HomeMy WebLinkAboutPermit Electrical 2005-5-16
, , II' "~I":tJ ,i I "II~ ,II, 'i.~.1 '., / I: ''4~ JJI "i I~ ~ I SPRINOFIELD ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~68(t '0 1~.t; ?~:;
ELECTRIC~ERMIT APPLICATION 'So, ?9 ""'.. ,""" ,...c. ~.JI
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City Job Numbe rYJ '{1llJ'7' - O/;),/?. Date S-/~ '":-25 "/ ""':.o~g, .
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1. L,i"ocl'fIoNOk""'tNstAiiAti6N:;.l\7.'i:;,jl 3. P"COMPLEritFEE'S'CJ.iED. ~1i WW/~'.~;:t.;.:,.>
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LEGAL DESCRIPTION /70;), f;),3;;J 01' vv A. ~Ne~.Residential-=::Singlelor:MWi-F' " er~""i ''7nni.'' ;i
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HI1/5h Lth...e Q../ /"1.k.sh Service IncIuded ' ~b o~.,"'o1<
0',-: 0"".
JOB DESCRIPTION 1000 sq. ft. or less t: 06. "'" 0"
~ J ( /l -n / Each additional 500 sq. ft..or ~
,<:::; ee..vr. tJ. l-\'lCt...r/41 "-c t I v portion thereof 19.
. Permits are non-transferable and expire if work is Each Manufact'd Home or
~ not started within 180 days of issuance or if work is Modular Dwelling ServW17~~-~CC-009'~ S1 JelSl5lO>O
Suspended for 180 days. Feeder .
r~coNfRACfoR;iNSTAl'iATf6N.'ONi:Y.' B.~~r~.i~e~'~;~~~~:~~~W~~~1~~~\t~~g;~~,:~!.,.".1
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Electrical Contractor Ao.e.x S V ~.f...e,.vvt. <) 200 Amps or1MlO'~S6 ~VO 46noJ41 0 ~Oo-$OO:066 ~VO UI
). 201 Amps to \jlj\5lJ\l&p~J'e 891N es041 ~9l~.!i6>lllio!JIION
Address jlJ ';23 S. 4401- S+. 40 I Amps to 6tfo1AA~06eJO e4l ^q P~,uuI$TH.\\'iJl MUIIIIJ
601 Amps to 10~%:JlnbeJ ""I"UU"'U$:~9.bltoj:w'V
City S? Phone 74'1- &9'19 Over 1000 AmpsiVolts $375.00
Reconnect Only $ 50.00
Supervisor License Number
1C;7~ L...eCA-
Expiration Date
/0 - / - C> ~
Constr. Contr. Number /0 o;;L g-3
Expiration Date .s- - I 3 - by,.
Signature of Supervising Electrician
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Add;';-2..l\{j Jl.. \~'\t\ Pd.~
City p-r..., Phone 3 'i I.{ --oJ. !)l:>
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OWNER INSTALLATION
The installation is being made on property i own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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c. ~Tk!ri.jlor~f,y~~!'Yii:es cir"Feeilers1.
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Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps.to~OO Amps $ 69.00
\\'llllt.1"
401 A:mps,top600IAmPSHALL EXP'Q~ I~ TU$IOO:OOK
\lil~ tKVIII" '1_ ..,.'
Over 6()0'Amps,.or~1000,~riltS.seel\'B'f'atroM!T IS NOT
D~ ![~;;'E~~~ff}~~\tsittxif(JSf~~~tIDf)'!ifl;.o'f\'JH)~;}~l', . ,. :"',' i
New A1terratig~o~rFfx~~;thQrper Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Pennit $ 3.00
E. ~~]~I1,~F;~~~~(~~&i~~d~~~~f;~Ii;;f;ri'Jf~~d)'~~.a~~.1n~~Ii'ati-:i!!,j
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
MInimum Electric Permit Inspection Fee is $45.00 + Surcharges
4 '~s""iJBToTAi?OF:4BOVEj:!l?;::~';':~<i;'\:(~:'.".""1 / 15 oCJ
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7% State Surcharge . 3 . / 5
10% Administrative Fee 4.f. ~ 0
TOTAL Jl 5 ~ . ~5
Shared Drive(T:)IBuilding FonmlElectrical Permit Application 1..Q3.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01212
ISSUED: 05113/2005
APPLIED: 09130/2004
EXPIRES: 11/13/2005
VALUE: $ 219,581.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4160 Main St
ASSESSOR'S PARCEL NO.: 1702323201500
Springfield TYPE OF WORK: Retail
TYPE OF USE: New
Commercial
Owner:
Address:
PROJECT DESCRIPTION: Our Little Carwash
Additional Electrical Contractor, ISlfor,~lar,m!I.nw Voltal!e I
'" L.I. 'Ivr-,~oreqOn law reau res VOII fn
IOI.IOW rUles adopted by thepjlrc.gq.n,~Wi!o! 541-484-6839
Notification Center. Those rules are set forth '
in OAR 952-001-0010 through OAR 952.()()1. ,
noon Vnll rn~~1 "ht-:'!in ....^:'"':,..,- -:-"~1-.9 :1.:~:":~,
, , CONTRACT<fRo;ioiill'~1fiO+N}!Note:, ~e telephone
. 'n Utility Notification
Contractor Cen1fiJ~ds~OO-3~ii~ion Date
CONSTRUCTION CONSULTANTS LTD INC 120549 02124/2006
ASSOCIATED DESIGNS
ROCKY MOUNTAIN ELECTRIC INC.
COMFORT FLOW
GPC ENTERPRISES INC
KIPCO INC
EEC HOLDING, LLC
240 E 15TH AVENUE
EUGENE OR 97401
Contractor Type
General
Designer
Electrical
Mecbanical
Plumbing
Sewer
161992
460
136043
11118/2006 '
06127/2005
01/29/2007
Phone
541-688-1907
541-461-2082
801-541-8468
541-726-0100
541-345-1931
541-689-9265
., '. # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
BUILDING INFORMATION I
IWI/CE'
# ofSt~~i,~~i PfR'MI 1 Lot Size:
Height'ofStr,ucture T SHALL23~50RE ~-FJJst Floor:
Type .;r;iiJlt:'KllED UNDER THis PE1sq'Ftt2.1'Joooor:
Wate~T~y€:1ENCED DR IS ABA ~iit.~ ilas'e'Iilfnt:
RangeType:90 DAY PERIOD NDOrsq_FtG.~ragelCarport
Energy Path: . Sq Ft Other:
Sprinkled Building: nla Occupant Load:
2,138
VB
I DEVELOPMENTINFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# 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:
Pal!elof5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Use Bid Amount
Estimate
Pavinl!
Fee Description
Plan Review Comm/IndlPubIlc
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
Annexed 1979 or Before
BackOow Device
Building Permit
Curbcut Repair
Fixture
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Paving
Paving
Plan Review Comm/IndlPublic
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Repair Permit
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 401 to 600 amps
+ 10% Administrative Fee
+ 7% State Surcharge
.
. CITY OF ~rKll"ul'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-01212
ISSUED: 05/13/2005
APPLIED: 09/30/2004
EXPIRES: 11113/2005
VALUE: $ 219,581.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
150,000.00
69,581.00
Value
Date Calcuiated
$150,000.00
$69,581.00
$219,581.00
09/3012004
12/2112004
Total Value of Project
F..... tiWU
Amount Paid
$578.92
, $10.00
$156.68
$78.27
$-197.54
$28.00
$728.15
$10.00
$140.00
$36.00
$3.00
$78.00
$370.65
$42.25
$45.00
$676.36
$889.48
$10.00
$493.14
$724.26
$233.14
$796.54
$12,337.24
$2,796.97
$10.00
$2,863.78
$45.00
$42.00
$6.00
$45.00
$12.50
$8.75
$125.00
$9.90
$6.93
Date Paid
Receipt Number
9/30/04
2/7/05
2/7/05
217/05
2/7/05
2/7/05
217/05
2/7/05
217/05
217/05
217/05
217/05
217/05
2/7/05
2/7/05
217/05
2/7/05
217/05
217/05
2/7/05
2/7/05
217/05
2/7/05
217/05
2/7/05
2/7/05
2/7/05
2/7/05
2/7/05
2/7/05
3/21/05
3/21/05
3/21/05
5/11105
5/11105
2200400000000001218
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
1200500000000000166
3200500000000000102
3200500000000000102
3200500000000000102
2200500000000000563
2200500000000000563
Pal!e 2 of5
. Lu f OF SPRIN~d<I~LU
Building/Combination Permit
PERMIT NO: COM2004-01212
ISSUED: 05/13/2005
APPLIED: 09/30/2004
EXPIRES: 11/13/2005
VALUE: $ 219,581.00
.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
$99.00
$4.50
$3.15
$45.00
5/11105
5/13/05
5/13/05
5/13/05
Total Amount Paid
$24,391.02
I Plan Reviews I
Fire Denartment Review 10/0412004 10/19/2004 OK GRG
Initial Review 10/0112004 10/0112004 OK RJB
Planninl! Review 12/2912004 12/29/2004 APP EMM
Planninl! Review 10/01/2004 WE EMM
Public Works Review
10/0112004
10/18/2004
WI
SB
Public Works Review 12/27/2004 12/2712004 APP SB
Structural Review 12/28/2004 12/28/2004 APP JMP
Structural Review 12/22/2004 12/2212004 10 JMP
Structural Review 05/06/2005
Structural Review 10/01/2004 10/08/2004 WE TCM
Structural Review
11109/2004
11109/2004
10
JMP
Structural Review
12/16/2004
12116/2004
10
JMP
Pal!e 3 of5
2200500000000000563
2200500000000000581
2200500000000000581
2200500000000000581
See attached document for Fire
Department Plan Review
Comments.
Development Agreement Signed on
12127/04
Sarah Summers is planner. Waiting
on ODOT approval regarding
storm water and Final Site Plan
Submittal then Development
Agreement.
LDAP application received. LDAP
must be issued BEFORE Issuance of
this permit. SDCs added.
Encroachment Permit application is
required if work is to be performed
in the CITY Right-of-Way or within
a Public Utility Easement. CLosing
6 feet of Curbcut per ODOT.
Curbcut going from 36 feet to 30
feet. Only sidewalk and curbcut
repairs added.
LDAP at the counter, ready to issue
with Permit.
Received Final Site Plan.
WI. Received engineer's report.
Defered Submittal.
Talked with Mick the general
contractor and requested additionai
masonry details, mechanical plan,
and structural caluations.
See attached faxed followup
structural comments to Scott Goebcl
and David Corey.
WE. Received from Deb Corey
revised plans and a letter with some
attachments. Called David Corey to
request tbe missing special
Inspection forms and the
contractor's cost breakout.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01212
ISSUED: 05/13/2005
APPLIED: 09/3012004
EXPIRES: 11113/2005
VALUE: $ 219,581.00
-~.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
12/20/2004
12120/2004
10 JMP
SUB Review
SUB Review
SUB Review
12/16/2004
05/06/2005
10/0112004
WE DH
12/2212004
APP DH
10/05/2004
WE. Received Special Inspection
forms and building costs. Need
engineer's report and other
department approvals.
Received energy code forms.
JMP left a voice mail message for
David and Deb Corey reminding
them of the request for energy codes
made on 9/30/2004 when the
application was taken in from Deb.
David Corey called and asked for an
email on energy code forms. JMP
sent him the requested emall with
the web address and David Harris's
name and phone number.
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.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
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 inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Eiectrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Pal!e40f5
.
.
CITY U1' ~r1Ul~t.1'lELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-01212
ISSUED: 05/13/2005
APPLIED: 09/30/2004
EXPIRES: 11/13/2005
VALUE: $ 219,581.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Slab: To be made after aU inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Drywall: Prior to taping.
Masonry:
Bolls Installed in Concrete: To be done by a State Certified Special Inspector. Provide Inspection test reports to
City Building Inspector.
Roof SheathinglNailing: Before covering sheathing with finish material.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide 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 fiUing the trench and including required testing.
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 fiUing trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
By signature, 1 state and agree, that 1 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 wlll 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.
~ ,I) -C2:,--o~
Owner or Contractors Signature
Date
Pal!e 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
I COM2004-01212
! C.OM2004-01212
CDM2004-0 12 I 2
Payments:
,l Type or Payment
,~.~
\tCreditCard
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5/13/2005
.
RECEIPT #:
.........~"~"""".,d,;.
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.,_",,_,_.,._ ",,' I
j;lty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000581
Date: 05/13/2005
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PETER DESSER
Item Total:
Check Number Authorization
Received By Batcb Nnmber Number How Received
njm 081141 081141 In Person
Payment Total:
Page I ofl
8:22:45AM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid ,
$52.65
$52.65