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HomeMy WebLinkAboutPermit Electrical 2009-4-22 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726.3689 1~1~j!OEf1~RTMENcmUSE!QNil~!~11 ~~~-;J;~:I,,;;-:;'~~.j,'":''':G1-i~;;;;'~)i..'\~.p~~!fttt;;;;;J1.J<'~~ I Co"", ZOO;;-- 00 if '3 g] , 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. ;~~~~t~~~E:E[S:Gff,E:DJiJl1!E~~; 1i~?~;t\1(,~~~~~~~~~"Otlll:"'~;Y:Ilk;~" -'-1tiil~.~':--~' ~~~,,\'i{ir~~~~=~e~1W};g'1,~?r~ ~ ~,~~ ~1%~1 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 ~\,="tJ , ~^'li'- _ t\. tOI" - '" \,\'- CI:J 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 ';~,~o,,;~.,,_;ooc c~'~~~_ li.~~:~ '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 ~ :~=;:p:~~:~~~~~~E~NMEb~~RP.rf~\lg~~1 It~~c'AiJjEGJ:jR:V:.QEJ!l:C:QNsmB!!J01l11~~J!\~lj~B'!I!~:~';\ \ 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 $ _~R\",GI';lm,~:, !i ' g 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