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HomeMy WebLinkAboutPermit Electrical 2010-3-29 225 Fifth Street+Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 . DEPARTMENT USE ONLY ;:-. COu.t z..oo p- 0 17 S' 3. Permit no.: Date:3 - Z i-/O This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'liOCAL'.G0VERNMENT'AI'PROVAIi',:+/:,'; :", Zoning approval verified? 0 Yes 0 No :. :'''' .CATEGORY:OI'CON~TRUCTION '" '.' c. .,.'. o Residential .1 0 Government I ~Commercial ~:';'ll(~&,tOB;~~ITE;iiINFOR.MATIONI)A.N(j[;;lO:CA'I'ION,i\i,,;,{i~X): Job site address: a01.!. Ol,.~_:.. '5+. City:~l\~.~,c....{,l, I State: OR-. I ZIP:qli./li Reference: i,,-,<-rS-hrN- ,- J:~' f.. I Taxlot.: ," '.; 'DESCRIPTION OFWORK':"::,,',,,, ,: ,.r IlUAC. Um+-n,(s (.;,,'\...J t::~('<" .....,,;" 170:3-ZSc.{Z- ot((5o 200 amps or]ess (2) $81.00 $ PROPERTY. OWNER . 201 to 400 amps (2) $ 95.00 $ Name: I, C,"m./....r 40] to 600 amps (2) $158.00 $ Address: I Z 5: e I E!;7.... ;tt"E" 601 to ],000 amps (2) $205.00 $ City: ~Grt:::Ne I StateL-- '.\ ZIP:'77l{O( Over 1,000 amps or volts (2) $469.00 $ Phone:S'1.t { zzB ~ ( I Fax: _ _ RE,,"IUlect only (2) $ 63.00 $ E-mail: ....\1IIte~.ee ...~~~ services or feeders: installation, alteration, relocation This installation is being made on residentia~Qf, ~~~~_~e ~ ~~~ less (2) $ 63.00 $ owned bJ: me or a member of my imm' 1..'66~ setl> 0 ~"l:\9.(;lIlQ>)bps (2) $ 87.00 $ property IS not Intended for sale, e ,u~~ ~\ern .'QR'f &.;9'(1 ~ 479.540(1) and 479.560(1). \O'~ '~ol\ee\ OO\r:;<<-( o'\ile 0 ~~ e~fl.1lQd\'Pps (2) $126.00 $ ~~ce.~ ,,~O - ~&il\ C . '(I ~W\\, Signature: "0 '.0. gfJ.. 0'0 l~o\?:. ~i\ ~..". vvD amps or 1,000 volts, see services or feeders section above . '. . CONTRACTOR INS~..lIlC cel\'~' e<;;o\\ ::;, 2:~'B~;;'~~h circuits: new. alteration, extension per panel Business name: +>t"t,"'~ ..11. ~~ ,~~ is \_'O\)v' a. Fee for branch circuits with purchase ofa service or feeder fee: Address: "p _ I't. i:!,,,,,, I J 'i'q"~ eel" Each branch circuit I $ 6.00 I $ City: \J~ I State: tJll. I ZIp:q1t..f~1 b. Fee for branch circuits without purchase ofa service or feeder fee: Phone~"'/.ff-~~~ "i 1.1- I I Fax:@"/t 111<';" ~ First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ Each pump or irrigation circle (2) Each sign or outline lig~~ti1lg(2) Signal circuit or a limit el, alteration, or in, ...: '-\0 ..\()1\Ct.'. .'. ..' I ',:' . .. '.' $58.00 . $ \'t o<:t'l\-J\\i"",.-;",c:".",. ''';'c''~'''^''\''''''i'I"C:A'' ~N.'.""'u" .S....E".....".,',.'..""..'o,.... ' "-.'." '-.' It\\S r ~f"\ t: '.1';\'~".rcQ:~s~J;fk.~:',^1I.\\'\V~<~r:;,L., ~-,'" 'I:!;:::. 'L?:St,';;,~rj;}z,~~;,'(,~,~~:,i;::i::,;;;:'>,-" :,' ~\)\i\()?'\\1 @\tlde~1'bt~tal of above fees. ': - B c()WlWlt~ ~~~\lI\W/'Permit 0S8.01!Y $ s.. ~I'i'l '\'O\)\) (B)Enter12%surcharge(.12x[A]) $ b7f::; (C) Technology Fee (5% of [A]) $ 2 ).0 TOTAL fees and surcharges (A through C): $ b 7 ~, ::, CCB license no.: I 5/7f{;'6 I BCD license no.: ,;J.O-J.{~ C. . Signing supervisor's license no.: iJ"'l t../a 5 Print name of signing supervisor: 1)". ,; d f) _ 'l-".:,.J. 1,,- Signature of signing supervisor! -, P d' ./' <,II j ~ / "I\~~,Q \(}'" O(CV ~~ \'0 ?;.~' ~t;AQ/ ~ 440-2584-1 (9/08/COM) ;:~"';"~ "hIiJ:t~~r~Ti~~Y~g~~ti~.:5j~EE:~~5P.H E.[j.Q'eE:r;\?;;~-l~~ifFh~~~}11~,,~<f:}~~1~ ,Num~ertifjnspe;tions periteIllO'. Qiy. ',.. -'.,', ','_',:.. ", ,.:.:_..\ r,-._";"i..'''''' Cost "ea: Total cost. " Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion thereof $ 25.00 $ Limited energy (2) ( $,:$2 $ 32.00 Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ Services or feeders: installation, alteration, relocation Miscellaneous fees: service or feeder ~ot included $ 63.00 $ 63.00 $ $ $ 63.00 $ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01753 ISSUED: 02/05/2010 APPLIED: 12/08/2009 EXPIRES: 09/22/2010 VALVE: $ 3,107,231.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2073 OLYMPIC ST ASSESSOR'S PARCEL NO.: J 703254201100 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: . Remodel Commercial PROJECT DESCRIPTION: Tenant Improvement; complete building remodel of interior. Medical Offices and Outpatient. (Demo., Gas Line, Fire Water line see #COM2009-1605) Owner: LANE COUNTY Address: 125 E 8TH AVE EUGENE OR 97401 I CONTRACTOR INFORMA nON . Contractor Type General Electrical Low Voltage Electrical Plumbing Contractor License 1996 LLC 114258 NEW WA Y ELECTRIC INC 51088 INTEGRATED ELECTRONIC SYSTEMS 165599 TWIN RIVERS PLUMBING INC 17695 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Gronp: B . Height of Struc~\o Secondary Occupancy Group: SI Type o!tMWli! '/ \l(I\~ Primary Construction Type IlIA O(\W~f;;r~1l901' \\0\\\\ Secondary Construction Type: IO~\'. Ole~e~~9r le;:1..Q()'. # of Bedrooms: ~\\E.\-\\ leS 3.0oll ~~ ",QI).?> (U\ell '" \tJ tll ce(\\el. ~WRn'~ l\9 \ol\O"r3.\\o(\ _00\ . I ',,,\eVl'O \ ...,.. 9 i(\ aI''\'> '{oil 0 MA nON 0090.. \n Ole ~ - 03.\1\(\9 \01 \ne. \ ,!QOO- I\utl'\\:lel Cel\\el Ibverlay Dist: ~.Street Trees Rqd: . Paved Drive Rqd: .0/0 of Lot Coverage: 3 46.50 Yes Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Phone Number: 541-228-0669 Expiration Date 05/30/20 II 06/27/2011 07/13/201 I 03/11/20 II Phone 541-687-9445 541-686-2365 541-485-4456 541-688-1444 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ """c.';-: Sitl~~J:rt~.\Q~~ .' . d.h '\'t\'i.'v-~Q \ .; . .,' .,' ~\\l.~.)~s~t~lal~,~.~;._ "",,,. " ", .'" I\\.\. ~ \(';/?~~ ~5;) fcO~ .' , .r\C~' *" "O~l" ~ '\~, ~O~\,. .' '.~~\'" x.~~\' ~~~~ t-,t-~ . ': '\'t\\<1:> V~~\t~\ O~ \~ ~. , ~~\~ ~~C~ fC~~(j CQ*'*' ~ tl~ f>-~'l '\~ Page I of 6 Street Improvements: Storm Sewer Available: Special Instruction:. Notes: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Comm/lnd/Public Plan Review Fire & Life Safety + 12% State Surcharge + 5% Technology Fee Backtlow Device Building Permit Deferred Submittal Encroachment Permit Fixture Mechanical- Value Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Plan Review Electrical (25%) + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Minimum/Adjustment Electrical CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01753 ISSUED: 02/05/2010 APPLIED: 12/08/2009 EXPIRES: 09/2212010 VALUE: $ 3,107,231.00 I Valuation,DescriPtion ~ $ Per Sq 'Ft or multiplier $1.00 Square Footage or Bid Amount 3,107,231.00 Value Date Calculated $3,107,231.00 $3,107,231.00 01122/20 I 0 Total Value of Project ~ Amount Paid $8,132.64 $5,004.70 $1,936.35" $813.79 $76.00 $12,951.31 $570.00 $139.50 $1,178.00 $1,880.91 $50.00 . $488748' t' !:t \~; 1 ! , . ,.,.~~i: l!Of. "W::,j,~ .'. $10,013.64 $10.00" , $3,068.99 . $297.72 $776.20 $37,849.28 $10,384.69 $2,550.29 $17.96 $281.16 $117.15 $1,266.00 $63.QO . $729.00. $285.00 $570.00 $6.96 $2.90 $58.00 $6.96 $2.90 $32.00".,,, . I., "'0', $26.1l0""~ '",. "', . ;' ./3 Paee 2 of6 Date Paid Receipt Number 12/10/09 12/10/09 2/5/10 2/5/10 2/5/10 2/5/10 2/5/10 2/5/10 2/5/10 2/5/10 2/5/10 , ,2/5/10 2/5/10 2/5/10 2/5/1 0 2/5/10 2/5/10 2/5/10 2/5/1 0 2/5/10 2/5/10 "2/23/10 2/23/10 2/23/10 2/23/1 0 2/23/10 2/23/10 3/5/10 3/25/1 0 3/25/10 3/25/10 3/29/10 3/29/1 0 3/29/10 3/29/10 1200900000000001321 1200900000000001321 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 1201000000000000105 3201000000000000060 3201000000000000060 3201000000000000060 3201000000000000060 3201000000000000060 3201000000000000060 1201000000000000210 3201000000000000099 3201000000000000099 3201000000000000099 1201000000000000271 1201000000000000271 1201000000000000271 1201000000000000271 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01753 ISSUED: 02/05/2010 APPLIED: 12/08/2009 EXPIRES: 09/22/2010 VALUE: $ 3,107,231.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $106,036.48 I Plan Reviews I Electrical Plan Review Plan nine Review PlanniDll Review 02/18/2010 01/20/2010 12/14/2009 APP MRM W[ " .~:~; .. Structural Review 12/08/2009 Structural Review 12/11/2009 12/1112009 [0 KLK Puhlic Works Review 12/23/2009 12/23/2009 APP EW Structural Review 12/24/2009 12/24/2009 10 KLK Structural Review 12/28/2009 12/28/2009 10 KLK Structural Review 01/04/2010 01/04/2010 [0 KLK SUB Review 12/08/2009 01/05/2010 APP JF Structural Review 01/14/2010 01ll4/2010.. . WI KLK " " '. ,.", Structural Review 01/15/2010 01/15/2010 10 KLK Fire Department Review 12/08/2009 01/22/2010 APP GRG Structural Review 01/22/2010 01/22/2010 APP KLK Structural Review 01/25/20[0 01/25/2010 APP KLK Paee 3 of6 Revised Electrical Plans. Needs completion of MDS decision DRC2009-00042 and Development Agreement and DWP (pharmecuticals stored in building, trash enclosure drains, etc.). Client paid plan review fees, 12/10/09. Distributed plans to SUB, Fire, Building and Planning/ Public Works. Two SDC Worksheets Attacbed Completed 1st plan review. Emailed 1st structural review letter to Architect, includes Addendum #1. Received Addendnm #2; routed to Building and Fire. Received Architect's Memorandum; Completed 2nd plan review. Received wet-signature memorandum from architect. See attached document for Fire Department Plans Review comments. OK to issue per the Building Official. Electrical Permit NOT Issued. CITY OF SPRINGFIELD L.t" ",.1: ';.. Building/Combination Permit .~. Ie Status Issued PERMIT NO: COM2009-01753 225 Fifth Street, Springfield, OR ISSUED: 02/05/2010 541-726-3753 Phone APPLIED: 12/08/2009 541-726-3676 Fax EXPIRES: 09/22/2010 541-726-3769 Inspection Line VALUE: $ 3,107,231.00 Public Works Review 01/29/2010 01/29/2010 10 LLH Okay to Issue per Eric Walters via Kip Kaufman. Do not issue permit until SDC credit issue has been resolved. Eric Walters should have information needed either by the end of the working day today or Monday, February I, 2010. Resolved per Eric Walters 2II/IO.lIj Initial Review 02/18/2010 02/18/2010 APP LLH Revised Electrical plans. Electrical application not included with submission. Forwarded to Bryan Richardson Electrical Plan Review 02/2212010 02/22120lQ . 10 BAR worked on plan review Electrical Plan Review 02123/20 I 0 02723/2010' . APP BAR Ok to issue electrical permit. Fire Denartment Review 03/03/2010 03/03/2010 OK GRG Plans Review: electrical revisions to main plans submittal. Job #COM2009-01753. Revised Plan Sheets EI3I, E132, E 133 and E 134 show basic fire alarm layout. Some device locations shown on these sheets would appear incorrect or will need to change locations or the number of devices will need to be changed by the tire alarm designer depending on the type and device cd strength. Structural Review 03/03/2010 03/03/20 I 0 APP KLK Electrical Plans Approved Per Bryan Richardson (Building Safety) and Gilbert Gordon (Fire). Fire Department Review 03/26/2010 03/26/2010 APP GRG See attached document for Fire Department Plans Review comment~ U..:;~ l,i.. for the sprinkler and standpipe ,. submittals from Harvey and Price. 7';",-> ... . ~. 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. UleouiredJnsnections ~ Underslab Plumbing: Prior to filling the trench and including required testing. Underground Plumbing: Prior to tilling the trench and including required testing. Paee 4 01'6 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01753 ISSUED: 02/05/2010 APPLIED: 12/08/2009 EXPIRES: 09/22/2010 VALUE: $ 3,107,231.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-3769 Inspection Line .i ., Undertloor Plnmhing: Prior to insnlation or d~cking.. Underfloor Drain: Prior to cover or placem~ntlof concrete. Rough Plumbing: Prior to cover and inclndilig required testing. Shower Pan. Prior to covering and including reqnired testing. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Final Plumhing: When all plumbing work is complete. Site Inspection: To be made after excavation but prior to setting forms. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Roof Sheathing/Nailing: Before covering sheathing with finish material. Roofing: Prior to in,stalling any roof covering. Drywall: Prior to taping. i. ,. '... . :i ~~" J!~' Firewall: Located and constructed according to plans. \.:1 " Bolls Installed in Concrete: To be done by iState Certified Spedallnspector. Provide inspection test reports to City Building Inspector. Ceiling Grid: After drywall approval but prior to cover. Special Inspection: Weld Inspection: To be done during construction by a State Certified Spedallnspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Spedal Inspection: Ultrasonic Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection resulls shall be provided to the City of Springfield. Structural Welds: To be done during construction by State Certified Spedallnspector. Provide inspection test resulls to City Building Inspector. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Underground 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. Fire Department Water Supply. Inspcction to assure water supply is available on site for construction. This inspection is required prior to any combustibl,e COl1~truction. Fire Department Access. Inspection to assure':~~cess is available to site for construction project. This inspection is required prior to any combustible constructi<,H1.' Final Fire Department. After all requirements of the Fire Department bave been met. Paee 5 of 6 .,', Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01753 ISSUED: 02/05/2010 APPLIED: 12/0812009 EXPIRES: 09/22/2010 VALUE: $ 3,107,231.00 Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. SUB Final: After all required energy inspections have been requested and approved. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underlloor Gas: After line is installed and re9Njre~ ;~sting a~d capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rougb Mecbanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully ~xamined the completed application and do hereby 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 Springlield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure withont 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 nsed on this project. I further agree to ensnre 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. . "~.:~~ \!",~":l;,,' ,.'. . Owner or Contractors Signature Page 6 of 6 Datc 225 Fifth Street Springfieid, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000271 Date: 03/29/2010 1:55:46PM Job/Journal Number COM2009-0 1753 COM2009-01753 COM2009-0 1753 COM2009-0 1753 Description Low Voltage - Commercial lodus.';;,:: Minimum/Adjustment Electrical' .r + 12% State Surcharge + 5% Technology Fee , . .' Amount Due 32.00 2600 6.96 2.90 $67.86 o Payments: Type of Payment Check Paid By PROCESS AUTOMATION INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 1102 In Person Payment Total: $67.86 $67.86 " i. ~..~ . ': ...' cReceil1tl Page I of I 3/29/2010