HomeMy WebLinkAboutPermit Electrical 2005-7-15
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~~~ng i. ---::'ty1(Ht6~( /)1 a
ELECTRICAL PERMIT APPliCATION I ,,~tclliI "-J \.J
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CityJobNumberCOcM.Zt:lol{-O/402... Date /'- ~--./
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JOB DESCRIPTION
3. I COMPLETE FEE SCHEDULE BEWW
A. I New Residential - Single or Multi-Family per dwdling unit.
Service Included
1000 sq. ft. or less
\ Each additional 500 sq. ft. or
('0. W\V'f\f' f'(", 0-\ '\\ \c\ V\() . I?QI (\ kA'w 'i):).f'h portion thereof
Permits are non-transferable an"if expire if work is 'S.tQ)~Each Manufact'd Home or
not started witbin 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
2. I CONTRACI'OR INSTALLA770N ONLY I
Electrical Contractor JB Electric. Inc.
Address 4685 Isabelle Street
City EUllene
Phone 687.5770
Supervisor License Number 3782-S
Expiration Date 10/1/07
Constr. Contr. Number 37587C
Expiration Date 7/1/06 (CCB 104929 3114/08)
Si
-----
ownl Na:e
G-t>"~~VI""'JArcl
Address Z.3Z7 ~\'""........-,-r
City ~c: Pbone '5'f ~ -/0 b3
OWNER INSTALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
$106.00~
$19.00~
$50.00
B. I Services or Feeders - Installation, Alterations or Rdocation: I
~
3
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsiVolts W
Reconnect Only taw fElClUIlel! \fO(I."tY
E~N' Oregon nreaon \lIt"
A~~~W~~iZ'~lI!M\JM8\ 10&.
tol\ . Cen\tl..~ iloAl1 ~~
Notiticat\On .o1ll1f:ORIw,rrOUQ ltill\llifi\lltlS bV
In OP,W~ ' htaln l:'8~\es . I hone
009ofOSb~~~~. lNote: .~e ~ ~.eat\O" $ 50.00
caa\tl~PS<tS4 'R.Ut\\\\Y 0 $ 69.00
nu~~w,e6 !<\~,;:<'''-2344;' $100.00
centen ,
Over 6110 Amps or 1000 Volts see "B" above.
D. I Brancb Circuits
1
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
\ to '1?'
SC:o
E. I Miscellaneous (Service/feeder not inclnded) -Eacb Installation I
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: NlYI!Ci;:, SHALL EXPIRE 1~+~ZW,1WALOFABOVE
1~.\~~,t~~~\~ IINnER THIS PERMli~~lt~\urcharge
'W' "v".-- NDONED >l1K
COIv.I\IENCED OR IS ABA 10% Administrative Fee
. ..., 160 DAY PERIOD.
Inspection Request: 726-3769 TOTAL
I ~Sl-,oV
~ 4/14
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.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01402
ISSUED: 0611012005
APPLIED: 11/12/2004
EXPIRES: 01/15/2006
VALUE: . $ 521,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iospection Line
SITE ADDRESS: 2991 Main St
ASSESSOR'S PARCEL NO.: 1702310000600
Springfield TYPE OF
Retail
TYPE OF USE: New
PROJECT DESCRIPTION: Auto Zone Retail Development. 5/31/2005 added racking system.
Commercial
Owner: WINGARD GEORGE F & RHEA M
Address: 2323 FAIRMOUNT BLVD
EUGENE OR 97403
Phone Number: 541-543-1063
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
__""-,)YOUto
I CONTRACTOR. T!!IlJj'QRj);(JIlOH'VN Utili'"
<. ,- r, ".!!!IU"'" "J
,.Tft;I'4I1V<~bY1Il" '.... f nh
Contractor toI\CJlIII fU\eS 'thOsdJtC~e S~~~ation Date
CHAMBERS CONS~~~~10thfdll~: 9ruies 191/30/2007
JB ELECTRIC EAR Q5Z-' l)btaIn CCllf\49~1 Ie none03/14/2008
SS & W INC - ENGI ffIIIY. lNote: the te e.~ lion
COMMERCIAL AIR l'\6iI.I\In9 the ~egoriUlil~ No~f'ca 12/18/2005
TWIN RIVERS PLUM~~... .~23441' 0311112007
J -'Q.I~~~;;
I BUILDING INFORMATION.
Phone
687-9445
541-687-5770
541-485-8383
541-461-4821
541-688-1444
# of Units: # of Stories: .' I Lot Size: 54,561
Primary Occupancy Group: M Height of 19.00 Sq Ft 1st Floor: 5,400,
Secondary Occupancy Type of Heat: Heat Pump Sq Ft 2nd Floor:
I'rimary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled nia Occupant Load:
I DEVELOPMENT INFORMATION ,
REQUIRED PARKING
Overlay Dist: 1~t.Tot~~~
# Street !~e~r.~:. \..\.. \:'i..I'II"'\: II' \'J\11~@n"dii,apped:
Paved D!1v.JRq~\:\\'J\11 S~P\ I'" I~IS 1'\:1'" \) ~elflpact: .
% ofLot-f';\i.~eBlge:L\:\) \ll'm\: ''OI\~\)O~\:
\l1[\0\\\ 01'" IS ..-
P\ ...C\\\r,\:G _~,,,\\
IPUBLIC IMPRdVEME~TSI:i r ,-,.
. . Sidewalk Type:
Front yard Setback:
Side 1 Sethack:
SIde 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
DowosJMlUtslDrains
Notes:
I of 6
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
Estimate
Pavine
Estimate
Estimate
Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 7% State Surcbarge
Temp Power 200 amps or less
Plan Review Comm/IndlPublic
Plan Review Fire & Life Safety
Plan Review Comm/IndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcbarge
Addressing Assignment
Backflow Device
Building Permit
Fixture
Gas Outlets 1-4
Heat Pump
Minimum/Adjustment Mechanical
Paving
Plan Review Comm/IndlPublic
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Vent Fan
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMITNO: COM2004-01402
ISSUED: 06/10/2005
APPLIED: 11/12/2004
EXPIRES: 01115/2006
VALUE: $ 521,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
308,000.00
65,000.00
148,000.00
Value
Date Calculated
$308,000.00
$65,000.00
$148,000.00
$52 I ,000.00
06/09/2005
06/10/2005
06/09/2005
Total Value of Project
Fpp~ PiW.I
Amount Paid
$5.00
$3.50
$50.00
$988.75
$608.46
$243.46
$10.00
$260.65
$131.94
$31.00
$14.00
$1,452.90
$154.00
$4.00
$24.00
$5.00
$721.65
$24.83
$165.10
$45.00
$328.99
$432.79
$28.00
$10.00
$1,335.05
$126.56
$460.90
$1,546.37
$24,288.03
$5,505.63
$8,118.28
$45.00
$28.00
$12.00
Date Paid
Receipt Number
1200400000000001612
1200400000000001612
1200400000000001612
1200400000000001693
1200400000000001693
1200500000000000697
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1200500000000000818
1lI12104
1lI12104
11/12/04
12/6/04
12/6/04
5/31/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/1 0/05
6/1 0/05
6/1 0/05
6/1 0/05
6/10/05
6/10/05
6/1 0/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
6/10/05
2 of 6
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount
Fire Department Review
06/29/2005
Fire Department Review
12/07/2004
Initial Review
Plannine Review
12/06/2004
12/07/2004
Public Works RevIew
12/07/2004
Public Works Review
06/1012005
Public Works Review
12/29/2004
Structural Review
04/06/2005
Structural Review
05/1 0/2005
Structural Review
05/12/2005
$45.00
$28.00
$35.70
$24.99
$168.00
$189.00
$47,699.53
6/10/05
6/10/05
7/18/05
7/18/05
7/18/05
7/18/05
I Plan Reviews I
06/29/2005
12/13/2004
12107/2004
06/09/2005
12/0812004
06/10/2005
12/29/2004
04/06/2005
05/10/2005
05/1212005
OK
OK
APP LLH
DONE TD2
WI SB
APP EW
APP EW
10 JMP
10 JMP
10 JMP
3 of 6
. CITY OF ~t'KlNGFIELI):
Building/Combination Permit.
PERMIT NO: COM2004-01402
ISSUED: 06/10/2005
APPLIED: 11/12/2004
EXPIRES: 01115/2006
VALUE: $ 521,000.00
GRG
GRG
1200500000000000818
1200500000000000818
1200500000000001020
1200500000000001020
1200500000000001020
1200500000000001020
Plan Review: rack storage shelves.
Job #COM2004-01402. Shelf
elevations sbow top shelf
approximately 9.5 feet In heigbt.
Plans appear to meet code
requirements. Refer to fire
department plan review comments
dated 12-13-04 for maximum
storage heights for flammable
liquids and other commodities.
See attached document for Fire
Department Plan Review
Comments.
Waiting on submittal of Final Site
Plan and conditions and then
signing of Development Agreement.
GAVE TO ERIC WALTER TO
REVIEW FOR DRC CONDITIONS
SDCs added. LDAP Issued. No
Encroacbment permit required
unless construction is proposed
within right-of-way or withIn PUEs
SDCs added. LDAP Issued. No
encroacbment permit required
unless work Is proposed In
right-of-way or in PUE.
WE. See attacbed document of
cover for structural comments
refaxed to John Stapleton.
WE. Received response from John
Stapleton. Called and left a voice
mail detailing incomplete Items.
WE. Jobn Stapleton requested that
I fax the partially completed Special
Inspection forms back to him and I
did.
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2004-01402
225 Fifth Street, Springfield, OR ISSUED: 06/10/2005
541-726-3753 Phone APPLIED: 11/12/2004
541-726-3676 Fax EXPIRES: 01115/2006
541-726-3769 Inspection Line VALUE: $ 521,000.00
Structural Review 05/18/2005 05/1812005 10 JMP WE. Received fedex package from
Mitch Bramlit with structural
calculations for the RTUs.
Structural Review 05/31/2005 05/31/2005 10 JMP WE. Received fedex package from
Miguel Gonzalez for the racking
system. Checked 53 pages of seismic
calculations and 6 drawings.
Structural Review 06/06/2005 06/06/2005 10 JMP WE. Received special Inspection
forms faxed from John Stapleton.
Still waiting on contractor data and
valuation.
Structural Review 06/09/2005 06/09/2005 IO JMP WE. Received contractor data and
updated valuations from John
Stapleton and George Wingard.
They will cbeck on contractor and
valuation for the rack system. Still
need PW approval.
Structural Review 06/10/2005 06/1 0/2005 10 JMP WI. Met with George Wingard and
he supplied a value estimate for the
racking system Installation. He said
tbe contractor data would be
provIded before the racking system
installation. Still need PW approval.
Structural Review 06/10/2005 06/10/2005 APP JMP Received final internal approval.
Structural Review 12/06/2004 12/13/2004 WE TCM Sent special inspection forms to
John Stapleton for completion.
Structural Review 12/1712004 12/1712004 IO TCM WE. Still waiting for Special
inspection forms and balance of
contractor Information.
Structural Review 12/08/2004 12108/2004 10 JMP Received revised Sheet Al and floor
sealant spec. Notifled all 4 otber
reviewer.
SUB Review 1210712004 12/22/2004 WE DR JMP called Jobn Stapleton to
request all energy code forms and
worksheets. Jobn saId that
AutoZone Is trying to resolve a
course of action due to conflicts with
SUB Water and chemicals in
products.
SUB Review 05/31/2005 05/31/2005 APP DH
To Request an inspection caD 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. wiD be made the following
work day.
I Reouired 1 nsoections I
Temporary Electric: Approval required prior to Utility Company energizing pole.
Site Inspection: To be made after excavation but prior to setting forms.
4 of 6
.
. Lu r U1' SPKll~u1'lliL1J .
Building/Combination Permit
PERMIT NO: COM2004-01402
ISSUED: 06/10/2005
APPLIED: 11112/2004
EXPIRES: 01115/2006
VALUE: $ 521,000.00
Erosion/Grading Inspection: After all erosion measures are in place.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction wIth footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Insulation: Prior to cover.
Roofing: Prior to Installing any roof covering.
Drywall: Prior to taping.
Masonry:
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof SheathingiNailing: Before covering sheathing with finish material.
Epoxy.Ancbors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
5 of 6
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01402
ISSUED: 06/10/2005
APPLIED: 11/12/2004
EXPIRES: 01115/2006
VALUE: $ 521,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Gas: When all gas work Is complete.
Final Mechanical: When all mechanical work is complete.
Tcmporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work Is complete.
SUB Plumbing: Following City Rougb Plumbing Inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical Inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information bereon 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 wiD be made of any structure without permission oftbe 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 tbe 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 wiD remain on the site
at all times during constructiolL
Owner or Contractors Signature
Date
6 of 6
225 Fifth Street
Springfield, Oregon 97477
541-726-3'759 Phone
Job/Journal Number
COM2004-01402
COM2004-01402
COM2004-0 1402
COM2004-0 1402
Payments:
TWe of Payment
Check
7/18/2005
.
RECEIPT #:
~
jfLty of Springfield Official Receipt .
.velopment Services Department
Public Works Department
1200500000000001020
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC
Received By
djb
I of I
Date: 07/18/2005
Item Total:
Lheck Number Authortzatjon
Batch Number Number How Received
16031 In Person
Payment Total:
8:04:4SAM
Amount Due
189.00
168.00
24.99
35.70
$417.69
Amount Paid
$417.69
$417.69