The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-10-10 ',":"". ,,,,',! ." GmT FC: rrl>TGE..I:ErD'.... - G'O'N'..;,~' t:,.." '" ;.,.. ;.. :",\ r'.~ }. ~":.~. ;.. -!-:r:~~ '- :~.1.~~~. .. ..t ~. ~'t , .~ ~'~"t \';;-~'~..'}). ....,,1.4.1.,- ";-..Jl.+~..,..,,.~ .~."'"'.~._'",~~~...\' :,,>.t, ,~.,.. ...~...l-.". 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:r!~'\!')i{,~n~~~8Ject a'-SUbmitted has the'following ELECTRICAL PERMIT APPLICATION ",""'g, and does not require specific land use City Job NumberCONl 'Z-OO~.. DOO e b Date /t!J-IO -C) .3 'ar-proval. . (l_c.. . ZOning 1. Wf60iTidNtoF;iNsfXc"fJJAljoFli!'[pFI~~ 3. tfCOMPEE,' -'.fEPE&IJE7JULE'BEL'ifly,;;"'IP:'?I~O'>.~f. ~~'\l~~;;.i~~"'- ",,-"...,. "'-~-V""~~l-~'~~~"Y');~~~~ ~~".'''''-''''''''Mm;;;::roitl:~~k:l.<O.~''''-'''''~''~~''.fi.i''"':"'--'':' ......-,.lo,~fl\U:)'~~olIt&;l.,t;~~ /007' ~/tJw '8J 3?E-ZLJM i7Y7o, w~~~""",,":u,or:"o:~gnature_,,-,,~,,~,~'i\'ftfi_"~:1 LEGAL DESCRIPTION ., A. ~N~;;:;Ri:silie'.wilii:t"'Sfifgi~h;~ti;tJti~Fa'ifiil~p~,:f dweili~g;(t\i, iiJ:it~ ~~:.>'tp:':"""''''-.-lr' ,,'" "'~~'~"';';'";"~''''-'''''ii'.....vl'CJ.l.'''.IO.,,,\;;.; / 7()J 0c9-33 CKJ if (JO Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 >/17C//n; ~.....,p ..5.... ( -Permits are no.Ctransferable and ';;pire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder ~c6NfM(ffoR~iNSTftrl'~:4.TiON7oNhll:,4 ~...'::::t'~M,C-''j.,.~~~';'' \t'~.''':,'h.'1.-''\0:'';,po 'k-.)j..~t,I;$."""~'i','J '~,-;/~ :~:v"'':i~--'~ -,:. "'''':;'J 2. ~t~~~~~~.._ ~,-"~~,"'~.(~,~~~J B. ,~~t~~.~~1t~=i'~n~.l~~I~~~O}J~U-et~H~~os~'t&!h~el~~n!.i~~t!.,- Electrical Contractor ~/ zAic _*,--- 200 Amps or less $ 63.00 "'" ~. , 0 0 $ 75.00 ~" )li' 2 I Amps to 4 0 Amps Address ),-?f/d/;J AJ,/:.~'V S 401 Amps to 600 Amps ~,~~ $125.00 f:<, ~!>..~~ <.",'V'to 601 Amps to 1000 Ampf.O .;)"~\O~ $163.00 City --;;h/ZTt"~..o {~,\~fY-~.{) Over 1000 AmpsN~ ~O<:- ",0' <:\0. $375.00 / ~" '\~ ~'V\.)' Reconnect 001)' <,001.0<,0 ,,}0 O;~'lr ~,:,,'" ' $ 50.00 . j&~~:~<V<<:;'.$ / / _ 11..",..;~~~~~m*:.,^0';,;';{:.~~O~1'>'~"~'''''''';:;rn".1m''l Supervisor ~'lfu~N-~~qsr (>, 'Y!..~O l-,c:-74 C. ~~~lb'l~~5~!&~~~~~~~,\:'j,;:o '~'1';j !::)~ ~~~ ~ "'K,q;s .0" ~0 ~o ~o .....0'" 0'-: o~ EXPirat~~ ~ ~ - ,;JOD.s- I~Il~~~I9'StiQ/i'or~~~tl.~n' "I..~ . $ &~",!,~~ '~U.:>..O,0:,~ rl,~ $50.00 'to" ~ 'O~ '11 ~~~4v"tr_~~~i~ ~ ~v (l; Constr. contr.~~cl C c:J~ 1'1.::; ry t, n.f ilj1~fJfloF~rq).'tbO r::;r;"5 $ 69.00 ~ ....~~.'JJl"i'f!;~P'\.~6[!)~~!br::s $100.00 E~PirationDate .,.t]:-I(~ .,77co)/ ~O'~~<4~~~~:V:~;~~~'~"a~i:-. . ~":fi 1;! 7~",- '" SIgnature of SupervIsmg ElectncIan It()<;)<ft;~~~~~~ 'i ,~,ld~~\;,,,J,,,',~ .j.~t~.,._" 1,.i,J:!"il _ ~ - / A New ~fration or Extension Per Panel a~~~~ One Circuit $43.00 t::;. -" j <<-V Each Additional Circuit or with .-/ f)./J--J /' Service or Feeder Pennit $ 3.00 .wnersName (../,;'/ /, (:7) Address /dd 7 /~au) :r A A E. ~~MIr.~(1~f~gJJf;!~~H!~J.t~JjJe!i~11fi~J~~i;~~1'.(~~h~~~~,~lrt~ City -5 P'F LLl Phone SV/ -d,87-1'9cfo Pump or irrigation $ 50.00 - .:. Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial Y $ 45.00 4-1:; .00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges L\.c;,oo (('2,.~C:; (It.,SO ~ $ 19.00 $50.00 OWNER INSTALLATION The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: f.t;MA:t1........~.:h":.:":-:fr.,,..,-~~.";i;>l,."! ..~ .', r.)".~.-~.,~,.\t :::.,~l 4,' ,$UBTOTALOPAlJOVEY;" -'''< '''J::c:.t>'f,.,;.,;;",.i r,~' ~"";'~'.Y{li.,'r:, ",,(P'~1.\_"'~f,_"::,:":'$I"" 'l."""~'" ~.i:~~~-ili.i..;.~ 7% State Surcharge 10% Administrative Fee ' Inspection Request: 726-3769 TOTAL ~ \::; 2.101(" Shared Drive(T:)lBuilding Forms/Electrical Permit Application 1-Q3.doc . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/1012004 VALUE: $ 3,663,106.80 225 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 , CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone Architect AFFOLTER WEST & JONES 541-342-6511 General MElLI CONSTRUCTION CO 63771 0211212004 541-485-1417 Electrical CHRISTENSON ELECTRIC INC 458 05/01/2007 541-688-6121 Mechanical COMFORT FLOW 460 06/27/2005 541-726-0100 Plumbing ROBINSON PLUMBING INC 107124 07/13/2005 541-345-6909 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B 1-1.2 VNSpr ' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 3 . 43.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: , 7,972 9,090 9,090 SETBACKS I DE""Lunnr.lH mruKlvIATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page 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 CommlInd/Public 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 Addtll00' Water Line - 1st 50 Feet Water Line - Each Addtll00' Refund - Admin Fee + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Ea Add Building Permit Low V ollage - Commercial Indus Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm ServlFdr 401 to 600 amps Perm ServlFdr 601 to 999 amps SDC SanitarylStorm Admin Storm Drainage Impervious Area Plan Review Fire & Life Safety Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge . . CITY OF SPRINu1<U.LD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/1012004 VALUE: $ 3,663,106.80 I Valuation Descriotion 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 Value Date Calculated $1,121,000.00 $2,100,000.00 $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 Total Value of Project FpP~, P':IillJ 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 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 4/21/03 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 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 - ClIfP Plan Review Refund - F & L Plan Review -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Backnow Device Building Permit Exhaust Hoods Fixture Fixture 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 Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/1412003 EXPIRES: 04/10/2004 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 7/16/03 7/16/03 7/16/03 8/12/03 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 10/10/03 10/1 0/03 10/1 0/03 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 220020000000000i642 $89,936.69 I Plan Reviews , 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 . 02/21/2003 03/18/2003 OK Paee 4 of9 . ,CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/1412003 EXPIRES: 04/10/2004 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 for review and approval Suhmit fire alarm plans to Springfield Fire Marshal's Office fOI review and approval An emergency generator shall be installed and tested in accordance with NFPA 110. Testing documentation shall conform to NFPA 110 and be provided to the Springficld Fire Marshal's Omce for approval prior to occupancy. Duration of power supply shall be not less than 90 minutes (OSSC 308.9) Provide special inspection certification and testing documentation to Springfield Fire Marsbal'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 infill 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 Marshal's Office and Springfield Building Official Entry road shall be widencd 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 5 of9 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/10/2004 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 V-N SprinkIered; Band 1-1.3 Occupancy. Shell plan only. Plans show correction of entry road. Road widened as directed in Site Plan Review (February 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. . . \...11 i' OF SPRINGFIELD 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: 04/10/2004 541-726-3769 Inspection Line VALUE: $ 3,663,106.80 Fire Department Review 07/10/2003 07/3112003 OK GRG Plan Review: Infill plans for BIt-1.3 medical center. Constrnction 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: 10-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 1). Paths of egress data provided in lighting calculations book. Will still need report verifying measurements as noted in Plan Review dated 3-18-03. Initial Review 0212112003 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 08/04/2003 WE SKG Resubmittal of engineered plans, specifications, and calculations. Plannine. Review 0212112003 04/2112003 APP EMM Sarah Summers Planner. Final Site Plan Submitted. Development Agreement Signed. Call Sarah for final inspection 726-4611 Plannin!! Review 07110/2003 07/11/2003 APP EMM Public Works Review 04118/2003 04118/2003 APP PJO APPROVAL IS FOR FOUNDATION ONLY Public Works Review 04118/2003 05/05/2003 WE PJO Sent Memo requesting plumbing plans for 2nd and 3rd Ooors. 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 Pa!!e 6 of9 Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/20Q3 EXPIRES: 04/10/2004 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 Public Works Review 07/10/2003 08/07/2003 APP SB Structural Review 02121/2003 03/27/2003 WE JMP Structural Review 04/03/2003 04/18/2003 APP JMP Structural Review 04/30/2003 05/1 012003 APP JMP Structural Review 07/10/2003 08/01/2003 WE JMP Structural Review 08/06/2003 08/06/2003 APP TCM Structural Review 08/07/2003 08/07/2003 WE JMP SUB Review 0212112003 APP JF 05/01/2003 SUB Review 07/10/2003 08/07/2003 POK JF . CITY OF ~r1Ul'\jlJ1<mLD 7/30/03 - Ken Vogeney routed plans to Steve Barnes to review. Document attached with 20 listed issues was faxed to architect today. 6 revised drawings. See attached document faxed to Linn West requesting medical gas documents. Still need SUB approval, engr. stamped medical gas plans. On 8/7/2003 jmp left a voice mail for Gary Meili requesting dollar values of site work, paving, shell, tenant, infill, and grand total for the project. Jmp also left a voice mall 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. Per conversation with John Pearson, architect plans to build shell only at this time. Building envelope, hvac and lighting specs to be determincd 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 occupicd. See email. 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. I Rp'\iUrprl rn~nections , 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 fooling 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. Pal!e 7 of9 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00086 ISSUED: 10/10/2003 APPLIED: 02/14/2003 EXPIRES: 04/10/2004 VALUE: $ 3,663,106.80 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 SewerLine: 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 resports 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. 41 Rough 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. Pa2e 8 of9 . . CITY OF :SrtOj~uFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00086 ISSUED: 10/1012003 APPLIED: 02/14/2003 EXPIRES: 04/10/2004 VALUE: $ 3,663,106.80 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 in~pection 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 tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission oftbe 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 .11 times during construction. , /i!?' . ~ ':/ 1~~SignK /c!? -/0 -d.3 Date P.ee 9 of9 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00086 COM2003-00086 COM2003-00086 Payments: Type of Payment Check Paid By MUZAK LLC ~"""""~!"'-"~'-.""'."-,'."".,"'" ,',.'...,. i: " ~ ,~c".. ..,~ : ,-~""",-",,"".,......~,, '.: Receipt #: 2200200000000001642 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Received By jmp Check Number Batch Number Authorization Number 1810 City of Springfield .official Receipt Development Services Department Public Works Department Date: 10/10/2003 1 :21 :59PM Amount Paid Item Total: 45.00 3.15 4.50 $52.65 How Received Amount Paid In Person Payment Total: $52.65 $52.65 . . CCB - Find A Licensee - Relll Find A Licensee - Results LICENSE NUMBER: NAME: ADDRESS: WORK PHONE NUMBER: LICENSE STATUS: 142760 MUZAK LLC ' 3318 LAKEMONT BLVD FORT HILL SC 29708-8309 Limited Liability Company LICENSE Specialty CATEGORY: Contractor/All Non-Exempt (Has EMPLOYER Employees- STATUS: Must Have Workers' Comp Coverage) GREENWICH LIBERTY INSURANCE INSURANCE MUTUAL INS COMPANY COMPANY: CO $ 10000 INSURANCE $ 1000000 AMOUNT: INSURANCE EFFECTIVE 12/31/2003 TO: 8003313340 Active EXPIRATION 5/11/2004 DATE: DATE FIRST LICENSED: 5/11/2000 BOND COMPANY: BOND AMOUNT: BOND EFFECTIVE TO: 5/11/2004 ENTITY TYPE: Associated Name Information . License Number 142760 Bond Information License Number: 142760 Entity Type MEM Name MUZAK HOLDINGS LLC Company Name: 414 - GREENWICH INSURANCE COMPANY Bond Number: 45031121 Bond Amount: $10,000 Bond Effective Date: 2/20/2001 Cancellation Date: . Description Member (Limited Liability Company) http://ccbed.ccb.state.or.us/new_web/asp/new _search Jesuits -print.asp?regno= 142760 Page 1 of3 1011 0/2003 CCB - Find A Licensee - Res, . Page 20f3 License Number: 142760 Company Name: 110 - AMWEST SURETY INS CO-SUSPENDED 6/21/01 Bond Number: 129001367 Bond Amount: $10,000 Bond Effective Date: 5116/2000 Cancellation Date: License Number: 142760 Company Name: 110 - AMWEST SURETY INS CO-SUSPENDED 6/21/01 Bond Number: 129001367 Bond Amount: $5,000 Bond Effective Date: 5/11/2000 Cancellation Date: Insurance Information License Insurance Company Policy Number Policy Effective Effective Number Amount ' From To 142760 119 - LIBERTY MUTUAL INS TB21512816330321000000 12/31/2002 12/31/2003 CO 142760 42 - GLOBE INDEMNITY CO GTL464820 1000000 12/31/2001 12/31/2002 142760 42 - GLOBE INDEMNITY CO GTLQ63446 1000000 12/31/2000 12/31/2001 142760 42 - GLOBE INDEMNITY ~O GTL461173 1000000 12/1/1999 12/31/2000 Specialized Training Information Name No records reltimed. Description DISCLAIMER: Information concerning contractor credentials and specialized training has been obtained by the Construction Contractors Board (CCB) from contractors who want this information noted in their licensing records. The contractor must also notify the CCB if the credential has expired or terminated. As a result, the CCB does not ,_. http://ccbed.ccb.state.or.us/new_web/asp/new _search_results yrint.asp?regno= 142760 1011 0/2003 CCB - Find A Licensee - Res, .' Page 3 of3 warrant or guarantee the existence or accuracy of the information about the credentials or specialized training. SIC Codes SIC Code 1731 Description Electrical Work Claims Information No records returned. http://ccbed.ccb.state.or.us/new_web/asp/new _search Jesuits yrint.asp?regno= 142760 10/ I 0/2003