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Home My WebLink AboutPermit Electrical 2009-6-24 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726,3689 8PAINQ~IlLD _, 1~':'DErARTM!,NT USEONLY . 'I ~ iiiJ I ,COf11ZOOtt - 0 OS?"Y > . ,1ft PermIt no.: 1 I Date: ~Izcfo" I It'lectrical Permit Application . CITY OF SPRINGFIELD, OREGON, ' This permit is issued under OAR 918-309-0000. Perrriits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I LOCAL GOVERNMENT APPROVAl.: I' FEE' SCHEDULE ' I II Zoning approval verified? DYes DNo I Nmnherofinspectionsperitem(),.IQty.1 <;'~~tl.1~;~1 I , CATEGORY OF CONSTRUCTION I I Residential, per unit, service included: ) o ResidenJial I 0 Government I i8J Commercial I I JOB SITEINFORMATJON,AND ,LOCATION 1,000 sq, ft, or less (4) $134.00 $ I I Job site address: S 7 q 0 t'Y\ fir AJ S t I I ~~~;1ditional 500 sq, ft, or portion $ 25,00 $ I I City:S Pf;lJ..IG -;=:{p.LJJ State: 0 R..I ZIP: 9?'-I2J I Limited energy (2) $ 32.00 $ I I Reference: /7D2 5'3 L(' I Taxlol.:O/ rOO I Each manufactured home or modular I '1-.---, ". DE~:I~.IO( ~ OfF ~\OqR~~L ) I dwelling service or fceder (2) $ 63.00 $ I I ~ ~ f""'. ~ IlV L-- \J un .:> I Services or feeders: installation, alteration, relocation I - /200ampsorless(2) I J I $ 81.00 I $ ~(l-j- I . PROPERTY OWNER I 201 to 400 amps (2) I I I $ 95.00 $ 9'S:1-- I Name: t5'j G L-o 1 J: -r;' rJ (_ I 401 to 600 amps (2) I ' I $158,00 $ I I Address: .:3 ex;; P t-{J / jJ (J I R. JJ I 601 to 1,000 amps (2) I I $205,00 $ I ICity:c"OLL-tvY\.e't..d 1State:oHIZIP:4.].;(JQ I Over 1,000 amps or volts (2) I I $469.00 I $ I I Phone: G. /1;.2 7R G g "0 I Fax: f~~;;,~iJ~/~N: Oregon a) ~!:;~:~t o~; \2) " " I " I $ 63.00 I $ I I E-mail: Notific l' ..:l auupred b ( tk~'ei"?p,J!:,J{'~N~s or feeders: Instal/atlOn, alteration, relocation I a Inn (;onf,..,.. -r-l. I .... -.. '''''''(1\ This installation is being made on reside~iial\or faffnlP!qperty 0 th'-' ;J,J r~P9Jql}p~ gre'f~b, th $ 63.00 $ I owned b~ me o~ a member of my immediate fail!i!y nINs ~"Ut~; I OUI\!iWtS\loO~pS3:~)' I property IS not IOtended for sale, exchange'flease 10'<!ent.'OA'Rn CIIPI:: :' {' $ 87.00 $ 479.540(1) and 479.560(1), nu'';;b:/ f' ""ncer. (Nc teLtpili,i)9.Q:#I'~'!.. ~f $126.00 $ I or the Oregon UtiI' . "-"- " Signature: Center i~ i_Qnn "', ~~JQAAi!~2R~(t1~ 1,000 volts, see services or feeders section above I , " CONTRACTOR INSTALLATION ' '. " ~'~'r~rBrl.'I.~i\'circuits: new, alteratian, "'tensian per panel I Business name: t=. rJ e,;:_ T e, c +I c Ip. c.T~ I c- -:rJC I a Feefor branch circuits with purchase of a service or feeder fee: I Address: 7cr;)..<:;, IV.f;. S:--L .T,:;hlf4'1<2-c1 I I Each branch circuit ..1'X. I $ 8,00 1$ t.-W.- I City: V~ AJ 0 . I State:1.J fl I ZIP: 9 P6h~ I b, Fee for hranch circuits without purchase ofa service ur feeder fee: I IPhone:3f5()~I4';('o,;l,IFax:3(;o.S7Lj{,I,R'~1 I First branch circuit (2) I 1$55,001 $ I I E-mail:~n~,e.1r-.;j., p(P,,1R.:L::J' l.nMC.,Ji- ,toJe.il I Each additional branch circuit $ 6,00 $ I I CCB license no.: q;)J:) '1;)-- I BCD license no.: 37 s.s;;;. d I Miscellaneous fees: service or feeder not included I I Signing supervisor's licen;e no.: "3 '7 fn.11 .s I I Each pump or irrigatiun circle (2) $ 63.00 $ I I Print name of signing supervisor: WI A R ~M ~ J \i):~ i ,kS d\j I Each sign or outline lighting (2) $ 63.00 $ I I SIgnature OfSlgnlDg supervlSor:-'YV! Ai A). ,t-'~ Vi A , 1;C/IIOulil<l&WOOKenergy panel, $ 63.00 $ I /. " :f,/~m~~tfl~'~l'0?f , +,:#- &OMMENCED OR IS A ~~'ffi\'1~~erfl(\'!!pection: (I)" I~ $68.00 I $ I VV\c .1),0 '2. 2- '2- -~NY 180 DAY PERIOD -:: .,"APPLlCANT' USE I . "',.. J I (A) Enter suhtotal of above fees , ,..-\\J,J> ~'^\ _ OCA.. (Minimum Permit Fee $58,00) $ 'to'!. - ~ Aill.'{r. .\\' \9'V~~. I (B) Enter 12% surcharge (.12 x [AJ) $ r.; g'.IU' )1'" ;...:V ~ ~'f/ I (C) Technology Fee (5%0f[AJ) $ '2-o.I'Zl:J .-'~. I TOTAL fees and surcharges (A through C): $ '-I7:J lb Q< VJ \.)-..~ ' .' . lJ Status Issued 225 Fifth Street, Springlield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00597 ISSUED: 06/22/2009 APPLIED: 05/0112009 EXPIRES: 12/24/2009 VALUE: $"300,000.00 SITE ADDRESS: 5790 MAIN ST ASSESSOR'S PARCEL NO,: 1702334101900 Springfield TYPE OF WORK: Tenant Inlill PROJECT DESCRIPTION: Big Lots Retail Store/ Tenant IntiIJ TYPE OF USE: Remodel Commercial Owner: Address: POLEN DEVELOPMENT LLC 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type General Electrical Low Voltage Electrical Plumbing I CONTRACTOR INFORMATION I Contractor License SKYWARD CONSTRUCTION 158289 MARK ERICSON 82092 MUZAK LLC 142760 TRITON PLUMBI1"~Af,~ECHANICAL LLC 147599 N~::"I"BUibDiNG'INFORMATlON' ' . flJ'i....Ql/on Co ,-.....-1...1 oy th '-"\;"\::j You t m OAR 95~ . ,mer, 'h e OregO 0 0090 c#,'~h~&'IJ,'~,s;hose rUles n Uti/lly M call" You /Heigbt or-StructureOAQRre seltort" mg Ih '-lJ'p"~ ~" 95 '( B.1UInb b'f,)CP.~lgf H{e~I"Pies 01 ti} 2-001. VB er forWl!t't9rTxfl'e?te: the lei e rUles by Cen'Raqge/i-~P: Utility Not~!:hone Energy '(laY~32-2344) Callan Sprinkled Building: . Yes # or Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: St~eet Improvements: Storm Sewer Available: Special Instruction: Notes: I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Phone Number: Not listed Expiration Date 01/1412010 05/1212011 05/11/20 I 0 04/2612011 Phone 360-546-1625 360-574-6202 800-331-3340 360-578-1128 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 25,904 950 658 ,REQUIRED PARKING Total: Handicapped: Compact: NOTICE" Ti-l/!:: or:r.~ ,.- AUTHOR~eJr}~iRtl~l\I;J;S .._ ' COMMENC ../, "'I~'iLER~ OR/! AMiJ~YJmitJi,IdR IS ABANrfo MIT IS Notidewalk Type: Y~RIOD NED FOR Downspouts/Drains: . . Paee'l or 4 I Plan Reviews I 05/01/2009 05/01/2009 APP LLH .. . 05/01/2009 05/04/2009 APP TSS "/ 05/0112009 05/07/2009 WE CJC Sent Iink~ to applicant for energy and Special Inspection forms 05072009 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Bid Amonnt Use Bid Amonnt Fee Description Plan Review CommlInd/Pnblic + 12% State Surcharge + 5% Technology Fee Building Permit Deferred Submittal Plan Review Fire & Life Safety Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Total Amount Paid Initial Review Public Works Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00597 ISSUED: 06/22/2009 APPLIED: 05/01/2009 EXPIRES: 12/24/2009 VALUE: $300,000.00 I Valnation Oescriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount' 300,000.00 Date Calculated Total Value of Project Value': $300,000.00 $300,000.00 05/07/2009 f~,~~ ~.1W Amount Paid , Receipt Number Date Paid $989.79 $182.73 $90.19 $1,522.75 $456.00 $609.10 $281.00 $147.26 $193.66 $17.05 $7,]28.88 $1,955.95 $454.24 $6.96 $48.48 $2.90 $20.20 $228.00 $58.00 $81.00 $95.00 1200900000000000329 1200900000000000716 1200900000000000716 120~900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 120~900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 2200900000000000706 2200900000000000707 2200900000000000706 220~900000000000707 2200900000000000707 2200900000000000706 2200900000000000707 2200900000000000707 5/]/09 6/22/09 6122/09 6122/09 6122/09 6/22/09 6/22/09 6/22/09 6/22/09 6/22/09 6/22/09 6/22/09 6122/09 6/24/09 6/24/09 6124109 6124/09 6/24/09 6/24/09 6/24/09 6/24/09 $14,569.14 Pa~e 2 of 4 CITY: OF SPRIN\.Jl'lJ<.LD Building/Combination Permit Status Issued PERMIT NO: COM2009-00597 225 Fifth Street, Springtield, OR ISSUED: 06/22/2009 541-726-3753 Phone APPLIED: 05/01/2009 541-726-3676 Fax EXPIRES: 12/24/2009 541-726-3769 Inspection Line VALUE: $300,000.00 Plannine Review 05/01/2009 05/14/2009 APP EMM Must meet MDS LUCS reqnirements enclosed with building permit, s~me uncompleted from previous MDS for B&I Plumbing. Install street trees along A Street, add 3 more bike parking spaces, restripe 86 spaces including 4 ADA, provide continuous sight obsurring screening for outdoor storage area and tras~ enclosures, all enlosures to be 5' setback from property line. Call Liz Miller at 726-2301 for Final Site Inspection. Structnral Review 05/19/2009 ' 05/19/2009 10 KLK Sent Non-residential Energy Forms for Exterior Envelope, Ligbting and HVAC to S.U.B. , Structnral Review 05/20/2009 05/20/2009 WE KLK Per phon"e call with architect, Door at bottom of Mezzanine Stairs is requiredi:to be 3'-O"x7'-O" for Egress. ~!ans Examiner marked on plans. Plans examiner left message for Contractor to provide Deferred Submitt,il Form for deferred plumbing, electrical and mechanical, S.U.B. a~d Fire reviews pending. Structural Review 06108/2009 06/08/2009 REC CJC Recieved,deferred snbmittal agreeme~t forms for plnmbing, electrical and mechanical. , SUB Review 05/01/2009 06/08/2009 APP JF See attac,hed documents for energy plan review approval. Fire Department Review 05/01/~009 06/10/2009 APP GRG See attached document for Fire Departm<ent Plans Review comments. Structural Review 06/11/2009 06/1112009 APP CJC As noted:'on plans 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. ~eollired""nsnections I' Framing Inspection: Prior to cover and after all rough in inspections have been approved. , Drywall: Prior to taping. Paee 3 of 4 CITY: OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00597 ISSUED: 06/2212009 APPLIED: 05/01/2009 EXPIRES: 12/24/2009 VALUE: $300,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 ~nspection Line Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Bolts Installed in Concrete: To be done by a State Certified Spedallnspector. Provide ins~ection test reports to City Bnilding Inspector. Ceiling Grid: After drywall approval but prior to cover. , Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 1.0" Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. 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 further certify that any and all work performed shalI'be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure wiihout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiH'be used on this project. I 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 the property, and the approved set of plans wiH remain on the site at all times during construction. Owner or Contractors Signature Date Paee 4 01'4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00597 COM2009-00597 COM2009c00597 COM2009-00597 COM2009-00597 Payments: Type of Payment CreditCard cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000707 12:00,18PM Date: 06/24/2009 Description Penn Serv/Fdr 200 amps or less Penn Serv/Fdr 201 to 400 amps Add, Alter, Extend Circ Ea Add +'5% Technology Fee + 12% State Surcharge Amount Due 81.00 95,00 228,00 20.20 48.48 $472.68 Paid By MARK ERICKSON Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DJ8 055998 In Person Payment Total: $472.68 $472.68 Page I ,of I 6/24/2009