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 .
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LEGAL DESCRIPTION
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$50,00 Yg.. ('j)'to-" ~
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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
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12/1/04
12/1/04
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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