HomeMy WebLinkAboutPermit Electrical 2005-11-10
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225 ~"'111 STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)72~aW89
ELECTRJCAL Pfl~1T mUCATlON
City Job Number ["D \DD~ \ Date I \-\D-G5
1. I LOCATION OF INSTALlATION I
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LE\~tn~~ohMx)
Dale
AutnOnzed Signaturr
~ has the folloWing
class e' I~~e
nol reQ~ire~~~ c_ _ _ .
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I '^^/~C:;~
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'. CITY 01: s' /.INCiI'IEI.I).ORLGON . -
A. I New Residential- Single or Multi-Family per dwel
3. I COMPLETE FEE SCHEDULE BEWW
Service Included
JOB DESCRIPTION 1000 sq. ft. or less
I _ l- Each additional 500 sq. ft. or
1'I'f'M.'l VV"()1€{l (l) ('.(l C'.c rkcks portion thereof
Permits are non-transferable and expire if work is Each Manufact'd Home 0,+ ';lv. ..
not started within 180 days oCissuance or if work is Modular Dwelling SiV\'.!e:i'r $5000
Suspended for 180 days. F~er;::_.,,, .
uopeo c. vc.P.-(1I'1r>_._
2. I CONTRACTOR INSTALlATION ONLY I aU;4~J.~*M~orJ1~~IP.~~}ation, Alterations or Relocation:
,(q sa/nJ ~ .(, ,01UNI Ja)U~ ., -~'1W"U .
. . ol1J j() ~"."'~ 00 aliI 5lJi \ '" ( .-:t ()o
Electncal Contractor JB Electnc.lnc. lj"OO';::SS ~~~~n":~o~es,']lqO Aew no" .!~eo $ 63.00 UJ....l.
lJOJ las a2JlCAJijps.tul4QQ AmPbo SOD $ 75.00
Al!l!ln 11040r~,fs~SI600-knJl' s-., 'cSS i:I\tO uI $125.00
<,;o'U ElL/I A' " ~v l1O/leo
01 nOA S6~)~P'..tg .f600''A:inpsEl/n~ IJ!ION $163.00
. , ',le/liaR- MOl/u!
Over 1000 AmpSIV.ott,SJOllN31 $375.00
Reconnect Only 1" $ 50.00
$106.00
$19.00
Address
4685 Isabelle Street
City
EUll.ene
Phone
687-5770
Supervisor License Number 3782-~J "I C. I Temporary Services or Feede"
,.., r, t'E:
Expiration Date 10/1/07 !HIS PER^~/T S Installation, Alteration or Relocation
"V I HORIZED HALL EXPfW,~S or less $ 50.00
Constr. Contr. Number 37587C ~OMMENCED ~NDER THI'!P. , {JiE 4WJAA'ps $ 69.00
l'1/vy 180 DAY A IS ABAJ1B ) ~~d~WcJt'Ps $100.00
Expiration Date 7/1/06 (CCB 104929 3/lillOiRERIOD 0 f:nn 1000 V 1 "B" b
. ver AWiPs or 0 ts see a ove.
D. I Branch Cln:uits
Signatureof~~
I 772d We~
Owners Nam~ 8 ,~\ k t\~
Address \l D 00><- I\-
City ~ ~ \fL Phone 'f)Q \ elL 1 ~O
\ .
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with . n A
Service or Feeder Permit 0116
$ 43.00
$ 3.00 1> (oC) 00
E.'I Mlseellaneous (Service((eeder not included) -Each Installation 1
OWNER INSTALLATION
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
rt> I ?3.()~
.j; ~.<Ol
11 1130
1/~?-,Q,'
4.1 SUBTOTAL OF ABOVE
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
7% State Surcharge
10"10 Administrative Fee
Inspection Request: 726-3769
TOTAL
.
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
ASSE,SSOR'S PARCEL NO.: 1702304306600
. 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
Springfield TYPE OF WORK: Warehouse
PROJECT DESCRIPTION: Industrial warehouse
Owner: TED WEST
Address: PO BOX A
VIDA OR 97488
TYPE OF USE: New
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Sewer
Contractor
CASCADE VIEW CONSTRUCTION INC
JB ELECTRIC
MARSHALLS INC
SHAD CHASAN SURRETT
MCKENZIE EXCAVATING INC
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
. Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
FI
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
lIB
License
155174
104929
25790
158295
I
25,00
Electric
Electric
Path I
n/a
I DEVELOPMENT INFORMATION ,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paf!eIof5
Commercial
Phone Number: 541-521-2780
Expiration Date
04/16/2007
03/1412008
12123/2005
01lI4/2006
Phone
541-896-3081
541-687-5770
541-747-7445
541-741-3553
541-689-3085
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,260
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Dowuspoutsillrains:
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 CommlIndIPublic
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 AddtIIOO'
Vent Fan
Water Line - Ist 50 Feet
Water Line - Each AddtlIOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
.
. \..-11 f 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
I Valuation Descrintion 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<. PIiILI
Amount Paid
$684.55
$421.26
$10.00
$200.38
$1l0.23
$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/l 0/05
9/12105
91l2/05
9/12/05
9/l2l05
91l2/05
9/12/05
9/l2l05
91l2/05
9/12/05
9/l2/05
9/12/05
9/12105
9/l2l05
9/12I05
9/12I05
9/12105
9/l2l05
9/l2l05
9/12/05
9/12I05
9/l2l05
9/l2l05
9/l2l05
9/l2l05
9/l2l05
9/12/05
9/12/05
9/12/05
9/13/05
9/13/05
9/13/05
WI 0/05
WI 0/05
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
Paee 2 of5
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01089
225 Fifth Street, Springfield, OR ISSUED: 11110/2005
541-726-3753 Phone APPLIED: 08/10/2005
541-726-3676 Fax EXPIRES: 05/10/2006
541-726-3769 Inspection Line VALUE: $ 285,000.00
Add, Alter, Extend Circ Ea Add $60.00 WI 0/05 2200500000000001567
Perm ServlFdr 200 amps or less $63.00 WI 0/05 2200500000000001567
Total Amount Paid $14,258.89
I Plan Reviews ,
Fire Department Review 08/1212005 09/07/2005 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 08/I1I2005 08/11/2005 APP LLH
LDAP Review 08/W2005 08/W200S 10 VRJ Applicant submitted LDAP plans
8/10/05.
LDAP Review 08/22/2005 08/2212005 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!l2/200S APP Needs final site plan submittal and
Development Agreement. Site Plan
Review DRC2005-000S3
Public Works Review 08!l2l2005 08/26/2005 APP SB 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.
Structural Review 08/29/2005 08/2912005 10 JMP WE. Received response to
structural comments. Called Ted
and asked for items 3, 7, and 9 to be
completed.
Structural Review 08/W2005 08!l912005 WE JMP See attached documents for 9
structural comments faxed to Rene
Fabricant.
Structural Review 09/0 1I2005 09/01l2005 10 JMP WI. Received additional
information from Ted West. Faxed
the energy code forms to David
Harris.
Structural Review 09/07/2005 09/07/2005 APP JMP Received final internal approval.
SUB Review 08/29/2005 09/06/2005 APP DH JMP forwarded revised drawings
and mechanical design and energy
" code forms.
SUB Review 08/12/2005 08/22/2005 WE DH See attached documents for JMP's
structural comments faxed to Rene
Fabricant on 8/1912005 requesting
the energy code forms and
worksheets.
Pal!e 3 of 5
.
. CITY OF ~rK11'1ljt<1J<..LU
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 11110/2005
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
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.
Site Inspection: To be made after excavation but prior to setting forms.
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work Is complete.
Backflow Device: Prior to covering and provide a copy oCthe test report on site at the time oCinspection.
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 andlor
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 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.
Paee 4 of 5
.
.
CITY OF ~rK.ll~uNJ'.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01089
ISSUED: 11/10/2005
APPLIED: 08/10/2005
EXPIRES: 05/10/2006
VALUE: $ 285,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
High Strength Bolting: To he 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 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.
Underslab 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.
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 without permission oCthe 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
Date
Page 5 of5
r
225 Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.~j
Ilk..
Job/Journal Number
COM2005-0 I 089
COM2005-0 I 089
COM2005-0 I 089
COM2005.0 1089
P'.yments:
Type of Payment
Check
"
':
.
:!
11/1 0/2005
RECEIPT #:
.....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
2200500000000001567
Date: 11/10/2005
Deserlplion
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC
Received By
LLH
Page I of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
16462
In Person
Paymeut Total:
2:04:32PM
Amount Due
63,00
60,00
8,61
12.30
$143.91
Amount Paid
$143.91
$143.91