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Home My WebLink AboutPermit Electrical 2009-9-30 .city of Springfield; Electrical Anthorization To Begin Work E-mailed.To:.chris@ahstractelectric.net Check on status of permit By Pbone: 541-726.3753 or Email: pemlitcenter@ci.springficld.or.us I: D New constru~'~9n . .<;:': 0 ~,AdditionJa1lerationlreplacement IDJO,2f=iJYdwt.:; DMllti-r=ilY 0commm',J DAOC"'''Y Ir;::::=::~JOa:s'TE!IN?ORMATiONlAN[):~Oi:ATiON~;'{~$:',3;21 I City/State/ZIP: SPRINGFIELD, OR 97477 I Suite/bldg./apl.no.: I Project N~mc: FMC Springfi.~ld I Cr<JSs StreetJdjredinns II} job site; Fromtionee.r 51 E; turn right onlO Q 51. Tax map/parcel no.: !lle:> '1A:- 0 \..\.oC> U Wire new"dialysis clinic including feeders,!pbone aiJd tv system, and F A syst~m, Name: Pat Delorme Phone: 541-306-7885 Fax: Emai!: wirenut@bendbroadband.com I Elee lie. no.: C468 CeB lie. no.: ]85478 I Business Name: ABSTRAcr ELEcrRlC LtC I Contact: ,: j Address:'p 0 Box 735 City/StatdZIP: SHELTON, WA 98584 ;, Phone: 360-426-8725 ,I<ax: 360-426-9394 Email: Metro Ii~~ no.: City lie. no.: Supervising Electrici~'J!,I"iep~l.!:: t:. 4~-46S I SupervisingElectrici~:s~~ini:;T:;Pftaf7R~~p~I'l".1 l rvnlDC It: Tl-1J: \MnRK . . I "',) I: 1':1'1" .v'" ,...... _." ..._ d Nurnberafmspecti(m~jnduacillDpa'iI.:Jen'lt:e:J:. THIS PERMIT IS NOT R"id"ti,lSmi," AUn~JRIZED UNDER RecOM,"O"Jy' COM!I~ENCE, D OR IS ABANDONED FOR All Other Services: '2 ^ "'." ... nn l"\'^V rColnn 'i 1I1~1 IV.... ....", . -.,.--. Upon review and approval by your 10l;:al jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedute your inspection. Pl~ase check alllhat apply: DAserviceorfeedcrbeginningar400 Amps where the availablefaull currenlexceeds 10,000 Amps al 150 Volts or less to ground exceeds J4,OOO Amps for all other installations o Fif<:pumps o Emergency systems DAddirionofanewmotorloadof 100 HP or more DSixormoreresidenlialunitsinone structure o Heahh care facilities 69600- BE L-09-00 t6t 9/30/2009 10022 am ApprovalCude:438781 DHa.zardouslocations DAsel'\liceorfeederraledal600 amps or more OBuildin!:5rnorethanthree:stories DMarina:sand boalyard:s DFloatingbuildings DComniercial.useagr;cuhuraJ buildings Dlnstallalionofal50KVAorlarger scperalelydenveds}'s O"A"."E".or"I-2"or"I-3" .DRecreationalV"hicleParks DSuI'PJ}'vDllagefwmwetllan6DD :;upplyv{)ltsnominal I Description Stand-a/alle limited energy, cammercilll Services 200 amps or less !Servil;eslOll0400llmps 1 SCl!'ices 401 10 599 amps $81.00 S95.00 2 $]58.00 $95.00 $316.00 Tcmpserviccs200llmpsor]ess $63.00 Branch circuits with service or feeder ~ach circuit $768.00 Subtotal State surcharge (12% of penn it total) 'I\ichno]cigy fee (5% of penn it total) TOTAL PERMIT FEE $1,497.00 $179.641 $74.851 $1,751.49 tCl - B-ll ~e. q /2:0lcF1 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility . ~tifiCation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- ~ 0090. You may obtain copies,of the rules by \. calling the center. (Note:the telephone N01E:This Authorization To Begin Work expires within 180 days if a permit is ... CJ.-1 . number for the Oregon UtIlity Notification not obtained. f\.ryty\f)' Center is 1-800-332_~~~444t;~~'..[>" The local building department may determine that'sn Authorization To Begin \.:..- ~ V" "' Work is null and voi.d if It does not meet applicable land use laws and local ordinances . ~& This Authoriza~ion'To Begin Work must be posted at the job site until replaced by a Permit Ul i' OF ISYKll'olGFIELD Building/Combination Permit PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 EXPIRES: 03/30/2010 VALUE: $ 2,069,800.00 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 304 Q ST ASSESSOR'S PARCEL NO.: 1703262401600 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New PROJECT DESCRIPTION: New Building for Springfield Dialysis, LLC Owner: SPRINGFIELD DIALYSIS LLC Address: 3355 RIVER BEND DR STE 200 SPRINGFIELD OR 97477 Contractor Type Architect General Electrical' Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor License CIIRISTOPHERKIDD AND ASSOCIATES, L NHB, INC ABSTRACT ELECTRIC LLC 185478 CHAMBERS PLUMBING AND HEATING, IN TRI-COUNTY PLUMBING CONTRACTORS, BUILDING INFORMATION I # of Units: Primary Occupancy Group; Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms:' . ' B SI VB # of Stories: 1 Height of Structure Type of Heat: Forced Air Gas Water Type: Gas Range Type: Energy Path: Sprinkled Building: Yes I DEVELOPMENT INFORMATION I Commercial Phone Number: (541) 485-6478 Expiration Date Phone (262) 901-0505 541-258-3973 02/12/20 II 360-426-9394 541-269-7137 541-888-9457 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 43,996 10,349 REQUIRED PARKING Frontyard seiMi'Ck':CE: Overl\!y')list: Total: Side 1 SetbacI,<HIS PERMIT SHALL EXPIRE IF THi ~'.Qe'{'fJ'ees Rqd: Handicapped: Side 2 SetbacAUTHORIZED UNDER THIS PERMITPbfi,.w:urive Rqd: ATTENTION: Oregonaompac~:ires you to Rearyard Setet'WI:MENCED OR IS ABANDONED I%lllf Lot Coverage: foUow rules adopted by Ihe Oregon Utility Solar SetbackS:"y 180 DAY PERIOD . !'Iotlflcatlon Center. Those rules are set forth AI',!. In C1AI1. Q~?_nn1_nIl1 (l +h.......,"'.h r\^"" "'r"1"l. "....1 I PUBLIC IMPROVEMENTS fOgO. You may obtain copies ofthe-r~le~\y caUi~g the center, (Note: the telephone nurr~!!~w.~IIg,1iYefbgon Utility Notification Do~Gl/JIf& &In r~im:332-2344). Street Improvements: , Storm Sewer Available: Special Instruction: . Notes: Pa2e I of 6 Status Issued 225 Fifth Street, 'Springfield, OR 541-726'3753 Phone 541-726,3676 Fax 541-726f3769 Inspection Line .;. Description i.e.; Type of Construction Busin'ess Estimate Mechanical CII B VB Business i Estim",~e Use Bid Amount .~l Fee Description Plan Review CommllndlPuhlic Plan Review Fire & Life Safety Mountaingate Impervions 'Area , Plan Review/Com,Ind,Pub Hourly Reversal - Plan Review/Com,lnd Reversal - Sanitary Sewer - 1m Reversal- Sanitary,Sewer J Re Reversal- SDC MWMC Administr Reversal - SDC MWMC Improvem Reversal - SDC MWMC Reimhurse , Reversal - SDC Sanitary/Storm Reversal - SDC Transpo Improve . Reversal - SDC Transpo Reimbur Reversal - SDC Transportation Reversal - Storm Drainagelmpe Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer - Reimburs'ement SDC MWMC Administrati,on SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC MWMC Reimbursement SDC S~nitary/Storm Admin SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpo Reimhursement SDC Transportation Admin SDC Transportation Admin Storm Drainage Impervious Area Storm Drainage Impervious Area CITY OF SPRINGFIELD - Building/Combination' Permit PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 EXPIRES: 03/3012010 VALUE: $ 2,069,800.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $104.20 $1.00 $1.00 Square Footage or Bid Amount 10,349.00 2,069,800.00 77,000.00 Value Date Calculated $1,078,365,80 $2,069,800.00 $77,000.00 $3,225,165.80 06/11/2009 06/11/2009 07/30/2009 Total Value of Project Fee~ Paid I Amount Paid $5,672.32 $3,490.66 $829.96 $58.00 $-58.00 $-631.10 $-829.96 $-10.00 $-6,114.13 . $-593.13 $-903.04 $-49,694.58 $-13,634.67 $-3,432.37 $-15,200.65 $631.10 $631.10 $829.96 $10.00 $10.00 $6,114.13 $6,114.13 $593.13 ' $593.13 $903.04 $903.04 $49,694.58 $49,694.58 $13,634.67 $13,634.67 $3,432.37 $3,432.37 $15,200.65 $15,200.65 Date Paid Receipt Numher 6/16/09 6/16/09 7/20/09 7/20/09 . 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 7/20/09 3200900000000000460 3200900000000000460 2200900000000000822 2200900000000000820 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000821 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 . 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 2200900000000000820 2200900000000000822 Pace 2 of 6 CITY OF SPRINGt<1J<,LD Building/Combination Permit . Status Issued '. PERMIT NO: COM2009-00847 225 Fifth Street, Springfield, OR ISSUED: 08/18/2009 541-726-3753 Phone APPLIED: 06/1112009 541-726-3676 Fax EXPIRES: 03/30/2010 541-726"3769 Inspection Lin~ VALUE: $ 2,069,800.00 + 12% State Sn"rcharge $1,287.53 8/18/09 3200900000000000591 + 5% Technology Fee $536.47 8/18109 3200900000000000591 Backflow Device $76.00 8/18/09 3200900000000000591 Bnilding Permit $8,726.65 8/18/09 3200900000000000591 Fire SF Fee - Non-Residential $1,034.90 8/18/09 3200900000000000591 Fixture $855.00 8/18/09 3200900000000000591 Mechanical-Value $596.74 8/18/09 3200900000000000591 Sanitary Sewer - 1st 100 Feet $76.00 8/18/09 3200900000000000591 Sanitary Sewer Each Addtll 00' $57.00 8/18/09 3200900000000000591 Storm Sewer - 1st 100' $76.00 8/18/09 3200900000000000591 Storm Sewer Each Addtll 00' $152.00 8/18/09 3200900000000000591 Water Line - 1st 100' $76.00 8/18/09 3200900000000000591 Water Line - Each AddtllOO' $38.00 8/18/09 3200900000000000591 + 5% Technology Fee $16.27 8/27/09 3200900000000000609 Curbcut Permit $88.00 8/27/09 3200900000000000609 Encroachment Permit $139.50 8/2 7/09 3200900000000000609 Sidewalk Permit $88.00 8/27/09 3200900000000000609 Sidewalk Permit + Addtl Sq Ftg $10.00 8/27/09 3200900000000000609 + 12% State Surcharge $179.64 9/30/09 3200900000000000683 + 5% Technology Fee . $74.85 9/30/09 3200900000000000683 Add, Alter, Extend Circ Ea Add $768.00 9/30/09 3200900000000000683 Low Voltage - Commercial Indus $174.00 9/30/09 3200900000000000683 Perm ServlFdr 200 amps or less $81.00 9/30109 3200900000000000683 Perm Serv/Fdr 201 to 400 amps $95.00 9/30/09 3200900000000000683 Perm ServlFdr 401 to 600 amps $316.00 9/30/09 3200900000000000683 Temp Power 200 amps or less $63.00 9/30/09 3200900000000000683 Total Amount Paid $ 115,888.16 Plannine: Review Structural Review Initial Review . Fire Department Review Structural Review SUB Review 06/17/2009 Plan Reviews I WI Final Site Plan submitted 6/15/09. Waiting for Mark's review and signed Development Agreement, DWP application. 06/17/2009 06/17/2009 06/17/2009 APP LLH Okay to keep 304 Q Street as address 06/17/2009 06/25/2009 APP GRG See attached document for Fire Department Plans Review comments. 07/01/2009 07/01/2009 WE KLK First Plan Review Completed. See review letter in documents. 06/17/2009 " 07/09/2009 APP JF See attached documents for energy code plan review approval. . Paee 3 of 6 CITY OF SPRINljl'lELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00847 ISSUED: 08/]8/2009 APPLIED: 06/]1/2009 EXPIRES: 03/30120]0 VALUE: $ 2,069,800.00 225 Fifth Street, Springfield, OR'. ~, 541-726-3753 Phone. ' 541-726~3676 Fax 541-726,3769 In,~pection Line To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ' Encroachment: I " 11 Afte,~ item(s) havebeen removed to inspect condition of public right of way. Rellllired Insnection~ I Curbcut - Standard::: After forms are erected but prior to placement of concrete. , Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing'and/or foundation inspection. " r Footing: ,After trenc~es are excavated. 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 co~crete. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. " Ii Framing Inspection: j: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roof Sheathing Drywall: Prior to taping. Firewall: Located and constructed according to plans. Masonry: Roof SheathingIN ailing: Before covering sheathing with finish material. Ceiling Grid: After drywall approval but prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, lire 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. Final Fire Departmellt. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and inclnding required testing. Pa!!e 5 of 6 CITY VI< ~rKll"ilJl1lELD Building/Combination Permit . Status Issued PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 EXPIRES: 03/30(2010 VALUE: $ 2,069,800.00 225 Fifth Street; Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line Underground Plumbing: Prior to filling the trench and including required testing. U nderfloor Drain: Prior to ~over or placement of concrete. ~ ' Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. " . I " 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. Underfloor Gas: After line is installed and required testing and capped if not attached tn an appliance., , Rougb Gas; After liIle is installed and required testing and capped if not attached to an appliance. , ;,. I, Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing, presure fest 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. Rough Electric: Prior to Cover Final Electric: Wheri all electrical work 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 ~nd correct, and I further certify that any and all work performed shall he done in accordance with the Ord,inances 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 structnre withont permission of the Community Services Division, Bnilding 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 tha:f 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 ofthe property, and the approved set of plans will remain on the site at all times during co~struction. Owner or Contractors Sign~t~re Date " Page 6 of6 225 Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone ' Job/Journal 'Number .' COM2009-00847 COM2009-00847 COM2009-00847 COM2009-00847 COM2009-00847 COM2009-00847 .: COM2009-00847 COM2009-00847.. Payments: Type of Pay!"ent ONLINE CHGS cReceintl . REe:EIPT #: 3200900000000000683 . Desc~iptiJn Temp Power 200 amps or less Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 20 I to 400 amps Perm Serv/Fdr 401 to 600 amps . Add, Alter, Extend Circ Ea Add .- Low V tiltage - Comrnerciallndus . + 5% ~echnoiogy Fee j+ 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/30/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ., KR Page I of I ONLINE ABSTRACT Online ELECTRIC Payment Total: IO:38:18AM Amount Due 63.00 81.00 95.00 . 316.00 768.00 ]74.00 74.85 179.64 $1,751.49 Amount Paid $J,75J.49 $1,751.49 9/30/2009