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Home My WebLink AboutPermit Electrical 2005-2-18 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689~ ~; ;J 0 ('0 ELECTRICAL PERMIT APPLICATION Ii /'0",,\,,\ City Job Number [CvVl7..c.;CL\~ 81 U ~'l-{ Date ,,/'2- / '6~:'c_",;,o~1,.y~!~9- .~..: _C-\~. '''' ,--...",-.,:--, ',',", _ o6.-J~ 3. COMPLETE FE.ESCFiER%~1JfLdl(0~~~ t;~ \ ;-. \.P. ..(~. '))0 (....:::5 ' /' ... \ -e: ~~ A. New Residential- Single or lViidti~,\aniqy I>er~G<f~Jling unit. '. ,~,.~'!(6)('::;> Service Included ,\' g.~.<;>:r . ~ Z ('l ~) 1000 sq. ft. or less .. ~ '!06.0~, 6)1> .'-~. v_ \- Each additionalSOO sq. ft. or ,~.cq~ v</;...~~ ~/'.J portion thereof \l4J-,~9:'Q~ f'"?C \_~ '-t~ '\ B. S~;~,;~~~~or Feeders-lnstall~tioe,AlteratioI1.s or R.elocatiori: ~" , '.,!),.,.1 200 Amps'orless" O!o 'I,', _ __~;:' '~.q() ._, 201 Amps1.q 400 Aim>~..y 01tn'V re _ $ 7S.00 61 vA 401NnPSto~9?~~~P!f~~: the o;~/res ycU$12S.00 601, .'Ani, ',.'",.,'S"i1100,&,;'A""t-hru,' -,e, ru~ '!JOt} u~ffl>3 00 ( _, ',.; P, (ILy (11 "~t7lro es_& tl . Phone :;'L{ / );~! -.(:-')'jf!(O;\jrf~o,,~a~,,~~,fj, ',iMtsC(~,' !~gh o~e Set (. i.5.00 RecoI?J.1ee.l: ~y.' ,.r. (No:'/J:cs Of t.1:; &52-r; 'j'0.00 l,t'/)!f;;'t!$Oit'9QfJke:,t/)e co ru/es/;)" c.-remporary ge~&J)rp~/.bof},$.. " \12-23 IrlCql' 44) /01) Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1 000 Volts see "B" above. D.. Branch Circuits 1. LOCATION OF INSTALLATION <: -.;;; '-, GJ ,C r" ,,/ ,/ "..J \ ,.:> LEGAL DESCRIPTION \ 7 0 3 7~ b~3. I C1l C 6 JOB DESCRIPTION L-u W \/ 6 ll-(hj (--' /~ L: LvI. fl., -LL. '/ 1 Permits are non-transfer,me and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor "S' e C G\ y~ e...T e.->c\ \ !'"~) L( Address,~ - /1[0., 'is hi i-.yh City SlAj+'~' Supervisor License Number S Z. 6 C !-.:"' r+- 'r\--"';'~~' t: '1'/'( C:'J..{? Expiration Date:':> j't'/ z. 1/ i C~ - (' <~ Constr. Contr. Number l')b~Jf~ d -[;)- O,S- Expiration Date tIlW~ Signature of Supervising Electrician r, ;'~' . ,P, /<'-.. . ,; /,-~,~, ./ ,;:"";.1--,.".",, ~---~ ,-, . ,:::- il!!!" Co/\!: "\-." - r ''oj ~.-- Owners Name .'" .'-.c _7_-~_:;:_~_" T 'Ul\ ",.'\~V" Address 9 357 C Ii VII '/ '7 7 City .~ '^-ft '" C L, Phone / OWNER INSTALLATION ~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Sf?:r~ii\~CF~S:~D i~ ....Pi$J! Each Manufact'd Home or Modular Dwelling Service or Feeder $'50.00 $ 63.00 $ 50.00 $ 69.00 $100.00 ~) New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service Or Fee4er Pennit " $ 43.00 $ 3.00 /' E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 2S.00 I $ 45,00 Lf Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE L-f j' -; jG 7% State Surcharge 10% Administrative Fee ltj'u C; l 6 J- - - TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/01/2004 APPLIED: 08/30/2004 EXPIRES: 08/18/2005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 333 Q St ASSESSOR'S PARCEL NO.: 1703263102106 ,Springfield TYPE OF WORK: Automotive TYPE OF USE: New Commercial PROJECT DESCRIPTION: Wayne's Garage , s yOU to ._ ;:",., I~,^' regUlre . . ATTEN I IUI~' e'~<;I Qregoll vuLt, DEFOE MAJOR & KARLA K f II w rules adopted by the I s are set for\W1one Number: 93370 HWY 99 so, ~. nter. Those ru e -001- JUNCTION CITY OR 97448 Notlflcatlon2;CO' ~1-001 0 through OAR 95~es by l- n^Q Q~ - ".:_~ ni thp. ru .. - ~~ Y'111 n)a'l.. OOlal" "'vl".-t....~hone ~O~l~f;;mfttm~~l~~ ication . - berfor the Ore '-?344). .. . 'Cont~actor num Center is 1-800-3E~-ense EXpIratIOn Date RONALD MAJOR DEFOE 39352 10/14/2005 - . J K GUCKENBERGER ELECTRIC INC 45129 04/24/2006 KEATING ENGINEERING .EMK MECHANICAL 541-689-9700 Owner: Address: Contractor Type General Electrical Engineer Plumbing 136463 08/23/2005 Phone 541-689-9700 541-746-4656 541-726-9995 541-683-3715 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: S-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: 29.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: 6,720 VN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I D~Y~LOPMENTINFORMATION . 1\1 I.lI U OIl,.o ll:. THIS ~I1~J ~~lL EXPIRE IF THE WORK AUTH~fStffJttW~EiPqiiHIS PERMIT IS NOT COM~&fijrOO~If;BANDONED FOR ANY 1 er.ooffJA9't~M:me: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pa2e 1 of5 ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Use Bid Amount Use Bid Amount Bid Amount Pavinl! Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Backflow Device Building Permit Fixture Paving Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Refund - MWMC Improvement Refund - MWMC Improvement Refund - San Sewer SDC Reimb Refund - Sanitary Admin Refund - Sanitary SDC Improv Refund - SDC Storm Refund - Trans Improv SDC Refund - Trans Reimburse SDC Refund - Transportation Admin Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addt1100' 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 Addt1100' Water Line - 1st 50 Feet Water Line - Each Addt1100' I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 301,000.00 74,000.00 Total Value of Project ~ Amount Paid $895.80 $212.62 $116.33 $31.00 $28.00 $1,218.90 $196.00 $464.25 $52.81 $583.76 $-9,968.36 $-945.00 $-144.26 $-220.09 $-109.66 $-2,351.66 $-16,521.04 $-3,745.00 $-1,469.16 $45.00 $584.86 $769.40 $14.00 $10.00 . $11,297.47 $1,071.00 $423.23 $1,753.22 $20,456.02 $4,636.98 $4,703.32 $45.00 $56.00 $45.00 $14.00 Date Paid 8/27/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 12/1/04 Pal!e 2 of 5 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 08/18/2005 VALUE: $ 375,000.00 Value Date Calculated $301,000.00 $74,000.00 $375,000.00 10/2012004 10/20/2004 Receipt Number 2200400000000001107 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 2200400000000001465 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 10% A.dministrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid Fire Department Review 09/07/2004 Fire Department Review 09/20/2004 Initial Review Plannin2 Review 08/30/2004 09/07/2004 Plannin2 Review 09/20/2004 Public Works Review Public Works Review 09/07/2004 09/20/2004 Public Works Review 12/01/2004 Structural Review 08/30/2004 Structural Review 09/20/2004 $12.30 $8.61 $60.00 $63.00 $4.50 $3.15 $45.00 $14,446.30 12/7/04 12/7/04 12/7/04 12/7/04 2/18/05 2/18/05 2/18/05 I Plan Reviews I 09/23/2004 09/23/2004 08/30/2004 11/04/2004 10/14/2004 12/01/2004 09/09/2004 09/20/2004 OK GRG OK GRG APP LLH WE APP EMM APP SB 10 SB WE JMP WE JMP Pa2e 3 of5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/01/2004 . APPLIED: 08/30/2004 EXPIRES: 08/18/2005 VALUE: $ 375,000.00 2200400000000001485 2200400000000001485 2200400000000001485 2200400000000001485 2200500000000000194 2200500000000000194 2200500000000000194 See attached document for fire department plan review comments. Site plan. Water Supply: OK. Access: OK. Fire apparatus access shall support an 80,000 lb. imposed load per Springfield Uniform Fire Code 902.2.2.2. Waiting for final site plan and development agreement - Sarah Summers planner' Site plan. Sarah Summers planner. All conditions of DWP review have not been met. OK to issue building permit but no occupancy until conditions met. Site plan. SDCsadded. LDAP required before issuance of permit. Revised SDCs as follows: 50% reduction in Storm Drainage for Qualifying Infiltration system. Removed 6 fixture units due to plan change. Revised Transportation SDCs due to Trip study submitted. Reduced MWMC because of error in computer spreadsheet. Reduced associated administr:ative fees appropriately. Received 9/7/2004. See attached fax to Steve Keating requesting special inspection forms and missing information. See attached structural comments faxed to Steve Keating on 9/14/2004. Site plan review. Still waiting on items previously requested. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01084 225 Fifth Street, Springfield, OR ISSUED: 12/0112004 541-726-3753 Phone APPLIED: 08/30/2004 541-726-3676 Fax EXPIRES: 08/18/2005 541-726-3769 Inspection Line 'VALUE: $ 375,000.00 Sh'uctural Review 10/20/2004 10/20/2004 WE JMP Received partial response to 9/14/2004 request. Still waiting on balance of information-special inspection forms and contractor information. JMP faxed building envelope forms to Jack Foster. Structural Review 10/22/2004 10/22/2004 WE JMP Sent Steve Keating an em ail forwardi'ng plumbing requirements and listing outstanding items. Structural Review 10/29/2004 10/29/2004 10 JMP Received information that there will be one water heater. Left message for Keating--still missing Special Inspection forms, dates for defered submittals, and contractor information. Structural Review 11/03/2004 11/03/2004 APP JMP Received the Special Inspection Forms from Ray Aliperti. SUB Review 09/07/2004 09/13/2004 WE JF JMP called Chris at Keating's office to request the energy code forms. SUB Review 10/18/2004 10/22/2004 WE JF Received building envelope forms only. SUB Review 10/29/2004 10/29/2004 APP JF Lighting and HV AC will be deferred submittals. 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. Erosion/Grading Inspection: After all erosion measures are in place. 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. 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. Drywall: Prior to taping. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Ceiling Grid: After drywall approval but prior to cover. 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 Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Pa2:e 4 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 08/18/2005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 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 Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 Pa2;e 5 of5 iIi:~. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1 084 COM2004-0 1 084 COM2004-0 1084 Payments: Type of Payment CreditCard :1 , . , :1 2/18/2005 rity of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000194 Date: 02/18/2005 9:08:25AM Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Amount Due 3,15 4.50 45,00 $52.65 Paid By SECURETECH INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 018643 In Person Payment Total: $52:65 $52.65 Amount Paid Page 1 of 1