HomeMy WebLinkAboutPermit Electrical 2003-7-28
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;,r'..":o"" '>-~_"L, CITY OF '~_A{INGFIE~p, OREGON \,-..)
'225 Ilu ul STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C0U12003 -Dob sf.{ Date' 7"'2- 'C...- 0 3.
1.
.1:2-0, S
LEGAL DESCRIPTION
1'70Z 3 Z.3,z.
JOB DESCRIPTION
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~+-
03ZCO
j.)/ZGc./ CliulLc./( ~l.J/LO( wG,-
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
t,H. Jtlo~~t<(",. et..ec.:r
Address
4 ~..1
.9IEU.tfj
'77
Phone 74, - 9..,,",'
R>" ~
~~~
f\.~ ~
Supervisor License Number ;3 o~ ~~ (,~
. . . ~~<$"'~'
ExprratlOn Date 10 -/ ~ ~ '~~
,,' ~~~..
Constr. Contr. Number , ~~~~<:lt
~.~' ~y~,,-~~.
Expiration D~f:J q,<$'_~~~~5
~ ~ ~~.~,,*~
Signature of ~~~ltlician
K ~~~,..--
\.../ '"
Owners Name /lli CCASE';.) ". MVes Tvvre-/VI
;200' G-ItTEuJ~ L? E.
/
City '5 -P ~
City
~fPFp
Address
Phone
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
3.
A.
Service Included
1000 sq. ft. or less
Each additiona1500 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 I $ 63.00
201 Amps to 400 Amps ....0.\ I $ 75.00
~ ..", ,
401 Amps to 600 Amps ~o.. $ d''\' .. $125.uO
00 'V ~... ~
601 Amps to 1000 Amps~ 0<::'- 0-.0 n5=5 ........ $163.00
Over 1000 AmpsNolt~o~ O,0~ ~0 OjV)v.~0J _0$375.00
Reconnect Only #" 0 ..0C::> {s'.0" - ,<,-0' #0.00
~ ~ ,>' 0 ~. ~ 'U
"C,' '" 0 '"v
C.
. ~y >..o'Q .;,> C) ~ cP 0',,p oJ
Instana4dn,rA:lte~tiOn oi'Reltca'li~nt:<1;
,.s.' QI}> -e}- >J- ~qy- ~- ~ - ~
200l~p$Or lessRlI\: & 0" ""-o,,~
/, , ~ ~ ~ ~ 0".) ~-
2'P'W'p~SnO Ap1P~?J~ O~ "CO $ 69.00
40ifAmpS~~608)knps;S0 ;..'? $100.00
-...9~ ~~"'..J.: (::.~. 0' ~e!' - .-
Ovet'oOQ)AInp~Qr.l 00 Molts see "B" above.
D.
Go 3 !:!?-
75 ,yO
$ 50.00
New Alteratiod or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
$ 3.00
/,50 ~
56
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
z %'~ ~
2-D I ce
2- ~ c-o
.it c:33", '1 '--
TOTAL
Shared Drive(T:)/Building FonnslElectrical Pennit Application I-03,doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00634
ISSUED: 09/0512003
APPLIED: 07/17/2003
EXPIRES: 03/05/2004
VALUE: $ 569,173.00
, '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 220 S 42nd St
ASSESSOR'S PARCEL NO.: 1702323203200
. Springfield TYPE OF WORK: Church
TYPE OF USE:
New
PROJECT DESCRIPTION: Church, DRC 2003-00022
Owner: MCCABE INVESTMENT
Address: 1200 GATEWAY LOOP SPRINGFIELD OR 97477
Commercial
Phone Number: 541-747-6486
Expiration Date
....0 ,\11/19/2003
o~ .~'O~08/2005
-\ .;Sf ,0 ~
<00 ~ q;. C:l "
COMFORT F~OW 460 .;f ~ (;j o:l!J2M~005
VOS PLU~~~NC 4180~0~ f"'\,Qi _ ~<O~0'4/.f4/p;(fQ'b~
~~~...~ I BUILDING INFORMATIO~~0~0~ O,?,~~VJ~0~~Vfli'
~ _~ ~'5. 0'" 'Q~ 0 ~ 0 ,0 ~
l....~~ ~O~~~0~~
# of Buildings: ~ ~. ~ # of Stories: ,~Qi Qi L-<:.:' -A-Cl ~ .1!l9! ,SiZe~
(')', q: -~ ,) ~ '.... ..,' 0'< n ,~'"\ r:l
Primary Occupancy GrO~L' $--:- l"-.~"-3 Height of Structu~ o'<~. Q,4'.00) ~Sq~t f~ Floor:
,~J ~ 0::-;;; ?S _Q.i ~ ,,~o "'}~
Secondary Occupancy G 0 ~. ~- Type of Heat: " ltOr~eud-'ir...:<9as~ ~.q&,!l...nd Floor:
Primary Construction~~ ~ UN Water Type: ~ ~<o0 00 ~"Eltff{~,' ~~t Basement:
Secondary constru~~~~ ~. Range Type~ ~ ~. O~ <J? .%le'it,riro,0 ~q Ft Garage/Carport
# of Bedroo~. ~ ~ '5 ~ Energy P~fu~O . v~ ~ .;::, ~ 0 (j ~0 ,,<p Sq Ft Other:
.~~ Q,,~~$ ~ q: ,o....&~~ ~o ^~ ,d- _<p Impervious Surface Area: -8,470.00
~ ~~~ ~\ I DEVELOPMENT iNF.QRMA~.1N' f-
SET~~~ ~ ~ REQUIRED PARKING
Front yard Setback~ Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
Contractor
JIM SKEELE CONSTRUCTION INC
L H MORRIS ELECTRIC
MORTIER
License
149641
01838
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!e 1 of 6
Phone
541-746-1284
541-747-0811
541-484-9080
541-726-0100
541-485-0551
75,126
6,114
605
r '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Carport
UN
Use Bid Amount
Carport
Churches
Pavinl!
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Backflow Device
Building Permit
Fixture
Furnace - more than 100,000
Furnace - up to 100,000 btu
Gas Outlets 1-4
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
Planning Final Occy Inspection
Sanitary Sewer - 1st 50 Feet
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 Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$16.30
$69.40
$1.00
Square Footage
or Bid Amount
605.00
6,114.00
135,000.00
Total Value of Project
~
Amount Paid
Date Paid
$1,054.23
$648.76
$10.00
$355.38
$201.21
$150.00
$28.00
$1,654.40
$546.00
$15.00
$24.00
$4.00
$679.40
$63.00
$75.00
$306.32
$188.50
$118.00
$45.00
$1,273.54
$1,675.36
$10.00
$66.85
$638.99
$730.74
$295.67
$4,652.58
$1,054.65
$11,156.30
$45.00
$126.00
$12.00
$45.00
$42.00
7/17/03
7/17/03
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9/5/03
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9/5/03
9/5/03
Pal!e 2 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00634
ISSUED: 09/05/2003
APPLIED: 07/17/2003
EXPIRES: 03/05/2004
VALUE: $ 569,173.00
Value
Date Calculated
$9,861.50
$424,311.60
$135,000.00
$569,173.10
08120/2003
07/1712003
08/27/2003
Receipt Number
1200200000000001779
1200200000000001779
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
2200200000000001478
CITY OF SPRINGFIELD'
I
Building/Combination Permit
Status Issued PERMIT NO: COM2003-00634
225 Fifth Street, Springfield, OR ISSUED: 09/05/2003
541-726-3753 Phone APPLIED: 07/17/2003
541-726-3676 Fax EXPIRES: 03/05/2004
541-726-3769 Inspection Line VALUE: $ 569,173.00
Total Amount Paid $27,990.88
I Plan Reviews I
Fire Department Review 07/17/2003 08/28/2003 OK GRG Plan Review: Construct 6,719 sq. ft
church. Occupancy: A-3.
Construction type: II-N. Job#:
COM2003-00634.
Provide address numbers in
contrasting color from the
background plainly visible and
legible from the street or road
fronting the property (1998 Oregon
Structural Specialty Code 502 and
1997 Springfield Uniform Fire Code
901.4.4).
Fire extinguishers noted on plans.
Will verify 2-A:I0-B:C rating on
inspection.
Exit lights noted on plans p. E3. wm
verify on inspection
Emergency egress lighting noted on
plans. A special investigator's report
verifying egress illumination
meeting OSSC 1003.2.9 (not less
than 1 footcandle) will be required
prior to any occupancy being
granted..
Provide a public works lock on fire
access gate. Locks can be obtained
at Heyman's Safe/Lock and
Security, Inc. 747-6713.
Initial Review 07/1712003 07/17/2003 APP LLH
Planninl! Review 07/1712003 07/17/2003 APP EMM Waiting for Final Site Plan
Approval and Development
Agreement. Turned in and signed
Development Agreement
Public Works Review 08/0112003 08/2812003 APP SB 8/4/03 -- Ken Vogeney assigned
plans to Steve Barnes for review. Dc;
not approve until Final Site Plan is
received and approved.
Pal!e 3 of 6
CITY OF SPRINGFIELD
.
Building/Combination Permit
Status Issued PERMIT NO: COM2003-00634
225 Fifth Street, Springfield, OR ISSUED: 09/05/2003
541-726-3753 Phone APPLIED: 07/17/2003
541-726-3676 Fax EXPIRES: 03/05/2004
541-726-3769 Inspection Line VALUE: $ 569,173.00
Structural Review 07/17/2003 08/19/2003 WE JMP JMP caned Tamarra @ Mortier's Oil
8/19/03 to question the Type 2N
construction and to request the steel
building drawings and engineering.
JMP also sent faxes (see attached
documents) to request special
inspection forms and plumbing and
mechanical counts to verify fees.
Received fax from Wildish with
Special Inspection form signatures
on 8/26/2003. Received fax from
Tamarra on 8/26/2003 with
information from WedgCor. Caned
Tamarra on 8/27/2003 for
interpretation/verification of
WedgCor letter.
Structural Review 08/20/2003 08/25/2003 WE JMP Russ McCabe delivered 2 sets of (13)
WedgCor, Inc plan sheets and (104)
pages of calculations and details for
Emerald Metal Systems. JMP caned
Russ to ask for valuation of paving
and site work on 8/21/2003. See
attached documents for structural
review comments faxed to Mortier's
office 8/21/2003. Received faxes
from Russ with estimates for
lighting and site work on 8/25/2003.
Steve Singleton delivered structural
review response on 8/25/2003.
Talked to Jon Ekstrom ofWedgCor
on 8/29/2003 to ten of questions
about geometry and loading for roof
top units. He said the calculation
package I received is old and doesn't
have the right data. 9/2/2003
received fax from Jon. Caned
Comfort Flow to confirm unit
weights. Left voice mail for Jon
stating that the calculations showed
significantly smaner units.
Structural Review 09/04/2003 09/04/2003 APP JMP Russ McCabe said he is working
with Comfort Flow, Mortier, and
WedgCor to resolve the roof top
loads. Jon Ekstrom caned from
WedgCor to say he would send a fax
today saying the structure win
support the roof top units.
SUB Review 07/17/2003 07/21/2003 APP DH
Pal!e 4 of 6
, t
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00634
ISSUED: 09/05/2003
APPLIED: 07/17/2003
EXPIRES: 03/0512004
VALUE: $ 569,173.00
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.
1 SUB Insulation Vapor Barrier: To be caUed for at the same time as the SUB framing inspection.
2 SUB Final: After aU required energy inspections have been requested and approved.
3 SUB Plumbing: FoUowing City Rough Plumbing inspection approval and prior to cover.
4 SUB Mechanical: FoUowing City Rough Mechanical inspection approval and prior to any cover.
5 SUB Ceiling Grid: Interior Lighting
6 SUB Exterior Lighting
7 Site Inspection: To be made after excavation but prior to setting forms.
8 Erosion/Grading Inspection: After aU erosion measures are in place.
9 Ufer Electrical Ground: InstaU ground rod at footing and caU for inspection in conjunction with footing and/or
foundation inspection.
10 Footing: After trenches are excavated.
11 Slab: To be made after aU ins lab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
12 Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
13 WaU Insulation: Prior to cover.
14 Ceiling Insulation: Prior to cover.
15 Roofing: Prior to instaning any roof covering.
16 Drywall: Prior to taping.
17 Masonry:
18 Bolts InstaUed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
19 Ceiling Grid: After drywaU approval but prior to cover.
20 High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
21 Final Fire Department. After aU requirements of the Fire Department have been met.
22 Final Building: After aU Conditions have been completed as required on Development Agreement.
23 Final Building: After aU required inspections have been requested and approved and the building is complete.
24 Rough Grading: After gravel is in place but prior to placing concrete.
25 Final Paving: After paving is complete.
26 Underground Plumbing: Prior to fining the trench and including required testing.
27 Perimeter Foundation Drains: After gravel and filter cloth is instaUed but prior to backfill.
28 Rough Plumbing: Prior to cover and including required testing.
29 Water Line: Prior to filling trench and including required testing.
30 Sanitary Sewer Line: Prior to filling trench and including required testing.
31 Storm Sewer Line: Prior to filling trench.
32 Final Plumbing: When aU plumbing work is complete.
33 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
34 Rough Gas: After line is instaUed and required testing and capped if not attached to an appliance.
35 Gas Service: After line is instaUed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
36 Rough Mechanical: Prior to Cover
37 Final Gas: When aU gas work is complete.
38 Final Mechanical: When aU mechanical work is complete.
Pal!e 5 of 6
. .
~.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00634
ISSUED: 09/05/2003
APPLIED: 07/17/2003
EXPIRES: 03/05/2004
VALUE: $ 569,173.00
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
39 Rough Electric: Prior to Cover
40 Electric Service: Approval required prior to utility company energizing service.
41 Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU 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 win 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 compUance with ORS 701.005 win be used on this project.
I further agree to ensure that aU 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 win remain on the site at aU
times during construction.
~ Oh CU
Owner or Contractors Signature
oil bS I 03
, .
Date
Pal!e 6 of 6
L\..I, .
C0I\12003-00634
COM2003-00634
C01l.f-'OO)-00634
C01\1_uu3-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003 -00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
COM2003-00634
Payments:
Type of Payment
Check
..-
v.J-+
_"" '''' u,dlIlagc 11l1j)cl\ lUll~ ,\I"a
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Add, Alter, Extend Circ Ea Add
Building Permit
Paving
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Furnace - more than 100,000
Vent Fan
Gas Outlets 1-4
-Mechanical Issuance Fee-
Planning Final Occy Inspection
Fixture
Backflow Device
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MCCABE INVESTMENTS
Received By
jmp
Check Number
Batch Number Authorization Number
678
. ....
J J, I _ ~J.-,0
Item Total:
] ,675,36
1,273.54
] ,054,65
4,652.58
638.99
66.85
10.00
730,74
295,67
63.00
75.00
150.00
1,654.40
679.40
306.32
188.50
45.00
45.00
42.00
45.00
126.00
24.00
15.00
12.00
4.00
10.00
118.00
546.00
28.00
201.21
355.38
$26,287.89
How Received
In Person
Payment Total:
Amount Paid
$26,287.89
$26,287.89