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Home My WebLink AboutPermit Electrical 2005-5-18 -, SPRINOFIELD r.::;::,........S' ^ I j .1~-:;.~ \""f~^,,,,, _l.:.\~t' \; "'"'~~ "\,\ ,~ ....~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION J ) City Job Number () Z. - 00 7 OS' 7 - c..::> ( Date 5 I b :tOO.s- I "'0. .~/. 1. 1 LOCA'i'IoNOF3INsfAiJlA'TidN:(,"'t'r7f;T:;.,: 3. \cr. . ~--=-'n="7g9."'}f1)i{="^". . ~ ,_ ,..' .>. ._"'~.. _".. ...J' 1 r;,QQ1I!.~~Tfl F~J?:~~'i1'... ~E'!!l'12!V.< 48br .AJ.At-/ c+- 0 -- ..;:":':9,0 . ~ YVI rr N ;::.. ..0( Q'/G . '& ;."~. LEGAL DESCRIPTION /70t3ZO"O A. tffi:E1i~~e~%.~~ft'€;F;l:~"~xriirf~~f1{, .li.n j ~bi~~J I 1J1 l"1 '''0- . '&""6 .,..~6~ IVlD.-ln ;)-tr~e. 'DC.,ot( Service Included <S) ~90~&">--4: . ~",~ ~GO' JOBDESCRIPTlONr}IH-TlI-IiIA.Ilfk'C"Lll-C,d~ 1000sq.ft.orless <i>"G-,~. ){.(1"'&~~06.00 (1 "I 11 th J j f' , <-C Eachadditiona1500Sq.ft.o~~' ':<:J'~"';~&" .2prtniYJ~' Sll; e UVlhl1y. portion thereof ~' ~~$f<tv~"'.;. Permits are non-transferable and expire if work II) Each Manufact'd Home or ~:9 ~ not started within 180 days of issuance or if work is ' Modular Dwelling Service or $ 00 Suspended for 180 days. . . . Feeder "- 2 rCONTRAcrOR;INSTAT;(ATIOilrONLY:',] B. r-stivi~~';h?Feede~s~~?inst-;'li~ti;;i1, Alt~~all\,;;s ~r'Rel~~a'1i;;n:',1 . k..;,<..n~""Jl.'lll':':iti"':"':.~.,."",.,~;".."i.;,;:,,,'<''''',if;;.x''''{',;;,,,J!\1:ti,,,..v.....'Jil..~::<iif,r"'''&:\. ~w,~..... ,...:.....,:.,.~:.: .'.',. ''c_. '.'.0\"...,,,.-.~.....,,~,::r .... ':1.:.;<<,'>..-~_.-..;'" ..'-~'''' /'..'.. -"". '.,,' ,',. Electrical Contractor 1='Y'O"tl er s;.~S~.e.t')\S 200 Amps or less $ 63.00 \ I L tJ ~ n r t'\ . 2W1"fg".l'n'(.jl~0R!llbnlawreqlllPDaynu~5.00_ Address 1'191. e- '::>O-ne<S1oM me 4Wl'6wll!lleGi~bythe~nUtilija5.00 Jl ( Motitlolllkmlll1mlavmP'h0s8 Nles are setf$~.oo City OOIlU ~+o" 1 0/2. Phone S't-1I-9f1o -.s:llf.4 IlDQAiM6i?n\\ll~W,thrOugh OAR 952~~:00" ~llOOIW obtain copies onne rUleastsp.oo , , , ... !Yi-ca~~:'i:..~;;;~'!!:l~te, :~~~~~!eti'flPhotlne.. ~,: .-'C,:,....".., . .~~' c. '. anre'Uv.K SI.~9 . ..pa oni,,~\'1f:::.;!\r!<:"zJ.:.;J;.." .:'~" ". .' .~ter181~2~41.-...' "....MIl...... ,",,'"'' Installation, Alteration or Relocation Supervisor License Number 202 ~ Lt:;A Expiration Date \ l) { I ( 2-~ Constr. Contr. Number ).'3 e 7 h 7 \ (') lJ!:lJ ob \ ~D -81 lEA 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. .E~l~~~~~"~~!r~~i~"~}~;1~~~~;.~:.t~'.'~~7S.~~'{;~';~: f, '" $ 50.00 $ 69.00 $100.00 ~j Owners Name /i;-rt.(l..., -,-" Av M ~ Address ILl ') ~ . GiAa:- Ie.... s. t- City S~Fb. Phone 71.( 7 - '7 ~ ~D New A1ter~tj@1T<!~tension Per Panel One CircuitTHIS PERMIT SHAll FXPIRF i$'4]l~\l.2 wnRK Each. Additiol'1'l8~JFH~.~1i"(jflmER THIS PERf31b1) IS NOT ServIce or (eederrRlenmt-O OR IS ., ....$NEO. FO ' vVIVI V CI~vC /'\D/'\I~Uu K E. Wr;fu'ftili:A'i1~ds'[s~H1romdWSWlt;;;:clJd~d'~E;;'ch .Iit'ti11iati~n.l /Ji"~"'"~''''''''''''''' ~<o, ,0" ".,"" J, ,'" ,.,'. " ". ,...d Inspection Request: 726-3769 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial 4- $ 45.00 LHD. Or!) Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. r;SUHTOTAi/dF;Aiio-VE;~~1:~\2.~;r!';:'./' ,] J 8 0 "",1'\ t~ K_~7;~~,-1::"}":""'.:::f;"~"-i'. ';.'>f.."',fl.-<:J./-.,,':-; ~t;;",',.;4;t. ~ ".-:._ I UV J 'd,.. btJ I ~ . Of) 2Jo(.,O 7% State Surcharge 10% Administrative Fee OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -TOTAL Shared Drive(T:)IBuilding Fonns/Electrical Pennit Application 1-03.doc . . CITY OF :srK11'iljt<1~LJJ Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4865 Main St ASSESSOR'S PARCEL NO.: 1702320000904 Spr TYPE OF WORK: Apartment Building TYPE OF USE: New Residential PROJECT DESCRIPTION: 122 Unit assisted living retirement community. Applicant is Sunwest Management Land Use: Retirement Home, Zoning: HDR Owner: Address: Terry Travess 1495 Cheek Street Springfield OR 97477 Phone Number: (541) 747-9940 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical MechanICal Plumbing Sewer Contractor Patrick Bickler KDA Construction Inc ROBERT CAMERON GEORGE JET HEATING INC CENTER LINE PLUMBING INC SITE WORKS INC License Expiration Date Phone (503) 588-7046 (503) 587-8700 541-980-5144 503-363-2334 541-895-5457 503-371-1191 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 122 SR-l.l SR-2.1 V-lhr 138767 Ild~~ ~egon 18'/11 ~ I ~l!AAity "nam~W8~dbytheO(l ~orth toIIO"ff ~,...nt8f. ThOse lU\~ AQ Q5Z-00'. ~~..A';~~~!: ~'Olflluu..t.o1'''e rules oy BUILDING Ir",u_'TIDN pies ". t ' You fM,V btaln co . the te\ephO~e #ofStoril~p90'\I U\llcenter. ~o\~e.. . \iflca\lon Height of St~llr ~ \tie Oregon ~~ Floor: Type of HeaflU center IS H~OO q Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: 41,013 35,325 35,114 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handica~~d: Paved Drive Rqd: f ~lI!rltm71t: % of Lot c~~~gt:t'. S\-I~\..\.. [~,rIRE I RMIT IS t-\OI , 1\-11S Pt~~;~ \ I\\IOER 1\-11~.~~MI={) fOR I PUBLIC IMPROVE~~is.i;tO OR \~O;~M- ~N'/ ~80 O~'/ ~i~~walkType: DownspoutslDrains: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Street Improvements: Storm Sewer Available: Special Instruction: Notes: SDC's: Separated Impervious Surface SDC ($35,866.19) into $25,866.19 and $10,000.00 so that I can do a referral SDC payment. WHen issuing permit, All SDC's except the $10,000 Impervious Line item are Deferred. Paee 1 of22 -iiji- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Hm for Elderlv V I-Hour Pavine Use Bid Amount Fee Description Commercial Plan Check Fire & Life Safety Plan Review -Mechanical Issuance Fee- + 100/0 Administrative Fee + 7% State Surcharge Additional Driveway Address Assignment Appliance Not Listed Appliance Vent BackOow Device Boiler/Comp 3-15 HP Building Permit Copy 1st @ 75 cents Dryer Vent Exhaust Hoods Final Site Plan Insp for Occy Fixture Gas Outlets 1-4 Gas Outlets 4+ Not Covered Mechanical Paving Plan Review CommlIndlPublic Plan Review Fire & Life Safety Property Annexed 1979 or Befor Sanitary Sewer - Ist 50 Feet Sanitary Sewer Each Addtll 00' Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet Storm Sewer Each Addtll00' Vent Fan Water Line - Ist 50 Feet Water Line - Each Addtll00' WilIamalane Single Family + 10% Administrative Fee + 7% State Surcharge . I Valuation DescriDtion I $ Per Sq Ft or multiplier $78.50 $1.00 Square Footage or Bid Amount 111,452.00 800,000.00 Total Value of Project ]?pp< PIilLI Amount Paid $16,000.17 $8,668.95 $10.00 $3,171.59 $2,775.14 $35.00 $8.00 $90.00 $24.00 $14.00 $66.00 $28,674.90 $9.00 $96.00 $18.00 $110.00 $9,142.00 $4.00 $30.00 $135.00 $2,840.65 $2,638.52 $2,801.01 $-1,801.22 545.00 $126.00 $10,000.00 $45.00 $84.00 $978.00 $45.00 $28.00 $1,000.00 $606.20 $424.34 Date Paid 6/24/02 6/24/02 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 4/7/04 1/19/05 1/19/05 Paee 2 of 22 . CITY OF ~rK1f\juJ<1J!,LJ.j . Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 Value Date Calculated $8,748,982.00 $800,000.00 $9,548,982.00 01/06/2004 01/09/2004 Receipt Number 9716 9716 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200400000000000328 2200500000000000070 2200500000000000070 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Temp Power 201 - 400 amps + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . $4,101.00 5375.00 $567.00 $825.00 $125.00 $69.00 $18.00 $12.60 $180.00 1/19/05 1/19/05 1/19/05 1/19/05 1/19105 1/19/05 5/16/05 5/16/05 5/16/05 $95,214.85 I Plan Reviews I Paee 3 of 22 . CITY OF SPRINGFu,Lu Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 2200500000000000070 2200500000000000070 2200500000000000070 2200500000000000070 2200500000000000070 2200500000000000070 1200500000000000627 1200500000000000627 1200500000000000627 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: 02-00757-01 225 Fifth Street, Springfield, OR ISSUED: 01119/2005 541-726-3753 Phone APPLIED: 06/24/2002 541-726-3676 Fax EXPIRES: 11/16/2005 541-726-3769 Inspection Line VALUE: $ 8,748,982.00 Eneineerine-CIIIP 07124/2002 Wait PO DATE: July 24, 2002 TO: Patrick Bickler LLC KDA Construction (503) 587-8766 FROM: Pam Ownbey SUBJECT: Sunwest Management Assisted LivinglRetirement Community Job# 02-00757-01 Your building plans have been reviewed for compliance with the Land Use Decision dated April 11, 2001. Tbere are conflicting drawings of the trash/recycling area drainage. Condition 1 of the Land Use Decision says: "Waste water from the trash receptacle and can wash shall be protected from storm water and go directly into the sanitary system." Sheet A2.4 shows a 2% slope in the trash/recycling area towards the outside and no floor drain. Sheet Cl.l and C2.1 show a drain in the trash/recycling area to the sanitary sewer as required. More information is needed about the can wash detail on Sheet A2.4. Is the plate over the orifice water tight? Is the plate secured by a chain or other device so it cannot be removed from the site? Please revise your plans to reflect the above and resubmit. If you have any questions, please call me at 541-736-1028. Pam Ownbey Enelneerlne-C/I/P 08/09/2002 Appr PO Paee 4 of 22 -~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review Fire Department Review . 01119/2005 04/05/2005 01119/2005 04/05/2005 OK OK Paee 5 of22 . CITY OF SPRINGFI~L1J Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 GRG Plan Review: Underground stub-up for sprinkler system. Job #02-00757-01. Contractor: Omlid and Swinney. Plans appear to meet code requirements. Plan Review: Wet and dry sprinkler system submittal for BriarwoodlSpringfield Assisted Living Facility. Job #02-00757-01. Designer: Sean Fenneran. Contractor: Omlid and Swinney. GRG Submit total area of square feet per system. Sprinkler coverage required in elevator pits. Flexible couplings In top and bottom of multi-story building. Submit cut sheets for compressor. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Marshal-C/IIP . 01114/2003 OK Pa~e 6 of22 . \...11 f Ul' ~"Klt'jul'IELD Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 GRG 1. Obtain Knox Box application from City of Springfield Deputy FirE Marshal Gilbert R. Gordon (541-726-2293). Install Knox box on right side of main entrance at 8 feet above finished floor. 2. Hydrants shall be fitted with Storz steamer port fittings. Contact Bart McKee at Springfield Utility Board (541-744-3756) for further information. 3. Second floor core area of atrium (Sheet AJ.7): Need to place another 2-A:IO-B:C fire extinguisher in the area of the TV room, game room, and therapy room to bring travel distance to within 7S feet to nearest extinguisher per NFPA 10. 4. Extinguisher for the kitcben area shall be "K" type extinguisher for cooking surfaces. (Regular extinguishers for all other fires) 5. All decorative material within the atrium shall be non-combustible material per OSSC 1103.3.4.2. 6. Provide a cut sheet of the atrium smoke control exbaust fans showing calculations and manufacturer's fan curves (OSSC 905.7.6). 7. Smoke control fans shall be supported and constrained by non-combustible devices. Provide drawings or description on bow this requirement will be met. (OSSC 905.7.6) 8. Provide listed Fire Figbter Control Panel meeting requirements ofOSSC 905.13. Submit control panel layout in full scale for review and approval by Springfield Fire Marshal's Office. 9. Provide testing, documentation, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 7 of 22 . CITY OF ~rKll'\jul'1J!,L1J . Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/2412002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 and methods to be employed prior t( acceptance testing of the smoke control system by the required special Inspector or special inspection agency for approval by the Springfield Fire Marshal's Office. Testing shall be performed in the presence of a Deputy Fire Marshal (OSSC 905.15.9). 10. Provide a special inspection report by an Oregon registered engineer upon successful completion of acceptance testing of the smoke control system per OSSC 905.15.10. 11. Prior to granting of a temporal') occupancy or certificate of occupancy, fire department crews shall be trained in the use of the fire fighters control panel. Coordinate with the Training Section of Springfield Fire and Life Safety (541-726-4662). 12. Provide fire sprinkler submittal plans for review and approval by thl City of Springfield Fire Marshal's Office. 13. Provide fire alarm submittal plans for review and approval by thl City of Springfield Fire Marshal's Office. 14. Provide commercial kitchen hood and duct fire suppression system plans for review and approval by the City of Springfield Fire Marshal's Office. 15. Provide special inspection and certification and testing documentation from an Oregon-registered electrical engineer verifying egress lighting meeting the 1 footcandle requirement along paths of egress (OSSC 1003.2.9.1). Test shall be completed prior to final occupancy. . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review-C/IIP Plannine-CIIIP Revised Plan Review - Fir Revised Plan Review - Str 01/10/2003 11/2112002 Revised Plan Review - Str 01/10/2003 Revised Plans Received/Ro Structural Review 12/16/2002 Structural Review 02/17/2003 Structural-CIIIP 06/26/2002 06/26/2002 01/15/2003 01/21/2003 01/10/2003 12/16/2002 02/12/2003 08/05/2002 Appr Appr APP WE APP WE APP Wait Paee 8 of22 . \...11 r U1' ~rtul'\ju1'IELD' Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 LH LM GRG TR LLH TR TR TR 16. The emergency generator shall be installed and tested in accordance with NFPA 110. Testing documentation shall conform to NFPA 110 and be provided to the Springfield Fire Marshal's office for approval prior to occupancy. 17. Provide fire and life safety emergency plans, employee duty assignments, and employee training meeting the requirements of Springfield Uniform Fire Code 1303.3.1, 1303.3.4, and 1303.4 for review and approval by City of Springfield Fire Marshal's Office. Review not required of this revision Fed Ex'd 11/22/2002 - Ih. Tom Rogers spoke with Alan at Nicoll Engineering and Alan is working on c1airifying some questions Tom has on the resubmittal. Fed Ex'd to Tom Rogers 1/13/2003. This submittal included response to Tom Rogers letter dated December 16,2002; Structural plan review response from Nicoll Engineering; and Revised Drawing Sheets S1.13, S1.14, SI.15 See Attached Documents for Plan Review Letter. Faxed letter to Patrick Bickler 12/16/02 See "Case Notes" regarding energy code requirements for this building complex. dIm Fed Ex'd 6/26/02. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural-CIIIP . 08/05/2002 Info Paee 9 of22 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/1612005 VALUE: $ 8,748,982.00 LH Faxed Letter from Tom Rogers to Architect Patrick Bickler. Letter included following information: 1) Table 3-1-1 specifies occupancy separations for the SR 1.1 occupancy per 1-2 requirements. Table 3-B specifies a 2 hr occupancy separation from I to A-3 occupancies. If tbe dry storage aud hall adjacent to the kitchen is classified as an A3 occupancy, 2 hr wall and ceiling construction will be required. 2) Smoke barriers are required so that no area exceeds 10,000 sq ft or 16 residents per floor. Specify on the plans the location of smoke barriers and associated area with number of residents. The separate areas must be provided with self closing, gasketed doors. 3) It appears that door closures have been omitted from teh sleeping room doors as allowed by OSSC. Provided information relating to staff availability for each area where the door closures are omitted. 4) The alarm system, exit ligbting and emergency lighting muyst have an auxiliary power supply that will maintain power for a period of 8 hours. Indicate how tbis will be provided. 5) Table 3-1-1 incidates exiting for SR 1.1 occupancies is to be in accoranbce with 12 occupancy requirements. Group I occupancies may not exit through an atrium per OSSC. The second exit from corridor 184 needs to be revised to meet the above criteria. 6) Area separation walls must provide a complete separation between adjoining buildings. See tbe discussions on pages 54-56 of tbe UBC Code applications manual. Show how a complete separation is provided as illustrated in the applications manual at grids 29 and M. 7) Please explain wby the wainscot shown in detail 3/ A8.6 is 3'11112" as oppossed to 4' as Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 10 of22 . CITY OF ~.r'101~u1'lJi,LD' Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 0111912005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 specified in OSSC. 8) Where is' the size (square footage) of the roof vent over the elevator shaft specified? 9) Provide construction details and specifications for the proposed translucent skylights. 10) The door entering stair 253 and doors across corridor 252 are labeled as 252. Please clarify. 11) The door into room 301 is not labeled. Please verify that this is door 301. 12) Door 339 is not listed in the door schedule. Please specify the door type. 13) Doors 358A and 358B appear to have the letter designations switched. Please c1airfy. 14) Special inspection is required as outlined in OSSC. Please complete the enclosed special insepction schedule and obtain the applicable signatures. Special inspection appears to be required for but not limited to: Concrete, Structural Welding, Epoxy anchors, Atrium smoke control system. STRUCTURAL 1) Please provide information correlating the header calculations with the drawings. For example, header calculations h-l shows a schematic of the exterior header at the mechanical well. Header H-l at grid 21 H on sheet SI.10A is an interior header that doesn't match the span in the calculations. 2) Header calculation h-6 illustrates a 10 ft pony wall on top of the header. The calculation sspecify full top chord support. Verify that the header will have lateral support or provide revised calculations. This apparently not the header at grid 23E on sheet SI.10A. 3) Please clarify where the headers on calculations sheets h-11 and h-12 are located on the plans. 4) Calculation sheet h-21 evaluates a header with a 6 foot span. This does not match header h-21 at grid b, sheet sl-10A. Please clarify. 5). Calculation pages h-21 and h-22 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 11 of 22 . \..-11 i' OF SrlUl~'..d<I~L1J Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 show 500 plfsnow load. The snow load duration factor used in the analysis wouldn't be applicable to the second and third Door headers. Provide revised calculations for review. 6) It appears that the roof headers at grids B & E, 31-36,N & Q, 7-10, A, 18-21 do not align with the headers below. The lower level headers would include point loads from the headers above. Please review. 7) Beam RB-l in the calculations is a 3-1I8x16-1/2. Beam RB-l in the schedule on sheet S1.10 is specified as a 3-1I8x1 0-1/2 beam. Please clarify. 8) Please clarify the loading for hip beam RB - 3. The loads don't appear to include rafters from each side of the beam. 9) The calculations for RB-4 do not include the reactions from RB-l or RB-3. Provide revised calcuations for review. 10) Provide snow drift loads for the low roof areas. Verify that roof beams RB-6 and RB-7 include the drift loads. Also specify on the plans the drift loads for the truss design at the lower areas. 11) The calculations for RB-7 evaluate an 8-3/4 x 19 1/2 beam, wereas the beam schedule shows 6 3/4 beam. Please revise. 12) Floor beam FB-I on sheet SI.8 grid 0, 20-21.5 does nol appear to match the length in the calculations. Beam FB-2 includes a point load, but does not correspond to the reaction from FB-l. Detail 4/s2.4 does not show an inverted hanger. Please clarify. 13) Calculations for beam FB-2 specify a 24F-V8 glulam, whereas the beam schedule shows grade V 4. Beam FB-2 at grid 0, 22-23 appears to be a continuous beam, but does not match the calculations. Please clarify. 14) The calculatiohns for beam BF-4 evalutate 6x12 (with snow load duration). This doesnot match the beam schedule or span for members at the exterior of the Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 12 of22 . CITY OF SPRIl'lld'l~LD . Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11116/2005 VALUE: $ 8,748,982.00 walkway. Provide revised calculations for review. 15) Calculations for beam FB-6 have apparently been obmitted. 16) The calcuations for beam FB-7 do not match the beam at the edge ofthe stair landing 00 sheet S1.8 for length or exit loading (vs snow load). Please clarify. 17) Please clarify where beams FB-8 and FB-9 are located. 18) Calculations for the first Door bearing walls evaluate 2x6 studs 12" oc. Wall W2 on sheet A8.~ specifies studs 16" oc. Prolvde revised calculations or plans for review. Include room partition walls and second Door walls as necessary for the various loading. 19) Please clarify how load combinations from ASCE 7-95 correspond to OSSC. It does not appear that the snow load was included in the analysis of the colomns. 20) Calculations for column C-8 use an axial compressivE strees of 1300 psi and modulus of elasticity of 1,600,000 psi. This does not correspond to a #2 D F post and timber grade. Provide revised calculations for review. 21) Sheet S1.4 shows column type C-12 at grid 20-E.l, sheet S1.4. This column is not listed int eh schedule. Please clarify. 22) Provide schematic drawings with typical or critical columns identified and cumulative loads from teh roofto the foundation for verification of column and footing loading. 23) The calculations show #4 transverse bars at 18" oc in the continuous footing. Where is this specified on the plans? 24) Please clarify how the moment applied to the top of the steel column at the porte cochere relates to the alteral point load. The bending stress and deDection shown in the analysis do not appear consistent with results form a single point load. 25) Sheet SI.1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 13 of22 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 sreferences detail S912.1 for the porte cochere footings. This detail has been obmitted. 26) The roof diaphragm calculations specify 5/8" T & G plywood with 10d nails 4" oc. The drawings specify 112" sheathing, 8d nails wtihout blocking. The case 3 loads in the calculations exceed the unblocked diaphragm capacity. Provide revised plans or calculations for review. 27) Provide specifications for the 718" floor sheating showing capacity of an unblocked diaphragm. 28) The calculations specify hI clips to each truss, whereas not 0 on the drawings specifies h2.5. Please revise. 29) The calcualtions specify LSD connectors for the truss to wall connection. Where is this specified on the plans? 30) The calculations specify 4" embedment for the 5/8" wedge anchors. Drawing note 3 specifies 2-112" embedment. Please clarify. 31) It could not be determined how calculation pages 1-11 for shear walls sw 12-b through sw-25 relate to the plans. Provide calculations for all shear walls that correlate with grid numbers and floor levels on the plans. 32) Calculations for the entry steel frame list TS 6x4 and TS 8 x 4 members. It appears from detail 13/s2.9 that TS 4x4x and 6 x 4 members have been used instead of those specified in the analysis. Provide revised calculations for review. 33) Details 12 & 13/8-2.9 reference detail3/S2.5 for attachment of the 2 x 6 to the tube steel. Please clarify. 34) Provide calcualtions for the moment frame base plates and anchor bolts for review. 35) Provide calculations for the grade beam at the moment frames. 36) Note 2 of the General Foundation notes indicates the soil must have a capacity of 2,000 psf, whereas the structural calcualtions Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 14 of22 . CITY OF SPRINGFmLu ' Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 used 2,500 and 3,000 psf for design of the footings. Please clarify. 37) Provide structural calculations for the stair stringers and landings. 38) Provide calculations for the stair stringers and landings. 39) Sheet S1.4 references detail 8/S2.7 at grid K,18. Please clarify. 40) Detail 5/S2.6 has been omitted. Provide a copy for review. 41) Sheet SI.8, grid 16, P.5 shows detail reference 9/S2.2. Should this be 71S2.2? 42) Provide structural calculations for the trash enclosure building. MECHANICAL 1) Verify dryer vent piping complies with OMSC or specify how penetrations of the rated construction will be addressed. 2) Provide calculations for the atrium smoke control system. Also include specifications for all equipment and components. 3) Please explain how the standby power for the atrium smoke control system meets the requirements of OSSC. PLEASE REFER TO ACTUAL LEITER FOR CODE REFERENCE AND ACTUAL LEITER. INFORMATION TYPED ABOV E IS FOR QUICK REFERENCE ONL Y.occupancy, 2 hr wall and ceiling construction will be required. 2) Smoke barriers are required so that no area exceeds 10,000 sq ft or 16 residents per floor. Specify on the plans the location of smoke barriers and associated area with number of residents. The separate areas must be provided with self closing, gasketed doors. 3) It appears that door closures have been omitted from teh sleeping room doors as allowed by OSSC. Provided information relating to staff availability for each area where the door closures are omitted. 4) The alarm system, exit lighting and emergency lighting muyst have an auxiliary power supply that will maintain power for a period of 8 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 15 of 22 . CITY OF /)rIU1~l.d'mLU. Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 hours. Indicate how this will be provided. 5) Table 3-1-1 incidates exiting for SR 1.1 occupancies is to be in accoranbce with 12 occupancy requirements. Group I occupancies may not exit through an atrium per OSSC. The second exit from corridor 184 needs to be revised to meet the above criteria. 6) Area separation walls must provide a complete separation between adjoining buildings. See the discussions on pages 54-56 of the UBC Code applications manual. Show how a complete separation is provided as illustrated in the applications manual at grids 29 and M. 7) Please explain why the wainscot shown in detail 3/ A8.6 is 3'11112" as oppossed to 4' as specified in OSSC. 8) Where is the size (square footage) of the roof vent over the elevator shaft specified? 9) Provide construction details and specifications for the proposed translucent skylights. 10) The door entering stair 253 and doors across corridor 252 are labeled as 252. Please clarify. 11) The door into room 301 is not labeled. Please verify that this Is door 301. 12) Door 339 is not listed in the door schedule. Please specify the door type. 13) Doors 358A and 358B appear to have tbe letter designations switched. Please c1airfy. 14) Special inspection is required as outlined In OSSC. Please complete the enclosed special insepction schedule and obtain the applicable signatures. Special inspection appears to be required for but not limited to: Concrete, Structural Welding, Epoxy anchors, Atrium smoke control system. STRUCTURAL 1) Please provide information correlating the header calculations with the drawings. For example, header calculations h-l shows a schematic of the exterior Status Issued 225 Fifth Street,.Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 16 of22 . CITY Vi' ~rKll~l:..t'l~L1J Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 header at the mechanical well. Header H-l at grid 21 H on sheet SI.10A is an interior header that doesn't match the span in the calculations. 2) Header calculation h-6 illustrates a 10 ft pony wall on top ofthe header. The calculation sspeclfy full top chord support. Verify that the header will have lateral support or provide revised calculations. This apparently not the header at grid 23E on sheet SI.10A. 3) Please clarify where tbe headers on calculations sheets h-11 and h-12 are located on the plans. 4) Calculation sheet h-21 evaluates a header with a 6 foot span. This does not match header h-21 at grid b, sheet sl-lOA. Please clarify. 5). Calculation pages h-21 and b-22 show 500 plf snow load. The snow load duration factor used in the analysis wouldn't be applicable to the second and third floor headers. Provide revised calculations for review. 6) It appears that the roof headers at grids B & E, 31-36,N & Q, 7-10, A, 18-21 do not align with the headers below. The lower level headers would include point loads from the headers above. Please review. 7) Beam RB-l in the calculations is a 3-1I8xl6-1/2. Beam RB-l in the schedule on sheet SI.10 is specified as a 3-1I8xlO-l/2 beam. Please clarify. 8) Please clarify the loading for hip beam RB - 3. The loads don't appear to include rafters from each side of the beam. 9) The calculations for RB-4 do not include tbe reactions from RB-l or RB-3. Provide revised calcuations for review. 10) ProvIde snow drift loads for the low roof areas. Verify that roof beams RB-6 and RB-7 include the drift loads. Also specify on the plans the drift loads for the truss design at the lower areas. 11) The calculations for RB-7 evaluate an 8-3/4 x 19 1/2 beam, wereas the Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 17 of22 . CITY OF SPKlf'<lljN~LU Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/2412002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 beam schedule shows 6 3/4 beam. Please revise. 12) Floor beam FB-I on sheet S1.8 grid 0, 20-21.5 does nol appear to match the length in the calculations. Beam FB-2 includes a point load, but does not correspond to the reaction from FB-l. Detail 4/s2.4 does not show an inverted hanger. Please clarify. 13) Calculations for beam FB-2 specify a 24F-V8 glulam, whereas the beam schedule shows grade V 4. Beam FB-2 at grid 0, 22-23 appears to be a continuous beam, but does not match the calculations. Please clarify. 14) The calculatiohns for beam BF-4 evalutate 6x12 (with snow load duration). This doesnot match the beam schedule or span fOJ members at the exterior of the walkway. Provide revised calculations for review. 15) Calculations for beam FB-6 have apparently been obmitted. 16) The calcuations for beam FB-7 do not match the beam at the edge of the stair landing on sheet S1.8 for length or exit loading (vs snow load). Please clarify. 17) Please clarify where beams FB-8 and FB-9 are located. 18) Calculations for the first floor bearing walls evaluate 2x6 studs 12" oc. Wall W2 on sheet A8.~ specifies studs 16" oc. Proivde revised calculations or plans for review. Include room partition walls and second floor walls as necessary for the various loading. 19) Please clarify how load combinations from ASCE 7-95 correspond to OSSC. It does not appear that the snow load was included in the analysis of the columns. 20) Calculations for column C-8 use an axial compressivE strees of 1300 psi and modulus of elasticity of 1,600,000 psi. This does not correspond to a #2 DF post and timber grade. Provide revised calculations for review. 21) Sheet Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Paee 18 of 22 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 1111612005 VALUE: $ 8,748,982.00 S1.4 shows column type C-12 at grid 20-E.l, sheet S1.4. This column is not listed int eh schedule. Please clarify. 22) Provide schematic drawings with typical or critical columns identified and cumulative loads from teh roof to the foundation for verification of column and footing loading. 23) The calculations show #4 transverse bars at 18" oc in the continuous footing. Where is this specified on the plans? 24) Please clarify how the moment applied to the top ofthe steel column at the porte cochere relates to the alteral point load. The bending stress and deflection shown in the analysis do not appear consistent with results form a single point load. 25) Sheet SI.1 sreferences detail S9/2.1 for the porte cochere footings. This detail has been obmltted. 26) The roof diaphragm calculations specify 5/8" T & G plywood with 10d nails 4" oc. The drawings specify 112" sheathing, 8d nails wtihout blocking. The case 3 loads in the calculations exceed the unblocked diaphragm capacity. Provide revised plans or calculations for review. 27) Provide specifications for the 718" floor sheating showing capacity of an unblocked diaphragm. 28) The calculations specify hI clips to each truss, whereas not 0 on the drawings specifies h2.5. Please revise. 29) The calcualtions specify L50 connectors for the truss to wall connection. Where is this specified on the plans? 30) The calculations specify 4" embedment for the 5/8" wedge anchors. Drawing note 3 specifies 2-112" embedment. Please clarify. 31) It could not be determined how calculation pages 1-11 for shear walls sw 12-b through sw-25 relate to the plans. Provide calculations for all shear walls that correlate with grid numbers and . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . Paee 19 of 22 . CITY OF ~rK1r'<luNJ!.,LU Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 floor levels on the plans. 32) Calculations for the entry steel frame list TS 6x4 and TS 8 x 4 members. It appears from detail 13/s2.9 that TS 4x4x and 6 x 4 members have been used instead of those specified in the analysis. Provide revised calculations for review. 33) Details 12 & 13/8-2.9 reference detail 3/S2.5 for attachment of the 2 x 6 to the tube steel. Please clarify. 34) Provide calcualtions for the moment frame base plates and anchor bolts for review. 35) Provide calculations for the grade beam at the moment frames. 36) Note 2 of the General Foundation notes indicates the soil must have a capacity of 2,000 psf, whereas the structural calcualtions used 2,500 and 3,000 psf for design ofthe footings. Please clarify. 37) Provide structural calculations for the stair stringers and landings. 38) Provide calculations for the stair stringers and landings. 39) Sheet S1.4 references detail8/S2.7 at grid K,18. Please clarify. 40) Detail 5/S2.6 has been omitted. Provide a copy for review. 41) Sheet S1.8, grid 16, P.5 shows detail reference 9/S2.2. Should this be 71S2.2? 42) Provide structural calculations for the trash enclosure building. MECHANICAL 1) Verify dryer vent piping complies with OMSC or specify how penetrations of the rated construction will be addressed. 2) Provide calculations for the atrium smoke control system. Also include specifications for all equipment and components. 3) Please explain how the standby power for the atrium smoke control system meets the requirements of OSSC. PLEASE REFER TO ACTUAL LEITER FOR CODE REFERENCE AND ACTUAL LEITER. INFORMATION TYPED ABOV E IS FOR QUICK . CITY OF SPRINGN~Lu Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11116/2005 VALUE: $ 8,748,982.00 ""'iir:'~I~~P);:-O.' ..~. - - .' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB - CommlInd 07/08/2002 Deni DH SUB Review 01/20/2004 01/20/2004 APP DH REFERENCE ONLY. Portion of the HV AC fails. The 8800 BTU/hr packaged terminal heat pumps specified do not meet current code requirements for COP of 2.97 (the code forms which were submitted were the old 1998 forms, they should now use the 2000 forms. Lighting Is under review, Envelope passes plan review. UPDATE: Lighting passes plan review 7/9/02. Called architect 2/10/03 to remind him of failed HV AC - dIm Heat pump units now meet minimum code requirements. Mechanical passed energy code review. OK to issue permit. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l.Jleou iret\. T n ~,nprtiwll.l Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation Inspection. Footing: After trenches are excavated. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backnow Device: Prior to covering and provide a copy of the test report on site at the time of Inspection. Underslab Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance Including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Paee 20 of 22 . . CITY OF SPRINGFIELD I Building/Combination Permit Status Issued PERMIT NO: 02-00757-01 ISSUED: 01119/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Shower Pan. Prior to covering and including required testing. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/Nailing: Before covering sheathing with finish material. Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspedor. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This inspection is required prior to any combustible construction. Paee 21 of 22 . . CITY VI' ~rKll'\jul'iJj,LD Building/Combination Permit PERMIT NO: 02-00757-01 ISSUED: 01/19/2005 APPLIED: 06/24/2002 EXPIRES: 11/16/2005 VALUE: $ 8,748,982.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is required prior to any combustible construction. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all Conditions have been completed as required on Development Agreement. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. 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 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 on the site at all times during construction. Owner or Contractors Signature Date Paee 22 of 22 22~ JifJh.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number 02-00757-01 02-00757-01 02-00757-01 Payments: Type of Payment CrcditCard , t. :: I. .. 5/16/2005 , . RECEIPT #: -"~.'~~".'""'..'..,..'. lit, ,.'.. f~ ' ~y. }' -'''_';.'C;;._,.._","C".. .,...._ City of Springfield Official Receipt evelopment Services Department Public Works Department 1200500000000000627 Date: 05/16/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By ROBERT C GEORGE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 111546 In Person Payment Total: Page loft 9:15:19AM Amount Due 180.00 12.60 18.00 $Zl 0.60 Amount Paid $210.60 $210.6U