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Home My WebLink AboutPermit Electrical 2003-10-29 225 ~ll' 1 n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5111l.~1~6>>36~rojeci assubmiUed ha$ the following ELECTRICAL PERMIT APPLICATION /, ~;~'~~a~nd does not, require specific land use City Job Number ('''o/V'l7c03' --c:co'36 Date /0/2 '1/03 Zoning L'bVZ- 1. \!l'L";<O~. ,""CA' "c'"riO'. ,;;,r-.,'O' ,;...~,r 's"~, 'A'''-'''E'';.i:,'TI''''''''O''W''''',''g,._.~.. ....~ '. '_.,....,~._"""'=""""''''''Q3t~,._''":>,~,,,.~,_IO..-.-~p.~: 0 ~.\._;;t... '" H'", r'.l.L,"~' m..... 1,"'.1: 3. ~;(JOl.'rIE1.;J~"1~:EEE'S{;nEulJ.LE;BEL6w;,'~~1~" i~f1"k.~ ~Jiitr~~u~;<'~r:1U~~Jt~""'.H,....ii'4!' t'~ ~~";";".i.\..ii!A;:lr~"'L~\~.n.'-"~;:':A1ntt0l1i6~S19na~::;--~~'''''':.~~:t,;~.....'i ~rlj~. /007 /+-A<Z-LOI-J ~d Over 600 Amps or 1000 Volts see "B" above. S;lp~~~8t~c!..D~~ Owners Name W I 1/t4mwllv /JJe<cLr./I 'I U~rt8~~~'~id'eJViit\euI~S a~ ~:~6 $ 3.00 0.7 r O"'k I #- 7C?D \OIIE. t .\~tfairi\'<rJs~~~~e'?n'ifr~ffJWY~l!ir:tiil~ Address I ~ ,..'"">1' 0 ,\\o\iliC",Q52'OO ~'~;;~;-~~~;~t\~~"""-'.'-'.'~iI City Ei^&(;7~e Phone ,O~~ oft~8lioJl ~~O\e: \\'le '" ,."\,,a\IO~50.00 '" 009Csi~8ut!iP~Il!.~lftin~o{\ \.1\\\1\'1 ,v~~ $ 50.00 OWNER INSTALLATION .' ce\lI~~I'~.e~~f~&n:tiall32-2'3~" $ 25.00 ~e>"" "~Y.,,"ii-.,.. \'IlrimitelfEh'etgyiCommercial L./ $ 45.00 I "h 0 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges ~1h~_1.'.l.t.~~'IOijh,,"............~t~rt:~i;<~~~~~."'~' ".~ !~~~~J 4.'~~~~~~~~~~~~ 2. -z. CJ /G OJ 7.-1- '70 zb 7 7> LEGAL DESCRIPTION /703 z..'Z33,DO\fOO -, JOB DESCRIPTION' P, (2." A-t-A-a.jV1 , J.pA-n/:7'lr srA-T'~~ / NIAtl..!>.e cALL z:. HV'~L CoN,t41l- L-'I i/t..,N<; i PermitS are non-transferable and expire if Jork is not started within 180 days of issuance or if work is Suspended for 180 days" . ~;""""'~"'ilh.~~""I-:;:"lo;"""''''''!!~~'I''I'>H~~. ~"'-~'].h"'''''.~W~0iJt''''~'1 "lG@NTIDrE:F@RfINSTA:EE'.4ilONiONBi;;, 2. ~AM~~~~o)":J4~~~li~~t~ Electrical Contractor Orris tenson Elec triC: Address 1298 Beth~ !'lrivp City Eugene Phone 541-688-6121 Supervisor License Number 3759 S Expiration Date 10/01/04 Constr. Contr. Number 26- 34C Expiration Date 10/01/04 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"('_;\'<........".~_"'''''u'"'~''''~~'.m''~.''''''=>'''''''~' A ~N~:;..."R"""~de."..''''t''. ..,~ 1"""""S,""o'.g!' ,::~.c"~'1 "I'ti"'F' ~'';<::''''~<'d '''''"l'li~''''''''>:''''''~ . 1;0' ew~ eSI n 13:f~ ma e;OT,hT U - .4JUU\" per.' we n"';umt~ ,~J&~,~-\4.'~-'" .....~,->;-~,...,.......E'..,~>4Iti.:.;~~'--~'':"--;!".~~b'l>:.~1tIJ~ Service Included I 000 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. ~l~fW~~7~~~~ififGtr:ti6wr.;~-rt~m~tiir6~~1~;:~ ~~~;""~~:;~~~:<'~~~~~.I.~.3l:';:-Y"-ll.'~~':',"'~.~~~'li 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts -1<, $375.00 ~~ , ~ml.~'tMtM\fti~ or Relocation ~ceqp.~~~~\C\)' ' ~~ Ail~R~~oo Amps 40 I Amps to 600 Amps' $ 50.00 $ 69.00 $100.00 7% Stale Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}lBuilding FormslElectricl1l Permit Applicl1tion 1-o3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 Status Issued 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: Medical Office TYPE OF USE: PROJECT DESCRIPTION: Medical Office Building, DRC #2002-11-0359 New Commercial Owner: WILLAMETTE MEDICAL CENTER LLC Address: 975 OAK ST # 780 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Mechanical Plumbing Contractor AFFOLTER WEST & JONES MElLI CONSTRUCTION CO CHRISTENSON ELECTRIC INC COMFORT FLOW ROBINSON PLUMBING INC License Expiration Date Phone 541-342-6511 541-485-1417 541-688-6121 541-726-0100 541-345-6909 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B 1-1.2 VNSpr 02/12/2004 05/01/2007 06/27/2005 07/13/20q5 :\),,':" I BUILDING INFORMATION I \~eS 'lOU\\~\\'l , ,1eo.~ ~r- :I. \Q~ # of Stories: Or- \-a: e oslk ~e:'~ };;)\:i Height of Structure~o~e~ J~:~ ~Jsq; .t~~t\F7i'lf;; \ Type of HeaJ::~i\O . 609\0 i'f\Ose ~diq':Fi ~,,!!1 Fi~,\i} Water1;-y'pe:~ ~\es-a: ",\e~' ()\'f\~o \~q,Ft!l..\',s~n~o1\ Range i"p'le:1l'l ~ . O^ Ce . n,()\ .',,;. CoQ Sq\JNlGarli~eiCarport I.:C,O- \\'" 0:,.\ AA. \\. t.:Il'.... NV.1:t Energy Path:,Ce; n."-,,.rJ ,,0' :0\'<> ,,,,'O"Sa.I?t<Other.\: ~O\,. ",'.J" e;, \~" ,S" . <1.0." . O\l-~_. ~ ~ e1\\0' "ONII1Pf,rfious Surface Area: .n. ........0 __DC t'"\'(e~ ...._fli;) , DEVELOPMEN'P~FO~AifI()iii)s "t.v- " . r-~~"'~ Ce'" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 63771 458 460 107124 7,972 9,090 9,090 SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Total: Han~~ped: ,~f(~ ~{)'\ % of Lot Coverage: S>\'?-~ \T ~\, \~ _,r(.\ c.~t-.\.\~~~\~ ~~~t..'i) T'i)'?- I PUBLIC IMPROii~iff~(~ 'U~\)\:;; t-.'?l~\....if. '~'U\~U~~c.t..\)~~~Type: c.(Jw.~ '61:) \)~bownspoutslDrains: t-.~'t Notes: Paee 1 of9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Estimate Foundation Onlv Pavine Sprinkler Svs Use Bid Amount Estimate Use Bid Amount Use Bid Amount Sprinkler Svstem Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge Fixture Foundation Permit Paving Planning Final Occy Inspection Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll 00' Water Line - 1st 50 Feet Water Line - Each Addtll00' Refund - Admin Fee + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Low V oUage - Commercial Indus Perm Serv/Fdr 200 amps or less Perm ServlFdr 201 to 400 amps Perm ServlFdr 401 to 600 amps Perm ServlFdr 601 to 999 amps SDC Sanitary/Storm Admin Storm Drainage Impervious Area Plan Review Fire & Life Safety Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 $1.00 $2.60 Square Footage or Bid Amount 1,121,000.00 2,100,000.00 235,130.00 159,675.00 18,193.00 Total Value of Project F pp<, P., ilLI Amount Paid $3,941.93 $2,425.80 $76.07 $214.13 $96.65 $112.00 $1,007.65 $760.65 $118.00 $45.00 $28.00 $45.00 $70.00 $45.00 $28.00 $-76.07 $591.76 $414.23 $546.00 $3,883.60 $45.00 $630.00 $525.00 $125.00 $163.00 $637.60 $12,752.04 $143.58 $5,737.34 $3,387.09 $5.60 $3.92 Date Paid 2/14/03 2/14/03 4/21/03 4/21/03 4/21103 4/21/03 4/21103 4121/03 4/21103 4/21103 4/21103 4/21103 4/21103 4/21/03 4/21/03 4/22/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 5/14/03 6/30/03 7/9/03 7/9/03 7/16/03 7/16/03 Paee 2 of9 . CITY 01< ~1".Klj'lljNJ<.LD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/1012003 APPLIED: 02/1412003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 Value Date Calculated $1,121,000.00 $2, I 00,000.00 $235,130.00 $159,675.00 $47,301.80 $3,663,106.80 08/12/2003 08/06/2003 04/18/2003 04/18/2003 06/30/2003 Receipt Number 1200200000000000702 1200200000000000702 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 1200200000000001039 VOUCHER # 61288 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 2200200000000000849 1200200000000001678 1200200000000001734 1200200000000001734 1200200000000001771 1200200000000001771 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Addressing Assignment Storm Sewer Each Addtll 00' Water Line - Each Addtll00' Refund - CII/P Plan Review Refund - F & L Plan Review -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Backflow Device Building Permit Exhaust Hoods Fixtu re Fixtu re Furnace - more than 100,000 Gas Outlets 1-4 Gas Outlets 4+ Not Covered Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Total Amount Paid . . CITY OF ~rKll~ld:<lI!,LIJ Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 $8.00 $42.00 $14.00 $-1,144.67 $-560.83 $10.00 $918.37 $642.86 $18.00 $42.00 $7,065.65 $9.00 $84.00 $1,512.00 $45.00 $4.00 $2.00 $360.00 $4,751.57 $6,251.47 $10.00 $361.78 $3,457.91 $1,403.50 $608.03 $20,705.18 $4,692.65 $42.00 $4.50 $3.15 $45.00 $22.90 $16.03 $43.00 $6.00 $180.00 7/16/03 7/16/03 7/16/03 8/12103 8/12/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 9/5/03 1011 0/03 10/10/03 1011 0/03 10/29/03 10/29/03 10/29/03 10/29/03 10/29/03 1200200000000001771 1200200000000001771 1200200000000001771 VOUCHER # 65937 VOUCHER # 65937 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 1200200000000002069 2200200000000001642 2200200000000001642 2200200000000001642 1200200000000002390 1200200000000002390 1200200000000002390 1200200000000002390 1200200000000002390 $90,204.62 I Plan Reviews I Paee 3 of9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review . 02/2112003 03/18/2003 OK Paee 4 of9 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 GRG COM2003-00086. Plan Review: Medical Office Building; Type V-N Sprinklered: Band 1-1.3 Occupancy. Shell plan only. Submit sprinkler plans to Springfield Fire Marshal's Office fOl review and approval Submit fire alarm plans to Springfield Fire Marshal's Office fOl review and approval An emergency generator shall be installed and tested in accordance with NFPA 1l0. Testing documentation shall conform to NFP A II 0 and be provided to the Springfield Fire Marshal's Office for approval prior to occupancy. Duration of power supply shall be not Icss than 90 minutes (OSSC 308.9) Provide special inspection certification and testing documentation to Springfield Fire Marshal's Office from an Oregon-registered electrical engineer verifying egress lighting meeting the 1 footcandle requirement along paths of egress per 1998 Oregon Structural Specialty Code Section 1003.2.9. Test shall be completed prior to final occupancy. Submit in fill plans for review and approval by Springfield Fire Marshal's Office and Springfield Building Official Submit electrical plans for review and approval by the Springfield Fire Marsbal's Office and Springfield Building Official Entry road shall be widened to 24 foot two way with no parking on either side as stated in the Site Plan Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review . 04/30/2003 05/07/2003 OK Paee 50f9 . CITY OF SPRhlju1'1J!.LJJ Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 Review dated February 26, 2003 (Journal #DRC2002-11359-Finding #12) GRG Provide address numbers plainly visible and legible from the street or road fronting the property (OSSC 502 and Springfield Uniform Fire Code 901.4.4) 6 revised drawings. COM2003-00086. Revised Plan Review: Medical Office Building: Type Y-N Sprinklered; Band 1-1.3 Occupancy. Shell plan only. Plans show correction of entry road. Road widened as directed in Site Plan Review (Fcbruary 26, 2003) and Fire Plan Review (March 18, 2003) to 24 feet. All other plan review comments mentioned earlier (March 18 and April 16, 2003) still apply. . . CITY OF ~rIuNGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00086 225 Fifth Street, Springfield, OR ISSUED: 10/10/2003 541-726-3753 Phone APPLIED: 02/14/2003 541-726-3676 Fax EXPIRES: 04/29/2004 541-726-3769 Inspection Line VALUE: $ 3,663,106.80 Fire Department Review 07/10/2003 07/31/2003 OK GRG Plan Review: Infill plans for B/I-1.3 medical center. Construction Type V-No Job #COM2003-00086. Plans show location of fire extinguisher to be within 75 feet travel distance on each floor. Fire extinguishers shall be a minimum rated 2-A:I0-B:C. Will verify on inspection. Obtain Knox Box application from City of Springfield Deputy Fire Marshal Gilbert R. Gordon (541-726-2293). Install Knox box on right side of main entrance at 8 feet above finished floor. Owner/occupant shall supply a grand master key to be put in Knox Box. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" (OSSC 1003.3.1.8, exception I). Paths of egress data provided in lighting calculations book. Will still need report verifying measurements as noted in Plan Review dated 3-18-03. Fire Department Review 10/17/2003 10/27/2003 OK GRG Plan Review: Fire Alarm System for Gateway Medical Center. Job #COM2003-00086. Plans appear to meet code requirements. Initial Review 02121/2003 APP RJB Initial Review 04/03/2003 04/03/2003 APP LLH Only two sets submitted, both given to pearson Initial Review 07/10/2003 07/10/2003 APP LLH Medical Gas Plan Review 08/04/2003 WE SKG Resubmittal of engineercd plans, specifications, and calculations. Medical Gas Plan Review 10/17/2003 WE SKG Deferred Submittals: Medical Gas; Fire and Smoke Protection; and FirE Alarm Plans. Plannin!! Review 02/21/2003 04/21/2003 APP EMM Sarah Summers Planner. Final Site Plan Submitted. Development Agreement Signed. Call Sarah for final inspection 726-4611 Pa!!e 6 of9 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 Status Issued 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine Review 07/1012003 07/ll/2003 APP EMM Public Works Review 04/18/2003 04/18/2003 APP PJO APPROVAL IS FOR FOUNDATION ONLY Public Works Review 04/18/2003 05/05/2003 WE PJO Sent Memo requesting plumbing plans for 2nd and 3rd fioors. Public Works Review 05/05/2003 05/09/2003 APP PJO SHELL APPROVAL ONLY Public Works Review 05/09/2003 TO PJO Reassigned to Steve Barnes Public Works Review 07/10/2003 08/07/2003 APP SB 7/30/03 - Ken Vogeney routed plans to Steve Barnes to review. Structural Review 0212112003 03/2712003 WE JMP Document attached with 20 listed issues was faxed to architect today. Structural Review 04/03/2003 04/1812003 APP JMP Structural Review 04/30/2003 05/10/2003 APP JMP 6 revised drawings. Structural Review 07/10/2003 08/01/2003 WE JMP See attached document faxed to Linn West requesting medical gas documents. Structural Review 08/06/2003 08/06/2003 APP TCM Still need SUB approval, engr. stamped medical gas plans. Structural Review 08/07/2003 08/07/2003 WE JMP On 817/2003 jmp left a voice mail for Gary Melli requesting dollar values of site work, paving, shell, tenant in fill, and grand total for the project. Jmp also left a voice mail for Linn West asking for an explanation of revisions made to the the final site plan that was submitted to Sarah Summers. Left followup messages for both on 8/14/2003. Structural Review 10/17/2003 10/2112003 APP JMP Deferred Submittals: Medical Gas; Fire and Smoke Protection; and Fir< Alarm Plans. SUB Review 02/2112003 05/01/2003 APP JF Per conversation with John Pearson, architect plans to build shell only at this time. Building envelope, hvac and lighting specs to be determined later. Code forms to be received when specs become available. City to issue permits for building shell only. Energy code forms to be provided as building occupied. See email. SUB Review 07/1012003 08/07/2003 POK JF ' Fails lighting energy code compliance. Contractor will rework lighting to comply with code. 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. Paee 7 of9 . . Ll1}' Ot< ;SrKlr"iljt<l~LD Building/Combination Permit Status Issued PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Site Inspection: To be made after excavation but prior to setting forms. 2 Erosion/Grading Inspection: After all erosion measures are in place. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 6 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 7 Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector 8 Foundation: After forms are erected but prior to concrete placement. 9 Final Building: After all Conditions have been completed as required on Development Agreement. 10 Rough Grading: After gravel is in place but prior to placing concrete. 11 Final Paving: After paving is complete. 12 Underground Plumbing: Prior to filling the trench and including required testing. 13 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 14 Rough Plumbing: Prior to cover and including required testing. 15 Water Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Underground Electric: Prior to cover 19 Rough Electric: Prior to Cover 20 Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line now test. 21 Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This inspection is required prior to any combustible construction. 22 Roofing: Prior to installing any roof covering. 23 Masonry: 24 High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. 25 Structural Welds: To be done during construction by State Certified Special Inspector.' Provide inspection test results to City Building Inspector. 26 Final Building: After all required inspections have been requested and approved and the building is complete. 27 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 28 Drywall: Prior to taping. 29 Firewall: Located and constructed according to plans. 30 Ceiling Grid: After drywall approval but prior to cover. 31 Sprayed On Fireproofing: To be done during construction by a State Certified Special Inspector. Provide test res ports to City Building Inspector. 32 Final Fire Department. After all requirements of the Fire Department have been met. 33 Final Building: After all required inspections have been requested and approved and the building is complete. 34 Rough Grading: After gravel is in place but prior to placing concrete. 35 Final Paving: After paving is complete. 36 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 37 SUB Final: After all required energy inspections have been requested and approved. 38 Rough Plumbing: Prior to cover and including required testing. 39 Final Plumbing: When all plumbing work is complete. 40 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Paee 8 of9 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/29/2004 VALUE: $ 3,663,106.80 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 41 Rongh Medical Gas: Prior to cover and including required testing. 42 Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier. 43 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 44 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 45 Rough Mechanical: Prior to Cover 46 Final Gas: When all gas work is complete. 47 Final Mechanical: When all mechanical work is complete. 48 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 49 Rough Electric: Prior to Cover 50 Electric Service: Approval required prior to utility company energizing service. 51 Final Electric: When all electrical work is complete. 52 SUB Exterior Lighting 53 SUB Ceiling Grid: Interior Lighting 54 SUB Plumbing: Following City Rough Plumbing inspection approval and 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 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 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 of the property, and the approved set of plans will remain on the sUe at all times during construction. Owner or Contractors Signature Date Pal!e 9 of9 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JobfJournal Number COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 COM2003-00086 Payments: Type of Payment CreditCard ii\\IQJ'lBLD' Wi-'""'-~,"'~","'."",,'.[, '.'.-. I .. o. . . , ,~~"^,) -. .: Receipt #: 1200200000000002390 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By CHRISTENSON ELECTRIC 000207 082422 City of Springfield Official Receipt Development Services Department' Public Works Department Date: 10/29/2003 3:08:46PM Amount Paid Item Total: 43.00 6.00 180.00 16.03 22.90 $267.93 How Received In Person Payment Total: Amount Paid $267.93 $267.93 . (. .