HomeMy WebLinkAboutPermit Electrical 2006-1-10
225 Hi' Itl STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Num~~,\.)05- 00553
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Installation, Alteration or Relocation
200 Amps'or less
201 Amps to 400 Amps
4ON&nC!:600 Amps
Oil .
Signature of Supervising Electrician D.
-? N~MM~ligxOOd&~lJNf.'t) FOR
~ ___ ~irt~ DAY PERIOD. $43.00
Kch \' ~ '\) II ..p""'t Co> 1 .d2'i:. Each Additional Circuit or with
r-: _ ~. . rY'\./t'\ ,l f).~ Seroce or Feeder Permit $ 3.00
Owners Nam~ ~ \ ':-u..... '"'OJ,,^- \ \) ""'.. Q 10.../ \Jo::-\ t--J~ .
Address\ \ a N ~<- 'VP E.
C~ _~(('a ( ()
OWNER~TION
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $25.00
Limited Energy/Commercial I $ 45.00. -$~. .J'tl
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ;:yJ
4. </5.
. ~~ State Surcharge '..3 ." 0
.........~ ~ \'t;WIo Administrative Fee '. Y . S-V
\S)U~~ ~ TOTAL Fr 53 . ) a
~~ - Shared Dnve(T:)/Building Forms/Electrical Permit Application I-03.doc
1.
Q95D " J.~~~~
LEGAL DESCRIPTION .
\~ 03 ~'~CK:J6 ~SA (JD
^ _ JOB DESCRIPTION .... 0
'--00~L <2-G-.blJ.-'~ ~~'2--
"'--...?=. ~r"\, (}~ ~)-IJ- ";:> . '
_ Permits are non-transferable and expire.if work is
" not started within ~80 days of issuance or if work is
Suspended for 180 days.,
2.
E~ectrical Contractor EC Comoanv
Address p ~ 0 . Box 925
City. Albany, OR
Phone 541/926-4266
Supervisor License Number. 3257 S
Expiration Date
10/01/07 .
Constr. Contr. Number
22-15C
Expiration Date
10/01/06
Phone
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners. Signature:
Inspection Request: 726-3769
-Date
3.
A.
Service Included
10QOsq. ft. or less
Each addinonal500 sq. ft.or
portion thereof.
$106.00
$ 19.00
Each MaIiufact'd Home or
Modular Dwelling Service or $50 00
Feef1JlENTION: Oregon law I t:4uires you to . .
, "" , I...... .. , . h
B.
In _ R 952-001-0010 through OAR 952-~~b ..
A09[;\;n.1p.~e.r~~y obtain cop,'es -~.. 1$., . 0
. , . v. U Ie; lues I\!
20IcNn.p.~tg'@Qttmp~ (Note' th- '-'.-'-"0$ 75.-u0
. I,~ '~'~I-"I De.
4()~IA:niPSltQl6.09~~~gon Utilit~, ~!:'~:~::')1~6~5.00
601 Amps ~rOOG ~pS100-332-2344\ $163.00
.
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
c.
$ 50.00
$ 69.00
$100.00
~25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
, Job/Journal Number
COM2005-00553
COM2005-00553
COM2005-00553
j .
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Pl\yments:
T;;pe of Payment \
Ci'editCard
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1/10/2006
City of Springfield Official Receipt
!elopment Services Department
Public Works Department
. RECEIPT #:
1200600000000000033
Date: 01/10/2006. . 11:18:08AM
Description
. Low Voltage - Commercial Indus
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
45.00
3.60
4.50
$53.10
Paid By
EC COMPANY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJJm 010100 Phone
Payment Total:
$53.10 '
$53.10 .
Amount Paid
I of I
, ,
01/10/2006 Tlm 10:43 FAX 541 92~ 0165 EC COMPANY
~ 0011001
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7'~~~~~f2~/~;\F]E(;:~::~me~~~~~'::g5Q~t~1;::!.;~::~<t~r;;~!:;g,~,
Z25 Ll.LJ:l,U1 STREET . S~lUN"'l'u..J...D, OR!J7477 · PH:(541)726-3753 · FAX: (541)720.3089
ELEI,,'1..KlCAL PERMIT APPLICATION
I . .. .
City 10b Number .
Illuiot.
. - .' -
3. ~~i~~Ji~.ll..~~ ..""~'~ ;.~' :'
. Date
1. D~~~i5~_
. , ....... . ,
.a'B"o G..d:""~,~t 51~
LEGAL DES~ON .
K~'
JOB DESCRIP110N "
r:::::!.D~J:U.~
j,. not started within J.IO days of Iss~ce or it work Is
Suspended for 180 days.,
A.
Service Included
lOOO'sq. ft. or less
Each additional 500 sq. ft. or
portion thes:eof' , '
Each,Ma:iJ.ufaa'd Home or
Modular I?weUine Service or
Feccler
S106.oo
S 19.00
$50.00,
2.
B.
City Albany. OR
Phone 541/926-4266
200 Amps or less
'201 Amps to 400 Amps
401 Am.ps to 600 Amps
60 1 Amps to 1 000 ~ps
Over 1000 AmplllVolts
Reconnect Only
S 63.00
S 75.00
$125.QO
S 163.00
$375.00
S 50.00
Electrical Contractor Ee Comoanv
A~s P;O. Box' 925
SupcrvisorLic:=se N\1mber' 32575
Coastt'. Contr. Number
, 22-15C
IostaJlatfon, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 AxnpS 10 600 Amps
Over 600 Am 8 or 1000 Vol~ see '",8- above.
D, ::I'
S 50.00
'$ 69.00
$100.00
ExpUation Date
10/01/07 '
Expiration Date
10/01/06
Signa~mg1l~
New Alteration or Extension Per Panel
One Circuit .
Each Additional Circuit or wi1h
Service or Feeder Permic
$ 43.00
S 3.00
Owners Name
Address
E.
City
Phone
Pump or irrigation S 5,0.00
. Sign/Outline Lighting S 50.00
, Limi(ed&ergylResidential $'25.00
Li:nited Enersy/COl%UXlC:tl:~ L $ 45.00 ' lt5'..(j1)
jmum Electric Permit ~spectioJl Fee Is $45.00 + SurC:Pr2e5
Post-it. Fax Note 7671 DalGl 1/ I..d I~~s~ I,
To ~r/~From · ~
:oJDePL / }) Co'. J~c. ~ ' ,
phone # Phone ~S:...Cf(-::- ~
Fa:x#Scr/... ~~ ~~ Fax# '
TOTAL
Cf5.oc
3. 6:..cL
. Lf~ b
i.53.Cfh
, Sh;lred Drivc(T:VBuHding Yoms/Electrical rmnit Applieation [-OJ.doc
53
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I
Status: 'Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
BuildinglCo'mbination Permit
PERMIT NO: COM2005-00553
ISSUED: 10/13/2005
APPLIED: 05/1 0/2005
EXPIRES: 07/09/2006
VALUE: $ 6,085,378.00
SITE ADDRESS: 2950 Gateway St
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF
Retail
PROJECT DESCRIPTION: Kohls Department Store
TYPE OF USJ):w: rL~~wresyou to
TTENTION: Oregon 10. "'1"" , ,
~I\OW' rule~ ad?Pte~L-b!.~l~,~~e;r~ns~;I~~~th
" NotlTlCallUl1 vtJ"'vOo . -- - - 001-
GATEWAY MALL PARTNERS '. , 95?-001-0010 through OAR 952-
110 N WACKER DR BSC 3-04 ATTN PROPERf\Dr~ AD~obtain copies of the rules by
CHICAGO IL 60606 'OO;~I'lin~~~e o.~enter. (Note: the .t;\~~~~~:n
'1\'rTll1?.r for the oregon UlIIIlY "',H'''--' '
I CONTRACTOR INFORl\14\;faJ-800-332-2344).
Commercial
'''7 Owner:
. Address:
Contractor Type
Architect
General
Electrical
" Low Voltage Electrical
Plumbing
Sewer
Contractor
PERKOWITZ + RUTH ARCHITECTS
HOWARD S WRIGHT 89229 02/26/2006
JOHNSEN ELECTRIC INC 38497 01110/2006
HONEYWELL INTERNATIONAL INC 150191 01/31/2006
II S MECHANICAL INC .' i ,E' 54464 09/15/2007
WILDISH CONSTRUCTION CO ~,O! rCrr'~^I~~WI'lI'1 F)(PIREW/~WORK
BUILDING \ J II~ -: i DER THIS PERMIT IS NOl
, .cOMMENCED OR IS ABANDONED FOR
# of Stori~NY 180 DAY PERIO~ Lot Size:
Height of 43.00 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 Yes Occupant Load:
License
Expiration Date
Phone
562-628-8000xI5
541-461-0291
503-968-3300 '
503-769-3738 "
541-485-1700
# of Units:
",,,Primary Occupancy Group:
,: Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
M
,B
lIB
48,984
48,865
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. IPUBLIC IMPROVEMENTS I
, Street
-;r' Storm Sewer Available:
Special Instruction:
Sidewalk Type:
, '
DownspoutslDrains
Notes:
f . ~
1 of 5
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 Use Bid Amount
Bid Amount Use Bid Amount :
Foundation Only Use Bid Amount
.. Fee Description
~, Plan Review CommlInd/Public
Plan Review Fire & Life Safety
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Miscellaneous Plumbing
Plan Review CommlInd/Public .
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Site Work
Special Waste Connection
Storm Sewer - 1st 50 Feet
. Storm Sewer Each Addtll00'
Water Line - 1st 50 Feet
, Water Line - Each Addtll00'
., + 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Building Permit
Fixture
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer- Reimbursement
SDC MWMC Administration
SDC MWMC Improveinent
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Improvement
SDC TranspoReimbursement
CITY OF SPRINGFIELD'
Building/Combination Permit, !
PERMIT NO: COM2005-00553
ISSUED: 10/13/2005
APPLIED: 05/10/2005
EXPIRES: 07/09/2006
VALUE: $ 6,085,378.00
I Valuation Description I
$ PerSq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
275,000.00
4,067,378.00
1,743,000.00
Total Value of Project
~
Amount Paid
$3,838.51
$2,362.16
$8,593.65
$5,288.40
$165.44
$36.40
$43.00
$3.00
$45.00
$737.36 ,
$45.00 .
$28.00
$1,134.40
$98.00
$45.00
$140.00
, $,~5.00.
$28.00
$664.74
. '$465.32
$14.00
$5,905.40
$532.00
$28.00
$1,681.49
$2,212.02
$10.00
$46,591.79
$4,419.13
$243.73
$12,431.35
$16,889.90
$145,000.00
$36,697.31
Date Paid
5/10/05
5/10/05 .
6/30/05
6/30/05
7/1/05
7/1/05
7/i/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
? /1/0;;
7/1/05
9/8/05
9/8/05 --
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
2 of 5
Value
Date Calculated
$275,000.00
$4,067,378.00
$1,743,000.00
$6,085,378.00
07/01/2005
10/05/2005
10/05/2005
Receipt Number
2200500000000000560
2200500000000000560
2200500000000000864
2200500000000000864
2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
-- 2200500000000000877
2200500000000000877
.2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
2200500000000000877
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
,1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
1200500000000001322
;.. 1"
.
I '
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax: .
'~:. 541-726-3769 Inspection'Line
Special Waste Connection
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
+ 10,0/0 Administrative Fee
+ 7% State Surcharge
Appliance Vent
I Building Permit
Evaporative Coolers
Furnace - 'more than 100,000
Furnace - Unit Heater
Gas Outlets 1-4 '
Gas Outlets 4+
Plan Review Comm/Ind/Public
Plan Review Electrical (25%)
Plan Review Fire & Life Safety
Plan Review Mechanical (25%)
Plan Review Plumbing (30%)
+ 10% Administrative Fee
+ 7%' State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
, + 7% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount
Fire Department Review
05/10/2005
Fire Department Review
'. 09/29/2005
..~
I ~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO:, .COM2005-00553
ISSUED: .10/13/2005.
APPLIED: ' . 05/10/2005
EXPIRES: 07/09/2006
VALUE: ' $6,085,378.00
. '. ~ o.
$168.00
$186.10
$130.27
$657.00
$375.00
$504.00
$75.00
.. $i50.00
$1,369.77
$958.84
$6.00
$13,461.65
$54.00
$150.00
$12.00
$4.00
$10.00
. $156.42.
$639.41
$96.26
$69.03
$124.50
$4.50
$3.15
$45.00
'$4.50
$3.15
$45.00
$9.00
$6.30
$90.00
$4.50
$3.60
$45.00
1200500000000001322
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383,
2200500000000001383
1200500000000001516
lio0500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001716
1200500000000001776
1200500000000001776
1200500000000001801
1200500000000001801
1200500000000001801
2200500000000001753
2200500000000001753
2200500000000001753
1200600000000000033
1200600000000000033
1200600000000000033
. 9/8/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
, 10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
12/5/05
12/5/05
12/5/05
12/12/05
12/12/05
12/12/05
12/27/05
12/27/05
12/27/05
1/10/06
1/10/06
1/10/06
$316,183.45
I Plan Reviews I
06/13/2005 OK' GRG
See attached document for Fire
Depa'rtment Plans Review
comments.
See attached document for Fire
Department Plans Review
Comments for tenant infill.
09/29/2005
. OK . . GRG
, "
3 of 5
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
PERMIT NO: COM2005-00553
ISSUED: 10/13/2005
APPLIED: 05/10/2005
EXPIRES: 07/09/2006
VALUE: $ 6,085,378.00
Fire Department Review
12/09/2005
. 12/09/2005
OK
GRG
Fire Department Review
12/19/2005
12/19/2005
O~
<:;RG
Initial Review
Plannin2 Review
05/10/2005
05/10/2005
05/10/2005
06/30/2005
APP
APP
SKG
EMM
Public Works Review 05/10/2005 06/07/2005 WI SB
Public Works Review 06/30/2005 06/30/2005 APP SB
Structural Review 05/10/2005 OS/26/2005 10 LLH
Structural Review OS/27/2005 06/03/2005 10 LLH
Structural Review 06/02/2005 06/21/2005 APP AC
Structural Review 06/30/2005 06/30/2005 APP AC
Structural ~eview 08/03/2005 10/05/2005 APP AC
SUB Review 05/17/2005 OS/25/2005 APP JF
Plans Review: 2-riser wet sprinkler
system. Job #COM2005-00553.
. Designer: Joe.l F:reeman.
Con!ractor: Simplex-Grinnell. Plans
appear to meet code requirements.
Plans Review: Fire alarm system for
Kohls department store. Job
#COM2005-00553. Designer: Joey
, Carlson. Contractor: SecureCom.
Plans appear to meet code
requirements.
Waiting for Site Plan Review
decision, final Site Plan Submittal
and Development Agreement.
SarahSumniers is planner.
DRC2005-00035
SDCs added. HOLD for issuance of
LDAP.
LDAP ISSUED
Plans forwarded to Clair for
structural review.. ,
Forwarded two sets of specifications
to Clair and Associates
approved ONLY for Excavation and
Grading. See attached documents
dated 6/21/2005
Approved for building pad
excavation and grading phase
Structural plans received fed-ex and
forwarded to Clair. Approved
Tenant Improvements. ,
Pass building envelope and HV AC
code review. Lighting system plans
and code forms to be submitted as
part of tenant improvements and to
be approved prior to fixture
instlalation and final inspection. See,
attached document
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.
""'1 .
SUB Insulation Vapor Barrier: To be called for at the same ti~e as the SUB framing inspection.
SUB Final: After all required energy inspections have been requested and approved.
4 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRING~lELD '
Building/Combination Permit
PERMIT NO: COM2005-00553
ISSUED: 10/13/2005
APPLIED: 05/10/2005
EXPIRES: 07/09/2006
VALUE: $ 6,085,378.00
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
. SUB Exterior Lighting
, Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Low Voltage: 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiD,
and that NO OCCUJ' ANCY 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, that each address is readable from
the street, that the permit card is located at the front ofthe property, and the approved set of plans wiD remain on the site
~:;;ri;g~~C~~)\d) \ -IO-CG ~~
........
Owner or Contractors Signature Date
5 of 5