HomeMy WebLinkAboutPermit Electrical 2008-3-10
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX' (541)726-3689
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LEGAL DESCRIPTION J7oZ, 30C>C> OlOOD A. ~~ew' q
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JOB DESCRIPTION
ELECTRICAL PERMIT APPLICATION
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City Job Number
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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1000 sq ft or less
Each adJltIollal 500 sq ft 01
portion thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
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Electncal Contractor R CJ b~r \- l \(1 vel. sl M ~ 290 1mps or less .
l t -'-;,1 I '()I'o:1 (A!eqon ~;fJ. r~Cl.ulres you tv
i~ "I \"j j, ,le~ aau~PJdoo l~l'&~egon Utility
Address L/ l.{ ~ S , rJ..<2f Qn"j ~ (lee- \-\I~dl('Jtlon @Jni:;i1?Psfflo.9t9I1mPJ'are set forth
In OAF! 952-&IDI1 tlliipS)tt:l1ttl1il~mps.R 952-001-
City \ ~ rAe J1Qn.cl.Qf/.C <c.. Phone So J- 1?"3 ~~~{6~ ro>.wMl0'oolAmyfslW>l~ the rules by
( calling thER~mr€t ~fye: the telephone
number for the Oregon Utility Notification
SupervIsor License Number 39'5 ( L. E.. G' ~.n , " ' .~~~I1;~eg,9~iTr
ExpiratIOn Date 1d I i I C) R"
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C str Contr Number G 'Z- ~;l (;,
"m"~ Dol' f q !
"7:' of Sup",,,,, Icc" mn . /7
" \~_ )/ I NOnfiClrcUlt $ 48 00
I I -" THIS jB~~~~1 CIrCUIt or with
[9wners Name 51ft-Te c/- C)tt::f5C"/ AUTHOTrrz~Q,rU 6I.P~RE IF THE W'UKK $ 400
Address PO GOt /LI J 50 ACNOyfvlM1'8EO' l tF'~RI~~lie' v'iiit~tj~it~~
u ",,,... "" !~ A'J,,~'fj;.rt
~LEM Phone Pump or frr~~(g~. $ 55 00
Slgn/Outlme LIglltmg 'S '5'5 00
Limited Energy/ResldentIal $ 28 00
Limited Energy/Commercial \ $ 5000 0, 00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. fiiltfBiOTAiJiiCJE"" - .::;
~~ ~:< N" ~N >>$'$$."1%0$) &::~' -. ~
12% State Surcharge
10% AdminIstratIve Fee
5% Technology Fee
CIty
OWNER INST ALLA nON
The mstallatIon IS bemg made on property I own which
IS not mtended for sale, lease or rent
Owners Signature'
Inspection Request: 726-3769
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
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New Alteration or Extension Per Panel
$117 00
$ 2100
$55 00
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i~i!~2~~ ,0tRel~catt~~
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$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
:#ffilji!h.
$ 55 00
$ 76 00
$110 00
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50, Qd
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5:. (JO
1.....50
TOTAL b3, S-()
Shared Dnve(T )/Bmldmg Forms/Electncal PermIt ApplIcatIOn I -08 doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00052
ISSUED: 01/30/2008
APPLIED: 01/14/2008
EXPIRES: 10/03/2008
VALUE: $ 211,233.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3110 Pierce Pkwy
ASSESSOR'S PARCEL NO,: 1702300001000
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addition Public
PROJECT DESCRIPTION: Addition to Facility Maintenance Shop (FMS)
Owner: STATE OF OREGON MILITARY DEPARTMENT
Address: PO BOX 14350
SALEM OR 97309
Contractor Type
General
Electrical
Low Voltage Electrical
A I I t.1\lIIUN: uregon law requires you to
I CONmlM.<ilIIeRa~nel\lJ~gon Utility
l'JUlIlllii:U1UIII..tt:IILt:I. IIIU:;t: I Ult: re set forth
Contractor In OAR 952-001-0010 tlt!AAillsPAR ~i19Q-1rtion Date
WILDISH CONSTRUC.pM~.cBu may obtain~ ies of the rule~a~2/2011
it) center. ( . the telephonn
OLSSON INDUSTRIAL ~ h Ore go tlIity Notificati~~/26/2009
ROBERT LLOYD SHEEf . _ _ _ ~44\. 11/08/2009
I BUILDING INFORMATION I
Phone
541-485-1700
541-747-8460
503-838-3863
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
2,772
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
NOTICE:
THIS f'~RMrr:g~~l L PPIRE IF THE WORK
AUTHtf1ttb~QW~~:"tHIS PERMIT IS NOT
COMI\gf~~ ~Jw.~ANDONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00052
ISSUED: 01/30/2008
APPLIED: 01/14/2008
EXPIRES: 10/03/2008
VALUE: $ 211,233.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
211,233.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$211,233.00
$211,233.00
01/17/2008
~
Fee Description Amount Paid Date Paid Receipt Number
~Mech Iss 2+ Appliances~ $40.00 1/30/08 1200800000000000087
+ 10% Administrative Fee $169.29 1/30/08 1200800000000000087
+ 10% Administrative Fee $173.90 1/30/08 1200800000000000087
+ 12% State Surcharge $169.89 1/30/08 1200800000000000087
+ 12% State Surcharge $175.42 1/30/08 1200800000000000087
+ 5% Technology Fee $70.79 1/30/08 1200800000000000087
+ 5% Technology Fee $73.09 1/30/08 1200800000000000087
Air Handling Unit Up to 10,000 $18.00 1/30/08 1200800000000000087
Appliance Not Listed $40.00 1/30/08 1200800000000000087
Building Permit $1,023,80 1/30/08 1200800000000000087
Fire SF Fee - Non-Residential $277,20 1/30/08 1200800000000000087
Fixture $112.00 1/30/08 1200800000000000087
Gas Outlets 1-4 $5,00 1/30/08 1200800000000000087
Gas Outlets 4+ $6.00 1/30/08 1200800000000000087
Inspections - Hrly Building $50.00 1/30/08 1200800000000000087
Inspections - Hrly Electrical $50.00 1/30/08 1200800000000000087
Inspections - Hrly Mechanical $50.00 1/30/08 1200800000000000087
Inspections - Hrly Plumbing $50.00 1/30/08 1200800000000000087
Plan Review Comm/lnd/Public $665.47 1/30/08 1200800000000000087
Plan Review Fire & Life Safety $409.52 1/30/08 1200800000000000087
Storm Sewer - 1st 50 Feet $50.00 1/30/08 1200800000000000087
Vent Fan $7.00 1/30/08 1200800000000000087
+ 10% Administrative Fee $32.00 2/8/08 1200800000000000119
+ 12% State Surcharge $38.40 2/8/08 1200800000000000119
+ 5% Technology Fee $16.00 2/8/08 1200800000000000119
Add, Alter, Extend Circ $48.00 2/8/08 1200800000000000119
Add, Alter, Extend Circ Ea Add $132.00 2/8/08 1200800000000000119
Perm Serv/Fdr 200 amps or less $140.00 2/8/08 1200800000000000119
+ 10% Administrative Fee $5.00 4/7/08 1200800000000000316
+ 12% State Surcharge $6.00 4/7/08 1200800000000000316
+ 5% Technology Fee $2.50 4/7/08 1200800000000000316
Low Voltage - Commercial Indus $50.00 4/7/08 1200800000000000316
Total Amount Paid $4,156.27
Pal!:e 2 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00052
ISSUED: 01130/2008
APPLIED: 01114/2008
EXPIRES: 10/03/2008
VALUE: $ 211,233.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews I
Plan Review Comments
01122/2008
01122/2008
10
DJP
This approval does not include the
energy code review and/or approval.
Permit holder is proceeding at their
own risk if work continues beyond
slab on grade.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eolJiredJnsDections I
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield,
Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield, Copies of
inspection results shall be provided to the City of Springfield,
Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State
Certified Special Inspector with approval from the City of Springfield, Copies of inspection results shall be
provided to the City of Springfield.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
Masonry:
Drywall: Prior to taping,
Ceiling Insulation: Prior to cover.
Underslab Plumbing: Prior to filling the trench and including required testing,
Rough Plumbing: Prior to cover and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00052
ISSUED: 01130/2008
APPLIED: 01114/2008
EXPIRES: 10/03/2008
VALUE: $ 211,233.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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
Date
Pa!!e 4 of 4
225 Fifth Street
.
Springfield, Oregon 97477
54) -726-3759 Phone
Job/Journal Number
COM2008-00052
COM2008-00052
COM2008-00052
COM2008-00052
Payments:
Type of Payment
Check
cRecelOt]
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000316
Date: 04/07/2008
9:50:47 AM
DescriptIOn
+ 10% Administrative Fee
Low Voltage - Commercmllndus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ROBERT LOYD SHEET
MET AL
Amount Due
500
5000
250
600
$63.50
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIved
Amount PaId
dJb
In Person
$63 50
20555
Payment Total:
$63.50
Page 1 of 1
4/7/2008