HomeMy WebLinkAboutPermit Electrical 2009-10-9 (2)
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l....u....- COM Z()() 9- 0/ ZbO
-.... _ Penmt no.:
I Date: /0 - 9 - C> ?
225 Fifth Street+Springfield, OR 97477.PH(541)726-3753+FAX(541)726-3689
This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permitsexpi~e if work is not started within 180
days of issuance or if work is suspended for 180 days. '
~~~lliIll!:otAE1\GO'ilERNMEN;JW?APPRo'ilAIl"~\1i1q','["ri!1\'l<jl '~L~~\~~~k'flr~EEE~(SCHE[),UtE~'ll~rt~~i1'f~~~
ci~~:;appro~alve~fiecl? []~e~ '" . []N~~"'-~""'I ~~I!!~~'I~!!!!!!~li~12!11~~tll/i~~~1
~:=~:~1~IAmEG~rg~~~~~;~:~;tR!1CIIO~~=~~:7?~~11 Residential, per unit, semee included:
~~~~i~iJ<>~l'SIl;E~'N~ORI\lIATIONiiiAN[ji~AJ:I()N~;!1t~'l~1 \1,000 sq. ft, OT less (4)
/I '- I I Eacb additional 500 sq. ft. or portion
Job site address: I. ' . tU lUlU-j thereof
City:c . " " , State:O~ ZIP: 0, 1, 'I 7 ~ I Liinited energy (2)
I Refere ce: f 0:> /J>'IV IJaxlo':O{fO J I EachmanufacturedhomeoTmodular
rI~;i1i~w;~W~~~j~~~[)eSCRI~mION!OF~),W_d_R~~4~~i~~t5~~j dwelling service or feeder (2)
I/l-tll . atr:LSs ..5l.cun'h A " \"1I<..f..etn. .10 I I Servi-:es or feeders: installation, alteration,.re/ocation
I DCi;m COWer j I ~ I 200 amps orless (2) $ 81.00 $
~'!I"iJ";*,:;r""%,"f-';Si)i"''''P R'O,"E' R;T,ViiO'W N' 'E"R'iir!l':);!e;11lfiJO""i"''!\';1:i'i~''" I 20i to 400 amps (2) $ 95,00 $
1~:::"''''~''~{~77-f ''';'-''''i'';''~'''''';'''"'0'~i''''':'1 I 401 to 600 amps (2) $158,00 $
I Address: I 601 to 1,000 amps (2) $205,00 $
I City: I State: I ZIP: I Over 1,000 amps OT volts (2) $469,00 $
I Phone: I Fax: I I Reconnect only (2) $ 63,00 $
E-mail: I I Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 1'20()amps or less (2) $ 63,00 $
owned by me or a member of my irrunediate family, This I 201 to 400 amps (2) $ 87,00 $
property is not intended for sale, exchange, lease, or rent. OAR
479,540(1) and 479,560(1), I 401 to 600 amps (2) $126,00 $
Signature: I Ov~r 600 amps or 1,000 volts', see services or feeders section above
fS~::~:::~~N~Cf}~;h~:~AT.t~~:~:::~{11 :r;::~o:i::::: ;i::~~:t::::T:::~:n:,:~::e~r feeder fee
Address 25'117 . svJ C(lJU/PY! f'red..12J. v ~ I I ,Eac.hbranch.ciTcuit I ' I $ 6,00 I $
City" wil~II.1lt: I State 'oK:. . I ZIP: C)lt170 I I ,~i~~~7"foT"PT'!'Ch circuits without purchase ofa service OT feeder fee:
I Phone 5fJ3' {}J2- qCz.OO I Fax '5O::s '&~2 -'l5OOl l---f',i"-,,,bflln,Ch'cireuit (2)," I I $ 55,00 I $
I E.mail: rfJ><.Cu1ne..fh@rC5S ~(S I l--f~Sh,~,dfltnonalhTanchclfcUlt $ 6,PO $
I CCB license no.: t, 7 III 7 I BCD license no,: 34, /1'-1 tt-4; f-Ms~el1aneous fees: service or feeder not included
I Signing supervisor's license no,: q) 2-<:fLr:; I I Eai:hp~p or irrigatiOli ciTcle (2) I I $ 63.00
Print name of signing supervisor: 'TX:a.fl f.!ee ~ I I Each SIgn OT ouUme hghtmg (2) I $ 63.00
Sgnature of signing supervisor 1\ - J i.l- - /, 6 _ I I Sign,' ;11. circuit or a li~ited-energy panel, I I I $ 63.00
I . ~ [(Jtl ~ - alteratIon, or extensIOn (2)
[ Each additional inspection: (1) J I $58,00 I $ r
1_~;1~~r~~~~1t.~fJ,i:~R'ii:l~~~T~~.uS-g~:;*~fJl:~~~'f~I:~\
I (A) EnteT suhtotal ofahove fees I $ 1_1- /
(Minimum Permit .Fee $58,00) to 'J
I (B)'EnteT 12% surcharge (.12 x [AJ) I $ I Sit? I
I (C)Technology Fee (5% of[AD I $ 3 ./5 I
I TOTAL fees andsurcharges (A through C): $1 ~ .1/1
'-IiI
$134,00
$ 25,00
$ 32,00
$ 63,00
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440~2584-J(9/08/COM) ,
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.CITY OF SPRINGFIELD
Building/Combination Permit
Status In Review :'~":::::.,, "-,
';;i'~~~~3~~e~i~!i~~.~~el~:.;?~*~'~f/:'\; ':'
541-726-3676 F~x'::{Ci:' . .
:; 541, 726.3769I';:sp~ciio'IiLiue
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PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/26/2009
04/12/2010
$ 1,300,000:00
~. ,; \'( . "':';i,."''''~;;;; >".' h
SITE ADDRESS: ' 123 INTERNATIONAL WAY Springfield TYPE OF WORK: Interior
ASSESSOR'S PARCEL NO.: 1703154001101,
,. . '... ~;)
, ,,'" ''''',' "':; ,/,,,:,;,,.-i;,, ....,', " . TYPE OF USE: Remodel
. :PROJECTDES9R.i:r~i()Ne!tD*j~rs:~~ie~iSto"-age Remodel: Original Building Designed Pel' 1994 UBC
. .:.y:<:,/.;:.i;/~'.- ..'~~ ;. '.;-
Commercial
,: ()wner:,. PEA:CEHEALTH ,
"i:Address:',:' 123\INTERNATlONAL WAY
. . .. ~ >-', -"-' - . ~.; - '.-: "i" "
, 'SPRINGFIELD:OR"97477 '
() I CONTRACTOR INFORMA nON ~
.1' . ~i . "
Contractor Type':i;,(if$.Contractor
Geueral ,~nhIA-'''~DATA SPECIALTIES INC
Electrical "'L '< ' -- , , OLSSON INDUSTRIAL ELECTRIC
Fire Contractori[i;y'i'):;~' HARVEY,& PRICE CO
Low Voltage EleCtrical ,C RFI ELECTRONICS INC OREGON
'.,BUILDING INF~RMAnON I
License Expiration Date Phone
714-523-8489
63473 01126/2011 541-747-8460
77 10/3112010 541-746-1621
67147 0710712010 408-298-5400
# of Units: :
~rimary occup~ney,,,qr~uP::_:cS:~"B ' .,
Secondary Occupiincy'Group': '~"'r SI
Primary Constr'uciion Type lIB
. ." . .
, Secondary Construction Type:
I # of Bedrooms. 'lL.:t ,l~ '. I.. ".. i~
. - ',. j.., ft . ,>'; ~"Ii\."i ','
"
# of Stories:
Height of Structure,
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Yes
, D~VELOPMENT INFORMATION I
Frontyard Setb~cl{:1: ~:!.} -- ,
Side 1 Setback:T ;"r;:-:-'
, '
, Side 2 Setback: '1, \ "
, Rearyard Setba~k;, .~r :'I~L,.
Solar Setbacks: ' ," --
, ,
1.,.0. ,
...\_:t::11~ij^
. ~, .
Overlay Dist:
# $treet i'rees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I ,i
I"~P 'f~~' ti';
,-
: ,. I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you tD '
, "," I II' ,,,II"" q"ooted by the Oregon Ulility
Street Improvements: ';.: ';,:' . "'OD\<. 0 D,Sidewalk Typ,e:Those rules are set forth
..,c' , ," V .. j(; :-,;-';;''''''1' F I\-1E" " Notllicatlon ven,c:, ,: 52.001-
Storm Sewer Available:\:G\3"" '-c-:::'1\lIll EY--PIRE I \'JIll IS NOl in Of\Do-Wnspouts/Dr'ili.l's:')ugh OAR 9 I b
Special Instructjon'::V:(S~ PERMIl'S OcR 1\-\IS pER FOR 0090, You may obtain copies of thle r~~~e Y
::' \~,\ \1~\ORI2ED U~n \~ 1IP.f>..\'-\DO\'-\cD . calling the center, (Note: ii~e ~!'o~~catlon
'Notes: , No ehauge in occupancy) No'new SDC charges, No worksheet attaehedlber lor the Oregon Ut21 2Y344)
;: GO\ji\\'!lp,<jV',}{PcRIOQ, Center IS 1-800,33 ' ,
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:iStatus ' "jJn:'Review, " ..
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'225 Fifth Street;Sprh;gfield;'gRi" '",;
541-726-3753 Phone ' i/<,
. j' .. "
541-726-3676 Fax ,,' ." i
541-726-3769 Inspection Line'
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. Description';': :Tvpe:<:lf CO!!st~l!c!i.o,Il
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Estimate" Estimate ','::'", ;:c
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'IF~e DescriPti~~f!~~i~~Ji~:~~::.~, ,"
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,Plan Review,CoinmlIiid/Public ::!, ,;.
+ 12% State Surcharge' .,'
+ 5% Technology Fee
Add, Alter, Extend Circ "
Refund - Electrical ,', ,,' ,4[
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Refnnd - Surcbarge' :'01., -:., ,"- '~
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+ 12% State Sui-cbarge '
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,. + 5% Tecbnology,Fee :
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: ';,Traffic Sig~al';'Jr~~i~I~:~~t.~~'. '~~~ ~ .i~ I,
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Totai' Amou~t Paid 4 "
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Fire Department Review' ',-' '09/11/2009
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,flannine: R,evie~" h :.. 09/01/2009
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Structural Review' 09/01/2009
Structural Review' r.:;ij1~" ",!11" 10/05/2009
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SUB Review. ,'J; ':~ l~;: . 09/03/2009
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Public Works Review
09/01/2009,)
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CITY OF SPRINGFIELD
Building/Combination Permit
',"
PERMIT NO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/26/2009
04/12/2010
$ 1,300,000,00
I Valuation Descrintion I' ,
,
$ ~er Sq Ft
or multiplier
, $1.00
Square Footage
or Bid Amount
1,300,000.00
$1,300,000.00
$1,300,000.00
08/26/2009 :'
Value
Date Calculated
Total Value of Project
ti
L..~pp~, P'lirl J
Amount Paid
Date Paid
,
Receipt Number
$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
1200900000000000990
1200900000000001034
1200900000000001034
1200900000000001034
154008
154008
2200900000000001169
2200900000000001169
2200900000000001169
$3,724.89
'.l
Plan Reviews I
WE
Harvey and Price - Modify
Sprinkler System
Amy Chinitz with SUB Water
Quality Protection requested
additional information on the chiller
from Scot~ Koons (contractor) on
8/26/09, Called with 2nd request on
9/6/09. LM '
','
Plans and energy forms set to
SUB/IIh
09/01/2009 APP
Piau, not submitted in sets,
Charged for extra staff time to
compile
No change in occupancy. No new
SDC charges. No SDC worksheet is
attached.
LLH
09/01/2009 APP
EW
Pae:e 2 of 4
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Status ' In il.e~ie~f : /L:
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225 Fifth Street, Springfield, OR'-;",,;: ":':
541-726-3753 Pboue "
~:'.-
541-726-3676 F~x .-, ,,' __\:""':''-''-''
541- 726-3769 IuspectiilliLin'eL::3f~W:,;).-,;
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Plannin:::;);t~I~;:~;;i;~,:
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Iuitial Review',' :<iiz"\;\{09/~9/io09\"
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Fire Departmeut Review, , .,;; " 09/01/2009
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. Structural Revi~w if:_s~~.
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Fire Departme~.~ Review 09/30/2009
:i;,~tructur~I,l!e[v,~tr.;)I"';1~:' ~9/~0/2009
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09/30/2009
09/30/2009
10/05/2009,
10/07/2009
10/08/2009
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APP
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT.NO: COM2009-01260
ISSUED: ,
APPLIED:
EXPIRES:
VALUE:
EMM
LLH
KLK
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KLK
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WE KLK
APP 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 011 plan.
Harvey and Price. Modify
Sprinkler System
Starting' 1st Review.
Waiting on missing pages. See
attached document for Fire
Department Plans Review
comments.
Completed I st 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:
I1-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 an ,insp~~tion call the 24 hour recording at 726-3769. All inspections requested before 7:00
"~;m. will ben!.ad~: the same ~orking day, inspections requested after 7:00a.m. will be made the following
workday: ":~ ".' '
Paee 3 of4
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CITY OF SPRINGFIELD
,., lq'; ,i
Building/Combination Permit
In Review
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PERMlTNO: COM2009-01260
ISSUED:
APPLIED:
EXPIRES:
VALUE:
. ,. ':.
225 Fifth Street, Springfield, OR,,:-;::,; ,
541-726-3753 Pbou~",:~,:, ",t},:[i::j/
..' 5.41-726-3676 F.~;xj~i;~~;;~;~~~::,:;:",;{:~:i"~X~~:.'(~tft:
, 541-726-3769 Irispeciiiiii"Line'"",,;;,
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08/26/2009
04/12/20 IO
$ 1,300,000.00
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,Re,\uired Insnections I
~ ~.:
Rough Electric: Prior to Cover >"
N
Fiual Electric: When aU el~ctrical work is complete.
/.,\ _..e ~', :.; "":.':.-:v;::';:i;:~'~':;':;; 'l,. \. -, :
Fire Depa,r~njeiifqeall'i\geqiSystem: Coord ill ate inspection ,,:ith City Fire Marshal's Oftice
. . :,~:~;";~ ';:~l-~~'-~~i~{\ ':(.:.c: . .'.':i' ':';; " . , , ':
Fire Dep}irtnjeut-8prinkler System: Prior to cover. Hydro pressure test, fire line tlow test,
.,r,_", "....
FireDep~ft;neut.Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
req~~sted and approved prior to requesting any occupancy approval. '
. .j " ~ .~-
Post and Beall]: Prior to tloo-r insulation or decking.
Framing Inspection: Prior to cover and, after aU rough in inspeCtions have been approved.
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FirewaU:l,Located and coust~ucted according to plans. '
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MasonrY~'r ~ JI:l1.....\;..~..:,:; .;i ",~V
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Fiual Fire Department. After aU requirements of the Fire Department have been met.
. ~,;:, ':)i,'l: _;~.;~:~'
Final Building:':After, aU required inspections have been requested and approved and the building is complete.
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Backtlow ~evi~e: Prior to'covering and provide a copy of/he test report on site at the time of inspection.
Undertloor Mecbanical. Prior to insulation or decking and including required testing.
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Rougb Mecbauical: Prior to"Cover
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Final Mecbauical: Wben all mechanical work is complete,
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Bolts Iustalled iu Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
. ,.\',
City'Buildiug'luspector. " "
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Epoxy A,;chors:' 'To be d6ne'py Certified Spdallnspector. Provide Inspection res~hs to City Building Inspector,
Ceiling Grid: After drywall approval but prior to cover.
. ,'t' ,
By signature, I st~te,ilUd.agree; th~tI have carefnUy examined the completed application and do h,ereby certify tbat aU
informatiou ber,~~~,!~,h~e ani! corr'e.ct, and I further certify that any and aU work performed shall be done in accordance,with
the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
-- that NO O<,:CUt:ANCY,,will be made of any structure without permission of the Community Services Division, Building Safety.
'I'further certify!tbiltiouly contractors and employees who are in compliauce with ORS 701.005 will be used on this project.
I furtber agree to ensure thai' all req,uired iuspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of/he property, and the approved set of plans will remain on the site at aU
times during coustructiou.
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RECEIPT #:
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COM2009-01260" ,.Traffic Signal ~:'Panel
COM2009,O 12qO h,~m:.};j;'iAf:'o1f~h~~1~~'Fee
COM2009-0 1260: ili}{;!!~:I;~% Si~te Surcharge
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ROXANNE E, MARTIN
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/12/2009
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
10/12/2009