HomeMy WebLinkAboutPermit Electrical 2006-2-14
jecl; 5 5ub'mi'tted has the following
....;~J1.Q~e5 no' 'rectuire specific land .use
m......:....~ 0_ SPRJNGl111tLD,OlU7~77 0 PH:(~I)7U-3~S3~P~~~.I~ __":._QE ~""" ._
ELECTRICALPERM1TAPJ'LICATION f" .' - Zoning ." . .
CityJooNumberCDttl'lPOS'- orSCI7 Dale 2 -tt(-Ol.::> nate . &. ~l';-Oro
----- -- -~..~~it~'-1i'ir.'., ~~-'~'~--=~"~ti~il.II"''"~.-' C_.
1. G<"'.'~ .... ........ ;.,,.-tt_ 3. ~~~", ',". ." .: }~.;",,;.-
....., ~~,!<; &A-WW/1 ., ,'I!J~,; ,,--~... .' ., .j,' . ....-.""" . ,. '.' ~ . "'''",";~ ,.
,. A.~~~~~~~"'f'''~~
T FOAL DESCR!PT10"! ,... _.. ... ,.-.',. l'''~~~~~. ~X~;
J~:~~ZUO .OZJCO ~~tt: I $106.00
"'"" 1''/ 1- Each additional 500 sq. ft. or
ZOO S' ~ .~ I {) C{r"(J.A.T ~ portion thereof $ 19.00
,
Permilll are IIOJ>oIrallSfen.llle and expire If work Is Each MlD!IIfact'd Home or
Dol started wUhIn 180 days of c.>~__ or itwork 18 ModlIlar Dwelling Sorvia: or $50.00
_Suspelllkdfor.lllO.da}'I. _ ... _'-_ .'__' _Feeder ______.. _um___u'_
.::.~..:- ~i"'~~~~-=~B..~m&~l)lii~'-
EIectrica1C____. :Fn~nn 1=1: r:\-..-'-"~r\li~ 2OOADlpsor~-:- . -. "./.::.:.. S~.oo --- b 1_
. -- . -- --- ... .,.. '. . 20J-AmpS'I0400Ainps $ 75.00
..:..~ . ~=- AddR:sS-''rl-O V\A ",,,,,,..:-;-.. S;-\-, . --::-"::'-<<fCimps IOtiOO""Amps -$125:00- ~
601 ~ ro 1000 Ampa I . $163.00
Over 1000 AmrJ8IVolb 'j $375.00
Reconn<Ct Only ! $ 50.00
I
::-;:.~.::-'-:__' :.:--":,:.....=-'_ ,~.~;~'3"7~""--=--?..~'H.<:.;:~~~_~~~ ,,=
~- .... ~~.-~ --. I U J:.:j- ":~'-~:::~'~~~;~'~~~~-~~~;:~:'MR~I '~S~~---:'" __L='~
Conslr.Contr.Number QO:;1Il1('l . 201Ampaltc"400~ruiesby I $69.00
- . " ,'ul;'ayoll..111II",U.J'Cvv,~'.., I
~" " U ' 401 AJ12p9111600 Amps SIOO 00
C,~\."lg \ne cen'.er. ~1'HJlt:;.,~"v ~"'_"'p'ho~e , .
llumUl;r for the<Zc;r~''''rop:fl000VO!ls~S~ 1,"_
Cent(D!i~~ ..,
CITY OF SPRINGFIELD
~002
/
U~/~./U. "nu ~l:UV YAA D411J~~6aY
City
..--
'~U6' '^ 0-__
Phone
.~.l\L ~I
Expiration Dale -3.l 0 '7
SigD8lllre of Supervlsmg E1ccIrician
,*J~
c/o EadJ.AdditionalCirouilorwllh ~ ~ 0
o-.w...Nmne f{-ers€?VfrA ~ Mt::-b. Servil:eorF~Permit $ 3.00
1'100 E 5~'1 E.~~~' 'b~~~
Addless "'J :T\"\eY_ , ".,. ~__ .",,' ..,'
Cltyle;tf,oL-: ACPhone 97/- 'ZlfC(-t:>CJ'f Pvmporirrigalion
. !,., Sianf()uIIim: Lightlua
.'
0, ........INSTALLAnON Limlled.=-_....Re&ideatial I $25.00
, Tho iIlslaIIaliollls beingmado on,.., __/1 own whlcb. Umimd EusrsYIC ....... !l'it\'C. '-NG?-'fo. I $ 45.00 .
isllOtiDlt:ndeclfiltsale,lt:asoorrem. ~Im \r ,,~ "n\sjls. ~
O"f\ . om "" ",'1'101_15 OU +Sarcbarges
..\ " .,~ p '" -
~ -' . " .. ~
,,\\\'0 Ili.: . ~. , . ' - f! 1:11 9 J
f>.\f\\\Q?; ~ . ,.' I(l(
QWlWI'C.~ . ,..:..= 7 . :
Cf>.~'/ ,~\)~ ;,:.,,,;.Fee"C. 9'J
TOTAl,. /0 CJ 71(
New Attention Ol"r..~.,.,..,-'.., Per hDal
One CiIcuit
$ 43.00
$ 50.00
$ 50.00
0wIHQ SigoatDre;
InspedloD Request: 716-3769
~--
-Dmo(l':)1laI1dlusPbnmll!leclriel t_~JlP"-'-I-43.doo
"l.. ;;..._
.~l~:,}o_.......:.. '
~ i'><' ... "."-' ':'.r
"y.,.,-:.", .
,~~";...~';'::'
',,,-,C,,,::",:
..-~.\.J "'~~~~::s..
.~_:",:,,_,~~ ",~;f~..
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01547
ISSUED: 01106/2006
APPLIED: 1110112005
EXPIRES: 08/06/2006
VALUE: $ 80,000.00
.
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1144 GA TEW A Y LP
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF
Medical Office
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Remodel of medical offices in Suite 100.
, Owner: FRESENIUS MEDICAL CARE
Address: 1400 E SOUTHERN AVE, SUITE 500
. TEMPE AZ
Commercial
Phone Number: 971-244-0034
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
. Mechanical
Plumbing
Contractor . . "I, Orcgor..I;-jc;~RS_\!jlres.ljlxpiration Date
ANKROM MOISAN ASSOC, ,,' :,"~: ~dopted bv the Oregon Utility,
MCINTYRE CONSTRUCTIO~;~C;~ tel. Tr;t5JJlrules are set 10!08/2007
EUGENE ELECTRIC SERVICE'I.N_C~~_001 0 t~~el!.Odh OAR 95203/1712007
INNOVATIVE AIR IN(':l OAR \J!:l<! U bta'in 16L7f12J of the rulel0ft,1/2006
............n" Vr.11 may 0 ..........1-' ...
MCINTYRE CONSTRUC-TI()N'I~,~_ .M'n' (3.!i~,()" the telepho[0/08/2007
I BUlLiliNG',INFORMW'nONt i1ity Notllicallon
Center IS l-ouJ-,,::J2-2344).
# of Stories: Lot Size:
Height of Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Patb: Sq Ft Other:
Sprinkled nla Occupant Load:
# of UnIts:
, Primary Occupancy Group:
, Secondary Occupancy
Primary Construction Type
,,: Secondary Construction
# of Bedrooms:
B
IIA
'DEVELOPMENT INFORMATION I
Phone
503-245-7100
541-687-2841
541-344-3561
541-746-1040
541-687-2841
REQUIRED PARKING
Front yard Setbac k:
Side 1 Setback:
, Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Handicapped:
Pa~J,tqd: PIRE If lHE W~pact:
% "t~~ "ty{Wl\~esH"LL ~H\S PERMI1IS NOT
^' \Tl-1q~\Z;O \~NO~t f..tf !lnnM~n fOR '
IPUBLIC INWRlj)~~" t.~\OO,
'~l \u" ~fT'
,... Sidewalk Type:
DownspoutslDrains
Street
, Storm Sewer Available:
Special Instruction:
, Notes:
1 of 4
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mechanicallssuance Fee-
+ 10% Administrative Fee
- + 8% State Surcharge
BackOow Device
Building Permit
Fixture
Miscellaneous Mechanical
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01547
ISSUED: 01106/2006
APPLIED: 11/0112005
EXPIRES: 08/06/2006
VALUE: $ 80,000,00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
80,000,00
$80,000.00
$80,000.00
Value
Date Calculated
ll/01/2005
Total Value of Project
Fpps Pair! I
"
Amount Paid
Date Paid
Receipt Number
2200500000000001531
2200500000000001531
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
1200600000000000018
2200600000000000038
2200600000000000038
2200600000000000038
2200600000000000038
1200600000000000162
1200600000000000162
1200600000000000162
1200600000000000162
$316.97
$195.06
$10.00
$68.97
$48.27
$28,00
$487,65
$84,00
$45,00
$45,00
$171.59
$225.66
$19.86
$7.00
$5.60
$43.00
$27.00
$9.30
$7.44
$30.00
$63.00
lIIlI05
lIIlI05
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1/10/06
1/10/06
1/10/06
1/10/06
2/14/06
2/14/06
2/14/06
2/14/06
$1,938.37
I Plan Reviews I
2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01547
ISSUED: 01106/2006
APPLIED: 11/0112005
EXPIRES: 08/06/2006
VALUE: $ 80,000.00
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. Fire Denartment Review
11103/2005
01/04/2006
OK
GRG
"
Initial Review ll/02l2005 11/03/2005 APP LLH
Plannine Review 11103/2005 ll/15/2005 APP EMM
Public Works Review 11103/2005 1210212005 APP SB
Structural Review ll/03/2005 ll/10/2005 WE JMP
Structural Review 1l/28/2005 12107/2005 10 JMP
Structural Review
01/04/2006
01/04/2006
10 JMP
SUB Review
SUB Review
12107/2005
ll/03/2005
12/07/2005
ll/18/2005
APP JF
WE JF
Plans Review: Remodel for
Fresenius Medical Care. Job
#COM2005-01547.
Provide fire extinguishers with a
minimum rating of2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Provide illuminated exit signage
meeting requirements of 2004 OSSC
1011. ..
Provide means of egress iIIuminatio.
meeting requirements of 2004 OSSC
1006,
Subcontractor shall submit fire
alarm plans to Springfield Fire
Marshal's Office for review and
approval for any modifications to
the fire alarm system (2004
Springfield Fire Code 901.2).
Added SDCs for new fixtures.
See attached documents for 7
structural comments faxed to
Timothy A. Root.
WE. Received response from
Timothy A. Root. Faxed energy
code forms to Jack Foster. Left a
voice mail for Tim requesting items
5 and 6-contractor data and
valuation.
WE. Called and left a voice mail
message for Tim Root requesting
contractor data and valuation.
No energy code issues or inspections,
JMP requested energy code
information in Item 4 of the
attached structural comments.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
3 of 4
--:-1IIr&f~'~:~f.I~'-~'-"
~~'~,
--- '. -
.. 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: COM2005-01547
ISSUED: 01/06/2006
APPLIED: 11/0112005
EXPIRES: 08/06/2006
VALUE: $ 80,000.00
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 Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 wiD 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 wiD remain on the site
at all times during construction.
, Owner or Contractors Signature
Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
_.a'
"
Job/Journal Number
COM2005-01547
COM2005-01547
COM2005-01547
COM2005-01547
Payments:
TWe of Payment
CreditCard
I'
I
,
"
'J
"
"
.
,
2/14/2006
RECEIPT #:
~i
~ of Springfield Official Receipt ..
Wvelopment Services Department
Public Works Department
1200600000000000162
Date: 02/14/2006
2:36:53PM
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Paid By
EUGENE ELECTRIC
Amount Due
7.44
9,30
63.00
30.00
$109,74
Item Total:
Lheck Number Authorization
Received By Batch Nnmber Number How Received
djb 014927 In Person
Payment Total:
Amount Paid
$109,74
$109.74 '
I of I