HomeMy WebLinkAboutPermit Electrical 2007-1-2
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."",p CITY OF SPRINQ""jELD OREGON
'-.J '
SPRINGFIELD ZON CG
~ INITIAL.s I\J M
,~ DATE (C)l-n~_-m
\I'M' SOURCE(Y\cxA;->&r2"~
Date 0 / - () ') -;;;) 07J 1
225 FIFTIl STREET. SPRINGFIELD. OR 97477 . PIl:(54t)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C.OW" t.o" '" - 00 4 \.t r
1. LOCATION OF INSTALLATION:
~ (iX) i71a ,'11 (~ -/-r.'
LE.9JAL DESCRIPTI<W: I 70 Z '3.3'3 ~ 0 J ,~/o A. .. ~ew..Residential- Singl~.or M~lti-Family per dwelling unit:. ,_
~kx+A t-,k.)- (;'JrrVy",WY/;N Cr~"'.1 ar,.M Service Included
JOB DESCRIPTION: I 1000 sq. ft. or less
""').. A. T" A _ j r::> 't,' ~ ". Each additional 500 sq. ft. or
prr, IT '-fIr::::.4.. "..... portion thereof
Permits are non-transferable and expde if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
3. . COMPLETE FEE SCHEDULE BELOW
$106.00
$ 19.00
$50.00
.__._'~._- -------.-_. - --- -- .~......- -~-- --..- -.-- _..~-
2.
CONTRACTOR INSTALLATION ONLY
B. . Services or Feeders -Installation, Alterations orRelocation:
Address
Electrical Contractor --O~J-; 0.... "'- \ fI,~ S...t{;((JOO Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps .
City ~<~" ~<.\L Phone <;1./1- nb-q2.0n~NI9~1,<.IS?~,t81PfuV..-.?!~quiresyo~::
. .J follow ru,~~g~S~\&BI~y'the Oregon Ul:I:ly
.\IollflcatlonCenter. ThMe rules are set fortr
Y L'1 \ L E' A 11 OAR '~'2 a:);em..l'ora""l eorvicesoor,Jieeders "". .
, ;;)oJ , U I UU I V I UY" ,,11l:Jl)<!-uv-J-'
0090. You may' obtain COpiflS of the rulp.s ~
'ailing tInstallatior, Allteration~oreRelocation..
" "'" "till It! . \ ~Ul", 'fig I lepnone .
.lumber i~Qo.l'NPP};~;;1sn Utility Notifica!'~!':
C~OI:Ibm.p~ tc:>;d~iW'~344)..cn:- -
40 I Amps to 600 Amps
307
s\.-.dl,..l' S+.-
I
5v...\- t!1:,
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Supervisor License Number
Expiration Date
ID-OI-oB'
Conslf. Contr. Number
15t..t~DD
$ 50.00
$ 69.00
$100.00
Expiration Date
2-ID -07
O~,:r~QO Amps orlOOO V,olts seo:':B", above: _'" . ,
",",'= Z".:=~ ~ fJOI/:rf~:~:":: ';';m:::;.c;:.;, .. :,,~_. m
- '/WG " fH:S PEI~Eh:'t9~W,or*firf~~~~-ji~~WORI<
1 ". , A AUTHORService or Feeder Permit - ..... $ 3.00
Owners Name ^ Q,c.;I"""'- ~""" ILtU UNDER THIS EERMI-T-'ls..NOT
Address t>0 u o~ '70 '2.. "Z- r ~uM M ~~ ~Misre'ii~f~;;~sr(s.e]~~tl.rgej1Uif'ot i~c1uded) ":E~ch~~stal);,;i;;;;-!
City ~C.~(C Phone 7<1, _ LI'z,)Nr 180 ~';;';p~;~~?~o~n----'~.~.~~~::,:-::~ - ~;o;-_..- ---.-"
Sign/Outline Lighting $ 50.00
Limited EnergylResidential ":C.:'.'.', $ 25.00
Limited Energy/Commercial""'c, . I $ 45.00
Min mum Electric Permit Insjlecliofi'Fee is $45.00 + Surcharges
4. _~!fB.!()r.ALOF~()~~2';,,: --'-. "c;-
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OWNER INSTALLATION.
The installation is being made on property I own which
is not intended for sale, lease or rent.
1./'\
Owners Signature:
8% State Surcharge
10% Administrative Fee
5% Technology Fee
Inspection Request: 726-3769
TOTAL
Shared I?"vc(T:)/Building FonnslElcclrical Permit Application S.o6.doc
.
. CITY OF ~rKll~t.t<lJ<.LD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 07/02/2007
VALUE: $ 1,488,206.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5000 Main St
ASSESSOR'S PARCEL NO.: 1702333203900
Springfield TYPE OF WORK: Bank
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New branch office,
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Sewer
NORTHWEST COMMUNITY CREDIT UNION Phone Number: 541-747-4231
PO BOX 70225 ATT
EUGENE OR 97401 EN IIU,":uregulI,.
fOllow rill"" ~-'__. . dW lellUires 'm.. ..
l'IOtrtici'ltinn r-__,-~'-=-U "y Ilia UrA(l1n Un!
i!1<i:ONTRACTOR'INFORM>\ l1ION lre set " I Y
0090. You m _u, ~ II rroug,., OAR 9<;') n~~t
Contractor calling th, a~~?tarn co~iC~J!I!~ha r'Expiration Date
ROBERTSON/SHE~~.9.gYf)\~~1TE'01f~/ote: the tale Ulas~)
MCKENZIE COMMERCIAL. CONfRK(l:g1(i)R!~l;~~ NOl;fho~e 07/2112007
SCOFIELD ELECTRIC l"enreris 1-800-3:!!!!7iB44). ICatlor12l21/2007
NATIONAL NETWORK SERVICES OF OREU54300 02/10/2007
COMFORT FLOW 460 06/27/2007
TWIN RIVERS PLUMBING INC 17695 03111/2007
HAROLD PRIMROSE EXCAVATING
I1lIY MliJ:.DING INFORMATION I
THI" PERMIT ~I
AUTHORII of StOri~U EXPIRE I I Lot Size:
"h n '" F TH~ l~'
B COMM tI~e~ght.oftSt'Nc1?-lie, P 23.~OJRKSq Ft 1st Floor:
Er;r.ypf)of~eat: "ERMIT IGoWT Sq Ft 2nd Floor:
VB ANY 180 >>',~1ep1~fl/..BANDONED F09f~ Sq Ft Basement:
Range TypetJ. Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Bnilding: n/a Occupant Load:
Phone
541-342-8077 .
541-343-7143
541-686-8612
541-726-9209
541-726-0100
54 I -688- I 444
541-485-0587
Owner:
Address:
II of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
/I of Bedrooms:
5,178
840
139
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
/I Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee 1 of6
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Use Bid Amount
Estimate
Pavinl!
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10010 Administrative Fee
+ 8% State Surcharge
Addressing Assignment
Air Handling Unit Up to 10,000
Appliance Not Listed
Backflow Device
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Curbcut Repair
Curbcut Repair
Curbcut Repair
Eucroachment Permit
Fire SF Fee - Non-Residential
Fixture
Furnace - more than 100,000
Furnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review Comm/Iud/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administratiou
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 07/02/2007
VALUE: $ 1,488,206.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amouut
1,237,636.00
250,570.00
Value
Date Calculated
$1,237,636.00
$250,570.00
$1,488,206.00
OS/26/2006
OS/26/2006
Total Value of Project
FpPf tiilLI
Amount Paid
$2,691.42
$1,656.26
$10.00
$666.46
$408.65
$31.00
$16.00
$36.00
$28.00
$4,264. I 5
$40.00
$80,00
$10.00
$10,00
$10.00
$130.00
$500.00
$294.00
$15.00
$24.00
$4.00
$1,056.40
$610.52
$375.70
$45.00
$533.85
$702.06
$70.00
$10.00
$1,854.23
$175.78
$410.80
$3,542.31
$56,262.92
$12,755.35
Date Paid
Receipt Number
4/13/06
4/13/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06 .
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
6/6106
6/6/06
616106
2200600000000000465
2200600000000000465
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
Pal!e 2 of6
_~..,.III~ !jIi!',I"''''. ....
WIt. ,
I:AI I
1 J7 :
. .'-~" I
HR.,.....~.:'\.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm ServlFdr 201 to 400 amps
+ 10% Administrative Fee
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
Fire SF Fee - Non-Residential
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
10/30/2006
Fire Department Review
04/17/2006
Initial Review
LDAP Review
LDAP Review
04/17/2006
06/01/2006
0510412006
Plan Review Comments
Plan Review Comments
Plannine Review
04/17/2006
.
$6,767.94
$45.00
$140.00
$12,00
$45.00
$70.00
$38.40
$30.72
$183.00
$126.00
$75,00
$5.00
$4.00
$50.00
$10.18
$101.80
$11.12
$11 1.24
$4.50
$2.25
$3,60
$45.00
$97,21 I.6I
6/6/06
6/6/06
6/6/06
6/6/06
6/6/06
. 6/6/06
6/7/06
6/7/06
6/7/06
6/7/06
6/7/06
6/8/06
618/06
6/8/06
7/17/06
7/17/06
11/6/06
11/6/06
1/2107
1/2/07
1/2107
1/2/07
I Plan Reviews I
10/30/2006
05/31/2006
04/17/2006
06/01/2006
05/04/2006
OS/26/2006
09/13/2006
04/24/2006
OK
OK
APP.
APP
to
to
to
APP
Paee 3 of6
-=ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 07/0212007
VALUE: $ 1,488,206.00
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000759
2200600000000000759
2200600000000000759
1200600000000001075
1200600000000001075
2200600000000001548
2200600000000001548
1200700000000000004
1200700000000000004
1200700000000000004
1200700000000000004
GRG
Plans Review: Non-required fire
alarm for credit union. Job
#COM2006-00447. Designer: Joey
Carlson. Contractor: SecureCom.
Plans appear to meet code
requirements.
See attached document for Fire
Department Plans Review
comments.
GRG
SKG
VRJ
VRJ
LDAP issued 6-1-2006.
LDAP plans submitted 5-3-2006 and
are under review.
WE. Received response from John
Bramwell. Left a voice mail for bim
to inform him that the special
inspection forms must be completed
before per~it issuance.
Received alarm plans on 09/13/2006.
Forwarded to Gilbert. njm
Sarah Summers Plauner
JMP
NJM
EMM
. . Lll i' OF ~rKll~'-'l'lf,LD
Building/Combination Permit
Status Issued PERMIT NO: COM2006-00447
225 Fifth Street, Springfield, OR ISSUED: 06/06/2006
541-726-3753 Phone APPLIED: . 04/1312006
541-726-3676 Fax EXPIRES: 07/02/2007
541-726-3769 Inspection Line VALUE: $ 1,488,206.00
Public Works Review 04/17/2006 05/04/2006 WI SB LDAP submitted. LDAP required
to be issued before this permit.
SDCs added. Curbcuts added,
curbcut c1osures(3) added.
Encroachment fee added.
Encroachment permit application
required before working in City
ROW or within Public Utility
Easement. ODOT Facility permit
reuqired.
Public Works Review 06/01/2006 06/01/2006 APP SB LDAP LDP2006-00068 ISSUED.
Encroachment permit application
required prior to work in
right-of-way or within Public Utility
Easemen ts
Revised Plan Review - Fir 05/04/2006 05/31/2006 OK GRG Addendum I. Revised Plans Review:
Credit Union branch. Site work
modifications. Job
#COM2004-00447. Plans appear to
meet fire code requirements.
Revised Plan Review - Pia 05/04/2006 05/11/2006 APP EMM Addendum I.
Revised Plan Review - Pu 05/04/2006 05/30/2006 APP SB Addendum I. Nothing changed
affecting PW. No new SDCs.
Revised Plan Review - Str 05/04/2006 05/12/2006 to JMP Addendum I.
Revised Plan Review - SU 05/0412006 06/05/2006 APP DH Addendum I.
Structural Review 05/02/2006 05/12/2006 WE JMP See attached documents for 14
strnctural comments faxed to Carl
R. Sherwood.
Structural Review 06/05/2006 06/05/2006 APP JMP Received final internal approval and
completed special inspection forms.
SUB Review 04/17/2006 06/0512006 APP DH
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,
UeouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Paee 4 of6
.
ecITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 07/0212007
VALUE: $ 1,488,206.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated,
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to coucrete.
Floor Insulation: Prior to decking.
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.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector,
Provide results to City Buiding Inspector
Roof SheathinglNailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report 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 requirements of the 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.
Underfloor Plumbing: Prior to insulation or decking.
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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee 5 of6
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006~00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 07/02/2007
VALUE: $ 1,488,206.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all reqnired energy inspections have been requested and approved.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Low V oUage: Prior to cover.
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 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 Commnnity Services 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
Pace 6 of6
22~ Ji'iftb .Street
Springfield, Oregon 97477
541-726-3759 Pbone
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Ca>f Sp~ingfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-00447
COM2006-00447
COM2006-00447
COM2006-00447
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000004
Date: 01102/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
Paid By
NATIONAL NETWORK SERV
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
028564 In Person
Payment Total:
. Page I of I
10:34:53AM
Amount Due
2.25
3.60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
112/2007