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!*/!--. .
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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',-!,!," .'--',," "". -.,-,..
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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