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Home My WebLink AboutPermit Electrical 2007-6-15 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO vV'\ 'ZOO 7 - 00 0 b8" 200 Amps or less ilL II 201 Amps to 400 Amps I~ 401 Amps to 600 ~ 60 1 Am&~$Rib~~&p'l. Phone h <6 f /(.. I )- ) ~~ l~~~~Wett~O~\~ ~ QO~~ on~ct On~e 2- 00\ O~. O~e ~e6\')~ 5"e ~\}\e-:'- p..\\ Cj~ ;es '0"1 Lf 0 11 s..-~~\~ ?J.oo? ~~,-,. 1:>.."3(\ ~\ \\eS ce('l\eC. \ ~ \ \o\\~\l'I 'f..\o('l \.00. co? . \~e \\\\c-o:\ 1 a 0 -, \n\\\\c-O: oS~~oo o~Th~tj'cfn~ ~tJ l-.~:Qn or Relocation 'I, O~?-" \} {0?J."I ~O'~}rl.~ ~?l-"tl$' I d- (p - 3 4 ~gO ~;~Q \~e ~~~Oi\m)J9f~ 4~0 Amps ?J.II" \O~ \; . ~ y I c ",'Oe~ ,,\elO:r Amps to 600 Amps I 0 ~ ('IU\\' Ce -- Over 60~A~~.or 1000 Volts see "B" above. D.tari'~IiGir't;>' New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with /" M 17 -I;- Service or Feeder Permit <-file (~J~J\~-S I "'S ft... /+( E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 ~:o:n~~;~~:~n::':~I::~:;:%~l~~~~i:\1 S"/Ili~~S~:~~'it.;, $4S..: :~~:'a"," 0 Owners Signature. HOR\IED IJMD~;L.:';<m~~~'<' 9 p.,1J1 .. NCED OR \!S~ttaie Surcharge '! COMIIJ\E p.,\{ PER\@~ Administrative Fee ~ M~\{ "\ ~O D 5% Technology Fee Z<SO TOTAL ~/~ Shared Drive(T:)/Building FonnslElectrical Pennit Application 8-06.doc ... r-.----------.-.-- -'.-'-' -- - .. ---._,..__.--.--.,--~-----_._-. ,. - --. 1. !,LOCATION OFINST-4LIATIQN: ... ",' -, ". "':"'_"'~~"~"M""-.""._';'~'4;""""_""'-~_"",~_-""",,,,_' S/OO ~~\L ?Uvy LEGAL DESCRIPTION: ,703 'ZZOO JOB DESCRIPTION: AcAJ T ~ D3L/03 "?l>~€~ 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. ~E.~NrijAcrol[J~sfALI0:!IO~9JV:~~-~ Electrical Contractor ~h ItA ~fV\.sUY\ ta e,-C/ Address STJO' s ~ \)~II Cily ~ Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Owners Name lIJow"e#> ~CjA E ...... - Cityru..C-t:"~- Address bY/:'. "5fZO Phone Inspection Request: 726-3769 ZON rn uQ..",- INITIAL.S' N (V\. DATE (17'-/ Cl-G-r I SOURCE fYl Xp l:,!r);, -- v ....-- --. ..-...-, ----- ._____._.1. -_..---l__.- _._..... .__ __0_ _ _.._"._ 3. rCOMPLETEFEESCHEDULEBELOW ' '...:...:.......,.;;,;...,' , ,,,-I .. ':","c.:_,~.~~,"_.",.~,.;.;^:._...._..~..",,"~' ....:.__....:.o...:-,~, Date .77~'7-~~-.,..";~~"~.- ~-.~--,.-.~.~-'::'.- ,. ~.'c...". _.;-"-:~., '~-~.~-~ ..... . -< '. ',' ;".- -',~- -~. -~ -. ~ .~. -,-7~ ~ - -. :....~-""\ A. [~e~" Resid~~~I_~~Si~~~-"o_~M ~~ti- F.~~~!!~pe~ <!.w~llin~~~it: '__ 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 $106.00 $ 19.00 $50,00 B. KS~r~i~~s oij.~ed~rr:':-i~;f~1-'~tion:Ali~r;r6~~ ~i-lleiri6;~i~ri: t . l' . ... "~._~.--~___........~_' ". ~:.a~:'~,~.o::..-i:~ >."' :....d~..~,....~~~ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 50 $ 43.00 $ 3.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: . 11/30/2007 VALUE: $ 1,990,000.00 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 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION. Contractor License THE HASKELL CO A FLORIDA CORP 147733 CHRISTENSON ELECTRIC INC ~5Jj 0\' ' MIKE PATTERSON, ,\'(eS'J \ ~.W\.~6 I BUILD1N@~Ft)RMAii(>)N:I;\_ ~'. ()\ ~ ~D(\ 'O"l\.\' v.\eS (}o' gst,v '0'1 X:.~\\O '3.0#\Jf'~~.rje~:~ ~ O~?- ~\)\eS 1 f>-.\B ~\)\eS ~ighb<tf\stt-'&l:tUJfe~~e ~0{\~1.00 \o\\O\!'l n.'\o{\ Ce(','1'f.re". of Heat:\e':>,,,,eF6~~~d'~~'PGas .~ cv-\. !Jv", \2;\\'--= , \.\ \ ~ ;\\\'~ ~~ \ ~ gS?'-- ~aJer Ty<p.t:D\e, .~\\"l 0 \ Electric \{\ O~ '{ov. ((\'jieeges~t.~J(\ 0\.\2. .?-'.)ll,l\ I' Electric OO?JO, ~ (\9 \'(\~\~gf)~~thS\)''.)'2) Path 1 C'3.\ \ ~e~ \sp~~\W-ed Building: n/a _, ,('(\ r o-.{\ I DEVELOPMENT INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-686-3120 Expiration Date 05/11/2009 05/01/2009 12/21/2008 Phone 904-791-4674 541-688-6121 503.632-7374 Lot Size: Sq Ft 1st Floor: 10,455 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 105 REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' \NO~wewalk Type: -$"\1:: C)\\,\?-r. \r \\-\~\S ~<(wnspouts/Drains: ~cn ~\,8' S\-\I\\.-".- L- \'r.?N\\ \ \\-\\S \'r.?W\~~ Ij~Dr.? \\-\\~DO~r.$ rO\\ I\1j\\-\0?-\1 O? \s 1\\)1\ t'\ c~Cr.D cON\N\L- :--l \'r.?\OD, I\~'{ ~ ~(j D IX Paee 1 of 4 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 CommlInd/Public -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 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 Descriotion 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 Pal?;e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/09/2007 APPLIED: 01/16/2007 EXPIRES: 11/30/2007 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 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00068 ISSUED: 04/0912007 APPLIED: 01/1612007 EXPIRES: 11/30/2007 VALUE: $ 1,990,000.00 225 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 $18.00 $-4.00 $-40.00 $-3.20 $14.00 $7.00 $11.20 $140.00 $5.00 $2.50 $4.00 $50.00 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 3200700000000000203 VOUCHER # 117955 VOUCHER # 117955 VOUCHER # 117955 2200700000000000717 2200700000000000717 2200700000000000717 2200700000000000717 2200700000000000977 2200700000000000977 2200700000000000977 2200700000000000977 Total Amount Paid $88,048.16 Plan Reviews I Fire Department Review 02/01/2007 02/01/2007 OK GRG See attached document for Fire Department Plans Review comments. Initial Review 01/1612007 01/16/2007 APP LLH Public Works Review 01/2212007 02/08/2007 APP JHJ Attached SDC Worksheet. (JHJ) 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. ~e(]uireCUnsoections 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. Paee 3 of 4 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-00068 ISSUED: 04/0912007 APPLIED: 01/16/2007 EXPIRES: 11/30/2007 VALUE: $ 1,990,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 te~t 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. 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. 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 Pa!!:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C:4v of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2007-00068 COM2007-00068 COM2007-00068 CO M2007 -00068 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000000977 Date: 06/18/2007 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MIKE HUGHES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 018613 In Person Payment Total: Page 1 of 1 2:42:35PM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 6/1 8/2007