HomeMy WebLinkAboutPermit Electrical 2009-8-31
City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:robselectric@hotmail.com
Check on status of permit
By Phone: 541-726-3753 or [mail: permitcenter@ci.springfield.or.us
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I D New Construction 0 Addition/alteration/replacement
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ID,o<2r=i1YdWdli"g DM,lti.r=i1Y 0comm"'i~ DA''''W'Y
I:: :': ~.;;. ..2",:j6B'sfiE'It~FORMATi6'N ANO cOi:ATIl)N;;"~~'7
I Job Address: 875 SHELLEY ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suittibldg.lllpl.no.:
Project Name: Auto-Chlor System
Cross Streelldircctions 10 job sile:
I Tax map/puree! no.:
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3 branch circuits for office receptacles & lighting
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.1 Name: Gena Baker
I Phone: 54]-686-5444
I Email: robselectric@hotmail.com
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I Elet lie. no.: 20-462C
Business Name: ROBS ELECTRIC INC
Fax: 541-686-5444
} ~~ .fC6NiRACTOR"'{'i'~:f ~
CCBlie:no.: 156678
Contact:
Add",,, POflfl:lftl"l:'
Ci1y/s'''dz1f\f~ftjl':-a~iI'i'1''~l-IAll EXPIRE IF THE WUKI\
Phon" 541'6;7~~11',:,?r:,=n I IMnI'R'l'fffl.6fli!!\ilMI I I:> l~uT
Em'i1"oh"I~~'K)I11ll!1(fl"'l:n nR IS ABANDONED FUK
MelrOIic.no.~trl 04g0 n^V DI:Qlnr:\itylic.no.:
Supervising,tl~ctncill~'s ire. ;0:: . - 47445
Supervising Electrician's Name:
David "Rob" Lawler
Number or inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
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.
NOTE: This Authorization To Begin YVork expires within 180 days if a pennit is
not obtained.
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
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69600-BEL-09-00109
8/3112009 5:00 pm
Approval Code: 034179
PI~ase check all thaI apply:
~J:;: ;:"frI"~ j)-::-\f::',- -'~:I"<' pLAN'REVIEW,1i "_." i_-~ 0"'/
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1~",!i1;1.'~~;;"4._~>.2:/1-~~: ~F~l:iS<;~EQU~E~+'~ '"
I Descriplion I Qty. I
IBr~~b""driiiit~_':.-:;<'; "j.:.j"i'~*}' ,,?:"1-~
I Brnnchcircuilswitholltser....iceor
feeder
I Branch circllilseach additional circuit
without service
It;!ectric~l~fil~it)'e~1J'.;<'-X""-q" ;(
I Subtotal
IState surcharge (]2% of permit tota])
ITechnology fee (5% of permit IOla])
I TOTAL PERMIT FEE.
o A service or feeder beginning at 400
Ampswherctheavnilablefault
curre7llcxceo:dsl0.000AmpsRl
150 Vollsor less 10 ground exceelb
14.000 Amps fOI all olher
installations
DHuardouslocations
DAservice or feeder raled III 600
ampS<lTmOre
DBuildingsmoreth:llllhreeslOries
DM~rinasandboalyardS
DFloalingbuiJdillgs
DCommcrciaJ.u~ agricultural
buildings
D'nslallalion ofa 150KVAorJarger
seperatclyderivedsys
O'.A'.. '.E".ol "1-2"or"I-3'
DRecrcslionalVehidepslks
[]Supplyvo!tsgeformorcthllll600
supplyvoltsnominsJ
Ea.
I To:::~";'1
DFi~pumps
DEmerl:encysystems
DAdditionofanewmolorloildof
lOOHPormore
DSiJlormoreresidentislunilsinonc
structure
DlleallhclITefacililies
il2~ .',i '-'f_'';,
'~5;~;1
$12.001
I
'67.001
$8,041
$3.351
S78.39 ~
$55.00
$6.00
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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: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00863
ISSUED: 08112/2009
APPLIED: 06115/2009
EXPIRES: 02/24/2010
VALUE: $ 60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 875 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703272401501
Springfield TYPE OF WORK: Office
TYPE OF USE: Addition
PROJECT DESCRIPTION: 470 s.f. Office Addition to Existing Office/ Warehouse
Commercial
Owner: IVY JERRY L TE
Address: 450 FERGUSON DR
MOUNTAIN VIEW CA 94043-5214
I CONTRACTOR INFORMATION.
Contractor Type
Architect
General
Electrical
Fire Contractor
Mechanical
Contractor
DAVID SCHMITZ
MElLI CONSTRUCTION CO
ROBS ELECTRIC INC
OMLID & SWINNEY FIRE PROTECTION
COMFORT FLOW
License
Expiration Date
63771
156678
62730
460
02/12/2010
08/14/2011
12/15/2011
06/27/2011
Phone
drs@davidschm
541-485-1417
541-686-5444
541-741-1775
541-726-0100
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
.# of Bedrooms:
B
SI
VB
# of Stories: I
Height of Structure
Type of Heat:. Forced Air Cas
Water Type:
Range Type:
Energy Path:
Sprinkled Building: Yes
Lot Size:
Sq Ft Is! Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
53,143
470
NOTIC ' DEVELOPMENT INFORMATJ.O~..I.ION 0 .
E: ' : regon 18R1Jf(3'ilIjI'{'ldII'!tlAtINC
THIS f?~IT~HA follow rules adopted by"fne Oregon UtilitY
Fr . ~y tl. LL EXPIRE IF THE WORK Overlay Dist: Notification Center, Thosllota'hs are set forth
SiJj\~~.lk.. NDER THIS PERMIT IS NOT # Street Trees Rqd: in OAR 952-001-0010 thrcHlIlilllDapjJed2-001-
"(2",.c.,nCD DR IS . .-
Side'l'Set1jack:~ ABANDONED FOR Paved Drive Rqd: 0090. You may obtam cC9ompltdi:e rules by
ReMy\(rlI8itdlaIV<PERIDD. . % of Lot Coverage: calling the center. (Note: the telephone
Solar Setbacks: number for the Oregon Utility Notification
r:,:;:r.ntor ic:: 13~:n(L":!~?_')~.d.'L1\
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains: .
Notes: Stormwater to existing eaves. No new impervious or DFUs.
Page 1 of4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amount
Fee Description
Fire SF Fee - Non-Residential
Plan Review CommlInd/Puhlic
+ 12 % State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimhursement
SDC Transpo Improvement
SDC Transpo Reimhursement
SDC Transportation Admin
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
06/17/2009
Public Works Review
06/18/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00863
ISSUED: 08/12/2009
, APPLIED: 06/15/2009
EXPIRES: 02/24/2010
VALUE: $ 60,000.00
I Valuation' Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000,00
06/15/2009
Value
Date Calculated
Total Value of Project
$60,000.00
$60,000.00
Fees Pai~ ,
Amount Paid
Date Paid
Receipt Number
$47.00
$334.07
$61.67
$31.65
$513.95
$119.00
$10.00
$135.52
$13.15
$389.87
$106,97
$32.77
$8.D4
$3,35
$55.00
$12.00
3200900000000000453
3200900000000000453
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
2200900000000000911
1200900000000001012
1200900000000001012
1200900000000001012
1200900000000001012
6/15/09
6/15/09
8/12109
8/12/09
8/12109
8/12109
8112/09
8/12/09
8/12/09
8/12/09
8/12109
8/12/09
9/1/09
9/1/09
9/1/09
9/1/09
$1,874,01
I Plan Reviews I
06/18/2009
APP LLH
Mailed letter to Jerry Ivy requesting
energy forms. See attached
documents
06/19/2009
APP TSS
Stormwater connects to existing
eaves. No new impervious surface
or drainage fixture units.
Paee 2 01'4
:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
Plannine Review
06/18/2009
Fire Department Review
06/18/2009
Initial Review
07/07/2009
Structural Review
06/18/2009
Initial Review
SUB Review
07/16/2009
07113/2009
06/2212009
06/26/2009
07/07/2009
07/13/2009
08/05/2009
08/0512009
APP
APP
APP
APP
APP
APP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00863
ISSUED: 08/12/2009
APPLIED: 06/15/2009
EXPIRES: 02/24/2010
VALUE: $ 60,000.00
EMM
Tara Jones spoke with architect and
reviewed previous plan for changes.
Site Plan for huilding required
parking spaces as an industrial use
although recreation use moved in
remainder of building at a much
higher parking ratio. Will approve
expansion with noted reduction of 2
parking spaces.
GRG
See attached document for Fire
Department Plans Review
comments.
LLH
Suplemental information received
for Chris. Forwarded to him today
(7/7/09)
CJC
As noted on plans / review letter
LLH
CJC
Sent Energy Forms to SUB:
Approved 08/04/09 per Jack foster.
. Inspections to be conducted:206
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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. "
~eouired Insoections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before tovering 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.
Roof Sheathing
Roofing: . Prior to installing any roof covering.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
Paee 3 of 4
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: COM2009-00863
ISSUED: 08/12/2009
APPLIED: 06/15/2009
EXPIRES: 02124/2010
VALUE: $ 60,000.00
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
UnderHoor Drain: Prior to cover or placement of concrete.
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 EIectric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Ceiling Grid: Interior Lighting
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 lie 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 011 the site at all
times during construction.
Owner or Contractors Signature
Pa2e 4 01'4
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2009-00863
COM2009-00863
COM2009-00863
COM2009-00863
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
1200900000000001012
Description
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/0112009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE ROBS Online
ELECTRIC
Payment Total:
8:24:19AM
Amount Due
55.00
12.00
3.35
8.04
$78.39
Amount Paid
$78.39
$78.39
9/1/2009