HomeMy WebLinkAboutPermit Mechanical 2008-9-4
Status
Issued
CITY UJ< ~rRINGFIELD .
Building/Combination Permit
PERMIT NO: C0M2008-01l68
ISSUED: , 09/041io08
APPLIED: 08/0612008
EXPIRES: 03/04/2009
VALUE: $ 54,000.00
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: IIO INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154000100
. Springfield TYPE OF WORK: Office
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: HV AC upgrade in Server Room
Owner: PACIFIC HOSPITAL ASSOCIATION
Address: PO BOX 7068
EUGENE' OR 97401
Phone Number: 541-686-1242
I CONTRACTOR INFORMATION 1
Contractor Type
Architect
General
Electrical
Mechanical
Contractor
ROBERTSON/SHERWOOD/ARCHITECTS
CHAMBERS CONSTRUCTION
BUILDERS ELECTRIC INC
COMFORT FLOW
License
Expiration Date
II 4258
4296
460
05/30120 II
12/1 0/20II
06/27/2009
Phone
541-342-8077
687-9445
541-485-0922
541-726-0100
BUILDING IN.FO~A nON 1
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
,
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
liB
Yes
1 DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS,Ii-TENTION' Oregon 1-'1' rnnu' 0 .t
. . ,,-"'1 . dv I..~'.l Ire" you 0
______ _. ' follo,w r~idew1iiI<rIiype!?y the Oregon Utility
NotificatIOn Center. Those rules are set forth
'In-OAR cnowospnutslDrains:' OAR 952 001
l~....v.... U"""VI.IIIV....gn -_
0090", You may obtain copies of the rules by
_ callmg the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-~
.&~f6~
~0-'
Paee I 00
Sto':'."I~M'\"fcr:,i1abIe: ,.
spec13tm~trpERMrT SHALL EXPIRE IF THE WORK
Notc"l\UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Stlitus
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: C0M2008-01168
, ISSUED: 09/04/2008
APPLIED: 08/0612008
, EXPIRES: 03/04/2009
VALUE: $ 54,000.00
225 Fifth Street, Springneld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I VaI;,ation ne~cril~tion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
54,000.00
Value
Date Calculated'
Descrintion TYne of Construction.
Total Value of Project
$54,000,00
$54,000.00
08/1112008
F"pli', P"IW
Fee ~escrintion
Plan Review Commllnd/Public
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$276,58
$5.50
$6,60
$2.75
$50.00
$5.00
8/6/08
9/4/08.,
9/4/08
9/4/08.
9/4/08
9/4/08
1200800000000000848
3200800000000000627
3200800000000000627
3200800000000000627
3200800000000000627
3200800000000000627
Total Amount Paid
$346.43
I Plan Reviews , ,
Fire Devartment Review 08/11/2008
Planninl! Review 0811112008
SUB Review 08/11/2008
Initial Review 08108/2008 08/11/2008 APP LLH
Structural. Review 08/11/2008 . 08/13/2008 APP CJC
"
Plan Review Comments 08/14/2008 08/14/2008 10 tLH
Forwarded to Robert Castile for
Mechanical count
To Request an inspection call the 24 hour recording at 726-3769., All inspectio.ns 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.
~eollire~~ne('tions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
.. PERMIT NO: C0M2008-01168
, ISSUED: 09/04/2008
APPLIED: 08/06/2008
EXPIRES: 03/04/2009
VALUE: $ 54,000.00
By signature, I state and agree, that I bavecarefuIly 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 ofany 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 ofthe property, and the approved set of plans will remain on the site. at all
times during, construction. .
..
, Owner or Contractors Signature
.,
'Pal!e30f3
/
Date
. CitY of Springfield
Electrical Authorization To,Begin Work
E-mailedTo:keIIy@buiIderselectric.com
Receipt # RC"i373"i7
9/4/20081:47:35 PM
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@ci,springfield;or:us
'0 I or 2 f~ily dwelling
D Multi-family
[X] Commercial'! Industrial
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion'
I 0 New construction
[X] Addition/alteration/replacement
JOb'DO.: 08-1927-5 IJob address: '110 INTERNATIONAL WAY
Imy/Stat.JZIP, SPRINGFIELD, OR 97477-1034
I SuitelbldgJapt.no.:
I Project name: Pac Source
Cross streetldirtctions to job site:
I Subdivision:
,ILot no.:
- Limited energy, residential
(with above SQ. ft,)
I-Limited energy, multifamily
residential (with above So. ft.)
I . Limited energy, commercia-l
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alorielimited energy,
multi-family
I . Sumd-alone limited energy,
commercial
DO,' 1703154000100
circuits fOf HVAC equipment
I 200 amps or less
1201 amps to 400 amps
I 40 1 ~ps to 599 amps
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I Name: royle johnson
I Phone:
IEmail:
I Fax:
I. A. Fee for branch circuits with
service or feeder fee, each
branch circuit .
I B. Fee for branch circuits
witho!-lt service or feeder fee,
first branch circuit
I each addl branch circuit
I I
II $50.00 ' $50001
II $5.00 $5001
lie. no.: 20~12C ICCB lie. no.: 4296
I Business Name: BUILDERS ELECTRIC INC
!contact: 08-2262s
IAddress: 195 MADISONST
I City/Stat.JZIP, EUGENE OR 97402
I Phone: (541)4850922 I Fax: '(541)4854055
I Email: kelly@builder~lectric.com
I Metro lie. no.: I City lie. no.:
1 Supervising electrician's lie. no.: 5275S
I Supervising electrician's name: RUSSELL R ROBBINS
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign <Jr outline lighting
Signalcircuit(s) or limited-
energy panel, alteration, or
extension.
Upon review and approval by your local jurisdiction, your
pennJt will be e-mailed or faxed within one business day,
with instructions on how to schedule your. inspection.
. Subtotal I $55.00 I
State Surcharge (12% ofoermit fee) $6.60 I
City Of Springfield fees. r $8.25l
I TOTAL PERMIT FEE I $69.85 I
. City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
NOTE: This Authorization To Begin Work expires within'180
days if a permit Is not obtained~
The local. building department may detelTlilne that an
Authorization To Begin Work is null and void.it it does not
meet applicable land use laws and 10~1 ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fift,h Street
Sprin'gfield, Oregon 97477
541-726~3759 Phone
Job/Journal Number
COM2008-0 1168
COM2008-0 1168
COM2008-0 1168
COM2008-0 1168
COM2008-0n68
Payments:
Type of Payment
ONLINE CHG~
cReceintl
City of Springfield Official Receipt
Development Services Department
Publie Works Department.
RECEIPT #:
320Q800000000000627
2:16:59PM
Date:. 09/0412008
Description
. Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
50,00
5.00
2.75
6,60
5.50
$69,85
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number ,Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
ONLINE BUILDER'S Online
ELECTRIC
Payment Total:
$69.85
$69,85
Page I of I
9/4/2008