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Home My WebLink AboutPermit Electrical 2005-8-3 approval. &0 Zoning , <g/3/0';, 225 FrFTH STREET. SPRINGFIELD, OR 97477 . PH:(54r)726-3753 . FAX: (541)72~filllllZad S,g~r& /11 p~ ELECTRICAL PERMIT APPliCATION U"::''""''':O_ , City Job Number r --OM 1.00'5 - OOm> Date ~ 1'&(05 m!'rPSPt2JN'b- .' . 3 ~~~E;S~,:;,;,,:.:;,,;.:'lUriT.i';;.~';;:~W:~w1!J . !. - ~ ~......ta.~T;;~"~~f.~tj:E~--~~:~"~~~ ";;;kw,," i /;,:~, ',) :€~4E~Y:'@Et$'Rf;"".GEH:E1d) GREG@N'l.1..:.: ":~".\\',,,,::} t~:. ..~~~;~~..~;'~..'o, ~" M.~~~~1~\~~1;v"{! ~~}~ ..I~:?(~N ~bj':: "E.. ,l:,'/r'{,;:'<'~tl- l,~h~,'Jh'~~..:~~:'" ~n~(.~ J~',,: ~~ B. ~~l1el:~,~~~~i~{D 1rJ<<. . ~~~~~(.m Electrical Contractor CuI. bJE.. ~ 1& TPJI'. SuI/ICE. 20b~AnlP..s 'o.r less . $ 63.00 201Ainp~ to,~,99 ~':'1PU EXPIRE :;/~::: 'i\!~)7~i\00 75.00 401::AmP.S!0~~0.9 6!'Jes~RTHIS :':~:.~:-;- ;:; ~Jl1~'00 601.Amps to:IQQO~,!lp~ ABf\i~DC',,:~ ;~:F,$163.00 Over:IOOO,AinpsIYQ.I,~IOD, $375.00 Reconnect Only $ 50.00 1. q?i'l "$ , Hax(Ot.1 LEGAL DESCRIPTION l~ A? "" "2.<1= .. ...,-t:\rllt:"O' ,"---, -,TUJ"-.~--~7:J ~ JOB DESCRIPTION Btcll'ic; f l' ~+-I~'1l Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspcnded for 180 days. ~i.'---li!'~ 2. i!' ~ ' Address U.O 1n"1II~6 s.:r. City &lIUNE. Phone :3 L/ t./ - 3 ~ tp / Supervisor License Number .3 1- 3 S'.~' Expiration Date tl) I, / r!J..o () +- , ConSlr. Conlr. Number 9 () :J () D Expiration Date _1 h 1- / (J g- ~ " Sig,;aturc of Supelvising Electrician ~,-",,/fu/3 ./nA-"'.,h' (/ . Owners Name, AAA OreA,cn-. Address Gt:zf'l -Hw(~ City~'~ Phone 7LH-<62tn J OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 I , I : :;,~;:,~:r~~,~;;{ A. ~~~~iif~rli~~~Tii'ffia~iYp1t~~~iliih~M:~ ~~ ~"'....>;~~ '~~..tr - ...,......... J.t...\I.....~~'...."<:.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 $106,00 ~~e fOl/owinq PrdJ~.9g , .. ..,,~. and do S ~uumltt8d h apProval as not require sp .~s the tOl/owin eC'flc land use $50,00 C. i!i'l~.{~~~~~~___~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 AP,!er,tiOQ,Am s or 1000 Volts see "B" above. .'~-V.J:I' -'.', . - ,S! - ~.. :t'Cl . ~.I2f11 r.a ... .UJ.' .. Nt'., , - - --v/-,,,,u OV In" O"'nrr" '"'" o 'NewIAlteration.orrExtension Per Panellrty in 06'ae"CircUii1.00'1O 'thr~:~~~~:~eset fQrth$ 43,00 009fE, a',clilAdditionalrCircuit or'witli "",,,~..u, Ul- , ' .- -." vvu,es or the $ 300 CoService.orEeeder Pennit n hI, ' ,- ,c~".v.. \"ute: the teleDh nUfll. , (....... ,j.1~ _ ....... DnA E. "J'i.;;, '\I: Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Eledric Permitl,nspection Fee is $45,00 + Surcharges 4. :\-- tlw. ~ f..;.'; '~o {} ill{C'X'~~" '.' I ,J ': .,)'l' '1-::. :~':-::'I;-:~:' :>::-:,~,' -'?,~::ll.;::";":tl' .:-. .,' 'J, : ':; l' :'~i..",' " ,:.,' / :2p.oo <l.4:lL. I :J..DD /1f; AD 7% State Surcharge 10% Administrative Fee TOTAL Sbar<d Drivc(T:YBuilding FormsII!Iccttical Pcnnit ^iJplicatloa 1.o3.doc ~. ,\,r:~;"4: ';:":1:"7,.':'\ 7""'"'''' ...." ",,"'<:: "'" ran'l'ra <::",al""'I" l~nr1 ll<::a -ili- Status Issued : 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY 0.. ~r1Ul'i~J<l~LD Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 02/03/2006 VALUE: $ 100,000.00 SITE ADDRESS: 939 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300500 Springfield TYPE OF WORK: Tenant Inflll TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant Improvements for Anethe~ia'S.ervices. (SUITE 200) i".... .i....-:~. Commercial ..... ",.... I.",........~ HT ("'11" I I r"vnlnr lr' Tur: \AlnDV Owner: Address: AAA OREGONIIDAHO 939 HARLOW ROAD SPRINGFIELD OR 97477 DER THIS fPIf ' "N - b-- AU1rlORIZED UN _,Q"~. !IJ11.~r; COMMENCED OR IS ABANDONED FOR ANV 1 Rn nAY PFRlon, 541-741-8200 I CONTRAC,v,u."ORMATION I ,: Contractor Type Architect General Electrical Mecbanlcal Plumbing Contractor GLAS ARCHITECTURAL GROUP SUMMIT INDUSTRIES INC EUGENE ELECTRIC SERVICE INC AIR RITE CONTROL INC CASCADE PLUMBING CO License Expiration Date 63249 90200 63302 120893 01/25/2006 03/17/2007 12/29/2007 02/03/2007 Phone 541-686-2014 503-223-9703 541-344-3561 503-238-0388 503-544-7464 BUILDING INFORMATION I # of Units: I Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Lot Size: Helgbt of Structur9\TTENTION: Oreg~!1 ~J~t~~9q~l3 you to Type of Heat: follow rules adopte~q~tt~!!d:f.19gt::1 Utility Water Type: Notification Center,~IIJtWJ.\,.'!1I1!!t; set forth Range Type: In OAR 952-001-001 ~~IfM?~,~~);~~aJP~r!,01. Ene~gy Path:, .0090. You may obta~1I!.;tiJ9J~mthCl rlllpo hi Sprmkled BUlldmg: II' thnla t Occupant Load:pl'", ca InO a can er. {1'.IU~d. lIlt: ll:;":t\~ _, t I DEYELOPMENT INFORMJ\TION",tM uregon Ullll~.,I~~:,' .e .'\1 I -., ..er IS 1-800-33:?REQUIRED PARKING 'YB '. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: Paee 1 of4 -n...,&, 'r ..... ,,' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " Description Estimate Tvpe of Construction Estimate Fee Description Plan Review CommlIndlPubllc 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 Clrc Ea Add Perm ServlFdr 201 to 400 amps Total Amount Paid . . CITY OF ~rlUl"u1'1J!.LD Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 02/03/2006 VALUE: $ 100,000.00 I Valuation Descriotion I " , 5 Per Sq Ft or multiplier 51.00 Square Footage or Bid Amount 100,000.00 Value Date Calculated Total Value of Project 5100,000,00 5100,000.00 06/29/2005 UI~P~ P~irtJ Amount Paid Date Paid Receipt Number 2200500000000000853 2200500000000000853 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001005 2200500000000001044 2200500000000001044 2200500000000001044 2200500000000001044 5367.67 5226.26 510.00 568.57 548.00 5565.65 556.00 $48.00 54.00 5292.43 $384.70 533.86 512.00 512.00 58.40 545.00 575.00 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 8/3/05 8/3/05 8/3/05 8/3/05 52,257.54 I Plan Reviews I Pa!!e 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit- PERMIT NO: COM2005-00820 ISSUED: 07128/2005 APPLIED: 06/29/2005 EXPIRES:, 02/03/2006 VALUE: $ 100,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 06/30/2005 OK GRG 07/21/2005 Initial Review Plan nine Review 06/30/2005 06/3012005 APP LLH APP EMM 06130/2005 07/0612005 ,Public Works Review 06/30/2005 APP SB 07/19/2005 Structural Review 06/30/2005 WE JMP 07/19/2005 Structural Review 07120/2005 10 JMP 0712012005 Structural Review SUB Review 07/2212005 0613012005 APP JMP WE JF 0712212005 07/1312005 SUB Review 07/1412005 APP JF 07/15/2005 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 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. 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 bls review and approval. To Request an inspection caU 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. Paee30f4 ~ . . CITY OF SPRIN\d'l~LD Building/Combination Permit PERMIT NO: COM2005-00820 ISSUED: 07/28/2005 APPLIED: 06/29/2005 EXPIRES: 02/03/2006 VALUE: $ 100,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line IRp.oui~ 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 ~n 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. 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 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 Pae.e40f4 225 Fifth Street , Springfield, Oregon 97477 . 541-726-3759 Phone . a .JIi.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00820 COM2005-00820 COM2005-00820 COM2005-00820 Payments: Type of Payment CreditCard , " ,. '\ ~l I: ':, 8/3/2005 RECEIPT #: 2200500000000001044 Date: 08/03/2005 Description Penn Serv/Fdr 201 to 400 amps Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Paid By Received By EUGENE ELECTRIC SERVICE ddk Page 1 of 1 Item Totai: Cbeck Number Authorization Batcb Number Number How Received 003240 , In Person Payment Total: 3:15:40PM Amount Due 75.00 45.00 12.00 8.40 S 140.40 Amount Paid $140.40 S140.40