HomeMy WebLinkAboutPermit Electrical 2010-2-23
Electrical Permit Application
225 Fifth Str"eet+SprinJ!:field, OR 97477. PH(S41 )7Ui.375J. FAX(541 )726-3689
DEPARTMENT USE ONLY
Date:
Permit no.:
This permit is issued under OAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? 0 Yes D No
CATEGORY OF CONSTRUCTION
CflLJo{
E~mail:
This installation is being made on residential or Carm propel1y
owned by me or amember afmy immediate family. This
property ;s not intended for sale, exchange, lea~e, or rent. OA R
479.540( 1) and 479.560( I).
Signature:
CCB license no.: 5
Signing supervisor's license no.:
Print name of signing superviso
Signature of signing supervisor:
~
p~
~ \0 (():
~
~ ~A:<P
d-~ ~~~
~
440.2584.J (9/08/COM)
FEE SCHEDULE
Nilmber of inspections per item() Qty. Cost Total
ea. cost
Rc.'i'idcntial, per unit, service included:
1.000 sq. n, or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteratiol1, relocation I;:
200 amps or less (2) q $ 81.00 $"1) -'-
201 to 400 amps (2) 3 $ 95.00 $
1-
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or fceders: installation, altermion, ,.elocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) . $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or LOOn volts, see services or feeders section above
Branch circuits: new, altertllioll, extension per panel
a. Fec for branch circuits with purchase of a service or feeder fee:
Each branch circuit hu $ 6.00 I $ /1 d~
b. Fce for branch circuits \vithout purchase ora service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additionul brunch circuit $ 6.00 $
Miscellarreow,' fees: sen'ice orfeeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal,eircuit or a li!nitcd.cnergy panel. / $ 63.00 $v3
alteration, or extensIOn (2)
Each additional inspection: (I) $58.00 $
,.'r; -." -.',"., APPLICANT" USE ".
(A) Enter subtotal of above fees tJ
UVlinimum Permit Fee S58.00) $;)3~
(13) Entcr 12% surcharge (.12 x rAf) $ ::J!'l /
(C) Technology Fcc (5%)of]A]) $ J J-'1 . I'>
TOTAL fees and surcharges (A through C): $ -' I.
b
---
]'1
Electrical Permit A.
2IS Fifth Slr<<,.Spri,,,,nold. 01l9'4T7. Pll(541)7Uo37!IH F ""(541)121\.3&89
DEPARTMENT USE ONLY
~I....a,.,li.~o ';..,.....~';~
~~ii~ Perm,'n..:
D~uc;;
ThiS p.rmit Is i..ued ullder OAR 918-J09..oo00. remdt. ....lIontr.n.r....ble. Permibl ,",pi,,,, irwork is not storted ..IUdn 180
a.y. ofb.no...e or if...rk is su.p.oded ror 180 d.ys.
LOCAL GOVERNMENT APpROVAL
Zoning llPp",~aI verilled? 0 Yes 0 No
CATEGORY OF CONSTRUCTION
o Residential _ 0 Government 13 Comm"",ial
JOB SITE INFORMATION AND LOCATION
Job ,it. add..,,, 2U73
Ci~: Sprin~t~eld
Subdivision:
ZIP: 97477
Remodel
1Dt no.:
DESCRIPTION .OF WORK
of existing Building con~lete
elec.trical.
PROPEIft'Y OWNER
NUlnC'; L~~unty _
Addr.ss:
Cj~: ZIP:
Phone:
&I);ail;
This inswllation is bdllg llUldcs on ~idl.'n1ia1 or furnl properly
owned by Ole or a me:mbercfmy immedinlt!: family. This
prop.rLy is 1I0! in Illuded for .ule, ,,".hango, le.s.. or ",nf. OAR
479.5400) ana 479.560( I).
Signatures:
CONTRACTOR INSTALLATION
Business IUlmt:: New Wa.y Electric Inc.
Aad..e,,:
po BQX 21503
City: Euq~ne
Phone:5USS6. 2365
E-maiJ: brandon@newW'ayeleC't.ric.com
CCB li..n.e nc.' SlOSS BCD Ii.en'e nc.: 20-l45c
sigslingsupc:rvisor's lic~nseno.; 5252S expo 10/01/10
l'riot l1lt.nl~ of signiog su crv;~or:
SigMtur~~:sj.&Iljng supervisor;
~4i}.2S8~~ (9/08/CDMI
G0iG0 38\1d
FEE SCHEDULE
N.m~.rGlllI>l'."'Ia.. p.r 11m' () QJy.
Rc.llidc:uliul, p~r unit, lIiCrilic~ indu,dc:d.
c...t
...
TODd
tDsl
1.000 "I. R. od." (4) _
Each ndditionul SOO sq. ft. Of portion
thenuJf
$134.00 S
S 25.00 $
S 32.00
$
Limited CllCI'gy (2)
Ew::h mwud'octurod home or mod~lur
dlll'fllling. 5~rvja. (lrteeder1.2)
.s.:~h:~s 011"' fcedti"$= InstQlIariwJ, alteration. relocQt;cm
200 "mp" 0' IcIlS (2) ~ q 4 $ 11.00 ~ ..:'~
2011. 'llIOump. (2) ,... -; 3 g 95.00 $ 295
401106110 omp' (2) $'68..0 S
60110 1.000 amp' (2) _ $211:I.00 S
Over 1.000 amp' Dr vol!S(21 $409.00 S
fIo.onned Dilly (2) .. $ 13.QO S
Tcruporat')' JleI-,JiCCl"!i 01' r"den: in.>'l(JJlaliul1. aJt~rt1tloJ/, re/ocuf/rm
200 omp' Dr los' (2) S 63.00 S
20I'o400wup"(1) $ 67.00 $
401'" 600 .mp' (22__ $U6... S
Over 600 I1mlJS ur ~ ,000 'lIOrt!i.. ~et:l ~~lVjo.~ or (ccdcu SCo:tivll .ubv\i~
n..,
Bnutoch ~irl!ui"; nOW, altcr't,JiCJn. ale~'lon per pond
u. Fet' for bral\dl -=jreuns wllh purchase ofu service or 'coder 'ce:
Eoe," bllllleh ci.~uil 2...1) _~I $ 6... I S 217:;-
b. fee fur br.mch circuits wl1houl purchase OfD 1iC:I'vir;;e Of feeder fE~t;
$ li:l.OD
$
First broilCh cin:ull (2)
Eadt ~uJdiliolw.1 brunch circuit
._ S 55..0' I S
$ .... ,
MbiI';CU.IIIICOP./J' fec; senicc or ft(:dar not included
Eoch punlp or irrigafi"J) eirel!; (2) S 6::1..00
Each sicn or ~l.Itlinc lighting (~) S 63.00
Sit.,'1ud l,:ll'cuil or 4 linlil~d-enefS}' p1ttlc::~ 1 $ 63.DO
_~hc:r.lltiQll. or e.dc:nsion (2)
S
.
$63
1.':.,,,11 addltlodlll iWip::cliou; (I)
APPUCAHT USE
tA) Enter su1nDwl ofabuve fctls
(Miaintoum Permit Fee SSS.OO)
$0':.. $
12B44
(9) En",..12%,un;",rge (.12. LA])
(0 Teehnnlolll' F.. (6% ofLA]l
TOTAL r_ and ,orcha."" (A t"rDu~" C),
S3U.29
S U2. 2 0
.3327 _ 48
S lLG-gSg-lVS
EP'S0 010GiEGiG0
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/23/2010
VALUE: $ 3,107,231.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springfield TYPE OF WORK: Tenant Infill
TYPE OF USE: Remodel Commercial
PROJECT DESCRIPTION: Tenant Improvement: complete building remodel of interior. Medical Offices and
Outpatient. (Demo., Gas Line, Fire Water line see #COM2009-1605)
Owner: LANE COUNTY
Address: 125 E 8TH AVE
EUGENE OR 97401
rhone Number: 541-228-0669
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor License
1996 LLC 114258
NEW WAY ELECTRIC INC 51088
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMATION I
Expiration Date
05/30/2011
06/27/20 II
03/11/2011
Phone
541-687-9445
541-686-2365
541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
SI
iliA
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
. 3 Lot Size:
46.50 Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Yes Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
.qf:R~act:
Street Improvements:
StorMQ1J~vailable: .
SpeCiill\fnSlEuUMli:SHALL EXPIRE IF THE WOR~'..i/
I JTHORIZED UNDER THIS PERMIT IS NOT ,..
Notes:",,,r',lENCED OR IS ABANDONED FOR
I PUBLIC IMPROY,E,lYl1;~TS i
lOr.. Oreg,Qn 1a~.rE\QlJ1
follow rules adopt~ifII)V'1fe 'Ore~~ you to
Notification Center tT.lwA iUI egon Utility
.i[lOAR 952-001-0010 thro~ h ~@IlI'Ntfortb
.( 0090.. You may obtain COplg. ot:9S2-ClOt-
calling the center. (Note: the tele~~: br
number for the Oregon Utility NotifiC8ti:n
Center IS 1-800-332-2344).
Page 1 of 6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amonnt Use Bid Amonnt
Fee Description
Plan Review Comm/lndlPnblic
Plan Review Fire & Life Safety
+ 12% State Snrcharge
+ 5% Technology Fee
Backflow Device
Bnilding Permit
Deferred Snbmittal
Encroachment Permit
Fixtnre
Mechanical-Valne
Miscellaneons Plnmbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbnrsement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indns
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Total Amonnt Paid
Electrical Plan Review
02/18/2010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/23/2010
VALUE: $ 3,107,231.00
I Vahiatlon Description ~
$ Per Sq Ft
or mnltiplier
$1.00
Sqnare Footage
or Bid Amount
3,107,231.00
Value
Date Calcnlated
Total Value of Project
$3,107,231.00
$3,107,231.00
01/22/2010
~
Amonnt Paid
Date Paid
Receipt Nnmber
$8,132.64
$5,004.70
$1,936.35 "
$813.79
$76.00
$12,951.31
$570.00
$139.50
$1,178.00
$1,880.91
$50.00
$4,887.48Jjj,
$10,013.64.
$10.00'
$3,068.99
$297.72
$776.20
$37,849.28
$10,384.69
$2,550.29
$17.96
$281.16
$117.15
$1,266.00
$63.00 .
$729.00
$285.00
12/10/09
12/10/09
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
2/5/10
215/10
2/5/10
2/5/10
2/5/10
2/23110
2/23ilO
2/23/1 0
2/23/10
2/23/10
2/23/10
1200900000000001321
1200900000000001321
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
1201000000000000105
3201000000000000060
3201000000000000060
3201000000000000060
3201000000000000060
3201000000000000060
3201000000000000060
i, <~ t, ,
.; ;"
$105,330.76
Plan Reviews ~
Revised Electrical Plans.
.u};<.
Pa2e 2 of6
~, '.'. ' "
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2009-01753
225 Fifth Street, Springfield, OR ISSUED: 02/05/2010
541-726-3753 Phone APPLIED: 12/0812009
541-726-3676 Fax EXPIRES: 08/23/2010
541-726-3769 Inspection Line VALUE: $ 3,107,231.00
Planning Review 12/14/2009 WI Needs completion of MDS decision
DRC2009-00042 and Development
Agreement and DWP
(pharmecuticals stored in building,
trash enclosure drains, etc.).
Planniu2 Review 01120/2010 APP MRM
Structural Review 12108/2009
Structural Review 12/1112009 12/1\/2009 10 KLK Client paid plan review fees,
, 12/10/09. Distributed plans to SUB,
Fire, Building and Planning/ Public
Works.
Public Works Review 12/23/2009 12/23/2009 APP EW Two SDC Worksheets Attached
Structural Review 12/24/2009 12/24/2009 10 KLK Completed 1st plan review.
Structural Review 12/28/2009 12/28/2009 10 KLK Emailed 1st'structural review letter
to Archite~t, includes Addendum #1.
Structural Review 01104/2010 01104/2010 10 KLK Received Addendum #2; routed to
Building and Fire.
SUB Review 12108/2009 01105/2010 APP JF
Structural Review 01/14/2010 01114/2010 WI KLK Received Architect's Memorandum;
Completed 2nd plan review.
Structural Review 01115/2010 01115/20]0 10 KLK Received wet-signature
memorandum from architect.
Fire Department Review 12/08/2009 01/22/2010 APP GRG See attached document for Fire
t.,'.. !
!' Department Plans Revi~w
comments.
Structural Review 01122/20 I 0 01/22/2010 APP KLK OK to issue per the Building
Ofticial. Electrical Permit NOT
Issued.
Structural Review
01125/2010
01125/2010
APP KLK
Puhlic Works Review
01129/2010
01129/2010
10
LLH
Okay to Issue per Eric Walters via
Kip Kaufman, Do not issue per.mit
until SDC credit issue has been
resolved. Eric Walters should have
information needed either b)' the
end of the working da)' toda)' or
Monday, Februar)' 1, 2010.
Resolved per Eric Walters 2/1I10.lIj
Pa2e 3 of 6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/23/2010
VALUE: $3,]07,231.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
02/18/20 I 0
02/18/2010
APP LLH
Revised Electrical plans. Electrical
application not included with
submission. Forwarded to Bryan
Ricbardson
Electrical Plan Review
02/22/2010
02/22/2010
10 BAR
worked on plan review
Electricall'lan Review
02123/2010
02123/2010
APP BAR
Ok to issue electrical permit.
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.
~e(]lIirecUnsnections ~
..., ;.<'j>li' ,.~" ..
Underslab Plumbing: Prior to tilling the trench and including required testing.
Underground Plumbing: Prior to tilling the trench and including required testing.
Undertloor Plumbing: Prior to insulation or decking.
Uildertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Backtlow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Final Plumbing: When all plumbing work is complete.
Site Inspection: To be made after excavation but prior to setting forms.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or-decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllusulatian: Prior to cover.
Ceiling Insulation: Prior to cover.
'l" 0:"
Roof Sheathing/Nailing: Before covering sheathing with finish material.
, I ,
Rooting: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Bolts Installed in Concrete:. To be done by a State Certitied Special Inspector. Provide inspection test reports to
City Bnilding IlIspectol".
Ceiling Grid: After drywall approval but prior to cover.
Paee 4 of 6
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/0812009
EXPIRES: 08/23/2010
VALUE: $ 3,107,231.00
225 Fifth Street, Springfield, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 results shall be provided to the City of Springfield.
.:',
Speciallnspection: Ultrasonic Inspection: Tobe 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.
Structnral Welds: To be done during construction by State Certilied Speci~llnspector. Provide inspection test
results to City Building Inspector.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line Ilow test.
Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line Ilow test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to requesting any occupancy approval.
Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This
inspection is required prior to any com,bustible construction.
Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is
required prior to any combustible construction.
Final Fire Department. AUer all requi/'ements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Crading: After gravel is in place but prior to placing concrete.
Final Paving: AUer paving is complete. ,', II ':T~'
-J'. '
SUB Final: After all required energy inspectihns have been requested and approved.
Underlloor Mechanical. Prior to insulation or decking' and including required testing.
Underlloor Cas: After line is installed and required testing and capped if not attached to an appliance.
Rough Cas: After line is installed and required testing and capped if not attached to an appliance.
Rough l\1echanical: Prior to Cover
Final Cas: When all gas work is complete.
Fjnal Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
:1'.
1"::
Paee 5 of 6
Status
Issued
225 Fifth Street, Springt1eld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01753
ISSUED: 02/05/2010
APPLIED: 12/08/2009
EXPIRES: 08/23/2010
VALUE: $ 3,107,231.00
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certi(y that all
information hereon is true and correct, and] further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springt1eld and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strueture 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 ag'"ee to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the penn it 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
.!,;:1
,I:
'1"
Page 6 of6
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii:~'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000060
Date: 02/23/2010
9:21:44AM
Job/Journal Number
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
COM2009-0 1753
Payments:
Type of Payment
CreditCard
cRcceiol1
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 20 I to 400 amps
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
JUSTIN PASLAY
Received By
nJm
Check Number
Batch Number
Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
729.00
285.00
1,266.00
63.00
281.16
117.15
$2,741.31
Amount Paid
113202 Phone
Payment Total:
$2,741.31
$2,741.31
2/23/2010