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HomeMy WebLinkAboutPermit Electrical 2009-7-17 Electrical Permit Application !rm~Wl~lt~;,~mit~~~~ti nSVrfth Strft".':'r~ i'""8"..ld, OR 97477. PH(341)7t6-;J753. I: A.X(s.tl)?:!6.3~ ~~~ ~~, .,.~. '_.' ___.. ,", '" ,: n' -.'.o;l..'--~. -(, ,'. .."'. "-. .~;-, ,'"..""'" "-:';;.- ;,e;\,DEPARTMENT:USE'ONlV;'J;' ' .,l'.,~',fr' : . ">,- ,".~:;";..' -'c.r- ,.Jk~.-'''] '~,t:',;:.~.:; ~.."- ,.,7." .. ''<>'.. -:"-, . t.- c.olM zoo, - 00 E'/J ' 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 \_ -~T~::;-.~"~~ ,;~~~!i~~~Jt~f;.~~e,IJ-':;~~)'<~~:\; ~_- .~c: It.<{,~:ciL~~& ~~:-~:6_~t?(i '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, $ S I 1 ;( ~~ ~~, ~N 'w 'Xv\ .0'. , f\!\,'b ~ ~~ 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