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