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Home My WebLink AboutPermit Electrical 2007-9-24 Date ZON mil fl./ INITIALS t-.J Y\.A DATE q .....-;;lItf-t'Tf SOURCE\'YI, (h'('7 ) 1"-.!Z'f- 0, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL, PERMIT APPLICATIOtf City Job Number Co rn 7~ I - t)ffY 0 ^ 1. LOCATION OF INSTAIJATION: 3. COMPLETE FEE SCHEDULE BELOW 3\00 MA~---rI'N LlId~~.{ k;",r;JtL f'KW\' LEGAL DESCRIPTION: J A. New Residential- Single or Multi-Family per dwelling unit. VD ~ Le I D61 0.. I (001" Co... b\ r \ /\c;1~ \ \ Service Included . ' JOB DESCRIPTION: 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof t I n3 dd 000 '3 '-to rS $117,00 -:;..;:::-.1.-:-: $ 21.00 Each Manufact'd Home or Modular Dwelling Service or $55.00 Feeder . au to EtiTION: Oregon law reqUIres Y Ufli~. CONTRACTOR INSTALIA1.luN ONLY B. serv~?or f~r~~I!lI9~d6,eA~Bb'nfi~offfilocation: 2. I. I i 1.. , ~~t~~ation ~center, Those rule~:~~;~_001_ Electrical Contractor A.~. '- A ~\I\ V\ Covrr\rc.c,f. ~~ 200 AJ)irrb9(~2-001-001 ~ through Hh~ a1\Q~ by J 201 ~". 4qt}y\mflV obtain ~~}~~~:r.~ \el~~~~~e Address ~ U 2-1 G-v--feV1v.Jf.)Q..~ sf. 401 AmPtalmeg~~enter. (N lltjPh/...N~il_ron f r the Oregor. -.- , 601 AmJiSltBl~~8~ is 1_800-332-2344$i80.00 Phone qS-'-I. ZS-~D Over 1000 Ampsk%\ts $413,00 Reconnect Only $ 55,00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City CV~Sv.Je..\\ Supervisor License Number 42-.. S 7- LE I~ Expiration Date i 0 I C/ , I 'Lb D ?; , Constr. Contr. Number f5""b4i~ Expiration Date '-:f. / Z '-I /200 OJ I SignabUeQ)S~\tiM _ - - / P Owners Nam~ ~ fV'\ \ Cc"A C~8 AddresDq ~ f2:>. I ~'\-0 Du...P / City fu (kfVV-,/ Phoneto?J.o ~ 3 i 2..0 C)~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: Inspection Request: 726-3769 C. Temporary Services or Feeders InstaUation, Alteration or Relocation 200 Amps or less $ 55,00 201 Amps to 400 Amps $ 76,00 401 AmpslWlldtA~s $110,00 Over 600 :ru~ &~~MI~~~I..~XR,~~.IF THE WORK D. Branch~~61Q~IZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR New AlteA'I~r1<<8'(fffAif8'~NM6anel One Circuit . $ 48.00 Each Additional Circuit or with ,-;;: ,-' Service or Feeder Permit H^CALi'~ E. Miscellaneous (Service/feeder not included) -Each Installation ~. .' $ 4.00 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial i $ 50.00 ~O . f) 0 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE s-rJ . CI tJ 8% State Surcharge L.I . 0 u 10% Administrative Fee ~ . 0 0 5% Technology Fee .-z... 'SO TOTAL ' { Co I . ~ c) Shared Drive(T:)/Building FormslElectrical Permit A~lication 7-07.doc 22.5 Fifth' Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00068 CO M2007 -00068 COM2007 -00068 COM2007-00068 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: 3200700000000000642 Date: 09/24/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ANTHONY S. VAUGHN Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 035198 In Person Payment Total: Page 1 of 1 9:32:33AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/24/2007 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/0912007 APPLIED: 01/16/2007 EXPIRES: 03/24/2008 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: B # 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 VA I DEVELOPMENT INFORMATION I 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: quires you to -." HI ",.o')nn laW re l.\ti'W. I PUBLIC IMPROVE",*M:iij;s ~dopted ~s~hr~\~~t:~~'~etf~rth Notification CeJ1~r. ~~~n OAR 952-001- in OAR 952-00~~Um. c9~s of the rules by 0090. You ma~6W~\\1Hb'tlf.~!\e\ephO~e callin9 the center.l"~n Utility Notification number for the, or1e8900_332-2344). Center IS - Street Improvements: Storm SWlrU'~iiable: Special fMlt$u'2fi8n'l:1/T SHALL EXPIRE IF THE AUTHORIZED UNDER TH WORK Notes: COMMENCED OR IS AS IS PERMIT IS NOT ANY 180 DAY PERIOD. ANDONED FOR Page 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 Bid Amount Use Bid Amount Fee Description Plan Review Comm/Ind/Public ~Mel;hanical 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 Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Plan Review Fire & Life Safety Sanitary Sewer - 1st 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 - 1st 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 Paitl $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 Page 2 of5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: 03/24/2008 VALUE: $ 1,990,000.00 Value Date Calculated $1,990,000.00 $1,990,000.00 01/1612007 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Total Amount Paid Fire Department Review 07/27/2007 $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 $5.00 $2.50 $4.00 $50.00 $89,623.16 I Plan Reviews I 07/27/2007 Page 3 of 5 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 6122/07 7/30/07 7/30/07 9/21/07 9/21/07 9/21/07 9/21/07 9/24/07 9/24/07 9/24/07 9/24/07 OK CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01116/2007 EXPIRES: 03/24/2008 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 3200700000000000642 3200700000000000642 3200700000000000642 3200700000000000642 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. Status Iss u ed CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 0111612007 EXPIRES: 03/24/2008 VALUE: $ 1,990,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 02/0112007 02/01(2007 OK GRG, See attached document for Fire Department Plans Review comments. Initial Review Public Works Review Structural Review 01116/2007 0112212007 05/02/2007 01116/2007 02/0812007 05/0212007 APP APP APP LLH JHJ DJP Attached SDC Worksheet. (JHJ) Plans reviewed on or about 2/8/07. No structural plan review was entered. Used information written on plans to make entry. Structural Review 01116/2007 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. ~eouiredJnsDections 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. 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. 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. Page 4 of 5 CITY OF SPRINGFIELD. Status Iss u ed Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/0912007 APPLIED: 01116/2007 EXPIRES: 03/24/2008 VALUE: $ 1,990,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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/Nailing: Before covering sheathing with finish material. Low Voltage: Prior to cover. 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 5 of5