Sq'Ft 1st Floor:
In '~nY~',UJlJ -UUIU .... '''.U-'''.' ....~.
Type of Heat: bt ' 'eElectnc rul,S!l[JF.t 2nd Floor:
00"'" Vnl' m~v 0 am COP! .... Ul ll.IC ~.:> y
Water Type: {N t ,Electn"epho~,q Ft Basement:
"RO II onn T!';~ "enter 0 e, lIle ,e' S - Ft G e/C rt
" angeype' ' q arag arpo
n ~hn. '0' 'he Oregon Utili'" f\lotifica"u;'
Energy Pat,li: '. ?,~!1i41 Sq Ft Other:
Sprini&arBuilllirig~OO'332'''rilil J. Occupant Load:
License
155174
10.4929
25790.
158295
Expiration Date
0.4/16120.0.7
0.3/14/20.0.8
12/23120.0.5
0.1114/20.0.6
Phone
541-896-30.81
541-687-5770.
541-747-7445
541-741-3553
541-689-30.85
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Fl
7,260.
lIB
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Page 1 of5
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriDtion
Estimate
Pavine
TVDe of Construction
Estimate
Use Bid Amount
Fee DescriDtion
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 CommllndlPublic
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
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - Ist 50 Feet
Storm Sewer Each AddtllOO'
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 ~rKll'1u.HI:!.LD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
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
li'pp< P.iiIiLI
Amount Paid
$684,55
$421,26
$10.00
$200.38
$11 0.23
$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
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
8/10/05
8/10/05
9/12105
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12105
9/12/05
9/12/05
9/12/05
9/12105
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9112/05
9/12/05
9/12/05
9/12/05
9112/05
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
. CITY OF SPRINGFIELD'
Building/Combination Permit'
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
VALUE: $ 285,000.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Add, Alter, Extend Circ Ea'Add
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
$60.00
$63,00
$5.00
$3.50
$50,00
11/10/05
11/10/05
11/15/05
11/15/05
11/15/05
Total Amount Paid
$14,317.39
I Plan Reviews I
Fire Department Review 08/12n005 09/07/2005 OK GRG
Initial Review 08/11/2005 08111/2005 APP LLH
LDAP Review 08/1112005 08/11/2005 IO VRJ
LDAP Review 08/22/2005 08/22/2005 APP VRJ
Plannln!! Review
08/12/2005
APP
Public Works Review
08/12/2005
08/26/2005
APP SB
r Structural Review
08/29/2005
08n9/2005
IO JMP
Structural Review
08111/2005
08/19/2005
WE JMP
Structural Review
09/01/2005
09/01/2005
IO JMP
Structural Review
SUB Review
09/07/2005
08/29/2005
09/07/2005
09/06/2005
APP JMP
APP DH
SUB Review
08/12/2005
08/22/2005
WE DH
Pa!!e 3 of5
2200500000000001567
2200500000000001567
2200500000000001583
2200500000000001583
2200500000000001583
See attached document for Fire
Department Plans Review
comments.
Applicant submitted LDAP plans
8/10/05.
LDAP permit is at the front counter
and ready to issue. $1470,00 due at
issuance. Applicant has been
contacted,
Needs final site plan submittal and
Development Agreement, Site Plan
Review DRC2005-00053
Checked by E, Walter; SDCs added.
LDAP issued. No Encroachment
proposed. Submit Encroachment
Permit application if work is
proposed in City Right-of-way or
within Public, Utility Easements.
WE, Received response to
structural comments, Called Ted
and asked for items 3, 7, and 9 to be
completed,
See attached documents for 9
structural comments faxed to Rene
Fabricant,
WI. Received additional
information from Ted West, Faxed
the energy code forms to David
Harris, ,
Received final internal approval.
JMP forwarded revised drawings
and mechanical design and energy
code forms.
See attached documents for JMP's
structural comments faxed to Rene
Fabricant on 8/19n005 requesting
the energy code forms and
worksheets.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
VALUE: $ 285,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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.
I I?P""\rP'~ In.,np..~
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.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection,
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,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete,
SUB Plumbing: Following City Rough 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 bnilding 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 have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Roofing: Prior to installing any roof covering,
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.
Pa!!e 4 of5
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF SPKli'lut<lELD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
VALUE: $ 285,000.00
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 of the Fire Department bave 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.
Underslab Plumbing: Prior to filling the trencb 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.
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 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
Paee 5 of5
Date
225, Fifth Street
'Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-0 I 089
COM2005-0 1089
C'OM2005-0 I 089
Payments:
Type of Payment
Check
:,
:!
:,
-
:i
;
:,
11/15/2005
RECEIPT #:
:~'_R.IJ~'f!~ELD.-,._",". _",___ t"
Wit,
j i
-, ~ i
~; .l
._- .,-... .
lIIIIlIiii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001583
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
18 ELECTRIC
Received By
ddk
Page I of 1
Date: 11/15/2005
Item Total:
Check Number Authorization
Batcb Number Number How Received
016471
In Person
Payment Total:
IO:33:49AM
Amount Due
50.00
3,50
5,00
$58.50 '
Amount Paid
$58.50
$58.50