HomeMy WebLinkAboutPermit Electrical 2009-7-17
City of Springfield
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Electrical Authorization To Begin Work
E-mailed.To:jilll@l.}.anet.com
Check on status of permit
By Phone: 541-726-3753 'or Email: permitcenter@ci.springfield.or.us
D NewConstruction
o Additionlaltenltionlreplacement
I D J Dr 2 family dwelling D Mulli-family 0 Commercial D Acces,SOlY
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Job Address: 5790 MAIN ST
City/Stllte/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.l.apt.no.:
Project Name: BIG LOTS#04547
Cross Street/directions to job site:
Tax maJ)fparcd no.:
\rzm.o~'Y\
O\o...r:;LJ
LOW VOLT AGE SECURITY,AUDIO,CABLE
Name: Ron German
Phone: 541-484-9078
Fax: 877-722-4099
[mail: jilll@vyanel.com
I Elee lie. no.: 2o'476cliOI_'.?~ rUles ad~d. lwv I Hi/it}'
I Business Name: ST St~tfA~t'65~'~ ~:n~!.. ~ ~.ose rules are set forth
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Conlan: OOqO \J" ;:J ;;IvG
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Address: 514 NAISMITtCllmH~q the centAr 11\/nto. th"" ......4....,_'-- _ .
I City/Stille/ZIP: EUGErEtlr/6ROOHl.(or the Ored~n Utilitv N~t~fi~':t'j~""....
I Ph""" 541,521-2837 lienter ia<ikBOO-332-23441.
I Email:
I Melro Iic. 110.: Citylic.no.:
I Supen..isill2 Electrician's lie. no.:
I Supervising Eleetricillll's Name:
Number of inspections included in paid sen'ices:
Residential Servii::e. 4
ReconneCIOnly: I
AIIOlhcrScrviccs: 2
Upon review and approval by your local jurisdiction, your permit will be
e..mailed or faxed within one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
l~
The local buil~ing department may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
Please cheek all thaI apply:
DAserviceorfeederbegi~ningat
400 Amps where the available faull
eurrente:<ceeds 10.000 Amps at
lSOVol1sorlesstoground
exceeds 14.00iJ Amps for allctiler
inslallations
o Fire pumps
o Emergencysyslems
o Addilion ofa new motor load of
100 HPormore
DSixormorcresidemialunilsinone
~Iruclure
o Healthcarefadlilies
69600-BEL-09-00042
7117/2009 11:07 am
App~ovaICode: 063145
locations
servi,e or feeder raled at 600 amps
or more
o Buildings more than three stories
o Marinas and boat yards
DFloatingbuildioj)s
DCommercial.useagri,ultural
:, buildings
DlnslaJlationofa150KVAorlarger
I seperatelyder;vedsys
D'.A"."E".or"l.ror"lo3"
o Recrealional Vehicle Parks
DSupply vollage for more than 600
supply wl1s nominal
1;[:~~~:*~~2~fo;~.~~~FEEfSCHEDuLE""~C",,~_;f. ~,,;,,~
I Description I Qty. I Ea. ,
},
Tol>>1
IStand..alone lilllited energy,
commercial
$58.00
I Subtotal
Istate surcharge (12% o[penllit
total)
!Technology Ice (5% ofperlllit totaJ)
ITOTAL PERMIT FEE
't~'
,.tJ.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
'I
S58.001
,,",'J
$58,00 I
$6.961
$290 I
S67.86!
c.C1-5Ql ~ lll1lCC\
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER'THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD"
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Status
Issued
CITY OF SPRINLI!It<;LD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/01/2009
EXPIRES: 01/15/2010
VALUE: $;300,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
SITE ADDRESS: 5790 MAIN ST
'ASSESSOR'S PARCEL NO.: ' 170233410]900
:l
Springfield TYPE OF WORK: Tenant Infill
,
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Big Lots Retail Store/ Tenant Infill
Owner: POLEN DEVELOPMENT LLC
Address: 2197 OLYMPIC
SPRINGFIELD OR 97477
Phone Number: Not listed
I ,CONTRACTOR ~NFORMATION J
Contractor Type.
General
Electrical
Low Voltage Electrical
Mechauical
Plumbing
Contractor License
SKYWARD CONSTRUCTION 158289
MARK ERICSON 82092
MUZAK LLC 142760
MCKINSTRY CO LLC 172811
TRITON PLUMBING & MECHANICAL LLC 147599
I , BUILDIN~ INFORM~ TION I
Expirati~n Date
01/]4/20]0
05/12/2011
05/11,120 I 0
11/16/2010
04/26/2011
Phone
360.546-1625
360-574-6202
800-33] -3340
206-762-3311
360-578-1128
# of Units: # of Stories:
Primary Occupancy Group: M Height of Structure
Secondary Occupancy Group: B Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ATTENTION: Oregon law require~E,n_e~gDPath:
follow rules adopted by the Oreg(Spj-jiiklfd Building:
"1_"':.1::__...:__ ""__"_'~ TL..___ ....1__ ___ __.l-~__........
Lot Siz~:
Sq Ft l~t Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:
25,904
Yes
950
658
in OAR 952-001-0010 throuI1lDEl:v.EliOPMENT INFORMA nON J
0090, You may obtain copi8, 0, ",,,,u,8,.:Jy . "I~U I jlll:. REQUIRED PARKING
calling the center. (Note: the teleohone THIS PERMIT S A l K
Frontyard Setb'l1!f':nber lor the Oregon Utility Notl~t'&fi~~ Dist:, H l EXf1t!?lliIIF THE WaR
Side I Setback: Center is 1-800-332-2344).# Street ~rees Rqd: AUTHORIZED UNDER TH6aila:~li)\fe~ NOT
SIde 2 Setback: . Paved Dnve Rqd: COMMENCED OR IS ABAf.l'1)1!Jl~D FOR
Rearyard Setback: % of Lot Coverage: ANY 180 DAY PERIOD.
Solar Setbacks:
I P~BLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
I
Notes:
Paee I of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Description
Tvpe of Construction
Bid Amount
Mechanical CII
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review Commllnd/Public
+ 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
+ ]2% State Surcharge
+ 12% StateBurcharge .
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ Ea,Add
Low Voltage - Commercialludus
Perm ServIFdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
+ 12% State Surcharge
+ 5% Technology Fee
Fixtu re
Not Covered Plumbing
+ ] 2% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Structural Review
07/14/2009
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
300,000,00
5] ,000,00
Total Valoe of Project
Fees Paid I
Amount Paid
$989.79
$182.73
$90.19
$1,522.75
$456,00
$609,10
$281.00
$147,26
$193,66
$17.05
$7,128.88
$1,955.95
$454.24
$6.96
$48.48
$2.90
$20.20
$228,00
$58.00
$81.00
$95.00
$13,80
$5.75
$57.00
$58,00
$6,96
$2.90
$58.00
$14,771.55
Date Paid
5/1109
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/24/09
6/24109
6/24/09
6/24/09
6/24/09
6/24/09
6/24/09
6/24/09
7/16/09
7/16/09
7/16/09
7/1 6/09
7/17/09
7/17/09
7/17/09
Plan Reviews I
Paee 2 of 4
CITY OF SPRI~'_d<l~LD
Building/CQmbination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/01/2009
EXPIRES: 01/15/2010
VALUE: $ 300,000.00
Value
Date Calculated
$300,000,00
$51,000,00
$351,000.00 '
05/07/2009
07/13/2009
Receipt Number
]200900000000000329
]200900000000000716
1200900000000000716
12009000000000007]6
12009000000000007]6
12009000000000007]6
120Q9000000000007]6 '
12009000000000007]6
]2009000000000007]6
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
2200900000000000706
2200900000000000707
2200900000000000706
2200900000000000707
2200900000000000707
2200900000000000706
2200900000000000707
2200900000000000707
2200900000000000804
220Q900000000000804
2200900000000000804
2200900000000000804
1200900000000000816
1200900000000000816
12009000000000008]6
mechanical plans lor Big Lots
.--~'''~~~~~!l~~~ CITY OF SPRINGFIELD.
't;ij \", . i~" ",
",,'r '
Building/C~mbination Permit
Status Issued PERMIT NO: GOM2009-00597
225 Fifth Street, Springfield, OR ISSUED: 06/22/2009
APPLIED: 05/0112009
541-726-3753 Phone EXPIRES: 01115/2010
541-726-3676 Fa.
541-726-3769 Inspection Line VALUE: $ 300,000.00
Initial Review 05/0112009 05/0112009 APP LLH
Public Works Review 05/0112009 05/04/2009 APP TSS
Structural Review 05/01/2009 05/07/2009 WE CJC Sent links to applicant for energy
and Special Inspection forms
05072009
Plannin2 Review 05/0112009 05/14/2009 APP EMM Must meet MDS LUCS
requirements enclosed with building,
permit, s,ome uncompleted fro,m
previous,MDS for B&l 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 trash enclosures, all enlosures to
be 5' setback from property line,
Call Liz Miller at 726-230] for Final
Site Inspection,
Structural Review 05/19/2009 05/]912009 10 KLK Sent Non-residential Energy Forms
for Exterior Envelope, Lighting and
HV AC to S.U.B.
Structural Review 05/2012009 05i~012009 WE KLK Per phone call with architect, Door
at bottom of Mezzanine' Stairs is
require~ to be 3'-O"x7'-O" for
Egress, Plans Examiner marked on
plans, Plans e.aminer left message
for Contractor to provide Deferred
Submitt~1 Form for deferred
plnmbing, electrical and mechanical.
S.U.B. and Fire reviews pending.
Structural Review 06/0812009 06108/2009 10 CJC Recieved deferred submittal
agreeme,nt forms for plumbing,
electrical and mechanical.
SUB Review 05/0112009 06/08/2009 APP JF ,I'
See attached documents for energy
plan review approval.
Fire Department Review .05/01120'09 06/10/2009 APP GRG See attached document for Fire
Department Plans Review
comments.
Structural Review 0611112009 06/] 112009 APP CJC As note~ on plans
Initial Review 07/1312009 07/14/2009 APP LLH Mechanical plans for Big Lots
Pa2e 3 of 4
_~~~~~Iill~
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: 'COM2009-005'7
ISSUED: 06/22/2009
APPLIED: 05/0112009
EXPIRES: 01115/2010
VALUE: $ 300,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541- 726-3 769 Inspection Line
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.
Rellllirerl Insnedi'1~s I
Framing Inspection: Prior to cover and after all rough in inspection~ have been approved,
Drywall: Prior to taping.
Epoxy Anchors: To be done hy Certified Spcial Inspector, Provide Inspection results to Ci,ty Building Inspector,
Bolts Installed in Concrete: To be done by a Staie C~rtified Special Inspector. Provide inspection test reports to
City Building Inspector.
Ceiling Grid: After drywall approval but prior to cover,
Rough Plumbing: Prior to cover and including required testing.
Final Plumhing: 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.
Low y oltage: 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 tfue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es 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 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Numl?er
COM2009-00597
COM2009-00597
COM2009-0059?
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
. Public Works Department
1200900000000000816
]:33:44PM
Date: 07/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Heceived
Amount Due
58,00
2,90
6,96
$67,86
Description
Low V9ltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
KR
ONLINESECURETE Online
CH
$67,86
Paym~nt Total:
$67,86
Page I of I
711 7/2009