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Home My WebLink AboutPermit Electrical 2006-5-25 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ,OIM 2-00 C;--D r 7 fTb Date 5-2'5-0<.. rv-D2- 5/ z., -rj CX,t/ SPRINkJeltt . - . L~~~'in(f. W"~ .~.~ 1. I LOCATIONOFINSTALIATION J 3. I COMPLETE FEE SCHEDULE BELOW -z--bb c:; S c/o V C'IL f6i. P LEGAL DESCRIPTION _}703 ~2-4 3' JOB DESCR[PTlON (5 Og-Q~ 'S~~" ~ fJO__ . ~/L.fl7 Permits are Don-transferable and expire if work is Dot started witbin 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRACTORINSTALLATlONONLY I Electrica[ Contractor 5<.\~ F-~ AIJ\l1<Y' Address Po BI>I- 1'L1-%4 City Sc. k...". Phone So1-1b4-4st.<, Supervisor License Number '-/011 LeA Expiration Date h'l-.:> 1- ~.:;og' Constr. Contr. Number '7(,.,158 ....( 7-~ Expiration Date Address :5 0 ~ City f::u..&-6te:- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. A. I New Residential- Single or Multi-Famil)' I,er dwelling unit. 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. I Sen'ires or Feeders -Installation, Alterations or ReloclItion: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps . 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect On[y c. I Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additiona[ Circuit Or with Service or Feeder Permit j(4'1 SUBTOTAL OF ABOVE 8% State Surcharge ~ . ~ ~:~:ministrativeFee ~ ~ ~' Signat/Z:rvising Elect~ owners:ame 2~p J~ (of 11 6r~A-.J.~A-~ ~. I Miscellaneous (Sen'ice/feeder not included) -Each Installation I b){b- fJ,'1 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial -=\ $ 45.00 1~5 . rAINC, 11"1>. Minimum E ectric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: Inspection Request: 726-3769 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $[00.00 $ 43.00 $ 3.00 115 IO,~O I1.S 0 rS~ .'1>D Shared Drive{T:)lBuilding FollIL'il'Electrical Permit Application 1.o6.doc . . CITY OF ~rKINGFIELD Building/Combination Permit Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: OK to Issue 12/30/2005 11125/2006 $ 191,000.00 SITE ADDRESS: 2669 S CLOVERLEAF LP ASSESSOR'S PARCEL NO.: 1703224300800 Springfield TYPE OF WORK: Care Facility TYPE OF USE: Additinn PROJECT DESCRIPTION: Addition to existing care facility and interior remodel .."u\O ull "'- . \}\III" Owner: CLOVERLEAF ASSISTED LIVING LLC \<I'Il leO: e90(\ I&~~ne N,umber: Address: 30EBROADWAYSTEI60 .01690(\ ~\\,eO\ <I\e~e\ If;)\- EUGENE OR 97401 ,....,.l"lf\\O~~c\O?\6~~()se IU:~~~I'\ 9"J~~s '0'1 r' ,'.....\N ~U\""- ,....o'(\\e\. . ^ \\,$0$.':::1 .....\ \'(\'Ci . - o{\e I CONTRAGTOR.INFORMA'FION_t,e\e?\\ <1\10(\ I"V' X'- ~..,~ OU'- \,<0"" '. \,<O\IIIC C .(\01" ..~a.~ 'el~' ",,11\'1 IE . . D on tractor I () "OV ce(\" Llcense'2,'2>t, 'xplratlon ate BURTON W ALTER ()()~a.\\1(\9 \\\el \\\e 0Iex,1:.4.16&>'2.- OS/24/2006 WHISKEY HILL ELECTRfC}l\l@1 10 (\\e\ I~ \ 162985 02101/2009 SALEM FIRE ALARM INC(\ ,. Ce 76884 10/12/2007 JET HEATING INC 3944 05/31/2007 TAPANI PLUMBING INC 60958 07123/2009 Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedronms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: 19.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemenl: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: II SR-I VA I DEVELOPMENT INFORMATION t Commercial 541-686-1119 Phone 503-775-1962 503-981-4640 503-364-4566 503-363-2334 360-687-3983 463 5 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: ~'f,. # Street Trees Rqd: y,'t. 'Il'lCl ;\ Paved Drive Rqd: ~'t. \t '\ \S ~Cl % of Lot. Coverag~\..\.. 't.i-?\ ?'t.~\SI\\ tCll'- ~~'\~~~I>SI\\ S~'l\'t.I'- \~~~ClCl~'t.\) I PUBLlGl~~ROv~Mil\l'fS:'';. t'v ,~\SI\:.\W-,,'{ ?\:.p,J Sidewalk Type: 'CClI" \ 'Or:) \)1" f>.~'{ Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Paee I of7 Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Pavine Tvpe of Construction Estimate Use Bid Amount Fee Description Plan Review CommflndfPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 80/0 State Surcharge Add, Aller, Exlend Circ Add, Aller, Extend Circ Ea Add + 10% Administrative Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 8% State Surcharge + 8% State Surcharge Building Permit Fixtu re Heat Pump Inspections - Other Plumbing Low Vollage - Commercial Indus Minimum/Adjustment Mechanical Paving Plan Review CommflndfPublic Plan Review Fire & Life Safety Plan Review Minor - Planning 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 Sidewalk Permit . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11/25/2006 $ 191,000.00 I Valuation Descriotion I $ Per Sq Ft . or multiplier $1.00 $1.00 Amount Paid $409.92 $252.26 $10.30 $8.24 $43.00 $60.00 $13.80 $11.04 $63.00 $75.00 $10.00 $13.50 $112.01 $10.80 $83.51 $841.90 $112.00 $12.00 $45.00 $\35.00 $33.00 $76.20 $149.99 $92.30 $85.00 $228.79 $300.88 $10.00 $228.94 $21.70 $47.61 $8.53 $106.81 $24.21 $80.00 Square Footage or Bid Amount 185,000.00 6,000.00 Value Date Calculated $185,000.00 $6,000.00 $191,000.00 01/3112006 01/31/2006 Total Value of Project J(~pli', P~irIJ Date Paid Receipt Number 12130/05 12130105 4/3/06 4/3/06 4/3/06 4/3/06 4/17/06 4/17/06 4/17/06 4/17/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 5/25/06 3200500000000000712 3200500000000000712 1200600000000000393 1200600000000000393 1200600000000000393 1200600000000000393 2200600000000000470 2200600000000000470 2200600000000000470 2200600000000000470 2200600000000000655 1200600000000000713 2200600000000000655 1200600000000000713 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 1200600000000000713 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 2200600000000000655 Paee 20f7 Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Storm Drainage Impervinus Area Total Amount Paid Fire Departmenl Review Initial Review Planninl! Review Public Works Review . 01/03/2006 01103/2006 01/03/2006 01/03/2006 $201.43 $4,017.67 . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11125/2006 $ 191,000.00 5/25/06 2200600000000000655 I Plan Reviews I 03/30/2006 01/03/2006 01/06/2006 02/0212006 OK GRG Fire Department Comments include revision. See attached notes. APP SKG APP EMM Planning application not needed per Tara Jones. Does not increase parking requirment or extend into any existing parking area or setback. SIDEWALK INSPECTION REQUIRED FOR WORK IN RIGHT-OF-WA Y. Call before placement of concrete. SDC's added. LDAP application is required if more than 50 cubic yards of material is proposed to be removed. APP SB Paee 3 of7 Status OK to Issue 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Revised Plan Review - Fir . OS/23/2006 OK Paee 4 of7 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11/25/2006 $ 191,000.00 MF Plan Review. Phoenix Residential COM2005-01786. Addition to existing care facility and interior remodel. Construction Type V -A. Occupancy Type 1-1 & SR-I.Bldg's I & 2 are both 3,982 sq ft with 466 sq ft new entry. Total sq ft with addition 8,322. Building has sprinkler and alarm system. ALLOWABLE AREA INCREASE- An I-I wN-B construction has an allnwable area nf 4,500 sq fl- I story. An increase of 300% is allowed based on OSSC 506.3 with automatic sprinkler system based on 903.3.1.1. 903.3.1.1 references a NFPA 13 system. These occupancies have a NFPA 130 system based on plans submitted by Oregon Aulomatic Sprinkler Co 3/24/94. Subcontractor shall submit sprinkler plans to Springfield Fire Marshal's Office for review and approval (2004 Springfield Fire Code 901.2). Subcontractor shall provide submittal plans and cut sheets of a commercial kitchen hood and duct fire suppression system(s) meeting UL 300 for review and approval by the Springfield Fire Marshals Office for all cooking surfaces producing grease-laden vapors (2004 SFC 901.2). Subcontractor shall submit fire alarm plans to Springfield Fire Marshal's Office for review and approval (2004 Springfield Fire Code 901.2). Provide illuminated exit signage meeting requirements of 2004 OSSC 101 I. Provide means of egress illumination meeting requiremenls of 2004 OSSC 1006. Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Revised Plan Review - Fir Revised Plan Review - SIr Structural Review Structural Review Structural Review Structural Review SUB Review . 01/31/2006 01/31/2006 OS/24/2006 01/24/2006 01/26/2006 01/03/2006 01/04/2006 01/31/2006 OS/24/2006 01/24/2006 01/26/2006 01/13/2006 01/13/2006 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11125/2006 $ 191,000.00 Provide fire extinguishers with a minimum rating of 2-A: 10-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 or main lain address numbers in contrasting color from the background positinned plainly visible and legible from the street or road fronting the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). 10 JMP Provide a signed AM&M ( Building Official & Fire Marshal) for fire resistive deficiency alternative. Drawings received 2110/2006. WE. Received partial response from Tony Koach. Contacled him tn request the second set of revised drawings, the energy code forms and the subcontractor information. Received final internal review, 2 sets of drawings, plumbing contractor and fee payment, and Dave Puent's approval nf the AM&M. WE. Called Tony Knach and he said he will be submitting revised drawings to address the comments including the concern about the pantry door opening into the corridor exit path. WE. EmaiJed slructural comments to Tony Koach at his request. See attached documents for 8 structural comments faxed to Tony Koach. See Item 5 of JMP's structural comments (attached) for the request for the energy code forms and information. APP JMP 10 JMP 10 JMP WE JMP WE JF Paee 5of7 . . CITY OF ~rKJl~\':'''lt-LD Building/Combination Permit Status OK to Issue PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11/25/2006 $ 191,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 02127/2006 03/06/2006 10 JF WE. JMP faxed energy code forms to Jack Foster. JMP caUed and left a message for Burton Waller letting him know that we are still wailing for Building Envelope forms. Bldg. envelope forms received 3/31/06 jf. Received Building envelope code forms. SUB Review 04/06/2006 04/17/2006 APP JF 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. Ueoll,redJn~nection!il1 Ufer Electrical Ground: Install ground rod at footing and caU for inspection in conjunction with footing and/or foundation inspectinn. Footing: After trenches are excavated. Slab: To be made after aU inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. WaU Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Bolts InstaUed in Concrete: To be dnne by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof SheathinglNailing: Before covering sheathing with finish material. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After aU required inspections have been requested and approved and the building is complete. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After aU required energy inspections have been requested and approved. 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 aU mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When aU electrical work is complete. Paee 6 of7 . . CITY OF SPRINGFIELD Building/Combination Permit Status OK to Issue PERMIT NO: cOM2005-01786 ISSUED: APPLIED: EXPIRES: VALUE: 12/30/2005 11125/2006 $ 191,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sidewalk - Setback: After fnrms are erected but prinr to placement of concrete. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Electric Service: Approval required prior to utility company energizing service. Low V oUage: Prior to cover. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify thaI 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 contractnrs 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 lhe 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 Paee 7 of7 225 Fifth Street Springfield: Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-0 1786 COM2005-0 1786 COM2005-0 1786 Payments: Type of Payment Check cReceiotl RECEIPT #: ~ Wile. .iE' of Springfield Official Receipt _elopment Services Department Public Works Department 1200600000000000713 Date: OS/25/2006 Description Low Voltage - Commercial Indus + 8% State Surcharge + 10% Administrative Fee Paid By SALEM FIRE ALARM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 9763 In Person Payment Total: Page I of I I :44:00PM Amount Due \35.00 10.80 13.50 $159.30 Amount Paid $159.30 $159.30 5/25/2006