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Home My WebLink AboutPermit Electrical 2010-1-8 225 Fifth Streett Springfield, OR9747.7t PH(541)726-3753t FAX(541)726-3689 SPR'NGF~ I DEPARTMENT USE ONLY ~~-'" :"7~;:~~-OJ'"11 Electrical Permit Application , D D This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire' if work iS'Dot started within 180 days of issuance or if work is suspended for 180 days. I LOCAL GOVERNMENT APPROVAL FEE SCHEDULE I Zoning approval verified? DYes DNa Number of inspections per item () I Qty. I Cost I Total I CATEGORY OF CONSTRUCTION I ea. cost I I Residential, per unit, service included: . D Residential I DGovemment I D Commercial 1 I JOB SITE INFORMATION AND ,LOCATION I 1,000sq.ft.orless(4)' I Job site address: /2.'<. 1;1&0,.-1::.)". f tJ,,-'/ I I ~~~~:riliona1500 sq. ft. or portioo I City:~"\p"',Jc.{;'.:?i/ j State:O... I ZIT>:'77'117 . I Limitedenergy(2) I SubdivisionY nO:lI.("Qr) ....... I Lot no.: 61!{jI'- I Eachmanufactnredhomeormodular h ES dw.~i.!lgl>.eTviceorfeeder(2)_ . ~-,. $ 63.00 $ ~ ..I';\.! .,,1: . ~'~~A.TION'OF"WORK ~ -~. ' 1 ~ I} &=- l__,..";fr/c Services or feeders: installation, alteration, relocation I If]n3'~J ()Un I 200 amps orless(2) /0 $ 81.00 $810 I I PROPERTY OWNER I 201 to 40.0 amp! (2) /0 $ 95.00 $ 'ISeJ 1 I Name: Pr,qLG' IlEAl/I. 1 40110600 amps (2) 8 $158.00 $/~&'/I I Add ,-r --t- -r- I' I I 601101,000 amps (2) $205.00 $ I ress: l,;z_~ Lv /'60J"//D"'" h/"'" I City:5'f>tll,,,,'f'7c:/J I State: ('Ji[ I'ZIP:"71~J) "" OverlO 0 v ynutol $469.00 $ 1 I Phone:57"kJ:S _ A'IB,9 I Fax: it lie c;i~ll _ by the ~regon (~$ 63.00 $ I I E-mail: NI.tj1~Get1larv!~lI:l~. I · ~ t;ralion. relocation I This installation is being made on residential or farm property "' 0 f.I~1t!M "., ~.-:' A of the r las YJ; 63.00 $ I owned by me or a'memberofmy immediate family. This 010. '2 W~..2)(Nole:lhetel~~ o~e $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR J. ""'.I"""........n...non Utility '~lJ"f'r:ati61 $ $ I 479.540(1) and 4?9.5?O(I). ..U ".,. ""v"""l'"':;!;.,:\~:;-:J.:: :n44l. 126.00, Signature: oveQ~li:ltJH;~o/ l~n volts, see services or feeders section above I I CONTRACTOR INSTALLATION 1 Branch circuils:,new, alteration. extension per panel I I Business name: () 1C;5nJ L"t.rs,t;;;,,::/ OEct;;;e. . I a. Fee forbjarich circuits with purchase ofa service or feeder fee: I I Address: /'Ji'i "....44 sr I Each bfanch circuit 11'1",1 $ 6.00 I $/17(" I I City: .So,/~,,{f('i'! I State: dt. I ZIP:"1?r7) lb. Fee for branch circuits without purchase ofa service or feededee: I Phone:s'Y/.-1'a fS'I{.;{). 1 Fax:o'ii-'JfI7- 'tINt", I Firsl branch circuit (2) I' I $ 55.00 1 $ 1 E-mail: Each additional branch circuit ' $ - '6.00 $ I I CCB license no.: m::; '17'7. I BCD license no.: 026 .,;z 'f Ie. I Miscellaneous fees: service or feeder notincluded I I Signing supervisor's license no.: ....g..33 yS 1 Each pump or irrigation circlc (2) $ 63.00 $ I I Print name of signing supervisor;j)tl~e,IA.s~ /YI. licE/( I Each sign or outline lighting (2) $ 63.00 $ I I Signature of signing supervisor: v_' /. ./ / ..., A ~-' I Signal circuit or a limited-energy panel, $ 63.00 $ 1 ............ ./ -v~ /G-- alteration, or extension (2) ~. ,y;o "~~"""Ii ::::::i::~:::~::~~~~~~ANT USE $58.00 $ .[ C'\~~'NOi'CE: IflHEWORI< '. (Mioimum Permit Fee $58.00) $ '1!l00 1 Y\.(); THIS PERMIT SH,.,LL EX~~~ERMIT IS NOT' (B)Enter12%surcharge(.l2x[A]) $ .5-61' I . AUTHORIZEDUNDEf\TH DONEDfOR (C) TechoologyFee (5% of [A]) $ ~/O I ~ COMMENCED OR IS ,.,SAN . TOTAL fees and surcharges (A throngh C): $ "I//"{ I ANY 180 DAY PERIOD. ' - ,,2r;..2). S z. $134.00 $ $ 25.00 $ ~ $ 32;00 $ 440-2584.) (9/08/COM) ~Is€~ _ "?~' , :-;~;~";8 c;~~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: 10/13/2009 APPLIED: 08/26/2009 EXPIRES: 07/0512010 VALUE: $ 1,300,000.00 " , ','. Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 123 INTERNATIONAL WAV ASSESSOR'S PARCEL NO.: 1703154001101 Springfield TVPE OF WORK: Interior Commercial TYPE OF USE: Remodel PROJECT DESCRIPTION: Data Centerl Storage Remodel; Original Building Designed Per 1994 UBC Owner: PEACEHEALTH Address: 123 INTERNATIONAL WAV . SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Fire Contractor Low Voltage Electrical Contractor License DATA SPECIALTIES INC OLSSON INDUSTRIAL ELECTRIC 63473 HARVEV & PRICE CO 77 NA TlONAL NETWORK SERVICES OF OREU54300 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: P~~ed'Drive Rqd: ""..,. ).- 1.- % of Lot Coverage: Expiration Date Phone 714-523-8489 541-747-8460 541-746-1621 541-726-9209 01/26/2011 10/31/2010 02/1 0/20 11 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor, Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Ves Occupant Load: 1 REQUIRED PARKING Total, Handicapped: Compact: I PUBLIC IMPROVEMENTS I ' .";;,,,',:%t:::,,:h;: ',(,'F"" ~'(... Street Improvements: Sidewalk Type: '" ,-> ~ ~\\t. 'JIlQ Q\ Storm Sewer Available: :'i\C~:. Down~~\g%~~\>J\\i \Si Speciallnstrnction: . ~O \:.t'-\'J\\i S \:.t'- i\\~ Q~\:.Q fQ , \\\\S I' \l\:'\) \l~\) J\'OJ\~\) Notes: No change in occupancy. No new SDC charges. No worksheetlilfO~\}~c,\:.\) Qt'- \S \) . 'CCl\'J\\'J\\:. Cl \)J\'\ I'\:.t'-\Cl . ~\\I'\ '\~ Page 1 of8 Status Iss u ed 225 Fifth Street, Springlield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 inspection Line Description Tvue of Constrnction Estimate Estimate Fee Description Plan Review CommllndlPublic + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Refund - Electrical Refund - Surcharge + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus ***+ 100/0 Administrative Fee*** + 12% State Snrcharge + 5% Technology Fee Backflow Device Building Permit Deferred Submittal FLS Safety Systems Review Mechanical- Value Minimnm/Adjilstment Plumbing Miscellaneous Copy Chgs Miscellaneous Copy Chgs Plan Review Fire & Life Safety Plan Review Minor - Planning Plan Review/Com,Ind,Pub Hourly ***+ 100/0 Administrative Fee*** ***+ 100/0 Administrative Fee*** ***+ 100/0 Administrative Fee*** FLS Safety Systems Review FLS Safety Systems Review , FLS Safety Systems Review Reversal - ***+ 100/0 Administra Reversal - ***+ 100/0 Administra Reversal - FLS Safety Systems Reversal - FLS Safety Systems ***+ 100/0 Administrative Fee*** FLS Safety Systems Review ***+ 10lYo Administrative Fee*** ~," CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: 10/13/2009 APPLIED: 08/26/2009 EXPIRES: 07/0512010 VALUE: $ 1,300,000.00 ~ ~. I Valuation Descrintion I $ Pel' Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,300,000.00 Valne Date Calculated Total Value of Project $1,300,000.00 $1,300,000.00 08/26/2009 FpPv.' ~ 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 $163.80 $802.21 . $340.21 $19.00 $5,592.75 $342.00 $1,638.00 $1,034.35 $39.00 $4.20 $5.00 $2,237.10 $119.00 $58.00 $24.00 $89.03 $89.03 $240.00 $890.34 $890.34 $-89.03 . $-24.00 $-890.34 $-240.00 $162.00 $1,620;00 $24.00 8/26/09 9/8/09 918/09 9/8/09 9/11/09 9/11/09 10/12/09 10/12/09 10/12/09 10/13/09 10/13/09 10/13/09 10/13/09 10113/09 tO/13/09 10/13/09 10/13/09 10/t3/09 10/13/09 10113/09 10/13/09 10/13/09 10/13/09 10120/09 10/20/09 10/20/09 10/20/09 10/20/09 10/20/09 10/20/09 10/20/09 10/20/09 10120/09 10/27/09 10/27/09 11/4/09 1200900000000000990 1200900000000001034 1200900000000001034 1200900000000001034 154008 154008 2200900000000001169 2200900000000001169 22009000000000001169 2200900000000001178 2200900000000001178 2200900000000001t78 2200900000000001178 220090000000000tt78 220090000000000tt78 2200900000000001178 2200900000000001178 2200900000000001178 2200900000000001178 2200900000000001178 2200900000000001178 2200900000000001178 2200900000000001178 120090000000000t166 1200900000000001166 120090000000000tt68 120090000000000lt66 t200900000000001166 1200900000000001168 1200900000000001167 1200900000000001167 1200900000000001167 1200900000000001167 3200900000000000731 3200900000000000731 2200900000000001257 Paee 2 of 8 Status Issued 225 Fifth Stree!, Springfield, OR 541-726-3753 Phone 541"726-3676 Fax 541"726-3769 Inspection Line FLS Safety Systems Review ***+ 100/0 Administrative Fee*** FLS Safety Systems Review + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ EaAdd Perm ServIFdr 201 to 400 amps Perm ServIFdr 401 to 600 amps + 12% State Surcharge + 5% Technology Fee Low Voltage - CommerciarIndus + 12% State Surcharge + 5% Technology Fee MinimumlAdjustment EleCtrical $240.00 $60:85 $608.46 $269.52 $112.30 $1,740.00. $190.00 $316.00 $6.96 $2.90 $58.00 $234.48 $97.70 $1,954.00 Total Amount Paid $24,796.05 11/4/09 12/16/09 12/16/09 12/28/09 12/28/09 12/28/09 12/28/09 12/28/09 12/30/09 12/30/09 12/30/09 1/8/tO 1/8/10 1/8/10 I Plan Reviews I Fire Department Review 09111/2009 Plaonine Review 09/01/2009 Structural Review Structural Review 09/01/2009 10/05/2009 Initiol) Review 08/28/2009 09/01/2009 Public Works Review 09/0t/2009 09/01/2009 SUB Review 09/03/2009 09/03/2009 Plan nine Review 09/10/2009 09/10/2009 Initial Review 09/09/2009 0911112009 WE APP LLH APP EW APP JF APP EMM APP LLH Paee 3 of 8 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: 10/1312009 APPLIED: 08126/2009 EXPIRES: 07/05/2010 VALUE: $ 1,300,000.00 2200900000000001257 2200900000000001391 2200900000000001391 1200900000000001361 1200900000000001361 120090000000000t361 1200900000000001361 1200900000000001361 1200900000000001366 120090000000000t366 t200900000000001366 1201000000000000024 1201000000000000024 1201000000000000024 Harvey and Price - Modify Sprinkler System Amy Chinitz with SUB Water Quality Protection requested additional information on the chiller from Scott Koons (contractor) on 8/26/09. Called with 2nd request on 9/6109. LM 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. Plans and energy forms set to SUBlllh 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 Pace 4 of8 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 10/14/2009 Fire Department Review 10/t612009 10/14/2009 10/16/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: 10/13/2009 APPLIED: 08/2612009 EXPIRES: 07/05/2010 VALUE: $ 1,300,000.00 APP GRG Plans Review: addition of a Notification Appliance Circuit (NAC) to service the data center remodel. Job #COM2009-0I260. Designer: Gary Selander. Contractor: Siemens Building Technologies. Plans reviewed under the 2007 Springfield Fire Code, 2007 Oregon Structnral Specialty Code and 2007 edition of NFP A 72, National Fire Alarm Code. This proposal is for one NAC circuit (NAC 4) to be added to an existing system. NAC 4 will support four devices: two 110 cd hornlstrobes for the data center, one 15 cd strobe for the command center, one 30 cd hornlstrobe for the south battery storage room and one 15 cd hornlstrobe for the north battery storage room. Plans appear to meet code. requirements. APP GRG Pace 5 of 8 See attached document for Fire Department Plans Review commellt~ for the pre-action sprinkler submittal. _8.I.:!Rl!l1!'i!Vlllg.,P;; I CITY OF SPRINGFIELD .. Building/Combination Permit Status Issued PERMIT NO: COM2009-01260 225 Fifth Street, Springfield, OR ISSUED: 10/13/2009 541-726-3753 Phone APPLIED: 08/26/2009 541-726-3676 Fax EXPIRES: 07/05/2010 541-726-3769 Inspection Line VALUE: $ 1,300,000.00 Fire Department Review 10120/2009 10/20/2009 APP GRG Addendum to Plans Review dated 9/14/09. Job #COM2009-01162. Supplemental plans provided for cryogenic oxygen tank and hyperbaric chamber. Supplemental plans for cryogenic oxygen tank showed locations of signage noted in earlier plans review. Supplemental plans for hyperbaric chamber reviewed nnder NFP A 99, Health Care Facilities, Chapter 20-Hyperbaric Facilities, 2002 edition. Provide signs on doors leading to wound care/hyperbaric room stating, "CAUTION Medical Gases NO Smoking or Open Flame" (NFPA 99 and 99C, 5.1.3.1.6). Provide listed 1 hour rated lockable gas cabinets for storage of the ~', :" compressed air cylinders or doors , ' entering to the wound " carelhyperbaric room shall be capable of being secnred and locked from the outside (NFPA 99 and 99C, 5.1.3.3.2, #2 and #4). lIthe door securityojltion is chosen, the affected doors would be NI03A, R118A and E134A. Fire Department Review 10/21/2009 10/21/2009 APP GRG See attached document for Fire Depa~tment Plans Review comments for the clean agent tire slIppression system. Initial Review 11/20/2009 11/2012009 APP LLH Additional FM-200 Fire System by Harvey and Price. Forwarded to Fire Marshal's Office. Page 6 of8 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: 10/1312009- APPLIED: 0812612009 EXPIRES: 07/0512010 VALUE: $ 1,300,000.00 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review APP GRG 11/20/2009 12/14/2009 Additional FM-200 Fire System by Harvey and Price Co. Plans Review: two additional Fenwall FM-200 systems for the UPS' rooms. Job #COM2009-0 t 260. Designer: Cory English with ORR Protection Systems under subcontract with Harvey and Price. Contact: Justin Roberts or Pat Loome-Harvey and Price: Secondary Contact: Randall . Hardman, Branch Manager, ORR Protection Systems. This system was reviewed under the 2007 Springfield Fire Code and 2004 edition of NFP A 2001, Standard on Clean Agent Fire Extinguishing Systems. The proposed additional systems are as follows: I. One FenwalllOllb. spherical storage cylinder containing FM-200 clean agent piped to an EI.NI nozzle protecting UPS Room A and piped to an E2-N1 nozzle protecting the snb-tloor; 2. One Fenwall 196 lb. spherical container for an FM-200 clean agent system protecting UPS Room B via the same nozzles for both the main room and subfloor. Piping is similar to previons submittal but smaller in diameter starting at 1-1/2 inches then eventually reducing to t/2 inch. . Refer to plans review dated tO/21/09 for further plans review comments, corrections and verifications. 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. ~eollin~rI Tn~nprt~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Fire Department Clean Agent System: Coordinate inspection with City Fire Marshal's Office Page 7 of8 ( CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01260 ISSUED: 10/13/2009 APPLIED: 08/26/2009 EXPIRES: 07/05/2010 VALUE: $ 1,300,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Post and Beam: Prior to floor insulation or decking. framing Inspection: Prior to cover and after all rough in inspections have been approved. firewall: Located and constructed'according to plans. Masonry: Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the bni/ding is complete. Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Underfloor Mechanical. Prior to insulation or~decking.and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Bolts Installed in Concrete: To be done hy a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. Ceiling Grid: After drywall approval but prior to cover. Rongh Electric: Prior to Cover Electric Service: Approv~1 requirt:d prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully examined the completed application and do hereby certi(y that all information hereOll 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 OCCUP ANCV will be made of any strncture without 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 th~t all required inspections are r.cquested 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 Page 8 of8 225. Fifth Strcet Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2009-0 1260 COM2009-0 1260 COM2009-0 1260 Payments: Type of Payment Check . cReceintl RECEIPT #: City of Springfield Official Receipt Development Scrvices Department Public Works Department 1201000000000000024 Date: 01108/2010 9:00:33AM I Amount Due 1,954.00 234.48 97,70 $2,286.18 Description Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Paid By OLSSON INDUSTRIAL ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb $2.286.18 54328 In Person Payment Total: $2,28~.18 Page I of I 1/8/2010