HomeMy WebLinkAboutPermit Electrical 2010-5-5
225 Fifth Street. Springfield, OR 97477tPH(541)726-375HFAX(541)726-3689
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Pennit no.:
Date: 'S -'5 -10
,
:E;lec'trical Permit Application
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This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
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Zoning approval verified? o Ves DNo _ . _' ': '_ -""',' ,_.~ :","- .._ .,._,.:.,-. --~;'1"'" '"',,.. n: . Cost ". Total
,N ~m~~r'o[i~;p~ctions.pr.r,.itf!!': (),.:". Qty,.
;~')>:""'/';""CATEGORY:"ciF ;;CONST:I'l.UCTION~;;i-' ''':cc".' ,. ,: .. ,-",. ,,,. ___' __,', ~,""" ,. ,-I 'I".' ,',<.e."_ ,.'''c-, .~[::~_~!J.r;' '::"'C9st. ..
o Residential I 0 Government I gJ Commercial Residential, per unit, service included:
~~fl&'Jl';J,o.I3JtSITEi'INFQRMATI()N~lAN D~I1():CAtlo.N~~lh\Wi.[f~ 1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion
Job site address: jQ20 CLMMOic.., 51 thereof $ 25.00 $
City:5P(2.tNG,P:::n () I State: 6YL I ZIP: q7 '17 7 Limited energy (2) $ 32.00 $
Reference: nD""SZS "J ( I Taxlot.:D770 ( Each manufactured home or modular $ 63.00 $
.~: . .. 'DESCRIPTION..OF'W08,k"'1" ~:r:'",/\~r'j:. .'4. dwelling service or feeder (2)
l--o W \lvl + Wl.;u~ Services or feeders: installation, alteration, relocation
J 200 amps or less (2) $ 81.00 $
PROPERTY OWNER '. 201 to 400 amps (2) $ 95.00 $
Name: WI(\.)c'O ~=osiI/{C(cA7 COlM,^" 40 I to 600 amps (2) $158.00 $
Address:7b Ce;... +d_: .-r L.'P SIC b. 60 I to 1,000 amps (2) $205.00 $
City: t:~~ I State:Dt2... I ZIP: 97C{O( Over 1,000 amps or volts (2) $469.00 $
Phone: 51f{- Ltg$"- 471 ( TFax: - - Reconnect only (2) $ 63.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation is being made on residentiaLq,Jary prope~ 200 amps or less (2) $ 63.00 $
owned by me or a member of my immediate1family.)r;h1SJn aw r€ qu rNlllCilUcm.mps (2) $ 87.00 $
property is not intended for sale, exchange, le'ase,<or(f~h~Rthe Or rij~e~
479.540(1) and 479.560(1). ,'L:,. ~I'til)n CenIer. Those rul es ,w, mps (2) $126.00 $
Signature' in OAf. 952-001-0010 through a f'.R\@5~lJ'IlPs or 1,000 volts, see services or feeders section above
. (''If'lA...... \/_.. _' . . oflt.l.w"i~its: new, alteration, extension per panel
_,CONTRACT:OR INSTALl,A.f.i~N'Yu,,," ~_.
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Business name: A(hll\1'->"",(.,,~um!llOi--lor\!'l'i~;" ,. Utilit \I 111dti i e ranch circuits with purchase of a service or feeder fee:
Address: iP,o t::,o -, ~c; Center is 1-800-332- 3 4).Each branch circuit $ 6.00 $
City: EL~ I State: ~, ) r:>.. I ZIP: "1C.Oo9 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:5<il- 3n"''1a / I Fax: - - First branch circuit (2) $ 55.00 $
E-mail: . Each additional branch circuit $ 6.00 $
CCB license no.: 131,,'8111 I BCD license no.: n-'jjS"tCW Miscellaneous fees: service or feeder not inciuded
Signing supervisor's license no.: sch 9' C/ um- Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: c: /l-t!56 134c.-?T Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor: cY\ U Signal circuit or a limited-energy panel, I $ 63.00 $woo
alteration, or extension (2)
OU Each additional inspection: (1) $58.00 $
~~\O NOTICE: ~zl:y~jj~~~~~fi}r7~~i~~fA'RRtlcAN:t:1JjsE])~iif;:',~g~~i}~;~a~1t~Y~:.::.~
~r~ (,AS.i-E~ig~~t~tbt~1 of above fees b>
THIS PERMIT SHAll EXP R~'61~6li WmllWee $58.00) $
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AUTHORIZED UNDER THI ~ge (.12 x [A]) $ 75b
\1><: ~ ,COMMENCED OR IS ABArCCj,"';lTnOlh'g)'Fee (5% of[A]) $ 3.1 )-
CA- ANY 180 DAY PERIOD. $7'5 71
TOTAL fees and surcharges (A through C):
~
440-2584-J (9/08/COM)
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: COM2009-01791
ISSUED: 03/3012010
APPLIED: 12/15/2009
EXPIRES: 1lI051201O
VALUE: $ 70,000.00
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SITE ADDRESS: 1920 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703253107701
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Add security room, conference room, remodel restrooms, mechauical units.
Owner: MCKA Y COMMERCIAL PROPERTIES LLC
Address: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
Contractor Type
General
Low Voltage Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor
D AMYX CONSTRUCTION INC
TIMOTHY ANDREW HEILMAN
HVACINC
License
181\10
13681\
50897
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# 'of Stories:
M '\1eight of Structnre
S 1 Type of Heat:
VB Water Type: . es OU to
,_.~,'" ~P.I,W5ifWe:reqU\1 o~ U\i\\\Y
. --Tt'.\'. \ J \ Energy IJ"tlhe Oreg el,o!\h
, .' .,.. 'J~" . 7 ~ol!-Ies
, ."'!~>:/" c:~,~R[!n"l~d$i~\i't:1AR 952.oo""'s
\ '," 'DEVE
lJ'::~~\\il~9 t\18 Gen~:'e~.n Utili\'! N~~
number tor tl.j'fei'l\XaOO~2-234 .,.
GenJ,eSfi?eet Trees Rqd:
. 'Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Commercial
Phone Number: 541-485-4711
Expiration Date
03/2012012
09/241201\
06/12/2010
Phone
971-221-9991
509-994-2502
503-462-4822
Lot Size:
Sq Ft I sl Floor:
Sq Ft 2nd Floor:
Sq FI Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidew~I~,:rype.:"..-.
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.Li':l401,\Cf.~~rt'S\\~ll ~I'IR~~R~\1 \5 ~Oi
\ ,I ':n-\\S 1'6~lEO UNOER i"'~~OONEO fOR
! . f>,1.11\-\ NCEO OR IS AB,.. .', .,'. ....
.COMME Of>,'l PERIOO. .
f>,N'l '\ 80
Pa2e I of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Mechanical CII
Estimate
Use Bid Amount
Fee Description
Plan Review CommllndlPuhlic
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Mechanical- Value
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Plan Review/Com,lnd,Pnb Hourly
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Total Amount Paid
Initial Review
12/1612009
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01791
ISSUED: 03/30/2010
APPLIED: 12/15/2009
EXPIRES: 11/05/2010
VALUE: $ 70,000.00
I Valuation Description I
$ Per Sq Ft
or muliipiier 0
.'...'" -
" $1:00'
'$1".00
Square Footage
or Bid Amount
70,000.00
4,800.00
03/09/2010
04/1212010
Value
Date Calculated
Total Value of Project
$70,000.00
$4,800.00
$74,800.00
~
Amount Paid
Date Paid
Receipt Number
$254.83
$140.50
$58.54
$562.65
$304,00'
$304.21
$110.89
$225.06
$116.00
$10.47
$4.36
$87.25
$7.56 j,'
$3,15'JA''>}
$63.00',1 :'
. ':i r.'.
, 12115/09
3/30/10
3/30/10
3/30/10
3/30/10
3/30/1 0
3/30/10
3/30/10
3/30/10
4/14/10
4/14/10
4/14/10
5/5/1 0
, 5/5110
5/5/1 0
2200900000000001387
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000292
2201000000000000356
2201000000000000356
2201000000000000356
1201000000000000411
1201000000000000411
1201000000000000411
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$2,252.47
Plan Reviews I
12/1812009
APP LLH
Energy forms sent to Springfield
Utiility Board with plans.
12118/2009
WE KLK
12121/2009
Completed 1st plan review. Emailed
comments to Amyx Construction.
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-,;\1,;(:1" . , , CITY OF SPRINGFIELD
", J
~"'; '.;J' Building/Combination Permit
Status Issued PERMIT NO: COM2009-01791
225 Fifth Street, Springfield, OR ISSUED: 03/30/20 I 0
541-726-3753 Phone APPLIED: 12/15/2009
541-726-3676 Fax EXPIRES: 11/05/2010
541-726-3769 Inspection Line VALUE: $ 70,000.00
Fire Department Review 12/18/2009 01/15/2010 APP GRG Plans Review: Remodel to create
security room on first floor; convert
secretary's office to meeting room.
Job #COM2009-01791. Occupancy
Classification: M. Construction
Type: III-B. Security Room Square
footage: approximately 180 sq. ft.
Meeting Room: approximately 200
sq. ft.
Provide fire extinguishers with a
. .~. .",-, ~-, minimum rating of2-A:IO-B:C
". every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above tinished
11001' (2007 Springfield Fire Code
906).
Contact Deputy Fire Marshal
Gilbert Gordon (541-726-2293) for
inspection of any relocation of
sprinkler heads and' fire alarm
devices.
Strnctural Review 01/15/2010 01/15/2010 10 KLK No response from contractor, called
,and had phone conversation with
contractor~ re-sent 1st plan review
letter (from 12/21/09).
Initial Review 02/09/2010 02/09/2010 APP LLH Resu bmittal for plan review from
Tiat and Associates, inc. Two sets of
plans forwarded to Kip Kaufman.
Structural Review 02/22/2010 02/22/2010 WE KLK Phoned contractor, please provide
special inspection form signed by all
responsible parties: post-installed
anchors and structural welding.
Initial Review 03/02/2010 03/03/2010 APP LLH Three sets of revisions submitted
from Tait and Associates.
Forwarded all copies to Kip
Kaufman.
Structural Review 03/09/20 I 0 03/09/2010 WE KLK Mechanical Value
Structural Review 03/12/2010 03/12/2010 APP KLK
SUB Review 04/12/2010 04/14/2010 APP JF Ductless mini split installed by
HV AC Inc. no inspections requested
Pa2e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"C'
PERMIT NO: COM2009-01791
ISSUED: 03/30/2010
APPLIED: 12/15/2009
EXPIRES: 11/05/2010
VALUE: $ 70,000.00
Status
Issued
'1-
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.
ReQuired InsDections ~
Framing IlIspection: Prior to cover and after all rough ill inspections have been approved.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
Epoxy Anchors: To be dOlle by Certified Spciallllspector. Provide Inspection results to City Building Inspector.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector. . . ....
Structural Masonry: To be done during con~truction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Fire Department Sprinkler System: Prior to cover. Hydro pressnre test, fire line now test.
Final Fire Department. After all reqnirements of the Fire Department have been met.
Final Bnilding: After all required inspections have been reqnested and approved and the bnilding is complete.
Undertloor Drain: Prior to cover or placement of concrete.
Rongh Plnmhing: Prior to cover and inclnding reqnired tes~ing.
Final Plnmbing: When all plnmbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is co~plete.
SUB Final: After all reqnired energy inspections have been requested and approved.
Low Voltage: Prior to cover.
By signatnre, 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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the L,a"" of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employe~~.jyho arejn compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are reqnested 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 Signatnre
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Departmcnt
Public Works Departmcnt
RECEIPT #:
1201000000000000411
Date: 05/05/2010
2:49:47PM
Paid By
GREG BACA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 064817 In Person
Payment Total:
Amount Due
63.00
7.56
3.15
$73.7\
Job/Journal Number
COM2009-0 1791
COM2009-0 1791
COM2009-0 1791
Description
Low Voltage - Commercial Indus
+ ] 2% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
CreditCard
Amount Paid
$73.71
$73.71
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5/5/2010