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Home My WebLink AboutPermit Electrical 2006-11-2 BPR'.LD ZON (' G L~ ~~~LSl\~tt_~ ~~ SOURCE~ Date l\- O~- La-o<o ~- ,- -,., --'.,.- - --j .-- ,...', - p- (' CITY OF SPRIN~AELD, OREGON . ' .' 225 FIFTH STREET. SPRtNGFlELD, OR 97477 . PH:(54t)726-3753 . FAX: (54t)726-3689 ELECTRICAL PERMIT APPLICATION City Job Numbe~7 llfX.n - nl 1'lSd- 1. LOCATION OF INSTALLA170N: ~22~ n44h:J -(./- LEGAL DESCRIPTION: n ",:r:::t. 3.~ .,'"' ~\ "'<:r':I JOB DESCRIPTION: i2"0'1Ml':/;; I h"'~J(~ ~ Permits ore non-transferable and expire if work is not started within 180 days ofissnance or if work is Suspended for 180 days. 2. CONTRACTOR INSTAI.LA170NONLY Electrical Contractor 4. r cI-- F fE/l-?(',J-, Gg-/ IdGj.. Address Sb-SS- City ~J4./ J<?r7 Phone 5Zl~- ~Wf:-,:Ji?,)/ Supervisor License Number .y7'o~:<; Expiration Date Ii) / 0'7 Constr. Contr. Number .~/ '1/67 Expiration Date Signature of Supervising Electrician O~ ()j)f~~~, 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Singlc or Mulli-Family pel' dwelling unit. 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 B. Services or Feeders -Installation, Alterations or Reloention: 200 Amps or less 3 $ 63,00 20 I Amps to 400 Amps 2. $75.00 401 Amps to 600 Amps $125.00 , 'L _.;I }JVu~"" 60IAT1!~~~ !E..qQ.~~' ,,.- . ,.' ""~:-;1 U~~:J!O -1.03 Ov~rllO()(j Nl111"0'.9!t;;ted by thl:l ~.~:':~ ~~?~,PO.l R'~IIf\\1!}On'I' Those ru''''~ -, - $ 50 001 econn~. Y.~enter. - . - \;;' : NotilicatlOIl "01 0010 throug\'1 vr'" J<. ~~ b' . .....AR 952-0 - 'of the rules , C. lrlfemporary Service~OI'.llecaer'sqS \ phone 0090. You IIIOY ~ .- Note: the te e , ~"ing the center. ( . ,.'my NotilicattOn Installation, Alteration'oJ:;ReJocation ) 200%\,~}>~rl~~Llt~~i;1_i()(),?32-2344 '$ 50.00 VOl' 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100,00 IR9 /cn Over 600 Amps or 1000 Volls see "B" above, D. Branch Circuits Ne~ A!t~ration or Extension Per Panel , NSn\"~I!CU}~'T ',~I \ ~XP.lRE I" TI-I~ IN~.OO Wl~hfl\:diJjl1onalll:Jin:u:tor WIth n...I'< IS ~II'1T ~_ _ ^..JI pr.>=... Setviceor'F.eedooPe.mitTHIS PEtYc;<<l1l ,'S"J,OO ,ZJ.7 OwnersName~~ V._ ~C::::I\Vet2..J AUlnU\'1,ELu ~O"~lcSABANDONEDFOR ' .ll ;) ~OUMFMr.ED ~ A~\ \ N6 l <j('l(,-r- ~ J<).. 1\11~cellaneons rn~e/feeder not included) -Each Installation " (,!;\I' ANY180DAYP. Ci ~, Phone '(0 ~0'1:)1 Pump or irrigation $50,00 0\"2,.- '11 Cl6u Sign/Outline Lighting $ 50,00 OWNER INST ALLA TION Limited EnergylResidential $ 25.00 The installation is being made on property 1 own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: Inspection Request: 726-3769 ,~ ~~ '\A\Jc6 "'\~ 4. SUBTOTAl. OF ABOVE 8,;,9 ~ , 3.;;l. 1:>(" - ~ RiJ 2E- '/1 ~ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL JI)/q .ln7 Shared Drive(T:)lBuilding FonnslElectrical Pennit Application S-Q6.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1182 COM2006-0 1182 COM2006-0 1182 COM2006-01182 COM2006-0 1182 COM2006-0 1182 COM2006-0 1182 Payments: Type of Payment Check cReceintl . .J:~~~ Wit. C.f Springfield Official Reccipt D.opment Services Departmcnt Public Works Depl.lrtment. RECEIPT #: 2200600000000001537 Date: 11102/2006 Description Add, Alter, Extend Circ Ea Add Pcrm ServlFdr 601 to 999 amps Perm ServlFdr 201 to 400 amps Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surchargc + 10% Administrative Fee Paid By A C & E ELECTRIC Item Total: Lheck Number Authorization Received By Batch Number Number How Received njm 5423 By Mail Payment Total: Page I of I 2:18:22PM Amount Due 327,00 163,00 150,00 189.00 41.45 66,32 82,90 $1,019.67 Amount Paid $1,019,67 $1,019.67 11/2/2006 . a:ITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-01182 ISSUED: 11102/2006 APPLIED: 09/12/2006 EXPIRES: 05/02/2007 VALUE: $ 560,651.00 225 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 W.ORK: 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 INFORMATION I Contractor Type General Designer Electrical Mechanical Plumbing Contractor WESTERN CONSTRUCTION SERVICES WESTERN DESIGN GROUP A C & E ELECTRIC CO. MAINES CUSTOM CONSTRUCTION INC R A WARNER PLUMBING CO INC. License 63717 Expiration Date 01/22/2008 591 7713 151329 07/21/2008 09/23/2008 05/03/2008 Phone 360-699-5317 360-699-5317 503-363-2301 541-753-4328 360-896-0370 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M BUILDING INFORMATION' _, ,~ . ft:;q...H.......;) JVu , .\:r.TENTIOI'l:Ulegon laVV ",.~-:nn Utility # o~ Sto~'e~.'~,,, 1I1!l6 adopted by the L?t-St~~:~nt 1011' HeIght Of_~!~.'.'cf~re Center. ThOse nS~F!\!,s~n~~f61 Type ofJHeat:atlon 001-0010 thrOugSq.Ft.'2nd-Floor: Water ifype:,R 952- btain cOpi(S.q:Ft~Biisen\'e~p Range ,!,yp:e:l. 'Iou may 0 r. (Note: ~q,l'toGari~~earport Energy PatJI;.I\1ng the center., on Ut~H)F\tlOthCr.:,tIOn Sprinkledr!t,!\I,l!ing!or the, 01n/~00_332-~.9l1a~t Load: __......."rt<:. .U IIIB I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: NO i' I C't ?f Lot Coverage: TUIC: P~RMIT SHALL EXPIRE IF THE WO~~ I\I{UJ;lJi;l(i:IIMJlR(l)\OEMENTS .tKMII 1" "u I , COM~EN"!lU G~ I~ "d,o"IJJNED.FOR v SIdewalk Type: Fully Improve 80 DAY PERIOD, AN~e DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Notes: Pa~e I of 4 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 Pavin~ Fee Descriptiou Plan Review CommllndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Buildiug Permit Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Miscellaneous Plumbing Paving Plan Review CommllndlPublic 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 Total Amount Paid Fire Department Review 09114/2006 . a:ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01182 ISSUED: 11/02/2006 APPLIED: 09/1212006 EXPIRES: 05/02/2007 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 10/03/2006 10/03/2006 $553,151.00 $7,500.00 $560,651.00 Total Value of Project FpP~, ~ Amount Paid Receipt Number Date 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 9/12106 9/12106 10/30/06 10/30106 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 11/2106 11/2106 1112106 11/2/06 1112106 11/2106 1112106 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 $8,527.73 I Plan Reviews I 10/23/2006 See attached comments for Fire Department Plaus Review comments. OK GRG Pa~e 2 of 4 . .ITY OF SPRIN\.d< u,LD Building/Combination Permit Status Issued PERMIT NO: COM2006-01182 225 Fifth Street, Springfield, OR ISSUED: 11102/2006 541-726-3753 Phone APPLIED: 09/1212006 541-726-3676 Fax EXPIRES: 05/02/2007 541-726-3769 Inspection Line VALUE: $ 560,651.00 Initial Review 09/13/2006 09/13/2006 APP LLH Plan Review Comments 10/03/2006 IO JMP WE. Received incomplete responses to structural comments from Gary Young. JMP called Gary to discuss items 6 & 7 (special inspection Plan Review Comments signatures and contractor data). 10/26/2006 IO JMP WE. Called Gary Young. Hc said that he will talk to Dean Knutcson who will bring in the missing information. He will also respond to the plumbing comments. Plannin~ Review 09/14/2006 09/17/2006 APP EMM No change in use. Public Works Review 09/14/2006 10/09/2006 APP CJS Discussed permit review timing with Karen from Western Design Group; will try to expedite SDC review CJS 10/06/06 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 Added SDC's 10/09/06 CJS Structural Review 09/13/2006 09/2212006 WE JMP See attached documents for 9 structural commeuts faxed to Gary Young. Structural Review 10/27/2006 10/27/2006 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. ~J;'Ifl.ln..ill"lfllrl Insnections 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. Pa~e 3 of 4 . ecITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01182 ISSUED: 1110212006 APPLIED: 09/1212006 EXPIRES: 05/0212007 VALUE: $ 560,651.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspectiou test reports to City Building Inspector. Structural Concrete: In excess of2500 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. 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 he 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 Safcty. I further certify that only contractors and employees who are in compliance with ORS 701.005 will bc 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 Pa~e 4 of4