HomeMy WebLinkAboutPermit Electrical 2009-12-23
SPRIN ~FIELO- .
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541~726-3753
Email: permilcenter@ci.springfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-09-00304
Approval Code: 022954 12/23/2009 9:24 am
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',TYPE OF"WORK'f';';',o. ...,.
I 0 New Conslruc;:tion
IRJ Addition/alteration/replacement
,,;,,' ',.:~~',~'~CATEGdRYOFCdNST~UC1'16N' ~,
I 0 1 or 2 family dwelling 0 Mullj-fa~ily 00 Commercial 0 Accessory
liT '- ",JOS'SrrE,IN"ORMATION 'AND~LdcATION';,.",' ."
I Job Address: 3355 RIVERBEND DR
I City/StatelZlP: SPRINGFIELD, OR 97477
I Suite/bldg.fapt.no.:
I Project Name: NW Specialty Clinice
I Cmss St'.."dl'ectio", to job site; Bel\line
I Tax map/parcel no.: 1703220004101
1~4:;~~7'F';:~'0;:~~~5'~:{D.E:scRi~~n()NiOF,LWQ~~-~,~~.~; 1..l~:'i~i::Y~i',f~. ~~~...:-i~!4' ~
Electrical for exhaust fans
Name: Shirlev Lans
I Phone: 503-234-9900
I Email:
Fax: 503-234-1001
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Elec lic. no.: 26-95C
CCB lic. no.:
203
Business Name: OREGON ELECTRIC CONSTRUCTION INC
Contact:
Address: 1709 SE 3RD AVE
CltyfStatefZlP: PORTLAND, OR 97214
Phone: 5032349900
Fax; 5~3.2.~~~:.pe_~';:'J;,d;;..~\...
Email: webaccWA..~-electric.com-"\t....lt: .,.",n: WOR\(
MWolicno THIS PERMIT ~H~;Ltf~f~~RMIT IS NOT "
ITU"""/l;U utju~f\ I ~ FOR.:'"
Supen"sing Eleflht~h"':'i",~. C' "dOl@:, ARANDONED, .;;;"',.' ,
I UJVI)VI['W[W ,j..,.. .
Supervising Eledr~~laJ1 s tifflf\tN ~moorEDPLES .' .
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Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your pennlt will be e.mallod or failed
within one buslnelis day, with InstructIons on how to schedule your Inspection. ..
NOTE: This Authorization To Begin Work expire. within 180 days If a pennit Iii not obtained.
The local building department may determine that an Authorization To Begin Work la null and
void If it does not meet applicable land use laws and local ordlnancn..
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E-mailedTo:s.a.lans@oregon-electric.com
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'PLANREVIEW> '
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for aJl other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
, ,
.0 Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
"cc,'";'''''fEE'SCHEDUl':E:',~; ;-
I Qty, lEa,
I Description
IBriinch'circuits ;--:7"}~Z-::~'~
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
IElect'ricalPermit Fee_sO:{" ,,.., ~"~,.,;.t:~,~~'
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
,}
Total
$55.00
$55.00
5
$6.00
$30.00
"....F';-;:; ~.
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-, :--;;"~;
$85.00
$10.20
$4.25
$99.45
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meNTION: Oregon law requIret you to
follow mles "., ,;J byltle Oregon UtIlity
NotIlIClIlIon Center. Those NI8I are lI8l forth
In OAR 952.QOHI010thfOUgh OAR 952.(101.
0090. You may obtain copies of the rules by
08I11ng the center. (Note: the telephone ~
~ for the Oregon UtIlity NotIIIcaIIon. .
~er 111-800-332-2344). ~v
~<< ~~ 6"-
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Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGJ:<lELD
Building/Combination Permit
PERMIT NO: COM2009-01544
ISSUED: 1I/18/2009
APPLIED: 10/21/2009
EXPIRES: 05/18/2010
VALUE:. $ 136,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:, 3355 RIVERBEND DR 500
ASSESSOR'S PARCEL NO.: 1703220000902
SPRINGFIETYPE OF WORK: Medical Office
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Remodel pathology lab
Owner: NSC PROPERTlES,LLC
Address: 3355 RIVERBEND
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
JOHN HYLAND CONSTRUCTION INC 46071
OREGON ELECTRIC CONSTRUCTION INC 203
FM SHEET METAL INC 89710
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMATION I
Expiration Date
07/11/2010
07/01120 I 0
03/15/2011
03/11/2011
Phone
541-726-8081
503-535-2652
541-726-3000
541-688- I 444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
12
B
IB
# of Stories:
.., ,
Height of Structure
Ty'pe of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft t'st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
180
2
Yes
I DEVELOPMENT INFORMATION I
Frontyard Setback: < ,,\\\'io'\l~~D;~t: ~:t~I~IRED PARKING
Side I Setback: " 'i\~t \~ ~~fl~eq:rees Rqd: ~=~~J~c:r :<<-~I:'
Side 2 Setback: ~\.. ~ ~'O Vt'?' ~<S,~. Drive Rqd: Notification Center. Th~~~.I;~.;tiortt.
Rearyard Setbacki\\C~' ~ '0\\1>' ic.~ ,\V\ ~'\)\J~ Yo 01 Lot Coverage: In OAR 952.()()1-(I01 0 through OAR 952'()()1-
Solar Setback,,\\() nt~~ '" 'Uv.'\) I>-'i)~ 0090 Vi -.....;1 copleaofttleruleaby
"C, , .~<::'\l ,~ \S . au may....... n
\,:. "'DI"'- <::."'\J V" \G\!' ~lImg 1118 cerner. \I'U'''; u,.. '....."'1......
I>-\'j\" ic.v.c,,-;:( VtW, IPUBLlC IMPROVEMENTS"lImber for the Oregon Utility NotiflcaUon
Street Improvemeli:tli:~~'O\l '\)1" , ':,'," ~~-2344).
t\~' ".
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
'00"';'
Notes:
'j'
Page I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Bid Amount
Mechanical C/I
Use Bid Amount
Use Bid Amount
Fee Description
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Mechanical-Value
Minimum/Adjustment Plnmbing
Sanitary Sewer ~ Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
10/22/2009
Structural Review
10/22/2009
SUB Review
10/22/2009
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-01544
ISSUED: 11118/2009
APPLIED: 10/21/2009
, EXPIRES: 05/18/2010
VALUE: $ 136,000.00
I Valuation Descriotion I
$ Per Sq 'Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amonnt
. 136,000.00
59,000.00
Value
Date Calculated
$136,000.00
$59,000.00
$195,000.00
10/27/2009
10/27/2009
,
Total Value of Project
Fee~. P~i~ I
Amount Paid
$555.93
$170.68
$71.12
$855.27
$57.00
$509.08
$1.00
$313.30
$641.90
$47.76
$10.20, "". ""
$4.25
$55.00 '
$30.00 '
$3,322.49
Date Paid
Receipt Number
10/21/09
11 /18/09
11/18/09
11/18/09
11/18/09
11/18/09
11/18/09
11/18/09
11/18/09
11/18109
,12/23109
12123/09
12/23/09
12/23/09
2200900000000001205
1200900000000001264
1200900000000001264
1200900000000001264
1200900000000001264
1200900000000001264
1200900000000001264
1200900000000001264
1200900000000001264,
1200900000000001264
1200900000000001355
120090000000000]355
1200900000000001355
1200900000000001355
I Plan Reviews I
10/22/2009
10/27/2009
10/30/2009
APP LLH
WE CJC
Contacted architect and engineer fOl
fire damper information (Recieved
11/4/09)
APP JF
Energy forms attached to plans for
Springfield Utility Boards energy
review.lIh No inspections required
per Springfield Utility Board!llh
11/1/09
Page 2 of 4
_~PrRI~~!iIl!t!:;gJ ,<."
~ CITY OF SPRINGFIELD'
, "
f ,
"
!:" Building/Combination Permit
Status Issued PERMIT NO: COM2009-01544
225 Fifth Street, Springfield; OR ISSUED: II/18/2009
541-726-3753 Phone APPLIED: 10/21/2009
541-726-3676 Fax EXPIRES: 05/18/2010
541-726-3769 Inspection Line VALUE: $ 136,000.00
Plannine: Review 10/22/2009 11/02/2009 APP EMM Construction and material storage
must adhere to conditions and
Hazardous Materials Management
Plan of Drinking Water Protection
Overlay review DRC2007-00073,
Amy Chinitz from SUB Water
Quality to inspect before occupaoey,
Structural Review II /04/2009 1 1/0412009 W[ CJC Approved pending Fire approval
Public Works Review 10/22/2009 111~?12009, APP EW SDC Worksheet Attached. After
building permit is issued, a credit
will be processed to PeaceHealth for
$313.30.
Fire Department Review [ 0/22/2009 11/12/2009 APP GRG Plans Review: remodel of 5th floor
recycling and mail areas to a single
histology laboratory room, Job
#COM2009-01544. Occupancy
Classification: [-2/B/A-2.
Construction Type: I-B. Area of
remodel: [80 sq. ft. Occupant Load:
2.
Contact Deputy Fire Marshal
Gilbert Gordon (541-726-2293) for
visual inspection of sprinkel' head
relocations.
Contact DFM Gordon for visual
inspection and testing of smoke
detector relocations.
Structural Review 11/13/2009 11/1312009 APP CJC as noted on plans
i
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.
I Reoujr~~,,,,I,nsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed according to plans.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
. Final Building: Afterall required inspections have been reqnested and approyed and the building is complete.
Pa~e 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
54] -726-3769 Inspection Line
Rough Plumbing: Prior to cover and including re(luired testing.
Final Plumbing: When all plumbing work is complete.
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01544
ISSUED: ll/18/2009
APPLIED: 10/2112009
EXPIRES: 05/18/2010
VALUE: $ 136,000.00
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 fnrther 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.
O\'rner or Contractors Signature
Paee 4 of 4
Date
225' Fifth Street
Springfield, Oregon 97477
54~-726-3759 Phone
7J~QY;~
--","
Job/Journal Number
COM2009-0 1544
COM2009-0 1544
COM2009-0 1544
COM2009-0 1544
Payments:
Type of Payment
ONLINE CHGS
cRccein(]
RECEIPT #:
1200900000000001355
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add'
+ 5% Technology Fee
+ 12% State Surcharge
/.
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/23/2009
Item Totul:
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
KR
,,\ ,.,
Page I of I
ONLINE OR, ELECT, Online
CONST.
INC
Payment Total:
9:41 :35AM
Amount Due
55,00
30.00
4.25
10.20
$99.45
Amount Paid
$99.45
$99.45
12/23/2009