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Home My WebLink AboutPermit Electrical 2010-2-25 S:_.~:;G~~ ~~~ " ~OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541~726-3753 . Email: .permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00086 Approval Code: 069148 2/25/2010 10: 12 am E-mailed To: psa@peak,org -TYPE~ OF WORK o New Construction IRJ Addition/alteration/replacement 1'" ';"0', CATEGORY OF C'ONSTRUCTIOW'--'.,_ )' o 1 or 2 family dwelling o Multi-family [R] Commercial D Accessory JOB SITE INFORMATION AND,LOCATION, Job Address: 304 Q 8T City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Fresenius #2104 Cross Street/directions to job site: Tax map/parcel no.: 1703262401600 DESCRIPTION OF WORK,',:~' ",' " Installation of Alarm System f' ---:' 'fi.':-:SITECONTACT,"-' Name: Dorthv Gibbs Phone: 541-451-1330 Fax: 541-926-1809 Email: ~ -GONTRACTOR, : ..;>. ~~"..~' Elee lie. no.: 22.182CLE cce lie. no.: 56147 Business Name: PROFESSIONAL SECURITY ALARM CO Contact: Add,ess, 253,j\/<OT~&E~ND ST ,,',..' ',~",,".'~ "';'.',.' Phone: 54145 City/State/ZIP: Email: psa@pe Metro lie. no.: City lie, no,: Supervising Electrician's lie. no.: 3879LEA Supervising Electrician's Name: DELBERT L FERREN, JR Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, your permit will be e.malled or faxed within one business day,wilh instructions on how to schedule your lnspec tlon. NOTE: This Authorization To Begin Work. expIres withIn 180 days JI a permit Is not obtained. The local building department may determine that an Authorization To Begin Wor'k Is null and void il it does not meet applicable land use laws and. local ordinances. I Please check all that apply: o A service or feeder beginning al400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other &A-~tt-I PLAN REVIEW ~j o Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities _t:T!TI.ji~(i~h~tgy~~ .' Stand.alone limited energy, commercial '$lectrical;p'ermif Fees '" '+"" Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE o Hazardous locations D A service or feeder rated at 600 amps or more . o BUildings more than three star o Marinas and boat yards o Floating buildings o Commercial.use agricultural buildings o Installation of a 150 KVA or larger sepe!8tely derived sys O "A" "E" or "1.2" or "1-3" , , o Recreational Vehicle Parks , 0 Supply voltage for more than 600 supply volts nominal Total $58.00 $58.00 $6.96 $2.90 $67.86 CJ5YVI 100<1 - ~\ ~ 2-\ lJ~\ \0 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~~ (\ W iX. \\) V tx... ~tJ . . ....~\9\\) O~Q/ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/1I/2009 EXPIRES: 08/25/2010 VALUE: $ 2,069,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line SITE ADDRESS: 304 Q ST ASSESSOR'S PARCEL NO.: 1703262401600 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New PROJECT DESCRIPTION: New Bnilding for Springfield Dialysis, LLC Commercial Owner: SPRINGFIELD DIALYSIS LLC Address: 3355 RIVER BEND DR STE 200 SPRINGFIELD OR 97477 Phone Number: (541) 485-6478 Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing I CONTRACTOR INFORMATION ~ Contractor License CHRISTOPHERKIDD AND ASSOCIATES, L NHB, INC AI3STRACT ELECTRIC LLC 185478 PROFESSIONAL SECURITY ALARM 56147 CHAMBERS PLUMBING AND HEATING, IN TRI-COUNTY PLUMBING CONTRACTORS, BUILDING INFORMATION I Expiration Date 02/12/2011 04/04/20] 0 Phone (262) 901-0505 541-258-3973 360-426-9394 541-45 I -1330 541-269-7137 541-888-9457 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~..... # of Units: # of Stories: Lot Size: Primary Occnpancy Group: B Height of Structure Sq Ft 1st Floor: ~~~~:~7:~~::Nllittci~:P.:;c.'ii .SJ.'''''':."~\:,tiW%9[Hea:t: . Forced Air ga:s ~~ :: ~~~e~~~;~ Secondary Con~!lt(illiRMlT:SHALL EXPIRE IF T~~\'N~~:. Sq Ft Garage/Carport # of Bedrooms: AUTHORIZED UNDER THIS PERMth&{~~Z~:. . ~TTENl1dAt6~w,er:la . requIres you to COMMENCED OR IS ABANDONE"Ifi@Rd~9.:~Ulldlllg fdrfdw rUI~cli1IB~m~f)J\;'e Oregon Utility .-" O' "' lie n. ose u es are se DEVELOPMEN I INFORMA TIO AR 952.Q01:00tOJ!!.r,qIl.9l1 OAR 952:(l.Q1- . 0090. Youmayobt!ill1~\WlrM%l&iby Overlay Dist: . . calling the centerrJlllp.te:. ~e tel~~hone # Street Trees Rqd: number for the, Orft911RiWil~r.Plotification Paved Drive Rqd: Center 181&,@p~~.2344). % of Lot Coverage: 43,996 10,349 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsiDrains: ."J,..p., T '., "~ ~: Notes: "q i, Paee I of 8 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier . $104.20 $1.00 $1.00 Square Footage or Bid Amount 10,349.00 2,069,800.00 77,000.00 Type of Construction Business Estimate Mechanical C/I B VB Business Estimate Use Bid Amount Total Valne of Project Fees Paid I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 EXPIRES: 08/25/2010 VALUE: $ 2,069,800.00 Value Date Calculated $1,078,365.80 $2,069,800.00 $77,000.00 $3,225,165.80 06/1 l/2009 06/11/2009 07/3012009 Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $5,672.32 6/16/09 3200900000000000460 Plan Review Fire & Life Safety $3,490.66 6/16/09 3200900000000000460 Mountaingate Impervious Area $829.96 7/20109 2200900000000000822 Plan Review/Com,lnd,Pub Honrly $58.00 7/20/09 2200900000000000820 Reversal- Plan Review/Com,Ind $-58.00 7/20/09 2200900000000000821 Reversal - Sanitary Sewer - 1m $-631.1 0 7/20/09 2200900000000000821 Reversal - Sanitary Sewer - Re $-829.96 7/20/09 2200900000000000821 Reversal- SDC MWMC Administr $-10.00 7120/09 2200900000000000821 Reversal - SDC MWMC Improvem $-6,114.13 7/20/09 2200900000000000821 Reversal - SDC MWMC Reimburse $-593.13 7/20/09 2200900000000000821 Reversal - SDC Sanitary/Storm $-903.04 7/20/09 2200900000000000821 Reversal- SDC Transpo Improve $-49,694.58,..;' 7/20/09 2200900000000000821 Reversal - SDC Transpo Reimbur $-13,634.67 ..;' 7/20/09 2200900000000000821 Reversal - SDC Transportation $-3,432.37, . 7/20/09 2200900000000000821 Reversal - Storm Drainage Impe $- I 5,200.65 7120/09 2200900000000000821 Sanitary Sewer - Improvement $631.1 0 7/20/09 2200900000000000820 Sanitary Sewer - Reimbursement $631.1 0 7/20/09 2200900000000000822 Sanitary Sewer - Reimbursement $829.96 7/20/09 2200900000000000820 SDC MWMC Administration $10.00 7/20/09 2200900000000000820 SDC MWMC Administration $10.00 7/20/09 2200900000000000822 SDC MWMC Improvement $6,114.13 7/20/09 2200900000000000820 SDC MWMC Improvement $6,114.13 7/20/09 2200900000000000822 SDC MWMC Reimbnrsement $593.13 7/20/09 2200900000000000820 SDC MWMC Reimbursement $593.13 7/20/09 2200900000000000822 SDC Sanitary/Storm Admin $903.04 7/20/09 2200900000000000820 SDC SanitarylStorm Admin $903.Q4 7/20/09 2200900000000000822 SDC Transpo Improvement $49,694.58 7/20/09 2200900000000000820 SDC Transpo Improvement $49,694.58 7/20/09 2200900000000000822 SDC Transpo Reimbnrsement. $13,634.67 7120/09 2200900000000000820 SDC TnlDspo Reimbursement $13,634.67 7/20/09 2200900000000000822 SDC Transportation Admin $3,432.37 7/20/09 2200900000000000820 SDC Transportation Admin $3,432.37 7/20/09 2200900000000000822 Storm Drainage Impervious Area $15,200.65 7/20/09 2200900000000000820 Storm Drainage Impervious Area $15,200.65 7120/09 2200900000000000822 :~: ;'. ". Paee 2 of 8 -li.~ Status Issued 225 Fifth Street, Spring/ield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 12% State Surcharge + 5% Technology Fee Backfiow Device Building Permit Fire SF Fee - Non-Residential Fixture Mechanical-Value Sanitary Sewer - 1st 100 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 100' Storm Sewer Each Addtll00' Water Line - 1st 100' Water Line - Each Addtll00' + 5% Technology Fee Curbellt Permit Encroachment Permit Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg + 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 Perm ServlFdr 401 to 600 amps Temp Power 200 amps or less Inspections - OT Hr Building + 12% State Surcharge + 5% Technology Fee Plan Review/Com,lnd,Pub Hourly Research Rqst - Technical ***+ 100;;, Administrative Fee*** FLS Safety Systems Review ***+ ] 00/0 Administrative Fee*** FLS Safety Systems Review + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Fire Deoartment Review 10/07/2009 Plannh12 Review 06/17/2009 $1,287.53 $536.47 $76.00 $8,726.65 $1,034.90 $855.00 $596.74 $76.00 $57.00 $76.00 $152.00 $76.00 c'. $38.00, $16.27 $88.00 $139.50 $88.00 $10.00 $179.64 $74.85 $768.00 $174.00 $81.00 $95.00 $316.00 $63.00 $86.00 $10.32 $4.30 $174.00 $51.00 $128.87 $1,288.71 $17.94 : $179.40 $6.96 $2.90 $58.00 $117,896.56 "'1'- 8/18/09 8/18/09 8/18/09 8118109 8118/09 8118/09 8/18/09 8118109 8/18109 8/18/09 8/18/09 8/18/09 8/18/09 8/2 7/09 8/27/09 8127/09 8/27/09 8/27/09 9/30/09 9/30/09 9/30/09 9/30/09 9/30/09 9/30/09 9/30/09 9/30/09 10/9/09 10/26/09 10/26/09 10/26/09 10/26/09 11/9109 1lI9/09 21311 0 2/3/10 2/25/10 2/25/10 2125110 ,,>-. ; I Plan Reviews ~ WI Paee 3 of 8 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 . EXPIRES: 08/25/2010 VALUE: $ 2,069,800.00 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000591 3200900000000000609 3200900000000000609 3200900000000000609 3200900000000000609 3200900000000000609 3200900000000000683 3200900000000000683 3200900000000000683 3200900000000000683 3200900000000000683 3200900000000000683 3200900000000000683 3200900000000000683 2200900000000001162 3200900000000000729 3200900000000000729 3200900000000000729 3200900000000000729 2200900000000001267 2200900000000001267 2201000000000000102 2201000000000000102 1201000000000000179 1201000000000000179 1201000000000000179 Sprinkler system by Om lid and Swinney Final Site Plan submitted 6/15/09. Waiting:for Mark's review and signed Development Agreement, DWP anplication. Paee 4 of'8 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00847 225 Fifth Street, Springfield, OR ISSUED: 08/18/2009 541-726-3753 Phone APPLIED: 06/11/2009 541-726-3676 Fax EXPIRES: 08/25/2010 541-726-3769 Inspection Line VALUE: $ 2,069,800.00 Plannin2 Review 07/30/2009 07/30/2009 APP EMM Call Mark Metzger at 726-3775 for Final Site Inspection before Final Occupancy. To be constructed per Final Site Plan DRC2009-0014. Structural Review 08/03/2009 08/03/2009 APP KLK Pending: Architect to Revise I-Hour Rated Smoke Barrier Wall Details: Sheet A600, Details 10 and 22, Sheet A605, Detail 15. Fire Department Review 08/05/2009 08/05/2009 APP GRG Plans Review: Hazardous Materials Inventory Statement. Job #COM2009-00847. No further permits required other than the operational permit for flammable aud combustible liquids because of the diesel generator. Plans reviewed under the 2007 Springlield Fire Code. Initial Review 10/1212009 10/14/2009 APP LLH Additional revisions Structural Review 10/22/2009 10/22/2009 APP KLK Approved Revisions to Plan Sheets T, AIOO, A200, A600, A600.5, A605. :; ,. Page 5 of8 I CITY OF SPRINGFIELD Building/Combination Permit Sta tus Issued PERMIT NO: COM2009-00847 225 Fifth Street, Springfield, OR ISSUED: 08/18/2009 APPLIED: 06/11/2009 541-726-3753 Phone EXPIRES: 08/25/2010 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 2,069,800.00 Fire Department Review 11106/2009 11/06/2009 APP GRG Plans Review: Sprinkler system for Springfield Dialysis/Fresenius Medical.Care. Job #COM2009-00847. Designer: Nick Anderson with National Fire under contract. Contractor: Omlid and Swinney. Plans reviewed under the 2007 Springfield Fire Code; 2007 Oregon Structural Specialty Code and 2007 edition of NFPA 13, Installation of Sprinkler Systems. This system is a combination system. The 6 inch underground pipe is split manifolded to serve two risers. One riser is for a 4 inch dry pipe system that protects the attic and porte cochere. This system is calcnlated at a light hazard of .10 gpm/sq. ft. over 2535 sq. ft. (increased 30% for the dry system and another 30% due to a roof slope greater than 2:12). Dry pipe volnme is approximately 215 gallons. The other riser serves a wet system. The system protects a storage/suppl) area calculated as an Ordinary Hazard Class II at .20 gpm/sq. ft. over 983 sq. ft.; a treatment room calculated as a Light Hazard at .10 gpm/sq. ft. over 1025 sq. ft. and an office area also calculated as a Light Hazard at .10 gpm/sq. ft. over 936 sq. ft. Piping layout is a tree system. Plans appear to meet code requirements. Fire Department Review 01/29/2010 01/29/2010 APP GRG See attached document for Fire Department Plans Review comments for the fire alarm system. 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. Pa~e 6 of8 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/1112009 EXPIRES: 08/25/2010 VALUE: $ 2,069,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired InSDections I Encroachment: After item(s) have heen removed to. inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk. Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab bnilding service equipment, conduit piping and other equipment items are in place but prior to concrete. .~:;; '" " Floor Insulation: Prior to 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 cover. Ceiling Insulation: Prior to cover. Roof Sheathing Drywall: Prior to taping. Firewall: Located and constructed according to plans. Masonry: Roof Sheathing/Nailing: Before covering sheathing with finish material. Ceiling Grid: After drywall approval but prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Fire Department Sprinkler System: Prior to cover. Hydro pressnre test, fire line flow test. Fire Department Alarm System: Fire DepariiJient Ala;'m System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Final Fire Department. After all requirements of the Fire Department have been met. Final Bnilding: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to tilling the trench and including required testing. Underground Plumbing: Prior to filling the trench and including requi.red testing. Undedloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Paee 7 of8 CITY OF SPRINGFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 lospection Line ',1 t ~' PERMIT NO: COM2009-00847 ISSUED: 08/18/2009 APPLIED: 06/11/2009 EXPIRES: 08/25/2010 VALUE: $ 2,069,800.00 Sanitary Sewer Line: Prior to filling trench and inclnding required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully e.~am\n~~' the completed application and do hereby certify that all information hereon is true and correct, and I further"certify .-hat 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 OCCUPANCY will be made of any structure without permission of the Community Services Division, Building 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 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. Owner or Contractors Signature Date :.1, '5-'1' ".1.' . :"{ Paee 8 of 8 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8j:a.;~.... ....1 ~'.' ~,,;.... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000179 Date: 02/2512010 1I:53:0tAM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization " Received By Batch Number, Number How Received Amount Due 58.00 6.96 2.90 $67.86 Job/Journal Number COM2009-00847 COM2009-00847 COM2009-00847 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE PROFESSIO Online NAL SECURTIY ALARM Payment Total: $67.86 $67.86 ;.,~?; .t. -'f,:"i\ .,~.!t. '~:'I: ,. , .~.~ L '" . ",',~, -J} ,.' .,' cReceiOll Page I of 1 2/25/20 I 0