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Home My WebLink AboutPermit Electrical 2008-1-31 c.~ ZON INITIALS \'-'''--' DATE 2-\ -0 ''is SOURC~~.:s, t;J') 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S4I)726-3689 ELECTRICAL PERMIT APPLICATION City Job Nnmber C. J. . ."2DO-r-- O~ 4 L ~~[C!Jj91YiP~Af~J:I2E~ D~'5 \QiVU'be..r& '2Y('. LEGAL DESCRJPTlON: \~O2.313\ '0 \q lJU JOB DESCRJPTlON: 1t".fl1P ~VlLU Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Snspended for 180 days. 2. i~qii~SX~ial!~~~i~r!2~~~ffl Electrical Contractor (V/ n lU ~:;) VlSlI'Y\ 12l f....v Address SlJO' S - Dh..e..}. ~. City~ Phone h ~ f ;(.. I )- I Supervisor License Number L-j- () /1 5 talo I .. ')f..3<ln Constr. Contr. Number 0'-'" \.,/ Expiration Date EXPiratio2':1 I I 0 <6' Sign7;Z3;$9C - cia V Owners Name ~e.AU~ Address City Phone WOYtt~STALLATlON ~tfi(qn~tre~%~~VrrH€woAi{t A'O'THORIZED UNDER THIS PERMIT IS NOT <OOM~90R IS ABANDONED FOR ANY11!O nAY Pl"lWn Inspection Request: 726-3769 ~v, ~t.-. lll-p. ~ \0 \ D\ I \D l! 31 I ~ 3. Woo. M. iit. ;iffiJFE;;'';(;'H1;'Dl''mE'iBEmW~:r~~i\!'lJJ ~i''''''';''3f'';F",,,~,,,,''.",,><",,i'''''''''''If:$'a:J'''''-' ~,~~,.,."",.,. """"""0.:,~.,~,,,,.~,,ji;,,."_.~~~~~>i}.. .:.~~i Date 'ii!t,,~..q';;'''''I'''''':;:<'~' .""~.......';J~t'F-,~jc:ijo1J;..,,,_:.:P'i "':t,.;.4',.............,'{.O,ljji1"""'..~".,,_.,,. ,....""~'&~!'.~. A. f.t,:Newn1Rcsidc'rftial~Silf 'leforJMulti~famH7~ er:-laweHiil"--l'uniC-' "," ~"~'i"~:tt;"~-"""""-""."~,,,,..,,,....~,,g_..~.-..... ~"'_"".~'_" '~.~'.".' '. cy;~;",~,-~"""""gl':li:i' -.. .. 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 $]06.00 $ 19.00 $50.00 B. ftS~il1~~:;F~tI~~~ih~ii~TIit~f!A.'\Tt~f:~~~t;}R~i~{'~ii~~ ~~q""~";#~'''~f''4':$c_''\~'''1'w.~;:,~~",,,,,,,,,,,,,,,,,":;.y..~..,",,..;p.""'''''~.:..f'''''':''''''',~1>'''~~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $]25.00 $163.00 $375.00 $ 50.00 IC::~\'fii;nt'i':r'J~~fJ,2,-';'lO"':iE:1$.;i';4<f,.,,~-tJ:::S~~",,1i1i$"'.4!"'I":Ii~~':';'i~~W~<i;~ C.memporary}serV1ces\OrlF'eeders'~~;, '&~.;~ ~df~-~'/'t'~. _ .~~~ _." . ,," ~ '-'---", '~-~ '.' ........."~~_.~.,,...'w'_.,.,... "~,jj,~.' .. .' '.. .<4 "'I'''ll''S fi!.... ."~"'.,,. . Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps ~ 7&.cn $100.00 Over 600 Amps or 1000 Volts see "B" above. ![~'L'!C."-''"''~''lI!i!l'l\i1itG'!{ill~!l:>~Ji!1j!!,ill~~~'''''~''''~'''l;Jl D. rj~pt~~4;_~~(g!rf!!!t~~~n~:~~~_~~}~~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 ~~~~~h,'::itJt{.J'.".,:4tAt';'i~n:;'~~~"'t4t-"".e~~r.)%~:m>.t~~:;!ili--'m~~~t E. ~.Ml~~",e!~~~~~(~~:m1tfPl~~,~!t,Q~~'E.i!~l~!~~>>.!!s1!!!~t!~~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Ene"Q.J~Nf.l,\6M: Oregon law reQl1ireewou to L. 't d E ionQ~'!oI rulesNiopteu oy me nr"""", Utility Iml e ner~Wj onunerCliIT' _ ':Ii "you"' Mini~:~:,,~~!~~~fi~tlW~~!OONg~-hit~ 4. SUBT@li'fR'!n""""'~Ou aln'CORleS'Oflt~e -.. 1;;;;:t:~~~~~~~~~~hf~I~~~~~~fJJj ~~~ 10 y, Admllllstrallve ~nter is 1-800-332-2341) . 5% Technology Fee . ;1, . TOTAL l1 (." _t:; '2- SharedDrive(T:)/Building FonnsiElectrical Permit Application g.06.doc Status Issued 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 Springfield TYPE OF WORK: Medical Office PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 TYPE OF'USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP CHRISTENSON ELECTRIC INC TTC COMMUNICATIONS INC FM SHEET METAL INC TWIN RIVERS PLUMBING INC License Expiration Date Phone 904-791-4801 904-791-4674 541-688-6121 541-689-2650 541-726'3000 54 I -688-1444 147733 458 164114 89710 17695 05/11/2009 05/01/2009 04/I1/2009 03/15/2009 03/ll/2008 BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: I DEVELOPMENT INFORMATION I . REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: . Handicapped: Side 2 Setback: Paved Drive Rqd: ATTENTION: Oregon 1~.Hll}'tl':es you to Rearyard Setback: % of Lot Coverage: foUow rules adopted ~y the Oregon Utility Solar Setbacks: Notification Center. Those rules are set forth iIOT''''::- In OAR 952-001-0010 through OAR 952-001- . . - ERMIT SHALL EXPIRE IF TIilPi'tB~rtl:'IMPROVEMENT.;1l,J90.. You may obtain copies ot the rules by THIS P EHf\, I, '" r \ 7 ~ Icalltng the center. (Note: the telephone Street I(l.ip'fcH{llilliblill UNDER THIS P NED' 'FO'''R 'v numbl'lrd'llil'ahe1G~on Utility Notification St c1'mn~nl'~lri=~ OR IS ABANDO DCenter is 1-80P-332-2344). orm 1leWe1"~valf:jb :PERIOD ownspouts/Drallls: Speciall'u'\lf{u'k%lJlA . Notes: Pa2e I of5 _&.!:!IlI-tlAIilIlil;Iit!. I 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/lnd/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Snrcharge Building Permit Deposit Plan Review Comm/lnd/Pnblic 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 + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Return - Deposit + 100/0 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 01' less -Mechanical Issuance Fee- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 I Valuation DescriDtion I $ Per Sq Ft 01' multiplier $1.00 Amount Paid $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 $ I ,953.00 $1,875.00 $1,125.00 $163.00 $100.00 $10.00 Sqnare Footage 01' Bid Amount 29,769,000.00 Value Date Calculated Total Valne of Project $29,769,000.00 $29,769,000.00 06/19/2007 F~~<. p~itJ J Date Paid Receipt Number 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 6129/07 7/9/07 7/9/07 7/9/07 7/9/07 7/16/07 10/31107 10/31/07 10/31107 10/31107 10/31/07 10/31/07 10/31/07 10/31107 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 11/21/07 2200700000000000472 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 2200700000000001095 2200700000000001095 2200700000000001095 2200700000000001095 VOUCHER#121092 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001430 Pa2e 2 of5 . _ej!i!i~ll1I!:i!~I~~;"'IL',, . f . .. " . . 1'- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit 10,000 & Ovr . Appliance Not Listed Backtlow Device Boiler/Comm 30-50 HP Boiler/Comp 3- I 5 HP Exhaust Hoods Fixture Fnrnace - Unit Heater Fnrnace - up to 100,000 btn Plan Review Mechanical (25%) Plan Review Plumbing (30%) Sewage Ejector Pump Trap 01' Waste not Conn to Fixt + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Temp Power 201 - 400 amps Total Amount Paid Public Works Review Plan Review Comments CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/1112008 VALUE: $ 29,769,000.00 $645.80 $322.90 $516.64 $75.00 $720.00 $14.00 $44.00 $22.00 $99.00 $3,304.00 $120.00 $1,836.00 $729.00 $1,062.60 $14.00 $210.00 $7.60 $9.12 $3.80 $76.00 ll/21/07 11/21/07 11/21/07 11/21/07 ll/21/07 ll/21/07 ll/21/07 11/21/07 11/21/07 11/21/07 ll/21/07 ll/21/07 11/21/07 11/21/07 11/21/07 11/21/07 1/31/08 1/31/08 1/31/08 1/31/08 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200800000000000090 1200800000000000090 1200800000000000090 1200800000000000090 $977,846.11 I Plan Reviews I' 06/27/2007 06/14/2007 APP JLP Entered SDC fees based on DFU calcs in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLF '.' 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. IIh To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. wiII be made the following work day. I 'WI\\WI.11n<ne~ti(\n<.J Ufer Electrical Ground: Install gronnd rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Pa2e 3 of 5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 covel'. Electric Service: Approval required prior to utility company energizing service. Slab: To be made after all inslab building service equipment, condnit piping and other equipment items are in place bnt prior to concrete. Framing Inspection: Prior to covel' and after all rough in inspections have been approved. Wall Insulation: Prior to covel'. 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. Roof Sheathing/Nailing: Before covering sheathing with finish material. High Strength Bolting: To be done dnring 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 resnlts to City Bnilding Inspector. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground distnrbance and after erosion measnres 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. Rougb Grading: After gravel is in place but prior to placing concrete. . Final Paving: After paving is complete. Rough Plumbing: Prior to covel' and inclnding 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. Pa2e 4 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Cas Service: After line is instaUed and line has been connected to a minimnm of one appliance including reqnired .J testing. Presure test done at this poi~l. . Rough Mechanical: Prior to Covel' By signature, I state and agree, that I have carefnUy examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and all work performed shaU be done in accordance with the Ordinances Ofthe:City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP AN<>:Y will he made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensnre that aU required inspections are requested at the propel' 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 aU times during construction. Owner,or ContractOlls Signature Date Pa2e 5 of 5 225 Fifth'Street . SpriIigfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check cRcceintl RECEIPT #: Description Temp Power 201 - 400 amps + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By CHRISTENSON ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000090 Date: 01/31/2008 Item Total: <":heck Number Authorization Received By Batch Number Number How Received ddk 1465 In Person Payment Total: Page I of I 11 :48:29AM Amount Due 76.00 3.80 9.12 7.60 $96.52 Amount Paid $96.52 $96.52 / 1/31/2008