HomeMy WebLinkAboutPermit 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