HomeMy WebLinkAboutPermit Electrical 2006-11-6
t. ~:'r;;;;;r:\..q~ \S[,Plm~l-
~::rt"~:::.;~~\o,~lh'~'~j;~
225 FIFTH STREET' SPRINGFIELD, OR 97~77 , PH:(54I)726-3753 , FAX, (541)726,3689
ELECTRICAL PERMHAPPLICATION
City Job Number c.0iN\ 'Z.O~ - 0 of:7 3
I. I 'LOCATION'OF'IP;1S'tAILitTIQN:: .' ., r
S'W> (I/A,.... ~~
LEGALDESCRJPTION: I7DZ3<<(3l. ,00 ~=
-4 7 D1 ~lJ -C04-eQ
JOB DESCRIPTION:
"...,..,.0, ZON c.c---
t.......~ INITIALS t-J It^-.
,~'-~ ~~J:C~~~~I~
Date 11- (.. -0 b
200 Amps or less
An-EIIJTI() 201 Amps to 400 Amps
Address "oW L:h;) ~ s...k. IoU fOl/ow rul"'" a'1dl)'kmps to,60Q ,Amps
l"Ot'" "" aOp,tAn,., ''1~II",,, Y"
.'. IICation C 60~iilliPs.tli ,ibOO"A!!'P.'i vU Iv
Phone 3<l1-~f>AR 952'00€~ehb80')AmpsN~it;,.~n Utili/y
~v"u. You m ~'6lJ,~~'i'(i)rul;h 0 - Set 'art.
calling the az uura," COPies nf ~~ 952-001
7 ,,,nu;:nb, e~~~l\ln,~.. -. :1't1{~r<..."., ,
Supervisor License Number 'i'fitA - .,...... ~.,er or tftu eml)orarYIS(,TY!~p~l\Cders,'" . - .
, Center is 1.Rn';: '"utility Not;';ca;;~~...
InstallationTAlteration or Relocation
- . TJ.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Alf),)"JCf' Over 600 Amps or 1000 Volts see "B" above.
THIS PERM' D.I",BI'anchr€il'cnits,::, '., ,,,: :":
A IT S' " ,..-
,\ UTHORIZED UWe1J.AI&'\<liWI~?, ~xtension Per Panel
:1.-. I..},... COMMFNCED ~g[.8iiC4its P HE WORK
A ANY 180 DAY O€al51.48c1i;;~!f8Mb1"t/Qr ,lyi)ll
PERm e (WfQJJ~' I
W\ H U ( 'j]J. LL-L- 15. ~
~...r-.-r__ .12.-::1
L.bvl.t iV.1! - \ks~ ~,L, ~~
Permits are non-tl1lllsfernble and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. t CONTIi.AcrOJi'{NSTJu:LATioMom'k 1
Electrical Contrnctor ~ ~.. ;Tn (.
City ~MjC....U
Expiration Date
/<l/"?
.'
IIll~S"
~EXPiration Dale 1108
\ Signature of Supervising Electrician
Constr, Cootr, Number
Owners Name
Address
el.(z~
~^
Phone
City
OWNER INSTALLATION
The installation is being made on property I own which
is not imended for sale. lease or rem.
I Owners Signature:
.0rl: Oq \ ~G\ \ ujOr{
Inspection Request: 726-3769
3. f'COMpLE.TEFEESCHEviltE!-irELoW ~
" ,
, .,'
-'1
A. LN~\,.,'Rc~i(lc"ti"!~~IngleorMulli-Famil~'I'cr;;jwcllirgllni., ;j
Sen-ice Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. J-- Scnriccit!o;t:'Ffcde~;~ [n~i,~lIatil)(i~~itc~ati6n~'(};:'Reb~C:lti~'n:~ ~,l
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
". '".:-
;",1
$ 50.00
$ 69.00
$100.00
::'"
'I
,..-,
$ 43.00
$ 3.00
E. fl\>liscclla,iColIs (Scn'iccJf",,{Jcl' ;,I,i induded) -E;\ci,ll;slalliiliillll '
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residemial $ 25.00
Limited Energy/Commercial l $ 45.00 'IS. oil
Minimum Electric Permit Inspectioo Fee is S45.00 + Surcharges
4.I$l.JBt()7'1POiAB()VE;..~< '.~'." 'J
8% State Surcharge
10% Administrative Fee
5% Teclmology Fee
J.c.o
~.~O
OZ. L S'
TOTAL
5"5'.35"
Shared Drive(T:}/Building Forms/Electrical Pennit Application 8-06.doc
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00573
ISSUED: 07/26/2006
APPLIED: 05/16/2006
EXPIRES: 05/0612007
VALUE: $ 1,100,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
S/TE ADDRESS: 5880 Main St
ASSESSOR'S PARCEL NO.: 1702343200300
Springfield TYPE OF WORK: Bank
TYPE OF USE: New
Commercial
PROJECT DESCR/PTION: Liberty Bank Thurston branch
Owner: AMIGOS III LLC
Address: 8428 THURSTON RD
SPRINGFIELD OR 97478
I CONTRACTOR u;rv"",,IATION I
# of Units:'
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License
CHAMBERS CONSTRUCTION 114258
BUILDERS ELECTRIC INC 4296
SECURECOM INC 117195
COMFORT FLOW 460
ROBINSON PLUMBING /NC<;tT€/VI, 107124
BABB CONSTRUCTION.. fOl/oW rll/~,!IV:lJreonn ,_
_.........__u -~..,,-, -~Vfel'
BUlbDING'INFORMATlON'IV the '-IUl/b/;; Yv("
009n ~ vvc'001. '.. II/0Se r Oregon Iili':;'
# ofSlofies:nay 0,,010 throLl, O/IS arLot,~ize:V
t.:Pl"h-, 0 t . n,., ii) - ~....r *ro
Height'6fSt~ucture am cop.18.00 )t\RSH.~t Is/iFloor:
'f~,~ne':'OfiHe~t:~enter. (Nor_'eGas theS.rFiCl'ila Floor:
..., IIIeO ......tl-, 'a'-",
Water T~P.~ie' regon 151~~tiiCe/ep~qFtSBasement:
Range Type: r,s 1'800_3 ~"ty Notifi~~:'Ft)Garagelcarport
Energy Palh: 3"pathl~) Sq ,Et,Other:
Sprinkled Building: nla' Occupant Load:
Expiration Date
0513012007
12/1012007
0912912006
06/2712007
07/13/2007
Phone
687-9445
541-485-0922
541-988-3585
541-726-0100
541-345-6909
541-688-2233 '
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Sewer
B
4,942
VB
63
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
I DEVE1.,OPMENT INFORMATION I
, .'vl/CE. '
Tkin '
'O>l~n~nist:
AUif~tJ;"t 'f~leSl~M:
COA~II>:ed'Dfi9<L~Wl;', 'L EXPIRE
ANy'!;WtI'nf5'fJt't.gP' THIS P IF THE Wa
780 OAY Pf:o\,~~ ~8ANnf1~~.MIT IS Nf1~/(
I PUBLIC IMPROVEMENTS I U tOR
Sidewalk Type:
DownspoutslDrains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of5
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769/nspection Line
I Valuation Descriotion I
Description
Estimate
Pavine
$ Per Sq Ft
or mnltiplier
$1.00
$1.00
Sqnare Footage
or Bid Amount
934,907.00
165,093.00
Tvpe of Construction
Estimate
Use Bid Amount
Total Value of Project
L.Fpp< PIiIU
~ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00573
ISSUED: 07/26/2006
APPLIED: 05/16/2006
EXPIRES: 05/06/2007
VALUE: $ 1,100,000.00
Value
$934,907.00
$165,093.00
$1,100,000.00
Date Calculated
06/2212006
06/22/2006
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $2,480.17 5/16/06 1200600000000000658
Plan Review Fire & Life Safety $1,526.26 5/16/06 1200600000000000658
-Mechanical Issuance Fee- $10.00 7/26/06 1200600000000001144
+ 10% Administrative Fee $511.68 7/26/06 1200600000000001144
+ 80/0 State Surcbarge $307.39 7/26/06 1200600000000001144
Backfiow Device $28.00 7/26/06 1200600000000001144
Building Permit $3,279.40 7/26/06 1200600000000001144
Fire SF Fee - Non-Residential $494.20 7/26/06 1200600000000001144
Fixture $182.00 7/26/06 1200600000000001144
Furnace - up to 100,000 btu $36.00 7/26/06 1200600000000001144
Gas Outlets 1-4 $4.00 7/26/06 1200600000000001144
Paving $780.15 7/26/06 1200600000000001144
Sanitary Sewer - 1 st 50 Feet $45.00 7/26/06 1200600000000001144
Sanitary Sewer - /mprovement $495.72 7/26/06 1200600000000001144
Sanitary Sewer, Reimbursement $651.92 7/26/06 1200600000000001144
Sanitary Sewer Each Addtl1 00' $56.00 7/26/06 1200600000000001144
SDC MWMC Administration $10.00 7/26/06 1200600000000001144
SDC MWMC Improvement $2,687.99 7/26/06 1200600000000001144
SDC MWMC Reimbursement $254.82 7/26/06 1200600000000001144
SDC Sanitary/Storm Admin $50.64 7/26/06 1200600000000001144
SDC Sanitary/Storm Admin $477.23 7/26/06 1200600000000001144
SDC Transpo Admin $618.80 7/26/06 1200600000000001144
SDC Transpo Improvement $8,789.72 7/26/06 1200600000000001144
SDC Transpo Reimbursement $1,992.71 7/26/06 1200600000000001144
Storm Drainage Impervious Area $8,050.59 7/26/06 1200600000000001144
Storm Sewer - 1st 50 Feet $45.00 7/26/06 1200600000000001144
Storm Sewer Each Addtl100' $70.00 7/26/06 1200600000000001144
Vent Fan $24.00 7/26/06 1200600000000001144
Water Line - 1st 50 Feet $45.00 7/26/06 1200600000000001144
Water Line - Each Addtl100' $28.00 7/26/06 1200600000000001144
Encroachment Permit $\30.00 7127/06 3200600000000000404
+ 10% Administrative Fee $4,50 11/6/06 1200600000000001616
+ 5% Technology Fee $2.25 11/6/06 1200600000000001616
+ 8% State Surcharge $3.60 11/6/06 1200600000000001616
Low Voltage - Commercial Indus $45.00 11/6/06 1200600000000001616
Paee 2 of 5
.
, .ITY OF ~rKJr\nd' IJ'.LD
Building/Combination Permit
PERMIT NO: COM2006-00573
ISSUED: 07/26/2006
APPLIED: 05/16/2006
EXPIRES: 05/06/2007
VALUE: $ 1,100,000.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $34,217.74
I Plan Reviews I
Fire Department Review OS/2212006 06/12/2006 OK GRG See attacbed document for Fire
Department Plans Review
comments.
Initial Review OS/2212006 OS/22/2006 APP SKG
Plan Review Comments 06/22/2006 10 JMP WI. Received responces to
\ structural comments from Lana
Sadler witb Addendum 1 and
revised drawings. ,
Plannine Review OS/22/2006 07/07/2006 APP EMM
Public Works Review OS/2212006 06/1412006 WE SB Talked to Damien @ Brancb
Engineering (and again on 6/14/06)
about tbe traffic count, and asked
for additional data about drive-thru
usage, personnel, and total customer
transactions to support bis study.
His bank is gatbering data on otber
brancbes.
Public Works Review 07/18/2006 07/18/2006 APP SB SDCs revised due to traffic study
'generaled by applicant. Data
confirmed by Gary McKenney
7/18/06.
Structural Review OS/22/2006 05/30/2006 WE JMP See attacbed documents for 8
structural comments faxed to James
M. Robertson.
Structural Review 07/20/2006 07/20/2006 APP JMP Received final inlernal approval.
SUB Review OS/22/2006 06/05/2006 WE DH Requested Ligbting forms from
Melanie at Builders Electric.
SUB Review 07/10/2006 07/10/2006 APP DH Ligbting passes.
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.
UeolliretUn~ne~tions I
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are instaned.
Ufer Electrical Ground: Instan ground rod at footing and can for inspection in conjunction witb footing and/or
foundation inspection.
Footing: After trencbes are excavated.
Slab: To be made after an inslab building service equipment, conduit piping and otber equipment items are in
place but prior to concrete.
Paee 3 of5
.
.ITY OF ~rI(ll~'-'NELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00573
ISSUED: 07/26/2006
APPLIED: 05/16/2006
EXPIRES: 05/0612007
VALUE: $ 1,100,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Roof SheathinglNailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Bnilding Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection resnlts to City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Final Fire Department. After all reqnirements of tbe 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.
Underslab Plumbing: .Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling'trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Backfiow Device: Prior to covering and,provide a copy of the test report on site at the time of inspection.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rougb Electric: Prior to Cover
Paee 4 of 5
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00573
ISSUED: 07/26/2006
APPLIED: 05/16/2006
EXPIRES: 05/06/2007
VALUE: $ 1,100,000.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: Wben all electrkal work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as tbe SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mecbanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Encroachment: After item(s) bave been removed to inspect condition of public right of way.
Low Voltage: Prior to cover.
By signature, I state and agree, tbat I bave carefully examined tbe completed applkation 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 tbe 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 nsed on this project.
1 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 of tbe property, and tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 5 of5
225 Fifth Street
Springfield, Or.egon 97477
541-726-3759 Phone
~
.i~
ir..",. "
c_r Springfield Official Receipt
D.opment Services Department
Puhlic Works Department
Job/Journal Number
COM2006,00573
COM2006,00573
COM2006-00573
COM2006-00573
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
1200600000000001616
Date: 11/06/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage, Commercial Indus
Paid By
SECURECOM
Item Total:
(;heck Number Authorization
Received By Batch Number . Number How Received
djb 39392 In Person
Payment Total:
Page 1 of 1
1:38:04PM
Amount Due
2.25
3,60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
11/6/2006