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Home My WebLink AboutPermit Electrical 2007-6-22 (2) 3\01 \ ,;.'PRING ,,~;I, ~ I~\~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ - . ~&1t^ ELECTRICAL PERMIT APPliCATION j ~~ \.. City Job Nurnber rDVV\ ZDC:>r- 00 7t(b Date bj2'Z/67 I 1. ~q;OCA.floNOifINSTA"'fr:ATrowJ;./.>N!tX',{, 3. rifCOMPLETEPE'E"SCHEDtJiiE:ii€ioffi1j!."'7;,;j}>II,,91;:" ,~::t.*!i~' &..tl.bt,.1'':''~~'~";~'''"'"''''l'l......~.....o.~t'~>-~k\ ( ~~::I~;,,,.._...r""'___~;'~~<",,~r..:.:'.,~..._-_.d:..,l,~;mu~;Jnl )00 f, t't-A-UoJ' 'c..c. A. ~~~~~iiamt;:r~ih.~~~~o.).--i:~~~~~~:~iiY~;'d~~g~~~ , ~~'\~~~'~:;~'Li.:."...'.:."C.-;...:.Ki.tl':k::':;;~~-21,;.1U' - ..--......'., .,' '..' ._j!!~~:'.) ." l'" ,.' or ~~. "', ,':"."1 '1. \.-i.!"~..... ~. ".? - .J.;;"1-"<..;" .. ..' r" :., r..."J. < .,. . .1 ThTGFIELD " OREGON',' ,".~ ':.." " ,...-~^'....~:{~\. ~:,~>; '['",:- ~l 1<l~~ , ,,' ,''t j..': . ,'; ,::S.:"'''.:'_ \ ',,\...~ ._-:.,' '/",);':..l~" t'~\~" ':", ,'" \ ',,\) . ..-", " (," . '~'''''l' ". . 'I7lf1/S Expiration Date 10 - i - 0 ~ Constr. Contr. Number / 5 (. t 7 g Expiration Date 7f - / 'i - 20 0 I ATTENTION: Oregon law ran . D oiY,..Be~~::h~C~~"rtsJr,O;~~:~:~~""r,"'lj.'iJt.~,,"\:~~:n Si~!HI:el~a~PJ8dsittg.ElectricianUlres you . .. ~r~n~d~ff,c~.~~~'Jk"::i:\:~t?:JL~~\'S,1;-:i'l~~ .f(:t..~::'<.. ~,.~.:t~;...H\:Y~t~ NOtifi~~; n Cenl:r {h uy ~ne Uregon Utilh, 'New Alteration or Extension Per Panel r in OAr, n' ;.:v 05; rule~rth u .3 , ~()Ol-1)ig"1 0 Ih"" 'nh , ,A D nr~ ^^ . One Circuit $ 43.00 7 UU::IU,. YOu may obt"in copies of the ~~~;b' -' Each Additional Circuit or with "5 O;:~~n~ thefPjU(A1urt?#r1en4e'i&l1 y GIlL Service or Feeder Permit I $ 3.00 ::::::.-~~o;~~~; ~;f07 ,.=:~:(~.,)f.,,1}~..~:':iY;:<@'i~ / Sign/Outline Lighting $ 50.00 OWNERINSTALL TI NOl'lCE' Limited EnergylResidential $25.00 ade on propert!f'i/6).<nLwhich Limited Energy/Commercial $ 45.00 e or rent. AUTHOR;~~;; ~IMinini.I!{I'/~I~CI~i~ Permit Inspection Fee is $45.00 + Surcharges COM MEN NDFIl~-:i'~~~J;jfl'cWntJ.r.~?I<'.I<'~'-"i'.~,,~,~",,'fi It / ANY CEDOR I~Ji~I(jl~1tf~~?ll~li~~~~~~~*13t~ TO 180 DAY PERIOD.8/~~J1Nuqc~~e ' Jb8 ljbD 'Z 30 LEGAL DESCRIPTION 170322-3> DOL.{O'O JOB DESCRIPTION ~dd C C-tr~h. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~C.: 6NfRACi(Jii'iNSTAELAftlJ'k7{)NLy-~j 2. r&~l~!L\l~,~~~~~~~"'b-'t'..r/".,r.~ Electrical Contractor /Loh 'j '1/ u}n; :I:,.,c:.. Address R, o. IZ "'x 2- f2.. I ewU1o<- or ? 1 '/0 2- City [""'je.ne.. Phone fCII) bf{, -S"'i'-/'-I Supervisor License Number / Inspection Request: 726-3769SCANNED 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~~~~~~~~:j~:iiZtii~n~Ai~)r~ffrt..W~;~~:.'R~i~~~ti~i~~~ ~~t~~:-~!>~~~l\;'N.;;'.'-:''''-':~~..::&~~:;'l''"o;.~t.t 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to I 000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00. $ 50.00 c. ~lj~rtip':-:fa~:Sit;i~~r~r~~eed~rs,';':::.'-~~~~-~-~~~-}~' tJ"~l"l~,;.. i1;. ~~Jf~~:;'~.~d !!t[~~.:,"_,;r,L> _-""~'\II:,_,,,. .-. .;.t.;o'''"'' ,. ~..~;.." c'- ...rM;j, ;zb~\I""". i.i,6,....wl&f Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 10% Administrative Fee 5'Yo - ..... TOTALfG Ie.... ~hS~ Shared Drive(T:)IBuilding FonnslElectrical Permit Application 1~3.doc . . CITY VI' ~rK.ll"'lJI'I~LD' Building/Combination Permit Status In Review PERMIT NO: COM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 TYPE OF WORK: Interior TYPE OF USE: Remodel PROJECT DESCRIPTION: Interior remodel for nurses stations and records Commercial Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLAMETTE ST #106 EUGENE OR 97401 Phone Number: 541-686-1807 I CONTRACTOR INFORMATION I Contractor Type Geueral Electrical Mechauical Plumbing Contractor MElLI CONSTRUCTION CO ROBS ELECTRIC INC COMFORT FLOW BARON PLUMBING INC License 63771 156678 460 147744 Expiration Date 0211212008 08/14/2007 06/27/2007 05/14/2009 Phone 541-485-1417 541-686-5444 541-726-0100 541-935-1081 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B BUILDINGIINFORMl<"fI0N'I)n Jaw requires you to ,'U~'.OW rUle~ adopled by Ihe Or'100'1.1 Itilit # of Stor,es:alron Center Those rul Lot Size: y . _ . es 8r'" S':"l.t f-.th HeIght of/Structure: 1 0010 thro h QS'q Ft 1st Floor: , , --- -v - ug ClIR n,'),;)~_ Type~ofcl!~a~iJu may obla' . Sq Fl'2nd Floor: In caples oIS'n( " '-~ ,... Water T.~p'e:g the ce t N q Ft'Basement: - . n.. n er ( ate' III '" , Range TYlle: '. e Sq"Ft'Garage/Carport (..., .ver lor the Oregon UI'/'t " ..., Energy Path: reo' I r y 'SqIFt:0iher: Sprinkled BUililiJ1dfH' IS 1-80'11~32 23t0ccupant Load: VA , DEVELOPMENT INFORMATION I REQUIRED PARKING 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Sidewalk Type: NOTICE: ~ /0 . o D outs rams: THIS PERMIT SHALL EXPIRE IF TH ~URl\ AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Paee 1 of3 . Status In Review 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 CommllndlPnblic Plan Review Fire & Life Safety + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add Total Amonnt Paid Fire Department Review 05/24/2007 Initial Review Plan nine: Review Public Works Review 05/24/2007 05/24/2007 05/30/2007 Structural Review 05/24/2007 SUB Review 05/24/2007 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,519.00 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 Value Date Calculated Total Value of Project J;'rp~,~ Amount Paid Date Paid $40,519.00 $40,519.00 05/24/2007 $206.70 $127.20 $4.60 $2.30 $3.68 $43.00 $3.00 5123/07 5123/07 6/25/07 6/25/07 6/25/07 6/25/07 6/25/07 Receipt Number 2200700000000000826 2200700000000000826 1200700000000000814 1200700000000000814 1200700000000000814 1200700000000000814 1200700000000000814 Plans Review: Remodel of nurses' station, office and storage. Job #COM2007-00746. Occupancy Classification: B. Construction Type: V -A. Remodel consists primarily of removal of non-bearing stub walls and non-rated doors in two separate areas of the medical center. Plans appear to meet code requirements. Attached SDC Worksheet. No New SDC's. (JHJ) See attached documents for 5 structural comments faxed to Sara G. Bergsund. See JMP's attached structural comment #2 for the request of energy code forms and information. To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. $390.48 I Plan Reviews I 06/22/2007 OK GRG 05/24/2007 05/30/2007 05/30/2007 APP LLH APP EMM APP JHJ 06/04/2007 WE JMP 06/04/2007 WE JF Paee 2 of 3 . . CITY OF SPRINGFIELD. Building/Combination Permit Status In Review PERMIT NO: COM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L.Reouired Insn~ Framing Inspection: Prior to cover and after all rO,ugh iu inspections have heen approved. Wall Insulation: 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 buildiug 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] further certify that any and all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and the Laws ofthe 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 remaiu on the site at all times during constructiou. Owuer or Contractors Siguature Date Paee 3 of 3 . ii=ii ~. a of Springfield Official Receipt 1Irvelopment Services Department Public Works Department 225 Fiftb Street Spri~gfield: Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00746 COM2007-00746 COM2007.00746 COM2007-00746 COM2007-00746 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 1200700000000000814 Date: 06/25/2007 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee Paid By DA VID LAWLER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 067636 In Person Payment Total: Page I of I IO:46:04AM Amount Due 3.68 4.60 43.00 3.00 2.30 $56.58 Amount Paid $56.58 $56.58 6/2512007