HomeMy WebLinkAboutPermit Electrical 2005-12-29
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225 ~unl STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 0 : .;.:.'%$ % :
ELECTRICAL PERMIT APPLICATION % % .... ~.<:; ~. .
CityJobNumber c..oW(~o'S- ell S'~ Date 12~9 05~' ~~.
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1000 sq. ft. or less ~ ~.~ "___~
Eac~ additional 500 sq. ft. or ~ ~~ ~
portion thereof .00 y~. ~
Each Manufact'd Home or \ Il> ~
Modular Dwelling Setvice or ~\0.00\
Feeder
...... .. ....................
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1190 MOHAWK B1VB
LEGAL DESCRIPTION
170 ~Z~3"J
JOB DESCRIPTION
NEW CREDIT UNION
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. CONTRAm:ORINSTlt.L4t..lq:~.6NtY
B. .:.~tVJ:~~f9'tFeeders... Instalfution, Alterations (}r Relocation:
. .. ... ..
Electrical Contractor
IOU '1.0
ELECTRI C CO. 200 Amps or less reQuireS \ '-.2,\. \r $ 63.00
201~~~m)'\~~'b~0 C'(8Qon ur~>,n $ 75.00
r: ~ \'\:.. "\,1.\'"lv r'-Ll~
~1~ c-t'4~! oS ~OO~ ~d'~ '(\.,\\8S 2X~ c"'; 7. ~,r(\ - $125.00
10\\0\N~\Aml'l.\l'"t93U.0Q(P~~C,'i\ 01\\ \. "'" ~", 'c..\f$163.00
0' cl\On~ 'f"I.J:,\j()..~\l\\:Ju~ ":lop,,~,
~o'~i\\C~~&_~AIIlJlSl:VOI~O\35 0\ 1.\ ,u . ,..,,,,,~ $375.00
, o:\'iR~nn~~P.9.1)I.c.\'i\ c, "0' ',\,e '.~\'j"J\'~ nil $ 50.00
\(\ ~C'O \(eU mC;). ,,;0'( (NOI."""""",,IO'\\\'0"-'";'
O\.j.;' . :.,;,'(.c<:G8u,:-, '. 'n '..1 \\\1.".".. .
68.\\\~~P!f.~ ~~s ~Ee.~~iis, ):;. '.'
. 'ol\ul'ln~ __ ,- '0'<,"'/......... .....
(\\..lin'o... '"-\1t3\ \S \ -bl.J
Insta~fibn, Alteration or Relocation
SCOFIELD
Address
PO BOX 2765
City EUGENE .OR 97402 Phone
686-8612
Supetvisor License Number
4218S
Expiration Date
10-01-07
Constr. Contr. Number
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600
D.
$ 50.00
$ 69.00
$100.00
lR702
Expiration Date
12-21-09
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Sezvice or Feeder Pennit
CASCADE FEDERAL CREDIT UNION
o l'-rc:.. ',).. E. .. .~~#~j~#.~u~(~eIT~celte~4~t.#~t:i#~t#i#d~~~#illtn#~lh.tloii...
Phone 34 J - l:,z ~8
Pump or irrigation $ 50.00
SigrilOutline Lighting $ 50.00
Limited Energy/Residential E u~~V\KOO
Ibflel~nergy/coR\.,.~\RE \f "\ \t f\elOO
~~~~~+SUUh',""
4.~~~~n\t\n..:<.:.::>....:.... 357.00
\I\i~lAt~,..'i Pi."'~'" . .... .' '.. . ....
_1t1aSumwge
10010 Administrative Fee
Sire o~SU JmtiSing. E lt~~frician
,1 - / !'
iJ >' "~--><\.--"
~ . L~1"--", )
/(/
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OwnersNmne PACIFIC
$ 43.00
52
$ 3.00
Address I [j 7 )
City ~G-t7Ve:
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
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical Pennit Application l-03.doc
LL 1 L..6..9
126.00
75.00
156.00
24.99
35.70
--$.p.. FUN. G..f,\'..llELID.iiI1..........".....'.'..
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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: COM2005-01154.
ISSUED: 12/2912005
APPLIED: 08/25/2005
EXPIRES: 06/29/2006
VALUE: $ 953,176.00
SITE ADDRESS: 1190 Mohawk Blvd
ASSESSOR'S PARCEL NO.: 1703253316400
Springfield TYPE OF
Site Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Pacific Cascade Federal Credit Union
Owner: PACIFIC CASCADE FCU INC
Address: 1075 OAK ST
EUGENE OR 97401
Phone Number: 541-343-6238
Contractor Type
Architect
General
Electrical
~ Mechanical
Plumbing
TRACTOR IN RK
10 ~\1 S ~M\\ 01
Contractor ,t\\S p~.~ NOtR 1\-\\S p ~~tpf@R Expiration Date
ERIC HALL A~~ 5~1~~ANO .
MCKENZIE CO~ ~~TOR:45539 07/21/2007
SCOFIELD ELEG..W_ 38702 12/21/2007
COMFORT FLOW.- 460 06/27/2007
ROBINSON PLUMBING INC 107124 07/13/2007
I BUll,DING INFORMATION.
Phone
541-688-5594
541-343-7143
541-686-8612
541-726-0100
541-345-6909
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
B
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
1
22.00
Gas
Gas
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
. Occupant Load:
4,120
VB
Path 1
nla
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I OU \0
\~'?/o ~ \)\\~QUIRED PARKING
~eo.\} 0(\ M)l'-~
Overlay Dist: (\ \~\t'I o~eg c:.e\:.ro~:.
# Street Trees , O~e~o 6 'Q~ \\\e u\e'O ~~~ 9Sft~mapped:
Paved Drive ~~. oo'9\e i,\\O'Oe ~ X\ o~ e ~_~act:
% of LQ,.~o\~~r~ -0: ~e~' \\\~ou~ c. 0\ \~ t""\\\O~ ^
t" ~ ~\)~F Ce(\ Q\ Q '9\eo;> \eW'I" ~\O\'
\O\\~, ,,9\.\\0(\_ r,()VC) I_>~\(\ CO_>r:>" \\\e ,,\o\\\\C'O-
IPUBLIC IMPRu~~t~~~ ~~\e~' ""o~ \)\\;'~?>l\l\)'
\' 9' \~ C _ D~e~(\Q_'?>'.)
QO ~\\(\~ ~ \\\~~WJKK Type: .
c'O- e~ \0 L\'O
(\u{(\'Q Ce(\\e Downspouts/Drains
Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 6
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Estimate
.. Pavinl!
Type of Construction
Estimate
Estimate
Use Bid Amount
Fee Description
Plan Review CommfIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Backflow Device
Curbcut - Additional Driveway
Curbcut - Additional Driveway
Curbcut Permit
Curbcut Repair
Encroachment Permit
Fixture
Paving
Plan Review Comm/IndlPublic
PW Disc - 2nd Permit (Street)
PW Disc - 3rd Permit (Street)
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Sidewalk Permit + Addtl Sq Ftg
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Line -1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
Plan Review Comm/IndlPublic
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Building Permit
CITY OF SPRING~lELD
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 06/29/2006
VALUE: $ 953,176.00
I Valuation Description I
$PerSqFt
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
$120,000.00
$781,546.00
$51,630.00
$953,176.00
08/30/2005
12/22/2005
12/2212005
Total Value of Project
Fees PaidJ
Amount Paid
$304.30
$93.37
$21.21
$31.00
$28.00
$80.00
$80.00
$80.00
$40.00
$130.00
$56.00
$630.65
$105.62
$-30.00
$-30.00
$45.00
$14.00
$102.40
$45.00
$70.00
$45.00
$5.00
$3.50
$50.00
$1,461.95
$899.66
$10.00
$35.70
$336.66
$24.99
$209.17
$156.00
$16.00
$2,782.15
Date Paid
Receipt Number
1200500000000001245
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
3200500000000000566
1200500000000001581
1200500000000001581
1200500000000001581
1200500000000001737
1200500000000001737
1200500000000001867
1200500000000001868
1200500000000001867
1200500000000001868
1200500000000001867
1200500000000001868
1200500000000001867
1200500000000001867
8/25/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
9120/05
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
10/21/05
10/21/05
10/21/05
11/21/05
11/21/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
12/29/05
2 of 6
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/IndlPublic
Plan Review Fire & Life Safety
Vent Fan
Total Amount
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
Planninl! Review
11/23/2005
Planninl! Review
Public Works Review
08/26/2005
08/26/2005
Public Works Review
11/23/2005
$126.00
$12.00
$4.00
$24.00
$378.45
$126.00
$75.00
$299.88
$436.80
$24.00
$9,438.46
CITY OF SPRING}lELD .
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 06/29/2006
VALUE: $ 953,176.00
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
I Plan Reviews I
12/05/2005 OK
GRG
09/01/2005 OK
08/26/2005
11/22/2005
09/28/2005
11/28/2005
08/31/2005
09/28/2005
12/21/2005
GRG
APP LLH
APP LLH
10 VRJ
APP VRJ
APP EMM
APP EMM
WI SB
APP SB
3 of 6
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001867
1200500000000001868
1200500000000001868
1200500000000001867
1200500000000001867
1200500000000001867
See attached fire department plan
review comments
Plans Review: Site work.
COM2005-01154. 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 only. Curbcuts,
sidewalks, and encroachment permil
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.
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.
Curb cuts and sidewalks already
charged. LDAP already issued.
~SPAINGP'BLOtJIi 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: 06/29/2006
541-726-3769 Inspection Line VALUE: $ 953,176.00
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 Todd
'" 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 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.
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.
4 of 6
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: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 06/29/2006
VALUE: $ 953,176.00
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
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.
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.
5 of 6
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITYOFSPRINGJ.11ELD'
Building/Combination Permit
PERMIT NO: COM2005-01154
ISSUED: 12/29/2005
APPLIED: 08/25/2005
EXPIRES: 06/29/2006
VALUE: $ 953,176.00
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
<1/,
6 of 6
225 Fifth Street
S~>ringfield, Oregon 97477
541-726-3759 Phone
Wi"~
"-ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01154
COM2005-01l54
COM2005-01154
COM2005-01154
COM2005-01154
Payments:
Type of Payment
CreditCard
;\
,4
:1
" ,,~
'I
>4
;1
~.~
12/29/2005
RECEIPT #:
1200500000000001868
Date: 12/29/2005
Description
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ERIC SCOFIELD
Item Total:
Check Number AuttlOrization
Received By Batch Number Number How Received
djb 51927A In Person
Payment Total:
1 of 1
1:35:llPM
Amount Due
126.00
75.00
156.00
24.99
35.70
$417.69
Amount Paid
$417.69 .
$417.69