HomeMy WebLinkAboutPermit Electrical 2010-2-3
Electrical Permit Application
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225 Fifth Street + Springficld, OR 97477. PII(541)726-3753. FAX(541)726-3689
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Permit no.:
Date:
This permit is issued under OAR 9]8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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\)"'- ,\\\S \\Q?-\ . . # , '. nd surcharges (A through C):
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Zoning approval verified? 0 Yes 0 No
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Name:
Phone:
CCB license no.:/(,t "'tiS'
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9!08/COM)
.FEE"SCHEDULE: .
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:rs,,!l~b~roH~spections,per item:(-f "~,,, Qfy.
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Residential, per unit, service included:
\,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00 $
$ 25.00 $
Limited energy (2)
Each manufactured home or modular
dwel!ing service or feeder (?)
$ 32.00 $
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $ 47S
401 to 600 amps (2) $1 S8.00 $
601 to \,000 amps (2) I $205.00 $2o~
Over 1,000 amps or volts (2) $469.00 ,$
Reconnect only (2) $ 63.00 $
s~rvices _or feeders: installation, alteration, relocation
,.-..}. .
$ 63.00' $
$ 87.00" $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each~ additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Elich additional inspection: (I)
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(A) Enter -subtotal:-bY~;b6
(Minimum; Per . '~c\
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h'
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58.00 $
$ D
$
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01700
ISSUED: 02/03/2010
APPLIED: 11/25/2009
EXPIRES: 09/18/2010
VALUE: $ 655,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,"'..,
SITE ADDRESS: 445 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703224407200
Springfield TYPE OF WORK: Medical Office
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Tenant Improvement: Radiology Clinic. Existing Building Plans #COM2004-00568.
Owner: RLS HOLDINGS LLC
Address: 3356 KING EDWARDS CRT
EUGENE OR 97401
Phone Number: 541-520-9022
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
Contractor
TONY KOACH ARCHITECTS
BURTON WALTER
WHISKEY HILL ELECTRIC INC
COMFORT FLOW HEATING CO.
PMSI LLC
License
Expiration Date
114163
162985
460
158286
I BUILDING INFORMATION I
OS/2412010
02/01/20 I I
06/2712011
01/1412012
Phone
503-358-4602
541-744-7017
503-98 I -4640
>
541-726-0100
503-466-2222
# of Units: ",~,o,fStories: 2
Primary Occupancy Group: B .Height of Structure 21.00
Secondary Occupancy'Group: Type of H~t:
Primary Construction Type IIlB laW req~!ll9
Secondary Constructi~mtft\ON: Orego~ '0':/ the Ith
# of Bedrooms: ~o'fI nates adoptelhoseru'#jSlllli!~ 'I~.,.
Notification centef'10 \hrou.gW'/j)AlliftFu 6Ymg: No
~ 'toumayob E "ORMATlON
""~W\ \he center. I
call n9r tor the oregon 332-2.344).
Front yard Setback: I\Ulflb8 center is 1-800- 'Overlay Dist:,
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: 201
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
", :.. l.~
.:.l!'!..,.,t"!',
lee.' DownspoutslDr~'inJ:..-uE WORI< "
NOT 10. \. EXPIRE \t In 01'
1\-1\5 PERM\i S\o\I\.\: i\-llS PERMIl \5 N "
AU1\-10RI7.ED U~~~: ABANDONED f?R,<::
COMMENCED 00'" ' '
ANY 180 DAY PERI .
Notes:
.'. ,...~ /.
Paee I of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPnblic
Plan Review Fire & Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
Fixtnre .
+ 12% State Snrcharge
+ 5% Technology Fee
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Deferred Submittal
Demolition
Penalty Fee - BWOP Bnilding
Plan Review Minor - Planning
Plan Review/Com,lnd,Pub Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Coml,liance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 601 to 999 amps
Total Amount Paid
Structural Review
12/30/2009
Structural Review
SUB Review
02/18/2010
11/30/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01700
ISSUED: 02/03/2010
APPLIED: 11/25/2009
EXPIRES: 09/18/2010
VALUE: $ 655,000.00
I Valuation Descrintion ~
$ Per Sq Ft
or multiplie~,: ."
.$LOO '" ',,;
Square Footage
or Bid Amonnt
655,000.00
~'Total Value of Project
~
Amount Paid
$1,928.94
$1,187.04
$27.36
$11.40
$128.00
$363.07
$160.13
$2,967.60
$29.00
$0.75
$912.00
$58.00
$58,00
$119.00
$232.00, >,
$250.6.j~~)i,
$513.52" :",
$IO.O!! .
$8.46
$9,566.67
$731.49
$554.04
$140.64
$58,60.
$492.00
$475.00
$205.00
"
;:'
$21,288.35
Plan Reviews ~
Date Paid
'1
11/25/09
11/25/09
'1/12/10
1/12/10
1/12/10
2/3/10
2/3/10
2/3/10
2/3/1 0
2/3/10
2/3/1 0
2/3/10
2/3/1 0
2/3/10
2/3/10
2/3/10
2/3/10
2/3/1 0
2/3/10
2/3/10
2/3/10
2/3/10
3/19/1 0
3/19/10
,3/19/10
3/19/10
3/19/10
10
DJB
'i'.; " 'Paee 2 of 5
....r. ',.1
Value
Date Calculated
$655,000.00
$655,000.00
11/2512009
Receipt Number
2200900000000001328
2200900000000001328
1201000000000000036
1201000000000000036
1201000000000000036
1201000000000000100
1201000000000000100
12010000000000QOI00
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000100
1201000000000000101l
12010000000000011246
12010011000000000246
12011100000000000246
1201000000000000246
1201000000000000246
Received response from Tony Koach
(arch.) to comments dated 12/20/09.
Mechanical Plans and application,
Requested energy forms/llh
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2009-01700
225 Fifth Street, Springfield, OR ISSUED: 02/03/2010
541-726-3753 Phone APPLIED: 11/25/2009
541-726-3676 Fax EXPIRES: 09/1812010
541-726-3769 Inspection Line VALUE: $ 655,000.00
Initial Review 11/25/2009 11/25/2009 WE LLH Waiting for plan review fee to route
plans.
Initial Review 11/30/2009 11/30/2009 APP LLH Plan review payment received
Plannine: Review 11/30/2009 12101/2009 APP EMM All tenant uses must be those listed
as permitted uses in the
Neighborhood Commercial zoning
district. Replace failed landscaping
plants as shown on approved
_.,..,- landscaping plan.
"
Structural Review 12/10/2009 12/10/2009 10 KLK Completed 1st structural plan
. . review, and em ailed comments to
Architect.
Structural Review 12/24/2009 12/24/2009 10 KLK Received new plan documents in
response to 1st plan review letter.
Fire Deuartment Review 11/30/2009 01/04/20 I 0 WE GRG Waiting on basic emergency
generator information.
Fire Department Review 01/08/2010 01/08/2010 APP GRG See attached document for Fire
Department Plans Review
comments.
Structural Review 01/12/2010 01/1212010 WE KLK Completed 2nd structural revicw,
and emailed comments to architect.
Structural Review 01/27/2010 01/27/2010 WI KLK Public Works
Public Works Review 11/30/2009 02/01/2010 DON CTM
Structural Review 02101/20 I 0 02/01/2010 APP KLK
Structural Review 02/17/2010 02/i7/2010 - IO DJB Received Mechanical Plans Deferred
,. Submittal
Initial Review 02/18/2010 02/18/2010 APP LLH Mechanical Plans and application
forwarded to Kip Kaufman
Structural Review 02/26/20 I 0 02/26/2010 WE CJC Applicant to provide:
I) Engieering for seismic altacment
or RTU's over 400# and unit heater
over 75#
2) Fire damper listings
Structural Review 03/03/20 I 0 03/09/2010 WE KLK Provide
I) Wet-signature stamped
engineering for seismic bracing,
2) Listings for Fire Dampers.
Paee 3 of 5
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01700
ISSUED: 02/03/2010
APPLIED: 11125/2009
EXPIRES: 09/18/2010
VALUE: $ 655,000.00
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
f.";..) j' "i
Strnctural Review
03/18/20 I 0
03/18/2010
10
CJC
Recieved wet.signed engineering for
rtu anchorage per KLK's request
3/15/10
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.
l...P-eolliretUnsnections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab bnilding ser.vice equipment, conduit piping and other equipment items are in
place but prior to concrete. ":
Concrete Tilt Up Panels: Prior to placemen~,.of, concrete with all steel reinforcement in place,
Post and Beam: Prior to floor insulation or decking.
Shear Wall Nailing: Before covering'sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to covel'.
Ceiling Insulation: Prior to cover.
Rooting: Prior to installing any roof covering.
Roof Sheathing
,1
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Ceiling Grid: After drywall approval but pri.or;tocpv,V..
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with
approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield.
Final Fire Department. After all requirements of the Fire Department have been met.
Paee 4 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01700
ISSUED: 02/03/2010
APPLIED: 11/25/2009
EXPIRES: 09/18/2010
VALUE: $ 655,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
SUB Final: After all required energy inspections have been requested and approved.
Underfloor Plumbing: Prior to insulation or.,q~~king.,^)
. !' ~" ,
Shower Pan. P,'ior to covering and including ~e,quired. testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agrce, that 1 have carefully examined the completed application and do hereby ccrtify that all
information hcreon is true and correct, and I further certify that any and all work performed shall bc done in accordance with
the Ordinances of the City of Springfield and thc 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requestcd 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
ti,rnes during construction.
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Owner or Contractors Signature
:.l "
Date
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" .. Page 5 of 5
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City of Springfield Official Receipt
Development Services Department
I>ublic Works Department
225 Fifth" Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
120]000000000000246
Date: 03/]9/20]0
IO:I7:28AM
Job/Journal Number
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
COM2009-0 1700
Payments:
Type of Payment
CreditCard
cReceintl
Description
Perm Serv/Fdr 201 to 400 amps
Perm Serv/Fdr 601 to 999 amps
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
475.00
205.00
492.00
140.64
58.60
$1,371.24
Paid By
CURT CRIBBINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
219161 In Person
Payment Total:
$1,371.24
$1,371.24
'. \
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