HomeMy WebLinkAboutPermit Electrical 2004-10-26
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225 rll' 11:1 STREET. SPRINGFffiLD, OR 97477 . PH:(541)726-3753 · FAX: (541)72~~9
ELEctRICAL PERMlT APPliCATION' . '.. "'v/," ~ z' 0 d'
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LEGAL DESCRIPTION A. Ei!~~~Iy. i. '.. "D
/70:3, 2 Zoo 0 z.G:o "7 Service Included ~.
JOB DESCRIPTION '/ ee 1000 sq. ft. or less '
\\\ /I LJ \ I .' I~ Eac~ additional 500 sq. ft.,or
. )!"W (..0.r Cl.sY\ lq~\ ((Jortlon thereof'
I '
. Permits are non-transferable and expire if work is Each Manufact'd'Home or
'" not started within 180 days of issuance or If work ,is , Modular Dwelling Service or
Suspended for 180 days. ' Feeder
,
S 19.00
$50.00
2 rK~~Ct:ORf.iN~'TIoNlOSEY,ll ,B. ~~~~~1""~4ID'tt~faf~iiflf;t:I:(IR1r.~&tiMi~
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c:. /" I ~~aWI it'I . ,
Electrical Contractor ..J)/'Icp -\- P'fl!.~l ~Sl~~orth S 63.00
10\\OW l.ul S al.lO ~ 1'JllPi afj~8l\. S 75.00 ~. ro
Address "<,(.,\ ltll 0 <;C1i\ . 0 _ 1 0t\'lO.1~5~1 ' $125.00
JOO R ~V,p)J~n(;lW,IF~~S $163.00
Phone~~~~~J~ ~i Id~.. $375.00
. c;allll.\l....- QregRQ~ $ 50.00 '
~lor\h9\a'_
L! -CeI\UII c. 1i.~1rt7~~~~;t~i)rYF~<f'~1!it~~_f~11rl~~as;aI
SupervisorLicenseNumber 'J()Ld) -:::5 ~.._p~ "fYi.. --~ -'-~"-'-'.' .. i\liI~
City ~PVY-"
Expiration Date ) n - () 17
." ' ' , Iruitill1ation, Alteration or Relocation
~ 200 Amps or less $ 50.00
Conslr. Contr. Number I C)?'1~) I 201 Amps to 400 Amps $ 69.00
. . 0 ( " 401~pst0600AmpS 'l'JC\?-\',' '$100.00 '
Exp1I1ll1on Date ;) -(')0 t' Over 600.AlnDSl~l1dOo -m~~~~~" above.
S;~YA < . ~~;1=~,
'f{~Z.L _~Nlt.~I9n~~\CD. " (..- \ $43.00\ ,J.
, ---- f.' -(I,~'/ i 'CQ ~~h Aaditional Circuit or with L.J J \ ' 123,'''';'::- ,
'i) I ,,)' Service or Feeder Permit ~ $ 3.00 '. - o.
OwnersName ~1;7 (ef\<::.
Address 1../1 z. -:> 0 - ~ ILl '74-t- fL E. mi~if~~t(S~~=rrar~~d>r~1fi\~u~
City ~tl rr~d wi!ne
OWNER INSTALLATION
Inspection Request: 726-3769
Pump or irrigation $ 50.00
Sign/Outline Lighting .... S 50.00 . ,
~.
Limited EnergylResidential $ 25.00
Limited Energy/Commercial S 45.00 l-t<:', OD
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
4. WrJlfrt>fA1iOEABO..vi:~..@'~~~.,~ ." 2 l{ "
~~""~~~~~+"~~~~ :>
7% State Surcharge 170 (
~~~~~ ~:~~tratiVeFee ~~~o
~ 'f!!tr;;, Sham! DrivclT:YBuildina FomulEIccmc.1 Permit AppliClllion 1-03.dot
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The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 526 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002607
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/26/2005
VALUE: $ 561,450.00
Springfield TYPE OF WORK: Retail
I CONTRACTOR.1l1WORMATION I
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1'1 laW I""\~ 01'1 \)\11\\1
~l~~1!): Ofe~go(\ 0 \ne oregre set lor\~ License
WA.ellle~~Af- ~'11~I:G78140
1~~.\~~ ~~!ilJgn 0 \ne (\.lIeS b'/ 158859
NmE ' ~(jU'tJitf n copies 01 lepnone 133733
\~ ~~Cil-lO\e: tne ~~~.,\\catiOn 41805
UV~;iliI'l9 \~e ~~~ii\E\\mLpiNG>INFORMA TION I
l1'oer 101 . s '_~V"' -
# of Units: 1'I\.l cel'l\ef\ # of Stories:
Primary Occupancy Group: B Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
PROJECT DESCRIPTION: New Image Car Wash
.......-....
Owner: ROBERT DIENS ~~."
Address: 41230 SE 149TH PL NORTH BEND WA 98035
Contractor Type
General
Electrical
Mechanical
Plumbing
TYPE OF USE:
New
Commercial
Phone Number: 425-888-5849
Expiration Date
12/05/2005
02/27/2006
02/23/2005
04/04/2006
Phone
503-423-2245
54 I -915-4883
541-767-0626
54 I -485-0551
I
19.00
Lot Size:
Sq Ft 1st Floor: 6,973
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Overlay Dist: Total:
# Street Trees Rqd: \NQ?''i- Handicapped:
Paved Drive Rqd: t. W "'i\\t. ~O"'i Compact:
%.of .Lot Coverage: \... t.'1..\>I? r.a~I"'i IS
l\Q \ \"'" \"'i SI'\f\\.. \\IS \>-." to?'
_. "e. ?t.?~~_ . It,\\)t.?' "'i . ,,('\C\~t.\)
.. -..... .. - .n r ur~"
I PUBL1~IJMPROYEl\:UlN<'}1S~.JJ.
C,\JW\\"-' Ofl.'{ I't.'"
p..~'j ,\~Cl
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of6
REQUIRED PARKING
Sidewalk Type:
DownspoutslDrains:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Use Bid Amount
Estimate
Estimate
Paving
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Annexed 1996
Backnow Device
Building Permit
Fixture
Furnacc - up to 100,000 btu
Minimum/Adjustment Mechanical
Paving
Plan Review CommlIndlPubIic
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
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
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtlIOO'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
+ 10% Administrativc Fee
+ 7% State Surcharge
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-008I4
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/26/2005
VALUE: $ 561,450.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
298,380.00
120,000.00
143,070.00
Value
Date Calculated
$298,380.00
$120,000.00
$143,070.00
$561,450.00
07/0212004
07/02/2004
09/28/2004
Total Value of Project
Fpp< PlIilIJ
Amount Paid
$1,022.55
$629.26
$10.00
$298.11
$159.07
$31.00
$-181.24
$56.00
$1,602.40
$224.00
$24.00
$9.00
$708.65
$321.10
$197.60
$45.00
$676.36
$889.48
$70.00
$10.00
$1,536.49
$2,256.61
$526.40
$1,325.28
$19,493.88
$4,419.45
$7,932.59
$45.00
$84.00
$12.00
$45.00
$56.00
$5.00
$3.50
Date Paid
Receipt Number
7/2/04
7/2104
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/6/04
10/12/04
10/12/04
Paee 2 of6
2200400000000000892
2200400000000000892
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
2200400000000001249
1200400000000001460
1200400000000001460
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 201 to 400 amps
Total Amount Paid
Fire Department Review
Initial Review
Plan nine Review
.
07/07/2004
07/06/2004
07/0712004
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/26/2005
VALUE: $ 561,450.00
$50.00
$24.30
$17.01
$123.00
$45.00
$75.00
10/12/04
10/26/04
10/26/04
10/26/04
10/26/04
10/26/04
1200400000000001460
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
1200400000000001519
$44,877.85
Plan Reviews I
OK
GRG
Plan Review: new automated car
wash and detached retail shell
building. Job #COM2004-00814.
Occupancy classification: B.
Construction type: V-No Car wash:
1590 sq. ft. Retail shell building:
2000 sq. ft.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (1998
Oregon Structural Specialty Code
502 and 1997 Springfield Uniform
Fire Code 901.4.4).
Provide fire extinguishers with a
minimum rating of 2-A: 10-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (Springfield Uniform Fire
Code 1002.1).
Provide illuminated exit sign age
meeting requirements of OSSC
1003.2.8
Retail shell building: Doors shall be
required to swing out as a second
exit door if occupant load of
proposed future infill submittal
meets or exceeds OSSC Table 10-A
second exit requirements.
07/06/2004
07/08/2004
APP LLH
APP EMM
To be built as per approved Final
Site Plan Review and Development
Agreement
Paee30f6
. - CITY OF SPRINGFIELD
,
Building/Combination Permit
Status Issued PERMIT NO: COM2004-00814
225 Fifth Street, Springfield, OR ISSUED: 10/06/2004
541-726-3753 Phone APPLIED: 07/0212004
541-726-3676 Fax EXPIRES: 04/26/2005
541-726-3769 Inspection Line VALUE: $ 561,450.00
Public Works Review 07/07/2004 07/09/2004 APP SB Encroachment permit application
required prior to work in Public
Easments or CIty Rlgbt-of-Way. No
encroacbment required for new "y"
for sanitary stub for vacant lot.
SDCs added.
Revised Plan Review - Fir 07!l3/2004 07/15/2004 OK GRG Revised Site Plan Submittal: new
automated car wash and detached
retail shell building. Job
#COM2004-00814. Occupancy
classification: B. Construction type:
V-No Car wash: 1590 sq. ft. Retail
shell building: 2000 sq. ft.
Site plan sheet C-3 shows location of
new hydrant. A three foot clear
space shall be maintained around te
circumference of the fire hydrant
(Springfield Uniform Fire Code
1001.7.2).
Revised Plan Review - Pia 07/13/2004 07/14/2004 APP EMM Must be built exactly as per
approved Final Site Plan Review
and Development Agreement
DRC2004-00018. Any modification
will require the submittal and
approval of a Land Use application -
Modification of Site Plan Review.
Revised Plan Review - Pu 07/1312004 0711512004 APP SB No changes impacting SDCs or
Permits
Revised Plan Review - Str 07/1312004 07 !l612004 OK JMP Site work by Branch Engineering.
Revised Plan Review - SU 07113/2004 07/16/2004 OK JF Site work by Branch Engineering.
Structural Review 07/2312004 07123/2004 WE JMP Received fax from Andrew
Montgomery addressing structural
review. Approved 4 additional
drawings. Still waiting for energy
code forms, special inspection forms,
and contractor's bid.
Structural Review 08/02/2004 08/0212004 OK JMP Received Special Inspection forms
from David Diens. Gave him and
Brad Rogers earlier a list of items
that we are still waiting to receive.
Structural Review 10/04/2004 10/04/2004 APP JMP Received SUB's approval and called
Dean Schultz for mechanical
equipment entries for inspections.
Structural Review 10/20/2004 10/20/2004 10 JMP Received fax from Roger with PNE
(contractor) with changes to
drainage system. Also reviewed by
Steve Graham and Steve Barnes.
Approved with no net changes to
fees.
Paee 4 of6
. CITY OF SrK.ll~\.Jt<u.L1J
Building/Combination Permit
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/26/2005
VALUE: $ 561,450.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
07/06/2004
07/07/2004
WE JMP
Structural Review
09/22/2004
09/2212004
WE JMP
Structural Review
09/28/2004
09/2812004
WE JMP
SUB Review
SUB Review
10/04/2004
07/07/2004
10/04/2004
07/16/2004
APP JF
WE JF
See attached fax sent to Andrew
Montgomery requesting Special
Inspection forms and cost/value
verification. See additional fax of
structural comments sent on
7/16/2004.
Received email and fax from David
Diens. Changed general and
plumbing contractors, reviewed
special inspection forms and
building cost estimate. Called David
to remind him that we still are
waiting for the confirmation on site
work cost/value, energy code forms,
and mechanical data.
David Diens faxed site work
estimate. Still waiting for energy
code forms and mechanical
information.
JMP requested HV AC and Lighting
forms from Andrew Montgomery.
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.
~1"1~lrlln~,nrfti1lLl
Encroachment: After item(s) have been removed to inspect condition of public right ofway.
Site Inspection: To be made after excavation but prior to setting forms.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Temporary Electric: Approval required prior to Utility Company energizingpolc.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete. .
Low V oUage: Prior to cover.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and caIlfor inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected hut prior to concrete placement.
Paee 5 of6
.
. CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00814
ISSUED: 10/06/2004
APPLIED: 07/02/2004
EXPIRES: 04/26/2005
VALUE: $ 561,450.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Masonry:
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results 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 complcte.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required tesling.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing 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 accordancc 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, tbat each address is readablc 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
Paee 6 of6
225 Fifth Street
Springfield, Oregon 97477
..54'1-726-3759 Phone
Job/Journal Nnmber
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
COM2004-00814
.
RECEIPT #:
~.'
~
,t)' of Springfield Official Receipt
velopment Services Department
Public Works Department
1200400000000001519
Date: 10/26/2004
DescriptIon
Penn Serv/Fdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard SUNSET ELECTRIC
10/26/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 309116 In Person
Payment Total:
Page I of I
2:13:14PM
Amount Due
75.00
123.00
45.00
17.01
24.30
$284.31
Amount PaId
$284.31
$284.31