HomeMy WebLinkAboutPermit Electrical 2009-4-6
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City 01' Springfield
Elcctrical Authorization To Begin Work
E-mailed To: weiJandbo@msn;com
Reccipt # EC549532
4/6/20097:18:04 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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10 New construction
o Addition/alteration/replacement
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10 I or 2 family dwelling 0 Multi-family [K] Commercial I Industrial
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jJob no.: 09-0018 IJob llddress: 3377 RIVERBEND DR
I Cily/Slatef LIP: SPRINGFIELD, OR 97477
I Suitc/bldg.lnpl.no.:
Il'roject name: Wlllgrcens
Cross stn'ctldircclions to job site:
Pavilion Building
I Lot no.:
ISubdivision:
I"liu mapJparcclllo.: 1703220000902
F~' '," '1ir. : . -~:.' ,~1~)~~_~:;;'DE~9.RWTIC:~~~91;V:Jo..~~':;.,
Addition of ^ Wlllgreens Plltlrmucy
"-;'!SITE CO'NTACT,",J"';;.
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I i'lllme: 80 Hart
i.>honl': (541)517-1429
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I EI. lie. no.: C277 I CeB lie. 00,: 175373
I Business NlIRle: WEILAND ELECTRIC DIVISION LLC
I Contact: 80 Hart
IAddress: PMB 204 5729 MAIN ST
ICitl/Stlllerl.lI>: SPRINGF]ELD OR 97478-5426
II'hooe: (541)7477701 [Fax: (541)7477701
I Em;lil: weiland.bo@msn.com
]Metrolic. no.:
I Supervising ell'l'lrician's lie. 110.: 2560S
[Supervising l'lt'l'lrician's name: JACK L WEILAND
1 Cit}. lie. 00.:
Upon review and approval by your loc~1 jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
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III, ;;::;;~:::I~~I\,. C:Hi. OI"!rYlli.'f~m}~t~~~"ing.u,:~;' I~CIU,de;~O~:1
',. ,_~tJachl'd g,ar~gc'" . _'0' -' "~:"".l_:-.,." ~. . , " .' ' -,
11,000 sq, n, or less [4)
1 Ea. <lddl 500 sq. ft. or portion
I!~ill~ii~d, ~:~lcrgyl:'.~"~
1 - Limilcd energy, residl'ntia]
(with above SQ. fU
I - Limih:d energy, multifamily
residential (with above Sq, f1.)
I-Limited energy, commercia-I
(WIth above Sq. ft.)
1 - Stand-alone limited energy,
residential
1 - Stand-alone limited energy,
mu]ti-fumi]y
I - Stand.alone limited energy, 21 $32.00 $64,001
commercia]
I (~frvic~~~' 9If~~~er;; in~talhih€T!, alt~!~tion.~~~D/OI~'.reli;cation- ~',
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not olTcrl'd online <ltlhis jurisdiction
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$162,001
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P~,-,l1i~c~_ ~iIT~its'~;N,PY, alt~f.!t-ioil, OR eXlension;pcr pa~~1 ~" < 1
I A. Fee for brunch circuits with 2 $6,00 $]2'001
service or feeder fel.', each
brunch circuit
I B. Fce for branch circuits I
without service or feeder fee,
first bnlll~'h circuit [2)
1 cach addl brunch circuit I
1~~lisc~II11}leo~~.~~:~~.,.:' \~= ......,~~, _, 'I
1 Service reconnect only [2} I
I Each manuluctured or modular I
dwelling, service and/or fl.:edcr
r21
I Pump or irrigation circle [2] I
I Sign or outline lighting (21 I
I Signlll drcuit(s) or limited. $63,00 $63,00 I
energy pllnel, alteration, or
eXlensionJ2J
If ,/E'T.;:'." E~ECTRli:AL PERMIT ~EES . I
[ Subtotul $301.00 I
I State Surcharge (12% of'p\:rmil fee) $36.] 2 I
I City Of SpringJield fees'" $15.05 I
L TOTALPI:'<.\UTFEE $3;2,171
. City Of Springfield fees: 5% Techno]ogy Fec
{Deflllll, /llImber oJinspectiollsullowedJ
uYnvsuo- <0170 & n Ydi
Ot't~e& ~ 01
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1200 amps or less [2] 21 $81.001
1201 umr~ to 400 umps !2]
1401 amps to 599 amps j2] I I
1"TEMPORARi/sen.:iees OR (eeder.; iostaUation~'ll.lt;"ralion,
:!.~~'D!.91~ relocution. ',',:. _: ~_\, ' :~ ~ _" r.. ',:,' ,:.
.1200 'Imps or less [2) 1
120] umps to 400 amps [2] I
1401 amps to 599 amps [2]
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 1211112008
EXPIRES: 10/06/2009
VALUE: $ 131,145.00
Status
Issued
225 Fifth Street. Spl'ingfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3377 RiverBend Dr
ASSESSOR'S PARCEL NO.: 1703220000902
Springfield TYPE OF WORK: Medical Oflice
TYPE OF USE: Alteratinn
PROJECT DESCRIPTION: Walgreens Clinic Pharmacy Infill- (See Notes regarding occupancy)
. Commercial
Owner:
Address:
PEACEHEALTH
PO BOX1479
EUGENE OR 97440
I. CONTRACTOR INFORMATION'
Contractor Type
Architect
General
Electrical
Plumbing
Contractor
BA YSINGER PARTNERS ARCHITECTURE
VIK CONSTRUCTION
WEILAND ELECTRIC DIVISION, LLC,
TWIN RIVERS PLUMBING INC
License
Expiration Date
571
175373
17695
10/22/2009
04/06/2009
03/11120 II
Phone
503-546-1600
541-484-1188
541-747.7701
541-688-1444
~UlLDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
12
lIA
# of Stories:
Height o\'Strncttrre
Type of Heal:
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:
1,249
Yes
13
I DEVELOPMENTlNFORMATlON I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Sethack: I"'" .pro' ,;..^~ '{P'~J2d Drive Rqd:
1 Oregon C,n 1_ , .n \,' ,,\$
Rearyar.d Setb~ch-Nl\O~ " d t" '~,G 0, age" %'0\' Lot Coverage:
1\ C d pt8 l, u' sel1ul,,,
Solar Setback: 1I0w rules a 0 l\1os8 rules are '2..001-
o " __ (".onter. _~ n~R 95
~noOAR'952.-001-~~~~~' ~;piesl 'PUBL! Cjijj;'ROVEMENTS I
on 'Iou may (Note t"v ..
Street Improv&llellts: t\1e center. Utility NotilicatlOn
calling \18 Oregon 44)
Storm Sewer Avi\il\l;l,ijJer lor ter is 1_800-332.-2.3 .
Special Instruction: cent
Sidewalk Type:
,
DownspoutslDrains:
Notes:
NOTICE: PIRE IF THE WORK
THIS PERM\T SHAl~ ~\S PERMIT IS NOT
I'IUTHORIZEO UONRO~S ABI'INOONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
1 V~,I~,Mion OescriRtion I
Description Tvpe of Construction
$ Per Sq Ft
or mnltiplier
$105.00
Square Footage
or Bid Amount
1,249.00
Medical Offices II I-Hour
Total Value of Project
F,el~lO: pg irl .
,.11~
Fee Description
Plan Review CommllndlPuhlic
***+ 100/u Administrative Fee***
-Mech Iss 2+ Appliances-
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Building Permit
Fire SF Fee - Non-Residential
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Pltrmbing
Plan Review Fire & Life Safety
+ 12% Stale Surcharge
+ 5'Yo Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Commerciallndns
Perm Serv/Fdr 200 amps or less
TraWc Signal - Panel'
Amount Paid
Date Paid
$495.25
$99.08
$42.00
$103.91
$43.30
$22.00
$761.93
$124.90
$17.00
$30.00
$35.00
$304.77
$36.12
$15.05
$12.00
$64.00
$162.00
$63.00
12/11/08
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1/09
4/1 /09
4/6/09
4/6/09
4/6/09
4/6/09
4/6/09
4/6/09
Total Amount Paid
$2,431.31
Plan nine: Review
Plan Reviews I
WE
12/19/2008
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 12/1112008
EXPIRES: 10/06/2009
VALUE: $ 131,145.00
Value
Date Calculated
$131,145.00
$131,145.00
12/1112008
Receipt Number
1200800000000001220
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
3200900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
Called Chuck Davis at SUB. He will
call applicant or architect to gather
information regarding DWP and
call me back to review or addilion to
existing DWP.
Initial Review 12/12/2008 12/12/2008 APP LLH
Structural Review 12/12/2008 12/22/2008 APP CJC Approved as noted in conditions
letter
Pnblic Works Review 12/12/2008 01/05/2009 DON CTM
Pace 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0]766
ISSUED: 04/01/2009
APPLIED: 12/] 1/2008
EXPIRES: ]0/06/2009
VALUE: $ ]3],]45.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plallnin2 Review
01113/2009
01113/2009
WE EMM
Spoke with Chuck Davis from SUB.
This is a seperate lease space
independent of the hospital and
requires it's own DWP application
submittal. Wailing?n suhmittal of
application and review.
Fire Department Review
12/12/2008
01127/2009
APP GRG
See attached documents for plan
review comments.
SUB Review
12/12/2008
02/12/2009
APP JF
See attached documents for Energy
Code Plan Review Approval.
Plannine: Review
02/17/2009
02/17/2009
APP EMM
No Temporary or Final Occupancy
nntil new DWP application is
submitted, reviewed, approved and
SUB inspections are complete.
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.
I.. Rpllllirprlln""nprfio'\\J
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Grid: After drywall approval hut prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work 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.
Firewall: Located and constructed according to plans.
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior to cover.
Page 3 of 4
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 12/11/2008
EXPIRES: 10/06/2009
VALUE: $ 131,145.00
By signatnre, I state and agree, that I have carefull)' examined the completed application and do herehy certify that all
information hereon is ~rue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 lhe Community Services Division, Building Safety.
I further certify that only contraclors 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 readahle 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
Paee 4 of 4
Date
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
3200900000000000216
8:18:52AM
Date: 04/06/2009
Description
+ 12% State Surcharge
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Traffic Signal - Panel
+ 5% Technology Fee
Amount Due
36,12
162,00
12,00
64,00
63,00
15.05
$352.17
Paid By
ONLINE PERMIT CHGS
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE WEILAND Online
Payment Total:
$352,17
$352.17
Page 1 of I
4/6/2009