HomeMy WebLinkAboutPermit Electrical 2004-8-10
o CITY OF S~ JNGFIELD. OREGON ,- , .
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22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: b~726-3689 OQ ~'3-..
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ELECTRICAL PERMIT APPLICATION ~~ "~o~. 0.,."" .,0,"....
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CityJobNumber~2C03- 0114 Date b. /O'O'f &", ~"'.~.;,
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l~ LOCATiONOFiNSTALLA~lON . 3. CO.ll1P47'EFEESCHED~ .. ~~c;:~~&1>
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LEGAL DESCRlPTlON
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.. --- --- -- -- - -- -- --,-
JOB DESCRlPTION
~(P
Service Included
A. New Residrnlial- Single or. Muiti'Fa
\0eu \ Cf I e...e v'\
v
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if wurk is Modular Dwelling Service or
Suspended for 180 days. Feeder
. .. .,.' .
. ..'CONfiiACrdR:tJVStJt'}'r~l'tONl)1Vty':: B. ' ~~lf.Jt~kO~Fe;deri:.A;;;;;rii~ij;;~;~ii~t';;tf~~~6i')t:1;~hkh6~r:! ..'
:;eCniCaIContractor r ,~(H^ ~Q)( Jj;I~;JL' ~ ~~ ::::;, " ". '. $ 63.00 .. .' . . .
~ '"') ~~ ~~<lll Amps $ 75.00
Address ..yO U{)'i.. '(.,c8 ~~~~~~(jOO~ps $125,00 .
^ r:J' \~&~~~fWPs $163,00
City t-l-lA.I'Y\S\.): lie Phone o~ftl~ 1!1i\~glts $375,00
~ ~. ~,~~ ~O\'l $ 50,00
'v:>~~ "c:o,.a()'~\'I c09~ '. \'\'Ie \e\~~\\C~~~\'I .... .,. .'. .'.
Supervisor License Number .::I7-~~~1: ~ O'O'J ,.~~Pd~iiemces or'Feeders: ..
, ~ ~()I) . ~\'I\e eQ,Of'o ~7.!l: ' _
J () - I - O~^~\\\'I9J ~~ ~e O\inlR.Jlation; Alteration or Relocation
- ~~. ~~ \
L ~ f;ja('l. 200 Amps or less
Constr. Contr. Number Q ~ } 'iSCf ( 0 '-? 201 Amps to 400 Amps
40 I Amps to 600 Amps
1000 sq, ft. or less
Each additional 500 sq, ft. or
portion thereof
~ $100
~$19'OO
$50,00
Expiration Date
,
00. oD
Expiration Date
II -q -de(
$ 50.00
$ 69.00
$100,00
Signature of Supervising Elecnician
Over 600 Amps or 1000 Volts see "B" above,.
D. Bra'lch Circuils
/, /J / New Alteration or Extension Per Panel
/I ),;).44 ~, ( /f ~c.-v7f . .One Circuii
- - 1/ Each Additiunal Circuit or with
" 1/, ~ Service or Feeder Permit $ 3.00
Owners N~e '*' clWe..\ _" \{l t'Y\ ; 1"\ nl )~l~ LLC. , " ~~~:~
Address-V () ~ (') X Cf"V-! 1/'\ E. MIscellaneous (Service/feeder not iJlni'~~~\nstaUation
(.' 1 W ~~ 'X\~r, W"~~'{<. (\~
City \ I ,--k:.-Ic" vv.{- Phone <j:l 'j ~ <fJ.'6 - L(t(t.( Pump or irrigation ~\.\. r,~ \\c, ~~J\\~~'110
SignlOutlin~~~\\~~ fjY..~ ~. $ 50.00
OWNER INSTALLATION Limited~r~~~~.N>~ ~ \S~'9I" . $ 25.00
The installation is being made on property I own which Limited ~~~I~'(y"~~\I' $ 45.00
is not intended for sale, lease or rent. Miuimum Electr~.riI\~~~tiOn'Fee is $45.00 + Surcharges
Owners Signature: 4. SUBTOTAL ~ 1aOVE
$43.00
7% State Surcharge
10% Administrative Fee
&J.OU
3.60
.~ oc)
-51 , 60
Inspection Request: 726-3769
TOTAL
)
----~ - ----------
__ _______ ~artd Drive(T:)lBuilding FonnslEl.cctrical Pennit Application 1-o3.doc
.-. -- -.-__ ..!........:!. ..,t",;
. 'c"
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01l46
ISSUED: 07/26/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
VALUE: $ 1,199,986.00
.
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5807 Main St
ASSESSOR'S PARCEL NO.: 1702334103600
Springfield TYPE OF WORK: Slore
REQU~ARKING
Overlay Disl: ~~. ,C:> ~()
# Street Trees Rqd: 'l~~ ~1t~~:
Paved Drive Rqd: . \, ~ ~ ~'\:;-
% of Lot Coverage: ~ ~y.'l-~~~ ,\Yl ~~'Vr:::;
_\f\'\\~S-~~\ \;)~'V... \~ ~ .
I PUBLIC IMPROVEME~()~i~\.'V~Vq~~\)"
\>-~\)~~~~Ik Type:
\>-~-4. Downspouls/Drains:
TYPE OF USE:
PROJECT DESCRIPTION: Walgreens
Owner: POWELL-MCMINNVILLE LLC
Address: 737 MARKET STREET KIRKLAND W A 98033
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
General
Electrical
Landscape
Mechanical
Plumhing
~~~::F~~~S ,~~~~l~~l:~ense
CRAWF ~ }~~~l'{~~\~\~~~~
CED ~Q,~v :tI~fi\'\\ ~ er.~ 5843
SOUI\' '~'.e'l9~ ;.ete ~,\ e%, 00
JON :'~'9'. ~~~1~1~~~~~72
\S\v~ "'h' - . "; '--"''''''.l...
~ 'fO\l~ .t",.iL~IN@.INFORMl\ TION I
..... . "'''lTT'"1111
rP~\'TJ \\l" ,..v.99~'3'-'''-
~\.<<t.'rJIft ~.....AllSICo~ ~ories:
'"'1\1 ~.... Heighl of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
28.00
VNSpr
nJa
IUJ'."J'.LOPMEl'u m.uJU>'IATlON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page 1 of8
New
Commercial
Phone Number: 425-828-4444
Expiration Date
Phone
541-302-9790
425-828-4774
541-812- 1300
503-625-3700 X2
714-578-2300
541-607-6163
06/30/2005
10/01/2005
01/27/2005
Lot Size:
Sq Ft 1st Floor: 13,553
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
..'
Occupant Load:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amounl
Use Bid Amount
Use Bid Amount
Bid Amount
Bid Amount
Pavinl!
Fee Description
Plan Review CommJIndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Adminislrative Fee
+ 7% Slate Surcharge
Addressing Assignment
Appliance Not Listed
Appliance Vent
Backflow Device
Building Permit
Fixture
Furnace - more than 100,000
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Paving
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddU 1 00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddU 1 00'
Vent Fau
Water Line - 1st 50 Feet
Waler Line - Eacb Addtll00'
+ 10% Administrative Fee
+ 7% State Surcharge
Temp 'Power 200 amps or less
+ 10% Administralive Fee
+ 7% State Surcharge
Add, Aller, Exlend Circ Ea Add
Low Voltage - Commercial Indus
Perm Serv/Fdr 601 to 999 amps
Sign - Outline Lighting Each
Temp Power 200 amps or less
+ 10% Administrative Fee
.
. LlJ f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01146
ISSUED: 07/26/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
VALUE: $ 1,199,986.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
1,019,891.00
25,095.00
155,000.00
Value
$1,019,891.00
$25,095.00
$155,000.00
$1,199,986.00
Dale Calculated
12/04/2003
12/04/2003
12/04/2003
Total Value of Project
Fpp< PlIi.ILI
Amount Paid
$2,691.42
$1,656.26
$10.00
$521.21
$312.74
$8.00
$9.00
$6.00
$42.00
$3,555.65
$448.00
$30.00
$36.00
$4.00
$2.00
$744.40
$45.00
$14.00
$45.00
$140.00
$18.00
$45.00
$28.00
$5.00
$3.50
$50.00
$107.70
$75.39
$519.00
$45.00
$163.00
$50.00
$300.00
$7.80
Date Paid
Receipt Number
11/14/03
11/14/03
2/11/04
2111/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/11/04
2/19/04
2/19/04
2/19/04
3/12/04
3/12/04
3/12/04
3/12/04
3/12/04
3/12/04
3/12/04
3/22/04
Pal!e 2 of8
2200200000000001770
2200200000000001770
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196.
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196
1200400000000000196.
1200400000000000196
2200400000000000158
2200400000000000158
2200400000000000158
1200400000000000305
1200400000000000305
1200400000000000305
1200400000000000305.
1200400000000000305
1200400000000000305
1200400000000000305
1200400000000000354
Finaled
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InSpeclion Line
+ 7% State Surcharge
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 7% Stale Surcharge
Backllow Device
Low Voltage - Commercial Indus
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% Slate Surcharge
Miscellaneous Mechanical
Curbcu! Permit
Curbcut Permit
Curbcut Repair
PW Mult Disc - 3rd Permit
+ 100/0 Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
Total Amount Paid
Fire Department Review
Fire Department Review
.
03103/2004
04/0112004
$5.46
$78.00
$4.50
$3.15
$45.00
$18.00
$12.60
$90,00
$90.00
$10.00
$4.50
$3.15
$45.00
$75.00
$75.00
$60,00
$-60.00
55.00
$3.50
$50,00
$12,355.93
3/22/04
3/22/04
6118/04
6118/04
6/18/04
7/23/04
7/23/04
7/23/04
7/23/04
7/26/04
7/26/04
7/26/04
7/26/04
8/5104
8/5/04
8/5/04
8/5/04
8/10/04
8/10/04
8/10/04
03/03/2004
I Plan Reviews I
OK
04/01/2004
OK
Paee 3 of8
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01146
ISSUED: 07126/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
VALUE: $ 1,199,986.00
1200400000000000354
1200400000000000354
2200400000000000812
2200400000000000812
2200400000000000812
2200400000000000967
2200400000000000967
2200400000000000967
2200400000000000967
1200400000000001137
1200400000000001137
1200400000000001137
1200400000000001137
2200400000000001009
2200400000000001009
2200400000000001009
2200400000000001009
1200400000000001205
1200400000000001205
1200400000000001205
GRG
Plan Review: Riser stub-in for
sprinkler system. Job
#COM2003-01146. Plans by Mike
TennantlOmlid and Swinuey. Plans
appear to meet code requirements.
Plan Review: Sprinkler
plans-gridded wet system for
Walgreens project: Job
#2003-01146. Contraclor: Omlid
and Swinney. Designer: Mike
Tennant. Plans checked per NFP A
13-1999.
GRG
Relief valve required for gridded
system per NFPA 13-1999 4-1.2.
Status Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
Fire Department Review
Iuitial Review
Plannine Review
Public Works Review
.
05/11/2004
lII18/2003
11/17/2003
11/18/2003
lII1S/2003
05/lII2004
12/22/2003
lII1S/2003
01/14/2004
OK
. CITY OF .srtuI'"...t<1ELD
Building/Combination Permit
PERMIT NO: COM2003-01146
ISSUED: 07/26/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
. VALUE:. $ 1,199,986.00
GRG
Plan Review: Alarm submiUal for
monitoring sprinkler wuter flow and
tamper switches. Job
#COM2003-01146. HV AC smoke
detectors also being monitored as
part of submittal. Proposal by ADT
Tyco Fire and Security. Contact: Pal
Patridge (800-722-7078, ext. 7222).
This is a non-required alarm system
per Springfield Uniform Fire Code.
Provide listed electronic bell or
listed wuter motor gong for exterior
signalling device meeting NFP A
13-1999; 5-15. Tbe exterior bell or
gong shall be located on the same
wall closest to tbe fire sprinkler
system riser (NFPA 13-1999;
A-5-15.1.5; Springfield Uniform Fir'
Code 1003.3.2)
Provide approved sign stating
"Sprinkler Fire AlarmlWhen Bell
Rings Call 9-1-1 " to be located near
exterior alarm bell or gong (NFP A
13-1999 A-5-15.1). Another sign
shall be aUached near the
horn/strobe located at the entrance
of the store.
See aUached document for Fire
Department Plan Review
Comments.
OK GRG
APP LLH
WE
Ashley Deforest waiting on
addilional information needed
before Development Agreement can
be signed. Will need to obtain
LDAP also.
Eric Walters reviewed' plans 1/13/04.
Signed off approved.
Zero SDC charges on this project.
In fact, the following additional SDC
credits exist and are available for
Ihe Second Phase of this project, if
iniliated before December 2005:
Impervious Drainage= (S4,092.19);
Sanitary Sewer-City= (S5,300.05);
Transportation=(S3,673.05);
MWMC=(S6,980.09)
APP SB
Paee 4 of8
. . CITY OF ~r1UNGFIELD
Building/Combination Permit
Status Finaled PERMIT NO: COM2003-01146
225 Fifth Street, Springfield, OR ISSUED: 07/26/2004
541-726-3753 Phone APPLIED: 11/14/2003
541-726-3676 Fax EXPIRES: 02105/2005
541-726-3769 Inspection Line VALUE: $ 1,199,986.00
Revised Plan Review - Fir 01127/2004 01127/2004 OK GRG Plan Review: Revised submittal of
new construction of 13,305 square
'foot big box retail store. Occupancy
classification: M. Construction type:
V -N-sprinklered.
Applicant responded to comments
from plans review of December 15,
2003 for address numbers, main
door sign (OSSC 1003.3.1.8
exception 1), and fire extinguisher
requirements. Requirements written
in general notes on Sheet AO.O. Will
verify on inspection.
Addition to Sheet El.l shows added
emergency egress lighting. Special
inspectors report will sliD be
required as noted in the December
15, 2003 plan review.
Applicant noted in general notes on
Sheet AO.O for Knox Box and CAD
drawing requirements.
Fire department operations request
for access door revoked due to low
number of occupants in training
room and employee room and not
being a code requiremenl.
Revised Plan Review - Sir 01120/2004 01/20/2004 APP JMP
Pal!e 5 of8
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status Finaled PERMIT NO: COM2003-01146
225 Fifth Streel, Springfield, OR ISSUED: 07/26/2004
541-726-3753 Phone APPLIED:' 11/14/2003
541-726-3676 Fax EXPIRES: 02/05/2005
541-726-3769 Inspection Line VALUE: $ 1,199,986.00
Structural Review W18/2003 11/19/2003 WE. JMP 11/19/2003 see attached fax from
JMP to Scott Morris requesting
completion of Special Inspection
forms. Scott forwarded SI forms to
contractor, said no buildings will be
moved (3 will be demolished),
itemization of values will be supplied
for fee compulations, and contractor
data will be supplied when it is
determined. 11/2612003 Scott
delivered value ilemizalions.
12/11/2003 received Powell
Construction's fax with 3 Special
inspection forms. 12119/2003 see
attached fax and structural
comments sent to Scott Morris.
12/22/2003 GRG delivered the lire
plan review. Called Scott Morris to
tell him about the 20' curb radius
requirement. Also told him about
exiting queslions for the architect
(office closed this week). Scott said
the contractor may he able to
answer and left voice mail for him.
12/30/2003 Carl Pirscher from CDA
Architects Inc..called to review alll~
points in the structural review and
said they would be addressed shortl)
with changes to the documents.
1/1512004 Clarice May faxed
Walgreens' letter with information
on planned occupant load of
training and employee rooms.
SUB Review WI 8/2003 12/29/2003 APP DH
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.
Site Inspection: To be made after excavalion but prior to setting forms.
Erosion/Grading InspectIon: After all erosion measures are in place.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechauical 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 aU required energy inspections have been requested and approved.
Pal!e 6 of8
.
. CITY OF ~rrt.ll~GFIELD
Building/Combination Permit
Status
Finaled
PERMIT NO: COM2003-01146
ISSUED: 07/26/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
VALUE: $ 1,199,986.00
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Exlerior Lighting
Temporary Electric: Approval required prior to Utility Company energizing pole.
Electric Service: Approval required prior to utility company energizing service.
Sign Electrical: After connection is made but prior to energizing
Low Voltage: Prior to cover.
Vfer Electrical Ground:' Install ground rod at footing and call for iuspection in conjunction with footing and/or
foundation inspection.
Footing: After Irenches are excavated.
. Slab: To be made after alllnslab building service equipment, conduit piping and otber equipment items are in
place but prior to concrele.
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 tapiug.
Masonry:
Bolts Installed in Concrete: To be done by a Stale Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
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.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Structural Welds: To be done during construclion by Slate 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.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to mUng trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Paee 7 of8
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OJ< ~nul~GFlJ!.LU
Building/Combination Permit
PERMIT NO: COM2003-01146
ISSUED: 07/26/2004
APPLIED: 11/14/2003
EXPIRES: 02/05/2005
VALUE: $ 1,199,986.00
By slgnalure, I slale and agree, that I have carefuUy examined the compleled applicalion and do herehy certify Ihal all
information hereon is true and correct, and I further certify that any and aU work performed shall be done in uccordance wilh
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 struclure without permission of Ihe Community Services Division, Building Safety.
I further certify Ihat 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 requesled allhe proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 8 of8
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01146
COM2003-01146
COM2003cOl146
Payments:
Type of Payment
Check
8/10/2004
.
RECEIPT #:
Descrlptiou
+ 7% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
CRAWFORD ELECTRIC
Gj:~~~,.
Ua.... '.
~_..>.'
~y of Springfield Official Receipt
_elopment Services Department
Public Works Department
1200400000000001205
Date: 08/10/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 14708 In Person
Payment Total:
Page 1 of 1
3:00:45PM
Amount Due
3.50
5.00
50.00
$58.50
Amount Paid
$58,50
$58.50