HomeMy WebLinkAboutPermit Electrical 2007-1-8
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225 Flnll STR!:!:T . SPRI;I;GFI!:LIl. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numbe~7lTh(" - n II X'd..
I. I LOCATION OF INSTALLATION:
'-Idd.?- \'Y\ c...:", ~+
LEGAL DESCRIPTION:
'''1 (:)'"'l. "3;;1., 3:::l. 0\ am,
JOB DESCRIPTION:
c...<:... TV 'Inst-a / I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Date /:d:J..,/f>4
3. I COMPLETE FEE SCHEDULE BELOW
A. I New Residential- Single or Multi-Family per dwelling ~nit.
Service Included
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19,00
$50,00
2. I. CONTRACTOR INSTALLATION ONLY I B. L Services or Feeders -Installation, Altera.tions or Relocation:
Over 600 Amps or 1000 Volts see "B" above,
D. I Brancl" qrcuits
nl .....,..-...- .... .
New n!~,<;)'~.ti!'.!!I!!f:il!ixte~sl<iniP.e! P.aiie'i)regon Utility
On~,~m~i\3tion Center. Those rules a'$?4s~bfort'
Ea'\~,I~lWiP!l~~~.l'iL~l\Y!iihthrough OAR 952-\)ul
Se'(j61i'5.,%~rln'a9'\!lb\ain ccFi:: :'1I~e3r~qeQ ~'
I C"IIIIlU 'I ,... 1.0""""'" ;14v;", ~t.3 lolophon: I
E. Miscel~ge~rM~rvicclf'Gdffrl'l',~il!f!uIt~) rr~!!~.'!J '~stallation
......tr~_ ~y .,.
.c ",n ""onleris 1-800-332-2344)
City St-"':"'i \:<-YL- Phone S 1(,' 4.:1.0. <')0\40 Pumporirrigatidn' $50,00
<.J Sign/Outline Lighting $ 50,00
OWNER INSTALLATION Limited EnergylResidential $ 25,00
The installation is being made on property I own which Limited Energy/Commercial I $ 45,00 <f!i. 00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4. I SlmHnAL OF ABOVE _:? .fll 0
Electrical Contractor A/I,' uI ,<:::Of-..r 1!ci!.",.H
Address <::: ",1.:> I\f ~ Co" ~ L
City?" ""+\a,~ J
Phone ~D3.. ~'P.1'/177
Supervisor License Number 3.9~1 LiE KJ
Expiration Date" /CJ-OI-;).dc;l F
Constr. Contr. Number
(1 L{ </ &...
Expiration Date
:::L/::J.~/09
Owners Name $'-"-"'.... jIl, L..:,+ ( ~+,..o \'\ ')
Address '-I::L;>..3. ^",.-...:" ,,+
J!(lT/!::::
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNQf=f'l TI..jIS
~n'p'ectioq,Rcqu~~t: 726-3769 PERMIT IS NOT
U""V1CI,lotU uH IS ABANDONED FOR
ANY 180 DAY PERIOD,
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslVolts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50.00
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
.1
8% State Surcharge
10% Administrative Fee
5% Technology Fee
~.~~
<-{XC),
---1,,~ -;(8_
TOTAL ';;-0.::;. ~,C:;-
Shared Drivc(T:)/Building FOnTIs/Electrical Pennit Application 8-06.doc
.
. CITY OF SPRIr~t.t< I.l!.LIJ
Building/Combination Permit
PERMIT NO: COM2006-01182
ISSUED: 12/26/2006
APPLIED: 09/12/2006
EXPIRES: 07/05/2007
VALUE: $ 560,651.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4223 Main St
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Grocery Store
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Remodel Save-A-Lot Grocery Store
Owner: DONALD V PFEIFER TRUST
Address: 2011 NE 164TH PLACE
PORTLAND OR 97230
Phone Number: 541-683-9001
I CONTRACTOR INFORMA T10N I
Contractor Type
General
Designer
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
WESTERN CONSTRUCTION SERVICES
WESTERN DESIGN GROUP
A C & E ELECTRIC CO.
ALLIED FIRE & SECURITY
SOURCE REFRIGERATION & HVAC INC
R A WARNER PLUMBING CO INC.
License
63717
Expiration Date
01/2212008
591
64465
149200
151329
0712112008
02125/2008
10/01/2009
05/03/2008
Phone
360-699-5317
360-699-5317
503-363-2301
503-281-1177
714-578-2300
360-896-0370
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
IIIB
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicappcd:
Paved Drive Rqd: Compact:
% of Lot Coverage:l'-I/::
r, 1III'Ui'" ,
follow rlllo...;.. ~.vlt.!dulj ~ciW ,F-o(l,
f~ 0 1"1 C E: I PUBLIC IMPROVEME~rsl;on Ce~;;;;'T~ oy the Oreg~"'r/U~/o
T~I~ Den",... ~' ", J52-Q')' ",,' _ oSerulesare Illy
Street Improvements:,HALL EXPIRE' 'ii fl ,- ",\1 d 0090. Yo SldewalkJI;y,p/iugh 0 Set fcc' b 'd 5'
A/lTHnp'/7f:n I'" U Y lI!P!1',,~,K , UrnaYObtA;n~, AR9!'')(1 .ur Sl e
Storm Sewer Availalile:DER THIS PERMIT IS IilJllr calling the DownspoutslDi:ains,;,f the Ctirb'land Gutter
!:I\"A~4["J,I~"'>:\O lVu nu b 'vt:uce'(N t - rUlesb
SpeclaHnstructlOn:, R IS ABANDONED FOR rn erfortheOr' 0 e:,thetele h .l
~NY 180 DAY PERIOD, Centerts 1.ea900n,Ut,lity Not;~caOt~e
Notes. 0-332-2344). IOn
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Pa~e I of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Pavinl!
Estimate
Use Bid Amount
Fee Description
Plan Review CommllndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixtu re
Furnace - Unit Heater
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Miscellaneous Plumbing
Paving
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm ServlFdr 601 to 999 amps
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01182
ISSUED: 12/26/2006
APPLIED: 09/12/2006
EXPIRES: 07/05/2007
VALUE: $ 560,651.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
553,151.00
7,500.00
Value
Date Calculated
$553,151.00
$7,500.00
$560,651.00
10/03/2006
10/03/2006
Total Value of Project
F..... P.iillJ
Amount Paid
$1,107.05
$681.26
$10.00
$293.20
$146.60
$227.21
$2,041.15
$630.00
$12.00
$96.00
$4.00
$6.00
$45.00
$91.80
$234.49
$144.30
$712.44
$937.08
$82.48
$6.00
$82.90
$41.45
$66.32
$327.00
$189.00
$150.00
$163.00
$11.80
$5.90
$9.44
$90.00
$28.00
$4.50
$2.25
$3.60
Date Paid
Receipt Number
9/12106
9/12106
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30106
11/2106
11/2106
11/2106
11/2106
11/2/06
11/2106
11/2106
12126/06
12/26/06
12/26/06
12/26106
12126/06
1/5107
1/5107
1/5/07
1200600000000001405
1200600000000001405
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001519
2200600000000001537
2200600000000001537
2200600000000001537
2200600000000001537
2200600000000001537
2200600000000001537
2200600000000001537
2200600000000001748
2200600000000001748
2200600000000001748
2200600000000001748
2200600000000001748
2200700000000000027
2200700000000000027
2200700000000000027
Pa~e 2 of5
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Commercial Indus
Total Amount Paid
Fire Denartment Review
09/14/2006
Initial' Review
Initial Review
09/1312006
12104/2006
Plan Review Comments
Plan Review Comments'
Planninl! Review
Public Works Review
09/14/2006
09/14/2006
Structural Review
12106/2006
$45.00
$8,728.22
Plan Reviews I
10/23/2006
09/13/2006
12/06/2006
10/03/2006
10/26/2006
09117/2006
10/09/2006
12107/2006
OK
APP
APP
10
10
APP
APP
WE
Pa~e 3 of 5
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2006-01182
ISSUED: 12/26/2006
APPLIED: 09/12/2006
EXPIRES: 07/05/2007
VALUE: $ 560,651.00
1/5/07
2200700000000000027
GRG
See attached comments for Fire
Department Plans Review
comments.
LLH
LLH
Plans actually submitted on 11/17/06
but misplaced until 12/4/06. I
routed them as soon as we located
them.
WE. Received incomplete responses
to structural comments from Gary
Young. JMP called Gary to discuss
items 6 & 7 (special inspection
signatures and contractor data).
WE. Called Gary Young. He said
that he will talk to Dean Knuteson
who will bring in the missing
information. He will also respond to
the plumbing comments.
No change in use.
Discussed permit review timing with
Karen from Western Design Group;
will try to expedite SDC review CJS
10/06/06
JMP
JMP
EMM
CJS
Called Karen (Western Design
Group) for information on demo'd
drainage fixture units (sinks, toilets,
etc.) for SDC credit CJS 10/06/06
Called Karen (Western Design
Group) to confirm that previous use
of property was grocery store
10/09/06 CJS
JMP
Added SDC's 10/09/06 CJS
Called Gary Young with Western
Design Group. He will provide
documentation on the adequacy of
the rooffor the RTU and he will
have Source Refrigeration provide
the increased valuation for the
refrigeration system.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01182
ISSUED: 12126/2006
APPLIED: 09/1212006
EXPIRES: 07/05/2007
VALUE: $ 560,651.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 09/13/2006 09/22/2006 WE JMP See attached documents for 9
structural comments faxed to Gary
Young.
Structural Review 10/27/2006 10127/2006 APP JMP Received the missing special
inspection form and contrator data.
SUB Review 09/14/2006 09/2212006 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.
Ueollire1Jnsnec~ions I
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement. '
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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
Electric Service: Approval required prior to utility company energizing service.
Water Line: Prior to filling trench and including required testing.
Low V oltage: Prior to cover.
Pa~e 4 of5
.
. CITY OF ~rKll"GFIELD
Building/Combination Permit
PERMIT NO: COM2006-01182
ISSUED: 12/26/2006
APPLIED: 09112/2006
EXPIRES: 07/05/2007
VALUE: $ 560,651.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
! I 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
Pa~e 5 of5
225 Fifth Street
,
.springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-0 1182
COM2006-0 1182
COM2006-0 1182
COM2006-01182
Payments:
Type of Payment
CreditCard
cRcccint 1
RECEIPT #:
TI:~~;.' "
lair,
. -.. ':A5: i
~..' ~~- ~) -..J
.. of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
2200700000000000027
Date: 01/05/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID HARRIS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 056854 By Mail
Payment Total:
Page I of I
2:26:01 PM
Amount Due
45,00
2.25
3,60
4.50
$55.35
Amount Paid
$55,35
$55.35
1/5/2007