HomeMy WebLinkAboutPermit Electrical 2005-9-8
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~~90
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ELECTRICAtPERMIT APPLICATION q d '" (\r:... \0,,>0<':,,01; /
City Job Number "t:: .nfll - Date /l:) UJ <..",13 ,,,"",~' <-,,,,,,
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\, [, CITY OF SPRINGFIELD, OREGON '- -, .
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JOB DESCRIPTION
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Pern ~e non-transferable and expire If work is
oot started within 180 days of issuance or if work is
Suspended for 180 days.
2. I~Cll~'.l'R!Ae-j:I\!.JUyLNSiJ't.A!l!IMJ.Hi'~l./J.~l ~1:.l}'t
,5!paC/ ~l1nevllons
Electrical Contractor elt1fr;e; (1",,,,,, n"'~1
Address
ca, !r)
/,!-Jd-.. II,s
Sr- A- (!.....
City
6'1'ge/le,
Phone 43'1- b </ '1 /
Supervisor License Number ~ 0 t/ /5
-"<... C~6
Expiration Date / 0 - / - JO 7
Constr, Contr. Number
/ ~ o5oJ>
7-/-0b
Expiration Date
Signature of Supervising Electrician
~~~~~_-J-
Owners Name ~,.o _~J\t~
Address ~c:)D ~ S~
City ~one 12A.l\'l..L
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
(")CUf- 3~'2A32.Cq
Service Induded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106,00
$ 19.00
Each Manufact'd Home or
Modular Dwelli:lg SemCe<9:-J' 0 $5000
F d fOliO . r"',~_, .
ee er W rule d ~ ~ .. 'Q vv re '
t;/: . .a nl,... , {Jf
B. Services or. F.eeilers Installation. ~lterationsforl'Relocation:
t"'1 ' ,,,tIII!llafttll.~, iI IIJ"M""t
UU90, You U -UU10 th-o '''~ are S"t' "
200 Amps or ~t.~lino t may Obtain S~! ~gt$~3109951v~'fO
201 Amps tQ',i99, Ainp'pe Center. (^,.r' es $lryS:OSJru,:.r:t.SpJ
O-er tOr th ' '-." Ln- ,,, !:;:fI vy
401 Amps to 600 A'tl'S' e Ore"^,, t', $l<L.J!q9hr~-
601 Amps to 1000Am~7terjs 1-800-''1d;7~'~'i60:a~; ,
Over 1000 AmpsIVolts '$3'1.5.00
Reconnect Only $ 50.00
Installation, Alteration or Relocatio.-
200 Amps:on~1s:: $ 50.00
201 Amjis:!2 ~O~:~WP~SHAL ~ !.6~.00
401 Anip's to 600 AmpsUNOERL EM-:INt It- $100.00QI'1I(
'. v.. "V, \JLCU I HI:, "'foRM '
Over 600"Ainps.oriI000 jVolts;see;:B':above., IT IS NOT
D. Brandi ~ircuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Fecder Permit
$ 43.00
$ 3.00
LOS .cP
~5
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, iSl!lB'E@T<A'E @El,1~~I~" '2A ~ ex:>
\'1 pi
--.2. L\- ~)
29A:~1
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building ForrnslElectrical Permit Application I-03.doc
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. CITY OF ~rK11"lut<1J'.LD
Building/Combination Permit
PERMIT NO: COM2005-00796
ISSUED: 09/08/2005
APPLIED: 06/24/2005
EXPIRES: 03/08/2006
VALUE: $ 230,792.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
MTN INVESTMENTS
1655 32ND STREET
SPRINGFIELD OR 97478
"'~. .....
Springfield: T-\lPj!:OF-WORK:.Office
adopled b\' ' , "~you 10
, . ~r."'n ')11"'1
cermYplj:/Q! USE,:, 'New I Y
Office and Industrial Building fo~ Markus'Th.ol1!l1.ffie . ~ are sel forlh
'.'u may obI' ,AR 952,001_
BIn "'''n" _z..
, , "'8 cent (N . '''~ 'U'''~ O_V
, . ur f Ih er. Ole: tile Phone Numller:
............ or eO ...........tJ,IOIJe
regon Utility N 1'"
Cenler is 1-800-332 ollcalion
-2344).
Industrial
SITE ADDRESS: 3838 Kathryn Ave
ASSESSOR'S PARCEL NO.: 1702304306500
PROJECT DESCRIPTION:
Owner:
, Address:
541-284-1121
I CONTRACTOR INFORMATION-I
Contractor Type
General
Electrical
- Mechanical
Plumbing
Contractor " ~"". "License
. " r. _~-
MARKUS THOMPSON CONSTRUCTION,IN~158184
GOOD CONNECTION 111/0 t"LHMI r SHA! .
6('THQnl?rn UN '.
MARSHALLS INC . I '25790 Dc
BARNES HIGH TECH PLUMBING IJcll~'il.1E8331D OR IE
.._h. ,_
BUILDING INFORMATION" t"tHIL. .
Expiration Date Phone
01/13/2006 541-284-1121
, [-lE IF THE WQ~~1-434-6491
12(2~(~R~,~ IS NC?~1-747-7445
0211712.0,08.,,,,, I 541-726-9854
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
- # of Bedrooms:
B
Fl
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
15.00
Heat Pump
Electric
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
3,516
264
Path 1
n/a
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'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
: Notes:
Paee 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.. 541-726-3769 Inspection Line
Description
Estimate
Industrial
Pavinl!
Tvpe of Construction
Estimate
VN
Use Bid Amount
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
Refund - CIIIP Plan Review
Refund - F & L Plan Review
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
BackOow Device
Building Permit
Fixture
Furnace - Unit Heater
Heat Pump
Minimum/Adjustment Mechanical
Paving
Plan Review CommllndJPublic
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
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 Addtl 100'
+ 10% Administrative Fee
.
, Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$1.00
$39.00
$1.00
Square Footage
or Bid Amount
102,428.00
2,496.00
31,020.00
Total Value of Project
Fpp<. P'\ilIJ
Amount Paid
$680.32
$418.66
$-111.96
$-68.90
$10.00
$160.20
$93.57
$28.00
$890.65
$140.00
$12.00
$12.00
$9.00
$265.35
$76.05
$46.80
$45.00
$310.71
$408.74
$14.00
$10.00
$1,869.56
$177.24
$412.71
$151.58
$2,020.96
$458.11
$6,030.43
$45.00
$70.00
$12.00
$45.00
$14.00
$24.30
Date Paid
6/24/05
6/24/05
6/24/05
6/24/05
9/7105
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/7/05
9/8/05
Pal!e 2 of5
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00796
ISSUED: 09/08/2005
APPLIED: 06/24/2005
EXPIRES: 03/08/2006
VALUE: $ 230,792.00
Value
Date Calculated
$102,428.00
$97,344.00
$31,020.00
$230,792.00
08/17/2005
06/24/2005
08/1712005
Receipt Number
2200500000000000820
2200500000000000820
VOUCHER # 91825
VOUCHER # 91825
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001228
2200500000000001232
. CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00796
ISSUED: 09/08/2005
APPLIED: 06/24/2005
EXPIRES: 03/08/2006
VALUE: $ 230,792.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
$17.01
$105.00
$63.00
$75.00
9/8/05
9/8/05
9/8/05
9/8/05
Total Amount Paid
$15,041.09
I Plan Reviews I
Fire Department Review 06/24/2005 07/2112005 OK GRG
Initial Review 06/24/2005 06/24n005 APP LLH
LDAP Review 08/22/2005 08122/2005 APP VRJ
LDAP Review 08/ll/2005 0811112005 10 VRJ
Plan nine Review 08/25/2005 08/25/2005 APP TAJ
Planoine Review 06n4/2005 WI
Public Works Review 06/24/2005 PEND
Public Works Review
08/24/2005
08/24/2005
APP SB
Structural Review
Structural Review
08/25/2005
06/24/2005
08/25/2005
07n2/2005
APP JMP
WE JMP
Structural Review
08/17/2005
08/17/2005
IO JMP
Structural Review
08/04/2005
08/04/2005
10 JMP
Paee 3 of5
2200500000000001232
2200500000000001232
2200500000000001232
2200500000000001232
See attacbed document for Fire
Department Plans Review
comments.
DRC2005-00046, Plauner is Kitti
Gale
LDAP Is at the front counter and
ready to issue. Applicant has been
notified. $1320.00 due at issuance.
Applicant submitted LDAP 8/11/05.
Application is under review.
Drc2005-00046 approved per Kitti
Gale.
Waiting on Site Plan Review-
DRC2005-00046. DRC Scheduled
7/19/04.
The building permit application can
not be reviewed or approved until
the final site plan Is approved
(DRC2005-00046) where the first
DRC meeting is scbeduled for
7/19/05. EW
LDAP ISSUED. SDCs added.
Improvement Agreement for Road,
curb gutter & sidewalk. No
encroachment proposed.
Encroacbment permit required for
any work in Right-of-way or within
Public Utility Easements.
Received final internal approvals.
See attached documents for 12
structural comments faxed to
Howard Thompson,
WI. Received 5 revised drawings, 12
pages of structural calculations, and
valuation data.
WE. Received structural response
with revised drawings. Called Nick
Skelton about drawings with
printing problems, and need to
address ommissions from comments
#7 and #1 I.
.
, . CITY VI< ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-00796
ISSUED: 09/08/2005
APPLIED: 06/24/2005
EXPIRES: 03/08/2006
VALUE: $ 230,792.00
Status Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Review
06/24/2005
07/0112005
WE JF
JMP called Nick Skelton at Markus
Tbompson to request energy code
forms and works beets.
JMP forwarded energy code forms.
SUB Review
08/04/2005
08/22/2005
APP JF
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.
IRPnIl~
Site Inspection: To be made after excavation but prior to setting forms.
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
foundation inspection.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and otber equipment items are in
place but prior to concrete.
Sbear Wall Nailing: Before covering sbeatbing with finish materials.
Framing Inspection: Prior to cover and after all rougb in inspections bave been approved,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector, Provide inspection test reports to
City Building Inspector.
Roof SheathinglNailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Fire Department. After all requirements of tbe Fire Department bave been met.
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Rougb Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Underslab Plumbing: Prior to filling the trench and Including required testing.
Perimeter Foundation Drains: After gravel and f1Iter cloth is installed but prior to backfill.
Rougb Plumbing: Prior to cover and including required testing.
Paee40f5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00796
ISSUED: 09/08/2005
APPLIED: 06/2412005
EXPIRES: 03/08/2006
VALUE: $ 230,792.00
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and Including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbiug work is complete.
BackfIow 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: Wben all electrical work 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,
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
By siguature, 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 1 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.
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.
~\()~Q ~
Owner .},:::Contractors Signat~re .
~~-~
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9. ) ';( }o:s;
NY'--\.
Date
Pa2e 5 of5
~25 Fifth Street
Springfield, Oregon 97477
. 541~7i6~3759 Phone
.
a~
IJIiLq .
liJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00796
COM2005-00796
COM2005-00796
COM2005-00796
COM2005-00796
Payments:
Type of Payment
CreditCard
:,
1
-
'.
;,
;.
9/8/2005
RECEIPT #:
2200500000000001232
Date: 09/08/2005
Description
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BURGHARDT & ZHUN INe.
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
njm 008695 Phone
Payment Total:
Page I of 1
2:05:24PM
Amount Due
63,00
75.00
105.00
17.01
24,30
$284.31
Amount Paid
$284.31
$284.31 '