HomeMy WebLinkAboutPermit Electrical 2008-4-17
, ."
d,.. CITY OF SPRINGFIELD, OREGON
ZON H J:
INITIALS \!4
DATE 4~ \""'.~
SOURCE~ _
225 FIFI1I STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number COM e-OO K' -~ "3 Zb
~.,., .'.....~~.-.. ,,~~~t'lT-::z--
1 ~ 'l~ f)N:~~
':j77f 6(Y_{1tiL~& "g"
LEGAL DESCRIPTION' A.
17D2.. ?9c>_() 0 Z (OJ~-'l{71 ServiceIncIuded
. "
JOB DESCRIPTION:
~$t;:'S~r:'" r#.~~;"'", -~J
:ON ONl;y/1
2. );pJ~..~-,..;i'M~~~~;!;r~)
Electrical Contractor C1Y'?t?Ct-E E.)!. tk.ch-tC 200 Amps or less
, H ,-r'f'N' ~!'~~P!>3.t~4@~~Bsyou to
Address ~,f). fJf\ '{ LX \ q t\/J I . "3 Rc40ibtArlrp>>jtlt61)(l)tegp:81 Utility
, l.'''fI0n Ce'601r.AfRIR~ rM6~I~et forth
'-'~ i-B-\)f2-001-001 QAR6o~jh ~52-001.
Phone 5-\ \ -lL\~3b~ You mallJ'beratN'6o ys m rules by
calling the c~tgV.~f-fb . e telephone
number for th . . . . .
Cenf€r
~ VY\ ~.-a:.:\ p, I .B l ) '\ (!..', 1\5
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City [U Ce.O-NL
\I
Supervisor License Number "2,(') J. 3 S
10 \ \ (d-O~()
Expiration Date
Constr. Contr. Number I (p '/ ~ 7 7
Expiration Date Co I q I ~ (:) D Cj
Signature of Supervising Electrician
-<7~ ~ ~
Owners Name 1Sf'b
Address S7Z ~
City S-?~
';:,"~l..-r~~"" ~
~A(1t/ S" r
Phone 7c( 7 - 5'(1:J
OWNER INST ALLA nON
The mstaIlation is bemg made on property I own whIch
IS not Intended for sale, lease or rent.
Owners Signature
Inspection Request: 726-3769
Date
_ "l."I'tT~i~~;;;&''''~ .
'--;\~m'~ '
.b.~<~,
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
$ 21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
B.
$ 70.00
$ 83.00
$138.00
$180 00
$413.00
$ 55 00
\ ~O,C)o
Installation, Alteration or Relocation
200 Amps or less Z
201 Amps to 400 Amps (
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D.
$ 55.00
$ 76 00
$110.00
, \ D .00
., lo _ ("<}o:>
New Alteration or Extension Per Panel
One CirCUit
Each AddItIOnal Circuit or with
Service or Feeder Penmt
$ 48 00
$ 4.00
Ol6
s ~O .t:90
55.00
4.
,'2.-,8% State Surcharge
10% AdministratIve Fee
5% Technology Fee
I ~1.(90
q 3.')2
7 )?ID
~ 4.0s=.
TOTAL ctq ( I ')7
Shared Dnve(T )/BuIldmg FonnslElectncal Pennl! ApplicatIOn 7-07 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/1 0/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3771 Olympic St
ASSESSOR'S PARCEL NO.: 1702300002105
Springfield TYPE OF WORK: Foundation
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Warehouse
Owner: BFD INVESTMENTS LLC
Address: 5729 MAIN ST PMB 242
SPRINGFIELD OR 97478
Phone Number: 541-747-5413
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
XXLINC
LONNIE LEROY JENKINS
INNOV A TIVE AIR INC
SIEGFRIED SA V AGE
License
109867
156582
161742
129953
Expiration Date
11/09/2010
10/11/2008
06/2312008
Phone
541-747-5413
541-746-6441
541-746-1040
541-579-4499
BUILDING INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Units: # of Stories:
Primary Occupancy Group: B Height of Structure
Secondary Occupancy GroqfJTTENTION: Oregon I..T..-'y~ oV:l.eat:
Primary Construction TypfolloW rul~dopted bVl f~egl:YOU. ~O
Secondary Construction 1f)lp~lcatlon Center. ThoS%~s ~~ ~~l"ty
# of Bedrooms: In OAR 952-001-0010thr~~~ ~ATH5~_o~grt~
0090. You may obtain c~WfI'Alml~rlfi n/a
I'olli...... +h~ -_ 1.. 'l \.. es V
:.... ! ....~n.~. ,.;t'4..n~. 111M '~IC
number for the M . MATION
Center is -332-2344).
Overlay Dist:
# Street Trees Rqd:
'paved Drive Rqd:
% of Lot Coverage:
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
21,060
,
F'
'I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SHAll EXPIRE IF THt~l(;Rl{outs/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa2;e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Bid Amount Use Bid Amount
Foundation Onlv Use Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
568,000.00
32,000.00
Value
Date Calculated
$568,000.00
$32,000.00
$600,000.00
03/31/2008
03/31/2008
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lnd/Public $1,568.35 3/10/08 1200800000000000216
+ 10% Administrative Fee $29.24 3/31/08 1200800000000000288
+ 12% State Surcharge $35.09 3/31/08 1200800000000000288
+ 5% Technology Fee $14.62 3/31/08 1200800000000000288
Foundation Permit $292.42 3/31/08 1200800000000000288
+ 10% Administrative Fee $5.00 4/15/08 1200800000000000354
+ 12% State Surcharge $6.00 4/15/08 1200800000000000354
+ 5% Technology Fee $2.50 4/15/08 1200800000000000354
Inspections - Other Plumbing $50.00 4/15/08 1200800000000000354
+ 10% Administrative Fee $69.30 4/16/08 1200800000000000361
+ 10% Administrative Fee $78.10 4/16/08 1200800000000000362
+ 12% State Surcharge $83.16 4/16/08 1200800000000000361
+ 12% State Surcharge $93.72 4/16/08 1200800000000000362
+ 5% Technology Fee $34.65 4/16/08 1200800000000000361
+ 5% Technology Fee $39.05 4/16/08 1200800000000000362
Add, Alter, Extend Circ Ea Add $280.00 4/16/08 1200800000000000361
Add, Alter, Extend Circ Ea Add $360.00 4/16/08 1200800000000000362
Perm Serv/Fdr 401 to 600 amps $138.00 4/16/08 1200800000000000361
Perm Serv/Fdr 601 to 999 amps $180.00 4/16/08 1200800000000000362
Sign - Outline Lighting Each $55.00 4/16/08 1200800000000000361
Sign - Outline Lighting Each $55.00 4/16/08 1200800000000000362
Temp Power 200 amps or less $110.00 4/16/08 1200800000000000362
Temp Power 200 amps or less $220.00 4/16/08 1200800000000000361
Temp Power 201 - 400 amps $76.00 4/16/08 1200800000000000362
Total Amount Paid $3,875.20
I Plan Reviews ,
Fire Department Review
03/11/2008
Initial Review
Planninl! Review
03/11/2008
03/11/2008
03/11/2008
03/11/2008
APP LLH
APP EMM
To be built per approved Site Plan
Review. David Reesor was planner.
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
03/11/2008
03/11/2008
APP JHJ
SUB Review
03/11/2008
03/11/2008
10 LLH
SUB Review
03/11/2008
03/11/2008
10 LLH
SUB Review
03/11/2008
03/14/2008
APP JF
Structural Review
03/26/2008
03/26/2008
WE LLH
Structural Review
03/11/2008
03/27/2008
APP LLH
Attached SDC Worksheet. No New
SDC's. (JHJ)
Sent note to Jack Foster asking if
energy review is required on
warehouse.
Did not hear back from SUB
regarding energy forms. Mailed
letter to applicant requesting forms.
See attached documents for sub
approval. Foundation/slab only. No
energy code review or insepctions.
Energy code forms to be included
with building plans.
The plan review cannot commence
until the information for the steel
shop building and cales have been
received.
Plans reviewed for foundation by
Mick Nolte with the Building
Department under contract with the
City of Springfield.
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.
~eouired Insnections I
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.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Sign Electrical: After connection is made but prior to energizing
Temporary Electric: Approval required prior to Utility Company energizing pole.
Pal!e 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00326
ISSUED: 03/31/2008
APPLIED: 03/10/2008
EXPIRES: 10/15/2008
VALUE: $ 32,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ofany 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
Page 4 of 4
225 Fifth'Sfreet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
COM2008-00326
Payments:
Type of Payment
Check
cRecelOtl
RECEIPT #:
1200800000000000362
Date: 04/16/2008
DescriptIOn
Perm Serv/Fdr 601 to 999 amps
Temp Power 200 amps or less
Temp Power 201 - 400 amps
Add, Alter, Extend Clrc Ea Add
Sign - Outlme Llghtmg Each
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
CAMP CREEK ELECTRlC
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
dJb
662
In Person
Payment Total:
Page 1 of I
12:04:07PM
Amount Due
180 00
110 00
7600
360 00
5500
3905
9372
78 10
$991.87
Amount Paid
$991 87
$991.87
4116/2008