HomeMy WebLinkAboutPermit Electrical 2009-6-1
Electrical Authorization To Begin Work
E-mailedTo:weilandbo@msn.com
Receipt # EC552715
6/1/2009 1 :00:34 PM
\p
, \" lP
r
V
City of Springfield
.
r~
.~,
Check on status of permit
By Phone: (541)726-3753 or Email: permilcenler@ci)springfield.or.iIs
1200 amps or less [2]
1201 amps t~ 400 amps [2]
[Name: 80 Hart I [401 amps to 599 amps [2] ,
I Phone: (54]) 517-1429 I Fax: I 1'~r~~c,-ii.~E:1_i~s\N,E~~:;:alFfa!jO~-,RR'ex'!~~~i2~,! pfr'
I Email: ,~:J":;).,'_Oc.:~T~JJw\-rl,I"'/;,!te-bb-N~~~,;,#!#"W~"L" !)j!;:f,~),:',:,l ,;-)",,"~:':-ill 1 ~.:~:~; ~~~neCrht~~~C~~;::~ with
"". _'i:;"',~*7-~_.-., __ .0... :-__.'~'~"!'.JJT,,'r.:t M~__-'~~_!':" H'_~__ c,__..;," branch circuit
Ii<. no" e277 ,''':!1lJCation -r.;;;",UPfeciWJip, Il'I~Oi{~j7~S you tn 1'1 B r,do< braneh meuns $5500 $55.001'
~ 1.... V.lf\Pg'~t:hr feeder fee,
I "",!n,,, N,m" wlW,KrtD1i>lft2:lSlgP-!Y,\$.,iQrllbL'le rUIA-; ~~_un Utility I fi,,,br-"pc~ M>1't~t r2l
ICont"" "0 H,rt C~/;; ~UU may Oh-f~';;."!rough OAR -0;';,' ~orth 'II '"4tfildtll ~a!iI~MI~tSH~!+_JX~9,t, '[,IdE#. $13200
IAdd'"'' PM" 204 '1JDO~l;.'1 "'~', :VI," ,c, en!e'. '("'-_.",tfJ.,e,'S,', of the 'r'o,~,_.'svu: ,I- 11.M1ntli;IiIMtJ. JllfiD5U.. ~D,~.:,~~n"n-' C'~'" ''''
IOly/St,le/ZIP, SPRI~~I~:;;~~.~i41~291~~ 'I;"". e te{eph~~c -y l~iMwf&bii;~~ffi'~ "", , C r,,;Tt3hiul
[Phune: (54117477701 .., '. '-HG/Ql.3'."..I)la.!/fi.'o\ITICation I I F,&\j\J<l'"'l'OO"l)<!IV'~n( ~ K:E; Hin
i U'~ -~'.) dwelling, service fr}d/on~ .
I Email: weilandbo@msn,com - 1". I r21
I Metro lie. 'no.: J City lie. no.: I. Pump or irrigation circle [2]
I Supen'ising electrici~n's lie. no.: 25605 [ Sign or outline lighting [2]
1 Signal CircuitC.S) or"limited-
I Supen'ising electrician's nil me: JACK L WEILAND energy panel, alteration, or
extension 121 '
1~~~\€KE,9]:BE~~I-J:~~~~if:ru1f~~~~'~;':
I Subtotal I $187.00
Slate Surcharge (12% of permit fce) $22.44
I City OfSprlngtield fees" $9.35 I
I TO'rA!. PERMIT FEE I $218.79 r
.. City or Springfield fees: 5% Technology Fee ,
[Defalllt number of inspeCtions allou;ed} G:-L.
tB-IIGlR \L(L, u.\llo8-J
10 'New construction D Addition/alteration/replacemen~
:.:'i~(4qATE~"c[~t?~E~C9~:$,f~igtrQJ,!~~'(~7'i~f;~ r~f~}f;~~~ ~~i~~
\ 0 I or 2 family dwelling D Multi-family (K] Commercial (Industrial
I
IJob no.: 09-0018 IJob address: 3377
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitc/b'Idg.!lJpI.IW,:
I Project name: Walgreens Pharmacy
Cross strect/directionsto job site: Martin Luther King Blvd.
I Subdivision:
ITax map/parcel no.: 1703220000902
/Lot no.:
Addition of circuits to existing permit com2008-01766
Upon review and approval by your local 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
Au'thorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
, ~~\\
b(.~
I Description I Qt)'. I Ea: I Total
IU~,~~~,~~.~al~S.}~,9~.~~~~49~~~.:U."I!i:~~~.~i!~itl,W.,~IJ,in,~g..1~ili!.;,:tn~I.~~e,:s~.',:;~~qt'l
~!t!.~,c~~c~g~l~agelf~+i4dP~;,~"~if~":; '''';:i(a:L~__:''04;%'5,~_..".~,:;~lY&:;~c'
I ),000 sq, n, 0' less [4J I I I I
lEa, addl 500 sq, ft, oc portion I, I I
I
I:.
I ~ Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above Sq. n,)
I - Limited energy, comn)crcial il'ot offered online ::It this jurisdiction
(WIth above sa. ft.)
I - Stand-alone limited energy,
residential
I ~ Stand-alone limited energy,.
multi-familv
I -Stand-alone limited energy,
commt'rciaJ
1!~T6;t~~~t1~:!~!d:e!:'sli~jMIa,il~,i:~t~;~~~,~A~~o.g:Je-I,o,c~ti~{~~~l
1200 amps or less [2]
1201.amps to 400 amps [2]
1401 amps to 599 amps [2]
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
. ,.
tJM ()'i
& F'f\<iffV.
If{\ 11-'1' .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 12/11/2008
EXPIRES: 11/29/2009
VALUE: $ 131,145.00
. Status
In Review
225 Fifth Slreet, 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: Alleralion
PROJECT DESCRIPTION: Walgreens Clinic Pharmacy Infill- (See NOll's regarding occupancy)
Commercial
Owner: PEACEHEAL TH
Address: PO BOX 1479
EUGENE OR 97440
I CONTRACTOR ~NFORMATION I
571
175373
169323
17695
10/22/2009
04/06/20 II
03/27/2010
03111/2011
Phone
503-546-1600
541-484-1188
541-747-7701
503-849-9523
541-688-1444
Contractor Type
Archilecl
General
Eleclrical
Low V ollage Eleclrical
Plumbing
Contractor
BAYSINGER PARTNERS ARCHITECTURE-
VIK CONSTRUCTION
WEILAND ELECTRIC DIVISION, LLC.
ASH LAN COMMUNICATIONS INC
TWIN RIVERS PLUMBING INC
License
Expiration Date
BUlL~ING INFORMATION I
# of U nils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Conslruclion Type:
# of Bedrooms:
B
12
IIA
# of Slories:
Heighl of Slruclure
Type of Heat:
Waler Type:
Range Type:
Energy Palh:
Sprinkled Building:
"
Lol Size:
Sq Fllsl Floor:
, Sq Fl 2nd Floor:
Sq Fl Basemenl:
Sq Fl c'arage/Carport
Sq Fl O,lher:
Occupa'nILoad:
1,249
ATTr=~I'T'I^~ .
~~i:oW rUle-;~d~;~~1~amyy1!)UOPMfN;r INFORMATION I '
. in O~RCatlon Center. Th "v v'egon Uti/it REQUIRED PARKING
952-001 0 ose rules are <~tf y
Fronlyard Selbad~D90. You ma - 01~ through 0 uV'erlay'Dlh: NOTICE' Tolal:
Side I Selback: Caliing the / obtam Copies oflJ~ti?eMJvees Rqd: THIS PER'Mlr Handicapped:
Side 2 Selback: nUmber for th~n~r. (Note; the t;r,~v'~~fjJr\.~e Rqd: AUT SHAll EX/?lMPlffTHE WOR
Rearyard Selback: Center is ;~gon Ut'lity N(f.~fpJar.R,t'coverage: CO HORIZED UNDER THIS PERMIT IS NOrK
Solar Selbacks: 800-332-2344). 1/on MMENCED OR IS ABANDONED ,.
AMv1on"'\"r-- ,.OR
I PUBLIC IMPROVEMENTS I - - -" LnIUU.
Sidewalk_ Type:
Yes
13
Slreel Improvemenls:
Slorm Sewer Available:
Speciallnslruction:
Downspouls/Drains:
NoleS:
Page I of 4
Status
In Review
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 FilX
541-726-3769 Inspeclion Line
Description Tvpe of Construclion
MedicalOflices III-Hour
Fee Description
Plan Review Comm/lnd/Public
***+ 100/0 Administrative Fee***
-Mecb Iss 2+ Appliances-
+ 12% State Surcharge
+5% Technology Fee
Appliance Not Lisled
Building Permit
Fire SF Fee - Non-Residenlial
Fixture
Minimum/Adjuslmenl Mechanical
MinimumlAdjustmenl Plumbing
Plan Review Fire & Life Safely
+ 12% Stale Surcharge
+ 5% Tcchnology Fee
Add, Alter, Extend Circ Ea Add
Low Vollage - Commercial Indus
Perm Serv/Fdr 200 amps or less
Traffic Signal - Panel
+ 12% Stale Surcharge,
+ 5% Technology Fee
Low Voltage - Commercial Indns '
+ 12% Slale Surcharge
+ 5% Technology Fee
Low Vollage - Commercial Indus
+ 12% Stale Surcharge
+ 5% Technology Fee
Add, Alter, Exlend Circ
Add, Alter, Exlend Circ Ea Add
Tolal Amount Paid
I Valuation Description I
$ Per SqFI,
or multiplier
$105,00
Amounl 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
$7,56
$3.15
$63.00
$6.96
$2.90
$58.00
$22.44
$9.35
$55.00
$132.00
$2,791.67
Square Footage
or Bid Amounl
1,249.00
Total Value ofProjeCI
F~~s Pai~ I
Date Paid
12/1Il08
4/1109
4/1109
4/1109
4/1/09
4/1/09
4/1109
4/1109
4/1/09
411/09
411/09
411/09
4/6/09
416/09
4/6/09
416/09
416/09
4/6109
514/09
514/09
514/09
, 5113/09
5113/09
5113/09
6/1109
6/1109
6/1109
6/1109
Plan Reviews I
Pa2e 2 of 4
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 12/11/2008
EXPIRES: 11/2912009
VALUE: $ .131,145:00
Value:
Dale Calculated
$131,145,00
$131,145.00
12/11 12008
'Receipt Number
i
1200800000000001220
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
1200900000000000232
320q900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
3200900000000000216
1200900000000000333
1200900000000000333
1200900000000000333
1200900000000000445
1200900000000000445
1200900000000000445
1200900000000000582
1200900000000000582
1200900000000000582
1200900000000000582
"
Status
In Review
225 Fifth Streel, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin2 Review
WE
1211912008
Initial Review
1211212008
12/1212008
APP LLH
Slruclural Review
12/22/2008
APP CJC
12/1212008
Public Works Review
01/05/2009
DON CTM
12/1212008
Plannine: Review
01/13/20,09
WE EMM
01/13/2009
Fire Department Review
1211212008
01/27/2009
APP GRG
SUB Review
12/1212008 '
02/1212009
APP JF
Planning Review
02117/2009
02/1712009
APP EMM
Called Chuck Davis al SUB. He will
call applicant or archilecllo galher
jnformationregarding DWP and
call me back to review or addition to
exisling DWP.
Approved as noted in condilions
letter .
Spoke with Chuck Davis from SUB.
This is a seperaie lease space
independent of lhe hospilal and
reqnires iI's own DWP application
snbmittal. Wailing on snbmittal of
application and review.
,,'
See attached documenls for plan
review comments.
See attached documents for Energy
Code Plan Review Approval.
No Temporary or Final Occupancy
unlilnew DWP application is
submitte:d, reviewed, approved and
SUB iilspeClions are complele.
To Request an inspection call the24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilLbe made the following
work day.
I Reouired Insoectioos I
Framing Inspection: Prior to cover and after all rough in inspections have been approved. ,
Ceiling Grid: After drywall approval bul prior I? cover.
Final Building: After all required inspections have been requested and approved and lhe building is complele.
, , .
Rough Plumbing: Prior 10 cover and includiug required lesting.
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
Pa2e 3 of 4
Status
In Review
CITY OF SPRINGFIELD
Building/Cq,mbination Permit
PERMIT NO: COM2008-01766
ISSUED: 04/01/2009
APPLIED: 12/11/2008
EXPIRES: 11/29/2009
VALUE: $)31,145.00
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Final Eleclric: When all eleclrical work is complele.
Firewall: Localed and constructed according 10 plans.
Electric Service: Approval required prior to utility company energizing service.
Low Voltage: Prior 10 cover.
Low Voltage;' Prior to cover.
By signa lure, I stale and agree, lhat I have carefully examined the compleled applicalion and .do hereby certify that all
information hereon is lrue and correcl, and I further certify lhal any and all work performed shall,be done in accordance wilh
ihe Ordinances of lhe City of Springfield and the Laws of lhe Stale of Oregon perlaining 10 lhe w~i-k described herein, and
lhal NO OCCUPANCY will.be made of any struclure withoul permission of lhe Community Servic'es Division, Building Safely,
I further certify lhal only contraclors and employees who are in compliance wilh ORS 701.005 willibe used on lhis projecl.
I further agree to ensure that all required inspections are requested allhe proper time, thaI each address is readable from the
street, that the permit card is located at the fronl of the property, and the approved set of plans will remain on lhe sile at all
times during constrllction. (
Owner or Contractors Signature
Dale
paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
54]~726-3759Phone <
Job/Journal Number
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
COM2008-0 1766
Payments:
Type of Payment
RECEIPT #:
]200900000000000582
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ,ONLINE PERMIT CHGS
Paid By
cReceintl
City of Spri~gfield Official Receipt,
Development Services Department
Public Works Department
Date: 06/01/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of I
ONLINE WEILAND Online
ELECTRIC ,
Payment Total:
"
,r.
"
1:28:06PM
,Amount Dlle
55,00
132,00
9,35
2244
$218.79
Amount Paid
$218.79
$21K79
,6/112009