Loading...
HomeMy WebLinkAboutPermit Electrical 2010-2-3 Electrical Permit Application "-\.~.".:-..;i'ifif~~~~i'OC..~~.., 1 ,""",-'f';:""~ .B,,<><~_ "",--'0_ ~;;~t][~,2El~~,~I:~~~I~]?;R~}9~E{fj()~"~' 225 Fifth Street + Springficld, OR 97477. PII(541)726-3753. FAX(541)726-3689 ;)'~~~f,6;~!Ni~NT,U~~~JiNL:Y ': COMZoo 't -0 f 70 C 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. . ~~ ;\0 2>'~Q-- Ct". . ~t.),. ~O\\t.?\ . - ~~A])!:" 58 \)"'- ,\\\S \\Q?-\ . . # , '. nd surcharges (A through C): f>.1J',~,~x.~ 'i\,,,~Vi' c,c)I"I'" ',ur'l' f>.~i fi,'tJJ "!1i0C~bG'OVEBNMEIII":I~~.F'.BOVAL,;2;. t' Zoning approval verified? 0 Yes 0 No .,/;;';;'.;' .;;CAitE~()R't;;OF;;C"()NS"RUCTION v Name: Phone: CCB license no.:/(,t "'tiS' Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: "~ ~~~\\ 440-2584-J (9!08/COM) .FEE"SCHEDULE: . '"--" '''';:-- -. / -.-. '7 .~. ';;,'Y;"~;-::'~':;';'":~, ';" .'- :rs,,!l~b~roH~spections,per item:(-f "~,,, Qfy. ,J'r.' ~'''''''-'-'''''~,\.\., - .'.,' ',' .......... ...>I::...,"-,,~.' __ 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) ~2<~"~~~1:f.f~~~:0:f#~~A~R1ElCAN (A) Enter -subtotal:-bY~;b6 (Minimum; Per . '~c\ L ", _~. . h' $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 $ $ D $ 1?,7/.ZI.{ ',. 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. ,,~j~~~ " '/j; ,~:~ .OJ Owner or Contractors Signature :.l " Date ;"~}'(. . "', "-' " .. Page 5 of 5 ,. ,. ~- 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 '. \ Page I of I 3/[912010