HomeMy WebLinkAboutPermit Electrical 2005-10-16
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541-)7t6-36~~\(\g
ELECTRICAL PERMIT APPLICATION
City Job Number C. ~. 'S5~ Date
Electrical Contractor ~T ~~ (
Address f9'70 0 26ni ~T.
City ~I ~ R 61>Phone 74-7-226
I
t
Supervisor License Number 24 ~r-.5 c.
Expim'ion Oat, I D- ( - ~qlG~ 9~~~~ IEallatii:Me;;~;Kor Relocation
Constr. Contr. Number _Il- LJ ZcOMMENCED OR IS ~~ tdlNGT
S -,/7"1-o~~BO D,AY PERIn".. ,~ , ~~ps
Expiration Date C L-- cr I... 'IV,
....'/ _ 'Over 600 or 1000 Volts see "B" above.
Signature of Supervising Electrician D.
"\ J /) Ir~ New Alteration or Extension Per Panel
.,l.xw./ ~ ~Zf One Circuit
} - Each Additional Circuit or with 1\ I q
~\"" ""^" Service or Feeder Permit 01 $ 3.00
Owners Name i \ \~
Address j.ln rJ \_~ 11}OIl1)Qraaon law rlq[
t\ \.. . . . v I ~d by the Ore on Uti!'
City \' 1\ ~ ~iftcation CentR~ose ru,el.'uffip or Itfi\yation
. OAR's are~et forth
In 952-001-0010 tilro!1qh ~~9'gH!B5f!ghting $ 50.00
OWNER INSTALLATIONOO~)Q..You may obtain cop 28 d-4m:itr81&g9,5gyIResidential $ 25.00
callIng the C6"fcr. fr--'ol . ' Tt: ~ d~;'p Y/C ' I $ 45 00
The installation is being made CffiJpfJ(l)nyw T Qwn'j,VliicH' .e. :lle"",l00lt~'tUfle-rgy ommerCla ,
. . JUO.....fIDf I.ne uro.....nn II... I 1", _ .
IS not mtended for sale, lease or rent. C .~' - , 1VIinlmum'E-Je(jtmc Permit Inspection Fee is $45.00 + Surcharges
enter IS 1-/:U;-J32-c~' '"
Owners Signature: 4. \ ~
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LEGAL DESCRIP-i-ION ua
l ') O'b~'2J)(J ('fLQC()
JOB DESCRIPTION
p,~,~~o~~:~,~
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Insp'din. R'qn,,': 726-3769 \.)~ 1'2.(o.ozz.q
..
3. 'COMPLETE FEE8CHEDiJLE BEW"'
<_'C''; ,_,_ A_ _, "'..;";,.,;;",,,';;:;;:;;"2:.;if,;,-
A.
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
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNohs
Reconnect Only
e,
~
5Cf\ fd'
f"J5t1'
dJOD!X>
$ 63.00
$ 75,00
$125.00
$163.00
$375.00
$ 50.00
.s 'J':3.CXJ
/
$ 50,00
$ 69.00
$100,00
$ 43,00
lo5?CD
$ 50.00
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Orive(T:)lBuilding FormslElectrical Permit Application 1-03,doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/0612005
APPLIED: 0511012005
EXPIRES: 04/06/2006
VALUE: $ 4,067,378.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2950 Gateway St
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF WORK: Retail
TYPE OF USE: New
PROJECT DESCRIPTION: Kohls Department Store, Shell- Building pad excavation and grading phase
Commercial
.~,' Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROPERTY TAX ADMIN
CHICAGO IL 60606
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Architect PERKOWITZ + RUTH ARCHITECTS 562-628-8000xl
General HOWARD S WRIGHT 89229 02/26/2006
Electrical JOHNSEN ELECTRIC INC 38497 01110/2006 541-461-0291
Plumbing II S MECHANICAL INC 54464 09/15/2007 503-769-3738
Sewer WILDISH CONSTRUCTION CO 541-485-1700
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:.
.;:~ Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
B
lIB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
:..
Street I~PdffC!~ts:
Stor~ Sq~t)~I\Wf:SHALL EXPIRE IF THE WORK
SpecIal ~tr~t2ED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEME~~TION: Oregon law requires you to
follow rule!Saa~~i~<T9~et:he Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-e~f.~WRY\~lf~I'~OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the tel~pho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
'. ',-/ -'.:.
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/06/2005
APPLIED: 05/10/2005
EXPIRES: 04/06/2006
VALUE: $ 4,067,378.00
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ 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
Value
Date Calculated
Total Value of Project
$275,000.00
$4,067,378.00
$1,743,000.00
$6,085,378.00
07/01/2005
10/05/2005
10/05/2005
Bid Amount Use Bid Amount
Bid Amount Use Bid Amount
Foundation Only Use Bid Amount
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $3,838.51 5/10/05 2200500000000000560
Plan Review Fire & Life Safety $2,362.16 5/10/05 2200500000000000560
Plan Review CommlIndlPublic $8,593.65 6/30/05 2200500000000000864
Plan Review Fire & Life Safety $5,288.40 6/30/05 2200500000000000864
+ 10% Administrative Fee $165.44 7/1/05 2200500000000000877
+ 7% State Surcharge $36.40 7/1/05 2200500000000000877
Add, Alter, Extend Circ $43.00 7/1/05 2200500000000000877
Add, Alter, Extend Circ Ea Add $3.00 7/1/05 2200500000000000877
Miscellaneous Plumbing $45.00 7/1/05 2200500000000000877
Plan Review CommlInd/Public $737.36 7/1/05 2200500000000000877
Sanitary Sewer - 1st 50 Feet $45.00 7/1/05 2200500000000000877
Sanitary Sewer Each Addtll00' $28.00 7/1/05 2200500000000000877
Site Work $1,134.40 7/1/05 2200500000000000877
Special Waste Connection $98.00 7/1/05 2200500000000000877
Storm Sewer - 1st 50 Feet $45.00 7/1/05 2200500000000000877
Storm Sewer Each Addtll00' $140.00 7/1/05 2200500000000000877
Water Line - 1st 50 Feet $45.00 7/1/05 2200500000000000877
Water Line - Each Addtll00' $28.00 7/1/05 2200500000000000877
+ 10% Administrative Fee $664.74 9/8/05 1200500000000001322
+ 7% State Surcharge $465.32 9/8/05 1200500000000001322
Backflow Device $14.00 9/8/05 1200500000000001322
Building Permit $5,905.40 9/8/05 1200500000000001322
Fixture $532.00 9/8/05 1200500000000001322
Miscellaneous Plumbing $28.00 9/8/05 1200500000000001322
Sanitary Sewer - Improvement $1,681.49 9/8/05 1200500000000001322
Sanitary Sewer - Reimbursement $2,212.02 9/8/05 1200500000000001322
SDC MWMC Administration $10.00 9/8/05 1200500000000001322
SDC MWMC Improvement $46,591.79 9/8/05 1200500000000001322
SDC MWMC Reimbursement $4,419.13 9/8/05 1200500000000001322
SDC Sanitary/Storm Admin $243.73 9/8/05 1200500000000001322
SDC Transpo Admin $12,431.35 9/8/05 1200500000000001322
SDC Transpo Improvement $16,889.90 9/8/05 1200500000000001322
SDC Transpo Improvement $145,000.00 9/8/05 1200500000000001322
SDC Transpo Reimbursement $36,697.31 9/8/05 1200500000000001322
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/06/2005
APPLIED: 05110/2005
EXPIRES: .04/06/2006
VALUE: $ 4,067,378.00
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
$168.00
$186.10
$130.27
$657.00
$375.00
$504.00
$75.00
$250.00
9/8/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
10/6/05
Total Amount Paid
$298,807.87
I . Plan Reviews I
Fire Department Review . 09/29/2005 09/29/2005 OK GRG
Fire Department Review 05/10/2005 06/13/2005 OK GRG
Initial Review 05/10/2005 05/1012005 APP SKG
Plannin2 Review 05/10/2005 06/30/2005 APP 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 06/30/2005 06/30/2005 APP AC
Structural Review 08/0312005 10/05/2005 APP AC
Structural Review 05/10/2005 OS/26/2005 10 LLH
Structural Review OS/27/2005 06/03/2005 10 LLH
Structural Review 06/0212005 06/21/2005 APP AC
SUB Review 05/17/2005 OS/25/2005 APP JF
Pa2e 3 of 4
1200500000000001322
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
2200500000000001383
See attached document for Fire
Department Plans Review
Comments for tenant infill.
See attached document for Fire
Department Plans Review
comments.
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
Approved for building pad
excavation and grading phase
Structural plans received fed-ex and
forwarded to ,Clair. Approved
Tenant Improvements.
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 ,
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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00SS3
ISSUED: 10/06/2005
APPLIED: 05/10/2005
EXPIRES: 04/06/2006
VALUE: $ 4,067,378.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
I Reouired Insoections I
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.
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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 4 of 4
. 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield. Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #:
2200500000000001383
Date: 10/06/2005
9:04:24AM
....;
JQb/Journal Number
COM2005-00553
CpM2005-00553
COM2005-00553
COM2005-00553
COM2005-00553
COM2005-00553
COM2005-00553
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Perm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard ALERT ELECTRIC
"t
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
llh 006644 Phone
Payment Total:
Amount Due
504.00
75.00
250.00
375.00
657.00
130.27
186.10
$2,177.37
Amount Paid
$2,177.37
$2,177.37
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10/6/2005 '
Page 1 of I
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