HomeMy WebLinkAboutPermit Electrical 2007-8-1
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225 FIFTH STREET 0 SPRINGFIELD, OR ':17477 0 PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION (I
City Job Number ( 001\1\ z.oc -, - C) C F"] , Date
1. LOCATIONOF1.NSTALLATfON: 3. COMPLETE FEE SCHEDt.JLE B&OW
)L1D\ Q\~+ ~(eJ,7:-
LEGAL DESCRWfI~ ~~"3 ;?snO; ooy6l- Now R,,;denff.I-Smgle or Mulff-Fomily p" dwelling unit
UJ, I (I. Q:i-R u. / ~--P d Service Included
JOB DESCRIPTION: 1000 sq. ft. or less
-rr> (f c. I C Each additional 500 sq. ft. or
..H \cz::f.aJ .L_f~..1:YL (Ita frY! rJU:sTi--fVJ portion thereof
Permits are non-transferable and expire if w~rk is
not started within 180 days of issuance or if work is
Suspended for 180 days.
. .
2 CONTRACT61i..~STAL.tATJONONtY
.
Electrical Contractor f) M \lc\ + S l A. ) i V\ \'\ e I~
Address IS, ~. Lll~ ~t-r-f.Qt
.. ~
City Scrl1ltnk J.d Phone lU \- \l{~
-. J
Supervisor License Number ~ I () Lt 14
ExpirationDate \D- \- D~
Constr. Contr. Number 19 ~ 1 ~ ()
Expiration Date
1-;1- 1'5 -(),
S;91i7<~~EI7L
J v v ..----. -
~ersName V#1~(,L LLL.
::-:> ,,-
Address l C> tr ~ 76 I Z S-
City ~~e Phone '2'5 I-It I {
Each Manufact'd Home or
Modular Dwelling Setvice or
Feeder
ZON rf\ 12. 0-
INITIALS f'J hI\
DATE ~ -- W - <:J7
SOURCE nvl)~?L
$117.00
$ 21.00
$55.00
B. Services or Feeders -ln~tallation, Alterations or Reiocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only~~ rrr~ ,..~.
",\\,/I l dMh.
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c. Temporary i~~~~frf8eOOg~~~~~R~i~~~E,~Zd;
Installation, AI~Q[~tMIbWiUibld12dS ABANDONED FOR
200 Amps or leANY 180 DAY PERIOD. $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
Over 600 Amps or 1000 Volts see "B" above.
D. :arah~bCkcuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E. Miscellaneous (Servl~~(feC;defriotinduded)~E~cl;tlnstallation
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial \ $ 50.00 ~D . D a
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Si~:, 4.
1\11 t:NTION: Oregon raw requIres you to
foll,~'tl r~'t~ &d'OlJtt:J by Ine uregon Utility
Notlflcatlon Center. Those rules are set for+h
~~ OAR 952-001-001~thro~gh OAR 952-001-
InspectioJI~~~h~!Y-~'" copIes of the rules by
a 9 ff e center. (Note: the te!eohone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
;,SUBTOTAL OPQWQVlZ,
Ll , DC)
~'.oa
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I -
~I.S()
Shared Drive(T:}/Building Fonns/Electrical Pennit Application 7-07.doc
8% State Surcharge
10010 Administrative Fee
5% Teclmology Fee
TOTAL
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00834
ISSUED: 07/27/2007
APPLIED: 06/08/2007
EXPIRES: 02/20/2008
VALUE: $ 908,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1401 21ST ST
ASSESSOR'S PARCEL NO.: 1703250000802
Springfield
TYPE OF WORK: Retail
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Tenant Improvements,
Owner: OLYMPIC LLC
Address: PO BOX 26125
EUGENE OR 97401
Phone Number: 541-232-1117
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License Expiration Date Phone
ERIC HALL ARCHITECTS, INC. 541-688-5594
ILO CONSTRUCTION 82355 05/01/2008 541-521-0114
NEW WAY ELECTRIC INC 51088 06/27/2009 541-686-2365
OMLID & SWINNEY FIRE SPRINKLER 62730 12/15/2007 541-741-1775
BEYMER HEATING & SHEET METAL CO 4483 11/14/2008 541-688-5004
DICK BAILEY PLUMBING CO 1~ltJ5~CE: _ Q~/29/~~~H~C: It: ~~~JWm{6
BUILDING INFORMATIONI~ ~~~~I~ ~~~~~ THIS 'PERMIT IS NOT
~U~H01~BANDONEDFOR
# of Stories: COMMENCED&~s '
Height of Structure: ANY 180 DAY S'qEfil Floor: 4,032
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
M
S1
VB
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1,087
I DEVELOPMENT IN.l'UKMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
ATTENTION: Oregon faw reqJffil t8b ~8verage:
follow rules adopted by the Oregon Utility
Notrtlcatlon venter. I no ....MENTS
In OAR 952-001-0010th lr
Street ImprovemenOO90. You may obtain copies of the rules by
. ...p-alling the center. (Note: the telephone
Storm Sewer A vaIla'tlnlnber for the Oregon Utility Notification
Special Instruction: Center is 1-800-332-2344).
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00834
ISSUED: 07/27/2007
APPLIED: 06/08/2007
EXPIRES: 02/20/2008
VALUE: $ 908,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount
Pavin2
Use Bid Amount
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
603,808.00
304,880.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$603,808.00
$304,880.00
$908,688.00
07/26/2007
07/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review CommlInd/Public $1,740.80 6/8/07 1200700000000000724
Plan Review Fire & Life Safety $1,071.26 6/8/07 1200700000000000724
+ 10% Administrative Fee $30,80 6/11/07 1200700000000000731
+ 5% Technology Fee $15.40 6/11/07 1200700000000000731
+ 8% State Surcharge $24,64 6/11/07 1200700000000000731
Fixture $308.00 6/11/07 1200700000000000731
-Mechanical Issuance Fee- $10.00 7/27/07 1200700000000000970
+ 10% Administrative Fee $388.46 7/27/07 1200700000000000970
+ 5% Technology Fee $194,23 7/27/07 1200700000000000970
+ 8% State Surcharge $212,21 7/27/07 1200700000000000970
Add, Alter, Extend Circ $43.00 7/27/07 1200700000000000970
Add, Alter, Extend Circ Ea Add $189.00 7/27/07 1200700000000000970
Building Permit $2,203,65 7/27/07 1200700000000000970
Fixture $42.00 7/27/07 1200700000000000970
Miscellaneous Mechanical $45.00 7/27/07 1200700000000000970
Miscellaneous Plumbing $45.00 7/27/07 1200700000000000970
Paving $1,231.90 7/27/07 1200700000000000970
Plan Review CommlInd/Public $335,89 7/27/07 1200700000000000970
Plan Review Fire & Life Safety $206.70 7/27/07 1200700000000000970
Storm Sewer - 1st 50 Feet $45.00 7/27/07 1200700000000000970
Storm Sewer Each Addtll00' $28,00 7/27/07 1200700000000000970
Vent Fan $12.00 7/27/07 1200700000000000970
+ 10% Administrative Fee $5.00 8/20/07 2200700000000001320
+ 5% Technology Fee $2.50 8/20/07 2200700000000001320
+ 8% State Surcharge $4.00 8/20/07 2200700000000001320
Low Voltage - Commercial Indus $50,00 8/20/07 2200700000000001320
Total Amount Paid $8,484.44
I Plan Reviews I
Fire Department Review
06/13/2007
07/09/2007
OK
GRG
See attached document for Fire
Department Plans Review
comments,
Initial Review
06/11/2007
06/11/2007
APP LLH
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00834
ISSUED: 07/27/2007
APPLIED: 06/08/2007
EXPIRES: 02/20/2008
VALUE: $ 908,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin!! Review
06/13/2007
06/14/2007
APP EMM To be constructed per approved Site
Plan Review Major Mod
DRC2007-00017.
APP JHJ Attached SDC Worksheet. No New
SDC's. (JHJ)
APP DLM Received with 3 large projects on a
cart 6/13/2007jmp. Faxed initial
plan review comments to architect's
office. Major issue is bldg area,
6/29/07dlm, Received revised
analysis for area increase from
architect & revised documents for
addemdum #2 7/26/07dlm,
APP JF
Public Works Review
06/13/2007
06/18/2007
Structural Review
06/11/2007
07/26/2007
SUB Review
06/13/2007
07/02/2007
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.
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
SUB Final: After all required energy inspections have been requested and approved,
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Footing: After trenches are excavated,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping,
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Ceiling Grid: After drywall approval but prior to cover,
Epoxy Anchors: To be done by Certified Spcial Inspector, Provide Inspection results to City Building Inspector.
Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State
Certified Special Inspector with approval from the City of Springfield, Copies of inspection results shall be
provided to the City of Springfield.
Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield,
Pa!!e 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00834
ISSUED: 07/27/2007
APPLIED: 06/08/2007
EXPIRES: 02/20/2008
VALUE: $ 908,688.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Fire Department Sprinkler System: Prior to cover, Hydro pressure test, fire line flow test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to requesting any occupancy approval.
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
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
Page 4 of 4
225 Fifth- Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007 -00834
COM2007 -00834
COM2007 -00834
COM2007 -00834
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001320
Date: 08/20/2007
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OM LID AND SWINNEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
33735
In Person
Payment Total:
Page 1 of 1
2:09:23PM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/20/2007