HomeMy WebLinkAboutBuilding Fire 2008-9-15
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225 FJFI1-l STREET . SP~GFIELD, OR 97477 . PH:(S4I)726-37S3 . FAX: (541)726-3689 ,.
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ELECTRICAL PERMIT APPLICATION
City Job Number {OW1 Z-~7- 0 10 , L(
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3.
71~1 /2.51. ').or,,,-c, -,,110 I
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A. .. "R .d.-t."I""'S'-.'-I'-.....,."lti.'E'''.T.I-~. 'd'm.m'I"I"""'..-'u'...
. _ ew;;! esl en Ul t'7:fi III eior#,t:U.u ':'.l'.aml ~i er'/ we III [um
LE~ =sa::J:7~ ~ ~Z;} DO s CO S~:;::~:~:~:~-~-_...g-~~.._..~'_._-y,p~..g~-~ "
Electrical Contraclor ,ST Yo J<<'iA-t, / P1< 200 Amps or less $ 73.00
20a_~ ~fu'\mps $ 86.00
Address (o;;;>(fn fYm!lI/(~TJpI(N Orego; ~~'tt~&.lJii'iJl\l~(jIi~ps $143.00
, . '." ,,'(:;,.,.-, ,,,,,,pie 1"'''''''~fiieMR;: $186,00
~. .";,,, "Ii", Center. Thos(6fil_ 2:{11. ps
City ::::> r: . Phone :~tR.'7(GI~001 0 IhrC(;)~<jl~~~g ylts $426,00
0090. You may obtain co~~mt~~ne $ 57.00
? calling Ih~;:~:~ci~i~~~Jl~t\9~.'.lr-il_~.-1i
Supervisor License Number ,) :<~~s 1,80'tr " ~~!:l!1.~J'_y._ejiders, ,. . ~
Expiration Date / r?-- I - Z &:.9);> Installation, Alte'i'ation'.or Relocation
200' Amps or less fi
.. I
"201 Amps to 400 Amps
, .
40 I Amps to 600 \^unps
Over 600 Amps or 1000 Volts see "B"
D.
Signature of Supervising Electrician
QL '
New Alteration or Extension Per Panel
- / ~.// p~ ,. ~ One Circuit "
~ /---- - ...,1',:.. Each Additional ~~
L ( G' lt9~' s'Wili~~~m=eFRMt\'t MOt $ 5,00
Owners Name I~~; ~ I ~ T~rZc:n.'m!~'i\k~t~,~j,""@6';Z"lIT"~_~:fl::"'~"'[I('""-.",,,
Address. 72\ c...P"'~ "., L I.AU11~cE6~mlIjlr!.'l!~!C.'!!.a-~g~lIt;,ij!gJ!.d~),;:;;JE'!cIi..ln'i...ta.!lati!!.n
City~&,L~~"'c=. Phone 7h8~~Y~\~gatioI) $57.00
Sign/Outline Lighting $ 57.00
,.
Limited'Energy/Residential ,,$ 29.00
r ~"'_ .
. Limited Energy/Commercial / $~O
Minimum Electric Per;"it Inspection Fee is $52.00:=r Surcharges
JOB DESCRlPTION:
hfLc ALMM ~\~((
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~O~~eR&sxAfl1fMJfioMram~1
2. ~~'w.,'mi'\''I!1f.;r~~iDillE:90\%'1lf%'C+'9i'1ci;1;'"it'52;;S5ji%i~
Constr. Contr.. Number /C)14G!s<
Expiration Datc 69>- e>g-- 2c:09
OWNER INSTALLA 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
1000 sq. ft. or les~
Each additional 500 sq, ft. or
portion thereof :
11
Each Manufact'd "Home or
Mod!,lar Dwelling Service or
Feeder
$121.00
$ 22.00
$57.00
$ 57.00
$ 79.00
$II4.00
$ 50.00
4.
1\'1'
&.
<;
7-r"""
12% State Surcharge
I 0% Administrative Fee
5% Techn<110gy F~e
TOTAL b ~
Shared Drive(1':)lBuilding Forms/Electrical Pennit Application 7-08,doc
..
,
,
'Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 03/10/2009
VALUE: $ 100,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4181 EST'
ASSESSOR'S PARCEL NO.: 1702322300300
Springfield
TYPE OF WORK: Interior
r
TYPE OF USE: Alteration
Overlay Dist:
# Street Trees Rqd: ,
.f.l!~ed Drive Rqd:
IVof4 ,,'"(Coverage: .
X~~ P~RMIT S'HAlt EXPI~~ II: TUI: '""JIm
PU - . ' ISPERMlr IS Nor
ANY 180 DAY PER;~;t NDQh@:liOR-ype:
PROJECT DESCRIPTION: The Arc of Lane County renovation
Owner: LINCOLN CAPITOL II LLC
Address: 725 COUNTRY CLUB RD
EUGENE OR 97401
I CONTRACTOR INFORMATION 1
"
Contractor Type
Architect
General
Electrical
Low V oltage Electrical
Mechanical
Plumbing
r.< t ' L' ,
,,-ontrac or '" Icense
AFFOLTER WEST.& JONES ,
ESSEX GENERAL CONSTRUCTION 5453i
"
REYNOLDS E~ON 17252
SECURETEC, ...... '",,,';'<>0,,,,, .........
MARTIN CA~~~loPted by the Or ~
BARON PLukt~01_~~1T~oseru/es tlliIy
36"". ~,;_, '11~_...,. 11
calli1\j\iiJI~t)~ ' '001.
numb~r fo;~\.;~' J, I~ote:. the telePhone',es by
Cen t 1..slfv>:.,1f!!!/ty NotiticaiJo
A-3 . " ~'f'344) . Il
Type of Heat: . ,I
Water Type: '"
Range l)pe: ':
Energy Path: ''1fi{~-
Sprinkled' Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primal)' Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
. I, n/a
I DEVELOPMENT INFORMATION 1
Frontyard Setback:
Side I Setbaclc
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
CITY OF SPRINGFIELD
Commercial
Phone Number: 541-988-0200
Expiration Date
Phone
54] -342-6511
541-342-4509
541-343-7297
541-521-2837
541-736-3438
54]-935-1081
11110/2008
02/08/2009
08/08/2009
04/07/2010
05114/2009
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm Sewer Available: ' Downspouts/Drains:
Special Instruction:
-.. ..."..
Notes:
Page 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
Estimate
Estimate
Fee Descrintion
Plan Review CommlInd/Public
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Minimum/Adjnstment Mechanical
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 50/0 Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Heat Pump
Temp Occupancy
Temp Occupancy
Temp Occupancy
+ 100/0 Administrative Fee
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
FLS Safety Systems Review
Low Voltage - Commercial Indus
Minimum/Adjustmeot Electrical
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01094
(SSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 03/10/2009
VALUE: $ 100,000.00
Ii
l Valuation Oescriution I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$376.96
$40.00
$89,68
$13.65
$58.49
$71.75
$622.84
$224.00
$36.00
$27.89
$249.14
$273.00
$652.93
$858.67
$75.58
$14.00
$10.80
$5.40
$8.64
$48.00
$60.00
$9.80
. $4.90
$7.84
$98.00
$100.00
$100.00
$200.00
$5.20
$15.00
$6.24
$2.60
$150.00
$50.00
$2.00
Square Footage
or Bid Amount
100,000.00
Value
Date Calculated
Total Value of Project
'.
,
$100,000.00
$100,000.00
09/26/2007
'Fpp<, ~
Date Paid I,
7/24/07 II
10/19/07~
10/19/07,'
10/19/07
10/19/07
10/19/oi
10/19/07
10/19/07',
10/19/07'
10/19/071'
10/19/oi
10/19/07
10/19/07
10/19/07'
10/19/07,
10/19/071,
,10/22/071,
10/22/07,
10/22/07"
10/22/07 :
1 0/22/07,
11/13/07:
11/13/07':
"
11/13/07,
ll/13/07 '
ll/30/07 ::
4/2/08
4/2/08 Ii
9/15/08
9/15/08
9/15/08
9/15/08
9/15/08
9/15/08
9/15/08
Receipt Number
1200700000000000956
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
, 1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
1200700000000001324
2200700000000001618
220070000000000t618
2200700000000001618
'2200700000000001618
2200700000000001618
2200700000000001700
2200700000000001700
2200700000000001700
2200700000000001700
2200700000000001760
2200800000000000398
2200800000000000398
2200800000000001387
2200800000000001387
2200800000000001387
2200800000000001387
2200800000000001387
2200800000000001387
2200800000000001387
!i
Page 2 01'5 I,
~':
CITY OF SPRINGFIELD'
;Building/Combination Permit
"
Status Issued PERMIT NO: COM2007-01094
225 Fifth ~treet, Springfield, OR iSSUED: 10/19/2007
APPLIED: . 07/24/2007
541-726-3753 Phone EXPIRES: 03/10/2009
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: . $ 100,000.00
Total Amount Paid $4,569,00
Plan Reviews 1
Initial Review 07/25/2007 07/26/2007 APP LcH
Structural Review 07/26/2007 07/3112007 WE JMP See attached documents for 6
structural comments faxed to Kent
Affolter.
'.
Planning Review 07/27/2007 08/02/2007 WE EMM Left Message for Angela Phinney of
. ARC of Lane county to discuss
LUCS requirements and request
letter for parking uses and times.
Talked to Angela on 8/2/07. Will
send letter regarding parking.
Public Works Review 08103/2007 08/06/2007 APP JHJ Attached SDC WorKsheet. (JHJ)
Plan Review Comments 08/13/2007 10 JMP WE. Received incomplete responses
from Kent Affolter. Stilhvaiting for
items 3 and 4 (contractor and
valuation data).
SUB Review 07/27/2007 08/13/2007 WE Dfi See JMP's attached documents for
item 2 requesting the energy code
forms and information.
Ij
Fire Deoartment Review 07/27/2007 08/24/2007 OK G~G See attached document for Fire
Department Plans Review
comments.
Plannine: Review 08/27/2007 08/27/2007 APP EMM Owner or representative needs to
~: sign MDS LUCS sheet before
, building permit is issued. 11
additional'street trees, 8 catch basin
filters, 6 bicycle parking spaces, 90
parking spaces with 4 disabled and
screened trash receptacle need to be
installed before occupancy.
Plan Review Comments 09/19/2007 10 JMP JMP delivered Kent Affolter's
responses to Fire's comments t.o
Gilbert (in his absence),
SUB Review 10/12/2007 10/12/2007 ' APP DH See attached documents for SUB
plan review approval.
Pa2e 3 of 5
,_~FlI!"!I:l,Ig:II\lI--:!l!;
'I ~.
'$.. l'
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Fir
Structural Review
Initial Review
Structural Review
Fire Department Review
. Initial Review
Fire Deoartment Review
10/16/2007
10/18/2007
10/22/2007
10/22/2007
10/22/2007
08/27/2008
08/29/2008
10/16/2007
10/18/2007
10/22/2007
10/22/2007
11/14/2007
0~/29/2008
09/03/2008
CITY OF SrKlJ"lJFIELD
. Building/Combination Permit
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007
EXPIRES: 03/10/2009
VALUE: $ 100,000.00
OK GRG
APP DJP
APP LLH
APP
OK GRG
APP. LLH
APP BJP
See' attached document for Fh-e
Department Plans Review commcnt5
for revised submittal and architect's
responses.
Appv'd 101607
. Small Wall Revisions forwarded to
RWC and GRG
Two Wall Revisions
Plans Review: Minor
revision/addition of stub wall. Job
#COM2007-01094. No change in
earlier tire department plans review
comments. Refer to fire-department
plans review comments dated
8/23/07 and 10/16/07.
Fire Alarm Plans
Fire Alarm Plans
Fire alarm system plan review
com2007-1094. This occupancy is
proposed to be changed from a B to
an E occupancy pending land use
approval.
Strobe needed in bathroom in SW
corner
Mount strobes within IS' of end of
corridors by rm 101-105
Synchronize strobes in corridors
with 2 or more devices
Smoke alarm and fire alarm pull
station to be mounted by fire alarm
panel
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.
l....iliaIi.irfrI I O'l'ections ~I
I
,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Pace 4 01'5
CITY OF SPRINGFIELD
Building/Combination Permit
Status'
Issued
PERMIT NO: COM2007-01094
ISSUED: 10/19/2007
APPLIED: 07/24/2007.
EXPIRES: 03/10/2009
VALUE: $ 100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Pax
54 I -726-3769 Inspection .Line
,
Firewall: Located and constructed according to plans.
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 tn cover and includingrequired testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: Wh.en all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 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 ofthe property, and the Jlpproved set of plans will remain on the site at all
times during construction.
Owner or Contractors Sigl13ture
Date
Page 5 01'5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0J094
COM2007-0 I 094
COM2007-01094
COM2007 -0 i 094
COM2007,0 I 094
COM2007-0 I 094
COM2007-01094
Payments:
Type of Payment
CreditCard
cRcccintl
"
RECEIPT #:
! City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001387
Date: 09/15/2008
Description
Low Voltage - Commercial Indus
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
Paid By
SECURETECH INC
Item Total:
Check Number 'Authorization
Received By Batch.Nu-mber Number How Received
djb
015957 In Person
Payment Total:
" '
Page.! of I
8:35:40AM
Amount Due
50,00
2,00
2,60
6,24
5,20
150,00
15.00
$231.04
Amount Paid
$231.04
$231.U4
9/ 15/2008