HomeMy WebLinkAboutPermit Electrical 2005-11-23
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PEl<l.L"lITAPPLICATION
City Job Number COU1 ZOO s: - 00 55..3 Date J I ~ 2,3- 05
1. LOCATION OF INSTALLATION
Ztlsn t:J tU-C \AI tll~ st.
LEGAL DESCRIPTION 170 ~ Z:ZOO OZ'ZPD
~ Vl ~ +- 0J.1 o.-t ax h1- S "1S -t'Ch1.-
JOB DESCRIPTION J
LYl5 c cuJ o..uu h1 S ~ s t-t W1--
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
3. COM,PLETE FEE SCHEDULE BELOl-1l
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
$50,00
2. CONTRACrOR INSTALLATION ON1.Y B. Services or Feeder~\(~,!~l}.~.~f), Alterations or Relocation:
trY a\f-J {eO; on \)t\ )f '(\
Electrical Contractor _ H S M (;;ftlAJi hi! Co ) 2...q~ 6\11m~~ ~,~\ne o{e;.Ie set \06... $ 63,00
~-f'\t:.~\\q~ c)t,np\€ld ~aR;~~~s ~~ g52-1) ,_, $ 75,00
Address Ie; t.J til G SVV '~'111UYi tL 1+-/0 ~ \\o\J'J {u\e,Dl~w~'I;. td'g~{6'lJ,i]J'5' ~\ t\\e {u\es vl $125,00
(5D3) \0 i\\\Ca\\05U!o{)~bqOl(,~~p\o \e\e?\\o0.tJ,... $163,00
City -p or t-I Pvn.-d Phone ~/p~ 2>~S~o O~~ g~~e\~~A~~~Jt.9 \~e ~o\\\\cat\EF' $375,00
\\ \ o90. ,(cR>e~on'C.~tI~~IY On \)\\\\\'l ?lAA). $ 50,00
o ca\\\n9 ~:{ \\\e ?{~~O~_?l?l2-2:
Supervisor License Number Cl tf, LEft nu~e\16~~W\~ MrVIces or Feeders
Expiration Date 15
Constr.C ontr. Number 31-1 DtJL-/- t LE
Expiration Date fJ7 J 01/ D II)
Signature of Supervising Electrician
~ 5r-cvt:. M trrcnousc..
Owners Name ~~Ay wl,.,i! ~,~
Address 110 AI Wk~ blL
cityd''c.;fJ 0 ..:z;I Phone
OWNER INST ALLA nON
The installation is being made on property I own which
is not, intended for sale, lease or rent.
Owners Signature:
J ,\
Inspection Request: 726-3769 cY~ I :;'0\( ,ob
, f 0'
t1
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
Over 600 Amps or 1000 Volts see "B" above,
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
E. MiscelhmeollS (Service/feeder not included) ~o~nstallation
Pump or irri~~on ~V\~~ \~~ll5ffR~O't ",
Sig~t'{I".' ~"S~r..\..\. ~ 9~i\\" ~
Lim,,~\'iIR i1-~1\ ~~€ 2500
Limit1l.~ ~QiJ\S D. ' $ 45,00 tfs. 0 D
Minimum E~\~f(6~@\q Fee is $45.00 + Surcharges
4. SUBT~AL OF .ABOVE Ifs, 00
3./5
.-I{.-. ~ I Lf, ,)'0
,0,2'<:% Sl ~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical I'ennit Application I-03,doc
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: COM200S-00SS3
ISSUED: 10/1312005
APPLIED: 05/1012005
EXPIRES: 06/05/2006
VALUE: $ 6,085,378.00
SITE ADDRESS: 2950 Gateway St
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF
Retail
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Kohls Department Store
Owner:
.> Address:
Contractor Type
Architect
General
Electrical
Plumbing
Sewer
GATEWAY MALL PARTNERS
110 N WACKER DR BSC 3-04 ATTN PROPERTY TAX ADMIN
CHICAGO IL 60606 as \\~~ \~
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en a:. Af-P,Q '" ' ' ":.~ ~Q~'''<,l
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Contra if 0\f'J ~~\e ce~~\o \\"\tOU.9: 0\ \\"\et~~~e.
PERKO at~~~!6~"I::':I~S3 e \e\e~,' - \'8R
HOW A ~~a'l 0'0\'0. \~o\e" ~\i ~C89f~\
JOHNSEN ~~~~\e{. e90\'\ D\\ \ _2'3~~)497
II S MECHAN~~~f\& \\"\e ?\ .fQOO-'3'3'F. -' 54464
WILDISH CO~~\I1l~~ ~o 658
I BUILDING INFORMATIONI
Expiration Date Phone
562-628-8000x15
..
02/26/2006
01/10/2006
09/15/2007
10/22/2007
541-461-0291
503-769-3738
541-485-1700
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
,.. Secondary Construction
# of Bedrooms:
M
B
lIB
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
2 Lot Size:
43.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Yes Occupant Load:
48,984
48,865:
...
Street
Storm Sewer Available:
Special Instruction:
I DEVELOPMENT INFORMATION I ~~'\' '.;
, t~~~lREDPARKING
Overlay Dist: ~~fi, ~~~';e.:
# Street Trees \. ~ ~CO ~~()~~~~icapped:
Paved Drive Rqd: . CO~~\J~~ ~':...""~~ Compact:
% of Lot Cov~~. ~ ~~~'" ~ ~'01-
ta.\.()" o~~ ...,~ ~ ~ Q.
~4tCP~~ ~\~"S~f:\~ .
PUBLIC IMPROVE ' ~~~
~ ~ ~ ~ Sidewalk Type:
, ~
Downspouts/Drains
'-
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
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 Onlv Use Bid Amount
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Plan Review Comm/Ind/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 Comm/Ind/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 Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Improvement
SDC Transpo Reimbursement
I Valuation Description I
$ Per Sq 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
Fees paidJ
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
$45.00
$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
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
7/1/05
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
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/13/2005
Art LIED: 05/10/2005
EXPIRES: 06/05/2006
VALUE: $ 6,085,378.00
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
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% Administrative Fee
+ 7% State Surcharge
Appliance Vent
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
Total Amount
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/13/2005
APPLIED: 05/10/2005
EXPIRES: 06/05/2006
VALUE: $ 6,085,378.00
$168.00
$186.10
$130.27
$657.00
$375.00
$504.00
$75.00
$250.00
$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
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
$315,972.40
I Plan Reviews I
Fire Department Review 05/1012005 06/1312005 OK GRG
Fire Department Review 09/29/2005 09/29/2005 OK GRG
Initial Review 05/1 0/2005 05/1 0/2005 APP SKG
Plannin2 Review 05/10/2005 06/30/2005 APP EMM
Public Works Review
05/10/2005
Public Works Review
Structural Review
06/30/2005
05/10/2005
Structural Review
OS/27/2005
06/07/2005
WI SB
06/30/2005
OS/26/2005
APP SB
10 LLH
06/03/2005
10 LLH
3 of 5
1200500000000001322
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001516
1200500000000001776
1200500000000001776
1200500000000001776
See attached document for Fire
Department Plans Review
comments.
See attached document for Fire
Department Plans Review
Comments for tenant infill.
Waiting for Site Plan Review
decision, final Site Plan Submittal
and Development Agreement.
Sarah Summers 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
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: COM200S-00SS3
ISSUED: 10/13/2005
APPLIED: 05/10/2005
EXPIRES: 06/05/2006
VALUE: $ 6,085,378.00
Structural Review 06/02/2005 06/21/2005 APP AC approved ONLY for Excavation and
Grading. See attached documents
dated 6/21/2005
Structural Review 06/30/2005 06/30/2005 APP AC Approved for building pad
excavation and grading phase
Structural Review 08/03/2005 10/05/2005 APP AC Structural plans received fed-ex and
forwarded to Clair. Approved
Tenant Improvements.
SUB Review 05/17/2005 OS/25/2005 APP JF 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.
LReouiredJ nsoectJ.Iw.LI
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.
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.
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 SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/13/2005
Arr LIED: 05/10/2005
EXPIRES: 06/05/2006
VALUE: $ 6,085,378.00
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 of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wiD 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
at all times during construction.
Owner or Contractors Signature
Date
5 of 5
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00553
COM2005-00553
COM2005-00553
Payments:
Type of Payment
CreditCard
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12/5/2005
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"'~ty of Springfield Official Receipt
,velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001776
Date: 12/05/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
Paid By
HONEYWELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 091205 In Person
Payment Total:
I of I
9:52:01AM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65 .