HomeMy WebLinkAboutPermit Electrical 2004-12-14
,'.
,.I SPRINOFIELD ~~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX;'c~4lt;g,6-3689 Li~~~
ELECTRICAL PERMIT APPLICATION "/J/J:;~ ":;"~.or% ~~ili;i;{;\iI~ I,!! _ .
City Job Number GQw,'ZPOl{-Oi'z. 38 Date /2 /t'/ () l{ "I. o.s"~;~SSlJO,,,. .
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LEGAL DESCRIPTION A. [~~N~~id;'i!lW;~iigj'l;1~~l~~~l;~. ~':'d';~":'l~S'~~
, -; 0.3 2'2 ze 03/0 0 Service Included ~~
JOS DESCRIPTION 1000 sq, ft, or Jess ~
..--....... (1 \1 ',' I f.A-c. /,_,_ Each additional 500 sq. ft, or
-i---k':l j-,' L -. / c' portion thereof $ 19.00
Permits are non-transferable and expire if work is
not started wit bin 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor e,,, 'f ('\c'ir1.~, E kr +YI(
Address .;;)\lC, 1.0 .:)"1\ AllP
City SUCYI\() Phone 347'l,,;::lqi
Supervisor License Number ;:::> '3;:;)() ,"";;,
Expiration Date I () 1,,<, I i-., 'I
Constr, Contr. Number \',';:::lS;;l.
Expiration Date a I (")"lsJ os
, 1
Signature of Supervising Electrician
.9~1Lh??//'~
~Name '7?evL fr0<76'<v-/'-':-s..
Address '?to UI/AVJA.G~' :>of-
City t::V<6-f:/V'e:: Phone
OVVNERINSTALLATION
The installation is being made on propeny 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
ih.''''-:;;;''l''':ll~~\~''-~i~~_~~''''''~~~r:',t,,,g-;.-sr-~_~~'-~,"'-.!''ifJf~~:~J..\~]
B. ~,Ett-k~r;;;.f.J;~~~~~~_~~~O~~1!-!~!aet,!~~~~&f~~~J~t~J;!!?,~~
200 Amps or less c=, $ 63.00 ~b "7
201 Amps to 400 Amps I $ 75,00 '7~-
401 Amps to 600 Amps $125,00
~1l.J-A\'lIl:'.to 1000 Amps I $163.00
o\lJ~'tioo Amp<;/\'olts $375.00
1R~rIi\~~1YSHALL EXPIRE Ir I nt vvsso,oo
AUTHORIZED UNOER THIS PEKMII IS NOT
cC~~p~MiQf:S~!~~~it'd~G'Emq"~~~lU~,;f.-~1:~
ANY 180 DAY PERIOD.
Installation, Alteration or Relocation
If::, :,
200 Amps or Jess
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "sn above.
D rl;;B"'":b'l"\"Ii"';'r;~'';'(~'V~ts".,>,''~(.~j~(~~-'''i;;-'~"*B.r~:i:!'; --h~~'1f.\if,~-:;r.~~~t~J1t1~:'_'~~t:j'.~~';"
. Jl, rane ".~lrCUI ~;:;t:;"'1'~tt.IUil~1<. ".,"~ '::'::!.'"~ir,'''~'i:'~1;-."qt,,#~~$&1'~'fm~'''
ii~..~.,.u'~""-~"" ......-..-. .~.."<< . "i;,;.o~~\.'<' .." '.'_,' ".' .' __\_
$ 50,00
$ 69.00
$100.00
New Alleration or Extension Per Panel
One Circuit.
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
"'Z.. S' $ 3,00
75"
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E. ';!M!~~~U~~~~~:,(~~Qi~!!..!~~~n~;t!!t5t~~~,~):~J?_~!=..l!:.Ijt]~,I,~!!~~I!:~
~~" ......~.....-..... ... - .
Pump or irrigation $ 50,00
A~matD.!1I@I1!I'I law requIres VOIJ tos 50,00
forf9miml~$tidi&lilittle Oregon Util~ 25.00
Notil!~o~~les are setforYtl5,OO
In OAR~2:oQf:0010~rouf 000 ~~~~
'~~~P6~~~;:urcbar:s~ 0
'n'iliiilier'foNh~~ortUtiift~rNOtifi~;'.-r, 0 l>
7% stSeBwil2rge80ll-332-2344). 6/ 60
10% Administrative Fee rg-o-c.
TOTAL /(')z. '7 ~
Shared Drive(T:)!Building Forms/Electrical Pennit Application I-D3.doc
v
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01238
ISSUED: 11/18/2004
APPLIED: 10/05/2004
EXPIRES: 06/14/2005
VALUE: $ 732,400.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3125 Gateway St
ASSESSOR'S PARCEL NO.: 1703222003100
Springfield TYPE OF WORK: Retail
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Construct New Retail Bldg - Shell Only
Owner: BENTON PROPERTIES LTD
Address: 980 WILLAMETTE ST EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Sewer
Contractor License Expiration Date Phone
GARY MOYE ARCHITECT 541-343-3658
CHAMBERS CONSTRUCTION 114258 05/30/2007 687-9445
REYNOLDS ELECTRIC 17252 02108/2005 541-343-7297
COMFORT FLOW 460 06/27/2005 541-726-0100
TWIN RIVERS PLUMBING INC NOTICEi7695 031ll/2005 541-688-1444
EGGE SAND & GRAVEL LLC THIS PERMIT SHALL EXPIRE IF THf WnRI~41-485-1515
I BUILDING INFdil1\1A'fiON-\,UNUtK r HIS PERMIT IS NOT
! inlr.!!,L~JOR IS ABANDONED FOR
#ofStories:ANY 180 DAY PERIGO. Lot Size:
Height of Structure 20.00 Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
B
M
VN
10,724
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oregon law requ!reS youtD
. "b ,. a.....c..c.-....,....
_.:=J:,",-,'1~-"""I'''''' ,"'- ~.. - .,
I PUBLIC IMPROVJ>.IYIJi.~J'"'1In Center. Those NIes are setfolttt
In OAR 952..()Q,1JeQ.~h OAR 952-oot-
Fullv Improved obtain Ie8 of the rules by
Yes OO9O..YoU...~O'l\'IISP~Tainslele_~ Storm Sewer
calling "... cerner. ,&"dtll. u... I"'."....
number for the Oregon UtIlity Notlllcatlon
Center Is 1..a00-332-2344}.
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Notes:
Patze 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate,
Pavinl!
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Building Permit
Fixture
Paving
Plan Review CommlIndlPublic
Plan Review Fire ,& Life Safety
Sanitary Sewer - 1st 50 Feet
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area,
Water Line - 1st 50 Feet
Water Line - Each AddtI 100'
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
Encroachment Permit
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
Water Line - Each AddtI 100'
+ 10% Administrative Fee
+ 7% Stale Surcharge
Add, Alter, Extend Circ Ea Add
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-0I238
ISSUED:' 11/18/2004
APPLIED: 10/05/2004
EXPIRES: 06/14/2005
VALUE: $ 732,400.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
556,400.00
176,000.00
Value
Date Calculated
$556,400.00
$176,000.00
$732,400.00
11/15/2004
11/15/2004
Total Value of Project
Fpp., P..illJ
Amount Paid
$1,073.25
$66.46
$594.00
$302.36
$154.76
$31.00
$2,050.90
$56.00
$812.65
$631.64
$388.70
$45.00
$10.00
$3,718.25
$352.67
$78.68
$1,318.58
$18,358.91
$4,161.61
$1,343.85
$45.00
$14.00
$5.00
$3.50
, $50.00
$120.00
$19.90
$13.93
$28.00
$45.00
$56.00
$70.00
$88.00
$61.60
$75.00
Date Paid
Receipt Number
2200400000000001227
2200400000000001227
2200400000000001248
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426,
2200400000000001426
, 2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
2200400000000001426
1200400000000001651
1200400000000001651
, 1200400000000001651
2200400000000001457
1200400000000001712
1200400000000001712
1200400000000001712
1200400000000001712
1200400000000001712
1200400000000001712
2200400000000001505
2200400000000001505
2200400000000001505
10/1104 '
10/1104
10/6/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/18/04
11/24/04
11/24/04
11/24/04
11/30/04
12/9/04
12/9/04
12/9/04
12/9/04
12/9/04
12/9/04
12/14/04
12/14/04
12/14/04
Pal!e 2 of5
. CITY OF SPKll'ltit<1J<..LU
Building/Combination Permit
PERMIT NO: COM2004-01238
ISSUED: 11118/2004
APPLIED: 10/05/2004
EXPIRES: 06/14/2005
VALUE: $ 732,400.00
~i"l\:;: ~
~...
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm ServlFdr 601 to 999 amps
$567.00
$75.00
$163.00
12/14/04
12/14/04
12/14/04
Total Amount Paid
$37,049.20
I Plan Reviews I
Fire Department Review 10/14/2004
Fire Department Review 10/26/2004 ,10/26/2004 OK GRG
Fire Department Review 10/06/2004 10/12/2004 OK GRG
Initial Review 10/04/2004 10/05/2004 APP LLH
Planning Review 10/14/2004 WE
Planning Review
Planning Review
11/12/2004
10/06/2004
EMM
EMM
11/12/2004
APP
WE
Public Works Review
10/06/2004
11/03/2004
APP
S8
Public Works Review
11/29/2004
11/29/2004
DON
S8
Puhlic Works Review
Structural Review
10/1412004
11/15/2004
11/03/2004
11/15/2004
APP
APP
S8
JMP
Structural Review
Structural Review
10/14/2004
10/22/2004
10/14/2004
10/26/2004
OK
10
JMP
JMP
Structural Review
10/05/2004
10/12/2004
WE
JMP
Page 3 of5
2200400000000001505
2200400000000001505
2200400000000001505
Site plans.
Site plan submitted separately. See
DRC comments dated 3/30/04.
See attached document for Fire
Department plan review comments.
Site plans. Waiting approval from
Ashley Deforest - stormwater
condition and Development
Agreement
Development Agreement Signed.
Ashley Deforest planner - waiting on
storm water condition and
development agreement.
LDAP in process, shall be issued
before this permit. Encroachment
Permit application is required
before commencing work in CIty
Right-of-way or within Puhlic
Easements. Shopping Center SDCs
added for Storm drainage,.
Transportation and MWMC
including existing credits.
Individual City Sanitary Sewer
SDC's will be required, for
plumbing fixtures only, as plumbing
fixtures are confirmed for each
tenant.
added public works field notes
today.
Site plans.
Received fax values from Brian
Erickson.
Site plans.
WE. Received from Gary Moye a
mailed response with Revised
Drawings SPI, AI, and AJ. Still
waiting on item #l1-vaiuations
from Chambers. Bill Aquino will
expedite this last item.
See attached structural comments
faxed to Gary Moye.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01238
ISSUED: 11/18/2004
APPLIED: 10/05/2004
EXPIRES: 06/14/2005
VALUE: $ 732,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Structural Review
10/12/2004
10/12/2004
OK JMP
Received an SI drawing to replace
the previous one that was
incomplete.
JMP called and talked to Bill
Aquino in Gary Moye's office to
request the energy code forms. Bill
says they are in the mail.
JMP received a mailed package with
energy code forms which he passed
to Steve Graham for delivery to
Jack Foster.
SUB Review
10/06/2004
10/08/2004
WE JF
SUB Review
10/1212004
10115/2004
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.
I Rpnll;rptl In<,nprWwLI
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Slab: To be made after all ins1ab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing 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.
Masonry:
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
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.
Underslab Plumhing: Prior to filling the trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
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.
Encroachment: After item(s) have been removcd to inspect condition of public right of way.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Electric Service:, Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Palle 4 of5
.
. U 11 OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01238
ISSUED: 11118/2004
APPLIED: 10/05/2004
EXPIRES: 06/14/2005
VALUE: $ 732,400.00
Status
Issued
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
I . 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
Pal!e 5 of5
225 F,iCth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
S"""'~'!.I'1.~__".
Wit, '
\ ;
.,'
._.~ .__ ......, " ' I
lllii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2004-01238
COM2004-0 1238
COM2004-0 1238
COM2004-01238
COM2004-0 1238
COM2004-01238
Payments:
Type of Payment
CreditCard
12/1412004
RECEIPT #:
2200400000000001505
Date: 12/14/2004
Description
+ 7% State Surcharge.
+ 10% Administrative Fee
Penn ServlFdr 200 amps or less
Penn ServlFdr 201 to 400 amps
Penn ServlFdr 601 to 999 amps
Add, Alter,Extend Circ Ea Add
Paid By
ELLEN REYNOLDS
Item Tota.:
Check Number Authorization
Received By Batch Number Number How Received
djb 016610 In Person
Payment Total:
Page I of I
9:15:42AM
Amount Due
61.60
88.00
567,00
75,00
163.00
75.00
$1,029.60
Amount Paid
$1,029.60
$1,029.60