HomeMy WebLinkAboutPermit Electrical 2008-4-23
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CC>MZoc7- o( 74.0 Date
1.
LQPf1TION OF INSTALLATION:
31 2D Pe.,c.e
3. COMPLETE FEE SCHEDULE BEWW
LEGAL DESCRIPTION:
/7D2 'JOc>c>
JOB DESCRIPTION
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A. New Residential";" Single or Multi-Family per dwelling unit
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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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CONTRACTOR INSTALLATION ONLY
2. _ _
EI,ctncal Cootract", 4'" l'<MI./ ~~ U,I k '!:r/,,,, 5
Address .1tY7 5)""{~1~1 ~\-1. 5iA ~U
City ~~ 0,.,50 e IJ Phone 54/- tll Y lOCi
ZON L 1Y\-r
INITIALS tJ tv"-
DATE ~ ,-;}..-{ -(}I(
SOURCE I'Y\~.J
C/- 23 - 02<'
Service Included
1000 sq ft. or less
Each additional 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117 00
$ 21 00
$5500
B. . ~ervices or Fe~~ers - Jn~taIlation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
OverlO00N\matIY olts
R)e~QMtl}:tt,~Jl~r:es You to
'1, I".' I hose rUles gon Utility
u1.4,W are Set f,
LIZ q I L lilfl ~u~.i!I."yC2"iJtatR ~~_()P1Aede~
nUl/tI..I~; i;C' ~enter (NOI~~es of the rUle~01.
r Jr the OIQ~natll'}~p~tp./r04-ion..QPitelocation
.enter IS 'J n Utl~ry ^I-~i rvne
2GW~~~j~~Rf1flcation
20 I Amps to 40(1 i\mps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
Signature of su_zrvISIn'cdrg ectrlchlan~d _____ _' D. Branch Circuits '
_ New Alteration or Extension Per Panel
One Circuit
k Each Additional Circuit or with
f Service or Feeder Permit
Owners Name S~Tr--. Or"" ~~
Address .+b P d 1<' I'-(.r S-~~} !GE: E. Miscellaneous (Service/feeder not included) -Each Installation
, ..{; PeRMIT " , , ,"" '
City sA-LeJV1 Phone ~UTHORIZED JH~X/DPrf/!'tf!on $ 55.00
vUMMENCED 0 ND~IgIt~I1YfR~gWORK $ 55 00
OWNER INSTALLATION ANy 180 DAY PER 1$..JtiJM.cAjrflJNf,lfJJ1.lsi8ef1JD.r $ 28 00
The installatIOn IS being made on property I own which RIG1tm.lted Energy~6~ercial I $ 5000
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
Supervisor License Number
Expiration Date
II) '0%
Constr. Contr. Number
/s.t!!C?O
Exprration Date
'Z-09
Owners Signature'
Inspection Request: 726-3769
'n
4. SUBTOTAL OF ABOVE
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
$ 70.00
$ 83 00
$138.00
$180.00
$413 00
$ 55.00
$ 55 00
$ 76 00
$110.00
$ 48.00
$ 400
5"0
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Shared Dnve(T )/BUlldmg FormslElectncal Permit Apphcatton 1-08 doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01740
ISSUED: 01/30/2008
APPLIED: 11/28/2007
EXPIRES: 10/18/2008
VALUE: $ 1,037,493.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3120 Pierce Pkwy
ASSESSOR'S PARCEL NO.: 1702300001000
Springfield TYPE OF WORK: Warehouse
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: BLM Warehouse metal building - Armed Forces Reserve Center Complex Phase 2
Owner: STATE OF OREGON MILITARY DEPARTMENT
Address: PO BOX 14350
SALEM OR 97309
Phone Number: 503-584-3504
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Fire Contractor
Low V oltage Electrical
Contractor License
WILDISH CONSTRUCTION CO 695
OLSSON INDUSTRIAL ELECTRIC 63473
OMLID AND SWINNEY 62730
NA TIONAL NETWORK SERVICES OF ORE(154300
BUILDING INFORMATION I
Expiration Date
10/22/2011
01126/2009
12/15/2011
02110/2009
Phone
541-485-1700
541-747-8460
541-741-1775
541-726-9209
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
SI
lIB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
,;\1 -',I ~ ,Spr,ink,l,e~BH~wyou to
18.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
13,456
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, I II-' l Jl,=rlO.~ Ll I 11"'{
DEVEL<'>P.MEN'J::.INB .. ON
.-, " -' tJl :'lhrough OAR 952-001-
, ", :,}~, ,.;~:90''l ('(,)1 WM.Af the rules by
, ,y~[. a ulst':
, ..18 ~8n,er# 8'tr~tt' tPGetW'J.>I?one
., ,., .~,. rUI the Orpoon llt~~ I&~'ll'rcation
Ceniel IS 1~gtJa.~Y05!. ~4~ .
% oif,of ove ge:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 5
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
Fee Description
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Addressing Assignment
Ail' Handling Unit Up to 10,000
Building Permit
Fire SF Fee - Non-Residential
Fixture
Gas Outlets 1-4
Gas Outlets 4+
Heat Pump
Inspections - Hrly Building
Inspections - Hrly Electrical
Inspections - Hrly Mechanical
Inspections - Hrly Plumbing
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Plan Review/Com,lnd,Pub Hourly
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 201 to 400 amps
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
I Valuation Description ~
$ Pel' Sq Ft
01' multiplier
$1.00
Square Footage
01' Bid Amount
1,037,493.00
Total Value of Project
~
Amount Paid
Date Paid
$40.00
$650.55
$619.19
$257.99
$35.00
$54.00
$3,980.88
$1,345.60
$400.00
$5.00
$16.00
$84.00
$50.00
$50.00
$50.00
$50.00
$2,587.57
$1,592.35
$50.00
$50.00
$80.00
$50.00
$50.00
$80.00
$28.00
$50.00
$32.00
$53.00
$63.60
$26.50
$48.00
$316.00
$166.00
$12.00
$120.00
$5.00
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
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1/30/08
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1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
1/30/08
2/8/08
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2/8/08
2/8/08
3/6/08
3/6/08
4/23/08
Pa2e 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01740
ISSUED: 01/30/2008
APPLIED: 11/28/2007
EXPIRES: 10/18/2008
VALUE: $ 1,037,493.00
Value
Date Calculated
$1,037,493.00
$1,037,493.00
01/17/2008
Receipt Number
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000088
1200800000000000118
1200800000000000118
1200800000000000118
1200800000000000118
1200800000000000118
1200800000000000118
2200800000000000287
2200800000000000287
2200800000000000505
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Public Works Review
12/17/2007
Initial Review
11/29/2007
Public Works Review
11/29/2007
Structural Review
11/29/2007
Plannine Review
11/29/2007
Initial Review
12/17/2007
Plannine Review
12/17/2007
Fire Department Review
11/29/2007
Plan Review Comments
01/22/2008
$6.00
$2.50
$50.00
$13,206.73
4/23/08
4/23/08
4/23/08
I Plan Reviews ~
11/29/2007
12/04/2007
12/05/2007
12/14/2007
12/17/2007
12/17/2007
01/16/2008
01/22/2008
APP LLH
APP JHJ
WE LLH
APP EMM
APP LLH
APP EMM
APP GRG
10 DJP
Paee 3 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01740
ISSUED: 01/30/2008
APPLIED: 11/28/2007
EXPIRES: 10/18/2008
VALUE: $ 1,037,493.00
2200800000000000505
2200800000000000505
2200800000000000505
Approved revisions on 12/18/2007,
no changes to SDC Sheet.
Attached SDC Worksheet. No New
SDC's. (JHJ)
Forwarded to Reviewed by Mick
Nolte review under contract with th~
City of Springfield. Waiting for
additinal information from
applicant.
Placement on site to be as shown on
the approved Final Site Plan for
Case Number DRC2007-00026.
Additional information submitted
for review: 1) KPFF Foundation
plans; 2) KPFF Engineering
Calculations; 3) Stamped and sealed
drawings by MetaIlIic Building
Company; 4) Stamped and sealed
calculations by Metallic Building
Company; 5) Metallic Building
Company Certification.
Plans Review: Structural submittals
and revisions for BLM Building. Job
#COM2007-01740. Refer to infiIl
submittal (Job #COM2007-01671)
dated 1/4/08 for fire department
plans review comments.
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.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01740
ISSUED: 01/3012008
APPLIED: 11/28/2007
EXPIRES: 10/18/2008
VALUE: $ 1,037,493.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
03/05/2008
03/05/2008
OK
GRG
Plans Review: Underground fire Iinf
stub-up for sprinkler system for
BLM Warehouse. Job
#COM2007-01740. Designer: Miles
Knebel. Contractor: Omlid and
Swinney. Plans appeal' to meet code
requirements.
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.
~eouiredJ nsnectiQns .
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City BUilding Inspector.
Special Inspection: Moment Resisting Steel Frames 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: Weld 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.
Roof Sheathing
Drywall: Prior to taping.
Wall Insulation: Prior to covel'.
Ceiling Insulation: Prior to covel'.
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 Covel'
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to covel' and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Pae:e 4 of 5
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01740
ISSUED: 01/30/2008
APPLIED: 11/28/2007
EXPIRES: 10/18/2008
VALUE: $ 1,037,493.00
.
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 Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Covel'
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 propel' 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 01' Contractors Signature
Date
Pa2e 5 of5
225 Fifth Street
Springfield: Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01740
COM2007-01740
COM2007-01740
COM2007-01740
Payments:
Type of Payment
CredltCard
cRecelOt]
RECEIPT #:
2200800000000000505
Date: 04/23/2008
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
Paid By
NATIONAL NETWORK
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 017171 In Person
Payment Total:
Page I of I
1l:03:16AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
4/23/2008