HomeMy WebLinkAboutPermit Electrical 2006-6-7 (2)
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SPRINGFIELO t\a.,y Sfa.(.IY\~
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRlqtL PERMIT APPLICATION
City Job NumbUonI. 7.rti n -lDl(lt7
,
Expiration Dale 10/01/2007
Ill.!;"
J, ,. "1 Ii (:)1;1-111 rvr.."
,';Constr;Cuontr. Number,rlE /F38702"'~h
, ,'.' u IVUtH TH S ,.- "'un"
,lJ", MIVCFn (]" '" I PtRJl1IT IS'
'^'Y I Expiration Date AtJ;l:V:21/,09 _. NO T
uJ J,:r Pf::HIOV - .,~u rVIi
.Sigl!na~rure ~fSu~~iSin.g E~le(c ician
, New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
" \' f\ .\ . _ (' _ , .;. l Service or Feeder Permit $ 3.00
Owners~ame ,~\.) (QYlf't1L/fl/tJ.-Y. _AU():..(...A- ,
Addresit'O &x. -cO~ .) l.utut'l':'Miscell'meolls (Servicetf~~~,et:~,~t ,inchide<j) -Each InstaU"tion
city9 ul' f) ) Ot2...Phone'1 y., - Lf?3\
cnyO\
OWNER IN TALLATION
.-
1. LOCr1'FION OF INSTALLATION
fY\ ,,: _ '_ <.. '--
fi)bD \' \(MJY\ ~
LEGAL DESCRIPTION.' " . 'q' . ..I,_~ "n" '1)
\lOd--.' 3~ '5l.- 03 ITP:>cy
./"'108 DESC\?ON _ L. " " ':; -;,: ,',',i ,elfin
~.' 1-, \, , . ~~,,' ~ ~. I ' ~"/-1 S:.?O:J1-
~Jf() , \~" ,,~':Jnh"n"8sby
Permjt~ are:-~~ri.;tran'sferatile ana expire!.if~\/o~kTsllone
not startedlwithin 180 dayslof is~tiance:or.jf'worklis':4tlon
Suspended for 180~d!lys"r is "80U'332,2344).
.
2.
CONTRACTOR INSTALlATION ONLY
Electrical Contractor
SCOFIELD ELECTRIC CO.
Address PO BOX 2765
City E'J.lliENF _ OR'
97402
Phone
hRh.,Rhl?
Supervisor License Number
4218S
The installation is being made on property I own which
is not intended for sale, lease or rent,
Owners Signature:
Inspection Request: 726-3769
3.
~,
€OMPLETEFE::;HE~~:::Cp ~
A.'New Resideotial- Single or ~IUlti-Fa~~;lY p'~r"J~;ilingN
Service Included
1000 sq. ft. or less
Each additionai 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. Sen'kes or Feeders, - ,Installntion! Alterations or R.doclltion:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNoIts
Reconnect Only
$ 63.00
$ 75.00
$125.00
S I 63.00
$375.00
$ 50.00
c. .t~.~jpor~I'}'..S~_fyl~esofFe.('~e-rs~
Installation, Alteration or Relocation
I
$ 50.00
$ 69.00
$100.00
(I)()
<J'7)
200 Amps or iess
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "8" above.
D. Branch Circ-qit,s,;. ,'~'
$ 43,00
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
S 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
4. SUBTOTAl- OFABOVE
.Jt60, ffIJ
~/, () (j
,~_ c)O
ft5 Cj _ ;s'D
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Orive(T:YBuilding FonnslElectrical Pennit Application 1-06.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 06/08/2006
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
- . . ~.....
PROJECT DESCRIPTION:
New branch office,
_ \~\'I reLiUIl,.,.... J - -
Springfield :TT,Y.PE-OFIWORK:IBank 0' rogon Utility
!\ I ~" . ,- d by lne ~
~"""'.1 fU1J'-- t,joi)ta . les are set forth
Ie TYPEi.lOF-USE::. iNeW! ru OAR 952€0ri1mercial
No',':.Glltl "v_"~ 0 through" - '
. 0" R 052-00; ,001 'es 01 the rules by
In " b' 'n COpl
_ ""_0' rn~\1 0 lal . .._l...........hnne
vV~;;ling the centp~0~J~~~'m~in;IO'S4Pi41'J423I
number lor the01r €00_332-2344).
Center IS '
SITE ADDRESS: 5000 Main St
ASSESSOR'S PARCEL NO.: 1702333203900
Owner:
Address:
NORTHWEST COMMUNITY CREDIT UNION
PO BOX 70225
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date Phone
ROBERTSON/SHERWOOD/ARCHITECTS 541-342-8077
MCKENZIE COMMERCIAL CONTRACTOR 45539 07/2112007 541-343-7143
SCOFIELD ELECTRIC 38702 12/2112007 541-686-8612
."'-
COMFORT FLOW .. _.; ,,460 0612~/200?rlE W05~~-726-0100
TWIN RIVERS PLUMBING INC ,tJ,\S Pff69'sT SH~~~ ':.~~Ii.Jl2~o.7IT Ie:. N$~1-688-I444
.....,...."~u UI"LJI...II "..~.-
, BUILDING INFORv~~~~~~]E.D OR IS ABANDONED FOR
# of Stories: ANY 180 DAY PtIRIO[1t;ot Size:
Height of Structure 23.50 Sq Ft 1st Floor:
Type of Heat: Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
, Range Type: Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
B
5,178
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
840
139
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of 6
Status
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
Pavine
Estimate
Use Bid Amount
Fee Description
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 100/0 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
Encroachment Permit
Fire Fee - Non-Residential
Fixture
Furnace - more than 100,000
Fnrnace - up to 100,000 btu
Gas Outlets 1-4
Paving
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
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: 06/08/2006
VALUE: $ 1,488,206.00
I V ~Il ~ fion Descriotion J
111.111
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
1,237,636.00
250,570.00
Value
Date Calculated
$1,237,636.00
$250,570.00
$1,488,206.00
05126/2006
OS/26/2006
Total Value of Project
J;'pp<, P~i" I
Amount Paid
$2,691.42
$1,656.26
$10.00
$666.46
$408.65
$31.00
$16.00
$36.00
$28.00
$4,264.15
$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
$ I ,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
616/06
6/6/06
6/6/06
6/6106
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
Paee 2 of6
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
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
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 ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
+ 10% Administrative Fee
+ 8% State Surcharge .
Temp Power 200 amps or less
Total Amount Paid
.
. ,CITY OF SPRINljl'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 06/08/2006
VALUE: $ 1,488,206.00
$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
6/6/06
6/6/06
6/6106
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
6/8/06
6/8/06
$96,921.92
I Plan Reviews I
Fire DeDartment Review 04/17/2006 05/31/2006 OK GRG
Initial Review 04/17/2006 04/17/2006 APP SKG
LDAP Review 05/04/2006 05/04/2006 to VRJ
LDAP Review 06/01/2006 06/01/2006 APP VRJ
Plan Review Comments OS/26/2006 10 JMP
Planninl! Review
Public Works Review
Public Works Review
04/1712006
04/17/2006
04/24/2006
05/04/2006
APP EMM
WI SB
06/01/2006
APP , SB
06101/2006
Pal!e 3 of6
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000750
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000756
2200600000000000759
2200600000000000759
2200600000000000759
See attached doc~ment for Fire
Department Plans Review
comments.
LDAP plans suhmitted 5-3-2006 and
are under review.
LDAP issued 6-1-2006,
WE. Received response from John
Bramwell. Left a voice mail for him
to inform him that the special
inspection forms must be completed
before permit issuance.
Sarah Summers Planner
LDAP submitted. LDAP required
to be issued hefore this permit.
SDCs added. Curbcuts added,
curhcut c1osures(3) added.
Encroachmeut fee added.
Encroachment permit applicatiou
required before working in City
ROW or within Public Utility
Easement. ODOT Facility permit
reuqired.
LDAP LDP2006-00068 ISSUED.
Encroachment permit application
required prior to work in
right-of-way or within Public Utility
Easements
. CITY OF ~rJ:OI'Il"'<lJ!..LD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 06/08/2006
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
Revised Plan Review - Fir
05/04/2006
05/31/2006
OK
GRG
Revised Plan Review - Pia 05/04/2006 05/1 1/2006 APP EMM
Revised Plan Review - Pu 05/04/2006 05/30/2006 APP SB
Revised Plan Review - Str 05/04/2006 05/1 2/2006 10 JMP
Revised Plan Review - SU 05/04/2006 06/05/2006 APP DH
Structural Review 05/02/2006 05/12/2006 WE JMP
Structural Review 06/05/2006 06/05/2006 APP JMP
SUB Review 04/1 7/2006 06/05/2006 APP DH
Addendum I. Revised Plans Review:
Credit Union branch. Site work
modifications. Job
#COM2004-00447, Plans appear to
meet fire code requirements.
Addendum 1.
Addendum I. Nothing changed
affecting PW. No new SDCs.
Addendum I.
Addendum I.
See attached documents for 14
structural comments faxed to Carl
R. Sherwood. .
Received final internal approval and
completed special inspection forms.
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
~~ .
Ueollire~nsnections 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.
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.
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.
Paee 4 of6
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 06/08/2006
VALUE: $ 1,488,206.00
225 Fifth Street, Springfield, OR'
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 required 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 iuspection approval and prior to any cover.
SUB Ceiling Grid: Iuterior Lighting
SUB Exterior Lightiug
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energiziug service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company euergizing pole.
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 - Staudard: After forms are erected but prior to placement of coucrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
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 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 concrete.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before coveriug 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: ~rior 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,
Paee 5 of6
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00447
ISSUED: 06/06/2006
APPLIED: 04/13/2006
EXPIRES: 06/08/2006
VALUE: $ 1,488,206.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
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,
Fiual Fire Department. After all requirements of the Fire Department have heen met.
Fiual 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.
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 Community 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
Paee 6 of6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00447
COM2006-00447
COM2006-00447
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
.~
Ilk
Av of Springfield Official Receipt
'-velopment Services Department
Puhlic Works Department
2200600000000000759
Description
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOFIELD ELECTRIC
Date: 06/08/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 2 I 8080 In Person
Payment Total:
Page I of I
IO:II:37AM
Amount Due
50.00
4.00
5.00
$59.00
Amount Paid
$59.00
$59.00
6/8/2006