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Home My WebLink AboutPermit Electrical 2005-10-26 . " , . lelTY OF SPRINGFIELD, OREGON " 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (S4e\t72~9 '" ";:"'_ ELECTRICAL PERMIT APPL~CAJ'.ION ~:o','\"~~~\ o~\""''''' City Job Number CO"" 'ZOOS' - 00 8 2.0 Dat"'~~ [0/W729@5 ./' ",0," 3. r. CdMPJ;i.i;11::'f7JEi$:.€;ij:i#ftJiJ;;f!i.i!10w,;' ,)\.\.,. r 1. liocAi''lfJN,'Qjf,/!'VST.ALI41;'iON. ...:~;~t ~ . ,'-' ., q1Q H~rlnTJ 'Rn!:lrl LEGAL DESCRlPTlON I ?oJ z.Z '3'3 00 :)00 Anesthesia Services of Eu~ene A, I N~w Re~ideriii~).-tSi~i!e:qi)\1~Iti-~'alitily p~rd'.ellinCgullit; ,,] \lile'" l~ '\'\,/ Service Included leo, o{\ 0\1 \ """ClOD lV' Qleg \ \01\\'\ 'f'\OI00u'sq:ft'10l,lesSle ~Ie Se _. ~E.~ \ r.H~IJ v, \pC t)o r") 1'" \eE'1!<6':ldtlitipnal,5001sq~ft.~r\ 95e'.'" Instal Intrusion Alarm system 'n\\O~ l\l pe~!W,there\if'~~\lg\'\ U ~e (\lIeS '0'/ , 'f ca\IOl\ d\O~ 0 \{\ ,pS 0\ \ De Permits are non-transferable and expire if work i~~O\1 I 95'EaCil M:liiufact',d:Ffome or \e\e\ ,\'10 {\ not started within 180 days of issuance or if work ~1 O/>.~ '{ \Mp!,!uj3r'D~~liipg:se0i~~ ~~o \,Ca\\O $5000 Suspended for 180 days. _ 009\\:gFt~ge~e{\\~I;A~':;r.\.\~\~\X_,~,;':. ' 2. ~ ~9ti:fj~ci;di,?fN~,tAJJA,tI6N(.lNi.y,i~ ~~~!!(lf,'s1Wi~~~rj~~d;r;~j~;i;ii~ti~n;;\ltcr.:iiitil~;~;~RF;;r.;:tioh;;:'d 'u~"- Electrical Contractor Ac tion Technology Sys tems LUloo Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVollS Reconnect Only JOB DESCRIPTION $106,00 $ 19,00 $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 835 SE 17th Avenue Address City Portland Phone 888-231-1992 c. l/i~er1ip(j'~~rY~S~rv!S~;9rJF;~~:ders~/~"'r,.',; '.~ ~,:-:'1' Supervisor License Number 26-775CLE .~If'!l:." '-~ ;', '''~'I .,J','>,,-<\;>.: ,-",_...,", ~".'.....;.;.; " I, , . Installation, Alteration or Relocation ~ . T., 200 Amps or less ~ ~O~:f$ 50,00 201 Ampsto~\?t" ~,~~1J's69,00 ~~~~I~~~,!.: };;,:~~,~;;,..~:O,~'OO\V1.;:_?~': ')';;'1 t>.U'l ' ~ '(.:.~:-' .".." . . "',,' """"',' ",'4','~ ' 0 . c,~~ ~~~i~'lxtension Per Panel ' t>.'Iilie~uit ' $ 43,00 Each Additional Circuit or with Service or Feeder Permit 07/01/2006 Expiration Date 157630 11/17/2005 Constr. Contr. Number Expiration Date Signa~itif'Electrician (~_tr~O. Owners Name AAA ...to{l.~ h-..\,4tfQ Address 9J c; ;tMrlow ~ ' City S ~,="" Phone 7l{f-lS ZOO $ 3.00 E., f Jilis~e"II~~j~'4~~F(~.~ryiJ'~~~-edir ~o{i~~~~iJed)'~Erit-II)~'~t~ij~ti~t1:-1 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial 1 $45,00 45.00 Minimum Electric Periiiit Inspection I<:ee is SJl5.QO + Surcharges OWNER INSTALLATION The installation is being made on property I own which. is not intended for sale, lease or rent. 4. bsvn,To'l:..ruaEMBoJm~~~i~::*~j;i~'~.[i.~~'..~l:fl ,"":',' ,- ~ '" i~,'-',;~; ,,;.I"<"",:l""-i'~'X>';;';:fi'fl!l~"'\; \ :;'l{ $., .;;P'h., '~. ,\.'t; Owners Signature: " :: 45.00 3.15 4.)U 7% State, Surcharge 10% Administrative Fee , Inspection Request: 726-3769 52.65 TOTAL Shared Drive(T:)IBuilding FormslElectrical Pennit Application 1-03.doc . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03/23/2006 VALUE: $ 100,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 939 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300500 Springfield TYPE OF Tenant Infill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant Improvements for Anethesia Services. (SUITE 200) , Commercial n Owner: AAA OREGONIIDAHO Address: 939 HARLOW ROAD SPRINGFIELD OR 97477 I BUILDING INFORMATION' # of Units: NOTlCE: #ofStgr:\\1$; WORK Primary Occupancy GroulfHIS PERrRiT SHALL nr.Iil!i\t:Jr I HEIS NOT .. Secondary Occupancy ORllfD UNDER 'MID ~J P'rimary Construction Typ~UTH MENetO OR IS ~JI.~ FOR Secondary Construction COM D^" pCDlo~ange Type: # of Bedrooms: AN't 180 ", ~ ~nergyPath: Sprinkled Contractor Type Architect General Electrical Mechanical Plumbing Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: .. Special Instruction: Notes: Phone Number: 541-741-8200 I CONTRACTOR INFORMATION I Contractor GLAS ARCHITECTURAL GROUP SUMMIT INDUSTRIES INC EUGENE ELECTRIC SERVICE INC AIR RITE CONTROL INC CASCADE PLUMBING CO License Expiration Date Phone 541-686-2014 503-223-9703 541-344-3561 503-238-0388 503-544-7464 63249 90200 63302 120893 01/25/2006 03/1712007 12/29/2007 02/03n007 ~ :~ " Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq' Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: ATTENTION' Overllly'Dist: , . OreifSt\-l!1't''fPl'e'Jlres you to foUow rules adoPlJl~PiiiM.QIR'{j'd" Utility Notification Center.oJ/;\~i!Of'4!ijve'mge:3t forth In OAR 952.001-0010 through OAR 952-001- 0090. You m~\, nhbin ,........:......... -.4....... _.' . caUing thelPI'JBI'JIQIMPRmviNliliii( number for "," 'U..."JUII UlIlIIY I~Ollllcation Center is 1-800-332.2344). Sidewalk Type: Downspouts/Drains 1 of 4 Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Type of Construction Estimate Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 201 to 400 amps + 10% Administrative Fee + 7% State Surcbarge Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge .Low Voltage - Commercial Indus Total Amount . . CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03/23/2006 VALUE: $ 100,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 100,000.00 Value Date Calculated 06/29/2005 $100,000.00 $100,000.00 Total Value of Project Fees P,llid I Amount Paid Date Paid 6/29/05 6/29/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 7/28/05 813/05 813/05 813/05 8/3/05 9/1/05 9/1/05 9/1105 10/25/05 10/25/05 10/25/05 Receipt Number 2200500000000000853 2200500000000000853 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001044 2200500000000001044 2200500000000001044 2200500000000001044 1200500000000001281 1200500000000001281 1200500000000001281 1200500000000001600 1200500000000001600 1200500000000001600 $367.67 $226.26 $10.00 $68.57 $48.00 $565.65 $56.00 $48.00 $4.00 $292.43 $384.70 $33.86 $12.00 $12.00 $8.40 $45.00 $75.00 $4.50 $3.15 , $45.00 $4.50 $3.15 $45.00 $2,362.84 I PIan Reviews I 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit , Status: Issued PERMIT NO: COM2005~00820 225 FIfth Street, Springfield, OR ISSUED: 07/28/2005 541-726-3753 Phone APPLIED: 06/29/2005 541-726-3676 Fax EXPIRES: 03/23/2006 541-726-3769 Inspection Line VALUE: $ 100,000.00 Fire Department Review 06130/2005 om 1/2005 OK GRG Plans Review: Tenant infill. Job #COM200S-00820. Occupancy Classification: B. Construction Type: V-B. Provide address and suite numbers in contrasting color from the background positioned 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). Fire extinguisher location shown on Plan Sheet AI. Will verify on location. Exit light shown on Plan Sheet AI. Will verify on location. Initial Review 06/30/2005 06/30/2005 APP LLH Plannln!! Review 06/30/2005 07/06/2005 APP EMM Talked to John at GLAS Architectural Group. This space Is office space only for Anesthesia Group. No chemicals stored here or work on equipment, Just paperwork.' Public Works Review 06/30/2005 071I9n005 APP SB SDCs prepaid In 2001. Only new fixture SDCs added. No new square footage or new paving. ~ Structural Review 06/30n005 07/1912005 WE JMP See attached 6 structural comments faxed to James M. Lewis. Structural Review OmOn005 Om012005 10 JMP WI. Jonathan Price faxed the response to the structural comments Structural Review 07/22/2005 07mn005 APP JMP Received final Internal approval. SUB Review ' 06/30n005 07/13/2005 WE JF Failed lighting. Spoke to architect and he will followup on correcting plans/code forms for compliance. Pass HV AC, no building envelope Issues. SUB Review 07/14/2005 07/15/2005 APP JF JMP received fax from Keith Cobun with lighting forms and layout and forwarded them to Jack Foster for his review and approval. 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 . . CITY OF SPRINGFIELD Building/Combination Permit. PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03123/2006 VALUE: $ 100,000.00 Status: Issued 225 Fifth Street, Springfield, OR ,541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line IRpn~ SUB Final: After aU required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. 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. Low Voltage: Prior to cover. " 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD be made of any structure without permission ofthe 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 ofthe 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 ~25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00820 COM2005-00820 COM2005-00820 Payments: T)Ile of Payment Check " n :' ". " - , " I, .' 10/25/2005 . RECEIPT #: arsu~",.~~~,,_.._, i ~I ~... J ",J;;,i.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001600 Date: 10/25/2005 Descrlpllon + 7% Stale Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By, ACTION TECHNOLOGY SYSTEMS lIem Total: LbecK Number AuUlOl1za1ton Recelwd By Balch Number Number How Received djb 7571 In Person Payment Total: I of 1 11:41:55AM Amount Due 3,15 4,50 45,00 $52.65 Amount Paid $52,65 $52.65