HomeMy WebLinkAboutPermit Electrical 2005-1-21
.' CITY OF SPRINGFIELD, OREGON "v-'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~89
ELECTRICAL PERMIT APPliCATION ~o";/o~
C. J b N b Q.:O, ~ 0,<<,
Ity 0 urn er O"L-OC"l'Sl-O\ Date 1- t-, - C::> c:; o~'''" '''^
() q/ 0'\,)0'.0
~_ . tY ....".
3. I COMPLETE FE~CHlID~ B1l!f;pw
v""~6I: " -'.Ii?," t.,. ....6>~ d'v6 ,'!
'" "'" Yr,,' "',~
A. I New Residential- Singl~~M'h4i-~i1y pt~~)ing u
"v"e ~ ~,~.'..:.'~
Service Included v ..
""-...... ~~
"J. ~
1000 sq. ft. or less . '0 ". "',~
Each additional 500 sq. ft. or ,-" p
portion thereof
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
,I 601 Amps to 1000 Amps
Phone S'''lI-'11.n 1-12..1./, Over 1000 AmpsNolts
Reconnect Only ~ ~ :C:-
~.~ ~ ,
...... ..~ -(' .....::
c. I Temporary ~~~s_9r~
~ 'lJr:!i ~'d':?~'1f ~
Installationf,\lfil'l-at~&<fu seIO~\~
. ~0~O:<:;q,'X.if
200 Am~r~".;:):<:; ('s"" ill iff . $ 50.00 M,r~./
201 AtliJi~~f!~~(?"g>"" ~O.j' I $ 69.00 ~
401-A'?!;'Mii~Cl9\~ i':'.~cf)' $100.00
,(J'~ ". C <.i C' ,"fo ~
~ ~o~~oQll \!!lT~e "B" above.
~~qfii~-:~ttk' .q,~_&
tq~"'.,;~"0" l-
t:- 1ge~11j;'~n<8f ElXt~')ion Per Panel
'f" ~'1i Ol.':' q, >S' ,,"
~~ ~ir~1F ~ " ~ $ 43.00
~}1~~'8~:~tor with 1%7 $ 3.00 q (0 I v
<::l <.i"~ . ,
E. I Miscc!la~i"eous (Sen'ioe!fe-'<Ier nat included) -Each Inst:db,tle: 1
1. I LOCATION OF INSTALLATION
4-6~S ~lt'> S\:
LEGAL DESCRIPTION nO 'Z. ~ 7- 00 r:o~04-
1=!i{\ AA 1.'001) AS~ , ~n:::{) IA VI N(,
JOB DESCRIPTION. Lf0ft; -S- M/lIf'J 57'
~ k:w '3 - STPP.. 'I ASS c<>\Cb L..)oJ I rJ6.
, F71C-U..' 71
Permits are non-transferable and expire if work IS ,
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRACTOR INSTALLATION ONLY I
Electrical Contraclor 13C/IJl2:.w E-\..f::.c...\"R 112
Address
'3-+0'3.1
~'ic.cf!.... 1<- 't>
City A-l.--'"D ~ l/
.fr
Supervisor License Number 2-D G, 1 _,515 _.:$-
~ ~'
'1()11lo.1y~~"<-~
. "~'.,:<:,- ~
Constr. Contr. Number Ll ~t-:?:t#
'<J ~- ~
Expiration Date ~ 1$1:l;pI0(:'0
S' fS" EC:)j'5:'$2Jv ~ ',..,,~.
Ignature 0 upervl,Smg{ ect[iclan. &
~.~' ~ <.)'0"
~~,~~~~1')~_' ::JJ
1 "'" "~- -<:- ~" v
~.~ ~ '1::).
Owners Name 1~'2..,~~ "'t t2-~..j ~c;..S
,,"'
Address ~ ~~ S Cl:\r..'e~ ~e.r..~",
City $>(ll.l~neL\) Phone 'It..: 1-9Q.1,.o
Expiration Date
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
I uspection Request: 726-3769
BPAINQP1BLD
~~
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B. I Services or Feeders - Installation, Alterations or Relocation: I
5"1'07 qf:::../
BZS. ~ v
, Z.C;. 01'" ~
q
II
I
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
37},!:O'- ./
I
Pump or irtigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. I SUBTOTAL OF ABOVE
I It) O(p/).. D '()
__ '4.J.tj,34
i . /;.0 (p, M:J
llfJ.A~5v-
!tJ
Shared Drive(T:)/Building Forms/Electrical Permit Application 1.03.doc
7% State Surcharge
10% Administrative Fee
TOTAL
.
. CITY OF SPRtl~",t<IELD
'Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
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: Land Use: Retirement Home, Zoning: HDR, 122 Unit assisted living retirement
community. ' Applicant is Sunwest Management
Owner: Terry Travess
Address: 1495 Cheek Street
Springfield OR 97477
Phone Number: (541) 747-9940
I CONTRACTOR INFORMATION I
Contractor
Patrick Bickler
KDA Construction Inc *-
AC & E ELECTRIC ~'V((!. ~
JETHEATlNG1NG~ c...",,'V
'l-' ,--.
JRT MECHA~IQ,ALJ.N(:.",\"<-- 98808
~<<,v~<.(.'i:'Bl:JfLDlNG INFORMATION I
,,<C '\~S ~'" ,0
# of Units: 'X-~<<\)'2t<Q.f # of Stories: ~0'3~~ I&t Size:
Primary Occupancy G. rqul!:\ "::>. ,"SR-J.t' <'. Height of Structure .,\0"" ~ V . ,CS9'Ft Ist Floor:
....- ~"" ",' - ,- ....v. ~' 0" 0'~ .\.
Secondary Occupancy Gronl!:~ SR>2.!...., Type of Heat: n(5:. 0<:$ n.'O,~ I'.:Nnd Floor:
,," ",v' . v <'. v / X' \~ O~ ~~ <J ...
Primary Constr",ctio!l TYl!e.,1,; ('\..vV~llir Water Type: ~~ n. ~ ~ l'l.. C!J Sii'Fl1JJasement:
,- ") .., '" ~ Xv ~~ ~0 ~. \V """,-
Secondary Constrliction;TYl!e:' <'.~ Range Type: o~ _\~ ,.;;) 0 ~0 SqiFt.!;~u,age/Carport
, ." ' ,v V Q) '9" 0' ~ ,~. !) "'"
# of Bedrooms: ~" <:::,~"'" .....co\:, Energy Path:()\ei l> 0'0 >><:$ 0' ,0"SCJ\~Other:
" ~ Sprinkled ~1II1i1\9f: '\'<:' ~o Ijit"> ~0 ~Qi:c,!pant Load:
~ 1,0 1n.(J .t>":!..' t'\ ,.0 ..:. ......\ ..lA,
I DEVELOP.MiN.1).iNEORMA'J]iON-~"'I:' ~~'~"i-;)
". \;., D" ~'O
'f' ~o~ ~v ,$v ~ - ~'<J' ~0Uj,,~
,0.f:fJ QiJ ~ ei 0 ~"
Ove~l;lyu~1: 0-::' ~0 G ~0 ,,,>"
# Strte~~e,.~!I.~ ,0\ ",0\
Paved Dqye ~~d:00\ cl'
% of Lot Cov~a<ge:
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
License
Expiration Date
Phone
(503) 588-7046
(503) 587-8700
3944
05/31/2005
05/04/2007
503-363-2334
360-666-0330
41,013
35,325'
35,114
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
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 t of 20
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion ,
Description
$ Per Sq Ft
or multiplier
$78.50
$1.00
Square Footage
or Bid Amount
111,452.00
800,000.00
Tvpe of Construction
Hm for Elderlv
Pavine
V I-Hour
Use Bid Amount
Total Value of Project
L Fpp< ~
. CITY U1' '::'ndNGFIELD I
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
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
Fee Description Amount Paid Date Paid Receipt Number
Commercial Plan Check $16,000.17 6/24/02 9716
Fire & Life Safety Plan Review $8,668.95 6/24/02 9716
-Mechanical Issuance Fee- $10.00 4/7/04 2200400000000000328
+ 10% Administrative Fee $3,171.59 4/7/04 2200400000000000328
+ 7% State Surcharge $2,775.14 4/7/04 2200400000000000328
Additional Driveway $35.00 4/7/04 2200400000000000328
Address Assignment $8.00 4/7/04 2200400000000000328
Appliance Not Listed $90.00 4/7/04 2200400000000000328
Appliance Vent $24.00 4/7/04 2200400000000000328
Back110w Device $14.00 4/7/04 2200400000000000328
Boiler/Comp 3-15 HP $66.00 4/7/04 2200400000000000328
Building Permit $28,674.90 4/7/04 2200400000000000328
Copy Ist @ 75 cents $9.00 4/7/04 2200400000000000328
Dryer Vent $96.00 4/7/04 2200400000000000328
Exhaust Hoods $18.00 4/7/04 2200400000000000328
Final Site Plan Insp for Occy $11 0.00 4/7/04 2200400000000000328
Fixture $9,142.00 4/7/04 2200400000000000328
Gas Outlets 1-4 $4.00 4/7/04 2200400000000000328
Gas Outlets 4+ $30.00 4/7/04 2200400000000000328
Not Covered Mechanical $135.00 4/7/04 2200400000000000328
Paving $2,840.65 4/7/04 2200400000000000328
Plan Review CommlIndlPublic $2,638.52 4/7/04 2200400000000000328
Plan Review Fire & Life Safety $2,801.01 4/7/04 2200400000000000328
Property Annexed 1979 or Befor $-1,801.22 4/7/04 2200400000000000328
Sanitary Sewer - Ist 50 Feet $45.00 4/7/04 2200400000000000328
Sanitary Sewer Each Addtll00' $126.00 4/7/04 2200400000000000328
Storm Drainage Impervious Area $10,000.00 4/7/04 2200400000000000328
Storm Sewer - Ist 50 Feet $45.00 4/7/04 2200400000000000328
Storm Sewer Each Addti 100' $84.00 4/7/04 2200400000000000328
Vent Fan $978.00 4/7/04 2200400000000000328
Water Line - 1st 50 Feet $45.00 4/7/04 2200400000000000328
Water Line - Each Addt1100' $28.00 4/7/04 2200400000000000328
Willamalane Single Family $1,000.00 4/7/04 2200400000000000328
+ 10% Administrative Fee $606.20 1/19/05 2200500000000000070
+ 7% State Surcharge $424.34 1/19/05 2200500000000000070
Paee 2 of 20
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 ServlFdr 1000 amps/volts
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Perm Serv/Fdr 401 to 600 amps
Temp Power 201 - 400 amps
Total Amount Paid
.
$4,101.00
$375.00
$567.00
$825.00
$125.00
$69.00
1/19/05
1/19/05
1/19/05
1/19/05
1/19/05
1/19/05
$95,004.25
I Plan Reviews I
Pa2e 3 of 20
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
2200500000000000070
2200500000000000070
2200500000000000070
2200500000000000070
2200500000000000070
2200500000000000070
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Eneineerine-CII/P
Eneineerlne-CII/P
.
07124/2002
08/09/2002
Wait PO
Appr PO
Paee 4 of 20
. CITY VI' ~rRI~\.ol'lELD'
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
DATE:
TO:
July 24, 2002
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. There 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 noor
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 renect
the above and resubmit. If you have
any questions, please call me at
541-736-1028.
Pam Ownbey
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Marshal-CIIIP
.
01114/2003
OK
Paee 5 of20
. LU Y OF SPRI~u1<lJj,LD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 0111912005
APPLIED: 06/24/2002
EXPIRES: 07/1912005
VALUE: $ 8,748,982.00
GRG
1. Obtain Knox Box application
from City of Springfield Deputy Fir!
Marshal Gilbert R. Gordon
(541-726-2293). Install Knox box on
right side of main entrance at 8 feet
above finished Door.
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 Door core area of atrium
(Sheet A3.7): Need to place another
2-A:I0-B:C fire extinguisher in the
area of the TV room, game room,
and therapy room to bring travel
distance to within 75 feet to nearest
extinguisher per NFPA 10.
4. Extinguisher for the kitchen
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 exhaust 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 how this
requirement will be met. (OSSC
905.7.6)
8. Provide listed Fire Fighter
Control Panel meeting requirements
of OSSC 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 6 of20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06124/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
and methods to be employed prior tc
acceptance testing of the smoke
control system by the required
special inspector or special
inspection agency for approval by
tbe 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 he
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-ClI/P
Plannine-CIIIP
Revised Plan Review - Fir
Revised Plan Review - Str
01/10/2003
01/10/2003
Revised Plan Review - Str
11/21/2002
Revised Plans Received/Ro
Structural Review
02/17/2003
Structural Review
12/16/2002
StructuraJ-CII/P
06/26/2002
06/26/2002
01/15/2003
01/2112003
01/1012003
02/12/2003
12/16/2002
08/05/2002
Appr
Appr
APP
WE
APP
APP
WE
Wait
Paee 70f20
. CITY OF SPRIr'iul'lELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/1912005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
16. The emergency generator shall
be installed and tested in accordance
with NFPA 110. Testing
documentation shall conform to
NFP A 11 0 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.
LH
LM
GRG
Review not required of this revision
Fed Ex'd to Tom Rogers 1/1312003.
This submittal included response to
Tom Rogers letter dated December
16,2002; Structural plan review
response from Nicoli Engineering;
and Revised Drawing Sheets S1.13,
SI.14, SI.15
Fed Ex'd 11/22/2002 - Ih. Tom
Rogers spoke with Alan at Nicoli
Engineering and Alan is working on
c1airifying some questions Tom has
on the resubmittaI.
TR
LLH
TR
See "Case Notes" regarding energy
code requirements for this building
complex. dim
See Attached Documents for Plan
Review Letter. Faxed letter to
Patrick Bickler 12/16/02
Fed Ex'd 6/26/02.
TR
TR
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 8 of 20
. CITY OF SPRIN\.>t<lJi.,LD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/2412002
EXPIRES: 07/19/2005
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 the dry storage and
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 lighting and
emergency lighting muyst have an
auxiliary power supply that will
maintain power for a period of 8
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 detail3/A8.6 is
3'111/2" 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 9 of 20
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06124/2002
EXPIRES: 07/19/2005
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. II) 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
S1.10A 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-II
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 10 of20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
show 500 plf snow 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 3-1/8xl6-1/2. Beam
RB-l in the schedule on sheet S1.10
is specified as a 3-1/8x10-1/2 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-l
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-1. 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 V4. 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 fOI
members at the exterior of the
Status
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541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 11 of 20
. CITY 01' ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/1912005
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 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 2.6
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
S1.4 shows column type C-12 at grid
20-E.l, sheet SI.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 of the
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 S1.1
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541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 12 of20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
sreferences detail S9/2.1 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 1/2" .
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 anchon. 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/S-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
Status
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541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. Paee 13 of 20
. \.-11 f OF ~rKll~h1<l~LJJ
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
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 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 tbe
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 LETTER FOR CODE
REFERENCE AND ACTUAL
LETTER. 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
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541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 14 of 20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/1912005
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 detail3/A8.6 is
3'11 112" 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 the letter
designations switched. Please
clairfy. 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
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541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 15 of 20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
header at the mechanical well.
Header H-l at grid 21 H on sheet
S1.10A 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. Tbis apparently not
the header at grid 23E on sheet
SI.10A. 3) Please clarify where the
headers on calculations sheets h-ll
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 .
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 3-1/8x16-112. Beam
RB-l in the schedule on sheet S1.10
is specified as a 3-1/8x10-1/2 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
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Paee 16 of 20
. CITY OF SrKuiGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01/1912005
APPLIED: 06/2412002
EXPIRES: 07/19/2005
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 for
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 Door bearing walls evaluate 2x6
studs 12" oc. WalI W2 on sheet A8.!
specifies studs 16" oc. Proivde
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
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 17 of20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
S1.4 shows column type C-12 at grid
20-E.l, sheet SI.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 of the
steel column at the porte cochere
relates to the aIteral point load. The
bending stress and deflection shown
in the analysis do not appear
consistent with results form a single
point load. 25) Sheet S1.1
sreferences detail S9/2.1 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 1/2"
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 7/8" 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 2-1/2" 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
541-726-3769 Inspection Line
.
Paee 18 of 20
. CITY OF .,r1Ul'~GFIELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/1912005
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/S-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
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 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 LETTER FOR CODE
REFERENCE AND ACTUAL
LETTER. INFORMATION
TYPED ABOV E IS FOR QUICK
. CITY UJ< I:lrKll'iuJ<1ELD
Building/Combination Permit
PERMIT NO: 02-00757-01
ISSUED: 01119/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
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
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 BTUlhr 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 7/9102.
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-iliw&,irprI Tn<n~
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.
BackfIow 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
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.
UnderfIoor 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
Paee 19 of 20
.
. Lit 1" OF ~t'lUl'lGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: 02-00757-01
ISSUED: 01/19/2005
APPLIED: 06/24/2002
EXPIRES: 07/19/2005
VALUE: $ 8,748,982.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 instailing 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 SheathingiNailing: 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 Inspector.
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.
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 ex"amined 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 20 of 20
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
02-00757-01
02-00757-01
02-00757-01
02-00757-01
02-00757-01
02-00757-01
02-00757-01
02-00757-01
Payments:
Type of Payment
Check
1/19/2005
RECEIPT #:
.}~~~~ t4
Ua...
...... i
IfIity of Springfield Official Receipt
.velopment Services Department
Puhlic Works Department
2200500000000000070
Date: 01/19/2005
Description
Temp Power 20 I - 400 amps
Penn ServlFdr 200 amps or less
Penn ServlFdr 201 to 400 amps
Penn ServlFdr 401 to 600 amps
Penn ServlFdr 1000 amps/volts
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BENTON ELECTRIC, INe.
Item Total:
Check Number AuthoriZation
Received By Batch Number Number How Received
jmp 82096 In Person
Payment Total:
Page I of 1
2:39:51PM
Amount Due
69.00
567.00
825.00
125.00
375.00
4,101.00
424.34
606.20
$7,092.54
Amouut Paid
$7,092.54
$7,092.54