HomeMy WebLinkAboutPermit Electrical 2009-4-22
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726.3689
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Permit no,: -: I
I Date: 00>' I
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work .is not started within 180
days of issuance or if work is suspended fnr 180 days.
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I Residential, per unit, service included:
11,000 sq.'ft, or less (4)
I Each additional 500 sq, ft, or portion
thereof
I Limited energy (2) ( $ 32.00, $.$2
I Each manufactured home or modular I
dwelling service or feeder (2) $ 63.00 $
r Services or feeders: installation, alteration, relocation [
I 200 amps orless (2) $ 81.00 $ 'I
1 20 I to 400 amps (2) $ 95,00 $1
1 Name: s-Pf l) SQ+vC-L 6/ S I 1 I 401 to 60~.'I"lll' (2) $158.00 $ 1
1 Address: 5 z.. ') vW ( l L. jN lb(jpijll9.))iog\~ii,~~P) $205,00 $ I
I City. 'S l>P,) 1 State: OiL. 1.zJi?';t~~~ \~leQiffJ,QOO~.J;Ap,~~<volts (2) $469,00 $ 1
I Phone' I Fax; /'.\) ~~~\~~ aJ:r "\1\' sal~:%~cgD'n,?:!~~y,(-i))'! 1 $ 63.00 $1
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1 E-mail: \V"~\\ca\\O\ \ v 0'\ ~QO \ ~ ~ Ic(l ;)l)f'!1P~or~f'y\s~F'vj.i:~~~ or feeders: installatIOn, alteration, relocatlOn I
t.)o\1 ~."'?"O ".~\(\ ,jt2bil"~ "~es~" I
This installation is being made on residen~w<Of'f1Uii\P(ojle\:%:~l. ~'t. ,,~,,~P'S(o~ s (2) $ 63,00 $
owned bl: me or a member of my immedia~~\famil~~l\~ ca,' Ole )01' 2'ojaO?4\fu~ps (2) $ 87.00 $ 1
property IS not mtended for sale, exchange,'e~\or<;}f'l61<IDfR: \ /,0 ,,,,'
479.540(1) and 479,560(1), \\\),IO'Oa ce(\\el IS 1401 to 600 amps (2) I $126.00 1 $ I
Signature: ~ Over 600 amps or 1,000 volts, see services or feeders section above \
1~-mC:ONm~c:mOR~INsml!i1El!'P.iif;ION~~fit~J'f~1 I Branch circuits: new, alteration, extension per panel 1
J Business name: Pev!uq:-L- ....,-,.r.\..,......('olo p;e....> J",,- ___~ I I a. Fee for branch circuits with purchase of a service or feeder fee: I
I Address::}>!) ~<>l 4053'" - 1 I Each branch circuit 1 I $ 6.00 I $ I
I City: ,; v",. <L- I State: o{L 1 ZIP: q 7</0 If I 1 h, Fee for branch circuits without purchase of a service or feeder fee: 1
I phone:541-91f-5114 I Fax:54J -'i98'-SJ;C 1 I First branch circuit (2) ,,~5,OO $ I
E-mail: Each additional branch circuit .(~' ~~ ~: -~"\;.oo $ 1
CCB license no,: Ii, /1./ S.... I BCD license no,: ;)<j-53). CLf: Miscellaneous fees: servic;.fQf/;d.!i.'(l.~. Jfm I
I Signing supervisor's license no,: 3&'"G.3L lOA ' Each P.Wl' or iITIe~'-1r~:~.:;:\"'C.\)' r $ 63.00 I $ I
Printnameofsigningsupervisor:C~r:Jbo\o.<.r ~v<f"''-'' 1,~1.\~~~~~~~~~" I $ 63,00 I $ I
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'7:> .0 (A) Enter subtotal of above fees I
I\~, J()\t' (Minimum Permit Fee $58.00) $ 5 B
""... \.,'t:;j'<, 1 (B) Enter 12% surcharge (,12 x [A]) $ b ,l:.
'.- u. I (C) Technology Fee (5% of[A]) $ Z ycr
\0 I TOTAL fees and surcbarges (A through C): $ b 7 ~
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\ 0 Residential I 0 Government I [}l Commercial -
~jOBJSlmE~I~lioRIVIl\;nIONrt'ANI;l~fj12iCi:'AljION~i'!!ll5~!1
Job site address: ::<10"( J f,;+ I
I City: ~P/:",Qd' I State: o(/., I ZIP; 1'7478' I
1 Subdivision:/703 -s:: br Z I Lotno,:OOfOC
1!:Il"_12..."",,""_'''r~--' .. .'.' '''' '.-- ' ~""~"Ii!'!lf~
1~:::4~~~:R.IPv:;T;IQN;r~17c2"\(0R.!<~~~'~","!'i&J1
I I
440-2584-J (9/08/COM)
$134,00
$
$ 25.00
$
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Status
Issued
CITY Of< :'St'KINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00438
ISSUED: 06/1212008
APPLIED: 04/0112008
EXPIRES: 10121/2009
VALUE: $ 10,783,928.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Springfield TYPE OF WORK: School
SITE ADDRESS: 2109 J ST
ASSESSOR'S PARCEL NO.: 1703361200100
TYPE OF USE: New
PROJECT DESCRIPTION: New elementary school- Maple Elementary
Public
Phone Nnmber: 541-726-3218
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST '
SPRINGFIELD OR 97477
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor Type
Architect
General
Electrical
Fire Contractor
Low Voltage Electrical
Plumbing
Sewer
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMA TION I
License
Expiration Date
Phone
541-342-8077
541-726-8081
541-686-8612
541_485-4456
541-521-2837
503-588-0355
(541) 935-2221
Contractor
DA VE GUADAGNI, AlA
JOHN HYLAND CONSTRUCTION INC 46071
SCOFIELD ELECTRIC 38702
INT,I;i~I~Nf,"Jl,~IzIk.C~~<i>.NI<i'ES~Y1S'IiE~, to 165599
SElpJl1BWHl~!:/ JJ'j~")ted by the Oregon Utility 156618
O~GQ~I<?AS.tEA'DE P,1b\JM:BIJif(~ l~[flffGffJ\ltq 27
H~ROtJDfRRIMR~SttCElX~N~\\ (jl{N'&52.001165764
UU~~liin'~~~~'~~~I;~UIL1f~HGd~0k~~I'ON I
number for the Oregon UliIllY I~OlITlCallOn
Center is 1-800ali:sfu:i:iM~).
E ' Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
07/11/2010
12121/2009
07/13/2009
08/08/2009
11/25/2010
07/26/2009
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
403,80 i
51,598
liB
Yes
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
#Rmt~s Rqd: fandicapped:
P~,,~fI;~~~. SHlILL EXPIRE IF THE WO\ompact:
%A~fHbRVKtl'UNDER THIS PERMIT ISRNO
l""'n~n~~!rFn OR,IS ABANDONED FO
I PUBL1cA~~EiiiiS4D.
, Sidewalk Type:
DownspoutslDrains:
Pa2e 1 of 7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriDtion
Tvpe of Constrnction
Estimate
Estimate
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ ]0% Administrative Fee
+ 12% Slate Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Minimum/Adjustment Electrical
-Mech Iss 2+ Appliances-
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit 10,000 & Ovr
Backflow Device
Boiler/Comm 30-50 HP
Boiler/ColliI' Up To 100,000 btu
Building Permit
Dryer Vent
Evaporative Coolers
Exhaust Hoods
Fire SF Fee - Non-Residential
Fixture
Gas Outlets 1-4
Gas Outlets 4+
.Miscellaneons Plumbing
Not Covered Mechanical
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtlIOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Thermal Unit
Vent Fan
Water Line. 1st 50 Feet
Water Line - Each AddtlIOO'
I Valuation Deseriotion 1
$ Per Sq Ft
or multiplier
$1.00
Amonnt Paid
$25,266.51
$15,548.62
$5.50
$6.60
$2.75
$55.00
$2.10
$2.52
$1.05
$21.00
$40.00
$4,822.94
$5,168.35
$2,153.48
$85.00
$48.00
$147.00
$42.00
$38,871.56
$7.00
$20.00
$20.00
$5,159.80
$2,736.00
$5.00
$6.00
$ I 50.00
$100.00
$50.00
$32.00
$50.00
$480.00
$300.00
$42.00
$50.00
$128.00
Square Footage
or Bid Amount
10,783,928.00
Total Value of Project
!<,pp<, P'IilLJ
Date Paid
4/1/08
4/1/08
6/9/08
6/9/08
6/9/08
6/9/08
6/11/08
6/11108
6/11108
6/11/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
6/12/08
Paee 2 of7
CITY OF SrKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2008-00438
ISSUED: 06/12/2008
APPLIED: 04/0112008
EXPIRES: 10/2112009
VALUE: $ 10,783,928.00
Value
Date Calculated
$10,783,928.00
$10,783,928.00
04/01/2008
Receipt Nnmber
2200800000000000382
2200800000000000382
2200800000000000850
2200800000000000850
2200800000000000850
2200800000000000850
1200800000000000640
1200800000000000640
1200800000000000640
1200800000000000640
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
120080000000000Q647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
1200800000000000647
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Line
+ \0% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Commerciallndns
Perm Serv/Fdr \000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 601 to 999 amps
+ 10% Administrative Fee
FLS Safety Systems Review
+ 12% State Surcharge
+ 5% Technology Fee
Sign - Outline Lighting Each
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
***+ 100/0 Administrative Fee***
FLS Safety Systems Review
***+ ] 00/0 Administrative Fee***
FLS Safety Systems Review
+ 12% State Snrcharge
+ 5% Technology Fee
Low Voltage - Commerciallndns
Total Amount Paid
Fire Department Review
Fire Department Review
12/12/2008
03/19/2009
Initial Review
04/02/2008
Initial Review
04/15/2008
Structural Review
04/15/2008
$389.90
$467.88
$194.95
$1,352.00
$100.00
$4\3.00
$1,190.00
$664.00
$180.00
$52.80
$528.00
$7.56
$3.15
$63.00
$6.96
$2.90
$58.00
, $164.10
$1,641.00
$12.00
$120.00
$6.96
$2.90
$58.00
$\09,304.84
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
12/3/08
12/3/08
1/28/09
1/28/09
1128/09
1/30/09
1/30/09
1/30/09
2/5/09
2/5/09
4/3/09
4/3/09
4/22/09
4122/09
4/22/09
I Plan Reviews 1
04/08/2008
04115/2008
04/25/2008
WE LLH '
APP LLH
WE LLH
Pa2e 3 of 7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00438
ISSUED: 06/12/2008
APPLIED: 04/0112008
EXPIRES: 10/21/2009
VALUE: $ 10,783,928.00
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
1200800000000000832
3200800000000000775
3200800000000000775
3200900000000000045
3200900000000000045
3200900000000000045
1200900000000000063
1200900000000000063
1200900000000000063
2200900000000000138
2200900000000000138
2200900000000000334
2200900000000000334
1200900000000000290
1200900000000000290
1200900000000000290
Fire Protection
Plans from Sanderson Safety for
hook up aosul hood ~upressioll
system to pre piped hood.
New plans will be submitted - do not
process
Plans resubmitted 4/14/08 and
routed 4/15/08
Letter mailed to Dave Guadagni
with Robertson Sherwood
Architects from Mick Nolte with the
Building Department nnder contracl
with tbe City of Springlield asking
for resolntion or acknowledgement
prior to permit issuance. See
attached documents.
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2008-00438
225 Fifth Street, Springfield, OR ISSUED: 06112/2008
541-726-3753 Phone APPLIED: 04/01/2008
541-726-3676 Fax EXPIRES: 10121/2009
541-726-3769 Inspection Line VALUE: $ 10,783,928.00
Plannine: Review 04/15/2008 05/06/2008 APP SPH To be constrncted per approved
Final Site Plan DRC2007-00075.
Pnblic Works Review 04/15/2008 05/06/2008 APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
Fire Department Review 04/15/2008 OS/25/2008 OK GRG See attached document for Fire
Department Plans Review
comments.
SUB Review 04/15/2008 OS/28/2008 APP JF Energy Review approved. See
attached documents.
Structural Review 06/02/2008 06/06/2008 APP LLH Plans reviewed by Mick Nolte at the
Building Department nnder contract
with the City of Springfield. See
attached documents for plan review
response from Dave Guadagni,
Robertson/Sherwood Architects.
Plan Review Comments 07129/2008 07/29/2008 10 LLH See attached documents for fax sent
to John Saraceno with Springfield
School District asking for electrical
permit fees.
Fire Department Review 12/03/2008 12/03/2008 APP GRG See attached document for Fire
Department Plans Review comment5
for fire alarm system.
Initial Review 12/12/2008 12/12/2008 APP LLH Received plans for Fire Protection.
Routed to Gilbert Gordon for
review.
Pa2e 4 01'7
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. '
Pa2e 5 01'7
CITY OF SPRINGFIELD
Buildin'g/Combination Permit
Status
Issued
PERMIT NO: COM2008-00438
ISSUED: 06/12/2008
APPLIED: 04/0112008
EXPIRES: 10/21/2009
VALUE: $ 10,783,928.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rp~ In<np('tio~
SUB Insnlation 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
Site Inspection: To be made after excavation but prior to setting forms.
UferElectrical Gronnd: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab bnilding service equipment, conduit piping and other equipment items are in
place bnt 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.
Roof Sheathing
Drywall: Prior to taping.
Firewall: Located and constrncted according to plans.
Masonry:
Underslab Plumbing: Prior to filling the trench and inclnding required testing.
Undertloor Plumbing: Prior to insulation or decking.
Rough Plnmbing: Prior to cover and inclnding required testing.
Water Line: Prior to filling trench and including reqnired testing.
Sanitary Sewer Line: Prior to filling trench and inclnding reqnired testing.
Storm Sewer Line: Prior to filling trench.
B:lcktlow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Underslab Gas: After line is installed and required testing and capped if not attached to an appliance.
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Underl100r Mechanical. Prior to insnlation or decking and including required testing.
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.
Rongh Mechanical: Prior to Cover
Pa2e 6 01'7
CITY OF SrKll'\iuFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00438
ISSUED: 06/12/2008
APPLIED: 04/0112008
EXPIRES: 1012112009
VALUE: $ 10,783,928.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all reqnired inspections have been reqnested and approved and the building is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Sign Electrical: After connection is made but prior to energizing
Low Voltage: Prior to cover.
By signatnre, I state and agree, that I have carefnlly 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 withont 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 fnrther agree to ensure that all reqnired 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 7 01'7
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00438
COM2008-00438
COM2008-00438
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000290
Date: 04/22/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DEVLOGIC TECHNOLOGIES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
060907 In Person
Payment Total:
Page 1 of I
II :05:08AM
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
4/22/2009