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Home My WebLink AboutPermit Electrical 2009-5-4 Electrical Permit Application 225 Fifth Street+Springfield, OR 97477tPH(541)726-3753+FAX(S41)726-3689 1'~~~"~li'""''''1~:<J'''''';''''''''';~*"';'~~..g..p'~';&;W-<i~A.l F"if;DERARTMENT~USEcONll-'Y:<"lI;i' ~\i~'1'~""';'::;"''''o..-''K''''-'''-''o-......."",,,,..~,...,;_._.L'''''_''-'''i _~'~,~ ~ _.~__ ".'__' _ .....,.".....'.........._'.,,=_'"""'..=~ ~ :<'?>li't. I P~rmit no. C t' -- () /7 (; ~ I Date: S - OLj--- 0 7 I 11 " This permit is issued under OAR 918-309-0000. Permits are nontransferable.'1 Permits expir~ if work is not started within 180 days of issuance or if work is suspended for 180 days. 1;1\:\l!;~~:'l!OG/f.~lGoV.EBNMENjT;f~~eROv.Al,"1~~1 I Zoning approval verified? 0 Yes 0 No I 1~;;";~~'tii,jCATf;E~ORYi,PFJC.oNS!tRl!JCTiION~~~1 o Residential I 0 Government I.0-Commercial I ~li;?;t'fJbB~SIif:E~INF,.0.RM/f.iJiloNi!t1Ar\m1\iEQCA'tlbNj)~,i,'9I11 1,000 sq. ft or less (4) I ~ I Each additional 500 sq. ft. or portion Job site address: '3]'/7 ,(/vrr),CAJ {)"/lJf thereof $ 25.00 $ City: . 5./">fh;'l./ I State: 0/2 I ZIP: q 7 :177 I I Limited energy (2) $ 32.00 $ 1~:~;~~QES:CRII?;rIQNifO~W~~K~A~1 I ~~~~I~:ns~~~~~r~~Fe~~:r(;)odular $ 63.00 $ I I Services o~: feeders: installation, alteration, relocation !/orr"" -f tJATA J;,r./.v/ I I 200 amps or less (2) $ 81.00 $ i:~~~~%;--~ I::: :::~:::L ::::: : I City: f-J." r:J<,f M/ I State: de I ZIP0 C/o / lOver 1,000' amps or volts (2) $469.00 $ Phone: _ tf I Fax: I I Reconnectonly (2) $ 63.00 $ E-mail: I I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600::amps (2) $126.00 $ Signature; Over 600 atnps or 1,000 volts, see services or feeders se~tion above ,!t;il;'~<:;.0Njf;RAciliOR\!INS!tAIflEAmIQN~-"i!~1 Branch circuits: new. alleralion, exlension per panel I Busin~ss name: A '/~ ~#/Av.4rrn.-hbA/ LG I I a. Fce for ~ranch circuits wi!h purchase ofa service or feeder fee: Address: 7J.] Y /1/. E//'/Io.-e A"v<' I I Each branch circuit .1 $ 6.00 I $ City: /6/ -II <o."f I State: 0./ I ZIP: <11'.;2. If I I b. Fee for branch circuits without purchase of a service or feeder fee: I Phone: I Fax: I I Firstbrahch circuit (2) I $ 55.00 I $ [ E-mail: I Each additional branch circuit I $ 6.00 $ I CCB license no.: It- 7' 32 J I BCD license no.: C! C-] J I Miscellaneous fees: service'or feeder nol included I Signihg supervisor's license no.: .! E{j "):5 '].] I I Each pump or irrigation circle (2) $ 63.00 $ I Print ~ame of signing supervisor: n #/' .,fk(,. /- I Each sigri br outline lighting (2) $ 63.00 $ I Signa,tture of signing supervisor: . ~( __ I Signal Circ.u. it or a limited~energy panel, ! I $ 63.00 $ alteration, or extension (2) .' ~ J I Each additional inspection: (I) I $58.00 I $ 1~~~~'WA~p.mCAN;f;i;~8SE~Ql:~~~ (A) Enter subtotal of above fees (Minimu';' Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [AD I (C) Technology Fee (5% of [AD I TOTAL fees and surcharges (A througb C): .~ ~~~.,Q fb'cr . .~~ ~~ 8"- CO\{} 440-2584-J (9/08/COM) I=-~""''''''''''''''-~._.,- . jJ['" . " /. ~","4-''''m=~',l''; ~~ii~~,~~~,:~~F;I;E\f~S.cH~[)J~J~Ei1'~.~.:tf.M~~~~~'d 1~"'fr,iilii5~~)~i~!i\~~,j.~~~~ll1ll"!:)F"'1ilg€Ost~l~tijThIW' ~N,~mberiofllnspectlon~iReriltem'(~).:!1!l$ Qty,. t~-e-a.~i!i1>; fi\1i-co-'t''''''~ ~\:!.;,,~l;'~.~~~<Ji.&ft$'i."'&J~:~ m:.!'~i:. !!t2tJl_---.!,f[iki ~~.S S! I Residentia'I, per unit, service included: I I I I I I I I I I I I '1 I I I I I I I I I I I I I $134.00 $ $c;;,J $ $ $ 77./ / 'I if 'I \! CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01766 ISSUED: 04/0112009 ,APPLIED: 12/1112008 EXPIRES: 11/01/2009 VALUE:' $ 131,145.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3377 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 " Springfield TYPE OF WORK: Medical Oftice , PROJECT DESCRIPTION: TYPE OF USE: Alteration i" Walgreens Clinic Pharmacy Inlill- (See Notes regarding oecupancy) I' Commercial Owner: Address: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 Contractor Type Architect General Electrical Low Voltage Electrical, Plumbing Contractor BA YSlNGER PARTNERS ARCHITECTURE VlK CONSTRUCTION WEILAND ELECTRIC DIVISION, LLC. ASH LAN COMMUNICATIONS INC TWIN RIVERS PLUMBING INC I CONTRACTOR INFORMATION I !I License Expiration Date 571 " 175373 " 169323 " 17695 10/22/2009 04/06/2011 03/27/2010 03/111201 I Phone 503-546-1600 541-484-1188 541-747-7701 503-849-9523 541-688-1444 # of Units: Primary Oecupancy Gronp: Secondary Oceupaney Group: Primary Construetion Type Seeondary Constrnetion Type: # of Bedrooms: B 12 IIA BUILDING INFORMATION' II I, # of Stories: I~ Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Yes ;Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: 'Sq Ft Basement: 'Sq Ft Garage/Carport Sq Ft Other: 'Occupant Load: 1,249 13 I DEVELOPMENT INFORMATION' Front yard 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: Compaet: Street Improvements: un~I"'.r:. Storm SewerJAvallable: IF THE WORK Speciallns.tmstip!iRMIT SHALL EXPIRE RMIT IS NOT (IUTHORIZED UNDER THIS PE Notes: COMMENCED OR IS ABANDONED FOR . ;,NY i 80 DAY PERIOD. _ 1_.., ..o.nllirps vou to I PUBLIC IMPROVEMENTS .ATTEN IIV". d'pvfed 'bY the Oregon UliIllY "(Jllow rules a _? Those rules are set torth Notlfi,SillewflIfTy,p'e:o through OAR 952-001- in OAR 952-001-0U I .. -'0 les of the rules by 0090 ~~,lIm!!uts/D"alllS: p t I hone '. ' (Note: the e ep callin9 the cen~r. on utility NotificatIOn number lor the [1e8900_332-2344). Center IS - Paee I of 4 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 lnspeetion Line Description Tvpe of Construction MediealOffices III-Hour Fee Description Plan Review CommlInd/Public ***+ 100/0 Administrative Fee*** -Mech Iss 2+ Appliances- + 12% State Surcharge + 5% Technology Fee Appliance Not Listed Bnilding Permit Fire SF Fee - Non-Residential Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review Fire & Life Safety + 12% State Surcharge + 5% Teehnology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Traffic Signal - Panel + 12% State Surcharge + 5% Technology'Fee Low Voltage - Commercial Indus Total Amount Paid I CITY OF SPRINGFIELD Ii Building/Combination Perll1it I PERMIT NO: cOM2008-01766 I ISSUED: 04/01/2009 ii' APPLIED: 12/11/2008 J, EXPIRES: 11/01/2009 " il VALUE: $ 131,145.00 ii II ii I Valuation Descril?tio~.1 II $ Per Sq Ft Square F09tage or multiplier or Bid Amount " $105.00 1,249.00 II Total Value of project!1 Valne Date Calculated $131,145.00 12/11/2008 $131,145.00 I F"r'" P'ji,J . " "".. Amount Paid Date pJid ii 12/11,/08 4/1/0? 4/1/0? 4/1109 4/1/09 4/1109 4/1/09 4/1/O? 4/1/0? 4/1109 4/1/09 4/1I0? 4/6/09 4/6/09 4/6/09 4/6/09 4/6/O? 4/6/09 514/0? 5/4/09 5/4/0? 1200800000000001220 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 3200900000000000216 3200900000000000216 3200900000000000216 3200900000000000216 3200900000000000216 3200900000000000216 1200900000000000333 1200900000000000333 1200900000000000333 Receipt Number $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 $7.56 $3.15 $63.00 $2,505.02 Plan Reviews I Plannine Review 12/1912008 WE Called Chuck Davis at SUB. He wili call applicant or arehitect to gather, information regarding DWP and call me back to review or addition 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 Paee 2 of 4 -~"'..""'iiii.'...". .... · '..'.. E'. '.......,.~. " , . . ".. ','., ) ,,' ,~ - .' ,,' . . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01766 ISSUED: 04/01/2009 APPLIED: 12/11/2008 EXPIRES: 11/01/2009 VALUE: $ 131,145.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeetion Line Public Works Review 12/12/2008 01/05/2009 DON CTM Plannine: Review 01/13/2009 01/13/2009 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. Waiting on submittal of application and review. Fire Department Review 12/12/2008 01/27/2009 APP GRG See attached documents for plan review comments. SUB Review 12/12/2008 02/12/2009 APP JF See attaehed ducuments for Energy Code Plan Review Approval. Plan nine. Review 02/17/2009 02/17/2009 APP EMM No Temporary or Final Oceupancy until new DWP application is submitted, reviewed, approved and SUB inspeetions 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 Rp(~\Prtio"iJ , , Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Grid: After drywall approval but prior to cover. Final Building: After all required inspections have been requested a~d 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 meehanical work is complete. Rough Electric: Prior to Cover Final Eleetrie: When all eleetrieal work is complete. Firewall: Located and eonstructed aceording to plans. Electric Serviee: Approval required prior to utility eompany energizing service. Low Voltage: Prior to cover. Low Voltage: Prior to cover. Paee3 of 4 '-Wir~~~'!'IGF.'~!?' H 'i ..... ... ....,~.- 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: cOM2008-01766 ISSUED: 04/0112009 APPLIED: 12/1112008 EXPIRES: 11/01/2009 VALUE: $ 131,145.00 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 strueture without permission of It he Community Serviees Division, Building Safety. I further certify that only contractors and employees who are in eomplianeei,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 Signatnre Paee 4 of4 I; Date 225 Fifth Street Springfield,Oregon97477 541-726-3759 Phone Job/Journal Number COM2008-0 1766 COM2008-0 1766 COM2008-0 1766 Payments: Type of Payment Check cRcceiotl RECEIPT #: ~.P..~QYI_.BLD..~. . .""'" ..... 2-' .. .. 1Ii:". .. ".."....,....-^"........... ;".. City of Springfield Official Receipt Dcvclopment Services Department Public Works Department 1200900000000000333 Date: 05/04/2009 Description Low Voltage - COffimerciallndus + 5% Technology Fee + 12% State Surcharge Item Total: Check Number Authorization Paid By Received By Batch Number Number. How Received ASHLAN COMMUNICATIONS njm 1359 In Person Payment Total; Page 1 of 1 11 :22:50AM Amount Due 63.00 3.15 7,56 $73.71 Amount Paid $73.71 $73.71 5/4/2009