HomeMy WebLinkAboutPermit Electrical 2006-6-12
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DATE
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225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number 00 fY)@005 ;.. D 1151.-/
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LEGAL DESCRIPTION /1 O?;Z5 3~ I "400 A.
:;(;eI/IJIJReW-+oee 97'tZ9
JOB DESCRIPTION
'T)~~ IA )tftAf1t!\
Permits are non-transJrable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Supervisor License Number 5htJ tc;; B
Expiration Date 16/ Ot., Installation, Alteration or Relocation
200 Amps or less $ 50.00
ConstI'. ContI'. Number 1t.f6~ ~ 201 Amps to 400 Amps $ 69.00
/ 40nAmp!;1t~=~Q9e:~!J~n law req~~:~,:,2. \';:-,;"1 ~dOO,OO
Expiration Date e;-=; /0 7Z dW~?66o:Lf!.ihpg:gPr6001~9'lt'S's-ee::\~H""aboye'::I:lY
Sdignature of supervjgiSing Electrig"W D~!~~n..~J:~LExt,~i"~'~~'JPan'," ..~~ti~l;~:t~~~
. ) . .('1.\ _ .......j "-' -'l.'_~tll L.oL'.; .:......', ,-:, ... t r-.::. \...."
~ ' ~ ~ One-:(1jitcuit~G cc,l'sr (I"":'" ",.,' . . $ 43.00
-~n7 n_ - -=- /' - P BaChT1kcldi(i9P~I:&itq~F-,01;:~lt~r'i""
/) /J .... r:::.... /J ,1 Servjc,e or'EeederiRerm'it"., n,' .'. f 3.00
Owners Name :?teIFlf CltSC/tI)/3"'-rc:tJ.(~ITU/I..JIQ/U ~v"L~I.;) '-UlIVw,-C", I.
- '. , ":;":'. > -;;~-- ';'.:~> "::',:,?-\:-'-~--"-":;:~,~:::::: '-, '~<.'::::-.:';.'.-".,' -",::' ",:. ::.:~'- ;'><':. ,. '. , ,-' -"'- ."'" . - "-: .-'.:'.' " '," ".'. ,: . <'::.:'
'.~
Address //90 MIf/IWK ~l E.~~!i~.5iHa;Ii3g~~IJJ~:I:~i~~/~~ed;~'n~J'~1.~I;~,~~(1}2t:a~~i'I~I~~~11,f~j~h~-:
City S,7Je.//I/tfJRCl/J Phone 3'13-~238 Pump or irrigation $50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial 1 $ 45,00
, v~:,-:-,;:' ';r
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2.
Electrical Contractor Ee5T -/ el- L, L., {J,
Address IIL/tJ !J)rL(AhdLGSfJlt:F X'd
City ;::;-U!1BV f:?'
Phone ~8B - 5f)-::;S-
OWNER INSTALLATION
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
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. .' , ". ".": '", . ":., :..,:'>.0::",.: '-. ',,~ ,~'.''''',. '
3.CO~MPLETE FEESCHEDULEBELOT:V;'.
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..........~e~" .'~.~..~~..~~..~~i~1;\:'.:Si~1~17?E.:fr~iij";:F,~.mi!.r:~er~~i~IF~.~:~~m~,~~i
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
MQd~IN Dw~el1ing Service or $50.00
Fef~IS PEPIl,'!iT 3H,\LL E;~PIRt 11- I i-it VljO;-II(
B. .'.;~~~1$.itrJ~X~[F~~g~P~E~~~HW11RtJJ~/ili)~i~;~Tri~ .'i{~i'~;~;~'ti;;~'{:a;i
tOrvlf~~E m~E[r;OH;1 ~"~HA~f[)ONEf}rOR" ,';,' ... ..;;.;./J:.. ..;';~:2
2o,O,fA:P1Ps\6r1:ess( PERIOD. $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163,00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
c.
x tIC !S:...
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
L.f6UD
3.60
L/-.SV
53.)0
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-06.doc
,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Perm}t
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 12/09/2006
VALUE: $ 953,176.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line'
SITE ADDRESS: 1190 Mohawk Blvd
ASSESSOR'S PARCEL NO,: 1703253316400
Springfield TYPE OF WORK: Bank
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Pacific Cascade Federal Credit Union
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor
ERIC HALL ARCHITECTS, INC.
MCKENZIE COMMERCIAL CONTRACTOR 45539
SCOFIELD ELECTRIC 38702
WATCHDOG SECURITY LLC 151785
COMFORT FLOW 460
ROBINSON PLUMBING INC 107124
O1JrurgtC;r:. Phone Number 541-343-6238
THI ~. '
AUT~PERMfT SHALL
{'n'r OR/ZEn 1If11()r-~ EXPIRE If: IW- ..
- V1VI/VltNr:r:n .-..../1 I HIS P '..... vVUHK
I CONTRACTOI{tiNFQEJVlr\.;r.IQn~ tS ABANOo~REMDIT IS NOT
. ....I)/DO. FOR
License Expiration Date Phone
541-688-5594
541-343-7143
541-686-8612
541-607-1110
541-726-0100
541-345-6909
07/21/2007
12/21/2007
06/11/2006
06/27/2007
07/1312007
Owner:
Address:
PACIFIC CASCADE FCU INC
1075 OAK ST
EUGENE OR 97401
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1 Lot Size:
B Height of Structure 22.00 Sq Ft 1st Floor: 4,120
Type of Heat: Gas Sq Ft 2nd' Floor:
VB Water Type: Gas Sq Ft Basement:
Ran~elIiYp!~:IOM LJregol1l I ,Sq Ft Garage/Carport
Ene!jgY.lIJ}~tI,1i8A ado t d bcpYtfiffjUlre:Sq'tRt Qther:
Sp' rin'kled~I'BuildiDl?: p eTh y tJil/i OregC@c'C:up"a.ntLoad:44
'~''''vULUI' veri1e'~ 'I
. _. . I I, asp. n "A~ "'"" ~~. L..1,
III \,,...,,r-\ '""l.....-..1 '11'1 n_..I....... -~~ '.....'H.
DEVEL~Prl\'lE~J' I'N'FORMJ\'TfONU 'h OAR 952-001-
calli th 'J ~~""'"J W It:S of the rules bfEQUIRED PARKING
, , . ,ng. e center. (Note: the tele hone
Ovelila~)t>.l~tr the Ore on Utj)j . ~ . Total:
# Street Trees1Rorl: 1 8g . ty NOtification Handicapped:
. ....c. Ll~HS - 00-332234 )
Paved Drive Rqd: . - 4 . Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paj!e 1 of 6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 12/09/2006
VALUE: $ 953,176.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Estimate
Pavinl!
Tvpe of Construction
Estimate
Estimate
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
120,000.00
781,546.00
51,630.00
Value
Date Calculated
Description
Total Valoe of Project
$120,000,00
$781,546,00
$51,630,00
$953,176,00
08/30/2005
12/22/2005
12/22/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $304.30 8/25/05 1200500000000001245
+ 10% Administrative Fee $93.37 9/20/05 3200500000000000566
+ 7% State Surcharge $21.21 9/20/05 3200500000000000566
Addressing Assignment $31.00 9/20/05 3200500000000000566
BackfIow Device $28,00 9/20/05 3200500000000000566
Curbcut - Additional Driveway $80.00 9/20/05 3200500000000000566
Curbcut - Additional Driveway $80,00 9/20/05 3200500000000000566
Curbcut Permit $80,00 9/20/05 3200500000000000566
Curbcut Repair $40.00 9/20/05 3200500000000000566
Encroachment Permit $130.00 9/20/05 3200500000000000566
Fixture $56.00 9/20/05 3200500000000000566
Paving $630.65 9/20/05 3200500000000000566
Plan Review CommlInd/Public $105.62 9/20/05 3200500000000000566
PW Disc - 2nd Permit (Street) $-30.00 9/20/05 3200500000000000566
PW Disc - 3rd Permit (Street) $-30.00 9/20/05 3200500000000000566
Sanitary Sewer - 1st 50 Feet $45,00 9/20/05 3200500000000000566
Sanitary Sewer Each Addtll00' $14.00 9/20/05 3200500000000000566
Sidewalk Permit + Addtl Sq Ftg $102.40 9/20/05 3200500000000000566
Storm Sewer - 1st 50 Feet $45.00 9/20/05 3200500000000000566
Storm Sewer Each Addtll00' $70.00 9/20/05 3200500000000000566
Water Line - 1st 50 Feet $45.00 9/20/05 3200500000000000566
+ 10% Administrative Fee $5.00 10/21/05 1200500000000001581
+ 7% State Surcharge $3,50 10/21/05 1200500000000001581
Temp Power 200 amps or less $50.00 10/21/05 1200500000000001581
Plan Review Comm/lnd/Public $1,461.95 11/21/05 1200500000000001737
Plan Review Fire & Life Safety $899,66 11/21/05 1200500000000001737
-Mechanical Issuance Fee- $10,00 12/29/05 1200500000000001867
+ 10% Administrative Fee $35.70 12/29/05 1200500000000001868
+ 10% Administrative Fee $336.66 12/29/05 1200500000000001867
+ 7% State Surcharge $24.99 12/29/05 1200500000000001868
+ 7% State Surcharge $209.17 12/29/05 1200500000000001867
Add, Alter, Extend Circ Ea Add $156.00 12/29/05 1200500000000001868
Air Handling Unit Up to 10,000 $16,00 12/29/05 1200500000000001867
Building Permit $2,782.15 12/29/05 1200500000000001867
Pal!e 2 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Paving .
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Vent Fan
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Fire Department Review
11/23/2005
Fire Department Review
08/26/2005
Initial Review
Initial Review
LDAP Review
LDAP Review
08/26/2005
11/22/2005
09/13/2005
09/27/2005
LDAP Review
09/28/2005
Plannine: Review
11/23/2005
Plan nine: Review
Public Works Review
08/26/2005
08/26/2005
$126.00
$12.00
$4,00
$24.00
$378.45
$126.00
$75.00
$299.88
$436,80
$24.00
$4.50
$3.60
$45.00
$4.50
$3.60
$45.00
$9,544,66
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
3/22/06
3/22/06
3/22/06
6/12/06
6/12/06
6/12/06
I Plan Reviews I
12/05/2005
09/01/2005
08/26/2005
11/22/2005
09/28/2005
11/28/2005
08/31/2005
09/28/2005
OK GRG
OK GRG
APP LLH
APP LLH
10 VRJ
APP VRJ
APP EMM
APP EMM
WI SB
Pae:e 3 of6
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 12/09/2006
VALUE: $ 953,176.00
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001868
1200500000000001868
1200500000000001867
1200500000000001867
1200500000000001867
2200600000000000369
2200600000000000369
2200600000000000369
2200600000000000800
2200600000000000800
2200600000000000800
See attached fire department plan
review comments
Plans Review: Site work.
COM2005-01l54. Refer to DRC
comments for site plan review,
Building and Site Improvements
LDAP submitted 9/22/05 and is
under review,
LDAP is at the front counter and
ready to issue, $1620,00 is due at
issuance and applicant has been
notified,
To be built per approved Final Site
Plan,
Site Work oniy, Curbcuts,
sidewalks, and encroachment permit
fees added. Submit Encroachment
Permit Application 2-3 days prior to
requirement to work in
Right-of-way or within PUE, LDAP
. 'Required, Applicant notified
9/13/05. DO not issue until LDAP
issued. LDAP at counter ready to
issue.
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2005-01154
225 Fifth Street, Springfield, OR ISSUED: 12/29/2005
541-726-3753 Phone APPLIED: 08/25/2005
541-726-3676 Fax EXPIRES: 12/09/2006
541-726-3769 Inspection Line VALUE: $ 953,176.00
Public Works Review 11/23/2005 12/21/2005 APP SB SDCs added for structure, NOTE:
Less fixtures than Subway + Gas
Station. Less trips than Subway +
Gas Station, Less Sewer Load than
Subway + Gas Station, No SDCs,
Curbcuts and sidewalks already
charged. LDAP already issued.
Structural Review 11/22/2005 12/02/2005 WE JMP See attached documents for 7
structural comments faxed to Eric
Hall.
Structural Review 12/22/2005 12/22/2005 10 JMP WI. Received Eric Hall's response
to structural comments. Faxed the
energy code forms to Jack Foster,
Structural Review 12/27/2005 12/27/2005 APP JMP Received final internal approval.
Structural Review 08/26/2005 08/29/2005 WE JMP See attached documents for 2
structural comments faxed to Eric
Hall,
Structural Review 08/30/2005 08/30/2005 10 JMP WE. Received phone call from Tod~
at McKenzie Commercial saying
that he will get the Special
Inspection Forms completed and to
me soon. He said there will be no
site lighting at this time and that the
site work does not include any
paving at this time,
Structural Review 09/02/2005 09/02/2005 10 JMP WI. Received Addendum #1
addressing structural comments
with the special inspection forms,
Structural Review 09/13/2005 09/13/2005 APP JMP Received final internal approval.
SUB Review 08/26/2005 09/06/2005 APP JF No energy code issues or inspections,
SUB Review 12/27/2005 12/27/2005 APP JF
SUB Review 11/23/2005 12/13/2005 WE JF JMP called Eric Hall to request the
building envelope forms and
worksheets,
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.
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.
Roof SheathinglNailing: 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.
Pal!e 4 of 6
\
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 12/09/2006
VALUE: $ 953,176.00
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 construction by a State Certified Special Inspector, Provide results to
City Building Inspector,
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete,
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Low Voltage: Prior to cover,
Rough Grading: After gravel is in place but prior to placing concrete,
Final Paving: After paving is complete.
Rough Plumbing: Prior to cover 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.
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,
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Pae:e 5 of 6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 12/09/2006
VALUE: $ 953,176.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Curbcut - Overwidth: After forms are erected but prior to placement of concrete,
Temporary Electric: Approval required prior to Utility Company energizing pole,
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,
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.
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
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
Pal!:e 6 of6
225 Fifth Street
SpI;ingfield, Oregon 97477
541-726-3759 Phone
Cj..... of Springfield Official Receipt
L Jopment Services Department
Public Works Department
Job/Journal Number
COM2005-01154
COM2005-01154
COM2005-01154
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
Date: 06/12/2006
2200600000000000800
Description
Low Voltage - Commercial Indus
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BEST TELL LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
1333
In Person
Payment Total:
Page 1 of 1
10:42:35AM
Amount Due
45.00
3.60
4.50
$53.10
Amount Paid
$53.10
$53.10
6/12/2006