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Home My WebLink AboutPermit Electrical 2009-5-13 City of Springfield Electrical Authorization To Bcgin Work E-mailedTo:SPATE@ADT.COM Receipt # EC551669 5/13/2009 1 :42:36 PM ~ ,Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ',;/',"vL;.: ';:",TY.PE of ,wORK. --~, 10 New construction [X] Addition/alterationlrep![lcemenl;' I, ' '-~,~ li~'CAT~<;ciR,( OF CONSTRUCTIO_N :;";', .. 10 I or 2 family dwelling 0 Multi-family [i] Commer~ja] / Industrial [, ," ,.~, :J9B SITE'INFORMAT(6N ANpC():C~TI6N;'" IJob no.: 283-05064-3 I.Job lIddress: 3377 RIVERBEND DR 1 City/Statdl.lP; SPRINGFIELD, OR 97477 I Suilc/bJdg.lllpl.no.: !IJroject name: SECURITY SYSTEM Cross streel/directions to job site: I Subdivision: I Lot no.: j'liu. map/parcclno.: 1703220000902 I' _@'scRipTIOI(.ciF.WO~K:T1f~'.![.r'. SECURITY SYSTEM, S]TE: WALGREENS "::"?"' '~.~?:-, "'~~~f!~- ", '~SITECQ@ACTr ,-;- IName: KEN KRAUS I Phone: (503) 469-7212 I.'ax: IEmail: I ,i -<.~ ,'-"',r'.'\4'H .,.j%'\0=):CONTRACT()Ff-"t::,;;-.~..~c~lJh , ". -"r1(,T/~E"""p, "'. ,', "',,-,,, ',; lEI. lic. no.: 26-209CYi I r.: IV........ l' ':l' . J ~~B J~c. no.: 59944 IB",;.",:"",." AD ' 'l y~k~i'2~ ~M"ltit It",IHt WUHK IC"utu,!: KEN KRAHn~, ,_~ ,~_[; ~]~u~n I MI" t'tKIVIII I::; NU r IAddre'" 28]5 SW ]~t'ij}jiWd'IJ~,[j .'-I_n Iv f\tlf\I~UUNtU tUR I Ci'yIS'u"rllP: BE.l.wl,d~ikEi;iU;6,...c:nIU u, Il'ho." (503)4697229 IF"" (503)4697]]4 I..:mail: SPATE@ADTCOM IMecrolk.no.: ICit}'lk.no.: I Supen'isin~ electridan's lie. no.: 389LEA ISupt'n'isillg electrician's IIl1l11e: KENNETH W KRAUS Upon review and approval by your local jurisdiction, your II 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. ' , -~) r:S': ~~q( ~ J~~ ' \.,~~-<j /'\;" 1<,,.. :,"":",1.~:.. ~~'r~;:;~~FEE sCH"E"DiiLE,' :, . Ii. ,_"""'.0.. .. ~__ ~ -'_'. " ._ -. ," ~" I Description I Qty. I Ea. Totul I' l~csi~~2t~I' ~IN 9"~ I<>}:> R~r::u ~ti.: fum'i.ly_J~'dli~g=~,'il !!.~ ,I ~c,1 ull cs .:t.t!uch.~~~gar~g~ .""-iji.;~.":'~",..." \\ -t;-'~~' . . .~. f II.0OO,q, ft, 0']'" [41 I I I 1 Ea, add I 500 sq. n. or portion I "Lim1tcd,E!I~'i-gy' ~:/ ~~. . Limited energy, residential (with <lbove SQ. ft.) I' ~ Limited energy, multifamily residential (wilh tlbove,sq, n.) 1 . Limited energy. commercia'] {with above SQ. fU 1 - Stand-alone limited energy, residential 1 . Stand-alonc limited energy, mulLi-familv I . Stand-~]one limited energy, 1 commerC131 1;S.~tY!cf!l()~J~~~cr_s.~n~~t~nu~i~!t::~I!er~!1o~n";Ati!!t2P:[,,~,l~!I_~io~,~::'~ 1 1200 amps or less [2] I 120] amps to 400 mnps [2] 1 140] amps to 599 amps [2] 1 I ,:rEMK~~I~Yh~l~'ice~~~<.!n<!.ec,~~r~!I{~~,'~,U~.t~~~;'~lier~YolI. . ~,'~' '1 ,A!,W/91!i!~)ocatlO~~~ ~';'~i"'~'" ":0~' " -'.~ ~.;.'.' .;;!:;~.' } .~\. 1200 amps odess [2] 1 120 I <lmppo 400 <Imps [2] J 140] amp' to 599 amp' [2] I I-Br~.n~_~~'~rcui~s -NEW,:~I!erllij~!l;~9~.~;('t~risjon: p!r pan_c! .~...~...~.., '.;1 I A, Fee fo, hJllf'1l~~4if;tOMl O~egon lal' requirer you to s"'",,, 0.' l<"Ifc5Wrmgs ad pted by j he Oreg( n Utility bmnch ClrL-\Ii'1 I U. Fee fonf'ahUhlCittuiUl \..ddll~:. IIIU:::i~ fUIt::~t) cUt t)~lIUllrJ ~:;:~~~~~~~f~L~:) -t:~~/~~oj:~~ ~~, 3r~~~~O~; Imh addl b'l\'iiil!il'1jlr~t trot,!]d"hnno LI\.';sc.]]~~ePlflmber~fDFtheOr\raon UtilfiitN oii freatloM ',I I S,.-vj,,,,,o.u.cto.]a.hter it 1-800-3lZ-2344ll I Each m3nufilctured or modular I dwelling, service and/or feeder 121 1 Pump or irrigation circle (2] 1 I Sign or outline lighting [2] I Signal circuit(s) or ]imited- energy panel, altcration, or extension [21 I;,. '",:;:';:EL~CTRfcAL' ~ERMIT FEES'~:' , ' I Subtotal I I Minimum fee used instead of Sub Iota I I StHte Surcharge (12% of permit lh') 1 I City Of Springfield fees -I I TO'L\I. PER!\IIT FEE I - City Of Spring field fees: 5% Technology Fee !Defl/lllt /lumber u/inspecfions alluwedj C~-Iluv ~ 5\13\t:f1 ~~:}: '...,,, , , , ~ -.~ I ..: .~... Inot olTered on]ine'at thisjurisdictioll 1 1 $32,00 '-.''''1 '.. "". ." I I This Authorization To Begin Work must be posted at the job site until replaced by a Permit. f\ \ili t/\ ~ I I "I I 1 I I 1 1 I $32,00 I $32,00 [ $58,00 [ $6,96 I $2,90 I $67,861 Status Issucd CITY OF ~t'KINGFIELD Building/Combination Permit PERMIT NO: COM2008-01766 ISSUED: 04/0112009 APPLIED: 12/11/2008 EXPIRES: 11101/2009 VALUE: $ 131,145.00 225 Fifth Street, Springfield, 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 Omce TYPE OF USE: Alteration PROJECT DESCRIPTION: Walgreens Clinic Pharmacy Infill- (See Notes regarding occupancy) Commercial Owner: Address: PEACEHEALTH PO BOX 1479 EUGENE OR 97440 .I I CONTRACTOR INFORMATION I Contractor Typc Architect General Electrical Low Voltage Electrical Plumhing Contractor BA YSINGER PARTNERS ARCHITECTURE VIK CONSTRUCTION WEILAND ELECTRIC DIVISION, LLC,- ASH LAN COMMUNICATIONS INC TWIN RIVERS PLUMBING INC Liccnsc Expiration Date 571 175373 169323 17695 10/22/2009 04/06/20 II 03/2712010 03/1112011 Phonc 503-546-1600 541-484-1188 541-747-7701 503-849-9523 541-688-1444 BUILDING INFORMATIO~ I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: B 12 IIA # of Stories: Height uf Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: 1,249 Yes 13 NOTICE' I DEVELOPMENT INFORMATlQ)JlITINTION: Oregon lav.: requires YO~,~,o . " IUIIUvO rules adoptedRE<!imRBDJPI\RK1IWG THIS PERMIT SHAll EXPIRE IF TW: lMn Notification Center, Those rules are set forth Front yard Setb'J!i~=rHORIZED UNO uVertayBKt: in OAR 952-001-001 0 iflltaJqh OAR 952-001- Side I Sctback: COMMENCE ER THIS PERMI$t~S;eiJtlifees Rqd: 0090, You may obtair-,l!!UJ5!!.C.!'llpf!!~ rules by Side 2 Setback: IJ~ 0 OR IS ABANOONEID:j\@~Drive Rqd: calling the center, ~flj!!INC,IS telephone Rearyard Setbac"jY 180 DAY PERIOD. % of Lot Coverage: number for the Oregon Utility Notification Solar Setbacks: Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Medical Offices III-Honr Fee DescriPtion Plan Review Comm/lndfPnhlic ***+ 100/0 Administrative Fee*** -Mech Iss 2+ Appliances- + 12% State Snrcharge + 50/0' Technology Fcc Appliance Not Listed Building Permit Fire SF Fee - Non-Residential Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review Fire & Life Safety + 12% State Surcharge + 5% Technolog)' Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Traflic Signal - Panel + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Planning Review 12119/2008 Initial Review 12/1212008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I766 ISSUED: 04/01/2009 APPLIED: 12/ll/2008 EXPIRES: 11/01/2009 VALUE: $ 131,145.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 1,249.00 Value Date Calculated $ I3.l, 145,00 $131,145,00 12/11/2008 Total Value of Project Fees Paid I Amount Paid Date Paid 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 $6,96 $2,90 $58,00 12/11/08 4/1109 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 4/1109 4/6/09 4/6/09 4/6/09 4/6/09 4/6/09 4/6/09 5/4/09 5/4/09 5/4/09 5/13109 5/13/09 5/13/09 1200800000000001220 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 1200900000000000232 3200900000000000216 3200900000000000216 3200900000000000216 ,3200900000000000216 3200900000000000216 3200900000000000216 1200900000000000333 1200900000000000333 1200900000000000333 1200900000000000445 1200900000000000445 1200900000000000445 $2,572.88 Plan Reviews I WE Called Chuck Davis at SUB. He will call applicant or architect to gather information regarding DWP and call me back to review or addition to existing DWP, 12/1212008 APP LLH Paee 2 of 4 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 _6ce"....~,.._,D"".," " "',.,".,..'". WJi:.J, ,..' ; l. ,: ,",'~ \, _,,~/5 ", ..,........,..,.. .. .....~". '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review API' CJC 12/12/2008 12/22/2008 Pnblic Works Review DON CTM 12/12/2008 01/05/2009 . Planning Review WE EMM 01/13/2009 01/13/2009 Fire Department Review 01/27/2009 API' GRG 12/12/2008 SUB Review 02/12/2009 API' JF 12/12/2008 Planninf Review 02/17/2009 API' EMM 02/17/2009 Approved as noted in conditions letter Spoke with Chuck Davis from SUB. This is a seperate lease space independent of the hospital and requires it's own D\VP application submittal. Waiting on submittal of application and review. See attached documents for plan review comments. See attached documents for Energy Code Plan Review Approval. No Temporary or Final Occupancy until new DWP application is submitted, reviewed, approved and SUB insp~ctions 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 Relluired Insnect!lIns I Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Ceiling Grid: After drywall approval but prior to cover. Final Building: After all required iospections 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 iscomplete, Firewall: Located and constructed according to plans, Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover, Paee 3 of 4 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 541-726-3769 Inspection Line Low Voltage: Prior to cover, By signature, I statt' 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 011 the site at all times during constructioll. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1766 COM2008-0 1766 COM2008-0 1766 Payments: Type of Payment ONLINE CHGS cRccejoll RECEIPT #: ~.., City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000445 Date: 05/13/2009 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE ADT Online Security Services Payment Total: Page I of I I :55:05PM Amount Due 58,00 2,90 6,96 $67,86 Amount PlIid $67,86 $67,86 5/13/2009