HomeMy WebLinkAboutPermit Electrical 2007-6-6
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INITIALS N M
DATE Cn - I-G,
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54])726-3753 . FAX: (54])726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (13T'v1 UJO-r - '003 Go v,
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LEGAL DESCRIPTION:
\'(o3c;n \ o-u 330-0
JOB DESCRIPTION:
v.)~
Permits are nonUransferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor ~n tU ':>f<t\.strY\. t2e.-v
Address
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City ~
Phone
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3. "COMPLETE.J:1BBSCHEDULEBELOW-,
Date
. .~ ,:F'__."";P,,'''_' ':'-'!-r'-"-'-'."'-:',y,",,,,,,,,,,~-,,,
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
fl'T '-.--=--"-"" -'-', - ..,.... ,","-'T" ' ..--"-"" -..'..'- ____'- "'-" '. .. .. ----.
B. r'Services~~!~,e_der.~ =~~s~al~a~~~n, ~!~r.~t~o~~,s.~r-~el~~,~~i,~~:~ ..,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
7 $ 63.00 44-{. on
$ 75.00
$125.00
I $163.00 1~3.cJl)
$375.00
$ 50.00
Supervisor License Number 4- 0/1 .5 C.
Expiration Date 1 (j \ 0 -, Installation, Alteration or Relocation
200 Amps or less $ 50.00
Constr. Contr. Number ~ ~ - 34 e....... 201 Amps to 400 Amps $ 69.00
I 401 Amps to 600 AmPNOTICE: $100.00 . '
Expiration Date I . 0 <t Over 600 Amps or lOt ~~ ~'T ali~.L L EXP IRE I F I H t If,} 0 R K
Si~'i:ctri . ,:gon law requires you t:' f;~;;::~~X~~~~~~~~:~I~~Boo ~NOT
(/ f"" O! n~s c.':::cr:t8C', 0,/ me uregon UtllltYEach. Additional Circuit. or with 1c:-'1 . (t:-7_ 5i)
~\iqll1if,;~;,tGr,_ TilE? r r1!'u. ',ee,s s ~ are set fortS1ervlCe or Feeder Permit ~ gL-.. $ 3.00 ~v~
OwnersNam ,- -~"~~f"Ithr~~ 952-001- _ ,_ _, ___
Addres{)l5r~~;~~~~~~-i!;~ the ru'esID1~i~~~II~~t~~l1~~~JJoi~{I:i8~~lt~it21t~~~~~i~~6J~I!1u39?E~..
" <^/I. I .calling the center. (Note: the telepho~e ...
CI1~_~,Lll~+- ~~, I ~vrlhCfPtn2~r~:lI_'!i'it~1 i\lntlflcatlonPump or lITIgatIOn $ 50,00
~'I ~I is 1..800..332 2344). Sign/Outline Lighting $ 50.00
OWNER INST AWA nON Limited Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial I $ 45,00 ~
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
Inspection Request: 726-3769
4.
8% State Surcharge
10% Administrative Fee
5% Technology Fee
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J 10. SV
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TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 8-06.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00366
ISSUED: 05/11/2007
APPLIED: 03/13/2007
EXPIRES: 12/01/2007
VALUE: $ 2,144,514.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6 W Q St
ASSESSOR'S PARCEL NO.: 1703271003300
Springfield
TYPE OF WORK: Retail
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Walgreen Retail Store
Owner:
Address:
SKYVIEW LLC
515 W PICKETT CIR 400
SALT LAKE CITY UT 84115
Phone Number: 801-596-7711
I CONTRACTOR INFORMATION I
Contractor Type
General
Designer
Electrical
Mechanical
Plumbing
Contractor
JOHN HYLAND CONSTRUCTION INC
ARCLINE ASSOCIATES
NEW WAY ELECTRIC INC
MICHAEL GRIFFIN
TWIN RIVERS PLUMBING INC
License
46071
Expiration Date
07/11/2008
51088
150189
17695
06/27/2007
01/23/2008
03/11/2008
Phone
541-726-8081
630-271-7600
541-686-2365
541-942-8339
541-688-1444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories: 1
Height of Structure: 28.00
Type of Heat: Forced Air Gas
Water Type: Electric
Range Type:
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,820
lIB
294
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard 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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of 5
.$PIlIINGFlifitL.D
-:1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Use Bid Amount
Estimate
Pavin2
Fee Description
Plan Review Comm/Ind/Public
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Addressing Assignment
Building Permit
Fire SF Fee - Non-Residential
Fixture
Furnace - more than 100,000
Gas Outlets 1-4
Gas Outlets 4+
Paving
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
Plan Review Fire & Life Safety
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'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
+ 10% Administrative Fee
FLS Safety Systems Review
./
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
1,680,375.00
464,139.00
Total Value of Project
~
Amount Paid
$3,445.59
$10.00
$969.08
$410.44
$516.55
$31.00
$5,703.90
$1,482.00
$350.00
$75.00
$4.00
$3.00
$1,751.90
$1,242.14
$764.40
$2,120.36
$45.00
$514.54
$676.78
$70.00
$10.00
$13,406.58
$1,278.13
$796.60
$5,709.28
$82,572.25
$18,717.89
$12,941.38
$45.00
$56.00
$18.00
$45.00
$42.00
$40.98
$409.80
Date Paid
3/13/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/11/07
5/15/07
5/15/07
Pa2e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00366
ISSUED: 05/11/2007
APPLIED: 03/13/2007
EXPIRES: 12/01/2007
VALUE: $ 2,144,514.00
Value
Date Calculated
$1,680,375.00
$464,139.00
$2,144,514.00
05/09/2007
05/09/2007
Receipt Number
1200700000000000265
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000560
1200700000000000571
1200700000000000571
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Perm ServlFdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
Total Amount Paid
Fire Department Review
05/14/2007
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00366
ISSUED: 05/11/2007
APPLIED: 03/13/2007
EXPIRES: 12/01/2007
VALUE: $ 2,144,514.00
$5.00
$2.50
$4.00
$50.00
$110.50
$55.25
$88.40
$456.00
$45.00
$441.00
$163.00
5/30/07
5/30/07
5/30/07
5/30/07
6/6/07
6/6/07
6/6/07
6/6/07
6/6/07
6/6/07
6/6/07
$157,695.22
I Plan Reviews I
05/14/2007
OK
GRG
Fire Department Review 03/15/2007 04/19/2007 OK GRG
Initial Review 03/13/2007 03/13/2007 APP LLH
Planninl! Review 04/25/2007 04/25/2007 APP EMM
Public Works Review 03/15/2007 03/16/2007 APP JHJ
Structural Review 03/13/2007 03/15/2007 10 LLH
Structural Review 03/15/2007 05/08/2007 WE JMP
Pal!e 3 of 5
2200700000000000857
2200700000000000857
2200700000000000857
2200700000000000857
1200700000000000713
1200700000000000713
1200700000000000713
1200700000000000713
1200700000000000713
1200700000000000713
1200700000000000713
Plans Review: Underground Fire
Line for Walgreens. Job
#COM2007-00366. Designer: Mike
Tennant. Contractor: Omlid and
Swinney.
This fire line consists of a fire line
connection from the FDC at the NE
corner of the Pioneer Parkway West
entrance running SE (parallel to
PPW) to the aboveground vault
containing the double check
backtlow preventors. The six inch
fire line then runs SW from the
backflow preventors to the stub up
for the Walgreen's building.
Plans appear to meet code
requirements.
See attached document for Fire
Department Plans Review
comments.
Attached SDC Worksheet. (JHJ)
Fed Ex'd to Tom Rogers
Engineering for review.
Received package from Lisa/Tom
Rogers on 5/8/2007. Called David
Shaw for missing information. See
attached documents for 5 structural
comments faxed to David Shaw.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00366
ISSUED: 05/11/2007
APPLIED: 03/13/2007
EXPIRES: 12/01/2007
VALUE: $ 2,144,514.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review 05/09/2007 05/09/2007 APP JMP Received from David Shaw the
faxed responses to the structural
comments.
SUB Review 03/15/2007 03/23/2007 WE JF JMP left a voice mail for Todd
Russell requesting the missing
energy code forms and worksheets.
SUB Review 04/23/2007 04/2312007 APP JF
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
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
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.
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.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Pal!:e 4 of 5
~iifi~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00366
ISSUED: 05/11/2007
APPLIED: 03/13/2007
EXPIRES: 12/01/2007
VALUE: $ 2,144,514.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results 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.
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.
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.
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.
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
Backtlow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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
Pa2e 5 of5
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
r!"v of Springfield Official Receipt
/elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00366
COM2007-00366
COM2007-00366
COM2007-00366
COM2007-00366
COM2007-00366
COM2007-00366
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000713
Date: 06/06/2007
Description
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HYLAND CONST INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
1000319
In Person
Payment Total:
nJm
Page 1 of 1
2:11:43PM
Amount Due
441.00
163.00
456,00
45.00
55.25
88.40
110.50
$1,359.15
Amount Paid
$1,359.15
$1,359.15
6/6/2007