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225 FIFTH STREET 8 SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-368'X:> ~ ~ ~
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ELECTRICAL PERMIT APPLICATION
City lob Number Co01 ZOO {..( - 00 L/ b I
Lo.CAI1o.N o.F INSl'ALLA110N
3300 6-A-Tt:Wt4-<7
/
1.
ST-
A.
LEGAL DESCRIPTION
1703 zzZ_D 0/700
JOB DESCRIPTION LO W V D {~e:--
'b.;3- rA / C o-A Y , S f t-;4-(C.e:C'tLS
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Service Included
1000 sq ft or less
Each additiOnal 500 sq ft or
portiOn thereof
Each Manufact'd Home or
Modular Dwelhng Service or
Feeder
$50 00
B. Sen ices or Feeders - Installation, Alterations or Relocation:
CONTRACTOR INSTALLATION ONLY
2.
Electncal Contractor -ri3 1- fV!O'/ / (.j t .
200 Amps or less $ 63 00
201 Amps to 400 Amps $ 75 00
Address -~3 -rU,'zeE. MI,-E ])2 . 401 Amps to 600 Amps $12500
...... 601 Amps to 1000 Amps $163.00
City JLA~( S?eL-L- M~hone !fo~-75"5 - /~5"5' o~lilTm(f~s(yfll!l~n law reqllirp.~ youf\j75 00
57'96/ Re€~e:QjjI€)8liildopted by the Oregon Utilijo 00
Notification Center. Those rules are set forth
on Clteii\po:r:a'lfY(8e-OO<116 tn-rl)~'~AR 952-001-
~ 0090. You may obtain copies of the rules by
InstanagQheMOO1a~I(rq\)~IWl!ti003phone
~ijl}t~ twlt!s~ Oregon Utility NotJficatidb'io 00
20 I Amp9~OO ~ti\r!JOO-332-2344). $ 69.00
401 Amps to 600 Amps $100 00
Over 600 Amps or 1000 Volts see "B" above
D. Branch Circuits
Supervisor License Number
ExpiratIOn Date
Constr ContI' Number / yo.9 5" 6"
;j /1/ p610
I 1
SIgnature of SupervisIng ElectncIan
~~/
/'
ExpIratiOn Date
New Alteration or Extension Per Panel
One CirCUIt
Each AddItional CIrCUIt or With
Sw-GJ'db'rtEeeder PermIt $ 300
THIS PERMIT SHALL EXPIRE IF THE WQRK
E. A~r~q~l~rr.~es~~lJ!jl?fflfff~tp~~ rtwT~te?~()fach Installa tioll
COMMENCED OR IS ABANDONED FOR.
PJtro99r8tr~~A1rpER10D . $ 50.00
SIgnlOuthneLlghtmg . $ 50 00
LimIted Energy/ResldentIal $ 25 00
LimIted Energy/Commercial / $ 45 00
$ 43.00
#eW&~ LLC
TJc:I-flm('~ red
Owners Name
Address ~I..( 0
CIty .s +> I~~
Phone
OWNER INSTALLATION
l.(~
The lllstallatiOn IS beIng made on property I own whIch
IS not mtended for sale, lease or rent
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
L()
5/~-
Lf s-o
52-- ~
4. SUBTOTAL OF ABOVE
Owners SIgnature
7% State Surcharge
10% AdmInistrative Fee
TOTAL
Inspection Request: 726-3769
Shared Dnve(T )/BUlldll1g Fonns/Electncal Penmt ApplIcatIOn 1-03 doc
_s~~
~
Status
Issued
CITY OF SPRINljIilELD.
Building/Combination Permit
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04/23/2004
EXPIRES: 07/1312005
VALUE: $ 3,712,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3300 Gateway St
ASSESSOR'S PARCEL NO.: 1703222001700
Springfield TYPE OF WORK: Retail
TYPE OF USE:
PROJECT DESCRIPTION: Best buy and Shell building - Two commercial buildings
Owner: NEWGATE LLC
Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477
Contractor Type
Architect
General
Electrical
Landscape
Mechanical
Plumbing
Sewer
I CONTRACTOR INFORMATION'
Contractor
MILDREN DESIGN GROUP
MEGA PACIFIC CO 63108
NEWWAYELECTRICINC 51088
NEW GROWTH LANDSCAPE 7425
COMFORT ~IrQ~.:TIC:~ Qregon law requiret690u to
ST A TEWID~l~~~rlf~ic~~~~hCSy the Oreg~~fMY
EGGE S~~?.:;~.~~~ I aMd~ Thnc:;p. rule: ?re "s;~ forth
In OAR g5BlI]mrolSaYll{"'4~~'J.~~{-1r-001.
0090. You may obtam COplt::l~ Villi... .d'es by
calling the ~9ftftmr~ote: the tel~~ho~e 1
~umber for ~tl9{)5trb1iili~ Notiflcatiq@.oo
S-l CenMIlS qt:b~32-2azbFJ.ed Air Gas
VN Water Type: Electric
Range Type:
Energy Path:
Sprinkled Building:
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
n/a
I DEVELOPMENT INFORMATION.
~Hrn C ~ :Overlay Dist:
THIS PEF#\SihceHNtksERRJBE IF THE WORK
AUTHORI~[{e~6f<<RR1idIS PERMIT IS NOT
CO WI M E \'f~ ffiIf9~ <r~v,ll.QgAiDO N ED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
New
Commercial
Expiration Date
Phone
503-244-0552
503-238-3772
541-686-2365
503-439-3341
541-726-0100
541-461-8973
541-485-1515
01116/2006
06/27/2005
04/30/2005
06/27/2005
08/03/2005
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
51,100
1,972
REQUIRED PARKING
Total:
Handicapped:
Compact:
FullV Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
To Storm Sewer
Pal!e 1 of 6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04123/2004
EXPIRES: 07/13/2005
VALUE: $ 3,712,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
A.C. - Com mer
Estimate
Pavinl!
Sprinkler Svs
Stores
AC - Commercial
Estimate
Use Bid Amount
Sprinkler System
VN
$ Per Sq Ft
or multiplier
$4.20
$1.00
$1.00
$2.60
$47.70
Square Footage
or Bid Amount
45,000.00
260,000.00
1,000,000.00
45,000.00
45,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$189,000.00
$260,000.00
$1,000,000.00
$117,000.00
$2,146,500.00
$3,712,500.00
06/03/2004
06/03/2004
06/03/2004
06/03/2004
06/03/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $5,004.61 4/23/04 2200400000000000398
Plan Review Fire & Life Safety $3,079.76 4/23/04 2200400000000000398
+ 10% Administrative Fee $5.00 6/22/04 2200400000000000828
+ 7% State Surcharge $3.50 6/22/04 2200400000000000828
Temp Power 200 amps or less $50.00 6/22/04 2200400000000000828
-Mechanical Issuance Fee- $10.00 6/24/04 1200400000000000973
+ 10% Administrative Fee $1,448.36 6/24/04 1200400000000000973
+ 7% State Surcharge $769.50 6/24/04 1200400000000000973
Air Handling Unit Up to 10,000 $16.00 6/24/04 1200400000000000973
Backflow Device $14.00 6/24/04 1200400000000000973
Building Permit $9,057.90 6/24/04 1200400000000000973
Curb cut Permit $75.00 6124/04 1200400000000000973
Encroachment Permit $120.00 6/24/04 1200400000000000973
Exhaust Hoods $27.00 6/24/04 1200400000000000973
Fixture $826.00 6/24/04 1200400000000000973
Furnace - more than 100,000 $135.00 6/24/04 1200400000000000973
Furnace - up to 100,000 btu $36.00 6/24/04 1200400000000000973
Gas Outlets 1-4 $4.00 6/24/04 1200400000000000973
Gas Outlets 4+ $8.00 6/24/04 1200400000000000973
Paving $3,490.65 6/24/04 1200400000000000973
Plan Review CommlInd/PubIic $2,995.53 6/24/04 1200400000000000973
Plan Review Fire & Life Safety $1,843.40 6/24/04 1200400000000000973
Planning Final Occy Inspection $143.00 6/24/04 1200400000000000973
PW Mult Disc - 3rd Permit $-60.00 6/24/04 1200400000000000973
Sanitary Sewer - 1st 50 Feet $45.00 6/24/04 1200400000000000973
Sanitary Sewer Each AddtI 100' $70.00 6/24/04 1200400000000000973
SDC Sanitary/Storm Admin $145.00 6/24/04 1200400000000000973
Sidewalk Permit + Addtl Sq Ftg $372.50 6/24/04 1200400000000000973
Storm Drainage Impervious Area $2,900.00 6/24/04 1200400000000000973
Storm Sewer - 1st 50 Feet $45.00 6/24/04 1200400000000000973
Storm Sewer Each Addtl 100' $462.00 6/24/04 1200400000000000973
Vent Fan $6.00 6/24/04 1200400000000000973
Pal!e 2 of 6
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
+ 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Irrigation Pump
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
04/27/2004
Fire Department Review
07/06/2004
Initial Review
Planninl! Review
04/2712004
04/27/2004
Public Works Review
Structural Review
04127/2004
04/27/2004
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04/23/2004
EXPIRES: 07/13/2005
VALUE: $ 3,712,500.00
$45.00
$196.00
$275.10
$192.57
$1,290.00
$45.00
$375.00
$441.00
$225.00
$375.00
$9.50
$6.65
$14.00
$50.00
$31.00
$4.50
$3.15
$45.00
6/24/04
6/24/04
6/29/04
6/29/04
6/29/04
6/29/04
6/29/04
6/29/04
6/29/04
6/29/04
10/14/04
10/14/04
10/14/04
10/14/04
10/14/04
1/13/05
1/13/05
1/13/05
$36,771.18
I Plan Reviews I
05/05/2004
OK
GRG
07/06/2004
OK
GRG
04/27/2004
04/28/2004
OK RJB
APP EMM
05/05/2004
04/28/2004
APP SB
WE JMP
Pal!e 3 of 6
1200400000000000973
1200400000000000973
2200400000000000866
2200400000000000866
2200400000000000866
2200400000000000866
2200400000000000866
2200400000000000866
2200400000000000866
2200400000000000866
1200400000000001472
1200400000000001472
1200400000000001472
1200400000000001472
1200400000000001472
1200500000000000056
1200500000000000056
1200500000000000056
See attached documents for fire
department plan review comments.
Plan Review: Wet sprinkler system
submittal for Best Buy Project. Job
#COM2004-00461. Company:
OmIid and Swinney. Designer:
Shawn Fenneran, NICET Level III
Technician.
Exterior fire alarm bell shall be
located on outside wall of riser room
above fire department connection.
Provide relief valve not less than 1/4
inch for gridded system per NFP A
13-2002, section 7.1.2.
As per approved Site Plan Review
DRC2003-00063 and required
conditions
4/28/2004 See attached fax sent to
Gene Mildren requesting 6 items of
missing information. 5/7/2004 See
attached fax cover sent to Jack Kriz
with 13 points in structural review
CITY OF ~.[I1<INGFIJtLD .
Building/Combination Permit
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04/23/2004
EXPIRES: 07/13/2005
VALUE: $ 3,712,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/02/2004
06/02/2004
WE JMP
Structural Review
06/09/2004
06/09/2004
10 JMP
Structural Review
06/10/2004
06/10/2004
APP JMP
SUB Review
04/27/2004
05/07/2004
WE JF
SUB Review
06/0212004
06/11/2004
WE JF
SUB Review
06/16/2004
06/16/2004
APP JF
Received responses to structural
review. Items 12 and 13 are still
outstanding. 6/3/2004 called Tim
Hovet to report on progress. Special
Inspection forms being signed by
Building Official, energy code forms
to Jack Foster, requested seismic
cales that were ommited from last
submittal and requested balance of
contractor information. Tim said he
would get these items to me soon.
Received, reviewed, and approved, 3
sets of 34 pages of seismic
calculations for the storage racks
and light duty storage fixtures and 5
drawings.
Received Tim Hovet's fax with
balance of contractor information
and entered into system.
Lighting code forms received.
Building Envelope forms requested
by JF from Architect. JMP
requested HV AC forms and
worksheets from Architect.
Received energy code forms. Pass
building envelope and HV AC.
Lighting system review will be
completed upon receipt from
electrical contractor.
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.
!..J3eouiredJnsnections .
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Paee 4 of6
CITY OF SPRIN\j~lELD .
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04/23/2004
EXPIRES: 07/13/2005
VALUE: $ 3,712,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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
Low Voltage: Prior to cover.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
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 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.
Firewall: Located and constructed according to plans.
Foundation: After forms are erected but prior to concrete placement.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Ceiling Grid: After drywall approval but prior to cover.
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 complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Pal!e 5 of 6
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00461
ISSUED: 06/24/2004
APPLIED: 04/2312004
EXPIRES: 07/13/2005
VALUE: $ 3,712,500.00
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 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
Pal!e 6 of 6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Sj:G'; jij
IIIL. .
r.ty of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0046I
COM2004-0046I
COM2004-0046I
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2004-0046 I
COM2004-0046I
COM2004-0046I
Payments:
Type of Payment
Cash
Change
1/13/2005
RECEIPT #:
1200500000000000056
Date: 01/13/2005
Description
+ 7% State Surcharge
+ 10% AdmIlllstratIve Fee
Low Voltage - CommercIal Indus
Paid By
TELMON INC
TELMON INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb
dJb
In Person
In Person
Payment Total:
Description
+ 7% State Surcharge
+ 10% AdmInIstratIve Fee
Low Voltage - CommercIal Indus
Paid By
TELMON INC
TELMON INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb In Person
dJb In Person
Payment Total:
Page I of I
1l:11:40AM
Amount Due
3.15
450
45.00
$52.65
Amount Paid
$55.00
($2.35)
$52.65
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$55 00
($2.35)
$52.65