HomeMy WebLinkAboutPermit Electrical 2006-5-22
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION r
City Job Number C-Qntrocr- olMS- Date 5?J-) 2600
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Address4l0 t.JJOvI/J~ ,~',~. ""'1,' Loof8\1%t'}B~M@QF4\mp~-001.
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nO::'8, YOL' mo~' obt&Rl tt\J11ps;todfOOO?A"nipsS by
Phone 43 ~;1I~.flt~'ceilte.oV~r;(h0.00~mpsi.VpftsJne
n-~~b~r for the O!%~9]1l1tC.~IQpllfJotification
Center is 1- .?
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- ,tJlI..,b
j()- 1-~07
)(00 s-ocF
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
J /: _ _ Service or Feeder Permit
Owners Name~)4.y YI)(I,VL. P.id'~""^"c...- ~
Address 30 ~~~r/~~~~ALLEX~I ORK
City e-v<...G-c-d&- Pho~U~~nftJl~WOER THI~~V1lIJifgti~1QT $ 50.00
COIVlMtNCED OR IS A8A~~i~ghting $ 50,00
OWNER INSTALLATION ANY 180 DAY PERIOD. Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
1.
2-'2\\ L;4-lAVl-v'\-
LEGAL DESCRIPTION f
/J03Z7{
JOB DESCRIPTION
~r
o it au
JFiN1. P ~-(t=~ 1'{Z..\.L
s ,2.. vL
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
City e Li a r /'Ie..-
/
Supervisor License Number
Expiration Date
Constr. Contr, Number
Expiration Date
SigniZ27~ ~
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
A.
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.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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.
$ 43,00
$ 3.00
4.
s-o
l(
S-
s,~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03,doc
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01685
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Status
OK to Issue
12/02/2005
11/19/2006
$ 5,107,804.00
SITE ADDRESS: 2211 Laura St
ASSESSOR'S PARCEL NO.: 1703271101100
Springfield TYPE OF WORK: Apartment Building
Commercial
TYPE OF USE: New
PROJECT DESCRIPTION: Assisted living and alzheimer's care facility.
Owner: BA YBERRY COMMONS LLC
Address: 30 EAST BROADWAY, #160
EUGENE OR 97410
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
BURTON WALTER
BEAR ELECTRIC INC
JET HEATING INC
TAPANI PLUMBING INC
License
114163
20919
3944 '
60958
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
35.00
Gas
Gas
Gas
Path 1
n/a
11
SR-l
VA
VB
Phone Number: 541-686-1119
Expiration Date
OS/24/2006
02/20/2010
05/31/2007
07/23/2009
Phone
503-775-1962
503-678-1355
503-363-2334
360-687-3983
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
29,393
17,294
418
I DEVELOPMENT INFORMATION I
i It \, '
Ove't'I~riistj,:., I 01" '"_L Ln/"....:, "...: Tile we
# St~~et,trees,Dr.iJj~, ;p TH1'c')' t'-<. 1-" 1(: ,
,I,'-lf ._ I I ." ',- 1_ ~ 1" i....J \ \
Pa'St;~hP}1~y,e, ~g~: u i'l 10 ;-, U C l; t D
%11,(1 Lot Coverag~:, HI U C ,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Jptal:
J:Iandicapped:
"Compact:
Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Pal!e 1 of 6
Status
OK to Issue
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: COM2005-01685
ISSUED:
APPLIED:
EXPIRES:
VALUE:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$4.10
$97.00
$1.00
$3.00
Tvpe of Construction
A.C. - Commer
Conv. Hospitals
Pavinl!:
Sprinkler Svs
AC - Commercial
V I-Hour
Use Bid Amount
Sprinkler Svstem
Square Footage
or Bid Amount
47,001.00
47,001.00
215,000.00
47,001.00
Total Value of Project
~
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 8% State Surcharge
Temp Power 200 amps or less
Amount Paid
$10,492.89
$6,457.16
$5.00
$4.00
$50.00
Total Amount Paid
$17,009.05
Date Paid
12/2/05
12/2/05
5/22/06
5/22/06
5/22/06
I Plan Reviews I
Fire Department Review
03/15/2006
12/05/2005
Initial Review
LDAP Review
12/05/2005
12/22/2005
12/05/2005
12/22/2005
LDAP Review
03/07/2006
03/07/2006
LDAP Review
LDAP Review
05/04/2006
05/04/2006
05/04/2006
Planninl!: Review
12/05/2005
05/04/2005
OK
GRG
APP
10
SKG
VRJ
10
VRJ
OK
APP
BRC
VRJ
APP
EMM
Pal!:e 2 of6
12/02/2005
11/19/2006
$ 5,107,804.00
Value
Date Calculated
$192,704.10
$4,559,097.00
$215,000.00
$141,003.00
$5,107,804.10
12/02/2005
12/02/2005
04/24/2006
12/02/2005
Receipt Number
2200500000000001655
2200500000000001655
1200600000000000686
1200600000000000686
1200600000000000686
See attached document for Fire
Department Plans Review
comments.
Sent applicant LDAP application.
Applicant is aware of the LDAP
requirement and will be submitting
plans in the future.
LDAP plans submitted by Bayberry
Commons 3-3-2006 and are under
review.
LDAP ISSUED
LDAP permit has been issued
5-4-2006
Site Plan Review DRC2005-00065 in
review process. Linda Pauly is
planner. development Agreement
received
CITY OF SPRINGFIELD'
Building/Combination Permit
Status OK to Issue PERMIT NO: COM2005-01685
225 Fifth Street, Springfield, OR ISSUED:
541-726-3753 Phone APPLIED: 12/02/2005
541-726-3676 Fax EXPIRES: 11/19/2006
541-726-3769 Inspection Line VALUE: $ 5,107,804.00
Public Works Review 12/05/2005 12/22/2005 WE SB LDAP must be issued before this
permit. Public Improvement
Project approval and Encroachment
permit application required before
doing any work in the Public Utility
Easements or the Right-of-way.
SIdewalk and curbcut permits
added. SDCs added.
Public Works Review 05/04/2006 05/04/2006 APP SB LDAP ISSUED. Still need
encroachment permit application,
and PIP application for work in
right-of-way or in Public Utility
Easements.
Revised Plan Review - Fir 02/22/2006 03/15/2006 OK GRG Plans Review: Revised submittal for
an assisted living and Alzheimers
facility. Job #COM2005-01685.
Occupancy Classifications: I-l/SR-l:
A-2 (dining area); F-l (kitchen,
electrical and mechanical rooms); B.
Construction Type:
V -A-sprinklered. Building square
footages: 1st floor-29,393 sq. ft.; 2nd
floor-17,294 sq. ft.; Total-47,001 sq.
ft.
Revised Plan Sheet CS shows SE
stairway in rated enclosure.
Plan Sheet A8.1 added showing door
schedules. Violation abated on first
plans review of initial submittal.
Refer to first plans review for
inspection and review.
Revised Plan Review - Pia 02/22/2006 WI Waiting for final site plan approval
and DA.
Revised Plan Review - Pu 02/22/2006 03/14/2006 WE SB Revised plan.SDCs changed slightly.
Still hold for LDAP
Revised Plan Review - Str 02/22/2006 02/22/2006 10 JMP Burt Walter delivered 4 sets of
revised drawings and Tony Koach's
responses including some energy
code forms.
Revised Plan Review - SU 02/22/2006 04/24/2006 APP JF
Structural Review 12/05/2005 12/15/2005 WE JMP See attached documents for 17
structural comments faxed to Tony
Koach.
Structural Review 12/16/2005 12/16/2005 10 JMP WE. See attached document for
mechanical count verification faxed
to Don Olheiser.
Pal!e 3 of 6
CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01685
ISSUED:
APPLIED:
EXPIRES:
VALUE:
OK to Issue
Structural Review
12/16/2005
JMP
10
12/16/2005
Structural Review
10
JMP
12/21/2005
12/21/2005
Structural Review
12/22/2005
10
JMP
12/22/2005
Structural Review
SUB Review
05/04/2006
12/06/2005
05/04/2006
12/19/2005
APP
WE
JMP
JF
12/02/2005
11/19/2006
$ 5,107,804.00
WE. Tony Koach called to discuss
all 17 comments and to request an
electronic copy of the letter which I
emailed to him.
Received fax from Marcy Huxtable
with counts of mechanical
equipment. Left a voice mail for her
requesting missing information.
WE. Received Marcy's count of 2
dryer vents, and Aaron's count of 3
gas water heaters and 17 gas
connections.
Received final internal approvals.
See comment 5 in the attached
structural comments requesting
energy code information.
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.
~eouiredJnsnections I
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Firewall: Located and constructed according to plans.
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Pa2e 4 of 6
CITY OF SPRINGFIELD C
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2005-01685
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/02/2005
11/19/2006
$ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow 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 combustible 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. After all requirements of the Fire Department have been met.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
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.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
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.
Grease Trap: Prior to Cover.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa!!:e 5 of6
CITY OF SPRINGFIELD C
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2005-01685
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/02/2005
11/19/2006
$ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underslab Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
Paj!e 6 of 6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1685
COM2005-0 1685
COM2005-0 1685
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BURGHARDTZHUN
r'''v of Springfield Official Receipt
lelopment Services Department
Public Works Department
1200600000000000686
Date: OS/22/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 022564 In Person
Payment Total:
Page 1 of 1
9:41:25AM
Amount Due
50,00
4,00
5,00
$59.00
Amount Paid
$59,00
$59.00
5/22/2006