HomeMy WebLinkAboutPermit Electrical 2005-9-13
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2251'1." JU STREET. SPRINGFIELD, OR 97477 . P8:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO "-'t~ S - 0 (re~ Date
200 Amps or less
"'t'-
x.. ~\)}~I, Amps to 400 Amps
,<. \'0 \ \S 401 Amps to 600 Amps
..,(<'~\.. :~+."'\\ <<;0601 Amps to 1000 Amps
City EURene OR C{7~~ne 6~7"5770,,"S y ..)~,<-'0 Over 1000 AmpsIVolts
~ .... \' LJ\' ,'_\\ \"\ ~~v Reconnect Only
,O....~. \ 'I...'.v...., ~,..J
. \. ~ \',\' \ 'v'~ ,.......)'
Supervisor License NJmbeT')~ ,~2708'S ,\ '0'" "),,,:,0'
\" :"\\,d. "-"-.' xv
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Expiration Date 10/1/07 r\\~i"'....;~ V
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Constr, Contr. Number 37587C
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e'" \)\\,. ,'is<
,\.\'<. ,,\,- ..,0 ....~
Installation,. Alteration ,0r'Relocation
>!l'- O'v- e- ~v "
200 Amp5'or~less'e'" '1>' <l. oJi :o.,e'" 'Q I
,.,.0' _'\ '0; ).' ......~.. ,\v- ~
2,Ol!~AiiI~s to490 l\,JPps ~e ~0'0 ~ $ 69.00
OV401~Ar%ps'tli'6OO~~t ,e\e9'/..\c,'I>"v $100.00
(CCB 104929 3114/08) ~;~,,\.'i. ecOv'l>'> di6OOC>~' 'f>!"'''<:)\'OIOOO.~eV''IO'\ "B" b
-< \v Ji er yunps or, , .0 ts see a ove,
~' ~'f05."'--"''''''"_,, ", .,. ' ,
$1.0 J), tf.&ranC!i.C.. ." .
,0 .'/..\c,'I>' Oo"~~' ~ - Qjv ::,
v.O~O~Q:. 'New"'A1teratioil0oJ3E1tension Per Panel
-..tV. ~",'<J ,,,:\e - '\'
\<:- BIJ'9~<tC~~~it c>'\'" $ 43.00
IJ<:i c,?EachiAllditiohal Circuit or with
<:-S~~"o~FeederPermit $ 3,00
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LEGAL DESCRIPTION
l "( 07- 30 4-:' (') Co ~o::>
JOB DESCRIPTION
+erno Dnl//Ar
i 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.
1ll'000F;:;I~i7i:iRr~~;;4'Jfi!An'O'N:'ONliyJj
2. ~ll~~(:I;~~W~~~~.
Electrical Contractor
m Electric, Inc.
Address
4685 Isabelle Street .
Expiration Date 7/1/06
S~nE~ ,
~.
Owners Name r 8-) I J J~<?-J-
Address ~ 71ic, k'rA +hJ r>
City Spn'if,'t<> /,..1 Phone SoL l- 'Z.. "leD
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 72&-3769
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Service lndudp\\O .,(\0 ,
~~ . ~.
1000 sq. ft. or~'f.o""\' (\\(\~. 06,00
Eacb additional>%?lO sq.lco or ./ ./
portion thereof /_..~(\.,\>>\. $ 19.00
.,\. . 0 '2>'\l
Eacb Manufact'd i}o~.
Modular Dwelling ~ice or
Feeder
B.~t~~.E~;"8~.'~.
:," . ':!t.' " ,-.,,,,-"-__' ".. ...,.~._." ", .'~'~"
$50,00
$ 63.00
$ 75,00
$125,00
$163.00
$375.00
$ 50.00
$ 50.00
512,00
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited EnergylCommercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcbarges
4.~~.t_ 50.00
3. r:..,1Y
C;,C)rJ
,1:)4, StY
7% State Surcharge
10"10 Administrative Fee
./
TOTAL
.'
Status
Issued
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I089
ISSUED: 09/13/2005
APPLIED: 08/10/2005
EXPIRES: 03/13/2006
VALUE: $ 285,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3766 Kathryn Avenue
ASSESSOR'S PARCEL NO.: 1702304306600
Springfield TYPE OF WORK: Warehouse
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Industrial warehouse
Owner: TED WEST
Address: PO BOX A
VIDA OR 97488
Contractor
CASCADE VIEW CONSTRUCTION INc
JB ELECTRIC 0,\1)\\\'-
MARSHALLS INc ~ '\ \\'\:. \ ",1)\
. SURRETTS"o\\\'(.. ~","\\\ ~"o
, .\ ,.r::, . S\\';>.\..\.:,v.:,S \"BUILiiiNG INFORMATION I
.' ." 0,"\\ "I\\::" o'''''''\.
,,' '(..',,\' '0~v t>.,\.>"
# of Units: \ t,\;J \' r.\l:'~'t.\) '0"- \S1 . # of Stories: 1 Lot Size:
Primary Occupal!~~ 9ro.~~:;.~~\) \,'c.\Fll\) Height of Structure 25.00 ~.Ft 1st Floor:
Secondary Occupa,~fr,.Gr~,!P\Y~ Type of Heat: Elect~fa'" '\~:FtI~!i Floor:
Primary constructio'1~ypeV lIB Water Type: EI~Sti:ic e~o(S~}i't~~ement:
Secondary Construction Type: Range Type: \'I>>!l",e 0' 'I>,\Sq !,!:G,&"elcarport
# of Bedrooms: Energy Path: e~o'" ")'\ Pall!}l''''O,.:scrFt,!)tlier:
S . kI dB i1d'l'\' 0" ni' rO~'v '(>L
prm e ,-<~\J' ~n.'R09\e "\'(\oc~,,~~'(\. 0' ~c~:.e,'!D.~,o~ad:
, DEVELOPMENT INF(iRMATI()N,,)9~:\'(\e '~o'i.~\".
\O"~, '1>\\" n.l:Jv o"'v ~o \)'i.~",\ ",t>.t>.'\'REQUIRED PARKING
;\\,c, "?J'i" '1>'\ ~e" 0'" ~?;
OveriafD.!,~t?o "0-'> "" e c,e'0 O\eg ~(J'''''O Total:
# Street.\Trees Rqd:~ ~e ",'Ii Handicapped:
f:()'"J ,\\" ,"!) \0'\ \\c:,
. Paved Dnve ~qd~e\ fo,e Compact:
% of Lot Coverage: ve
\'-
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Spedallnstructlon:
Notes:
Phone Number: 541-521-2780
I CONTRACTOR INFORMATION'
License
155174
104929
25790
Expiration Date
04/1612007
03/1412008
12/2312005
Phone
541-896-3081
541-687-5770
541-747-7445
741-3553
7,260
'PUBLIC IMPROVE]\o."j'." I
SIdewalk Type:
Downspouts/Drains:
Pal!elof5
J
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Pavine
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review commlInd/PuhIlc
Plan Review Fire & Life Safety
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
BackfIow Device
Building Permit
Fixture
Furnace - up to 100,000 htu
Gas Outlets 1-4
_ Paving
Plan Review commlInd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimhursement
Sanitary Sewer Each Addtll00'
SDc MWMc Administration
SDc MWMc Improvement
SDc MWMC Reimbursement
SDc SanitarylStorm Admin
SDc Transpo Admin
SDc Transpo Improvement
SDc Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
. Water Line - 1st 50 Feet
Water Line - Each Addtll00'
+ 10% AdminIstrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
220,000.00
65,000.00
Total Value of Project
Fpp< PIilLI
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
$14,114.98
Date Paid
8/10/05
8/10/05
9/12/05
9/12/05
9/12105
9/12/05
9/12/05
9/12/05
9/12105
9/12/05
9/12105
9/12105
9/12/05
9/12105
9/12/05
9/12/05
9/12/05
9/12105
9/12/05
9/12/05
9/12105
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
9/13105
9/13/05
Paee 2 of5
. CITY OF SPRINGt<1J'.,LU
Building/Combination Permit
PERMIT NO: COM2005-0l089
ISSUED: 09113/2005
APPLIED: 08/10/2005
EXPIRES: 03/13/2006
VALUE: $ 285,000.00
Value
Date Calculated
$220,000.00
$65,000.00
$285,000.00
08/29/2005
08/29/2005
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
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.
. CITY OF ~r1Ul~uFIELD
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 09/13/2005
APPLIED: 08/10/2005
EXPIRES: 03/13/2006
VALUE: $ 285,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Plan Reviews ,
Fire Department Review 08/l2n005 09/07/2005 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 08/1112005 08/1112005 APP LLH
LDAP Review 08/22/2005 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.
LDAP Review 08/11n005 08/1112005 10 VRJ Applicant submitted LDAP plans
8/10/05.
Planninl! Review 08/l2n005 APP Needs final site plan submittal and
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. Submit Encroachment
Permit application if work is
proposed in City Right~f-way or
within Public Utility Easements.
Structural Review 08/1112005 08/19/2005 WE JMP See attached documents for 9
structural comments faxed to Rene
Fabricant.
.. Structural Review 08/29n005 08/29/2005 10 JMP WE. Received response to
structural comments. Called Ted
and asked for Items 3, 7, and 9 to be
completed.
Structural Review 09/01/2005 09/01/2005 10 JMP WI. Received additional
Information from Ted West. Faxed
the energy code forms to David
Harris.
Structural Review 09/07/2005 09/07n005 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 8/19/2005 requesting
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.
Pal!e30f5
.
/
. L11 i' VI< ~rK11~ljt<1~LU
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 09/13/2005
APPLIED: 08/10/2005
EXPIRES: 03/13/2006
VALUE: $ 285,000.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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 trench.
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 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 Spedallnspector. Provide inspection test reports to
City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Spedallnspector. Provide Inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Spedallnspector. Provide inspection test
results to City Building Inspector.
Palle 4 of5
.
. CITY OF ~rKll~uN~LU
Building/Combination Permit
PERMIT NO: COM2005-01089
ISSUED: 09/13/2005
APPLIED: 08/10/2005
EXPIRES: 03113/2006
VALUE: $ 285,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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 heen 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 flIter 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, 1 state and agree, that 1 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 descrihed 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 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.
k~ 1///v//;/~
Owner or Contractors Signature
Date
Pa2e 5 of5
. 225 Fift~ Strl!et
. Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 I 089
COM2005-0 I 089
COM2005-0 I 089
Payments:
Type of Payment
Check
:1.
"
,
;r.
"
,
;/.
9/1312005
.
RECEIPT #:
.~
~
lility of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001255
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
18 ELECTRIC
Received By
jmp
Page I of I
Date: 09/13/2005
Item Total:
Check Number Authorization
Batcb Nnmber Number How Received
16293
In Person
Payment Total:
8:59:01AM
Amount Due
50.00
3.50
5.00
$58.50
Amount Paid
$58.50
$58.50 '