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Home My WebLink AboutPermit Electrical 2007-10-29 - 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (6iN\ W07 - 004b, Date ((j ~.~_ OJ ( , 1. iLOC .." 3. '3'!6~ y~ ~6A/WL _ LEGAL DESCRIPTION ~I VEVL ~NO J)IL A. I 70 l ZZO 0 0 0 ero L Service Included ~ f)t.-(, < 200 Amps or less 201 Amps to 400 Amps p~ ~ 401 Amps to 600 Amps . 60 I Amps to 1000 Amps Phone 6 <6ff-&{ J-( Over 1000 AmpsNolts Reconnect Only ATTENTION' follow rlde$' Netification ' 'ent T I In OAR 952-QafaO~~ruI~s arei~n 1lO90. You l'Qav 9AW . fjtf~" 95'2':00:;: ) /J:h.-. calling th(~~hrer'3~eAles of the rules by rr.. $ 50,00 ut/- IlUmber fOriH~~s {~~@:~llip~e'~~hone $ 69,00 Cen1~f ~11jI211Q~A#i}{~rNoflflcation $100.00 dutJ-~32-23441 Over 600 Amps or 1000 Volts see "B" above. D. JOB DESCRIPTION t\~ ~ uQ({' j) 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. Electrical Contractor (~hILI? r ~li\. Address rt)Dt) <;::. City ~7>.L Supervisor License Numb1:f Expiration Date j?- . Constr, Contr, Number Owners Name Address 1((7 , City Phone OWNER INST ALLA nON N Oit\~tallatiO,ijti~~~~~~Gn\~rJ~fnW~hiCh l~ftRWtM\li~~ mcsop@.tM\f{5 A4jHOR\ZEO UNO \5 ABANDONED FOR CO~~~~ ANY 180 DAY PER\OD. Inspection Request: 726-3769 ~ tol~O~, 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 3\ ()'5 '1 I 1{1S'3 - j,~7S- W~\ ,. I (, '3 ,,; ~f< .r' ~ $ 63.00 $ 75,00 $125.00 $163,00 $375,00 $ 50,00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 I 01.') $ 3.00 3d- d- S E. Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 8% State Surcharge 10% Administrative Fee 'iU-IAr~ f\~ ~ 'i"<?J Ic, '7 o~ .)-9 ' ~,tdL ' - LfLjD,~ ; (- - Shared Drive(T:)/Building FormslElectrical Permit Aoolication 1-06 doc ~ -- 10, ftI~ b 1 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007 -00469 COM2007 -00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check Check Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 CO M2 007 -00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check Check cReceintl RECEIPT #: 1200700000000001355 Description Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 20] to 400 amps Perm Serv/Fdr 401 to 600 amps Perm ServlFdr 601 to 999 amps Perm Serv/Fdr 1000 amps/volts Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/31/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By CHRISTENSON ELECTRIC CHRISTENSON VELAGIO NJM NJM Description Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm Serv/Fdr 601 to 999 amps Perm Serv/Fdr 1000 amps/volts Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee 0196546 1280 In Person In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By CHRISTENSON ELECTRIC CHRISTENSON VELAGIO NJM NJM Page I of] 0196546 1280 In Person In Person Payment Total: 2:42:45PM Amount Due 1,953.00 1,875,00 1,125,00 163,00 375,00 3,225,00 435.80 697,28 871.60 100,00 5.00 8,00 10.00 $10,843.68 Amount Paid $10,284,88 $558,80 $10,843.68 Amount Due ],953.00 1,875,00 1,125,00 163,00 375.00 3,225.00 435.80 697.28 871.60 100,00 5.00 8,00 10,00 $10,843.68 Amount Paid $10,284,88 $558.80 $10,843.68 10/3 112007 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone Architect ROLAND UDENZE 904-791-4801 General THE HASKELL CO A FLORIDA CORP 147733 05/11/2009 904-791-4674 Electrical CHRISTENSON ELECTRIC INC 458 05/01/2009 541-688-6121 Low V oltage Electrical TTC COMMUNICATIONS INC 164114 04/11/2009 541-689-2650 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: , Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .....,'" Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverigtf:ENT/ON' Oregon law req , f /I ~. U1res you to I\I~ti~~~~~~~;~?Pte~ by the Oregon Utility '-.. --."v., "'Uvt:IUltI::iaresettorth I PUBLIC IMPROVEM.JYNTSt,2-001-001 0 through OAR 952-001- vuvu', I uu maYSi1i~W!d{(1tfRi"'~. of the rules b calling the cenrer. -{Note~uie telephone Y number for th~(iW~~I$(JJnytN~tificatjon Center IS 1-800-332-2344). .~ '.\,. Nartc . S I~., . t. treet mp"f:;,or-etments: /J.li ". H Mn ~!J Storm ~e-JefC~~Wle: JALL EXp speciJ1~~fPJlf!1!J8~~ UNDER TH! IRE IF THE Wo ANY 18 D OR IS S PERMIT RK Notes: 0 DAY PERIODABANDONED ~ IS NOT . OR Pa2e 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 Estimate Estimate Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Deposit Plan Review Comm/Ind/Public Plan Review Fire & Life Safety 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 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Return - Deposit + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm Serv/Fdr 601 to 999 amps Temp Power 200 amps or less CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 VALUE: $ 29,769,000.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 29,769,000.00 Value Date Calculated Total Value of Project $29,769,000.00 $29,769,000.00 06/19/2007 ~ Amount Paid Date Paid Receipt Number $2,268.92 $9,698.99 $4,849.50 $7,759.19 $96,989.90 $25,715.32 $60,930.94 $38,795.96 $10,201.75 $13,418.47 $10.00 $122,046.85 $122,046.85 $1,812.30 $33,226.08 $353,019.54 $80,024.23 $5.00 $2.50 $4.00 $50.00 $-25,715.32 $10.00 $871.60 $5.00 $435.80 $8.00 $697.28 $3,225.00 $375.00 $1,953.00 $1,875.00 $1,125.00 $163.00 $100.00 4/2/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 7/9/07 7/9/07 7/9/07 7/9/07 7/16/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 2200700000000000472 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 2200700000000001095 2200700000000001095 2200700000000001095 2200700000000001095 VOUCHER#121 092 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/2912008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $968,004.65 I Plan Reviews I Plan Review Comments 06/29/2007 06/29/2007 10 LLH Check dated 6/26/2007 from Haskell exceeded the current amount due on the project. I have requested the amount placed in the deposit account today (6/29/07) $25,715.32 be returned to the payee as soon as possible. Information forwarded to Kaye Wilson. llh Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLF Public Works Review 06/27/2007 06/14/2007 APP JLP 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. 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. 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. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. 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. Pal!e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Roof Sheathing/Nailing: Before covering sheathing with finish material. 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. 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. 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. 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. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: 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. tl Od r: n,d 0 II , -':"v -.=., ~ ( Owner or Contractors Signature r! /~ JrJ ') l l - ( , Date Pafe 4 of 4