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Home My WebLink AboutPermit Electrical 2006-1-10 I,. U,IJ .1.1 U"i , liiIooz .~. ~C/ 1,.-: 10-0(,0 . fVM . '. :~:i:,~;~~~~~PH:(541)~~S3 ~F~~l~_ ._.:~j _~~~ CityJobNumber(5.... OI5~l ~ 1'10- (),o , . . 1 ~~,.. . ~-:' ""./ '.~ 3 !~~'.:;;~~r..,;;;r;r.p~~Wji~~.:~~~l \ \ 4iP-D-' ::""-,=,=",, ..l'Yr~ . . ~~...=r. ..........,............,. ,. .""",~",~,I.~:i;l , \ . A. ~,:.,. ",~r.""".,g' .~..,.?...._.~tf.;~;-.~~,: ~ - ~"~~'~;az'<~~' ~~ \_lUS O~ CYn Qr~1""\7) ~~l,!daded ..... JOB DESClUP'I'lON 1000 1q.1l or less $106.00 (7 ~ nr.. . 1.... 11 _ - () Each additional 500 sq. Il or \~..L..JLU> J U)'>L..Jl(~p_LOlx. pomon1heroof' $19.00 Permllul'L.._ _...DSfenllJeand aplrelfworkls Each.MalIl118ct'dHomcor notst:artl!dwUbID 180daysoflssaaneeorlfworkls ~~SerVicCm: ". Irc'I'ir, '$ YOI$50.oo - .. __Suspended.far.18Il.dayL_ _ ___ .~Ceder___'~"c"21..... ':~I\JH-;,#Hjty--- -_. _____ -:--=-= '.~'~-'~- _'-:'-~"""~W,~~~,".~~_.--." '.' .'. ".__ ~ ~ B.!.~~-f.i1,V:*~ d.r:~,~,"~:J:Z'!.'~&",&~~~ .. . . Q. OeJJ, ','QU m,,\, obtain cOfJies ot ih ~ -~::. v~ ," E1ec1ric8l ~':-JG'lMlil'" Fj-,'r.~\ r .;tLYI u..' ~~%~enfeF 1M';:';'..:';;;;:"';: .JL~~oOO H , --- .~. - ._~. '.~- '20t~i~'400~.\L'<.Uue~"",(eilph$''75~oo' .. -Address \dJ)l'IJ1J:Iy,""'.... '\'1-, -'..----40IAmpsIIO~~:Mpr;;,Il:hl'''D~~S.i2!JOO- .~ --- 601 ~ 10 1000 kip. - -'::0>4'1. _ $163.00 Ph01l!' 3'-14 ,,>,,In I OvtzloooAmpslVolls I $315.00 R...._... Only I $ 50.00 ....:..:~.~~~~--"_.. :. ',~. .'-~~~- h"."'_.'~. ~"_"."" ,.,..." .' _, _. ..:;a _I.~.._.,. _, ".____ .__, ......:=.~._.;.~' _" ,,_ , . '..-'~ ___" i- "' _..... ,. .fDitiiuvu.oD-,~1acM.1td:~- - ---....':"-~....-~.., ....---. -'..... - 200 Amps or Io6s . I $ 50.00' . 201 Amps tQ 400 ADips I S 69,00 40i Anfoo'1O 6()0 Ainps I $100.00 T1UIIl.iC. Ov ~rJ~ _. Yo D. ~, N~~U'~'~ EDFOR 0ne~80 DAY PERIQIDm'-7 $43:00 tI -r7 - Each Additional CinnU1 or lVIt1i' Q 'L:::..-?"....1"7. \\' ,<;, rv 1 fJ) . Servlceorl'~Pennit ---1_ S3.oo .........._..Namq~....... UJ IIlIr , {J/C.. ~~ g ~l>. (JIIJL/E.~~~" c~O.Q_.lfJ~~~ - Pllmpor~' . $50.00 I ~. Si:InIOn1Iinr: Llghtlug s .so.OO OWNER INSTALLATION '. . ,'-,_. ~ "..~t $ 2S 00 . t...WWOU.~...,i_- . Tho lns1a1Ia1lo11 is being IlllIdo on ..... _. 'V' I own which Limimd llneruYlC '"'''' . .Ial $ 4S.OO iSllDI' iulezJded fi)r sale, ~ or 1elIt. MInimum Electric PermIH"." ..:".. 11ee Is llS.OO + SnrclIarges 0-..81......", 4.~~~1Iitt:zD 60 .." .'. "..,' '.' -. , e;;'. /-.0. ~.S_~., '0-'':,'.. UI. 10%Admill'.,.~.~~'.Fee' .. . l' ~. ~ TOTAL.. . ~ 8' d , (PO ~~# ---,-..... ,... . ~ City F >JQt.lA""-. o ~,. ,~~~~,-:~~.-~.-~,~:..~ ;:.~---:~:3:J~}~~!-,-~~.~ :.:~.:.:..:-.-'-- ~1Jale In~ -.... ~~-=- Consll', Contr. Number q{') ~ 00 Expiration Dale _QIJ:Li Signa1\lte of Supervising Eleclrician -43. Ql' c9r, uO =rdfl~ InspecIkm ;.."" ,. t: n6-3769 :.~.~;.i..':iL.,,~~,.':};..i 1'-,,' _ .'~ ~';., ,-:.,:.~,'~< ,....:....;.. "":"""'-.' "",."~:,:'~ "..,~L'~"""'" FROM :EUGENE ElECTRIC .. . FRX NO. :541-343-7445 P1 ~an, 10 2006 09:33RM CITY OF SI'RINCil"lr:.I./), ORF(,()N 125 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S4I)716-37~3 . FAX: (541)716-3689 ELECTRICAL PERMIT APPUCATION City Job Numb... I. ulf/. ('_.d~;'rl/"'r '~J:f(.~t'O , ,[{GAL DESC ON e! rln-l-n -.-/h,r._ <("lor",'\-.1 fu..h,.:,.r.~ - JOB DESCRIM10N ~\,.. 0 '/.1<: IL", Permits Are llon-trAnsrerable and ..plro If work is not started within 180 dRY' or IlIunnee or It work Is Suspended ror 180 day.. 2. Rleclrical Contractor &ur~ Illr1'i,;, .!S1lO'V''''- Addre.., /,')fJ YV/"..,.."" 8+. City ~. Phone ~~</t/'''''''''''''L Supervisor LiceuseNumber <;,'::I,5.~ Expiration Date 10 I, "., I ConSIr, Contr, Numher q/}J;(Ol) Expiration Date ,<(1,'1 \1'1"7 Signature of Supervising Electrician '+a..h P~-:.I o Owners Name Address City Phone OWNER INSTALLATION The Installation ill being made on property' own which is not intended for 58110), IC38C or rent Owners Signature: Inspection Request: 716.3769 Date A. Service Included 1000 sq, fl. or less Bach addilionRl 500 'q, ft, or portion thereof Each Manuf""t'd Homo Or Modular Dwelllns Service or Feeder $[ 06,00 $ 19.00 $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps 10 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Recunnect Only $ 63,00 $ 75,00 $125,00 $163.00 $375,00 $ 50,00 c.~m~._,.,_ Installation, Alteration or RelOCAtion 200 Ami" or ress 20 I Amp. to 400 Amps 401 Amps to 600 Amps Over 600 Amp, or 1000 Volts see "a" above, D, ' ',. New Alteratloll or Extension Per Ponel One Circuit i Each Additlona' Circuit or with q Service or Feeder Penn it $ 50,00 $ 69,00 $100,00 $43.00 LB.~ $ ],00 !l/, ""- Pump or irrigation ___.__.., $ 50,00 __..__ Sign/Outline Lighting $ 50,00 Limited Energy/Residential __._._ $ 25,00 I..Imlted Bnergy/Comn,.rclal $ 45,00 Mlnlmunl Electric Permlllnspectloll Foe Is $45.00 + Surc1larlll!5 4, 8% State Surcharge 10% Adll1iniitrative Fee cO -,-JQ..---_..... ./. 90 7- </9 ~,;LVl TOTAL _ ~ .- Shared Orivc(T:)ffluildins PannslRlectnC41 Permil ^rpliutinn J..()(\,dne Jf#~~ ~ ?~~ r...G.cr / ,2vs.. IQ bt.ffJj ~-o/ 225 Fifth Street v Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Nnmber COM2005-01547 COM2005-01547 COM2005-01547 COM2005-01547 Payments: Type of Payment CreditCard :, :, . '~I ') :, :' " -';. .) - :, .. :, 1/10/2006 RECEIPT #: a'j~Oi.~_. ...... .' Wii: ". ' MtY of Springfield Official Receipt Wlvelopment Services Department Public Works Department 2200600000000000038 Date: 01/10/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By EUGENE ELECTRlCIRUSS ROBBINS Item Total: Check Number Authorization Received By Batch Nnmber Number How Received njm 010411 Fax Payment Total: Page I of I 1:13:33PM Amount Due 43,00 27.00 5.60 7,00 ' $82.60 Amount Paid $82.60 $82.60 . . CITY VI' ~PRlr"lul'lELD Building/Combination Permit PERMIT NO: COM2005-01547 ISSUED: 01/06/2006 APPLIED: 11/01/2005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . SITE ADDRESS: 1144GATEWAYLP ASSESSOR'S PARCEL NO,: 1703220002300 Springfield TYPE OF WORK: Medical Office - Owner: . Address: FRESENIUS MEDICAL CARE 1400 E SOUTHERN AVE, SUITE 500 TEMPE AZ TYPE OF USE: Alteration Remodel of medical offices in Suite 100rTENTION. Oregon la ' , .. , w reqUires you to follow n dPCl ~rl""ntl"\'" h.. .u.. _ ,... __ _ . '."', Notification Center, Th(fho~e:~;m~~!bt~7-~-,244-0034 In OAR 952-001-0010 through OAR 952-001- 009~:Youmay obtain copies of the rules bv Commercial PROJECT DESCRIPTION: Contractor Type Architect General Electrical Mechanical Plumhlng Contractor ANKROM MOISAN ASSOC MCINTYRE CONSTRUCTION INC EUGENE ELECTRIC SERVICE INC INNOVATIVE AIR INC MCINTYRE CONSTRUCTION INC -_.".'.~ .,'..... .....CIHt::/. \'\lUl~; melelepnone I CONTRACTOR INFORM\\TION' IJregon Utility Notification V",,,,,, ,~1-800-332-2344). License Expiration Date Phone 503-245-7100 541-687-2841 541-344-3561 541-746-1040 541-687-2841 3550 90200 161742 3550 10/08/2007 03/17/2007 10/1112006 10/0812007 . # of Units: Primary Occupancy Group: _ Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: . # of Bedrooms: B BUlLDING,INFORMA TION I ~l.. # of~n?l~fERMIT SHAL Lot Size: Heig :lJlliGfrAiOOl9 UNDE~ EXPIRE IIS'1ti1~~IJ:loor: Typ iiMfjNCED OR I THIS PE~ 1 lI'ii6or: WatANnyllflD DAY S ABANDON ~ ~Qient: Range Type: PERIOD. !QRaragelCarport . Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: IIA " 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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: \ Notes: . Page 1 of4 Description Estimate Tvpe of Construction Estimate . Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mecbanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Backflow 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 Clrc Ea Add Total Amount Paid . . CITY OF ~rK11'luJ<1J!,LJ.J.. . Building/Combination Permit- PERMIT NO: COM2005-01547 ISSUED: 01106/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 80,000.00 , Value Date Calculated Total Value of Project $80,000.00 $80,000.00 11/01/2005 l..Fpp< PiWLI . Amount Paid Date Paid Receipt Number 2200500000000001531 2200500000000001531 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 2200600000000000038 2200600000000000038 2200600000000000038 2200600000000000038 $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 11/1/05 11/1/05 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 $1,828.63 I Plan Reviews I Paee 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permi( Status Issued PERMIT NO: COM200S-01547 . 225 Fifth Street, Springfield, OR ISSUED: 01/06/2006 541-726-3753 Phone APPLIED: 11101/2005 541-726-3676 Fax EXPIRES: 07/06/2006 541-726-3769 Inspection Line VALUE: $ 80,000.00 Fire Department Review 11/03/2005 01/04/2006 OK GRG Plans Review: Remodel for Fresenius Medical Care. Job #COM2005-01547. Provide fire extinguishers with a minimnm rating of 2-A:I0-B:C every 75 feet oftravel distance. The top ofthe extlnguisher(s) shall be between 3 and 5 feet above finished floor (2004 Springfield Fire Code , 906). " Provide illuminated exit slgnage meeting requirements of2004 OSSC 1011. Provide means of egress Illumination meeting requirements of 2004 OSSC 1006. Snbcontractor shall submit fire alarm plans to Springfield Fire Marsbal's Office for review and approval for any modifications to the fire alarm system (2004 Springfield Fire.Code 901.2). Initial Review 11/02/2005 11/03/2005 APP LLH Plan nine Review 11/03/2005 11115/2005 APP EMM Public Works Review 11/03/2005 12/0212005 APP SB Added SDCs for new fixtures. " . Structural Review 11/03/2005 11/10/2005 WE JMP See attached documents for 7 structural comments faxed to Timothy A. Root. Structural Review 11/28/2005 12/07/2005 10 JMP 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. Structural Review 01/04/2006 01/04/2006 10 JMP WE. Called and left a voice mail message for Tim Root requesting contractor data and valuation. SUB Review 12/07/2005 12/07/2005 APP JF No energy code issues or inspections, SUB Review 11/03/2005 lI1l8/2005 WE JF JMP requested energy code information in Item 4 of tbe 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. Paee30f4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Rp.nuirp.rl Tnsnp.~tions I 1rI r r I . CITY OF ~nur\jt:..rIELD . Building/Combination Permi~ PERMIT NO: COM200S-01547 ISSUED: 01/06/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 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, T state and agree, that T 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 Pa~e4 of4 Date