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Home My WebLink AboutPermit Electrical 2003-9-18 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 .;e~!!f?,i~~6119lUbmitled has the fOllowing ELECTRlCALPERMIT APPLICATION appro~alnd oes not require specitic land use. City Job Number C:0I11"Zoo3-00 b IODate 9-10-03 Zoninn (l {/ 3. iY,.t:OMfitjj!fj~~"KstiIEjjufJ,iiTi(f;t;li:~.<.. ..~;;;.;~-{t,~ r.:..,,,,._. "c~CJ!UUi.onzed;SJgnatti~.,>,,---- ~ "'\~w"" '.' I .,,' ,'~] 1. ~t.Q,PitI6.NiQBN.$i:AL.MtlQ]y,!t~::;~J(1fi:l" 7. ,-/00 1~f\-"irrI11,4.N uJ Ql1 1I'llTO\I Il(1AT.J LEGAL DESCRIPTION 1703. 7..2.3> JOB DESCRIPTION ooboO TEMPORARY SERVICE Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. If{;iJNTifAfJf(j'RtmsfA1:bfffoN'ldNLZ'J 2. t:""'"~" ,+""'.,1'"':; !rIlL:. _,.",~"~~-.,_._~",."",, .J ~.i, ",.-',""" .....,. ','''~< ~t\.~ ",>:",~...I;.~ J Electrical Contractor SCOFIELD ELECTRIC CO Address PO BOX 2765 City EUGENE, OR 9740:Phone 686-8612 Supervisor License Number 508-S Expiration Date 10-01-04 Constr. Contr. Number 20-1C Expiration Date 10-01-03 a:;;;~ . r Owners Name OREGON UROLOGY Address 118b PATTERSON City .Jill.GEI:JF. (1 q Phone ~fi~_Q?<;(1 97 401 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . ~~i\~ ~~ - sV=\) fu.,~".. R.,""" n."" ~ ~ Owners Signature: A. f;~Ne~VResj(i'~'ri'ti~i~Xs'iti ~g1-.;i~toF7Mh-i1iEF ~:rrtii~;.:'~e~:-d'iv'~iJil~g~:l'1 rti(.~ \' :;/ [~U~I.~~.)'.""..' "_~"',,jl~' l,,"-,"~!":"~i'.'l"":;""-' .....'..' ,......,,. .'. c'''''' ." ,,,.,,.....'. '''~ .,.' ,.' 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. -~. ,s~.i~~t~lF~~a~:l~8~Iri~t~1~jti~I_~::AJt~f~'tioll~.~'tirj~~it~'~'(i~fi'~\~~'}p. ..","'~':''!c'''l,'J~ "'~."-"'!::"-'-, ":: ,....~_r. , -'''''''' ._.1'.~ ....., .;....,~.. '-," "'~-'.__~~ )-j 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 AmpsNollS $375.00 Reconnect Only _.. \8> 50.00 . _, <"QUIle,:> '-..;\\W ~'.5iF'".c' ,..... ..-.>;.'......l\Sqt1;;'..~~ l\t:~.,~\..-c-~~ 'Ufo,~ '-, . ",' .. ..~ C. ',t.;Feuip" ohlf\'.Ser3ices or.R~~~der~lJ~~<:A~;,;:~;.l~r\::",',;, :;:-.e ",,;' :~;~, $,"';.1,; "\ . - 1"'""'''-.'' " (\'\:l1''-'" . ". ,~1>li!1,'" " ,,' '.' "" p..l I \:,1" .\~S auO\l\e"'hO",e IU\e~ ~.~ 95'2-00 .Installii'tion, Alteration or'Relocntionr. l\I"" \. ' IV": ,,'iof\ v~... Olt1TU"''''' ,nPo I ~ l'I600\\\mPS oc\!.ess _OO~. copies 01 L~lot$'50.00 .0 '-J~" _",'f\If\ \"'e ,,,,.., fi irf01r'Ainps to ~,QOJA1rips fl'lO\(l'." . .,..r,$169.00 . c; 'iOU I ~l"l \ 'Ii\" I~V' eOIl\A.mps to\600:Amp.s' gof\ U\I , ..\ $100.00 c~\I\"g I .. In" ore ",,,\"-'1.<>"'-" Over g,OO,Anips or 1'090, V<9lw see "B" above. D [~B~~":/I 'G' ~}'U~;t~:-~~.::"L-',".;r.r~~~~-~t',.~t~:l/-, ',''i.-~)J,~.,;'7l !11.:.... . [~41}!f, ~.~.;;I.JS.!I ~., ,h ~-:I~:J,~: :.~:;.;~., ~', "3J?.' ;."; h:, /~;_ t:."?;h ," :t!i;'>-: 50.00 I,' ~~"':i '~:\'I .....' "~")'t .,'., '.....r New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with ..' " Service or Feeder Permit ~E~Of\1l E ~~.,;..",tlQ!\~m+"i\T~.'~~~~;~~~~I~" 'h"IJ~II<;y;;'i~- . ,~l\liScAlhnp.Jlilic eqt.l~to.llF.:nr<:lOO';;": ac _ llsta ntloll' "~1~1~d~Et1\l . . '~B'~~\J"Q~t ~ ,it" """-"","~' Pump or g~'t.NCEO OR IS G $ 50.00 Sign/Out t~~il\'lliYg)r>.'( ~ERIO . $ 50.00 Limited El:'ergyIResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ,t:.;-~v!";';;C-;i;:,'r.:..V(Ii':'~";..""l\-~-I>,"><;''.li&: c .~'~':"'~';i-,~: -,:"'i\!S.;;"''''' ;l'~J:;:"4"rt' ")."~ 4. i~SVBTOTAL:OE&ffiOVE}~f..?:' .J;ji' '~';:"'~~,'iJ,"'.' ~. ,'"''''. .....'". 'j'ro'-fl."- "",','-'.. ..'il:;,,'.,.J.....~,.{ ....,~~,..,." cr" ,-~1...M' ~,J~J;-.\faf1l;",~~.~m)),",~~k'9. 'V"':',~, /~;,;..:.!'.K~.\~ .. i'WI.;,t;h;; 50.00 7% State Surcharge 10% Administrative Fee 3.50 5.00 TOTAL 58.50 Shared Drive(T:)/Building FormslElectrical Permit Application 1..Q3.doc Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2400 Hartman Ln ASSESSOR'S PARCEL NO.: 1703223300600 . . CITY OF l).rIuNGFIELD c Building/Combination Permit PERMIT NO: COM2003-00610 ISSUED: APPLIED: EXPIRES: VALUE: 07/09/2003 02/26/2004 $ 350,000.00 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New PROJECT DESCRIPTION: Medical Clinic- DRC# 2002-11397>> Issued temp electric only 091603.DB Commercial Owner: OREGON UROLOGY INSTITUTE Address: 1180 PATTERSTON STREET EUGENE OR 97401 Phone Number: 541-343-9250 Contractor License Expiration;D1Ptej Phone AFFOLTER WEST & JONES ~eo.\l\~e"o~ 1)\\\\'0<'- 541-342-6511 MCKENZIE COMMERCIAL CONTRACTOR45539 0<;\ \~-:J e 0.71i~12003~\ \ 00'541-343-7143 SCOFIELD ELECTRIC 38702eg 0 '0':1 \~ ~!212i120057>'2: s '541-686-8612 HARVEY & PRICE CO ~i\<"77;60':;)\e i'(\ose t~dr~~,~(1 ~\l\0<;\e41-746-1621 TWIN RIVERS PLUMBING ~\\~, <I\\~f~6,~~:.e~: A C\ \'(\\O~~3(11i29,Q5,}':;)'(\O_..\~1-688-1444 I BUILDING INFORMATION" \.\J~\i\<;\ ~-;'\e"W~':I-~o\l'\V- NU' f>.~ "'- (\\~'i 0 :l.e~' \! <;\ 1)\\\\ ~,?>1>.1>.1' # of Stories: '\ 0" ,-\o\l.",e ce\'lh~et;i?otSiZ~: .....u\J. (\ ..\1 .,... o...J r.:"\'- Height of Strtictur~o.\\\\'I'" \0~39:0~s 'I' Sq Ft 1st Floor: Type of Heat: C (\\'Oe~ r(:o~.e\ Sq Ft 2nd Floor: Water Type: <;\1> El~ctric Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Impervious Surface Area: ;9,822.00 &'ll I DEVELOPMENT INFORMATION' \'i ,\,\t. ~G\ , t.~~~t. ~ DPAR~NG Overlay Dist: \O,,\C~' ~\ ~\'\\I.\.\ \\,\\~ ~~'f~!Q\lI. . # Street Trees~s.~ ~'i:.\lI.~'i:.\l ~~\lt: ~ t>.'O\I.~\ltIandicapped: Paved Drive R~~\\,\Q\lI.\tc.'i:.\l 'IJ\lI. i\Q\l. Compact: % of Lot coveratll.j~~t.~ \)t>.'{ ~'t: . \I.~'{ \?) I PUBLIC IMPROVEMENTS I Contractor Type Architect General Electrical Mechanical Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B 1-1.2 V1hr SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I 94,798 23,900 10,258 Sidewalk Type: DownspoutsIDrains: Paee10f5 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINut<l~L1J ' Building/Combination Permit PERMIT NO: COM2003-00610 ISSUED: APPLIED: EXPIRES: VALUE: I Valuation Descrintion I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Fee Descrintion Plan Review CommlIndlPublic Plan Review Fire & Life Safety Plan Review CommlIndlPublic Plan Review Fire & Life Safety + 100/0 Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Total Amount Paid Fire Department Review Fire Department Review Initial Review Initial Review Medical Gas Plan Review Plan nine Review Plan nine Review Public Works Review Public Works Review Revised Plans ReceivedIRo Square Footage or Bid Amount 5,250,000.00 Total Value of Project ~ Amount Paid $11,247.05 $6,921.26 $895.80 $551.26 $5.00 $3.50 $50.00 $19,673.87 Date Paid 7/9/03 7/9/03 7/16/03 7/16/03 9/17/03 9/17/03 9/17/03 I Plan Reviews I 07/10/2003 07/17/2003 08/22/2003 08/25/2003 07/1012003 07/17/2003 07/10/2003 07/17/2003 08/1112003 07/10/2003 07117/2003 07110/2003 08/04/2003 07/17/2003 08/07/2003 07/16/2003 OK OK GRG GRG APP LLH APP LLH OK SKG WE APP EMM APP SB APP SB Paee 2 of5 07/09/2003 02/26/2004 $ 350,000.00 Value Date Calculated $5,250,000.00 $5,250,000.00 07/0912003 Receipt Number 1200200000000001735 1200200000000001735 1200200000000001772 1200200000000001772 1200200000000002143 1200200000000002143 1200200000000002143 See attached document . Site and foundation only. Plan Review: Medical office building; revised plans-site and foundation only. No changes from plan review of 8/22/03. Site Work and Foundation Only Levell Medical air, Oxygen, Nitrous oxide, Medical vacuum. Waiting for Final Site Plan Approval and Development Agreement Site and foundation only. 8/1103 - Ken Vogeney routed full plan set to Steve Barnes for review. Site and foundation only. 7-30-03: Ken V ogeney routed plans to Steve Barnes to reveiw. Site and foundation only. . . CITY OF ~rKll'1ld<lJi,LU Building/Combination Permit Status Pending PERMIT NO: COM2003-006IO 225 Fifth Street, Springfield, OR ISSUED: 541-726-3753 Phone APPLIED: 07/09/2003 541-726-3676 Fax EXPIRES: 02/26/2004 541-726-3769 Inspection Line VALUE: $ 350,000.00 Structural Review 07/10/2003 08/11/2003 WE JMP See attached fax sent 8/11/2003 to Linn West requesting Special Inspection and Testing Forms. See attached fax sent 8(13/2003 to Linn West requesting Drainage Plan revisions. Followed up with an email request. See attached fax sent 8/19/2003 to Linn West requesting verification of counts of plumbing and mechanical units. JMP called Linn West on 8/21/2003 to request exiting plans and locations of rated walls. See attached fax sent 8/26/2003 to Linn West with 30 structural review comments. JMP called Larry McGinnis and Twin Rivers Plumbing on 8/26/2003 to notify of undercount in sinks Bnd th( potential requirement to upslze the sanitary line. Structural Review 07/17/2003 08/11/2003 WE JMP Site Work and Foundation Only. See attached fax sent 8/11/2003 to Linn West requesting Special Inspection and Testing forms. See attached fax sent 8/1312003 to Linn West requesting Drainage Plan revisions. Followed up with an email request. SUB Review 07/17/2003 08/15/2003 APP JF Site and foundation only. See attached email from Jack Foster on 7/24/2003 to John Pearson updating review progress and then the attached fax sent to Linn West . 7/24/2003 by Jmp to request the building envelope energy code forms and worksheets. SUB Review 07/10/2003 08/15/2003 APP JF See attached email from Jack Foster on 7/24/2003 to John Pearson updating review progress and then the attached fax sent to Linn West on 7/24/2003 by Jmp to request the building envelope energy code forms and worksheets. 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. Paee30f5 . . CITY OF SPRINu1'1~LU Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00610 ISSUED: APPLIED: EXPIRES: VALUE: 07/09/2003 02/26/2004 $ 350,000.00 I RPn'Wrlln<n,prti'WiJ 1 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 2 SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. 3 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 4 SUB Ceiling Grid: Interior Lighting 5 SUB Exterior Lighting 6 SUB Final: After all required energy inspections have been requested and approved. 7 Site Inspection: To be made after excavation but prior to setting forms. 8 ErosionlGrading Inspection: After all erosion measures are in place. 9 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 10 Footing: After trenches are excavated. 11 Foundation: After forms are erected but prior to concrete placement. 12 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 13 Floor Insulation: Prior to decking. 14 Shear Wall Nailing: Before covering sheathing with finish materials. 15 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 16 Wall Insulation: Prior to cover. 17 Ceiling Insulation: Prior to cover. 18 Roofing: Prior to installing any roof covering. 19 Drywall: Prior to taping. 20 Firewall: Located and constructed according to plans. 21 Masonry: 22 Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. 23 Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector 24 Roof Sheathing/Nailing: Before covering sheathing with finish material. 25 Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 26 Ceiling Grid: After drywall approval but prior to cover. 27 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 28 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 29 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. 30 Final Fire Department. After all requirements of the Fire Department have been met. 31 Final Building: After all Conditions have been completed as required on Development Agreement. 32 Final Building: After all required inspections have been requested and approved and the building is complete. 33 Rough Grading: After gravel is in place but prior to placing concrete. 34 Final Paving: After paving is complete. 35 Underground Plumbing: Prior to filling the trench and including required testing. 36 UnderOoor Plumbing: Prior to insulation or decking. 37 UnderOoor Drain: Prior to cover or placement of concrete. 38 Rough Plumbing: Prior to cover and including required testing. 39 Shower Pan. Prior to covering and including required testing. 40 Water Line: Prior to filling trench.and including required testing. 41 Sanitary Sewer Line: Prior to filling trench and including required testing. Paee 4 of5 . . CITY OF SrKll'i\JFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-006IO ISSUED: APPLIED: EXPIRES: VALUE: 07/09/2003 0212612004 $ 350,000.00 42 Storm Sewer Line: Prior to filling trench. 43 Final Plumbing: When all plumbing work is complete. 44 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 4S Rough Medical Gas: Prior to cover and including required testing. 46 Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier. 47 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 48 Underfloor Mechanical. Prior to insulation or decking and including required testing. 49 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 50 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 51 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. 52 Rough Mechanical: Prior to Cover 53 Final Gas: When all gas work is complete. 54 Final Mechanical: When all mechanical work is complete. 55 Rough Electric: Prior to Cover 56 Electric Service: Approval required prior to utility company energizing service. 57 Final Electric: When all electrical work is complete. 58 Temporary Electric: Approval required prior to Utility Company energizing pole. By signature, I state and agree, that 1 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 Paee 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00610 COM2003-00610 COM2003-006l0 Payments: Type of Payment Check .'.~ ~.;~ ~.~~'''; , Receipt #: 1200200000000002143 Description Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By SCOFIELD ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receip! Development Services Department Public Works Department Date: 09/17/2003 8:03:l1AM Amount Paid 50.00 3.50 5.00 $S8.5U Item Total: How Received hi Person Payment Total: Amount Paid $58.50 $S8.SU . .