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Home My WebLink AboutPermit Electrical 2007-9-21 (nu.Q..; C\-2---t -- c'1 )-Jf'^ (Y\ (J~ p(l, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689 Ci:y J"ob N:1be:~Z.UU I - (/[joF:/t'! Date q - ~ 1-- 07 Installation, Alteration or Relocation 200 Amps or less $ 50.00 2011~msrre~ Amps $ 69.00 401 An!ps,tGp600r,4-nw~HALL EXF':I-- $100.00 d': I. t~i VII r" r ~t IflHE WORK Ov~r?8q r'\SJWll~ljqg~~~R'rHrs prnMIT IS NOT Signature of Supervising Electrician D, f",iOc)"MMEN'CED OR IS ABANDONED FOR ~ . ./I ./? NewMJ:t~r1&h 0A)l~iOt~er Panel . ~ c--.~_-/ One Circuit $ 43.00 ? ~ Each Additional Circuit or \vith I "'\. rvv-.. II ) t1^ _ . 'IJ. r ~ervice or Feeder Permit : . '1' $ 3.00 Owners Narn~ U 1 u:JY\-S \J.JJi.:eJ fUJ~~ Addres5Cl ~ \3i I ~~ D.w mU..1 J E, \l:';("<;'lIli,.tI", ('\[';'I.,,,,:r,., ,in nn; ;,,'.hni'cd: 1,' City!: l/ldJtU.).' ~ Phone eogro - 3"Qe) ~. '(JfL; OWNER INSTALLATION 1 ~',rI._("T.~~ TT,!,!/i..! ~-')!,' L\:.(~'r,~t J f./t 'rr().r"\1 8\oll'm'L'~"'~~'~V} LEGAL DESCRIPTION t \/03 d.'d-- roo 3q-03 . ~OB DESCRI~TION _ :t i.J':L~ J ~ \t1 J('fY) ~~. Ua~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2, ('ON1~RAC'TOJ?J!V8TA..LLATJON ONLY Electrical Contractor t(\+-t(z r,t_~~J'( r l...c. I .\-n.' it ~ L- , ..::, ')'1.::'>-\</1'\.,,-,;.), \ f....c.. Address 'YZ'.'-f-X'X 10"F, City .~:0CU;;4--..L .j Phone Li the')" ~. L{ 4 S-'Cc Supervisor License Number \. () i'.......... '2.. . (I - I.> ./ U"f\ Expiration Date \GL ID't Constr. Contr. Number { It: S-s9 or Expiration Date 1/01 The installation is being made on propelty I own which IS not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 l~f:,: q115(QL ~p; 11 (; ~lm~ 3, (~.()i\'il::;Ll:'II: J~;l;J~ ~SC~IIJ:I)lJL.l~' ftI~~L()\,t.7 A. '\{lY~: Rt'sjdl'n~iai --" Sin:.!,te or \"!tdti-F{~~nny pt\:' {hv~"'~Hng U!liL Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. S\'nkes (;.;.r:E~TIO~r!:oi~g~~tla\~ri~~iuWeS!Y~.1~1 ii.'!l; 200 AmpscJfd~Sl,W rules ~dopted by the IQr~gQ~etlorth '" +tf.iNiltIJ' Center 111056 ru esCSJ 20 I Amps u('JqI,JU'ftlTI -001-00'1 0 through oXWQ52.()()1- 401 Amps ~~~~ J may obtain copies oUMrrules by 60 I Amps to ~~Mllte center. (Note: t~ ~~@ph. O~8 Over 1000 AWi!Uiibifsfor the Oregon .~t~I~~ Reconnect Only Center is 1-800~~-~6 c. :~~er\'ft'('S or i"':c('dcrs t;.l.;1ii';\ii,.' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial \ $'~O_ ,e::::.;r'\ l1\) 5 () IF'_ Minimum Electric Permit Inspection Fee J<S'45.33 -r- SU~-chargcs c:rU 4. </11nC)L', r OF, lIiCn'f..' (C::; () . d.50 L4-av O'OD ~I'SO Shared Drive(T:)/Building F0l111s/Elecrrical Permit Application I.On.doc 8% State Surcharge IOo!c, Administrative Fee TOTAL 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007 -00068 COM2007-00068 COM2007-00068 COM2007-00068 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001484 Date: 09/21/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By INTEGRA TED ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 073593 In Person Payment Total: Page 1 of 1 9:33:23AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/21/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: 03/21/2008 VALUE: $ 1,990,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3100 Martin Luther King Jr Pkwy Springfield ASSESSOR'S PARCEL NO.: 1703220003403 TYPE OF WORK: Medical Office PROJECT DESCRIPTION: Womens Care Associates Facility TYPE OF USE: New Commercial Owner: WOMENS CARE PROPERTIES LLC Address: 598 E 13TH AVE EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical Low Voltage Electrical Plumbing Contractor THE HASKELL CO A FLORIDA CORP CHRISTENSON ELECTRIC INC INTEGRATED ELECTRONIC SYSTEMS MIKE PATTERSON License 147733 458 165599 81746 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure: 21.00 Type of Heat: Forced Air Gas Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a B VA I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-686-3120 Expiration Date 05/11/2009 05/01/2009 07/13/2007 12/21/2008 Phone 904-791-4674 541-688-6121 541-485-4456 503.632-7374 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,455 105 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEME~~.I~T,IUJ'I. uregoillaw requIres you to ru es adopted by the Oregon Utility !'Jotlf/catiorsRr%W:illik fy~ rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090., You ~"~#f~W=Of the rules b callmg the center. (Note: the telephone Y number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: S~mirRP/l:' '1 tOl'mfSewer Aval able: Sp:e'cfaJf-J1ij~qtiS~ALl EXPIRE IF THE WORK ,~iJTHORIZED UNDER THIS PERMIT IS NOT ~~f~MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of5 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review CommlIndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Addressing Assignment Air Handling Unit Up to 10,000 Appliance Not Listed Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Exhaust Hoods Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 btu Not Covered Plumbing Perm ServIFdr 200 amps or less Perm ServIFdr 201 to 400 amps Perm ServIFdr 401 to 600 amps Plan Review Fire & Life Safety Sanitary Sewer - Ist 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Special Waste Connection . Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet Temp Power 200 amps or less I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,990,000.00 Total Value of Project ~ Amount Paid Date Paid $4,360.30 $10.00 $975.67 $435.56 $696.89 $43.00 $279.00 $31.00 $16.00 $36.00 $6.00 $48.00 $6,708.15 $9.00 $1,045.50 $714.00 $228.00 $84.00 $126.00 $75.00 $125.00 $2,683.26 $45.00 $1,899.84 $2,498.88 $10.00 $8,616.59 $820.93 $1,325.70 $1,955.84 $27,297.95 $6,188.04 $56.00 $18,298.56 $45.00 $50.00 1/16/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 Pa2e 2 of5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: 03/21/2008 VALUE: $ 1,990,000.00 Value Date Calculated $1,990,000.00 $1,990,000.00 01/16/2007 Receipt Number 2200700000000000056 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 3200700000000000203 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Refund - Admin Fee Refund - Electrical Refund - Surcharge + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less + 10% Administrative Fee FLS Safety Systems Review + 10% Administrative Fee FLS Safety Systems Review + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Total Amount Paid Fire Department Review 07/27/2007 Fire Department Review 02/01/2007 Initial Review Public Works Review 01/16/2007 01/22/2007 $18.00 $-4.00 $-40.00 $-3.20 $14.00 $7.00 $11.20 $140.00 $5.00 $2.50 $4.00 $50.00 $12.00 $120.00 $120.00 $1,200.00 $5.00 $2.50 $4.00 $50.00 $89,561.66 4/9/07 4/30/07 4/30/07 4/30/07 5/10/07 5/10/07 5/10/07 5/10/07 6/18/07 6/18/07 6/18/07 6/18/07 6/22/07 6/22/07 7/30/07 7/30/07 9/21/07 9/21/07 9/21/07 9/21/07 I Plan Reviews I 07/27/2007 02/01/2007 01/16/2007 02/08/2007 OK OK GRG APP LLH APP JHJ Pal!e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/0912007 APPLIED: 01/16/2007 EXPIRES: 03/21/2008 VALUE: $ 1,990,000.00 3200700000000000203 VOUCHER # 117955 VOUCHER # 117955 VOUCHER # 117955 2200700000000000717 2200700000000000717 2200700000000000717 2200700000000000717 2200700000000000977 2200700000000000977 2200700000000000977 2200700000000000977 1200700000000000806 1200700000000000806 2200700000000001204 2200700000000001204 2200700000000001484 2200700000000001484 2200700000000001484 2200700000000001484 GRG Plans Review: Wet sprinkler system with anti-freeze loop for Women's Health Care facility. Job #COM2007-00068. Designer: Richard DeBell. Contractor: Omlid and Swinney. System designed as a light hazard with a .1 gpm/sq. ft. over a 930 sq. ft. area (reduced from 1500 sq. ft. due to reduction for quick response sprinklers and a ceiling height of 11 feet 4 inches per NFP A 13, 2002 edition, Figure 11.2.3.2.3.1. Anti-freeze loop to protect the port cochere. Plans appear to meet code requirements. See attached document for Fire Department Plans Review comments. Attached SDC Worksheet. (JHJ) Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/1612007 EXPIRES: 03/21/2008 VALUE: $ 1,990,000.00 225 Fifth Street,'Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 05/02/2007 05/02/2007 APP DJP Plans reviewed on or about 2/8/07. No structural plan review was entered. Used information written on plans to make entry. Structural Review 01/16/2007 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. l..ReouireCUnSDections I 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. Vfer 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 ins lab 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. 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 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 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. 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Pa!!e 4 of 5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: 03/21/2008 VALUE: $ 1,990,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Roof Sheathing/N ailing: Before covering sheathing with finish material. 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 Pae:e 5 of5