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HomeMy WebLinkAboutPermit Electrical 2004-12-7 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEC1RICAL PERMIT APPLICATION City Job Numberc.o~ Z-DOC-( - 0 I (:) Bt.( Date (Z - 7 -0 Lf . ~ilf~I~l1rl"'~~~~"~llI!~~"m', "f....._", ",' ,-'}""",,,~.<M<, 'II~'" '",'~I-"I; 1 ":LiUWtl" 'l..vJ)ti'ClXtJ.J/;'t/SI.';. lL" ,. ',1:' U I, 'ili!! . ~'''','W'~l''''''' ~:;lj;:l\l~J:l:~tt.:J.~ru'l:\llh~F' ,.ml.~",. .. 33"3> s 3. l~e(JME.,""""':TE,'FEB,~',tS., 'G,iH..E~ ~:~jt~~'~b.l..~'~er~~tJ...'i')~.";:it;J'lt=,kfilijj~, A. LEGAL DESCRIPTION 170sZb3f 02 (Ob ~ I$) ~~ '1'., 9., ~~ n ~~~1(Y.6,OO ~ ~ Y,< '\ '/ ,Iv 1S"v. ....0 ~C9 '? 0 $ 1~J!6 1$), ~6-- <t ..0"6> /~ '0 ''Z;: '0 ~ <t "'0: $50,00 Yg.. ('j)'to-" ~ {.~ 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 JOB DESCRIPTION Sg~ L ~ 20 c.,a.c..&A-;+S . Permits are non-transferable and expire If work Is not started within 180 days of Issuance or If work Is Suspended for 180 days. B, 2. Electrical Contractor 01~b f:.l.O,cl r'\ c b3 200 Amps or less 201 Amps to 400 Amps $\ . 40 I Amps to 600 Amps . N01\C~ol {\n\pBt~~e~i If 1\-\E WUK.~ Phone ,4"-4(pS~1\-\IS p~lon~~~fMql~ PERM\1 I~ NU \ AU1\-\O\Rb1:G~ OR IS ABANDONED fOR S COMMf JEO 4 <61 S ANY <\6 $ 63.00 $ 75.00 $125.00 $163,00 $375,00 $ 50.00 Address 2.. \ ':) -, 'l::::bn CitY~~I& Supervisor License Number Installation, Alteration or Relocation 200 Amps or less . 201 Amps to 400 Amps ,4?IAmps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, 'ill""il'-i.\~ll~;, D. ~Brane ~~~t~,~: Expiration Date (0 . l - 0 (.:, $ 50.00 $ 69.00 $100.00 Constr. Contr, Number .<-j 0 12 '\ Expiration Date Lf. 2.. '-f- 0 j.. Signature of Supervising Electrician ~' v3 Owners Name IYIA jO'lL. ~E"Pc)~ Address c;3370 HWY 9' S City j",,~k._ c.: +v Phone ( . New Alteration or Extension Per Panel One Circuit . Each Additional Circuit or with Service or Feeder Permit $ 43.00 20 $ 3.00 bo IlUm~ '~j;.~~<1:t~J OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: /23 8" rl-ao I 4 3 !!... 4. 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/01/2004 APPLIED: 08/30/2004 EXPIRES: 06/07/2005 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 Owner: DEFOE MAJOR & KARLA K Address: 93370 HWY 99 S JUNCTION CITY OR 97448 Phone Number: 541-689-9700 I CONTRACTOR INFORMATION' Contractor Type General Electrical Engineer Plumbing Contractor RONALD MAJOR DEFOE J K GUCKENBERGER ELECTRIC INC KEATING ENGINEERING EMK MECHANICAL License 39352 45129 Expiration Date 10/14/2005 04/2412006 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: ~qt.\~ize: !x ielf:ofStr~cturt E)\\'\R.E l!9J)O\E \S~~rf11st Floor: % _I~~lt;;\-\f\l 1\-\\S \'tR.N\\I Sq 1ft 2nd Floor: lW e - re \.\t~DtR. NDONtD fO~'q Ft Basement: f\~\~ !rcP$\) OR. \S f\~f\ Sq Ft Garage/Carport cWt~i~'l>~f!~ ptR.\OD. Sq Ft Other: ~1(id;l8I?d~nding: n/a Occupant Load: I DEVELOPMENT INFORMATION I 6,720 VN REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I.TTE:' !T~€r ,: OrCfJefl r.:... ll!.~f\...;., ,...riG. PUBLIC IMPRO adopted by the Oregon Utility at Icatlon Cent~rd~illi are set forth in OAR 952-001-0010 thr OAA952-Q01., 0090. You may oBOORwtI Sfll\ti rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-80G-332.2344). Notes: Pae:e 1 of 5 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 CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Backflow Device Building Permit Fixture Paving Plan Review CommlInd/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 Addtll00' 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 Addtll00' Water Line - 1st 50 Feet Water Line - Each Addtll00' I Valuation Descriotion , $ 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: 06/07/2005 VALUE: $ 375,000.00 Value Date Calculated $301,000.00 $74,000.00 $375,000.00 10/20/2004 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 Total Amount Paid Fire Department Review Fire Department Review Initial Review Plannine Review Plan nine Review Public Works Review Public Works Review Public Works Review Structural Review Structural Review Structural Review 09/2012004 09/07/2004 08/30/2004 09/2012004 09/0712004 09/0712004 12/01/2004 09/2012004 10/2912004 11/03/2004 09/2012004 $12.30 $8.61 . $60.00 $63.00 $14,393.65 12/7/04 12/7/04 12/7/04 12/7/04 I Plan Reviews I 09/23/2004 09/23/2004 08/30/2004 11/04/2004 12/01/2004 10/14/2004 10/29/2004 11/03/2004 09/20/2004 OK GRG OK GRG APP LLH APP EMM WE 10 SB APP SB 10 JMP APP JMP WE JMP Paee 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/01/2004 APPLIED: 08/30/2004 EXPIRES: 06/07/2005 VALUE: $ 375,000.00 2200400000000001485 2200400000000001485 2200400000000001485 2200400000000001485 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. See attached document for fire , department plan review comments. 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. Waiting for final site plan and development agreement - Sarah Summers planner 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 administrative fees appropriately. Site plan. SDCs added. LDAP required before issuance of permit. 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. Received the Special Inspection Forms from Ray Aliperti. Site plan review. Still waiting on items previously requested. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/07/2005 VALUE: $ 375,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 10/20/2004 WE JMP 10/20/2004 Structural Review 10/22/2004 10/22/2004 WE JMP Structural Review 08/30/2004 09/09/2004 WE JMP SUB Review 09/07/2004 09/13/2004 WE JF SUB Review 10/18/2004 WE JF 10/22/2004 SUB Review 10/29/2004 APP JF 10/29/2004 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. Sent Steve Keating an em ail forwarding plumbing requirements and listing outstanding items. 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. JMP called Chris at Keating's office to request the energy code forms. Received building envelope forms only. 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. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Pal!e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01084 ISSUED: 12/0112004 APPLIED: 08/30/2004 EXPIRES: 06/07/2005 VALUE: $ 375,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 Pae:e 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~ty of Springfield Official Receipt ~velopment Services Department Public Works Department Job/Journal Number COM2004-0 1084 COM2004-0 1 084 COM2004-0 1084 COM2004-0 1084 Payments: Type of Payment CreditCard 12/7/2004 RECEIPT #: 2200400000000001485 Date: 12/07/2004 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JEFFREY GUCKENBERGER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 077012 In Person Payment Total: Page 1 of 1 11:42:08AM Amount Due 63.00 60.00 8.61 12.30 $143.91 Amount Paid $143.91 $143.91