HomeMy WebLinkAboutPermit Electrical 2006-6-2
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numb~ ] 005 _ 005 7J Date ~ - 0;) - 7trD (C,
\, LOG..4TIONOFINSTALLATlON 3, COMPLETEFEESCHEDULEBEWW
~~~ DE~S~/Jr'('" "' t..5'T. A. New Residcntial- Single or Multi-Family per dwelling unit.
/7....12 ~ ;;} S ~ / () 1/ (jV Service Included
JOB DESCRIPTION 1000 sq. ft"orl\'S~.:ON' Orr> $106.00
. .. Each additio",aJ ,5.99, ~q, 'ft. or. ron 'ilW requires you to
~r.n Jt'..1"r (lJ(fJ d~t"l..l?tI o~ portionf!1~re.?ttio;;c~~~':1hbY the Orcnr);~ Ul:9.\ly
, },.' . ro'" .. v , ose rules are s t f h
PermIts are non-transferable and exprre If work IS Each Manufact'a, HOJ1!'\ 0.901 0 th e ort
not started within 180 days of issuance or if work is ModularD.WelliogJS"'Iiice or. rough OAR 9$"n?0-ont01-
S dd' 180d F d -. .luJui.)tCUnc0nic.C'.....,~L._ .
uspen e .or ays. ee er Calling th . "-, _..~ ru es y
numbe- In: t~en~r, (Note: the telephone_
2, CONTRACTOR INSTALLATION OlVLY B. Services or F cedcrse. ~nst@latil>.i!;liijtHelifl~s r,r Relocation:
. Center;s 1-800-332-2344) , a Jon
Elecnical Contractor I rrt" '" r,,_t...:'.d {L, J...rc,,'),G 200 Amps or less ~ 63.00
5'1'>~'~'~ Il'\G 201 Amps to 400 Amps $75.00
0'11(' D..,_~\ I),... 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Address
City
b)c~p.r.....R1
(j
Phone
4'65 -lj'isL,
Supervisor License Number
i'1s"-" L~4
Expimtion Date
loll lop,
It: '559'/
Constr. Contr. Number
97'f'/V
Expiration Date ., /o( "
Signature of Supervising Elecnician
~"-'- ~-../"
v
OwnersN~a~ ~ Itnf?
Addressp O~~ rJ(., /';;).5 .
City~ Phone l)fI ~/7.51
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale. lease or rent.
Owners Signature:
Inspection Request: 726-3769
C, Temporal'\' Serviccs or Feedcrs
dh.::: W
1~~till~litb~Ait~~~{;on.Or;ReJiiCatiOn-HE WORK
~III rj(JKI7Fn '-" ,
200 Amps orlesVNDER THIS PERMIT 1<: $50:00
1.IJlVllVlrNt'F.n ('\0 It' ,.,v,
2Jn,I"Amps to 400'Amps ABANDONFn I'QR$ 69.00
}'III" 11111 nl'" !)rnLr:lD
401 Amps to 600tUup:; , $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Bninch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each InstaUation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergyfResidential $ 25.00
Limited Energy/Commercial / $ 45.00 "'VS. av
Minimum Electric Permit Inspection Fee is 545,00 + Surcha.g'es
...y$ a-V
3 ,(tX:)
4,&2..
(~,~, /D
4. SUBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding Forms/Electrical Permit Application 1-Q6.doc
~~...
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00571
ISSUED: 12/09/2005
APPLIED: 05/13/2005
EXPIRES: 12/02/2006
VALUE: $ 1,000,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner:
Address:
OLYMPIC STREET PROPERTIES
PO BOX 26125
EUGENE OR 97402
. " \"-'l' ~u
Springfield T.YPE OF WORK: Retail" I \"
:\1 L;~. \ ,
,. , ~ c "\ lorth
TYPE OF liSE:::S New'~ 001- Commercial
." ' .... C\HSJ2-
'Qtr\ 0\.\1\\\ I b"
0' j'\.'-", '.~ olthe rules ,
:~ ,.."nI2S _
'\ ,1'.yV.......- r..""18.t;UII........-
C:'-], ~u :''''c'' lter (i\:ole: PhonetN1 umb!\r.: 541-726-1751
Cr.',\119 tI1C~' ic on lltilit'l NO , '''~...
nurnllcr lor tne01_a900_332-2344),
renter \5
SITE ADDRESS: 2311 Olympic St
ASSESSOR'S PARCEL NO,: 1703254101100
PROJECT DESCRIPTION: New Shopping Center
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Landscape
Mechanical
Plumbing
Sewer
Contractor
VIK CONSTRUCTION
BUILDERS ELECTRIC INC
SS & W INC - ENGINEERS
GARY F BAUMBERGER 11834 07/3111006
COMFORT FLOW 460 06127/2007
TWIN RIVERS PLUMBING INC 17695 03/1 112007
BABBCONSTRUCTION"',,,t. IF THE WOKK
BUILDING INFORMATIONI1ER THIS Pd-IMIII::> I~U I
,L ,d , " Uti IS AHANOUNED FOR
# ofStoriesi," 'JU lJ,\Y f'lHIOQ,1 Lot Size:
Height of Structure 31.00 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
License
571
4296
Expiration Date
10/22/2007
12/1 0/2007
Phone
541-484-1188
54 I -485-0922
541-485-8383
541-343-1450
541-726-0100
541-688-1444
541-688-2233
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A-2
40,450
10,900
VB
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
To Storm Sewer
Notes:
Paee 1 of6
~iii'".
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Pavine
Tvpe of Construction
Estimate
Use Bid Amount
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
Inspections - Investig, Plumb
-Mecbanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Addressing Assignment
Backnow Device
Building Permit
Curbcut - Additional Driveway
Curbcut - Additional Driveway
Curbcut Permit
Curbcut Repair
Curbcut Repair
Curbcut Repair
Curbcut Repair
Encroachment Permit
Fixlu re
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Not Covered Plumbing
Paving
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
PW Disc - 2nd Permit (Street)
PW Disc - 3rd Permit (Street)
Sanitary Sewer - 1st 50 Feet
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
.
. CITY OF ~rKll-lGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00S71
ISSUED: 12/09/2005
APPLIED: 05/13/2005
EXPIRES: 12/0212006
VALUE: $ 1,000,000.00
I Valuation Descriotion I
, ,
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
800,000.00
200,000.00
Value
Date Calculated
$800,000.00
$200,000.00
$1,000,000,00
12/07/2005
12/07/2005
Total Value of Project
Fpp.. PlIilIJ
Amount Paid
$1,567.57
$964.66
$4.50
$45,00
$10.00
$5.00
$425.53
$3.50
$235.53
$31.00
$28.00
$2,840.65
$80,00
$80.00
$80.00
$10,00
$10,00
$10,00
$10,00
$\30,00
$140,00
$12,00
$4,00
$29,00
$14,00
$890.65
$701.35
$431.60
$-30.00
$-30.00
$45.00
$10,00
$5,092,65
$483.04
$451.64
Date Paid
Receipt Number
5/10105
5/10/05
11118105
11/18/05
12/9105
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
1219/05
1219/05
12/9/05
12/9/05
1219/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
1219/05
12/9105
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
1200500000000000612
1200500000000000612
2200500000000001596
2200500000000001596
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
Paee 2 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Sidewalk Permit + Addtl Sq FIg
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Refund - Admin Fee
Refund - Surcharge
+ 10% Administrative Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 8% State Surcharge
Fixture
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend C;rc Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
Fire Department Review
Initial Review
LDAP Review
Plannine Review
.
$104.80
$3,447.20
$45.00
$98,00
$50,00
$45,00
$14,00
$-5,00
$-3,50
$4,50
$3,60
$42,00
$3,00
$8,40
$6,72
$84,00
$6,40
$5,12
$43,00
$21.00
$4,50
$3,60
$45,00
$18,892,21
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00571
ISSUED: 12/09/2005
APPLIED: 05/13/2005
EXPIRES: 12/02/2006
VALUE: $ 1,000,000.00
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/9/05
12/15/05
12/15105
2/13/06
2/13106
2/13/06
2/13/06
5/16/06
5/16/06
5/16106
5123106
5123/06
5/23/06
5123/06
612/06
6/2/06
6/2/06
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
2200500000000001672
VOUCHER # 98410
VOUCHER # 98410
1200600000000000153
1200600000000000153
1200600000000000153
1200600000000000153
1200600000000000656
1200600000000000656
1200600000000000656
2200600000000000646
2200600000000000646
2200600000000000646
2200600000000000646
2200600000000000716
2200600000000000716
2200600000000000716
03/1 0/2006
I Plan Reviews I
03/1 0/2006
05/13/2005
12/05/2005
05/13/2005
05/13/2005
10/21/2005
05/13/2005
11/1512005
OK GRG
Plans Review: Fire sprinkler system
for Olympic Street Properties
building. Job #COM2005-00571.
Designer: Pat Loome, Contractor:
Harvey and Price, NFP A Occupanc)
Hazard Classification: Ordinary
Group II, Plans appear to meet code
requirements.
This is re-submittal? Original plan
review done 6/05. See attached
document for Fire Department
comments,
Emailed Mr, Yett future addresses
for site
OK GRG
APP LLH
OK BRC
WE
Waiting for final site plan submittal
and development agreement. Jim
Donovan is planner
DRC2005-00008.
Paee 3 of6
lli~ . . CITY OF SPRINGFIELD -
Building/Combination Permit
Status Issued PERMIT NO: COM2005-00571
225 Fifth Street, Springfield, OR ISSUED: 12/09/2005
541-726-3753 Phone APPLIED: 05/13/2005
541-726-3676 Fax EXPIRES: 12/02/2006
541-726-3769 Inspection Line VALUE: $ 1,000,000.00
Public Works Review 05/13/2005 05/27/2005 OK SB LDAP Required, Notified Steve Yett
and John Stapleton on 5/27105 that
they need an application for LDAP
and Encroachment. Hold for
Issuance of LDAP placed on Parcel,
Shopping Center SDCs charged for
shell. Credits applied. Curbcuts,
sidewalk permits added,
Revised Plan Review - Fir 10/18/2005
Revised Plan Review - Pia 10/18/2005
Revised Plan Review - Pu 10/18/2005
Revised Plan Review - Str 10/18/2005 10/18/2005 to JMP WE. Received incomplete response
to structural comments. Still need
items 5, 6, 7, and 13, with items 9
and 10 noted as deferred submittals,
Plus one more set of documents is
needed for SUB's review and file.
Revised Plan Review - SU 10/18/2005
Structural Review 05/1312005 05/26/2005 WE JMP See attached 15 structural comment!
faxed to John Stapleton.
Structural Review 11/16/2005 11/16/2005 10 JMP WE, Received mechanical,
plumbing, and electrical drawings,
Called John Stapleton to address the
many missing items. He will
respond shortly and asked about
options on plumbing inspections
which we will work out.
Structural Review 11/28/2005 12/07/2005 to JMP WE, Received response from John
Stapleton,
Structural Review 12/07/2005 12/0712005 to JMP WI. Received Mechanical Unit Hold
Down package from John Stapleton,
Structural Review 12/08/2005 12/08/2005 APP JMP Per Lisa Hopper's direction,
Approvals in Tidemark pending for
Planning and SUB.
SUB Review 12/0712005 12/12/2005 10 JF HV AC and Lighting information
still outstanding. John Stapleton
discussed freeze protection at this
time and said that lighting will be
completed as the building in fills,
SUB Review 05/13/2005 05/23/2005 WE JF JMP called S, R. Yett with Olympic
Street Properties LLC and John
Stapleton with SS&W and left voice
mail requesting energy code forms
with both of them,
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.
Paee 4 of6
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00571
ISSUED: 12/09/2005
APPLIED: 05/13/2005
EXPIRES: 12/02/2006
VALUE: $ 1,000,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
UI~lnl,il"I~I\1nsne{'tions I
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed,
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete,
Curbcut - Second: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection,
Footing: After trenches are excavated.
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,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering,
Drywall: Prior to taping,
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
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 Grading: After gravel is in place but prior to placing concrete,
Final Paving: After paving is complete,
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.
Paee 50f6
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00571
ISSUED: 12/09/2005
APPLIED: 05/13/2005
EXPIRES: 12/02/2006
VALUE: $ 1,000,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Electric Service: Approval required prior to utility company energizing service,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Low V ollage: Prior to cover,
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 be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, tbat 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 6 of6
225 Fifth, Street
Spl',ingt'ield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-00571
COM2005-00571
COM2005-00571
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
~.
Wi=.
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
2200600000000000716
Date: 06/02/2006
Description
Low Voltage - Commercial Indus
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
INTEGRATED ELECTRIC
SYSTEMS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
njm 185233 Phone
Payment Total:
Page I ofl
11 :42:20AM
Amount Due
45.00
3.60
4.50
$53,10
Amount Paid
$53.10
$53,10
612/2006