HomeMy WebLinkAboutPermit Electrical 2006-8-10
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ll5 FIFTH STREET. SPRING FlEW, OR 97477 . PH:(541)716.3753 . FAX: (54')726.3689
ELECTRICAL PERMIT APPLICATION
.
City Job Number
I'O>>??OOt'n - /Y.l/~.s
I, I,OCATlONOF fNS1'AHATION:
.='St../eo HJ~,u Sr <:'Pl"'LI::>
,
LEGAL DESCRIPTION:
1703.Z2Zc) 007//
JOS DESCRIPTION:
Ev.PAAYS;o--'> O~ NOTtL
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 da)'s,
CONTRACTOR INSTAUAHON ONLY
2,
Electrical Con.rac.or :;ZuTwJf2c / CZ;# /"vC,
Address /gf78oHo..z;oc PI)
Ci.y hI/f! 173 {"17 'r Phone /17503
Expiration Date
Q2~rc of S
""..
Owners Name --(/10 "'-e. / AX' _
- ,
Address <?:lJo ""?,U::rub-Jii~I>. "So,~ Gee
City<:::::oe'~F'eu::> Phone :::tJ(;, ~,,_
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
ZON CLc../
INITIALS N t'VI
DATE 1lliLJ J J:S"""'C:l(o
SOURCE IY\. '5
3, COMPf.ETE FEE SCHElJUU, BELOW
Date ) D Au<; :?Cl:J(n
A. New Residential- Single or Multi-Family pCI' dwt'lling unit.
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
$106,00
$ 19,00
S50,00
B. Services or Fcedcl's - Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
/
$ 63.00
$ 75.00
$ I 25.00
$ I 63,00
$375.00
$ 50.00
75
Supervisor License Number ~3 /7 5' c. TCmp()~\MO'n'&s or Feeders -
\?,t. W i \s \'-lGI '
/ f} - &;1 ';1-#-'7 _ "J\f'-\,.\' t.'j..~n~t,l~i'o'J:t\Se,!;ation or Relocation
"'~ :&~~\ ~\'-l\)t.?' 1~~~~~p);r.Pless
Constr, Con.r. Number 1?t1?~[ \.. \) U?, \S f'-~&1 AmpSl0400Amps '
2 f'-\l~~.\'-lC\:.v ?t.?,\C\\)401 Amps to 600 Amps
Expira.ion Date - 01 - C~~'{:'} 1If'-'\ Over 600 Amps or 1000 Volts see "S" above.
~ D. Branch Circuits
New Alteration or Extension Per Panel
One Cireui. $ 43,00
Each Addi.ional Circuit or wi.h 9D 2 70
Service or Feeder Pennit ~ ~u ~c9O
. '. '~0"'~?~\\\\~~ .
E, . Miscellaneous (Service/feede~,~eCM'cI~ll"UT.,\~iI'llIstullation
.... \e'" 010~ . ",0" f:J'- '
'00<;>' \,\\0 e10, ').0
Pump or irriga'ionN' 010 6 'O~ ..\\0'" .,~S\(50.~~", 'O~
Sign/Outlin>\t;igh"lint60'\l\0.....'\\0"'''' "",\\ v~ ~f,-50~OOd,0
. . -<\~ 'P,S. ,pI, .X\IU- - ~ 0' . 0.'" , ~
Llml'ea'Ene(gytReSle,eJlllal f:J,f:J' ."';,0'" ~j5:1I0 ?\\O
,..,\0 ."'<;>. ^,.Q '<;>.....v., \\'./. i'~\C u.-
Limi.edIEnergyiCommereial:o\e\ . ''''0', .. S;45,Ou T.!::>
....\(\\\\\ "Q"::Jl,; .....,\ 0 ~ \\"" . \...~\~' ,. ~\.
Minimum Eleetr,i~I'Permit Inspeeti.on,Fee.is,S45,OO'="Silreharges
. v --l0\).' 0'" QU' 5(.:'<-
4, SUBnJ!j.4If':OFAR6{){f.001~.?,(J)-'?i 380. OD
" ..a.\\\~ \0\ '. ,,,,,.. ,
8% S.a.e Surcha~g~;J0\'0<;>.\01 3 /. 20
10% Adminis.ra.ive FeeV 39, ,0[)
5% Technology Fee I fj, 5V
4- 73, 70
$ 50.00
$ 69.00
$100,00
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical Permit Application 8-06.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00185
ISSUED: 07/07/2006
APPLIED: 02/14/2006
EXPIRES: 02/10/2007
VALUE: $ 1,300,000.00
Statu's
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
SITE ADDRESS: 3480 HUTTON ST
ASSESSOR'S PARCEL NO.: 1703222000911
Springfield TYPE OF WORK: HoteUMotel
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 3 story addition,
Owner:
Address:
HUTTON HOLDING CORPORATION
840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
,,'I'\Q~
"{""t. .'-
.,r It: I" - '-\01
,bEONTRACTO\'lJ\lFORMr\\'fl@N'1
, "01 ~ ~,,^\ \ ~,\I ~ \\-h':' - t.\) Wr< ,
Contractor 1\\\<21 ~\\1.t.\) \}~\)\ ...1!l...~\)Q~lcense Expirat~on Date
MEGA PACIFI~C:lQ ~c.t.\) \)~ ~ Q\) 63108 ,.01116/2008
FUTURE TEC"ct~"^t: \)f>-'i ~t.~~' 120245 ,irIJ< 0211112008
COMFORT FLO~'i \?l'i} .N. 460 06/2712007
STATEWIDE MEC'HANICA,L LLC . ' 148558 08/03/2007
.... I BUILDING INFORMATION I
Phone
503-238-3772
541-826-7538
541-726-0100
541-461-8973
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units: 27 # of Stories: 3 Lot Size:
Primary Occupancy Group: R-I Height of Structure 43,50 Sq Ft 1st Floor: 4,358
Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: 4,358
Primary Construction Type VA Water Type: Gas Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft GaragelCarport
# of Bedrooms: 27 Energy Path: Path I Sq Ft Other: 4,358
Sprinkled Building: n/a Occupant Load: 54
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: ,Jg!Jlf.:lU,\O
# Street Trees Rqd: \a.-rlle~\lf!~~"'icJ.~~'i!M
Paved Drive Rqd: , Ole<;)on \\\e O'C'l,.'l\I'@cl': 01 ,_
% of Lot Coverage:,'C.~\IO~' oO?\eo 'o'lse lilieS ~o 9'6'2..()()....."
Ii'\ \ les a. \'1"10 \\ 01""''' les v,
.nIIO'/'J 11l_~ cen\el:, n \\\Ioll<;) _ n\ \\\e III _n"
I PUBLIC IMPROVEMENTi.9'6'2.-()~~-~;\i3.in ~~;',-\\\e ~:~;~a.\iOI\
\I()' ;9\)' 'loll ~id!lWaii<IT~pj\" '0\i\\\~~44).
\lin<;) 'I''' e Ole;" _n_?>~'2.-"
c3. pel D6~'ilSP\!!,utSlDralDs:
1\1l(\\ cen\er'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of5
Status
Iss u ed
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/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 8% State Surcharge
Building Permit
Fixture
Paving
Plan Review CommlInd/PubIic
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage. Commercial Indus
Perm Serv/Fdr 201 to 400 amps
Total Amount Paid
Fire Department Review
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00I85
ISSUED: 07/07/2006
APPLIED: 02/]4/2006
EXPIRES: 02/]0/2007
VALUE: $ ],300,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
1,225,000,00
75,000,00
Value
Date Calculated
$1,225,000,00
$75,000,00
$1,300,000.00
06/28/2006
06/28/2006
Total Value of Project
Fpp< ~
Amount Paid
Receipt Number
2200600000000000205
2200600000000000205
1200600000000001032
t200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001032
1200600000000001243
1200600000000001243
1200600000000001243
1200600000000001243
1200600000000001243
1200600000000001243
Date Paid
$2,691.42
$1,656,26
$10,00
$657,71
$488.71
$4,22 1.90
$1,610,00
$468,15
$211,25
$130,00
$6,348,99
$8,349,55
$10,00
$19,697,03
$2, I 06,57
$1,205,56
$1,588,28
$15,785.93
$3,578,82
$45,00
$28,00
$204.00
$39.00
$19.50
$31,20
$270.00
$45,00
$75,00
2/14/06
2/14/06
717/06
7/7/06
717/06
717/06
717/06
7/7/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
717/06
8/10/06
8/10/06
8/10/06
8/10/06
8/10/06
8/10/06
$71,572,83
I Plan Reviews I
02114/2006
04/03/2006
OK
GRG
See attached Fire Department
Comments,
Paee 2 of5
.
.CITY OF SPRINlJl'lJ'-LD '
Building/Combination Permit
PERMIT NO: COM2006-00185
ISSUED: 07/07/2006
APPLIED: 02/14/2006
EXPIRES: 02/10/2007
VALUE: $ 1,300,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726.3769 Inspection Line
Initial Review 02114/2006 02114/2006 APP SKG
Plan Review Comments 05/0212006 10 JMP Gave Andrew Longworth a copy of
the fire comments. Left a message
with Sharon for David Jones to
check on schedule for a response to
the strnctural comments,
Plan Review Comments 05/03/2006 10 JMP WE. Received a partial response
from David Jones, Still waiting for
items 3 through 8 of structural
comments.
Plan Review Comments 06/28/2006 10 JMP WE, Met with Andrew Longworth
to receive another partial response
to the structural comments, Special
inspection forms should be delivered
next week and truss engineering will
be a deferred submittal.
Plan nine Review 02114/2006 02114/2005 APP EMM To be built per approved Minor
Modification - Linda Pauly Planner
Public Works Review 02/14/2006 03/20/2006 APP SB SDCs added, LDAP Issued,
Structural Review 02114/2006 02/16/2006 WE JMP See attached documents for 9
structural comments faxed to David
p, Jones.
Structural Review 07/05/2006 07/05/2006 APP JMP Andrew Longworth delivered the
special inspection forms.
SUB Review 0211412006 02117/2006 APP JF SUB will inspect the common areas,
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.
I I?Pn'~
Site Inspection: To be made after excavation but prior to setting forms,
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Rough Mechanical:. Prior to Cover
Final Gas: When all gas work is complete,
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Ceiling Grid: Interior Lighting
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector,
Underslab Plumbing: Prior to filling the trench and including required testing,
Paee 3 of5
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00185
ISSUED: 07/07/2006
APPLIED: 02/14/2006
EXPIRES: 02/10/2007
VALUE: $ 1,300,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Undertloor Plumbing: Prior to insulation or decking,
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement,
Low Voltage: Prior to cover,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection,
Footing: After trenches are excavated,
Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheatbing with finish materials,
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,
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,
Structural Concrete: In excess ofl500 psi. To be done during construction by a State Certified Inspector,
Provide results to City Buiding Inspector
Roof SheathingINailing: 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 the Fire Department have been met,
Final Building: After all required inspections have been 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 Final: After all required energy inspections have been requested and approved,
Rough Plumbing: Prior to cover and including required testing,
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When all plumbing work is complete,
Paee 4 of5
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00185
ISSUED: 07/07/2006
APPLIED: 02/14/2006
EXPIRES: 02/10/2007
VALUE: $ 1,300,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 tbe
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
Paee 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-37-59 Phone
. ;J:Q~;_
WiLd .,
C& of Springfield Official Receipt
.\opment Services Department
Public Works Department
Job/Journal Number
COM2006.00 185
COM2006.00 185
COM2006-00 185
COM2006.00 185
COM2006.00 185
COM2006-00 185
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Date: 08/10/2006
1200600000000001243
Description
Perm ServlFdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
Low Voltage. Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ILLAHE lNC
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb 13030 In Person
Payment Total:
Page I of I
1 :37:29PM
Amount Due
75.00
270.00
45.00
19,50
31.20
39.00
$479,70
Amount Paid
$479.70
$479,70
8/10/2006