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HomeMy WebLinkAboutPermit Electrical 2005-1-25 . ,;' - . '.. criy OF S:.._~dNGFIELD~ OREGON .: ' t~ '. : ," ." ' , '. ~ . ," , " \. _ J. . (, SPRINDFIELD , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ . ~~~\ ELECTRICAL PERMIT APPliCATION . / ~ 2L "". -" ~,. City Job Number COwt z.." 0 '-\. - (;) 0 '~b ~ Date L.I....~-il::i'f!*/!--. . ~ ~---{9.F..:...:>~'C C"---", "'-y"-"'-' ".--'"...""......>i........'.~ >'CoMPiiilFff..~'SCl1Efj ..--E.iiOWt'l\t,:fr:l!,~i{~.!':1 1. 1if9~r!Q1I[q.fJ1I[$rg..L4.1JQl'!J::~,~>i~{'\1!il 3. . "_""..,,~>.,,, ,g, " '= ,~~' , ,,7",11... .-, ~\11- '1'/5" ~r/ ~ "1"'1)"& <'0",,; ""0/:""" LEGAL DESCRIPTION A. 1i~~:if~id1Wtiil~.,.;~ii .~~r~1'ii:F=~??~W'iii~u~~7{.~ }i"..~-".-.,,,-,-",......_.-~p......,L,~ ~:.~.$'XtV1-:.;.:>..'.~gc;- " \>~,]./.1f7:~~9:~/I~(iq;:J":.T4';hL0;9- Service Included -~"~/", / ~ &~/~;"/I)&,- . ~, ~ ~ JOB DESCRlPTIO~. 1000 sq. It orl~.p1\O ~ $IO~9B70",.; L Each ad~~~~'/t1,r.. ^'& .., \ "'^' ~ +f"'d... G.'1^ ,1 G4 k....., ~160 set \OIU' 91=? $ . Permits are non-t nsferable a~d expire if I!~o*~~~a&~~~~ ~ '" , not started within 180 days of issuance or i~~...P.t<I 1<<~~~~'i~ . ~ 00 Suspended for 180 days. ,,~~ ~of\ ~~~lt.!(\ ($)~ie$ ~e \e\e~"~~Ol\ . 'coNiii'AcroiifIi!Sf:fi "Aifo.~ .....~~~i1I'tf....,;'i";;.":A'i,,"'.".".'"""j;'"!' J :.lecl~c:.~~:~~::' V~;;/~:;: ~6 !}~:~~~;l~~.~ .-.--~,,~ . ,< --$6~.~~' ~,"--r '" '. . C\\)t\ ce~l Amps to 400 Amps ~ $75.00 Address /&'0 (1/f{J I S(/"/\J 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City /blJ(sbW(; rr#J.>hone 5"'"!HI.{1. -7tS-O Over 1000 AmpsIV01ts $375.00 , Reconnect Only $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps 10 400 Amps $ 69.00 401 Amps to 600 Amps ,,,e 1t\J\\\\I\sIOO.OO ...~" '~'Bl II' ,.- '" hlf'\' "Q~t~~~~~~.~~.v~~t~~~B1'\ibov:: ..,,". S,illgna/ture~Of,~IJF" g 1ectrician f~\~~rji~~i~~:~1:~G~t.o.r(}W- ,,' ". .\";,...,,...1 1>.1r'.w:',{lleratioq)OT 'Ex~nsion Per Panel Con:,tclit'.}ir~ ~'C.\\IC)D. $ 43.00 , II,;~llh 'A"ddi'ti~nal Circuit or with CI'I ~'\.--~_. --;-1--: '{' I -':-".-,-t.: ilC Service or Feeder Permit Owners Name !KL ;.::>__~_c.( ~'7 S~..., '\; Address ,;.... '3, 5""6',I-~(-~-iL ~ L.:::(:.~IZ\'J)-='-\,,(", E. I'iMii~eiiaj}€6.iii,(s~hiteJf~tdi;;:,ri8t btHiffi'edJ'~E~c1d;"It~(latl'ii;;;1 ""' --? '. . .',_ ._.._: ,(..:.. ..,-v ~..C./..JI.,'" I....."""_~,~ Ef. .'~.,...., ~,,,..J\!i<t~.-.,"P,,,\..,."'.,$". '. .' "~'.".,r< ..cr.".... 0." .. 'T',-!,!," .'--',," "". -.,-,.. ..~ City ~~e-- Phone '1:3 J ^ 73/ i ~mp or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 , Limited Energy/Commercial . I $ 45.00 H ~', 0 0 I . Minimum Electric Permit Inspection Fee is 545.00 + Surcharges Supervisor License Number 20'-+ 7 LE"A Expiration Dale I 0 I, /7LJ 0 {' Constr. Contr. Number '70 S Z- 8" Expiration Date / - 5- wo h OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 .." , C L''''.T~\',>'~.J.~'-'' ".:.,~,. "S'';';''~~.~, ''-', i:\F', .~"~, ':t,',' .,:~:..:., '-', - "': '~",:; :r~. ';, ,t. '-. ~ . p.l;,emp~r~nr, ~!")~,es)~lj:, e~':I~.r:s ' _ ..l:..i'1"j + ~.~!' \ '-'>. 1.," (I,:, ..:2] $ 3.00 ~'_('>,O;,,'>;" -"'" ;,~;.:-",-,,--~'- ~.A.,~,.:..p ....\.~~ . <..r~,., 1", ~c~ ~ '~-~J 4. '1SUBTOTAE.OE'ABOVEi!:",:; .~, .I.,(~',,~,,1: ~:~~"'-~;'Y,'::c.:"'~"'1.-,~ '4-:;:..;.'.....'\~;t~~F';fi-(. .._ JQ.:r,^I?-t~1j <J 'or t{r "Y>~ C( ~-D ) 2- bS- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FonnslElectrical Pennit Application 1..Q3.doc Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00568 ISSUED: 08/17/2004 APPLIED: 05/1312004 EXPIRES: 07/25/2005 VALUE: $ 1,085,429,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 445 Harlow Rd ASSESSOR'S PARCEL NO.: 1703224407200 Springfield TYPE OF WORK: School TYPE OF USE: New PROJECT DESCRIPTION: Minds In motion - Children's learning museum Commercial Owner: RLS HOLDINGS LLC Address: 3356 KING EDWARDS CT EUGENE OR 97401 # of Un Us: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor Type General Electrical Engineer Mechanical Plumbing Sewer Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaUable: Special Instruction: Notes: Phone Number: 541-431-7614 , CONTRACTvK lluvNtlATION I Contractor License MCINTYRE CONSTRUCTION INC 3550 JB ELECTRIC 1~~OU \0 KEVIN M. PETERSON ENGIN~~'fl.e~ egOn \,\\\1\\'1 h COMFORT FLOIN'\'ION: t ted b~ the "lI~oate set lolt 06/2712005 TUCKER PLUM I !1 ~s adop 'ThOse fulfU'-W952-00t- 11107/2004 EMERALD EXC; "- ,~itl6'fN!;'\~~1 0 \h{Oug~ ~'\he {ules b~ ',; 4}IB~iliil~ INfflR Kil'flmN ,3Ier~~;;n (loYU, ,j - cen~t!,.-r- - U\\(i\~ \~o\i ,c cal\IlhQ,I~\~o{egon '3'32-2'344). 1 Lot Size: I\urn~\ Rl ~-~~~W:f.ll.~- 22.00 Sq Ft 1st Floor: Ty '69'Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: _ - Electric Sq Ft'Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled BuUding: nJa Occupant Load: Expiration Date 10/08/2007 03/1412008 Phone 541-687-2841 541-687-5770 541-501-4459 541-726-0100 541-343-8008 541-345-1505 53,674 11,682 A-3 IlIN I DEVELOPMENTINFORMATION , REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: 'NfHandlcapped: e 'qf\ Paved Drive Rqd: If ,\'Is Compact: % of Lo~~~~~age: \\f\\.\. t.y,\l\\\~ t?lW\\i \~ ~I:l I ~~\C, ~~?WI~~ ~\t-\\)t." i\'\~~,~(\\,\\:\;) t~\\ I PUBLIC IMitI~OVEME~TS\Ir\ \'.J ~YI" ,- "uw""- ~v ....t.\\\QI/' \J ,,\'00 On' I Sidewalk Type: l\t,\I ' DownspoutslDrains: Pa2e 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Commer Pavlne Schools AC - Commercial Use Bid Amount IIIN Fee Description Plan Review ComrnlIndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Ea Add BackOow Device Building Permit Curbcut - Additional Driveway Curbcut - Overwidth Appl Curbcut Permit Exhaust Hoods Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Paving Perm ServlFdr 200 amps or less Perm ServlFdr 401 to 600 amps Plan Review ComrnlIndlPublic Plan Review Fire & Life Safety Planning Final Occy Inspection PW Mull Disc - 2nd Permit PW Mult Disc - 3rd Permit Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' SDC. Transpo Improvement Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Vent Fan Water Line ~ 1st 50 Feet Water Line - Each Addtll00' + 10% Administrative Fee e I Valuation Descriotion I $ Per Sq Ft or multiplier $4.20 $1.00 $78.10 Square Footage or Bid Amount 11,682.00 124,000.00 11 ,682.00 Total Value of Project Fpp< PlWLI Amount Paid $2,192.87 $1,349.46 $10.00 $545.48 $336.78 $165.00 $42.00 $3,367.15 $75.00 $35.00 $75.00 $18.00 $630.00 $45.00 $36.00 $4.00 $2.00 $643.65 $126.00 $125.00 $257.73 $158.60 $143.00 $-30.00 $-30.00 $45.00 $14.00 $10,000.00 $45.00 $70.00 $18.00 $45.00 $14.00 $4.50 Date Paid 5/13/04 5/13/04 8/17104 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 1/25/05 Paee 2 of5 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00568 ISSUED: 08/1712004 APPLIED: 05/13/2004. EXPIRES: 07/25/2005 VALUE: $ 1,085,429.00 Value Date Calculated $49,064.40 $124,000.00 $912,364.20 $1,085,428.60 06/03/2004 OS/28/2004 OS/28/2004 Receipt Number 2200400000000000542 2200400000000000542 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200400000000001061 2200500000000000095 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid Fire Department Review 05/14/2004 Initial Review Plan nine Review 05/14/2004 06/16/2004 Plan nine Review 05/14/2004 Public Works Review 05/14/2004 Revised Plan Review - Fir OS/25/2004 Revised Plan Review - Str OS/25/2004 $3.15 $45.00 $20,626.37 1/25/05 1/25/05 I Plan Reviews I OS/2012004 05/14/2004 06/16/2004 06/15/2004 OS/26/2004 OS/25/2004 OK GRG OK RJB APP WE APP SB OK GRG WE JMP Paee3of5 . CITY OF SPRIr~tJ1<lJ!,LD Building/Combination Permit PERMIT NO: COM2004-00568 ISSUED: 08/17/2004 APPLIED: 05/13/2004 EXPIRES: 07/25/2005 VALUE: $ 1,085,429.00 2200500000000000095 2200500000000000095 Plans shall be resubmitted. See attached document for fire department plan review comments. Development Agreement signed 6/10/04. To be built per approved final site plan and development agreement. Waiting for Final Site Plan Review submittal, approval and Development Agreement Added SDC's. Added fee for ENCROACHMENT PERMIT. Applicant must submit Encroachment Permit application one week prior to work In right-of-way or easements. Revised Sheets A4, A6, and All. Plan Review: Partial resubmUtal of Minds in Motion. Job #2004-00568. Resubmlttal replaces second floor office and storage with an office mezzanine to meet OSSC Table 5-B requirementsllimitations. Plan Review Comments from 5120/04 still apply. Received revised Sheets A4, A6, and All opening one wall of "second story" office. Received fax of Special Inspection forms but no inpections were Indicated. Called Justin and he will have the forms corrected. He Is also working on gathering the information requested 5/2412004 and the sUe work. . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00568 ISSUED: 08/17/2004 APPLIED: 05/13/2004 EXPIRES: 07/25/2005 VALUE: $ 1,085,429.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Revised Plan Review - Str OS/28/2004 OS/2812004 WE JMP Structural Review 06/16/2004 06/1612004 APP JMP Structural Review 05/14/2004 05117/2004 WE' JMP SUB Review 05/14/2004 06/0112004 APP JF Received revised review response with revised Sheets Al and A3 and some other information. Left a message with Marilyn for Justin Rotherham that we have not received the referenced Sheet PI o. the revised Sheet E2, nor the site drawings. Left a reminder with Marilyn of the outstanding items on 6/11/2004. Justin delivered the PI drawing and answered questions about fixtures-no drinking fountains, 4 floor drains, and 3 hose bibs. 5/17/2004 See attached fax to Kevin Peterson requesting special inspection forms and other missing Information. 5/24/2004 See attached fax to Kevin Peterson with request for 14 points in structural review. 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 Rp1Wirl~rlln{',nPI~tjo'\\.l Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: After all erosion measures are in place. Final Plumbing: When all plumbing work is complete. 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 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 Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Encroachment: After item(s) have been removed to inspect condition of public right of way. Curbcut - Overwldth: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Low Voltage: Prior to cover. 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. Paee 4 of5 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00568 ISSUED: 08/17/2004 APPLIED: 05/13/2004 EXPIRES: 07/25/2005 VALUE: $ 1,085,429.00 Status Issued 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. 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. Masonry: Structural Concrete: In excess of2~OO psi. To be done during construction by a State Certified Inspector. Provide results to City Bulding Inspector Roof SheathingINailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 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. Underslab Plumbing: Prior to filling the trench and including required testing. Underground 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 testing. Storm Sewer Line: Prior to filling trench. 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 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 Pa2e 5 of5 225 Fifth Street ' -Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Nnmber COM2004-00568 COM2004-00568 COM2004-00568 Payments: Type of Payment CreditCard 1/25/2005 RECEIPT #: -j~Q~;~~ l!t.. ~.i ~y of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000000095 Date: 01/25/2005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By MARTIN PETERSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 025924 In Person Payment Total: Page I of1 1 :40:48PM Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65