HomeMy WebLinkAboutPermit Electrical 2007-6-13 (2)
ZZS FIFTB STREET . SPRINGFIELD, OR 97477 . PB:(SlI)'/U.3753 . FAX: (SlI)7Z6-3689
ELECTRICAL PE~1T 4ffUg,.tTION
City Job Number 0 ! \ - ~ArY\
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Dale
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LEG~~N:
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JOB QESCRfTION: 1000 sq. ft. or less
~ ~ )iff~ -t::uen ~JJiS;:~:"~ 500 sq. ft. or
Permits are non-transferable and eIpIre If work Is Eacb Maoufact'd Home or
not started w1tb1n 180 days oflssnante or If work Is Modular Dwelling Service or
Suspended for 180 days. Feeder
A.
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r....: ' . II;!: I..r.~. ;)'II',!:ltd}!.':.....JI}., I.'!:, fJ!... 'l.t'f.. jl1',1:1"1 r,"
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D?-,?d)
Service Included
$117.00
$21.00
$55.00
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!i-,I'",'! (.'f..1(..~{3 "If, 'T'I.'l~"''''~)l ~bJ'I'"
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B.
Electrical Contractor )1Jn)) !AhA f ./i;,1'7/'u c..'
Address ....i?o t3#. ,..,,2 /5-t23
City &.tr xL Phone.5'1 loot, 1ft, -;J:5/:;S
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsfV oIls
Recoooect Only
~~
$180.00
$413.00
$ 55.00
Ji;;J~~
Supervisor License Number . '1;;?5CJ 0
Expiration Date I 0 - 0 I - / 0
Constr.Contr,Number --OIJ -/</56
c.
Expiration Date
"}- I-dl 00 f
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
Signature of Supervising E,"cian
A.~
C/ .
Owners Name ~ r~\)~}~.
Address _ ,~ v;\ V\d(o i- ~ E.
o~e 5~O\.ffi~ =171 \:porirrigation $55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Mlnlmum Electric Permit Inspection Fee Is 550.00 + Surcbarges
4. 4\ (J. LCO
8% State Surcharge ?--,~ . 'is'(
10010 Administrative Fee ~ t.p ~\u.
5% Technology Fee iJ _n..Q:::>
Inspeetion Request: 726-3769 - TOTAL ~ ,03
. ~t ()(\&.~ ~ it{ "~~-_..--"--,~-
~.\e-o\ ~6~~O~i
Over 600 Amps or 1000 Volls see "B" above.
D.
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~il~ \,t I,~,: ~.:.l -:';l"'J,,:~!/ju~}'lf ~0lf;~~~~~~~1i:>1?-f:~$i 'f~'.'.1(i!I.,1'~;~ ';:'Jd~.'
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
-,
$ 48.00
$ 4.00 6J.1. CX/
City
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OWNER INSTALLATION
The installation is being made on y.~y-;J I own which
is not intended for sale, lease or rent.
Owners Signature:
',. ' -"~Ij'l II,,'~ ~:".\'lr( l,t~-:,.!.:~;;." "~L""'"'~-4"!li"!'!l
:",- '~';,~'-:: ~.--:' .'Zc<'~~~I'~1iI.."jo1'&i.,-. 1-3ir"".:;;;Iu.:,
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INITIALS . -
DATE . <T\
SOURCE ~
..-7477 . PH:(541)7Z6-3753 . FAX: (541)7Z6-3689
ELECTRICAL PERMIT APPLICATION
Cily Job Number /'<:>..."..7007- 0 0 3b7
Date
I !,i.oC;rifio'NOJi'iNSTAI:l;ATiON.--,.''''"f':.....
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LEGAL DESCRIPTION:
(7D327(U
3. r._Q..iff~Plf~:~{$@Ei!.'t:tt~#{~'i:!w..f:~~~'E':r~j~\iF:-S7~.\~:t,~l
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A. ~(N~~R~srd~ati;r~;s1D'I:i~ or:~tiHfF~rilir':' e},";d~~lrili~~iin'It;~;;:J:l
~.J..l...~'-'-""""'l'i06:';:.~....,.." ..,~" ~.. g. ,_',L . .'"C........ . _,"", Y P....r.' , , . " ,....,g... .,_., ~.'\'''!J
Service Included
Cily
JOB DESCRIPTION: 1000 sq. ft. or less
/ _ j ~ I Each additional 500 sq, ft. or
o S~VL '" 7 c,rCJA..! po~oilthereof . $19.00
I ~~ .
Permils are non-transfe able and expire if work is .~e~EacliiManUiact'd Home or
not started witbin 180 days of issuance or if work is ~eo.o.>' elli''b~!a~~~elling Service or $5000
Suspended for 180 days. \?>~ e O~ F~e~>i>'l: S 'Q'\ '
....,......" ''''.. .. ~~ J-eS '" ,. _
z. r::{:QlVr~t;;J:q~}N~i:{iT:r:~TI~~'7{;)~;~JoSe ~ ,~,i.,~c~~~!..c~lbJ~~~tr:'R:lij;'tEI],'!liO!J;:A.}!~r~#,i?'nJ. .;r.~iij~~~!i&~l
w:~ . "_--',..........'\"......_'t:!.: ~~ ~"9 j-..: .... .
. ,~\O 'r/>C"o.~. ..::s-~O '~eS v ,e ~~~\c; __ _
Electncal Contractor Npw Way<:-'Eli'''tr.,~ ,~C], nc:-.\l 20.ofAmps'or less ~ $ 63.00 :$ / J
o '0. ~ ~v'o~ \.)~<;:,,,IJ:',iY'0 :"..0'10!~~~~ 400 Amps $ 75.00
~ ~ n_V ov "co.v n'~
Address P.O. Box 21403 ."c,'I}~~" .,,0,,\ "e~' ,,0'qOI:i\.mpst0600Amps $125.00
0" ~ - \" eo' ~e'" .':0:"
~ O'r- ~o~""eC; eO ,,'01:'601 Amps to 1000 Amps $163.00
Phone5'~1~(::6.~,E?,'S.?t6'~\\S Over 1000 AmpsfVolls $375.00
v c,'O-'~'<P c,e'0' Reconnect Only $ 50.00
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~:T'~~'-". "b::n"'._\~:i'l~!l\)o":.r.. "'"'-'~ ~i"'-~~.'. 'r".., 'J! ~.".. ",", '- "'. ,:":"'" '. ,.,."".":'",. ~,;.,;. \1,1
c. ~mpJ.)r:.~.I:'-Y.~~~r:vJ.~~_Q~f~e~~r~iJ.:~? :-:'{';;~ ~".~t-.f-:.;-', "~'~'T:o '. .""" ;'~
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I t II t. AI' ,y. ,~ \R I .
os a a Ion, terstloolor e Deahon
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200 Amp's'ot,~ess. <(<r: <-\l'
,\ v .\\"0 f"\~\'"
201 Ai1Jpsto'400 ~ps $ 69.00
<-. c.~" GY-.' ~.",
.,\,.V .ilO,l-Am)i8'lb 6QQ,Amps $100,00
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.~S <(~~D~ ~B?1?eb,'A~~~rts' ~,~~O",~o~~,~~: ~~n.abo~e.::h ','.\.<." 'I. .", ,-"
\ ':\:J'\'0 - .x' r:~ntC .~.:r~~l.!Lf~}..tr..~\;.,,":~,,:'9'Y, . '''-'''' , ,<.1'> ;,'1.;'.:,:.; '" ;;:'~~':;':';~,}"" .::"~~.' ~L!J
'I' <,\~~New\A'heration or Extension Per Panel
\"" . 'tv
~'" Otie Circuit $ 43.00
'I' Each Additional Circuit or with
Service or Feeder Permit
$106.00
}z)'
Eugene
Supervisor License Number
<;?<;?S
Expiration Date
10-01-07
Constr. Contr. Number
51088
$ 50.00
Expiration Date
06-27-2007
"~"=:J~
Owners Name '\('l,I/,H,/' Ll--C
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.... ,....'.".....~.~"'l.,"'~_."j:~'k.~.~ ~~ ~~ .-.,.,~.! ....,.............'~...r,,..~.t'.,,...~'.., .......'1
Address S/j t 1<- C,/L E. fI\1isi:~I!!i,\~eO!l:s'(Il~M~e/'!..d..~f',n'O~:i.!'!:I~dei!)'-i'i".~b.;lns'<~I)~Jiori~
Cily Q 1-1- u.L tl\ Phone 5(Of -S7b - 7/1 f
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$ 3.00
z(
OWNER INSTALLATION
The installation is being made on properly I own which
is not intended for sale, lease or rent.
Pump or inigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergyfResidential $ 25,00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcbarges
4. ~~SiiiBT6TAL.6.R;rnOVE::~~4.y~;,;F2.".:"'W.,'!g J II (
t!l;"'",""-. ~:.,".".:,. "". '.;" '",'~.."~ \.....\\, "'l........:...,,;,.'1j.~':i1 .,b
8% Stat;Surcha~~e " . -' ". 7& 86
I 0% Administrative Fee 'I b fO
5% Technology Fee Z;1 or
567 03
TOTAL
Shared Drive(T:)/Building FonnsIElectrical Permit Application 8-Q6.doc
Owners Signature:
Inspection Request: 726-3769
-fie
.
Status
Issued
..
"CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00369
ISSUED: 05/3012007
APPLIED: 03/13/2007
EXPIRES: 12/]212007
VALUE: $ 479,220.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1810 Pioneer Parkway West
ASSESSOR'S PARCEL NO.: 1703271003300
Spriogfield
TYPE OF WORK: Bank
TYPE OF USE: New
PROJECT DESCRIPTION: Construct New First Tech Credit Union - Shell Only
Owner:
Address:
Commercial
SKYVIEW LLC
515 W PICKETT CIR 400
SALT LAKE CITY UT 84115
Phone Nomber: 801-593-7711
Contractor Type
Architect
General
Electrical
Plumbing
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_ \?.~ \... AtP,~u" _......\ \0\ \,..
I CONT.RAul vn.. J.NFORMNflON~1 \-
~\\V'-' oo,?wJ '<:lOse 'v 01'-" - u\eS 'O'l
Contractor J>.\\~ lu\e'?o ~pll\el. \ \'<:IIOU'?,'" JliCeh~~jlle Expiration Date
AFFOL TER \\\E1ST~\~.9NES\-()()\() co,?\e\...e w\e'? c'O.i.\oll
JOHN HYLAl'\DJtf6~S!fRU<:T10N')I\C\OW" ~\~6071\\\\ 07/1112008
NEW WAY EL~o.TR'i'qjNC"''O.'l ~1I\el. '011 \)\\,~lQli8\'\' 06/27/2007
TWIN RIVERS P~U~~.I.I~\G\j'~f,;,e 0\~~()\)'~?>17695 03/11/2008
. ~ ~ .... ..... \
I, BUlL1lING.\INFORMA TION I
Phone
541-342-6511
541-726-8081
541-686,1365
541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Selback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Streel Improvements:
Slorm Sewer Available:
Special Instruction:
Notes:
B
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildin~:
0",,(11(.
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
4,564
VB
I DEVELvr:lur.N,T'INH)RMATlON I
"
Q\\Ct:. ~ S\\f>,\..\- 0" ;s \,t.\\~~\G\\
\'\ s ?t.\\WI\ ~\)t.\\ \I-IOverlay'~D1st:
\\\\ \\C\\\\lt.\) \) \\ \s f>,\#'s"Il{~t Trees Rqd:
t\\)\ ~c.t\) C\ C\\)Paved Drive Rqd:
c.C\~W-t. \)t\'{ ?t.\\\ % of Lot Coverage:
f>,~'{ i~\)
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoulslDrains:
Paee I of 4
Status
Issued
n5 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
Descriplion Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review CommlIndfPublic
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Addressing Assignment
Building Permit
Fire SF Fee - Non-Residential
Fixture
Miscellaneous Plumbing
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
SDC MWMC Administration
SDC MWMc Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDc Transpo Reimbursement
Storm Sewer, 1st 50 Feet
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 401 to 600 amps
Total Amount Paid
..
"CITY OF SPRINGNl!.LD .
Building/Combination Permit
PERMIT NO: COM2007-00369
ISSUED: 05/30/2007
APPLIED: 03/13/2007
EXPIRES: 12/12/2007
VALUE: $ 479,220.00
I Valuation Descriotion I
" ,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amounl
479,220.00
Value
Date Calculated
Total Value of Project
$479,no.00
$479,nO.00
03/1312007
Fpp,", P~\IiU
Amount Paid
Date Paid
Receipt Numher
1200700000000000266
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
2200700000000000862
1200700000000000750
1200700000000000750
1200700000000000750
1200700000000000750
1200700000000000750
1200700000000000750
$1,170.42
$266.40
$110.38
$176.61
$31.00
$1,800.65
$456.40
$182.00
$90.00
$720.26
$45.00
$10.00
$2,758.39
$262.80
$3,468.00
$54,071.62
$12,257.22
$45.00
$45.00
$46.10
$23.05
$36.88
$21.00
$315.00
$125.00
3/13/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
5/30/07
6/12107
6/12/07
6/12107
6/12/07
611Z/07
6/12107
$78,534.18
I Plan Reviews I
Fire Department Review 03/1512007 04/15/2007 OK GRG See attached document for Fire
Department Plans Review
comments.
Initial Review 03/1312007 0311312007 APP LLH
Plan nine Review 04/25/2007 04/2512007 EMM
Public Works Review 03/1512007 03/16/2007 APP JHJ Attached SDC Worksheet. (JHJ)
Paee 2 of 4
-~~
file
-CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00369
ISSUED: 05/30/2007
APPLIED: 03/13/2007
EXPIRES: 12/12/2007
VALUE: $ 479,220.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
SUB Review
OS/Z1/2007 OS/25/2007 APP LLH Plans reviewed by Tom Rogers,
Rogers Engineering, undcr contract
with the City of Springfield.
03/15/2007 04/1Z/2007 WE TR See allached documents for plan
review comments.
03/13/2007 03/15/2007 10 LLH Forwarded to Tom Rogers
Engineering for review.
03/15/2007 03/23/2007 WE JF JMP called Linn West and
requested the missing energy code
forms and worksheets. Linn said
that he would get them to Jack
Foster shortly.
03/30/2007 03/30/2007 APP JF
Structural Review
Structural Review
SUB Review
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.
I ]?ponirpd Insnections I
l,
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
Ufer Electrical Ground: Install ground rod al footing and call for inspection in conjunction with fOOling 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.
Shear Wall Nailing: Before covering sheathing with finish male rials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection lest reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof SheathinglNailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield. Copies of inspection resulls shall be provided to the City of Springfield.
Special Inspection: High Strength Bolting Inspection: To be done during construction by a State Certified Special
Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of
Springfield.
Paee 3 of 4
..
"CITY OF ~rKINGFIELD '
Building/Combination Permit
PERMIT NO: COM2007-00369
ISSUED: 05/30/2007
APPLIED: 03/13/2007
EXPIRES: 12/12/2007
VALUE: $ 479,220.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
Special Inspection - Soils/Compaction: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield.
Underslab Plumbing: Prior to filling the trench and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior 10 filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complele.
Final Fire Departmenl. 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.
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 Stale 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 wilh ORS 701.005 will be used on this project. I
further agree to ensure Ihat all required inspections are requested at the proper time, that each address is readable from the
street, that Ihe 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 Contraclors Signature
Date
Paee 4 of 4
225 Firth S.treet
Springfield, Oregon 97477
541-726-3759 Phone
.. J7~:~, ..
Wic, .
~f Spri~gfield Official Receipt
~lopmeDt Services Department
Public Works Department
Job/Journal Number
COM2007,00369
COM2007,00369
COM2007-00369
COM2007-00369
COM2007-00369
COM2007-00369
Payments:
Type of Paymeo!
CreditCard
cReceint I
RECEIPT #:
1200700000000000750
Date: 06/12/2007
Description
Penn Serv/Fdr 200 amps or less
Perm Serv/Fdr 40 I to 600 amps
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CARD 21
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb 012130 In Person
Payment Total:
Page I of I
1:45:18PM
Amount Due
315.00
125,00
21.00
23.05
36.88
46.10
$567.03
Amount Paid
$567.03
$567.03
6/12/2007