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Home My WebLink AboutPermit Electrical 2004-3-22 " r. .. CITY OF S~,_.INGFIELD, OREGON ,-. 1. LOCATION OF INS1'ALLATlON C, r"/<U l'r->. '~I ,^~S<tp7 "'" I --=-_~~'''f---\ , , \L.L l 1\ ui--. FLEGAL DESCRIPTION ,17()'2. 33'1'b ~ 03 OD ~(')...\ q reeV'-...... ..:v\-\V\I~,GL JOB DESCRIPTION 0 C f1 yV\ {'{'\ RJ C :....l \ ?, \ r.Aa Permits are non-Iransferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , 2.~~Nii<<CTdR:~Ji11'ji~rjqN'~iVf1;\ Electrical Contractor ~'\~,J P:\€~ . ('\F). 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA~ie<?o~~!J,~~ill~J\%t as submitted has the following ELECTRICAL PERMIT APPLICATION zoning. and does not require specific land use City Job Number com Z6a.J - 0 " l/ b Date .3 -5 --0 <..{ approval. . e.. Q..... Zoning , .{ 3. COMPLE.rEFDtSCllEl}~BE1:.eW ' ;l.,...J.~~ Authorized Signature . .. I . '.- .' . '. . A. New Residenlial - Single or Multi-Family per dweliing unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106.00 -~,' , T $ 19,00 $50.00 . .' . :. :....T-i.;.i~;.-i".:.: .; ..~.' or. . '!. :-"fl'''.J )~~; "'~';;:~:i::.~~:;;:tlr;!~n>;~'::.'_.1 :";{ -l~:' ~,.\T-~' :", ":i,; /:.~:, ".~' .' B. - Sefvic.for F.eilefi'~liisllillation~'Alteratliini.oi"'lleJocatlim'" C.- 0' . ; . . '.~' '. .>. '" . '. ". '. .' .,' . " ,. . . '.. , .... ' . ' City ~V'Y\.SI1~ Ill' Phone:503-LIl/'t -l{CiJD 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only S 63.00 $ 75.00 $125,00 $163.00 $375.00 S 50,00 lL'l ~ -- Address~D ~~ ~oq C. 'TeJIlpoi-aryServic~ o~Fudeis ,,' Insta;lalion: Alteration orReloca ojjt ' ^'JTE20-01~1'0rr.l.non law reqUire' ~<'u.o $ 5000 f"\. :t'Uups or ess . h 0 r. ,.... I I .t\l . , r1nn'-dhvt are, ..' r ____ folloW201,rKmps to~OO Amps _ ~, ' - _..;: T ~Q nn . . . ("'n:;,+O- Those rules u, ,- ' -lotlflCf40JrA:mps to'600 J\mEs h OAh _', -- nn $100.00 . n OAR8?e~-rd61..\~~~ ~[tr~~~~oltsrsee :;B:(Jali~v~, Su... in 1',,: Nt, 0090 YOII mav u,",,,a,, , ~~,.. "',-, , 'SI'l.'2.1~- Signature of Supervising Electrician D. Bral1ch"Circuits~OtEdhlnelephOne '^~ a:a 1rtI ~ L calling ;11" .~~o;:'~'" Iltilitv Notification 'l.I"l..A.0....OT'.9:.:...dt- / / l/l ./} / /J numINew(A:lIera.tlOnf'or,rExlen~lql\'I4')f)panel" ()CJ.lj..-4::.l. ~~:L\" {/f~ // A.~ f ~~ .,...y . OneciiCiiii'" 1~f\C'\O-::l32-~;j " $43.00 ~ , 'Each Additional Circuit or with Il '2. - .<:::, ID .-:-- ~, Ii _ . \'1 Service or Feeder Permit ,_ ~ S 3.00 <:.lL1, OwnersName'1tll~\\ '\V\r"tn~ nl~leUC- ,. ".. ' .,' " , ' Address ~r"l ~ '>t .q 70'7 () - E. '.Ml~cellanfous, (s~ivic~feooer not h,citided) ....Each InstaUa,tion City (.: f 'L\(>l~ Phone _Llri,t) -4.,:J.l{,~L(Ll(,.IL( Pump or irrigation $ 50,00 V0 ~ Sign/Outline Lighting \ $ 50.00 ,c:y, - OWNER INSTALLATION E' Limited EnergyIResidentia1 $ 25,00 The installation is being~~~I~WPi\tt~'I~~ ~!(aRE I~ TH\l.lid~nergY/COmmercial ! $ 45,00 t.f '7 IS ~ot mtended for sale, 1~'m?f6ffi~ED UNDER THIS PEf.'il~\II1~Jctric Permit Inspection Fee is $45.00 + Surcharges COMMENCED OR IS ABANDONED FOR, .' ,',.".. ',',.,' ,- ' ,," , ANY 180 DAY PERIOD. 4. SUBTOTALOFABOVK '. LD 77. o..-D 75. 3Cf liL,7 ,") /') P { ,,(') . D'1 Supervisor License Number (;T):)o.s. Expiration Date . JD ~ I ~[)L.I , Constr. Contr. Number ~ Expiration Date 1\-9- 0'-/ Owners Signature: 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL --0 ___ ______ Shared Drive(T:YBuilding FonnslEl.ectrica\ Pennit Application 1-03.doc .-._---~- _..._~-!.:...,,; . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5807 Main St ASSESSOR'S PARCEL NO.: 1702334103600 . CITY OF SrKll'\jut<lJ!,LU' Building/Combination Permit PERMIT NO: COM2003-0Il46 ISSUED: 02/11/2004 APPLIED: 11/14/2003 EXPIRES: 09/11/2004 VALUE: $ 1,199,986.00 Springfield TYPE OF WORK: Slore PROJECT DESCRIPTION: Walgreens Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKET STREET KIRKLAND WA 98033 TYPE OF USE: I CONTRACTOR INFORMATION I Contractor License OLSON & MORRIS POWELL CONSTRUCTION CO A WASHING CRAWFORD ELECTRIC CO INC RELIABLE HV AC INC 145234 JONES CONTRACTORS INC 133472 # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy.J',th: \0 1'1 la\N feqUI,von lI\ili\)' " _ ,-ArPOO ,_ "reO _ t_,rtl ;..liEN \':s' ~clO? ,cl~DEY.El,OPMENi,lNi0RMA TION I SETBACKStol\o\N f~ cen\ef.., nfoUg\'\ v' .. fules \ 'lica\lo\'\ OO~O\ , ""c, ('II Ine Frontyard Setback: ~Oll t".l952-00~ - b\~'ln CO~OverlaYcDjsi:,one Op.,ro 0 v 'he .~" "r.!,\ Side 1 Setback: 1'1 ,<oull'la'i ef. ~Nol#:~1~~~tIJ'~;Rqil: Side 2 Setback: 0090.. 9 \ne cent gon Eaved Drive Rqd: , call1\'\ \ne Ofe 'l32-2'jL\"" Rearyard Setback: ~u""bef lof 'c 1.\,-0('1-0/0, of Lot Coverage: 11 .', ....".. Solar Setbacks: r ~ Contractor Type Applicant General Electrical Mechanical Plumbiug BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Conslrnction Type: # of Bedrooms: M VNSpr I PUBLIC IMPROVEMENTS. Street Improvements: M01ICE: ElF ll-1E WORK Storm Sewer Available: IS PERMll Sl-IflLL EXPIR IllS NOl Special Instructiou: 11-1 ORIZEO UNOER l1-11S PERM R flU11-1 CEO OR IS flBflNOONED FO Notes: ,COMMEN PERIOD .. flN'{ 160 DfI'{ . Page I of7 New Commercial Phone Number: 425-828-4444 Expiration Date Phone 541-302-9790 425-828-4774 541-812-1300 06/29/2006 360-693-7379 01/27/2005 541-607-6163 1 28.00 Lot Size: Sq Ft 1 st Floor: 13,553 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Conslruclion Use Bid Amount Use Bid Amount Use Bid Amount Bid Amounl Bid Amount Pavin1!. Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safely .....Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Addressing Assignmenl Appliance Not Listed Appliance Veut Backflow Device Building Permit Fixture Furnace - more than 100,000 Furnace - up to 100,000 blu Gas Outlets 1-4 Gas Outlets 4+ Paving Sanitary Sewer - 1st SO Feet Sanitary Sewer Each Addtll 00' Storm Sewer - 1st SO Feet Storm Sewer Each Addlll 00' Vent Fan Water Line - 1st SO Feet Water Line - Each AddtllOO' + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm ServlFdr 601 to 999 amps Sign - Outline Lighting Each Temp Power 200 amps or less . . CITY OF ~rKll~uNJ!,LU . Building/Combination Permit PERMIT NO: COM2003-01146 ISSUED: 0211112004 APPLIED: 11/14/2003 EXPIRES: 09/11/2004 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 Date Calculated $1,019,891.00 $25,095.00 $155,000.00 $1,199,986.00 12/04/2003 12/04/2003 12104/2003 Total Value of Project )?pp< PIilLI Amounl 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 Date Paid Receipt Number 11114/03 11114/03 2/11/04 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2111/04 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/11104 2/19/04 2/19/04 2/19/04 3/12/04 3/12104 3/12104 3/12/04 3/12104 3/12/04 3/12/04 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 Paee 2 of7 . Status Issued 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid Fire Deparlment Review 03/03/2004 Fire Department Review 11/18/2003 Initial Review Plannine Review 11/17/2003 11/18/2003 Public Works Review 11/18/2003 $11,730.27 I Plan Reviews I 03/03/2004 12/22/2003 11/18/2003 01/14/2004 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01146 ISSUED: 02/11/2004 APPLIED: 11/14/2003 EXPIRES: 09/11/2004 VALUE: $ 1,199,986.00 OK GRG Plan Review: Riser stub-in for sprinkler syslem. Joh #COM2003-01146. Plans hy Mike Tennant/Omlid and Swinney. Plans appear to meet code requirements. See attached document for Fire Department Plan Review Comments. OK GRG APP LLH WE APP SB Paee 3 of7 Ashley Deforest waiting on additional information needed hefore Development Agreemenl cau he signed. Will need to ohtain LDAP ulso. . 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 the Second Phase of this project, if iniliated before Decemher 2005: Impervious Drainage= ($4,092.19); Sanitary Sewer-City= ($5,300.05): Transportation=($3,673.05): MWMC=($6,980.09) . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-01146 225 Fifth Street, Springfield, OR ISSUED: 02/1112004 541-726-3753 Pbone APPLIED: 11114/2003 541-726-3676 Fax EXPIRES: 09/1112004 541-726-3769 Inspection Line VALUE: $ 1,199,986.00 Revised Plan Review - Fir 01/27/2004 01/26/2004 OK GRG Plan Review: Revised submiUal 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 IS, 2003 for address numbers, main door sign (OSSC 1003.3.1.8 exceplion 1), and fire extinguisher requirements. Requirements wriUen in general notes on Sheet AO.O. Will verify on inspeclion. Addition to Sheet El.l shows added emergency egress lighting. Special inspectors report will still 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 deparlmenl operations request' for access door revoked due to low number of occupants in Iraining room and employee room and not being a code requirement. Revised Plan Review - Str 01/20/2004 01/20/2004 APP JMP Paee 4 of7 . . CITY VI< ~rl'Ol"GFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-01146 225 Fiflh Slreet, Springfield, OR ISSUED: 02/11/2004 541-726-3753 Phone APPLIED: 11/14/2003 541-726-3676 Fax EXPIRES: 09/11/2004 541-726-3769 Inspection Line VALUE: $ 1,199,986.00 Structural Review 11/18/2003 11/19/2003 WE JMP 11/19/2003 see attached fax from JMP to Scott Morris requesling completion of Special Inspection forms. Scott forwarded SI forms to contractor, said no buildings will be moved (3 will be demolished), itemizaliou of values will be supplied for fee computations, and contractor data will be supplied when it is determined. 11/26/2003 Scott delivered value itemizallons. 12/11/2003 received Powell Construction's fax with 3 Special inspection forms. 12/19/2003 see attached fax and structural comments sent to Scott Morris. 12/2212003 GRG delivered the fire plan review. Called Scott Morris to tell him about the 20' curb radius requirement. Also told him about exiting queslious for Ihe archilect (office closed this week). Scott said the contractor may be able to answer and lefl voice mail for him. 12/30/2003 Carl Pirscher from CDA Architects Inc. called to review all I: points in the structural review and said they would be addressed shortly with changes to the documents. 1/15/2004 Clarice May faxed Walgreens' letter with informalion on planned occupant load of training and employee rooms. SUB Review 11/18/2003 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. 'Rpn~ 24 Site Inspection: To be made afler excavation but prior to setting forms. 12 Erosiou/Grading Inspection: Afler all erosion measures are in place. 5 BackDow Device: Prior to covering and provide a copy of the test report on sile at the time of inspection. 21 Rougb Mechanical: Prior to Cover 3 Final Mechauical: Wben all mecbanical work is complete. 19 Rough Electric: Prior to Cover 2 Fiual Electric: Wheu all electrical work is complete. 34 SUB Insulation Vapor Barrier: To be called for at the same time as tbe SUB framing inspection. 33 SUB Final: Afler all required euergy inspections have been requested and approved. Paee 50f7 . . CITY OF SPRINGFIELD. Building/Combination Permit Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line PERMIT NO: COM2003-01146 ISSUED: 02111/2004 APPLIED: 11/14/2003 EXPIRES: 0911112004 VALUE: $ 1,199,986.00 35 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. 30 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 31 SUB Ceiling Grid: Interior Lighting 32 SUB Exterior Lighting 36 Temporary Electric: Approval required prior 10 Vlility Company energizing pole. 10 Eleclric Service: Approval required prior to utility company energizing service. 40 Sign Electrical: After connection is made but prior to energizing 41 Low Voltage: Prior to cover. 37 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or fouudatiou inspeclion. IS Footing: After trenches are excavated. 25 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrele. 16 Framing Iuspection: Prior to cover and after all rough in inspections have been approved. 38 Wall Insulation: Prior to cover. 8 Ceiling Insulation: Prior to cover. 18 Roofing: Prior 10 installing any roof covering. 9 Drywall: Prior to taping. 17 Masonry: 6, Bolts Installed in Concrete: To be done by a Slate Ceriified Special Inspector. Provide inspection lest reporls 10 City Building Inspector. 27 Structural Concrete: Iu excess of 2500 psi. To be doue during construction by a State Cerlified Inspector. Provide results to City Buiding Inspector 7 Ceiling Grid: After drywall approval but prior 10 cover. I I Epoxy Ancbors: To be done by Cerlified Spcialluspector. Provide Inspeclion resulls to City Building Inspector. 29 Structural Welds: To be done during construction by Slate Certified Special Inspector. Provide inspection test results to City Building Inspeclor. 28 Structural Masonry: To be doue during constructiou by a State Certified Special Inspector. Provide results to City Building Inspector. ' 14 Final Fire Department. After all requirements of the Fire Departmenl bave been met. I Final Building: After all required inspections have been requested and approved and the building is complete. 20 Rougb Grading: After gravel is in place but prior to placing concrete. 13 Final Paving: After paving is complete. 22 Rough Plumbing: Prior to cover and including required testing. 39 Water Line: Prior to filling trench and including required testing. 23 Sanitary Sewer Line: Prior to filling trench and including required testing. 26 Storm Sewer Line: Prior to filling trench. 4 Final Plumbing: Wben all plumbing work is complete. Paee 6 of7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01146 ISSUED: 02/11/2004 APPLIED: 11/14/2003 EXPIRES: 09/1112004 VALUE: $ 1,199,986.00 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 furtber certify tbat any and all work performed shall be done in accordance with the Ordinances of the Cily of Springfield and the Laws of the State of Oregon pertaining to Ihe work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely. I further certify that only conlraclors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe street, Ihat 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 construclion. Owner or Contraclors Signature Paee 7 of7 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01146 COM2003-01146 COM2003-01146 COM2003-01146 COM2003-01146 COM2003-01146 COM2003-01146 Payments: Type of Payment Check .' ~,~,',"cA,~'~,',c",_c_~ j. .-;~ Receipt #: 1200400000000000305 Description Temp Power 200 amps or less Perm ServlFdr 60 I to 999 amps Add, Alter, Extend Circ Ea Add Sign - Outline Lighting Each Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number - Authorization Number Paid By CRAWFORD ELECTRIC 013879 City of Springfield Official Receipt Development Services Department: Public Works Department, Date: 03/12/2004 8:01:57AM . Amount Paid Item Total: 300.00 163.00 519.00 50.00 45.00 75.39 107,70 $1,260.09 How Received . In Person Payment Total: . Amount Paid $1,260.09 $1,260.09 . 225 Fifth Strelft Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01146 COM2003-01146 COM2003-01146 Payments: Type of Payment Check . . ,(1~u;AW,'!!-"_~.-.,.,'" 2'.,." ;:. '; "~-~ : ~ _ i '...~, ...,,""'-'''< '.,' Receipt #: 1200400000000000354 Description Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrati ve Fee Received By IIh Check Number Batch Number Authorization Number Paid By CRAWFORD ELECTRIC 013974 d' ., City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/22/2004 9:17:02AM Amount Paid Item Total: 78,00 5.46 7.80 $91.26 How Received In Person Payment Total: Amount Paid $91.26 $91.26 .' " CITY OF S'~,_,INGFIELD. OREGON I '" -...~""- , - 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: ~1)2~ljIIOjeclassub . ELECTRICAL PERMIT APPliCATION ,J. J :~~~~~a~nd d~s nol reqUi~'~~~~i~i~II~~~o~~:ing Cily Job Number COWl 2JSbJ - 0 II L{ b Date "'2-;/7/ U 'f Zoning c-. <:!... L LOCATION OF INSl'ALLATlON' 3. COll~t.El'E FEE~lJJuwLld BEH)!AT '.:/. - . Lq -0"1::, ~ I . ' Authorized Signature _ <K'LJ ."'Yl 0 7 (\\ CA: (\ "'\ 'T- ' Signat7 of Supervising Electrician ~A oJ f1,:~)/JJ, Owners Name 1bu.Y' JJ yY\(' fY1: f\(\ \J: (/,. U-t. Address ?/l 7>1l)( q 76 7 b City1[ , r lL!o2JC\.r J Phone lj~-,S . '6J f{, - Lf 4l-/ ,-( Pump or irrigation L;J \\ q <-c,O'lS3 Sign/Outline Lighting OWNER INSTALLATION Limited EnergylResidential, $ 25.00 The installation'isbeine.m8neUfrirllpertYg'ilw~"Whftb.~U1reS yquuWted Energy/Commercial $ 45.00 " ....r I t:-r.,.'-'"" the orQQon lJtlllty ,. . , ' IS not mtended for Sl~n~&~B{e!1l'adopted by les ~n~'l!I'\l!.Il!ilectric Permit Inspection Fee is $45.00 + Surcharges . Center Those ru , _00 . ", .", '. " ",. Owners Signature:;jotificatl~~_001_0010thrOU9hOAF.l,9~iJBTOTAiOFABOvE ",.. .' ,',' ".'.. ." tJO ()() nOAR9 .. i"obtaincopiesoftherueSl . . , ' " ' '. .", . . 0090. You may_.r, Il\lote: the telept".p~State Surcharge ':$ . -=:. 0 calling ~'~~ tl;:'~'Oregon Utility NotifiqUt}.o~dministrative Fee ~, r) () . number ~_~.~,;~ '_R(1(1.~~2-2344). L '\ Inspection Request: 726-3769' ' TOT AL ~1:, . :J () id) .-.-..-,----.---.... . LEGAL DESCRIPTION nOL 33Yl JOB DESCRIPTION \\.el < ') L...)al<JY-~e" <:., ~6(e. 'Permits are non-transferabJe and expire if work is not storted within 180 days of issuance or if work is Suspended for l:l!~days. _ .,CO~CrbR'~A,'.,},'jf~f.((J~~m;y:: 2. .,1 . Electrical Contractor ('~(tAu)')( d P: kc;.J{: c. Address 1, () .6o--! :ll ~C( City A--\ful'\-f Phone 5L/(-ild-I300 D"3 bDO Supervisor License Number. (J 1 dOS, Expiration Date II..,~ 1-0(,( Constr. Contr. Number {X',1)q &:> 4 11- q - 04 Expiration Date ,--- - ------ ... . ..' . , . '. . A. . New Residential - Single or. Multi-Family per dwelling unit. Service Included 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ' $106.00 $ 19.00 M $50.00 'T ... -..."..... ~., ~~~,';;:-c"r;:5"':': :.~.' ..c. ~ 'J. :':flj ':.wi"'~'~:~;.,~:.~~,;'\t~~;,Tr:',y",: :~ !.;t\::'r:,\_r~' ;':~~':;:f',,~' B. .. Se'nllees.tlr Feederih-liistiillatlon:/A.I!el'litlollS.cifReJocatlon:" , ::.':.::"..'.,'::>" "" '. -.. -", -;:. ", '. ' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50,00 .... ..... . Co 'T~poi-arySei'vices ~'rFeeders " . I ,. ," . Installation, Alteration or Relocation 200 Amps or less .( 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 5() 06 Over 600 Amps or 1000 Vo1tssee "B" above" D. Brailch Circuilli _ New Alte~ation or~t~C:Per Panel , .One CIrCUlI , 'PEBMIT C:HM t f$l.lflRm If lHE WORK Each Additional cJMI~)mfuED UNDER ~~~&ERMlllti I'lU I Service or Feeder p.b.Yi\fI CE ,. ~A I ONED fO~ " _ " . COMMEN u un I;) " ' ' E. '.Mi~ccllan<ous.(S~Jfll,\ll~P~~~d) -Each Installation . ..' .. $ 50,00 $ 50,00 __~ _____~ Shared Drive(T:)lBuilding FormslE\,ccmcnl Pennit Application t-OJ.doc .-.-.--,--- _....~....i.:.,t..: ~._"-- . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01146 ISSUED: 02/11/2004 APPLIED: 11/14/2003 EXPIRES: 08/13/2004 VALUE: $ 1,199,986.00 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5807 Maiu St ASSESSOR'S PARCEL NO.: 1702334103600 Springfield TYPE OF WORK: Store TYPE OF USE: New Commercial PROJECT DESCRIPTION: Walgreens Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKET STREET KIRKLAND W A 98033 Phone Number: 425-828-4444 Contractor Type Applicant General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor License OLSON & MORRIS POWELL CONSTRUCTION CO A WASHING CRAWFORD ELECTRIC CO INC RELIABLE HV AC INC 145234 JONES CONTRACTORS INC 133472 BUILDING INFORMATION I Expiration Date Phone 541-302-9790 425-828-4774 541-812-1300 06/29/2006 360-693-7379 01/27/2005 541-607-6163 , # of Units: Primary Occupaucy Group: M Secondary Occupancy Group: Primary Construction Type VNSpr Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: 1 Lot Size: 28.00 Sq Ft 1st Floor: 13,553 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ~<; SETBACKS I DEVELOP~I"'''' INFORMATION I REQUIRED PARKING Total: ATTENTION:Orego1I'f.rdi~~~NJli?S YOUUt'I~Ot follow rules adopted eltJfp~c't{l'egon 11 Y , -Jotification Center. Those rules are set fort % of Lot Coverage: n OAR 952-9.0;1-qo 10 through OAR 952-00 0090. You mayldbtaih'copies of the rules I I PUBLIC IMPROVEMENTS I calling Ine cemer. \t'llOle:.l~'tll"'':~''Uj.I'' .lumber for the Oregon Utility Notification Sldewalk,Type:.Ann-::l::\2-2344 ). Overlay Dist: # Slreei Trees Rqd: Paved Drive Rqd: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Slorm Sewer Availabl'i':OTICE: Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. DownspoutslDrains: Notes: Paee 1 of5 Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " DescriDtion TVDe of Construction Use Bid Amount Use Bid Amount Use Bid Amount Bid Amount Bid Amount Pavine. Fee DescriDtion Plan Review CommlIndJPublic Plan Review Fire & Life Safety ....Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Appliance Not Llsled Appliance Vent Bacldlow 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 SO Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st SO Feet Storm Sewer Each Addtl 100' Vent Fan Water Line - 1st SO Feet Water Line -.Each Addtll00' + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Total Amount Paid Fire DeDartment Review 11/18/2003 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01146 ISSUED: 02/1112004 APPLIED: 11/14/2003 EXPIRES: 08/13/2004 VALUE: $ 1,199,986.00 I Valuation Descrintion I $ Per Sq Ft or mulliplier $i.oo $1.00 $1.00 Square Foolage or Bid Amount 1,019,891.00 25,095.00 155,000.00 Value Date Calculaled $1,019,891.00 $25,095.00 $155,000.00 $1,199,986.00 12/04/2003 12/04/2003 12/04/2003 Total Value of Project F pp<, PiIi.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 $10,470.18 Date Paid Receipt Number 11/14/03 11/14103 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 2/1 1104 2/11/04 2/11/04 2111/04 2/1 1104 2/11/04 2/11/04 2111/04 2111/04 2/11/04 2111/04 2/19/04 2/19/04 2/19/04 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 12/22/2003 I Plan Reviews , OK GRG See attached document for Fire Departmenl Plan Review Comments. Paee 2 of5 -Wi- . . CITY OF ~rK11'\j\.i1<u..L1J - , Building/Combination Permit Status Issued PERMIT NO: COM2003-0I146 225 Fiflh Street, Springfield, OR ISSUED: 02/1112004 541-726-3753 Phone APPLIED: 11114/2003. 541-726-3676 Fax EXPIRES: 08/13/2004 541-726-3769 Inspection Line VALUE: $ 1,199,986.00 Initial Review 11/17/2003 11/18/2003 APP LLH Plan nine Review 11/1812003 WE Ashley Deforest waiting on additional information needed before Development Agreemenl can be signed. Will need to obtain LDAP also. Public Works Review 11/1812003 01/14/2004 APP SB Eric Walters reviewed plans 1/13/04. Signed off approved. Zero SDC charges on this project. In fact, Ihe following additional SDC credits exist and are available for the Second Phase of this project, if initiated before December 2005: Impervious Drainage= ($4,092.19); Sanitary Sewer-City= ($5,300.05); Transportation=($3,673.05); MWMC=($6,980.09) Revised Plan Review - Fir 01/27/2004 01/26/2004 OK GRG Plan Review: Revised submittal of new construction of 13,305 square foot big box retail store. Occupancy classificalion: M. Construction type: V -N-sprinklered. Applicant responded to comments from plans review of December IS, 2003 for address numbers, main door sign (OSSC 1003.3.1.8 exception 1), and fire extiuguisher requirements. Requirements written in general notes on Sbeet AO.O. Will verify on inspection. Addition to Sheet E1.1 shows added emergency egress lighting. Special inspectors report will slill 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 requirement. Revised Plan Review - Str 01/20/2004 01/20/2004 APP JMP Paee30f5 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2003-01146 225 Fifth Street, Springfield, OR ISSUED: 02/1112004 541-726-3753 Phone APPLIED: 11/14/2003 541-726-3676 Fax EXPIRES: 08113/2004 541-726-3769 Inspection Line VALUE: $ 1,199,986.00 SlruCtural Review 11/1812003 11/19/2003 WE JMP 11/19/2003 see attached fax from JMP 10 Scott Morris requesting complelion 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. 11/26/2003 Scott delivered value ilemizations. 12/11/2003 received Powell Construction's fax wilb 3 Special inspection forms. 12/19/2003 see attached fax and structural comments sent to Scott Morris. 12/22/2003 GRG delivered the fire plan review. Called Scott Morris to tell him about the 20' curb radius requirement. Also told bim about exiting questions for the architect (office closed Ihis week). Scott said the contractor may be able to answer and left voice mail for him. 12/30/2003 Carl Pirscher from CDA Architects Inc. called to review alll~ points in tbe slructural review and said tbey would be addressed sbortl) witb changes to the documenls. 1/15/2004 Clarice May faxed Walgreens' letter with information on planned occupant load of training and employee rooms. SUB Review 11/18/2003 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. ~eouirerUnsnections I I Site Inspection: To be made after excavation but prior to setting forms. 2 Erosion/Grading Inspection: After all erosion measures are in place. 27 BackOow Device: Prior to covering and provide a copy of Ibe test report on sile al the time of inspection. 28 Rough Mechanical: Prior to Cover 29 Final Mechanical: When all mechanical work is complete. 30 Rough Electric: Prior to Cover 31 Final Electric: When all electrical work is complete. 32 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 33 SUB Final: After all required energy inspections have been requested and approved. Paee 4 of5 . . CITY VI< ~l'Kll~uI<lJ!.LD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-01146 ISSUED: 02/11/2004 APPLIED: 11/14/2003 EXPIRES: 08/13/2004 VALUE: $ 1,199,986.00 34 SUB Plumbing: Following City Rough Plumbing inspection approval and prior 10 cover. 35 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 36 SUB Ceiling Grid: Interior Lighting 37 SUB Exterior Llghling 38 Temporary Electric: Approval required prior to Utility Company energizing pole. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: Afler trenches are excavated. 5 Slab: To be made after all inslab building service equipment, conduit piping and other equipmenl items are in place but prior to concrete. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 7 Wall Insulation: Prior to cover. 8 Ceiling Insulation: Prior to cover. 9 Roofing: Prior to installing any roof covering. 10 Drywall: Prior to taping. 11 Masonry: 12 Bolts Inslalled in Concrete: To be done by a Slate Certified Special Inspector. Provide inspection test reports to City Building Inspector. I3 Structural Concrete: In excess of 2500 psi. To be done during coustructiou by a State Certified Inspector. Provide results to City Buiding Inspector 14 Ceiling Grid: After drywall approval but prior 10 cover. IS Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 16 Structural Welds: To be done during conslruction by Stale Cerlified Special Inspector. Provide inspection test results to City Building Inspector. 17 Structural Masonry: To be doue during construction by a State Certified Special Inspector. Provide results to City Building Inspector. 18 Final Fire Department. After all requirements of the Fire Departmenl have been met. 19 Final Building: After all required inspections have been requested and approved and the building Is complete. 20 Rough Grading: After gravel is in place but prior to placing concrete. 21 Final Paving: After paving is complete. 22 Rough Plumbing: Prior to cover and including required testing. 23 Water Line: Prior to filling trench and including required testing. 24 Sanitary Sewer Line: Prior to filling trench and Including required testing. 25 Storm Sewer Line: Prior 10 filling Irencb. 26 . Final Plumbing: When all plumbing work Is complete. By signature, I state and agree, Ihat I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of Ihe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission oftbe 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 tbis project. I further agree to ensure tbat all required Inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at tbe 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 Pace 5 of5 225 Fifth Street .:/t Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01146 COM2003-01146 COM2003-01146 Payments: Type of Payment CreditCard ii!Th~~,',' " ~". . ...,....,......"._~_...r' .....,... -.,' Receipt #: 2200400000000000158 Description Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By CRAWFORD ELECTRJC Received By djb t.:heck. Number Batch Number Authorization Number 000302 019282 City of Springfield Official Receipt Development Services Departmen( Public Works Department Date: 02/19/2004 8:24:5IAM Amount Paid Item Total: 50.00 3,50 5.00 $58.5U How Received In Person Payment Total: Amount Paid $58.50 $58.5U . .