HomeMy WebLinkAboutPermit Electrical 2009-4-2
225 Fifth'Street.Springfield, OR 97477. PH(541)726~3753. FAX(541)726-3689
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I:permitna, (\Q -f).fbO I,
I Date: ~'~J.lP\, I
Electrical Permit Application
e I
This permit is issued under OAR 918-309-0000. Permits are nontransf~rable. Permits exp,ire if work is not started within 180
days of issuance or if work ~s suspended for 180 days.
I'~,:-, ~';if,l".;:'.;~l!OCAI.i".'_GOV. ERNMENT<.,'?APPROV AI:>.'."_"...:,ff.,,".~.c'..;;t,,,",".';1i.',;'.c'.',:1 1 ';,.';;.,f;~l+,!;!';!ilZiMW"c~"E E<SCHEDU"E';';'f,.'e'Ir'.
'" ,_'v_. v . .,."...... . '.'_' ~~,." ~.'. ...... ..",,,._r"""'''''''''''_'''''-''''';,:'''".~"S):.m,,,_,F ". L ,_,_--,._,,,,~,..,::,
I Zoning approval verified? DYes D No I 1~~:~~'~~~~~[~~~~~;:!~~9~~:etI(tj~f(;2~i~~ljn95iH,~;~~~~~~:~Ifl~~t~~t~l
i:;~:~:~~:i~IATEGIR~4~:~:~::~TRur~O~::::~:f:~.S~i II Residential, per unit, service included: I
1~!i\",,':,;tlOBltSI:rE1INFORMA;TION"!ANDii[[oCATION'~';~,.~,;"~I 1.000 sq. ft, or less (4) $134,00 $ 1
t.:l.. r .l.. -..., '\) .:;0",' f\j Each additional 500 sq ft, or portIOn $ 25.00 $ I
Job sIte address' ll:ve,~p"f J...} \ L r-,1\\P~UIl~J"'t1X thereof,
CIty, So,; ,,~/";~It{ " I State: aR- I ZIP' }'Z'l-.'17_ I L,mIted energy (2) $ 32,00 $ I
I SttbdlvlsJon~ /?(J32:2ftJ' I Lotno.:(2:")=ltr.2.- Each manufactured home or modular I
:ii'",;" s."",,,",,',""'DES-C"RI-PTION"'OF'WORK' ,~=,\ : ,~~, i!'_~, dwe]hng servIce or feeder (2) $ 63,00 $
~'s-""" _ ' 0f0jj:-i 1G:j;! ii- '; I'" .t,;(-~-<>~.;-~~ i: < ~"'_ 'fA
1 F. . lIt Services or feeders: insta(lalion, alteration, relocation I
"t., AJd.!~ S "-Lie"" -"-O.L:l.J-.'Jn"
I / . . .1 200 amps or less (2) $ 81.00 $ 1
1~~~'M%ijl,,11ff':iti:'~fA:iiP'ROIlERl\Y.;(OWNER~fi;'"'?I:rt'i\''l:i!;\;!ii'h-~",I 1 201 to 400 amps (2) $ 95.00 $ I'
1 Name: \ ')~_ Of\(' n\,m 4 . _ 401 to 600 amps (2) . $158,00 $ 1
I Address \\Df2,~~C0, W (,~DrP f3cr. 601 to 1;000 amps (2) $205,00 $ I
I City: b4-nj}~+Of\ ' I StaterT'x Izw77Otrl) I Over 1.000amps or volts (2) $469,00 $ I
'I Phalle:}15 .~~qqLSJ Fax; I Recannectanly(2) $ 63,00 $ I
I E-mail: Temporary services or feeders: installation. alteration, relocation f
This installation is being-made on residential or farm property 'ZOO amps or Ie_55 (2). $ 63.00 $
nwned 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) alld 479.560(1), 140] to 600 amps (2) $126,00 $
Signah.Ire: I O~er 600 amps or 1 ,000 voltsxt~ices or feeders section above
Ir~'t~:A~:k1t~cbNTRAC;rOR'~,INSJALH!ATION~,'Jf7~,~ .1 Branch circuits: nell': aJ.te[~J{b/iv"y#'~i}-s{Ol1 per panel
I Business name: >/ /. {~1{ / flA'l a., Fee for branch ~~~~tfiPu~~has~t-a service or feeder fee:
Address: 19(../-/) !7,Yo cL !;vlk lor' Eachbra';\'~~~ "\~~"I~~ I $ 6.001 $
City ~,,,; ....}:, 1'/ ~ I State: ~ It 1 ZIP: -'77(1 nib, Fee}~~. ch'6rcui"\.'l';t'f1autP.9fclW,e~9f-:lservicear feeder fee:
IPhane'(";I-~~~71. [Fax: I Firs(~@lcirc'!R~' Av/I" I $55~001 $
1 E-mail:!b)ll'J! (d.lv~lD... ,'heY. 1 Eacha:fu~~albran5h:c'j}cd~/" 1 I $ 6,00 $ I
I CCB license no,: II '71 ? .(" 1 BCD license no,: I, .. ~ n (,/. I< 1 Miscellanen~~~iCe';r feeder Ilotillcluded 1
1 I E h ,;s." '] ). 1
Signi~lg supervisor's license no.: ' ac pump or lu.sitl-rtm Clrc e (2 . $' 63.00 $
I Print name of sighing supervisor: -~(\:A O\.~ I Each sign or outli~e lighting (2) $ 63.00 $ I
I Signature of signing supervisor: ,A/ ,/!_, -- Signalcircuitoralimjted~energypane1, $ 63.00 $ 1'.01
L. y_ alteration, at extension (2) 0 ~ 6
I P 1
Each additional inspection: (1) $58.00 $
\,
-,
$6S,O()
$ 7. [;'1,
$ ?, I f
. _lil,J;!!RI~}!il,I!'I![t4?J
\
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00280
ISSUED: 03/2512009
APPLIED: 0212612009
EXPIRES: 11120/2009
VALUE: $ 1,800,000.00
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 Office
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Oncology - 5th Floor RMP Buildillg- ~ee C9-309 for coring of floor slab;and initial
P ,E,M work. See C9-386 for mechanical permit
OWller: US ONCOLOGY
Address: 16825 NORTH CHASE DR #1300
HOUSTON TX 77060
Phone Number: 713-306-9975
I CONTRACTOR INFORMATION I
Contractor Type
Genera)
Electrical
Low V oUage Electrical
Plumbing
Contractor License
LEE CONSTRUCTION COMPANY 63579
BUILDERS ELECTRIC INC 4296
OREGON ELECTRIC CONSTRUCTION INC 203
ROBINSON PLUMBING INC 107124
BUILDING INFORMATION I
Expiration Date
01/16/2010
12/10/2011
07/01/20 I 0
07/13/2009
Phone
541-683-3607
541-485-0922
503-234-9900
541-345-6909
# ol'Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary COllstruction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories: '
Height of Structure
Type of Heat:
Water Type:
Range Type:
Ellergy 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:
20,887
IB
Yes
184
~ DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: ' , I Handicapp,ed: to
AT-Cj'lT""'J' Orenc~ aw' ",-,CO" Co yuu
Paved Drive Rqd: I r:. ,-", . ~, Compact: Unt
"' f'L C fol'c,w rule:; adoptea by tl," '-,~uun II y
'0 0 ot overage: ' . , I t lorth
Notilic'1tion Center. Those lues are se
in O!',R 952-001-0010 through OA.R 952-001-
NOT C . .. --'10. You may ODlalrlliU(..Ilt::" Ul ~Ilv '.....Iv.... ""'}
, I E. I PUBLIC IMPROVEMENTS I II' th nter (Note' the telephone
lJ' .' ling e ce" ,
Street ImprovemeAts!S PERMIT SHALLEXf'IKe It- I He VVUKK numbeSide';:iilk~ype:n Utility Notification
,AUTHORIZED UNDER THIS PERMIT IS NOT (;enter is 1-800}32-2344).
Stor~ Sewer A~a'I~8Igl:iV1ENCED OR IS ABANDONED FOR' Downspouts/Drallls:
Specl3lll1structlOn:Ny 1
' A 80 DAY PERIOD,
Front yard Setback:
Side 1 Setback: '
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: .
Notes:
Paee 1 of 7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description . Type of Construction
Bid Amount Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Deferred Submittal
Deferred Submittal
Deferred Submittal
Deferred Submittal
Deferred Submittal
Deferred Submittal
Fire SF Fee - Non-Residential
Fixture
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimburs~ment .
SDC MWMC Administratioll
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
***+ 100/0 Administrative Fee***
FLS Safety Systems Review
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
***+ ]00/0 Administrative Fee***
FLS Safety Systems Review
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Techllology Fee
Low Voltage - Commercialllldus
Total Amount Paid
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$1,045.29
$435.54
$7,627.75
$114.00
$114.00
$114.00
$114,00
$114.00
$114.00
$2,088.70
$1,083.00
$4,958.04
, $3,05 I.l 0
$3,218.60
$4,232.77
$10.00
$18,067.31
$1,752;70
$1,364.07
$40.43
$404.25
$60.60
$25,25
$55.00
$450.00
$145.16
$1,451.55
$6.96
$2.90
$58.00
$7.56
$3.15
$63.00
$52,392.68
Square Footage
or Bid Amount
1,800,000.00
Total Value of Project
Fpp" P.irt ,
Date Paid
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
4/7/09
4/7/09
4/8/09
4/8/09
4/8/09
4/8/09
4/24/09
4/24/09
4/27/09
4/27/09
4/27/09
5/22/09
5/22/09
5/22/09
Paee 2 of 7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02/26/2009
EXPIRES: 11/20/2009
VALUE: $ 1,800,000.00
Value
Date Calculated
$1,800,000.00
$1,800,000.00
02/26/2009
Receipt Number
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
2200900000000000293
1200900000000000242
1200900000000000242
3200900000000000232
3200900000000000232
3200900000000000232
3200900000000000232
1200900000000000300
1200900000000000300
1200900000000000301
1200900000000000301
1200900000000000301
1200900000000000521
1200900000000000521
1200900000000000521
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Deoartment Review
SUB Review
Initial Review'
SUB Review
Structural Review
Initial Review
IlIitial Review
Public Works Review
Structural Review
Fire Department Review
03/12/2009
03/1212009
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02126/2009
EXPIRES: 11/20/2009
VALUE: $ 1,800,000.00
I Plan Reviews ,
\ '
02126/2009
02/26/2009 02/26/2009
03/03/2009
02126/2009
03/11/2009
03/09/2009
02/26/2009
03/1212009
02126/2009
03/06/2009
03/11/2009
03/12/2009
03/12/2009
03/13/2009
03/16/2009
Deferred Submittal of HV AC and
Plumbing forwarded to Gilbert
Gordon per Chris Carpenter
Energy forms for deferred sllbmittal
of plumbing and hvac sellt to Jack
Foster/David Harris at Springfield
Utility Board Energy Department.
APP' LLH
APP DH
pass energy code review - hvac only.
No inspections to be conducted. See
attacbed document for SUB
approval
WE CJC
Waiting for deferred submittals-
Permit C9-309 issued for floor slab
coring to accomodate plumbing alld
electrical penetrations and for initial
ceilillg duck work.
APP LLH
Received strllctllral calculations-
spacesaver tiling loads at 5th floor
from Berry Architects. made
additional copy and forwarded to
Chris Carpenter as requested.
APP LLH
See attacbed documents for signed
deferral agreement for project.
Plans routed to Fire and Chris
Carpellter for hvac alld plumbing
deferred submittal per Chris
Carpenter. Energy forms sent to
Springfield Utility Board
SDC Worksheet Attached
APP EW
APP CJC
Deferred submittal for hvac alld
plumbing approved as noted on
plans / in review letter
WE. GRG
Waiting on HMMPIHMIS
information.(Note: confirmed
deferred submittal by KT A for
providing HMMP/HMIS submittal).
Paee3 of 7
_S'i!~INClF,IEI,J:):
:~ '
~;f
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
Structural Review
03/19/2009
Structural Review
03/13/2009
Structural Review
03/2012009
Fire Department Review
03/12/2009
Plan nine Review
03/18/2009
Plaonine: Review
03/24/2009
03/19/2009
03/20/2009
03/20/2009
03/2312009
03/23/2009
03/24/2009
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02/26/2009
EXPIRES: 11/20/2009
VALUE: $ 1,800,000.00
APP CJC
Letter from Medical Director David
Fryefield attesting that all patients
will be amblllatory. See attached
documents.
APP CJC
As noted on plans and in review and
Conditions of Approval letter.
Deferred submittals to follow,
Peace Health contractor
safety/security req's, Hot Work
Policy, Hazard Communication
Policy, Fire Protection System
Impairment Polic)', Interim Life
Safety Facilities Managemellt Plan
and Infection Control Policy.
APP CJC
, , APP GRG
See attached document for Fire
Department Plans Review
comments.
Chuck Davis has e-mailed Mark
Dahl and I have given a copy of
e-mail to Phillip Farrington asking
for written verification with Peace
Health's approval for WVCC to
amend the existing HMMP. Two
inspectiolls by SUB Water Quality
will be lIeeded. Olle before
temporary and olle before final
occupancy. Please Call Chuck Davi,
at 726-2396. Carole Kllapel
responded on behalf of Peace Health
requiring a seperate DWP
application be submitted 3/19/09.
WE EMM
APP EMM
Jim Donovan is allowing BP
issuance before submittal of the
DWP and will require DWP
submittal and review before
occupancy. See attached letter sent
out 3/24/09.
Paee 4 of 7
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/06/2009
04/06/2009
CITY OF SPRINGFIELD
Building/Combination. Permit
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02/26/2009
EXPIRES: 1112012009
VALUE: $ 1,800,000.00
Plans Review: Addition of 232
pelldant sprinkler heads to existing
system for tenant intill. Job
#COM2009-00280. Designer: Pat
Loome. Contractor: Harvey and
Price. Plans reviewed under the
2007 OSSC/SFC and 2007 edition of
NFPA 13.
APP GRG
Paee 5 of 7
Plans show the addition I illch
Schedule 40 pipe for drops and
armovers. Armovers with a
horizontal length around 24 inches
or greater have hangers per NFPA
13,2007 edition, section 9.2.3.5.1.
There is no change in the hazard
classification (Light Hazard). Most
uprights to be removed and replaced
by arm overs or drops since this is in
a non-combustible space as allowed
by NFPA 13,2007 edition, section
8.15.1.2.1.
Plans appear to meet code
requirements.
Note: the sprinkler submittal for the
shell building was originally
reviewed by Clair Company under
contract with the City of Sprillgfield.
,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02/26/2009
EXPIRES: 11/20/2009
VALUE: $ 1,800,000.00
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectioll Line
Fire Department Review
04/23/2009
04/23/2009
APP GRG
Plans Review: Additioll of 7
Notificatioll Appliance Circuits
(NAC) to existing fire alarm system
at RMP building for WilIamette
Valley Cancer Center tenant infill.
Job #COM2009-00280. Designer:
Todd McLaws. Contractor:
SecureCom. Plans Reviewed under
the 2007 Oregon Structural
Specialty Code, 2007 Springfield
Fire Code and NFP A 72, 2007
edition.
The existing system consists of
Edwards System Technologies (EST:
fire alarm control panels and device~
conllected by Beldon FPLP rated
wiring (14 gauge for the visual
circuits, ]6 gauge for the audio
circuits). NAC devices include
speaker/strobes with candella
ratings from 15 cd to 110 cd, and
strobes of 15 cd and 30 cd
,'atillgs, Three NACs are connected
to an existing remote booster power
supply (BPS6); the other four NACs
are connected to a new BPS8. No
smoke detectors nor additional
manllal pllll stations are added for
this illfill dlle to it being fully
sprinklered and listed as a B
occupancy (2007 SFC 907.2.2,
exception).
Plans appear to meet code
r,equireme~ts.
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,irpd In<,nections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Bolts Installed in COllcrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Paee 6 of7
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00280
ISSUED: 03/25/2009
APPLIED: 02/2612009
EXPIRES: 11/20/2009
VALUE:, $ 1,800,000.00
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all reqllired inspections have been requested and approved alld the building is complete.
Rough Plumbing: Prior to cover alld includillg required testing.
Final Plumbillg: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electo'ic: Prior to Cover
Final Electric: When all electrical work is complete.
Ceiling Grid: After drywall approval but prior to cover.
Low Voltage: Prior to cover.
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 fllrther certify that any and all work performed shall be done in accordance with
the Ordillances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described hereill, and
that NO OCCUP ANCY will be made of any structure without permission of the Community Services Divisioll, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be IIsed 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, tbat 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 70f7
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00280
COM2009-00280
COM2009-00280
Payments:
Type of Pllymcnt
Check
cReceintl
RECEIPT #:
~~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000521
Date: 05/22/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Pl\id By
SECURECOM
Item Total:
Check Number Authorization
Received By Batt.'h Number Number How Received
njm
44413
In Person
Payment Tota,l:
Page I of I
9:58:22AM
Amount Due
63,00
3,15
7.56
$73.71
Amount Paid
$73,71
$73.71
5/22/2009