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Home My WebLink AboutPermit Electrical 2005-9-1 SP&:~':D rI 1 JA\.;\~C\~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689 ~"t,"'~",i~1~f\~%'\~ ELECTRICAL PERMIT APPLICATION ."'''''' ' - ~~ '<'.j 01 City Job Number c.QM"Z.-OC~-OO 8z.o Date St!'-l-os __ ~ \ ,1. Lt'R~,~~~t"'O"" \,.E,~,.-./I "N..,~', S }'f" I:.M.LA~..'~ :\Tl."'~~,-,~i.~:-N~~f.~ 3. b(coMiiiETiFFEP}sciiEDtfuHiifixr' 7'\,"",'\( s.; ,<'; ;;:".:.1 ~~0 \\u.JUU:.Ji(!~~'" I:__"~,,,..,,- ...."-..-,....-.,",' ,",\ LJ,',j)~ ' LEGAL DESCRIPTION , 70 ~ Z.Z3"5 A. m~~~~r~1fi,~'~Ji:$)]'r~*~irifi~~~~ivF~rir.w~'r1 T1. iz.- LJ9h-J/",-11~ 00 $"00 LoL~ \/olh\se- 'DA-TA C,t-<<UNCr JOB DESCRIPTION . Permits are non-transferable and expire if work is ;. not started within 180 days of issuance or if work is Suspended for 180 days. ':'CONTMl.CToR.'1mSTAL.M,,'!"tloN.omk,7l 2. t~~.'"".w- .,~,., _.........,...-......"t..... '''.:<'';''''''-'.--' ..,--.-..'.... Electrical Contractor A.1 fV.<;[) I Address 30'}, ,S' Lib c..J . I - City ~.,,(~j Phone 72G-C;ZoCf Supervisor License Number 2.. 789 Lf. R Expiration Date /0 -of -05' Constr. Contr, Number I S7(36o Service Included 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 B. ~~/Cn1l.f.F~;k~..:".,'Insial.liti~nt Alteriijjoiis~r Reiocn11cin:': ,J ig..,.w" Ul'l/!.ere,l.'..:....-;........,-..J-:-n; .... ~.,...... ~" "I No"Iio,~ rules tlrl gon law re 1 2l)~mm or resfi'Pled b" th quirt>", ',. $ 63,00 .n O.ll.D.~ L;e'1tnn -'" J e Or ,~u In. o '2u.1t\1l!~~IJ\hulli\Jose eOon 1Jf"~ 75,00 O!llOI ~~lQ./;t!?PAG.ti!Jrou ruhles are "'0' ;l/1}~125,00 CaJlirJriI . "Y q,,9.'''i g OAR ' -en" nu6~ !Antp,!'eh'(~2''Rffiplpies Oft 952.l)gt~163.00 73v'l1I'OOQ/fl!r!9sNmwte: the t he ruler< ?y$375.00 Rec~!lP&{egan Utility N elephant> $ 50,00 '800-3;32_ Otit/catif" ~.:"" . .' _ ,2a.t.."" ' , " ,c...~p,or..iij, Services o):;Fef<)et's',.: 'i'.." .,;:,4 . ~iJ Installation, Alteration or Relocation { 200 Amps or less' 1036 cf~ ,201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above.. #2"'4. D~~~;~"~:;:~":..,~,.".;',::':"""" . ':--- "AA T\ - cIJe<,orV Each Additional Circuit or with rK1l.::;l.., .1 (\ A II Service or Feeder Permit $ 3,00 Owners Name ~&.t~-2C{)~t.'t1<>-"Sf- _$I"\. Address '7,Yl 4"jl~:.J.~~: E. ~!~r!~~~fii(:(~'~e;if~f,~~i~~_.n;(i:i~i!fd~dViE~,~h:l~siilli~t\C'ih,j <:?Il iJ. I AUT" 'Il/V/' / S"", . City" l''Il),\g,';?(u ~ /h't,2e"llllft.hJ5'2t:X'i>)IRE IF .~mp or irrigation $ 50.00 A^ MMENCEO O'R~CH I HIS PERMsi~0Gt1m~ Lighting $ 50,00 OWNER INST ALLA TlO~Y 180 OA Y PERIS ABANOONEO~Jlild(EnergylReSidential $ 25,00 00 ~UR , The installation is being made on ~,v~"~/1 own which Lumted Energy/Commercial / $ 45,00 is not intended, for sale, lease or rent. Expiration Date 7-b1-Ob Owners Signature: Inspection Request: 726-3769 . ~~~ ~ ~'{J' VJ Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~:'-:)!"":",6..".\.""'" _.,.;<~~"'_:" ;!.:-~'...., --~;../ ;:'i,,-t.,,';"-'~t ,,. ',"'\';;J 4. "SUBTOTALOFABo,VE"","'l"'-',',:" "',C' >,~"",:""~",;~,\\,,,:;,'.;\~;:,. _~(,.~~, K.,,~':-'.iVl'S'.'.'~.'.' ..f6i.' \:.,-' l(1-- "],r I{\O ,ZGJ:- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application l-03.doc Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03/0112006 VALUE: $ 100,000.00 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) I CONTRACTOR INFORMATION I, to QUileS '10~\\i\ll Contractor gOn \a1!.~~~e~on 'Expiration Date GLAS ARCHITECTURAL.Q.R@lr. Ole eO 0'1 tne Ie: ale set \V;~'. SUMMIT INDUSTRIES.1Nc\"~ies aOO?\ ,n<:632\19 Of>.t'\ 952.00112512006 EUGENE ELECTRIC sKii:Vi~~~NEntelo~o t\90iil!!" 01 tne lu\e~}/hI2007 AIR RITE CONTROL\fN'0ICa. 9'52-00,.0 \a.i(\ 63ll02s '(\e \ele?\'\o I:Z12912007 CASCADE PLUMBIN~I' ""1\ n'oa'l O~~, l12o'89{h' NO\lliC'}~2io3/2007 I BdIl::D'INcnNtdRMA'1'IONt.32-234'l)' nt;\ ,- 'S ,-....- ffiln'o . (' en\ell # of Stones: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Owner: AAA OREGONIIDAHO Address: 939 HARLOW ROAD SPRINGFIELD OR 97477 Contractor Type Architect General Electrical " Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Noles: Commercial Phone Number: 541-741-8200 Phone 541-686-2014 503-223-9703 541-344-3561 503-238-0388 503-544-7464 B Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FI Garage/Carport Sq Ft Olher: Occupant Load: VB nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Slreet Trees \'. 'No'ff,andlcapped: Pa~~jI?!iye'R,,~: c\1I\LL t'/J>II'\\'. Ir 1\11 IS N~~mpact: %Of~tF~~erage: \'.1'\ 1\1\S p\'.I'\M\ 1'\ ~\ I1r\OI'\II\'.~_ \J~~ I~ I\BI\NOGNtD rO IPUBLIC IMPROY.EMENTSI.IOO, M,l't I .- Sidewalk Type: Downspouts/Drabts 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Estimate Type of Construction Estimate Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fe.... + 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 Surcharge Low Voltage - Commercial Indus Total Amount " . I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 100,000.00 Total Value of Project Fee~ Paid I Amount Paid Date Paid $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 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 8/3/05 8/3/05 8/3/05 9/1105 9/1105 9/1105 $2,310.19 I Plan Reviews I 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03/0112006 VALUE: $ 100,000.00 Value Date Calculated $100,000.00 $100,000.00 06/29/2005 Receipt Number 2200500000000000853 2200500000000000853 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001044 2200500000000001044 2200500000000001044 2200500000000001044 1200500000000001281 1200500000000001281 1200500000000001281 . CITY OF SPRINGl'U,LlJ . Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 03/01/2006 VALUE: $ 100,000.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fire Department Review 06130/2005 07/21/2005 OK GRG Initial Review Plannine Review 06/30/2005 06/30/2005 06/3012005 07/06/2005 APP LLH APP EMM Public Works Review 06/30/2005 07/19/2005 APP SB Structural Review 06/30/2005 07/19/2005 WE JMP Structural Review 07120/2005 07/20/2005 10 JMP Structural Review SUB Review 07/22/2005 06/30/2005 07/22/2005 07/13/2005 APP JMP WE JF SUB Review 07/14/2005 0711512005 APP JF Plans Review: Tenant infill. Job #COM2005-00820. 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 Speclaity 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. 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. SDCs prepaid In 2001. Only new fixture SDCs added. No new square footage or new paving. See attached 6 structural comments faxed to James M. Lewis. WI. Jonathan Price faxed the response to the structural comments Received final internal approval. Failed lighting. Spoke to architect and he will followup on correcting plans/code forms for compliance. Pass HV AC, no building envelope Issues. 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 can 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. win 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: 03/0112006 VALUE: $ 100,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Ceiling Grid: Interior Lighting Framing Inspection: Prior to cover and after all rough in inspections have been approved. Walllnsulation: 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 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 wiD remain on the site at all times during constructloIL Owner or Contractors Signature Date 4 of 4 225 Fifth Street Spri~eld, Oregon 97477 541~726-3759 Phone .~ Jili.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Joornal Number COM2005-00820 COM2005-00820 COM2005-00820 Payments: T:rpe of Payment CreditCard 1;\ " J. :j ';) , " 911/2005 , \ RECEIPT #: 1200500000000001281 Date: 09/0112005 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Paid By NATIONAL NETWORK SE Received By djb I of 1 Item Total: Check Number Authorization Batch Number Number How Received 033466 In Person Payment Total: IO:39:28AM Amoo nt Due 3.15 4.50 45,00 $52.65 Amount Paid $52,65 $52.65