HomeMy WebLinkAboutPermit Electrical 2009-8-27
. City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:rdo~ne@cochraninc.co~
Check on status of permit
By Phone: 541-726-3753 or Email: pennilccnter@ci.springfield.or.us
69600- BE L-09-00 10]
8/27/2009 8:18 am
Approval Code: 027251
D NcwConstruction
o Addition/alteration/replacement
Plcasecbeck all lhat apply:
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',"c",;':': ~<.';l?:C'ATEG6RYJOF'C()NSTRUCTlbN' -
I D I or 2 family dwelling D Multi-family o Commercial D Accessory
.-_}F0~---,}r-~J6B:SiTEiNF'ORMA'TioN:ANb LOCKTION" ..
o A service or feeder begillninl: 81400
Amps where Ihl.'8Vailable faul1
currenle~ceeds 10,000 Ampsal
150VollsorksSIOEroundc~,,:eds
14,000 Amps for all olher
installations
Job Address: 5790 MAIN ST
o Fire pumps
o EmergencysySlems
o Additionofa new molor load of
JOOHPormore
City/Slate1ZIP: SPRINGfiELD, OR 97478
Suite1bldg./apt.no.:
Projf~t Name: Contingent Network Services
CrossStreel/directions to job site:
DSi~ormoreresiden'iaJunilsinone
structure
o Heahhcarefacilities
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DHazardouslocalions
DA~e""'iceorfeedelmted'at600
amps Or mOre
DBuildingsmorelhanthreeslOrics
DMarinas,andooalyards
DF'oalingbujldjn&s
DCommerciaJ-us.eagricuhura'
buildings
DJnslallalionofa150KVAorlarller
seperalelyderivedsys
D"A-."E',o"[.2"or"I-J'
DRecrulionaJ Vehicle Parks
DSuppJYVOllal:c for more lhllll600
supply voJrs nominal
FEE.SCHEDULE - ,
J ~'Y
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: thA telephone
Numberofinspections included in paid sen.'ices: num~ber for the Qrs,.:' Jtil:~y Notification,
Residenlial Service: 4 (n . t I i~ 1 ~, ,\,1-332-2344). r
ReconnectOn]y: ]
All Other Services 2
Upon review and approval by your local jurisdiction, your permit will be # ~~
e-mailed or faxed within one business day, with Instructions on how to
schedule your Inspection. \ " I ~ "-
NOTE- This Authorization To Begin Work expires within 180 days if a penn it IS \J^I. ~ :---
n~o~in~ ~
~.
I Description
ILiit.ited !-:n~rlO'-."&TI;. ''''';_,'F~~'
151:md+a1one limited em:rgy, commercial
IEI~Cifi~al.l~ernliLJ::ees -c.,,. ._' ,:;,~_~
ISubtolal
ISlaleSUrcharge(]2%ofpenniltolal)
!Technologyfee(5%ofpennittota])
I TOTAL P~:RMIT FEE
631434--Voiceanddata
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,:cSITE CONTACT' '
Name: Mike Antonietti
Phone: 97]-205-4244
Fax: 503-238-2098
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Email: rdolUle@cochraninc.com
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Elet lie. no.: 37-546C
Business Name: BROADWAY ELECTRIC
CCB lie. no.: 72942
Leonlnct:
r Address: PO BOX 33524
I
I Phone:
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Supen'isine EIKtndan'llie. no.:~ :\..4415 I..l 0 'ol I
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eil)'/Stllle17.IP~ ~~ .:!J..L,!;" ~ A 98 ]330524
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~-ax: 503-238-2098
Email: Icullen@c~?anrn~di'nlVIII ~HALL tXt-'IKt ,t- I Ht WUHK.
The local building department may determine that an Authorization To Begin
Work is null and void if It does not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until re'placed by a Permit
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S58,00 I
$58.00
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l58,OO I
$6.96 I
$2.90 I
$67,861
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Status ' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/01/2009
EXPIRES: 02/27/2010
VALUE: $ 300,000.00
SITE ADDRESS: 5790 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334101900
Springfield TYPE OF WORK: Tenant lnfill
TYPE OF USE: Remodel Commercial
PROJECT DESCRIPTION: Big Lots Retail Storel Tenant Infill- See COM2009-0I064 for Mechanical Permit
Owner: POLEN DEVELOPMENT LLC
Address: 2197 OLYMPIC
SPRiNGFIELD OR 97477
Phone Number: Not listed
Contractor Type
General
Electrical
Fire Contractor
Low Voltage Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
SKYWARD CONSTRUCTION 158289
MARK ERICSON 82092
SECURECOM lNC 117195
BROADWAY ELECTRIC 72942
MCKINSTRY CO LLC 172811
TRITON PLUMBING & MECHANICAL LLC 147599
BUILDING INFORMATION 1
Expiration Date
01/1412010
05/12/2011
10/29/2010
05/14/2011
] 1/16/2010
04126/20 I]
Phone
360-546-1625
360-574-6202
541-343-5565
503-234-6564
206-762-3311
360-578-1128
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: M Height of Structure Sq Ft 1st Floor: 25,904
Secondary Occupancy Group: B Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type VB Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft GaragelCarport
# of Bedrooms: Energy Path: ' Sq Ft Other: 950
r.inTII'I:. Sprinkled Building: ATTiY,~S:!ON: Q~SlJP-~?h~~1l91Uir~~!'~~}2. 658
- - - ..,"........ ............. ............r-.....- -J ...- -. -.... - - "
THIS PERMIT SHALL EXPlfltD!E\Ht\!;O\?M;ENT INFORMATJ10Ncltion Center. Those rules are set forth
AUTHORIZED UNDER THIS fJtKIVll1 I" I~V I In UAli 852-001-0010 ItREQ_[IJi1RED !PARkfNG
Front yard Setbacl1MENCED OR IS ABANDONED ffi~rlay Dist: 0090l'IYouthmay Otbtain(,'t.7Rk7:shOefttehleepruhloenSebY
. . Y PERIOD ca tng e cen er. "Vl~,!
S~de I Setbacl,{;NY 180 DA . # Street ~rees Rqd: number lor the'Oregd1'\9~IS~IjP5~iication
Side 2 Setback: Paved Drive Rqd: Center is 1-80~-'mJpa5.!~4).
Rearyard Setback: % of Lot Coverage: , .
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Srecial Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Description
TYue of Construction
Bid Amount
Mechanical CII
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Deferred Submittal
Plan Review Fire & Life Safety
Planning Final Occy Inspection
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 200 amps or less
Penn ServlFdr 201 to 400 amps
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Not Covered Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
I Valuation Descrintio~ ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
300,000.00
51,000.00
Total Value of Project
"';P.P.1ii P';}iriJ
Amount Paid
$989.79
$182.73
$90.19
$1,522.75
$456.00
$609.10
$281.00
$147.26
$193.66
$17.05
$7,128.88
$1,955.95
$454.24
$6.96
$48.48
$2.90
$20.20
$228.00
$58.00
$81.00
$95.00
$13.80
$5.75
$57.00
$58.00
$6.96
$2.90
$58.00
$7.56
, $3.15
$63.00
$6.96
$2.90
$58.00
Date Paid
5/1/09
6/22/09
6/22/09
6/22/09
6/22/09
6122/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22/09
6/22109
6/22/09
6/24109
6/24/09
6/24109
6/24/09
6/24/09
6/24/09
6/24/09
6/24/09
7/16/09
7/16/09
7/16/09
7/16/09
7/17/09
7/17109
7/17/09
7/31/09
7/31/09
7/31/09
8/27/09
8/27/09
8/27/09
Paee 2 of 5
CITY OF I'lrKll"lGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/2212009
APPLIED: 05/0l/2009
EXPIRES: 02/27/2010
VALUE: $ 300,000.00
Value
Date Calculated
$300,000.00
$51,000.00
$351,000.00
05/07/2009
07/1312009
Receipt Number
1200900000000000329
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
1200900000000000716
2200900000000000706
2200900000000000707
2200900000000000706
2200900000000000707
2200900000000000707
2200900000000000706
2200900000000000707
2200900000000000707
2200900000000000804
2200900000000000804
2200900000000000804
2200900000000000804
1200900000000000816
1200900000000000816
1200900000000000816
1200900000000000856
1200900000000000856
1200900000000000856,
2200900000000000974
2200900000000000974
2200900000000000974
Status
Issued
CITY OF SrKl1~hl'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: - 06/22/2009
APPLIED: 05/0l/2009
EXPIRES: 02/27/2010
VALUE: $ 300,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $14,913.12
1 Plan Reviews 1
Fire Department Review 08/05/2009 Fire Alarm System
Initial Review 05/01/2009 05/01/2009 APP LLH
Publ,ic Works Review 05/01/2009 05/0412009 APP TSS
Structural Review 05/01/2009 05/07/2009 WE CJC Sent links to applicant for energy
and Special Inspection forms
05072009
Plannin!! Review 05/01/2009 05/14/2009 APP EMM Must meet MDS LUCS
requirements enclosed with building
permit, some uncompleted from
previous'MDS for B&I Plumbing.
Install street trees along A Street,
add 3 more bike parking spaces,
restripe 86 spaces including 4 ADA,
provide continuous sight obsurring
screening for outdoor storage area
and trash enclosures, all eolosures to
be 5' setback from property line.
Call Liz Miller at 726-2301 for Final
Site Inspection.
Structural Review 05/19/2009 05/19/2009 10 KLK Sent Non-residential Energy Forms
for, Exterior Envelope, Lighting and
HV AC to S.U.B.
Structural Review 05/20/2009 05/20/2009 WE KLK . Per phone call with architect, Door
at bottom of Mezzanine Stairs is
required to be 3'wO"x7'-O" for
Egress. Plans Examiner marked on
plans. Plans examiner left message
for Contractor to provide Deferred
Submittal Form for deferred
plumbing, electrical and mechanical,
S.U.B. and Fire reviews pending.
Structural Review 06/08/2009 06/0812009 ,10 CJC Recieved deferred submittal
agreement forms for plumbing,
electrical and mechanical.
SUB Review 05/01/2009 06/08/2009 APP JF See attached documents for energy
plan review approval.
Pa!!e 3 of 5
._S!!,!RINIlII;I!'I!,D,
'1 " "
+
Status
Issued '
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/0112009
EXPIRES: 02/27/2010
VALUE: $ 300,000.00
225 Fifth,Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
05/01/2009
06/10/2009
APP GRG
See attached document for Fire
Department Plans Review
comments.
Structural Review
06/II/2009
06111/2009
APP CJC
As noted on plans
Initial Review
07113/2009
07/1412009
APP LLH
Mechanical plans for Big Lots
Structural Review
07/14/2009
07123/2009
10 CJC
See COM2009-0I064: Mechanical
plans for Big Lots
Initial Review
08/05/2009
0810512009
APP LLH
Fire Alarm System
Fire Department Review
08/1 1/2009
08/II/2009
APP GRG
See attached document for Fire
Department Fire Alarm Plans
Review comments.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~rprt 'n~,oections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Ceiling Grid: After drywall approval but prior to cover. '
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.
Low Voltage: Prior to cover.
Electric Service: Approval required prior to utility company energizing service.
Pa2e 4 of5
Status
Issued
CITY OF ~rKmlJl'lJi,LD
Building/Combination Permit
PERMIT NO: COM2009-00597
ISSUED: 06/22/2009
APPLIED: 05/0112009
EXPIRES: 02/27/2010
VALUE: $ 300,000.00
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 correci, 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 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00597
COM2009-00597
COM2009-00597
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
8:1\~~.~J;J,,~~,t:)",'.,.' '."i....
:;"" T .,
.IIi: '
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._, H.... ""'".<.'_'_
City of Springfield Official Receipt
Development Services Department
, Public Works Department
2200900000000000974
8:53:43AM '
Date: 08/27/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINEBROADWA Online
y
ELECTRIC
Payment Total:
Amount Due
58,00
2,90
6,96
$67.86
Description
Low Voltage - Commercial Indus
+' 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
$67,86
$67,86
Page I of I
8/2712009