HomeMy WebLinkAboutPermit Electrical 2006-4-10
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~
ELECTRICAL PERMIT APPLICATION
City Job Number C.OW\ ZOO ~ - - 0 I '2.. "3 7
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1. 'LOCATIONOF'[NSTALEATION~i;<(,':if'!i~';l'l
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201'-( IM.A-tlcl "":::..,
LEGAL DESCRIPTION
\703:sb\f'Z..
o Z-S"CO
Date
CJU
INITIALS 1\..Jrv\.,
DATE \:..{ - \0 ~ 0<0
SOURC~J
l/-/O-Ob
ZON
1"'I:.~' .,r1>"'\.~ '<1'~~ .--H<."">':'.....-~""t ~ .,.,,~... .. . ',= :_-. ~~I';'r""~ '''lfr-;! -::''''~''''',,:;'n":::;~''~~~.~-
3. ,: COMPLETE FEE SCHEDULEBELOW..'t'.;'J:<'''''.j;,,,~r _.~
t:~~~'h:.......~}..~~.>.:~\,-~+b...'...~'_,::,~,,,','J:..:.l~,,,~i;;;.'j"L,..-b.:w.:..-::....i.....~~ ~.~
r.-:'"~'l~:;;-;'fo-~"'f,,,,,,",:;:~~~1t"~~~',,~ '~.v.' ;~-.7"-;-~~ '"\"'l''':;;:--~-:j.~7r, ..
A. L~~i.~J:~~~~~~.;iJj~~I;~~t.~~tth~ap~~'~~~~2~I.U!~~
Service Included
JOB DESCRIPTION 1000 sq. ft. or less $106.00
I I ( J c _1- Each additional 500 sq. ft. or
5'1..... ,,,&.tof.o-. 11- ) c.'rc.....\."l) poruonthereof $19.00
Permits are n~n-transfJ.abl' and expire if work is \C~: Each M~nf1li'?~\q\!lll'm1:1iF.- \f'J~~~
not started within 180 days of issuance or if worA 01 R\-<\\t1Sl4illutDW'<!II'g'~~~lt16'io $5000
Suspended for 180 days. II-\\S Pt.Oes4fflt.\\ il-'l Q\-\t.O rOil, .
, : '."~J..''M'''.">-,.c-,,.," c.'''''''''. . "~",\.",""'-"o'ri\J1I-\Q\\\lt @.r.'Iw~S""B~~\),",,,~"'i~l:"~~ ~:;:,;>;w~,#~,-r-"',. f,'T"'':J
2 ;,CONTRACTOR INSTALI:ATION ONHtO' ,.,.,,~b;~\?r."i~es,or: Feeders:...UnstaUatioh~'AlteralioilS:or ReloC'alion:~.11
. 'to 'i~~..:~,~.;:x.._';;~~-~~.,,'i.~',S.:,w.""':')';.l":~~~:',J"4G \'4\\;\~Q Q~:q-'?E~\\:JU.'';..'''~-:':':'~_W'l;'''' . ,-.:.-:;..:lLL:::..:....\.;~r.:._#..:r_..:.:..1~_ ~:;l'.''''';,:,,~
Electrical Contractor ~N1'5,c) ~ 200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
Address P- 0- ~ Ci!)l.,/j 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
City ~ Phone Q-,--3 rtr),;;)7 Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Supervisor License Number 3017 S
Expiration Date (c9,.. 1- 6) "
Constr. Contr. Number --ILJ:. ~::::J 9
Expiration Date //!Jr- )_ 0 f:,
,
~::s~pe~c~
~ '7 IV . -
Owners Name D....... -rz,..,c L/ "7 filL
Address :fliZ.'$ Ifv.-y ~8
City bdr€,Yl. Phone 7'(7 ~ 3Z7[s
OWNER INST ALLA nON
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
~""~.":"'.':ry"'f'!';?"'l' ,,{'.:,;,:"V-;.<<~i"-' . ,,:..... ',;" "::-;~~r'j:;;.r''':'). ';~ ;f..':<..;'-' .di'~' "",. -,.,.,...'1:".'1
C. ~TcmporarViServlces or,Fceders~'~ #r-:'~'~<'i .-:.'" ~,~,>,t":":'';...;\~, f-'< .)~"
u.-1:~':;""'~":,~:..$.r.1 ..,... .-.-,. .--. ..~,..-....~,'" ',. . ~~.......:~ ,.. .'..'..." L
Installation, Alteration or Relocation
200 Amps 0; less
20 I Amps to 400 Amps
. 40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
~~~~~_?_~~~~r ~.~?,~. ~ o\~~.~~~e ~a_~~?~~e_.\,.~~. ~_~ '~~7~ _._' .
D. r,B.r r..anch. .c.rcUlts'i':",,,,,"(}I~~S.~':h'\\I\'J,.i.'<". . '.:: .". ,.' ",.,.,'....!' _..1
~~'.:-~.:.t..,-\a\J4~lQ~.~eo.--Of\"~.~\\0.~\\,'-.. ..~'~-' . "',. .
New Alternti6.v~r Extensi~n:P.\ed' el '( if:J
/,,\~'.~' oo~.. s"'-~'"
:\"'il9ii);ICircu!P?\e "'nose lll\e O. "j $ 43.00
" "\OEach\~dditional C:lfcui~or;~ith .;::'e 11,llV~- ., Il
\0"" ,.'P" ,0.\'" 0\'" U $ 300
.SerVice or Eeede"l'ermit~ieS ,^"nl;J .
~o\i\\v"" <;g_OIJ' - ,ill\vv . \ne \".- '\ caW)'
il\J2~;~kefirr~;~~s\(S;~.y~\~r~~;~~. ~!j;;::I~d~}):::k;;-~h i'lisi~li';1ion;
'i)'i):.~\~~\~~~~(j(e~~~~7:;~"f!b"'-':'-'. .., "... .. " "
PUml1'Qr, Imgatlo~; \ $ 50.00
...\,).\\..... "'p'\\\'=i'
Sign/Outline Lighting ($ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
("Z!J -
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
'-,,:f~"7-,"'~::-;,. '_ i#' ;'.~'~;:--<"--:'1 ,.[~ ~-"1"-:-:."7.:'~<-~"': ~~-:_j";
4 i. SUBTOTAL'OF ABOVE' ,"M.:,. ". '~". -
. ~:,\...........:' '. '.-' .'. " ~'t-:" 1:, ;~__.. . ._;:' ,",:,! _. ':.,....n~ '.:; ..":<~: ~ - , < ~
~....".\:,___,_~~~_...~,-....._.~"-'__t____"'"..__--" ........
8% State Surcharge
10% Administralive Fee
/OJ-
al(O
fO~
12.3 ~
TOTAL
Shared Drive(T:YBuilding FonnsfElectrical Permit Application 1-06.doc
.
. CITY OF ~rKll~l.I'H,LD
Building/Combination Permit
PERMIT NO: COM2005-01237
ISSUED: 03/21/2006
APPLIED: 09/09/2005
EXPIRES: 10/10/2006
VALUE: $ 25,500,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2014 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202500
Springfield TYPE OF WORK: Church
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Renovation for a church. Iglesia Pentacostal
Commercial
Owner:
Address:
ON THE WAY INC
38299 HWY 58
DEXTER OR 97431
Phone Number: 541-747-8238
Contractor Type
General
Electrical
Plumbing
_ -rLlt: INO\\'f-
c.. r-lp\\\t \I .. ,., ,e:, ~\J \
"\01\C~. 1..GONwAci.oR INFORMA'liION I
\' n<:r, II"" \ lii I
I\'IIS r <.'" 0 \.\~U\:. ' }\O\j\~\"""
Contractq'0I\'10\\ll\O 0\\ IS ~'O~ License
JAMES RX~F{.fI,,^t.}\~tI.'i ?t.\\IOO. 102434
THORNTO~~KLJi:tiTRIC INC 116329
KEVIN LEE'RIKER 159330
Expiration Date
10/0512007
10/01/2006
03/30/2006
Phone
541-935-8460
541-686-4151
541-744-0700
I BUILDING Ihrv"..IATlON I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
299
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A-3
n/a
.^
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMA nON I . ~e'O ~O~\~~~ .~
~eo..~~ >!JO{\ REQ~RED PARKING
\'o~ O~e e 'O\:l',., C\I) .
Overlay Dist: >!JO{\ ..:s-e ~e'O 'o~ cTo(al:~~
# Street Trees Rqd: ~. O~e ~eO ~~ 'Oe ~\) 1\\ O'r'?- J!.al.odlcllPped:
Paved Drive Rqd:,\O 'OOO\!, ....'(\0 ,o~g 0' \'(\Coln'jl~ct"
,-<\, \' 'eo' ~e" \'(\\ 'e'O _e\IOr n,~V'
% of Lot <tQye~ig~::\ . (je\i ,1)1)\ I). Co\!~. \'(\0' o\~\Cv
,0\\o...c'O\\0~'),I)I)\ r-,'O\'O\{\ \~o\~~\~,\~ ~ll.I),\'
I PUBLIC IMPROVEMEN:f!'i'f~~e{\'-;~e~~~,~~'2:V
10"'- . >b \'\' >j!\0 , ,~
\J n,\\,\i \ 'o~ ~ide"Walk Type:
cv 'f>>e {\W'
{\~({\ U'DownspoutslDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of 5
.
.CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2005-0I237
ISSUED: 03/21/2006
APPLIED: 09/09/2005
EXPIRES: 10/10/2006
VALUE: $ 25,500,00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion I
Estimate
Pavine
Tvpe of Construction
Estimate
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
23,000.00
2,500,00
Value
Date Calculated
Description
Total Value of Project
$23,000.00
$2,500.00
$25,500.00
10/13/2005
10/13/2005
L.Fpp< P~ilU
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/lndlPublic $64,74 919/05 2200500000000001239
+ 10% Administrative Fee $35.96 3/21/06 2200600000000000359
+ 7% State Surcharge $21.48 3/21106 2200600000000000359
Building Permit $208.80 3/21/06 2200600000000000359
Fixture $98.00 3/21/06 2200600000000000359
Paving $52.80 3/21/06 2200600000000000359
Plan Review Comm/lnd/Public $84.92 3/21/06 2200600000000000359
Plan Review Fire & Life Safely $52.26 3/21/06 2200600000000000359
+ 10% Administrative Fee $10.50 4/10/06 1200600000000000445
+ 8% State Surcharge $8.40 4/1 0/06 1200600000000000445
Add, Alter, Extend Circ $43.00 4/10/06 1200600000000000445
Add, Alter, Extend Circ Ea Add $12.00 4/1 0/06 1200600000000000445
Sign - Outline Lighting Each $50.00 4/1 0/06 1200600000000000445
Total Amount Paid $742.86
Fire Department Review
09/13/2005
Plan Reviews I
10
This originally was submilled as a
renovation. This is a change of
occupancy to an A-3 from a B. Fire
is waiting the Occupancy Load
determination from Building due to
proposed stipulation to hold OL at
299. Follow up with JPearson on
t 1/9/05 and 11/28/05. OL still
pending. mfechtel
Initial Review
Plannine Review
09/1212005
09/13/2005
09/1312005
APP LLH
WI
Left message for contractor on
9/16/05. Church needs to be
reviewed through Site Plan Review
process as per SDC 3 I.
Pace 2 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54t-726-3769 Inspection Line
Plan nine Review
Public Works Review
Revised Plan Review - Fir
Revised Plan Review - Pia
Revised Plan Review - Pu
Revised Plan Review - Str
Revised Plan Review - SU
Structural Review
Structural Review
Strnctural Review
Structural Review
.
03/16/2006
09/13/2005
10112/2005
10/1212005
10/12/2005
10/12/2005
10/1212005
10/13/2005
10/19/2005
Oll06/2006
02116/2006
03/16/2006
02/t 0/2006
03/0ll2006
10/1212005
10/13/2005
t 0/19/2005
Oll06/2006
02/16/2006
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01237
ISSUED: 03/21/2006
APPLIED: 09/0912005
EXPIRES: 10/10/2006
VALUE: $ 25,500,00
DON ACL
APP SB
Applicant has received conditional
approval for Minimum
Development Standards site
development. Conditions of the
approval have not been met,
Planning agrees to issuance of
Building Permits for inside
construction work, hut Occupancy
nollo be issued al this time.
Change of use Ihal proposes a
decrease in load 10 the City
Infrastructure. No SDCs
REVISION - See attached Fire
Departmenl comments.
PEND AC
10
10
10
10
10
Paee 3 of 5
JMP
WE. Received 3 new plans and
response to 20 structural comments
from Jon Hartwell at Mortier's.
Left voice mail for him that he still
needs 10 address the sprinkler
requirement in ilem 4 and Ihe
valuation in item 18 before Ihis
permit can be approved.
JMP
WE. Received fax from Jon
HartweUaddressing Items 4 and 18.
He said the occupanlload issue is 10
be addressed by the Church.
Received a letter from Pastor
Bahena regarding an occupancy
agreement of 299 people. Passed il
to Ihe Building Official for his
decision.
WE. Mel wilh Pastor Bahena and
Contractor Raby to remind Ihem of
the requirement 10 decrease the size
of Ihe sanctuary so Ihallhe
occupant load will qualify for 299.
They said they will work on Ihe
revisions and a proposal.
WE. Met with Dave Puenl and
Pastor Reuben Bahena 10 discuss thl
occupant load. Pastor Bahena will
provide a letter/documenl stating
that they will nol exceed 299
occupants untillhey make the
neccessary Code upgrades.
JMP
JMP
JMP
. CITY OF ~rKll~l"'lr..LD.
Building/Combination Permit
PERMIT NO: COM2005-01237
ISSUED: 03/21/2006
APPLIED: 09/09/2005
EXPIRES: 10/10/2006
VALUE: $ 25,500.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
02/22/2006
02/22/2006
10 JMP
Structural Review
03/07/2006
10 JMP
03/07/2006
Structural Review
10 JMP
03/16/2006
03/16/2006
Structural Review
09/26/2005
WE JMP
09/13/2005
Structural Review
03/17/2006
APP JMP
03/17/2006
SUB Review
09/21/2005
WE JF
09/13/2005
SUB Review
10/17/2005
1 o/t 7/2005
APP JF
WI. Received letter/document from
Pastor Bahena addressing occupant
load.
WI. Pastor Bahena submilled a
revised letter to the Building Official
addressing the occupant load.
WI. Dave Puent approved Pastor
Bahena's occupant load leller and
delivered it to JMP to issue the
permit as soon as planning signs off.
See attached documents for 20
structural comments faxed to Brad
Myers and Ruben Bahena c/o
Blackhawk Construction.
Received final internal approval.
The use and certificate of occupancy
are conditioned on the voluntary
compliance with n maximum
occupant load of299. The
certificate will only be for this
church in this building at this time.
JMP called Brad Myers at Mortier
Engineering and left a voice mail
request for the missing energy code
information.
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.
Ueollire'Unsne('tions I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Lighting
Sign Electrical: After connection is made but prior to energizing
Pa~e 4 of5
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01237
ISSUED: 03/21/2006
APPLIED: 09/09/2005
EXPIRES: 10/10/2006
VALUE: $ 25,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 PhoDe
541-726-3676 Fax
541-726-3769IDspectioD LiDe
By sigDature, I state aDd agree, that 1 have carefully examiDed the completed applicatioD aDd do hereby certify that all
iDformatioD hereoD is true aDd correct, aDd 1 further certify that aDY aDd all work performed shall be dODe iD accordaDce with
the OrdinaDces of the City of Springfield aDd the Laws of the State of OregoD pertaiDiDg to the work described hereiD, aDd
that NO OCCUPANCY will be made ofaDY structure without permission of the CommuDity Services Division, BuildiDg Safety.
1 further certify that oDly cODtractors aDd employees who are iD compliaDce with ORS 701.005 will be used OD this project.
1 further agree to eDsure that all required iDspectioDs are requested at the proper time, that each address is readable from the
street, that the permit card is located at the froDt of the property, aDd the approved set of plaus will remain on the site at all
times during cODstructioD.
Owner or CODtractors SigDature
Date
Paee 5 of5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-01237
COM2005-01237
COM2005-0 1237
COM2005-0 I 23 7
COM2005-01237
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
~...
~
c;a of Springfield Official Receipt
_Iopment Services Department
Public Works Department
1200600000000000445
Date: 04/10/2006
Description
Add, Alter, Extend Circ
Sign - Outline Lighting Each
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Paid By
IGLESIA PENTECOSTAL
UN IDA
\
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
DJB
2539
In Person
Payment Total:
Page J of I
3:03:15PM
Amount Due
43.00
50.00
12.00
10.50
8.40
$123.90
Amount Paid
$123.90
$123.90
4/1012006