HomeMy WebLinkAboutPermit Electrical 2009-7-17
Electrical Permit Application
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nSVrfth Strft".':'r~ i'""8"..ld, OR 97477. PH(341)7t6-;J753. I: A.X(s.tl)?:!6.3~
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Permit no.: "
Date: 7 -.17 - 0 '7
J:his' permit h iuued under OAR 9J8-309-4)000. Pcnnitsarc no~tran5ferab~ Permits expire irwork is not started w'ithin ISO
days ofissuan~ or if work i'J suspended for 180 days- ..
;'z:-:o'n' "m.'::g',',"a."ppr'iLOo \CaAl\L'e','r.',.GI"edOV?ERNMEDNTY'CA'SPPROV,ADlN{~O'~'t-({l,;:'/f""'j' Ie. ,::'~;t'i;,,;"''''J::',;:t}fi'',FEE~SCHEDUlEf;,;,:',~<:;:;,'it}:{.\'J";~~'
_ Iq~< '~"'. t,;~,.T:/.""',,}":'jj;':":""P"/NI'Q'-'~ll';:Co.iYIVTotiiU
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'i~~~~:;f>/ tCATEG()RV.,OF,'CONSTRUCTION;;t.:":.\~~",,.,<:. '
I I I Residential,pe-r unit, Sl"rvice included;
o Residential 0 Government ,J~:o~]~~ial, ,." I
r.;:~:;t~~~:I:E.W6~MATI~~~~tOCATI~;~)<:~~f', I ~~:i::'::::~ fL or portion :'::::: \
I City: se-FJ I Stateo.(L IZlP:'7ng 1 I Limited ene'l\Y (2) $ 32.00 I $ I
i,~,~bdiVision '~~~:'::';':;~OF;'~~~~';~~ <<?~;,oo 1 :~~IFn::!~:'r:~=:,~)odnlar $ 63.00 \ $ r
i Act..!. ~,..JL / (j -ho ?'C.~'L 4e-!lu_ ~;;. ~:;:::se;;; insla{(atioll. al'eratiOIl,t"'~n:~oo $ g, ;.
I,'.' ;";it";.",:;it"";;;PROPERTY"OWNER-'C,:.",<-".:,>-"""",,.J 1201 '0400 amps(2) ,I $ 95.00 $ 9.s-1
I~a~~ 'i,Ji1i~",^-A/~~ (JM~ii{i;C "1 ~401lo600amPS(2) $158.00' $' I
I Address Z ~O. .5. :1 Z......L. S-t- \ 601 to 1.000 amps (2) $205.00 $ 1
I City: s:: pfJ. I State: c.a.. I ZIP: 971178 Om 1,006 amps 0' volts (2) . I $469,00 $ I
I Phone:S'l ( -7 J'. L{ 011 ~ Fax, 1 I Reconnect only (2) I $ 63 00 $ 1
I E~mail: I Temporary '!"!"icosorfeeders:'lns/allaNoll. altem/ion. relocaNon .1
This installation is being made on residential or farm property 200 am~ or )~:; (2) \ $ 63.00 S .
owned b~ me or a member of my immcdiale family. This 201 to 400 amps (2) , $ 8700 S I
property IS not mtended for sale, exchange, lease, or rent. OAR " .' .
479.540(1) and 479.560(1), '. ~-!g)J'lp'\\qW'PS(2) I I $126.00 $ 1
,~.igna.~::,,_ , . . '. _ _~,!~t:,1\rT\O~' .o,(ego~ ~~~~,'~\.~~~b~~W.OT LO,OO\'olts,seeservicesor,... 1i,eedc:rssectiona~o\'e I
I,. "'/C;,,'" CONTRACTOR"..NSrAL~TI_ON;~aCl8.\;',~~.;:'&';;ci'o" u\ ,~iM:b.:J.l~\l!.: new, aI/eralion. extension per panel I
Business name: J K b ?----l _ 0 .;;*V:':if~ ~(~j",,~'~hroJ9ri U!~~j:t~!lfi~ciTCUits with purchase of aSt..~ic.e or feeder fee:
; Addr.,,;s 2..1"51 -;')c,n. \:"A'f1 Qir:;,~~ ~b\ain GOple:!:~: ~~Ji,r,tJJl'l2ci,co;t I' I $ 6.00 I $
I City: ~iJ1.k1. Stat~:U-,'t);a rblIl" '~" ::t1~'~;i1\\~,\~~f~e6fMla. circuits withon. purchase.,ofa service 0' feede, fee,
I Phone '541 :"<./,,.%'l50' Fafi~t,fJl( ~.c,,!d'G,~\~_33~-22P1lU1>ran, ch circail (2) 1.1 $' 55,001 $ ,
I E-mail: 1i...~...~KbElf:L...c...oM.vc.....1 I ,Each additional branch cilCn;t 123 $ 6.00 $/Sg-
I CC131icensc no.: 4'51 L'l I BCD lieense no,: 20-2.1,(. \ I Mi,cdlaneous f..."e",ice orfeederno/included I
,
I Signingsupervisor'slicensCno,: Lt'il''5S ! I Each pump or inigation circle (2) "1.$ 63.00
I Pnnlnameofsig.ningsupetviSOrc~~r4v,~, W unw~1EaCh Si~'O~O,ntlinClighting(2) :. I $ 63.00
I Signature of slgnmg supervisor: . -- \ Slgnal_ cnu.IIl or a lt~lIItcd~energy panel, . ,\ S 63.00 $
_ ' J ,alrerahon. oTex1enSI0l1 (2)
I E.DCh additional insPectio~: (1)- . ~ I " $58.00 ~ $
IJ~'fY~J~~:;;i:t%0W*.t~tA~~l.ICANt.;tUSE:~::-S-i~U:s:'<{t;?~~.
(A) Enter subtotal of above fees
~~~~~ i!'fPW!1FW$Jif\@)!IJOR)(, ,
lj1o~~~I"Il9'%Rf'I1n ~JJ'lU I
fi)-~,;",,\,IMt\~OO>>RliJ'.tuK
&W~OO. and surcharges (A through q,
$
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NOTICE:
THIS PER
AUTHORIZ
.COMMEN
ANY 180
$ 31'1
$ 37b~
$ /~"N
$3b738
,
-I40~2581~J (!)!08fCOM)
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00815
ISSUED: 07/1612009
APPLIED: 06/0912009
EXPIRES: 01/17/2010
VALUE: $ 765,000.00
225 Fifth Street, Springfield, OR
541-726-3753' Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6100 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702342100400
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Addition Public
PROJECT DESCRIPTION: Addition of Playgronnd, Picnic Area, Dog Park, Accessible Parking, and site
improvments. Shelters: (2) 50',85';(1) 18',24', (I) 20',20'. Trash Enclosnre 18',20'.
Provide electrical permit application. '
Owner:
Address:
WILLAMALANE PARK & REC D1ST
250 S 32ND ST
SPRINGFIELD OR 97478
Phone Number: 541-736-4044
I CONTRACTOR INFORMATION I
Contractor
CPM DEVELOPMENT CORP
J K GUCKENBERGER ELECTRIC INC
BRANCH ENGINEERING
OWNER ,. .les 'fou to
EGGE SAN!> ft..PM.Yi1'L \lJIl,c:e~l"non Ut\l\t1,150240
. A\ \ ~'~~i;s ad'I'"B-uiLDiNG'INFORMA,it:QN ,
. ~~t~icat"iOn cen'0010 thlOUgl1 v; t~e lules b'f
# of Units: . O^R 952-00'- btoi#,of.Si6fies: .Iephone
.' \n I~ 13."0 p' ~-' ..',ole .
Primary Occupancy Group: 0090. 'A5J rl1, ntel.ll.rJg~~:'?r.~t&'LclW(;~tIOl1
Secondary Occupancy Group: call\ng tM ce ori.')'pe o!JH~~t: 4).
Primary Construction Type num\VB 10l tne is ,~afep'l'fl~~"
Secondary Construction Type: centel Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Engineer
Plumbing
Sewer
License
150240
45129
ExpiraWm Date
01l24/2010
04/24/2010
Phone
541-485-1515
541-746-4656
541-746-0637
01l24/2010
541-485-1515
1
19.00
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
804,989
,
9,332
No
I DEVELOPMENT INFORMATION I
,REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: ?,'f,.
. % of Lot Coverage: W ,\\\: 'l'!~'o'
ll;j.?\?'\: "~\\ \0 ,~
r...,C'.f,'. "1'\ ~\ \.. ,~, 0\01'>'" ,-~Q
I,PQiiLi6tMpj~\)'\(~!YfEN<r'S:l;~\)()~l:.\J (\-
, I I I It, I t\
I\\.l\\-I\.\\"\~C'CI) 0\'1 \~o'6. Sidewalk Type:
C,O\-!i\-!i'C 1)1\'i \,'C?'
p..~'i \'O(J
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction :
DownspoutslDrains:
Notes:
Pal!e I of 5
, _~~Fll"~~~!3!P~~,,~J".~.!~3jl
y' .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion ,
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Comm/IndlPnblic
+ 12% State Snrcharge
+ 5% Technology Fee
Building Permit
Fixture
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll 00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin'
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 100'
Storm Sewer Each Addtll00'
Water Line - Is(.lOO'
Water Line - Each Addtll00'
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
MechanicalNalue
Plan Review/Com,lnd,Pub Hourly
'Plan Review/Com,lnd,Pub Hourly
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Total Amount Paid
I Valuation Descdntion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$2,219.95
$482.80
$201.17
$3,415.30
$1l4.00
$1,366.12
$76.00
$126.22
$165.99
$76.00
$10.00
$7,842.69 '
$760.82
$800.08
$47,916.98
$13,146.96
$3,401.87
$14,069.40
$76.00
$95.00
$76.00
$95.00
$35.67
$14.86
$171.00
$126.25
$8.00
$50.00
$37.68
$15.70
$138.00
$81.00
$95.00
$97,307.51
Square Footage
or Bid Amount
765,000.00
Total Value of Project
Fpp<. pqiaJ
Date Paid
6/9/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
7/16/09
7/16/09
7/16/09
7/16/09
7/16/09
7/16/09
7/17/09
7/17/09
7/17/09
7/17/09
7/17/09
Paee 2 of5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00815
ISSUED: 07/1612009
APPLIED: 06/09/2009
EXPIRES: 0111712010
VALUE: $ 765,000.00
Value
Date Calculated
$765,000.00
$765,000.00
,
07115/2009
Receipt Number
2200900000000000633
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
i200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000735
1200900000000000810
1200900000000000810
12009000000000008]0
1200900000000000810
1200900000000000810
1200900000000000810
2209900000000000811
2200900000000000811
2200900000000000811
2200900000000000811
2200900000000000811
Status
Issued
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-00815
ISSUED: ,01/16/2009
APPLIED: 06/09/2009
EXPIRES: 01117/2010
V ALUE: $~ 765,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
Plan Reviews I
Structural Review 06/10/2009
Structural Review 06/1612009 WE Phoned engineer, waiting for
missing calculations.
Initial Review 06/1012009 06/1012009 APP LLH
Fire Department Review 06/10/2009 06/1612009 APP GRG Plans Review: Expansion of park
facilities; site work only. Job
#COM2009-00815.
Provide "Storz" quarter turn
adapter for the steamer port on the '
relocated private lire hydrant (2007 '
Springfield Fire Code 508.5.7).
Planninl! Review 06/10/2009 06/16/2009 APP EMM Mark Metzger Planner
DRC2009-0004. Call Mark for
Final Sit~~ Plan Inspection at
726-3775
Structural Review 06/17/2009 06/17/2009 10 KLK Provide: I) Beam calculation for
6-3/4"xI2" flat 12' span 24F-V4
GLB with 3834# point loads from
6-3/4"xI9-1/2" curved GLB's. 2)
Engineering calculations and
construction details for 18'x20'
Trash Enclosure. If
Non-combustible construction is
Type IV; provide minimum 3"x
structur~1 members in place of
2"x12"'s..
Public Works Review 06/1012009 06/19/2009 AP.P EW Transportation (ITE 411) SDC's
based on dog park area
Sanitary Sewer for food prep based
on picn~c shelter area
Structural Review 06/2412009 06/24/2009 APP KLK
Structural Review 06/29/2009 06/29/2009 10 KLK Incomplete suhmittal for Trash
Enclosure (Revision).
Structural Review 07/0712009 07/07/2009 APP KLK Approved revision for trash
enclosure per engineer.
Structural ~eview 07/10/2009 07/10/2009 10 KLK Revision:'for addition of Mechanical,
Plumhing and Electrical to
structures.
Pal!e 3 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/C~mbinationPermit
PERMIT NO: COM2009-00815
ISSUED: 07/16/2009
APPLIED: 06/0912009
EXPIRES: 0111712010
VALUE: $' 765,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
07/13/2009
07/13/2009
10 KLK
Received Revision for (2) Sinks, (2)
Barbec~es and Counters.
Structural Review
07/15/2009
07/15/2009
APP KLK
Revision approved for additions to
plumbing and mechanical.
To Request,an inspection call the 24 hour recording at 726-3769. All inspections r~quested he fore 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.
I Rpnllirprll'W~rti'1n< I
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground,: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are exc.avated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roof Sheathing
Final Building: After all required inspections have heen requested and approved and the building is complete.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Underground Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to lilliJig trench.
Final Plumbing: When all plumbing work is complete.
Electric Service: Approval required prior to utility company energizing service.
Paee 4 of5
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00815
ISSUED: 07/16/2009
APPLIED: .06/0912009
EXPIRES: 0111712010
VALUE: $ 765,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 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 shall be done in accordance with
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 structure without permission of the Community Servi,ces 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 pia us will remain on the site at all
, times durin~ construction. .
O'Yner or Contractors Sig~ature
Date
:
Paee 5 of 5
225. Fifth ,Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00815
COM2009-00815
COM2009-00815
COM2009-00815
COM2009-00815
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000811
Date: 07/17/2009
Description
Penn Serv/Fdr 200 amps or less
Penn Serv/Fdr 20 I to 400 amps
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
J GUCKENBERGER
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
djb 06811 d In Person
Payment Total:
Page I of I
1O:36:54AM "
. Amount Due
81.00
95.00
138.00
15,70
37:68
$367.38
Amount Paid"
$367,38
$367.38
7/17/2009