HomeMy WebLinkAboutPermit Electrical 2009-10-9
225 Fifth Streett Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
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I Date. /0 - 9 - 0 ? I
tfectrical Permit Application
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eICl~VO.F' SPRINGFIELD, OREGON
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days ofissuance or if work is suspended for 180 days. .
1~~~tO~CAL"{G9YERNMENT;{"AI;!I;!RbVAIt~~~1 1(~y~~F;EEYSCHEDUl!E'1i'''~~M~~1J!1
I Zoning approval verificd? DYes D No 1 1~~~?&'~f~=r.~~~IQ?Y11~~S'Q"t'~IIT"t.~1
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1~~~CATEG~ORY,iOFACONS.IRUClIPN~~~ I Residential, per unit, service included: I
~ 0 Residential I 0 Governmcnt tI Commercial I I
1,000 sq. ft. or lcss (4) $134.00 $ I
~J.oB~SIJ:E~INEORMMIONWAND~ ' ,'CATfoN~~;'~
I I A I. I I Each additional 500 sq. ft. or portion $ 25.00 $ I'
. Job sitc address. - , liJ lUtUIf thereof
City:,. . ,State:Oe.. ZIP: q 117 ~ 1 Limited cnergy (2) $ 32.00 S I
Refere ,€ O;J I ~'fV I Taxlot.:O /t 0 { , 1 Each manufacturcd home or modular
;~~DEStRIP';T10N!i;OFliWORK~Ji't1&'[~ dwelling service or feeder (2) $ 53.00' $
1:~l~~:?NE~:::~1iJ I ~:~:::;:::?:e;:f installation, alteration, relo:t::n:: :
I Name. ~(-fr:::A-t.-77.f I I 401 to 600 amps (2) $158.00 $
I Addrcss: I I 601 to 1,000 amps (2) $205.00 $
I City: State: 1 ZIP: 1 lOve; 1,900 amps or volts (2) $459.00 $
I Phone: I Fax: I 1 Reco~oeet o~ly-(2) -: m 1'- - $ 63.00 . S
I E-mail: I 11_ t,ern!~,-ra?-;~~~!CeS o-r'~;'~~~~:,~~t~:~;'i~~ alt~~dtion: ;el;'~ation
This installation is being made on residential or fann property ~QO.~~ps 9f 19S5 (2) , .'..,. $ 63.00 . $
owned by me or a member afmy immediate family. This I 201 to 400 aif1ps (2) . . $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). 1 401 to 600 all1ps (2)$126.00 $:.
Signature: lOver 600 am~s or- 1,000 volts, see services or fceders section above
~,[C~ONTFtll;CTOR'~INSTAi!I!ATION~~;2~1 1 Branch circuits: nf'v, alteration. extension per panel
Business name: I1Pt ICllefrvnic..s .I/ll _ a-('tiJv1 I I a. ~ec fo~ bra~c~ ci~cuits with purchase ofa service or fceder fee:
Address: 2.5'117 svJ CtlmIVYI t'ree1. /21. v Ji~ I I" .E~eb, branch circuit 1 $ 6.00 1$
City: wil.~~.a/;:> I State: 0,( I ZIP: 0, 1tJ 70 I ~it~f,:.o:.~~~e~ circuits without purchase of a service or fecderfee:
Pbone: '3D3, tJJ2- qCjOD 1 Fax: '50~ ,(,'62 -7500 f--t'if$Tb.("neb'c;rcu;t (2) I I $ 55.00 I $
I E.mail: r{JJ)(..arJt1l'~fh @rC.5S. fA s I I ~"~Sh',~.d~!tional brancb circuit S 6.00 S
I eCB license no.: t 7 JLl7 I BCD license no.: 34-/14l"L--f" ~.S~~l~~~~~us ~~t;s: service or feeder not included
I Signing supervisor's license no.: q i 2.J"L[:;" I I Eafh:purnp'or irrigation circle (2) $ 63,00
I Print name of signing supervisor: J)Ea./) I<ee ~ I I Each sign ()r o.u!line lighting (2) $ 63.00
I Signature of signing supervisor ~ J ~ C-t-- I I Signal, circuit or a Ii~ited-encrgy panel, $ 63.00
. ___ alteration. or extensIOn (2)
! Each additio~al ins~ection: (1) I I. $58.00 I $ I
1~~~""mijl![JCANT:iQSE'\...~?(:~~
I(A} ~nt,:sub:6,t~?!abov:f:~._" .1, ,~.$I.'J../.
(Min~mu~ Permit Fee $58.00) .. ~. . to"J
liB)Emer I2%-sUrcha~ge (.IZ-x[A]);'I- $/.Sb 1
nC)TcCilnologyF~~'(5o/; of[Aj)- '. -:-.- I $. 3./5 I
1 TOTAi~ fees ~ndsu;ch"rg~;'(A'thro~gh C): $"1~.1/1
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CITY OF SPRINGFIELD
Building/Combination Permit
Status In Review
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. 225 Fifth Street; Springfield; OR,},,";,;:;,!:,
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. 541-726-3753 Phonep':."'.-,' """:"",,., "(,,'i""
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: 541 726 367' 6 F:' ","'~n;.:(:j' -:ci ,. -; ';\.
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:, 541-726-37~9 In'sp~Ctiol1 Line '
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PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/26/2009
04/12/2010
$ 1,300,000,00
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SITE ADDRESS: .' 123 INTERNATIONAL WAY.
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ASSESSOR'S PARCELNO.: 1703154001101
Springfield TYPE OF WORK: Interior
.' ,'. . ~.;i,.. ,,) : TYPE OF USE: Remodel
PROJECT DESCRIPTION,)Da'ta'.'Center/Storage Remodel; Original Building Designed Per 1994 UBC
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Commercial
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.: Owner: PEACEHEALTH.
if+ddress:',:\Pn~NIJ<;~A TIONA~ WAY
.... " : SPRINGFIEL.D:"OI{'97477' .
ICONTRA,CTOR ,INFORMATION ~
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Contractor l)'J>,~,::~;;~Co~tr~,c~~r .
General. " ~~~4,1H~~'.DATASP~CIALTlES INC
,. Electrical .' ..ii,!' l' h OLSSON INDUSTRIAL ELECTRIC
" Fire Contr~cto;I": it :i, HARVEY & PRICE CO
,I Low Voltage EIJCihcal,~,..RFI ELECTRONICS INC OREGON
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License Expi~ation Date Phone
714-523-8489
63473 01126/2011 541-747-8460
77 10/31120 I 0 541-746-1621
67147 07107/2010 408-298,5400
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BUILDING INFORMATION I
# of Units: . 11' U
,Primary OccuP~'?'~y",~~o~P:;;",,;~:~;:B : :.
Secondary Occupancy Group: '--'c. ;'1;: SI
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Primary Construction, Type .' llB
, "..
" Secondary Coristruction Type:
'I 0 :!t ~ . 'I '..
, # ofBedrooms:,f.'!:c "'c-!", ,,"
o " . h .~\ .:1',: "'I'''r:\::.~ ..."" I ..... ,'.0
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Yes
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Frontyard etb~.c1~, ~:' W"~ ,,'.' ~l~l ;.'!
1 S b k .'.."......~, .-"- ,.,,"r., '..
Side et ac :~:" 1 .W>'. ..' >" ..., lo,
Side 2 Setback:'S' '1 r '.'
. Rearyard Setba~k: ." ",
Solar Setba.cks:-~p;.fhJr ~~l'! ;;''1; ;.. 'G~ ::
. . 0 . .... .0
I DEVELOPMENT INFORMATION I
u
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
. I PU~LIC IMPROVEMENTS I
Street Improvements: '. ':: u Sidewalk Type: \ w requires you to
. Storm Sewer A~~i1able:i~~. ,,~:.~.;;r;!J;;L:~' . i' ATT'ImJ2Np~~~7a~;;n:: the Oregon UttfiolitrYth
. ;, ,,,,,,ii'-:'::" ""'".. ' follow ,\I'''' ~"'" . rulesarese
SpeCial Instrucl1on: " .': " " N t'f' t'Jon Center. Those ^R 952-001-
r'Ir'lTHlI=" . O/Ica 10 through 0....
,'('..!, -',.._ ~." I ~ DIRf( Ie Jf:lF WORI( in OAR 952,001-00 . of the rules by
Notes: No f~a.,!ge\iIi)9ccupancy.LNo\(new SDC charges'ONi> worksheet attaclied, You may obtain cOPlesh t lephone
,., : 'ArJfH'd~i!1:D,U\~O,~~ THIS PERMI\~~N I uU~~II\ng the center. (~~t~ii:it; Neotilication
CNflM~NCED OR'IS H'lBANDONED number tor the. OI~~00'332-2344),
ANY 180 DAY PERIOD, ,> ,. Center IS 1
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" 225 Fifth StreeiL1ipringfield, OR
\ 5,41-726-3753 Ph'ol)e\;.:;~.;... ..'~..,
: '5'41 726 3676 Fa"'x'Y'!!""";;:s '...,.:':.... N~ ,',
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541-726-3769 Inspec'jion' Lin'e '\. ":'(;i''g' .:
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Description '.1; :Tvpe of Construction
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Structural Review
SUB Review
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CITY OF SPRINGFIELD
I
Building/Combination Permit
PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
: I Valulltion Descriution I
, II ,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
1,300,000,00
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Fee DescriptIOn, i: '~"l.,r'::i ' "
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Plan Review CommllndlPublic
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;1 'nt'l;%~ Sta~e s~t5~.~rg~E~ ":" io" ,;
+ 5 X:. Technology Fee :':,",:--.. . .J:~'9'l'!I~"~
Add, Alter, Extend Circ ,." "
Refund - Electrical
Refund - Surcharge
+ 12% State Surcharge :.' ~,.
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+ 50/0 TechnologyFee,~b~ '--i-:-;~ :"-1::1 l!i"
Traffic SignaJ'-:P~n'~i'?~;"" '. I:
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TotalAmoUlit Paid
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09/0112009
10/0512009.)
09/03/2009
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08/28/2009 09/01/2009 APP LLH
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09/0112009 09/0112009 APP EW
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Total Value of Project
Date Paid
$3,635.29
$6.96
$2.90
$58.00
$-46.40
,) $-5.57
$7.56
$3.15
$63.00
8/26/09
9/8/09
9/8/09
9/8/09
9/11/09
9/11/09
10/12/09
10/12/09
10/12/09
$3,724.89
I Plan Reviews I
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08/26/2009
04112/2010
$ 1,300,000.00
Value
Date Calculated
$1,300,000,00
$1,300,000,00
08/26/2009
Receipt Number
1200900000000000990
1200900000000001034
1200900000000001034
1200900000000001034
154008
]54008
2200900000000001169
2200900000000001169
2200900000000001169
Harvey and Price. Modify
Sprinkler System
Amy Chinitz with SUB Water
Quality Protection requested
additional information on the chiller
from Scoll Koons (contractor) on
8/26/09. Called with 2nd request on
9/6/09, LM
Plans and energy forms set to
SUB/IIh
Plans not submitted in sets,
Charged for extra staff time to
compile
No change in occupancy. No new
SDC charges. No SDC worksheet is
attached.
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541-726-3753 P~one" '.i'" '>\''''[;)-4
541-726-3676 Fax. ,. .;
541-726-3769 Inspection Line ".
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09/0912009
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CITY OF :'In{Jl~l'''' u.LD
Building/Combination Permit
PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
APP EMM
APP
10
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10
APP
WE
APP
LLH
KLK
GRG
KLK
KLK
KLK
LLH
KLK
GRG
08/26/2009
04/12/2010
$ 1,300,000.00
Amy Ok'd approval no DWP
changes required after conference
call discussing material and design
of chiller. See reference to noise
standard for CI performance
standard on plan.
Harvey and Price - Modify
Sprinkler System
Starting 1st Review,
Waiting on missing pages. See
attached document for Fire
Department Plans Review
comments.
Completed 1st Plan Review
Received Correction Submittal
Received Correction Submittal
Revised drawings, Forwarded to
kip kaufman
Provide: I) Product Cut-Sheets for
Fire/ Smoke Dampers, 2)
Mechanical Value ($) for calculating
mechanical permit fee,
Revised Plans Review: Conversion
of two hazardous materials rooms to
IT rooms, Job #COM2009-01260.
Occupancy Classification: to be
determined, Construction Type:
II-B sprinklered. Area of work:
3,000 sq. ft, out of a total building
size of331,546 sq, ft. Plans reviewed
under the 2007 Springfield Fire
Code and 2007 Oregon Structural
Specialty Code.
See revisions added to' the original
plans review dated 9/17/09 in
FMOBIS,
To Request a!l in~p~ction ca!I the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m, will be n}ad~ the same wo'rking day, inspections requested after 7:00 a.m. will be made the following
work day. . ':i:. \. 00
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
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PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/26/2009
04/] 2/20] 0
$ ] ,300,000.00
.,
225 Fifth Street, Springfield, OR'
541-726-3753 P~one ". . ?,\!~:> " ..
541-726-3676 Fa~" .:~'';:;~~~'., .;j_~:~ni\;~;l\~;'i{ ". "
. 541-726-3769 1I{~\ie'~tjon:Liii~;"""':'@'\' ,':
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Rough Electric: Prior to Cover:,., "
R~(]uired Insnections I
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Final Electric: When all electrical w.ork is complete.
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Fire Department,Clean AgeiiiSysiem: Coordinate inspection with City Fire Marshal's Office
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Fire n.ep~i1,m.~~tSprinkle,"'System: Prior to cover, Hydro pressure test, fire line flow test.
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Fire Department Alarm System: Fire Departmcnt Alarm System Acceptance Inspection. This inspection must be
requested' and approved prior to requesting any occupancy approval.
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Post and Beam: 'Prior to floor insulation or decking',
Framing Inspection: Prior to cover,and after all rough in inspections have been approved.
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Firewall:, Located and const~!Icted according to plans.
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Masonry'q~1"~I~ ;;~;:: .~~, .....!:~ i'':'" :
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Final Fire Dep;rtment. After all requirements of the Fire Department have been met.
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Finai BuUding:After all required inspections have been requestcd and approved and the building is complete,
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Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection,
,
Underfloor Mecbanical. Priorlo insulation or decking and including required testing.
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Rougb Mecbanical: Prior to. Cover
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Final Me,cha'!,ipal: When ~U mechanical work is complete,
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Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
CityIBuilding:lnspector. '
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Epoxy Arichors:. To be done by Certified Spcial Inspector. Provide Inspection rcsults to City Building Inspector.
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Ceiling Grid: After drywall approval but prior to cover.
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By signature, I state and agree, t~at,I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certifv that any and all work performed shall be done in accordance with
,\,. 1;1. - . " .
the Ordinances !If th~ 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.
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. I further certifYlf~.M:o~l~ contra~to~s 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 thc
street, that the permit card is located at the front of the propeny, and the approved set of plans will remain on the site at all
times during construction.
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225 Fifth Street'( :~ 0{ ,
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Springfield, ,Oregon;9'Z477.
54i:726-3759 PIit;iib'}?t'f~~;'t;i
RECEIPT. #:
Job/Journal Number .;; ;De'scr.iptio'n, ':'::}~~:/&';.":'</';
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COM2009.0 12~0:: i\1i:F';(n~f!ic ~igi1abiPanel
COM2009-0 1260. :Y" ,:J:':l+;;,50/o'Technology Fe,e
C0M2009-01260..i';':j::{.+.12% State ;>urcharge
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Payments:
Type of Payment
CreditCard
Paid By
ROXANNE E. MARTIN.
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Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: ] 0/12/2009
Item Total:
Authorization
Number How Received
21270 Phone
Payment Total:
10:08:06AM
Amount Due
63.00
3,15
7.56
$73,71
Amount Paid
$73.71
$73,71
10112/2009