HomeMy WebLinkAboutPermit Electrical 2010-1-7
C}i.13bl
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00009
Approval Code: 030773 1/6/2010 7:34 pm
E-mailedTo:gerardelectric@comcast.net
"\41
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o New Construction
(X] Addition/alteration/replacement
Please check all that apply:
o A service or feeder beginning
al 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less lo,ground exceeds
14,000 Amps for all other
1~,:~CA;tE~QFiY~0F~!::QNSTRU:CtI0~""".::;"~",~-,~+;,+ ,:3
o Multi-family [XI Commercial 0 Accessory
"~-' :""JOErSITE'INFORMATI0N:ANjj:ll0CATI6N"~~:
Job Address; 600 HAYDEN BRIDGE WAY
CitylState/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.Japt.no.:
I Project Name:
"~'
o Fire pumps
o Emergency,systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
Cros.s StreeUdirections to job site:
Tax map/parcel no.:
1703233412600
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings mare than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
, ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
I ,Description
Ea,
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\"(Jeff
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install lights and outlets for addition
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
Name: Garv Miller
Phone: 541-741-2596
Fax: 541-741-2596
I Subtotal
Email:
State surcharge (12% of permit
lotal\
Technology fee (5% of permit total)
r TOTAl PERMIT FEE
Elec lic. no.: 20-284C
87145
CCB lic. no.:
Business Name: GERARD ELECTRIC
Contact:
I Address: 3954 HAYDEN BRIDGE RD
City/StatefZIP: SPRJNGFIE~D, OR 97477
Phone: 5417412596
Fax: 5417412596
Emait:
Metro lic. no.:
I Supervising Electrician's lic. no.:
I Supervising Electrician's Name:
City lic, no.:
3654S
GERARD G MILLER
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1.
All Other Services: 2
Upon 'review and approval by your tocal 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 Work expires within 180 aays if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does nol meet applicable land use laws and local ordinances.
QIy,
$55.00
$55,00
3
$6,00
$18.00
'.-~).:"t
$73,00
$8.76
$3.65
$85.41
Inspections Phon,e: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01307
ISSUED: 11/25/2009
APPLIED: 09/03/2009
EXPIRES: 07/06/2010
VALUE: $ 110,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 600 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703233412600
Springfield TYPE OF WORK: Church
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to the International Church of Fonr Square
Commercial
Owner:
Address:
INTERNATIONAL CHURCH OF THE FOURSQU
600 HAYDEN BRIDGE WAY
SPRINGFIELD OR 97477
I CONT~CTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
ESCHENBACHER HOMES INC 104530
HOME COMFORT HEATING & AIR CONOI 84164
HOME COMFORT HEATING & AIR 84164
HOME COMFORT HEATING & AIR INC 84164
BUILDING INFORMATION'
Expiration Date
02122/2011
06/25/201 ]
06/25/2011
06/25/2011
Phone
54]-937-2636
(541) 345-2838
541-345-2838
541-345-2838
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy,Path:
.I': "~I .'
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
51] Ft Otber:
OccupilUt Load:
165,092
920
VB
. Yes
]84
I DE~ELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Pavel! Driye Rqd: , . CorgB~:
% of Lot Coverage: . Ia,VllequileS ~ 01\1\1'1
0"" Otegon l\'Ie Olego 1 \otln
,"I"'T'~~.\~., ~~"",,:,,~p.d bJ..,v, .:l^C ~xe s~c..':::""
I PUBLIC ]MPROV.$mNTi!Ii, cenlel, 101l1\'lIOli9\'lOI\R, \:llules b,/
. ! ,.. I o~-oot '0\ \ ,e
Street Improvements: wOhR 952-0 ;"ewal/{Cfyp~~ le\ep\'lone
FuUy Improved ,in "'IOu me. -cr~. l\'lo"':,~~e Notii\ce.I\On
Storm Sewer Available: Yes. 0090irng l\'Ie tDO'ifilsp.o.!!.!sYO;aiqs.:4).
SpeciallIiiSli-ficrion: SDC Worksheet Attached Ce. Ibel 101 1\18 O\C;;OO_33.l.Zj~
. ..... I .~_. - Urn _ \s \~u
THIS PERMIT SHALL EXPIRE IF THE WORK tI cenlel
Notes:AUTHORIZED UNDER THIS PERMIT IS NOT
r,OMMENCED OR IS A8AI~DONED FOR
',NY 180 DAY PERIOD,
Ii
"J"
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Paee 1 of 4
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
Mechanical C/I
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review Comm/lnd/Puhlic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Non-Residential
Mechanical-Valne
Plan Review Fire & Life Safety
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
09/04/2009
Public Works Review
09/0412009
Fire Department Review
09/04/2009
Plann;n2 Review
09/04/2009
. .,.'
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-01307
ISSUED: 11/25/2009
APPLIED: 09/03/2009
EXPIRES: 07/06/2010
VALUE: $ 110,000.00
I, V~luation Descrintion I
$ Per Sq Ft
or multiplier
$].00
$1.00
Square Footage
or Bid Amount
II 0,000.00
27,000.00
:Tot~I:Value of Project
fPlr<' P!WU
Amount Paid
$487.14
$125.56
$52.32
$749.45
$92.00
$296.89
$299.78
$10.00
$274.82
$26.66
$21.61
$1,546.25
$424.24
$111.57
$381.62
$8,76
$3.65 '1'
$55.00
$18.00
$4,985.32
Date Paid
,1 ;\
.'
9/3/09
11125/09
11125109
11125/09
11/25/09
11125/09 .
11125/09
11125109
11125109
11/25/09
11/25/09
I1125/09
11125109
11125/09
11/25109
117110
117/10
117/10
117110
I Plan Reviews I
09/0412009
09/2212009
10/0212009
11106/2009
APP, LLH
APP EW
APP GRG
OK ACL
Pa2e 2 01.4
Value
Date Calculated
, $110,000.00
$27,000.00
$137,000.00
09/0312009
1111612009
Receipt Nnmber
3200900000000000630
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
. 2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327
2200900000000001327.
3201000000000000003
3201000000000000003
3201000000000000003
3201000000000000003
SDC Worksheet Attached
See attached document for Fire
Department Plans Review
comments.
Site plan approved & Development
Agreement signed. OK to issue
permits.
,
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,;,'
PERMIT NO: COM2009-01307
ISSUED: 11/25/2009
APPLIED: 09/03/2009
EXPIRES: 07/06/2010
VALUE: $ 110,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Strnctnral Review
09/04/2009
1111112009
APP CJC
As noted on plans
SUB Review
09/04/2009
1112412009
APP CJC
Forms sent to SUB with planslllh-
11123109 Pass energy code review,
Inspections to be conducted: 203,.
204,206; 207, 209.
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.
~pnlJirprl Insnections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prio'..'io co'nc1-ete placement.
Slab: To be made after all ins lab building service equipment, cond.uit piping and other equipment items are in
place but pr"ior to concrete.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheatbing with finisb 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
Drywall: Prior to taping.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Bnilding Inspector,
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Underslab Electric: Prior to cover
" "q
,'i.
Final Electric: When all electrical work is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any'cover.
SUB Ceiling Grid: 'nterior Lighting
SUB Exterior Lighting
SUB Final: After all required energy inspections have been requested and approved.
Storm Sewer Line: Prior to filling trench.
Pa2e 3 of 4
_6I?;RI.N~f1Ie:Lt!;""'"'
1 .
~I
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: COM2009-01307
ISSUED: 11/25/2009
APPLIED: 09/03/2009
EXPIRES: 07/06/2010
VALUE: $ 11 0,000.00
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 withont 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
.0""/'
"
Page 4 of 4
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1307
COM2009-0 1307
COM2009-0 1307
COM2009-0 1307
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 01/07/2010
3201000000000000003
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Rec~ived By Batch Number Number How Recc;,,'cd
njm
ONLINE
gerard Online
Payment Total:
Page 1 of I
9:51:47AM
Amount Due
55,00
18,00
8.76
3,65
$85.41
Amount Paid
$85.41
$85.4\
117120 I 0