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Home My WebLink AboutPermit Electrical 2006-4-24 G,O, E-II- 00 y\A I ~~cn:J l-J/rit/J00 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753'. FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number C0W1'Z,OOb- 00 L ~ ~ Date 1. ~il;;~:!,:;~N@!~sir,.wm1:,&.Q~ 3. 1~]l>~...z:l'~Ir..-t03CXUll>'c.LEJBE 'am CfjCf f-lA-fU.wJ 1<&. ~~~t~~ll~Tfc:r, '"bl zt1? 411SOC A. Se:~:e ~:::::al- Sinyje or Mu~.F.ami. "':.w.eIll?Ii41 JOB DESCRiPTION 1000 sq, ft. or less $106.00 -f:^ (J... II nl. I J ^ L ~. L1_ SUII,a, Each additional 500 sq, ft. or ~n.0lV...101Va... UtVIt R.J.vno-+-v ""(f portion thereof $19,00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or .. .,_ $50.00 ' Suspended for 180 days. Feeder""- 2. 1ie@~&f~.R.:UN1~TJmrl.iWif)N.(Z)NL~" B. Sersices or Feeders -IIiStilUation. ~Iterations or Relocation: . I I I., _, 1_ I "I ,I I.. III Electrical Contractor Fi R..6 f~1()n ~EiW;G6:::,J 200 Amps or less $ 63.00 , A- ^.1- D I J11c.. 201 Amps 10'400 Amps $ 75,00 Address SS'l3:)U) Q.ulc. f!Jv'6 401~1\~~~,tO'600Amps $125.00 eO::'>" r$\ v~ -...\'(\ ,','I' \ eOlrA~Pg"Io\IOO~.Amps $163,00 City WV6((}-On Phone 8::0- Si0::;~'M>>'\\Ryef\J~02cAn\'~0Its $375,00 " ",,'" ,\'{\ose \ l\~connetf Rnly $ 50,00 ,,\e\' \'{\\009 'tiI \'{\ ~'no(\e Supervisor License Number '-II d.O 'L.al':'~~\.'0'0\'0 (\ cdr.Te,,:~~r:y.i.~r.f;~!,eea~ I " ~'- ou\'O-\ ~IOW' ',I " ' I _\ fV-.O~,' ':,,0 10~'i \ ~~ ,\\\llt, - ~Il.l' Expiration Date 10 I U\.U::k:) ~ "00 _ c,e(\\~;e(,)on~~J1ation, Alteration or Relo.ation 1'1' D j$",v_\II($,) \.I~=l \'(\e, \_'0'01200 Amps or less Constr. Contr, Number L.LJ:) 1'$ fI?'/D'J~C\\e\ ,S 201 Amps to 400 Amps dlld.-IDI1 w V' 401 Amps to 600 Amps $ 50.00 $ 69,00 $100,00 Expiration Date Signature of Supervising Electrician ,4~~ Owners Name .A-AA 0 ~ / Lh)'\-l-l-o Service or Feeder Permit $'1Cl\'l"- $ 3.00 . Address _beO <t-J ( 'tJ(lA-R.u.f-' T... E. Mis I~eo'\"f~~l.~reeae" n~! in"uilea~Eacti Installation City :r~~ . Phone "\OJ. Z(6.t:~~~~~~~~&Jn~ion'J~~\) ~\J" $ 50.00 " L1\'o \'\,.0 "\) \\\'l'.' ..... !\nrW.~ ,\" Cl\'l\lt Si~~utEne Lighting $ 50,00 OWNER INSTALLATION (I.'0'\'(\'~:I:.~C.~~imitOO\~igylReSidential $ 25.00 rC\W\I" r\~~ r,"" ." .,,.,, 60 The installation is being made on property I own whiCh:-{ i \)\J v lImited Energy/CommercIal '^ $ 45.00 7 u, is not intended for sale, lease or rent, (l.N Minimum EI..tri< Permit Inspedlon Fee is $45.00 + Surcharges New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with $ 43.00 Owners Signature: ,4. '. . ., \.' ~ ' .~r.;yJ;>L\~ " . . ~~ .;'.' ~ , u , . 8% State Surcharge 10% Administrative Fee t1t"J. (1) 1. .:lO q . F'fO INn, ;).0 Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FonnslElectrical Permit Application 1-06.doc 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: COM2006-002 I I ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 11/11/2006 VALUE: $ 80,000.00 SITE ADDRESS: 939 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300500 Springfield TYPE OF WORK: Tenant Infill PROJECT DESCRIPTION: Tenant improvement - NW Medical TYPE OF USE: Alteration Commercial l' O:eron law requires you to , , , d by the Oregon Utility WL .Ie , th "'~"t':'r Those rules are set o~ , . .... "','" J\n1 n throuan UI-\n ~vc...-VV . I,' ,l,J., ". ['CONTRACTORINF.ORMA 1'ION'I' 00"J, ,1- ' . t (Note: the telepl IUI'" Contractorca~~I~~.t~~ ~:; ~;~gon Utility N,hiCerise'l SUMMIT INDtJSTRlf~~t;'Jr is 1_800-332-2346~249 EUGENE ELECTRIC'SERVICE INC 90200 FIRE PROTECTION SERVICES INC 154333 AIR RITE CONTROL INC 63302 TWIN RIVERS PLUMBING INC 17695 Owner: Address: AAA OREGON/IDAHO 600 SW MARKET ST PORTLAND OR 97201 Contractor Type General Electrical Low Voltage Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: BUILDING INFORMATION I Phone Number: 503-222-6900 Expiration Date 01/25/2010 03/17/2007 0211212007 12/29/2007 03/11/2007 Phone 503-223-9703 541-344-3561 503-590-3732 503-238-0388 541-688-1444 # of Stories: Lot Size: B Height of Structure Sq Ft 1st Floor: SI Type of Heat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Type: WC~\1,ift Garage/Carport Q'I:I'tfrgy Pat~;", \ XPIRt \1' l~t ~~\Ft Other: ~ Sp.ri~~,~~iBUildin~,tiUIS Pt\i\~a\1 \S ~Occupant Load: ,.\.\\~ n:. . ,,,,"lOP. n _~ r"O I DEWJI!.OPMEN'l\iNRORM~'TioN"1 U '-'UWII"~" - ~ ptRIUU. REQUIRED PARKING ^~N\3001\ " Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMJ,." II> I Sidewalk Type: DownspoutslDrains: Pa~e I of 4 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-002 I I ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: I III 112006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Estimate Tvpe of Constrnction Estimate $ 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 02/22/2006 L-F'IPIP.~, P'1 irIJ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $316.97 2/22/06 2200600000000000235 Plan Review Fire & Life Safety $195.06 2/22/06 2200600000000000235 + 10% Administrative Fee $9.90 3/23/06 2200600000000000378 + 8% State Surcharge $7.92 3/23/06 2200600000000000378 Add, Alter, Extend Circ Ea Add $36.00 3/23/06 2200600000000000378 Perm Serv/Fdr 200 amps or less $63.00 3/23/06 2200600000000000378 Inspections - Investig. Plumb $45.00 3/31/06 1200600000000000387 + 10% Administrative Fee $4.50 4/4/06 1200600000000000405 + 8% State Surcharge $3.60 4/4/06 1200600000000000405 -Mechanical Issuance Fee- $10.00 4/28/06 1200600000000000568 + 10% Administrative Fee $60.27 4/28/06 1200600000000000568 + 8% State Surcharge $48.21 4/28/06 1200600000000000568 Building Permit $487.65 4/28/06 1200600000000000568 Fixtu re $70.00 4/28/06 1200600000000000568 Furnace - up to 100,000 btu $24.00 4/28/06 1200600000000000568 Gas Outlets 1-4 $4.00 4/28/06 1200600000000000568 Minimum/Adjustment Mechanical $17.00 4/28/06 1200600000000000568 Sanitary Sewer - Improvement $190.66 4/28/06 1200600000000000568 Sanitary Sewer - Reimbursement $250.74 4/28/06 1200600000000000568 SDC MWMC Administration $10.00 4/28/06 1200600000000000568 SDC MWMC Improvement $1,392.70 4/28/06 1200600000000000568 SDC MWMC Reimbursement $132.03 4/28/06 1200600000000000568 SDC Sanitary/Storm Admin $27.41 4/28/06 1200600000000000568 SDC Transpo Admin $366.62 4/28/06 1200600000000000568 SDC Transpo Improvement $4,813.19 4/28/06 1200600000000000568 SDC Transpo Reimbursement $1,091.20 4/28/06 1200600000000000568 + 10% Administrative Fee $9.00 5/11106 2200600000000000587 + 8% State Surcharge $7.20 5/11106 2200600000000000587 Low Voltage - Commercial Indus $90.00 5/11106 2200600000000000587 Total Amount Paid $9,783.83 I Plan Reviews I Paee 2 of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 02124/2006 Initial Review Plan Review Comments 02/24/2006 Plan Review Comments Plannin!! Review Puhlic Works Review 02124/2006 02/24/2006 Revised Plan Review - Fir 04/19/2006 Revised Plan Review - Str 04/19/2006 Structural Review Structural Review 04/27/2006 02/24/2006 SUB Review 02124/2006 SUB Review 03/17/2006 SUB Review 04/10/2006 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-0021l ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: 11/11/2006 VALUE: $ 80,000.00 04/05/2006 OK GRG 02124/2006 APP SKG 03/31/2006 IO JF 04/2112006 10 JMP 03/0212005 APP EMM 03/2112006 APP SB 04/26/2006 OK AG 04/19/2006 10 JMP See attached dncuement for Fire Department Plans Review comments. HV AC code forms received. See attached document WI. Received faxed valuation from Doug Stroud. Medical Office Infill, SDCs (differencel added. Oxygen storage. Provide documentation defining exact location and manner of storage of compressed oxygen hollies. AG reviewed control zone fax from 4/18/06. I called and spoke w/Jonathan (contractor) and let him know this was needed. MF WE. Oxygen storage. Received structural response from Jonathan Price. Still waiting for valuation. Received final internal approval. See attached documents for 12 structural comments faxed to James M. Lewis. See Item 7 of JMP's structural comments attached for request of cnergy code forms. WE. Received lighting forms 3/17. Still waiting for HV AC and BE forms. Received HV AC worksheet form 4a & mech. plan, forwarded to SUB 3/27/06dlm. HV AC forms received 3/31/06jf. 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. 04/27/2006 03/01/2006 APP JMP WE JMP Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: P,'ior to cover. 03/0612006 WE JF Ceiling Grid: Aft... drywall approval but prior to cover. Final Fire Department, After all requirements of the Fire Department have been met. . ~~3~4 03/17/2006 10 JF 04/10/2006 APP JF , RpnnirpiJnsnections I . . CITY OF SPRIr~t:."U,LD' Building/Combination Permit PERMIT NO: COM2006-0021 I ISSUED: 04/28/2006 APPLIED: 02/22/2006 EXPIRES: I III 112006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Bnilding: After all required inspections have heen requested and approved and the huilding is complete. Rough Plumhing: 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, Electric Service: Approval required prior to utility company energizing service. Underslab Plumbing: Prior to fining the trench and including required testing. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiliug Grid: Interior Lighting Low V ollage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Date Paee 4 of4 t 225 Fifth Street Springfield, Oregon 97477 541-726,-3759 Phone .Wi~ Ca,of Springfield Official Receipt .Iopment Services Department Public Works Department RECEIPT #: 2200600000000000587 Date: 05/11/2006 11:23:18AM Paid By Received By FIRE PROTECTION SERVICES DJB Item Total: Check Number Au.thorization Batch Number Number How Received Amount Due 7.20 9,00 90,00 $106.20 Job/Journal Number COM2006-00211 COM2006-00211 COM2006-00211 Description + 8% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Payments: Type of Payment Check Amount Paid 8420 In Person Payment Total: $106.20 $106.20 cReceinl1 Page I of I 5/11/2006