HomeMy WebLinkAboutPermit Electrical 2008-5-5
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ 2007- oC:>7C> S-
1.
LOCATION OF INSTALLATION:
5:'1 S- Jc;~
I
COMPLETE FEE SCHEDULE BEWW
Date
3.
7Zz..- $. A #,
LEGAL DESCRIPTION:
17033 S"C{Z- c8Voo
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
JOB DESCRIPTION:
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
f~&vv/-ht ~S~
, I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$ 21 00
$55.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - JnstaJlation, Alterations or Relocation:
Electrical Contractor .46/~ 8~V3 {~~ aJ JI/mmo Amps or less $ 70.00
{ 201 Amps to 400 Amps $ 83.00
401 Amps to 600 Amps $13 8 00
601 Amps to 1000 Amps $180.00
Phone 'It. $-7"0 77 Over 1000 AmpsNolts $413 00
'(vv~Z-Z~~-OO~~E}Q.l\L."nu $ 55,00
I n uo6aJO a~l Jo)"Jaqw
UOql3~lmO I\lll!~ . ueo alU 6umeo
Supervisor LIcense Number / 7 ( g l alH 'dO~ ~ReooQO or Feeders
Aq salOl alH lV s~~~J~~! ~OO-~OO-Z96 \:1'10 Ul
/ C) / 7..0 o-JiOO-Z96 'd\f0 ~J aso~~s.t8!t.Nt!J~~~ or Relocation
. I lfi.lVl taS ere sat I ~t=!~Ml^O\\OJ
~llln uo6aJO a~ll\q P lJ? II M=lll,V
Constr. Contr Number ~/ ~ 0 ? 3' Z-Ol'f10A S9JlnbaJ Mel \NRa~~Q'lffi{}",JUiips
/ I 401 Amps to 600 Amps
ExpIration Date 7, Z (PI 2 00 j- Over 600 Amps or 1000 Volts see "B" above
SIgnature of Supervismg ElectrICIan D. Branch Circuits
Address 3~9S- W()t:>J ~-<:.-
City
&v~ ~<:.-
t/
Expiration Date
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
One CirCUIt
Each AddItIOnal CirCUIt or with
,( L .1, L -. V ServIce or Feeder Permit
Owners Name rrny U/'T"( -1- TV
Address t> 0 '3 <> Y 1484 E. Miscellaneous (Service/feeder not included) -Each Installation
~~r ~ Phone ...2f:t ,. Cf Zf:tE. Pump or ~~'~lf "l-\~ WOR~ $ 55 00
NOll · tJ\,,.~1~~~\1 \5 NO' $ 55.00
OWNER INSTALLATION ,\-\\5 "ci-~2E~auiJ",~~(Rtmc0t'OR $ 28.00
!he in.stallation is being made on property I own wfNJ~MENCEg~I?e~~~'commercial I $ 5000 S7:J .9:A-
IS not mtended for sale, lease or rent ~~'1' 18\1i{!jI\'PtntftlQPrc Permit Inspection Fee is $50.00 + Surcharges
Owners SIgnature: 4. SUBTOTAL OF ABOVE
t/~
~
$ 48 00
$ 4.00
City
12% State Surcharge
10% Administrative Fee
5% Technology Fee
Inspection Request: 726-3769
TOTAL
Shared Dnve(T )/BUlldmg FonnslElectncal Penn It ApplIcation 1-08 doc
b J !--O -
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 11/05/2008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 722 SA ST
ASSESSOR'S PARCEL NO.: 1703354208400
Springfield TYPE OF WORK: Store
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Remodel and addition.
Owner: HA YDAI INVESTMENTS LLC
Address: PO BOX 1484
SPRINGFIELD OR 97477
Phone Number: 541-746-4251
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Engineer
Low V oItage Electrical
Mechanical
Plumbing
License
68801
104929
Expiration Date
08/31/2010
03/14/2010
Contractor
DORMAN CONSTRUCTION
JB ELECTRIC
KEA TING ENGINEERING
ABLE BROTHERS SECURITY & MORE LLC160882
INNOVATIV~t~ 161742
THdMllll!iJ#It<Y~ ,.",~1 S, J9JU90 86252
....u'lUal91 9111 .. -.,'
Aq S91"J 9l1UO S . f1tlON
.10O-~S6 ij~ 6' leJqo Aew no '.
# of Units: CWOI J9B 9Je ~ II nOJIIOOcJO~~UaSeg6~ 0600
Primary Occupancy Group: AlWin uO~JO '~ aSOl11Je1~1ti9b~ljPlV8,~P U!
Secondary Occupancy Grou(RJ nOA SSJmbaJ III Aq ~~epel;!~H8 M~.lON
Primary Construction Type VB Mel U<WH~6' ~rlDnN311/0J
Secondary Construction Type: Range Type: 1'"
# of Bedrooms: Energy Path:
Sprinkled Building
07/26/2008
10/11/2008
09/25/2009
Phone
541-984-0012
541-687-5770
541-242-0613
541-463-8077
541-746-1040
541- 726-9778
1
22.75
Electric
Electric
Lot Size:
Sq Ft 1st Floor: 6,390
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 213
Path 1
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~r~f.~CIMPROVEMENTSI
. · t: '
THIS PERMIT Sidewalk Type:
AUTHORIZED ~HALl EXPIRE IF rR1ownspoutslDrains:
X~~~~~:$ ~~:I~~~~:o~~~~jfg:
D.
Notes:
Pa~e 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Curbcut Permit
Fire SF Fee - Non-Residential
Fixture
Miscellaneous Mechanical
Miscellaneous Plumbing
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer - 1st 50 Feet
-Mech Iss 2+ Appliances~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Boiler/Comp Up To 100,000 btu
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Deferred Submittal
Exhaust Hoods
Furnace - more than 100,000
Gas Outlets 1-4
Miscellaneous Copy Chgs
+ 10% Administrative Fee
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 11/05/2008
VALUE: $ 530,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
530,000.00
Value
Date Calculated
Total Value of Project
$530,000,00
$530,000.00
08/10/2007
~
Amount Paid
Receipt Number
Date Paid
$790.17
$486.26
$10.00
$297.82
$4.25
$116.96
$187.13
$1,963.15
$85.00
$639.00
$196.00
$45.00
$45.00
$485.88
$299.00
$45.00
$14.85
$19.52
$1.72
$97.92
$1,596.49
$361.90
$45,00
$40.00
$9.40
$4.70
$7,52
$28.00
$21.50
$0.75
$100.00
$10,00
$51.00
$5.00
$2,00
$28.40
5/16/07
5/16/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
8/17/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
11/27/07
1/23/08
2200700000000000759
2200700000000000759
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
1200700000000001060
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200700000000001741
2200800000000000088
Pa2e 2 of5
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
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Initial Review
05/17/2007
Structural Review
05/18/2007
SUB Review
OS/22/2007
SUB Review
06/15/2007
Fire Department Review
OS/22/2007
Public Works Review
07/10/2007
Plan Review Comments
Plan Review Comments
Revised Plan Review - Pia
07/26/2007
Plan Review Comments
$34.08
$14.20
$48.00
$236,00
$5.00
$6,00
$2.50
$50.00
$8,537.07
1/23/08
1/23/08
1/23/08
1/23/08
5/5/08
5/5/08
5/5/08
5/5/08
I Plan Reviews I
05/17/2007
06/04/2007
06/04/2007
06/15/2007
06/21/2007
07/12/2007
07/13/2007
07/26/2007
07/26/2007
08/07/2007
APP LLH
WE JMP
WE JF
APP JF
OK GRG
APP JHJ
IO
IO JMP
APP EMM
IO
Pae:e 3 of5
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/1712007
APPLIED: 05/16/2007
EXPIRES: 11/05/2008
VALUE: $ 530,000.00
2200800000000000088
2200800000000000088
2200800000000000088
2200800000000000088
1200800000000000429
1200800000000000429
1200800000000000429
1200800000000000429
Received 5/22/2007, See attached
documents for 12 structural
comments faxed to Steve Keating.
See JMP's attached structural
comment #7 for the requested
energy code forms and information.
Shell only,
See attached document for Fire
Department Plans Review
comments.
Attached SDC Worksheet. (JHJ)
JMP
Chris Scott from Steve Keating's
office called to say they misplaced
the June 4, 2007 structural
comments. He asked me to fax him
another copy so that they can work
on their response next week and I
did.
WE. Received incomplete responses
from Chris Scott. Called Chris and
requested the special inspection
forms to be completed, the
contractor data, the utility plans,
and the revised valuation.
See correction notes on landscaping
plan.
JMP
WE, Chris delivered a utility plan,
The other 3 items are still
outstanding.
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 11/05/2008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
08/10/2007
08/10/2007
APP JMP
Received contractor data and
valuation from Bob Buss. Received
Special Inspection Forms from Steve
Keating.
Initial Review
11/14/2007
11/14/2007
APP LLH
Deferred submittal for HV AC
system. Routed to SUB and Robert
Castile for review
SUB Review
11/15/2007
11/19/2007
APP JF
See attached plan approval email
Structural Review
11/14/2007
11/26/2007
APP RWC
Deferred submittal for HV AC
system
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.
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 inslab 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,
Roof Sheathing
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector,
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,
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete.
Pal!:e 4 of 5
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00705
ISSUED: 08/17/2007
APPLIED: 05/16/2007
EXPIRES: 11/05/2008
VALUE: $ 530,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
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,
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
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
Pae:e 5 of 5
225 Fift.h Street
Sprin'gfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00705
COM2007-00705
COM2007-00705
COM2007-00705
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000429
Date: 05/0512008
DescrIptIOn
Low Voltage - CommercIal Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ lO% Admmtstratlve Fee
PaId By
VIC ZACHAREK
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
dJb 380448 In Person
Payment Total:
Page 1 of 1
8:37:16AM
Amount Due
5000
250
600
500
$63,50
Amount Paid
$63 50
$63.50
5/5/2008