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Home My WebLink AboutPermit Electrical 2010-4-6 225 Fiftb Street+Springfield. OR 97477. PH(541)726-3753+ FAX(541}726-3689 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. li~Jiiti;j1~llil:>c~.l!.'iG!:5XlI2~NrVJI2Nrr'A~~RCilSlALiJ~~;\i Zoning approval verified? 0 Yes 0 No ~!~C~m:E(3!:5~1t;[0Iil!el:>l)l$:iI'~l!I.eiT!ICilI)l!1\11~~iim~ o Residential I 0 Government I~mmercial iimillJ!';lB][$liliE!;]N.1;0RM~ilill:>I)l~;A;l)ll;:)it1l:>CAmICilN~ Job site address: . . L/ f5 . /f/!,f/~ /LI JI 'b/JiJ City: :5jJt€I/76fidlJ I State:t:71( Z1P:C'/7Lf7/ Reference: /70 J Zz. y 1./ I Taxlot.:07 Z~C> \iiJ1~~ifi1li~OE$CRI~11ICilNli(:l!i~WCilR~~~~~Bii ;f/v57lfLl EL6"ct. CNJIJ/I/7S tN1M L~Z7l(iJm 5e/f'f.//e~ 200 amps or less (2) $ 81.00 $$ ~ 201 tp 400 amps (2) $ 95.00 Name: ;fLS /1tJ(~/";6J' iLc- 40Ito 600 amps (2) $158.00 $ Address: 3'3Sb )c.,N'G--~(,I*rVs..& c.T" 601 10 1,000 amps (2) $205.00 $ City: ~p.1 State: ()(L. ZJP:9'Jl./of Over 1,000 amps or volts (2) $469.00 $ Phone' - - I Fax: - - W.2 t ~ $ 63.00 $ E-mail: ._O~:OfegOl1.\~...Sl ~..'ti\or feeders: l1lstallatlOn, alteratlOn, relocatIOn Th" ""."~OO,, 00""" oo=~ I. '" ~ ' ill- '..00 , owned by me or a member of my Immea~~:b'n e . tIC iiJl P'I property IS not Intended for sale, exch~tl 9~~1~ 0 ~C $ 87.00 $ 479.540(1) and 479.560(1). InOJli'l'OIlrna'lotltaln. ~ $126.00 $ SIgnature: 0090.. the cent~l. D/lltll\tqJ or 1,000 volts, see seIVIces or feeders seclton above kkLv8"'1li\:IiCc "Nc ,,"o'''C. "",,cRE]N. S",. . 'I/. .. .".....""'.""L. ""'~, ~,,7.l'3'f"J'. .. ;"Jm1:&nI,j~"i0,.,,"o.:!,.J';~' jli"'.;jE",I!~I!I!A'J 1>:4Y:0~r%k~!8~r4+F"( 0, ~.DQRlerrCIrC'llts: new, alteration. extenslOnper panel Business name: ?,,If. l"5t2fth h/lrh ~t'd~ to;; a. Fee for branch circuits with purchase ofa service or feeder fee: Address: 6%liI. II r~ . 5T: Each branch circuit . I $ 6.00 I $ CitySfJ K/-1! 6F/ ei /)...1 State: iJlf I ZIP:17'-/7 7 b. Feefor branch circuits without purchase of a service or feeder fee: Phon;s.j.)-7'17, &611$ I FaxS'It 7'1-7.7/5'7 E-mail: IrJ/~)~/l/KI7.e..(n..et- . CCB license no,; {) ?6'99 I BCD license no.: ~ )tf7C' _ Miscellaneous fees: service orfeeder not included Signing supervisor's license no.: LI q t.J '-I S Print name of signing supervisor: Lc::.. t-,....., 13rG\..L"()....... Ji Signature of signing supervisor: d. ''''p /./ " ./ (A) Enter SU~!~~t~,f;ft9~y,~:({e~~~~~~~Y'~~ ~~~'~:E~ (Minimu~~.er~~1$58' ~~:~~ I\Ul\-10R\ . M E t\S. arges (A th~ough C): - COM ERIUU. .....( J s:; I\NY 180 MY P ~(\..:~ ~ ~~~ ~ t:7 "- ~X /STIAI& f'Bflfm II ~~I' ~'\;; C~m AM1- (J 17()O 440-2584-) (9/08/COM) Residential, per unit, service included: 1,000 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 dwelling service or feeder (2) $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration, relocation First branch circuit (2) Each additional branch circuit f $ 55.00 $JS, $ $ 6.00 Each pump or irrigation circle (2) $ 63.00 $ $ Each sign or outline lighting (2) $ 63.00 Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ Each additional inspection: (1) $58.00 $ $ Sg /tJ $ (#,9,6 $ ~ .'1t' $b7.Jh " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/02/2010 VALUE: $ 655,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ~ " ' Contractor Type Architect General Electrical Mecbanical 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 ~ OS/24/2010 02/01/2011 06/27/2011 01/14/2012 Phone 503-358-4602 541-744-7017 503-981-4640 541-726-0100 503-466.2222 # of Units: # of Stories: 2 Primary Occupancy Group: ATTEN:JlION: Oregcfl'~_88tVOU'to 21.00 Secondary Occupancy Group: follow "lies adople4'~Ih8IGmgon UIllily Primary Construction Type NotifIcIIlIllln Center. l'Ml_ru~are set forth Secondary Construction Typeln OAR 852.oo1.oo100*gI}~ 952-001- # of Bedrooms: 0090. You may obtaIDlCl!l@\9p.Qt#le rules ~ . call1ngtheoentlll'. ~tROJ&tI~e No ftUmhor fnr thA atAnon Utilitv NntlfWdlon Cen~~l~~~ORMATlON ~ 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 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , , , \' Overlay'Dist: # 'Street Trees Rqd: , ...CA..:..,."......".. ' Paved Drive Rqd: 0/" of Lot Coverage: cp: " Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ ,. <0", '" . '".;;.o,'"""iSidejNalk>Type: NOTtCE: "."~d.ih"'" .., .. . THIS PERMIT SHAtl txP1REIlMiHli<WO~~ms: AUTHORIZED UNDER THIS PERMIT~: .' COMMENCED OR IS ABANDONED F ANY 180 DAY PERIOD. Notes: Page I of 5 1<"',,' (' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/02/2010 VALUE: $ 655,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line h, "'-0/. ,^,... 1.'~:.\ . L i; !'!. "l. I Valuation Descriution I Descrilltion Estimate TVlle of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount' 655,000.00 Value Date Calculated Total Value' of Project $655,000.00 $655,000,00 11/25/2009 ~ Fee Descrilltion Amount Paid Date Paid Receipt Number Plan Review CommlIndlPublic $1,928.94 11/25/09 2200900000000001328 Plan Review Fire & Life Safety $1,187.04 11/25/09 2200900000000001328 + 12% State Surcharge $27.36 1/12/10 1201000000000000036 + 5% Technology Fee $11.40 1/12/10 1201000000000000036 Fixture $228.00 ; . ' 1/12/10 1201000000000000036 ,--,; .,...,. + 12% State Surcharge $363.07: ", '[ i\ 2/3/10 1201000000000000100 + 5% Technology Fee $160.13'" , 2/3/10 1201000000000000100 Building Permit $2,967.60 r: 2/3/10 1201000000000000100 Copies - Ea Addtl @ 50 Cnts Ea $29.00 2/3/10 1201000000000000100 Copy 6th @ 75 cents $0.75 2/3/10 1201000000000000100 Deferred Submittal $912.00 2/3/10 1201000000000000100 Demolition $58.00 2/3/10 1201000000000000100 Penalty Fee - BWOP Building $58.00 2/3/10 1201000000000000100 Plan Review Minor - Planning $119.00 2/3/10 1201000000000000100 Plan Review/Com,lnd,Pub Hourly $232.00 2/3/10 1201000000000000100 Sanitary Sewer - Improvement $250.64 2/3/10 1201000000000000100 Sanitary Sewer - Reimbursement $513.52 2/3/10 1201000000000000100 SDC MWMC Administratiou $10.00 2/3/10 1201000000000000100 SDC MWMC Compliance Charge $8.46 ' 2/3/10 1201000000000000100 SDC MWMC Improvement $9,566.67 ' 2/3/1 0 1201000000000000100 SDC MWMC Reimbursement $731.49 2/3/10 1201000000000000100 SDC Sanitary/Storm Admin $554.04 2/3/10 1201000000000000100 + 12% State Surcharge $140.64 3/19/10 1201000000000000246 + 5% Technology Fee $58.60 3/19/10 1201000000000000246 Add, Alter, Extend Circ Ea Add $492.00 3/19/10 1201000000000000246 Perm Serv/Fdr 201 to 400 amps $475.00 3/19/1 0 1201000000000000246 Perm Serv/Fdr 601 to 999 amps $205.00 3/19/10 1201000000000000246 + 12% State Surcharge $6.96i' ;; ,I ;"1' 4/6/10 2201000000000000324 + 5% Technology Fee $2.90 ' " 4/6/10 2201000000000000324 Add, Alter, Extend Circ $55.00 , 4/6/10 2201000000000000324 Minimum/Adjustment Electrical $3.00" 4/6/10 2201000000000000324 Total Amount Paid $21,356.21 Page 2 of 5 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: 10/02/2010 541-726-3769 Inspection Line VALUE: $ 655,000.00 Plan Reviews ~ Structural Review 12/30/2009 ,,' , 10 DJB Received response from Tony Koach (arch.) to comments dated 12/20/09. Structural Review 02/18/20 I 0 t,ll Mechani,cal Plans and applicatiou SUB Review 1I!30/2009 Requested energy forms/llh 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 Plan nine Review 11130/2009 12/0112009 APP EMM All tenant uses must be those listed as permitted uses in the Neighborhood Commercial zouiug 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 emailed 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 Department Review 11/30/2009 01/04/2010 WE GRG Waiting on basic emergency I"~ generator information. Fire Department Review 01/08/2010 01/08/2010 APP GRG See attached document for Fire Dcpart~cnt Plans Review comments. Structural Review 01112/2010 01/12/2010 WE KLK Completed 2nd structural review, and em ailed comments to architect. Structural Review 01/27/2010 01/27/2010 WI KLK Public Works Public Works Review 11/30/2009 02/0112010 DON CTM Structural Review 02/01/2010 ,02/01/2010 APP KLK Structural Review 02/17/2010 02/17/20 I 0 10 DJB Received Mechanical Plans Deferred Submittal Initial Review 02/18/20 I 0 02/18/2010 APP LLH Mechanical Plans and application forwarded to Kip Kaufman ..1' ,.ill'!.t ,Oi' !!' Paee 3 of 5 liO.~ I' , , " .. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/02/2010 VALUE: $ 655,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 02/26/2010 02126/2010 , WE CJC Applicant to provide: 1) Engieering for seismic allacment or RTU's over 400# and unit heater over 75# 2) Fire damper listings Structural Review 03/03/2010 03/09/2010 WE KLK Provide 1) Wet-siguature stamped engineering for seismic bracing, 2) Listiugs for Fire Dampers. Structural Review 03/18/2010 0308/201,0 10 CJC Recieved wet-signed engineering for rtu anchorage per KLK's request 3/15/10 i' To Request an inspection call the 24 hour recording at 726-3769. All inspections rl!quested 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. ~eollire-Un'\nect~ Rough Plumbing: Prior to cover and including required testiug. 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 ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Concrete Tilt Up Panels: Prior to placement of concrete with all steell'einforcement in place. Post and Beam: Prior to floor insulation or decking. ,.'1\1 ,...' .J ~ . 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. Roofing: Prior to installing any roof covering. Roof Sheathing 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. Page 4 01'5 CITY OF SPRINGFIELD Building/Combination Permit ", I:' PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/02/2010 VALUE: $.655,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ','"..',(',; ,:], ULf j"i 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 prior to cover. Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building 'nspector. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Special Inspection: Weld 'nspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. C6pie; of inspection results shall be provided to the City of Springfield. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all reqnired inspections have been requested and approved and the building is complete. SUB Final: After all required energy inspections have been reqnested and approved. Undernoor Plumbing: Prior to insulation or decking. Shower Pan. Prior to covering and including reqnired testing. Rough Gas: After line is installed and requi~e'~:,tes.iing'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. h; Rough Electric: Prior to Cover Electric Service: Approval required prior to ntility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthel: certify that 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 ".\'11: .'. ; f., "~"".; <, Date 1';1" . Page 5 of5 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000324 Date: 04/0612010 8:59:20AM Job/Journal Number COM2009-0 1700 COM2009-0 1700 COM2009-0 1700 COM2009-0 1700 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee ,.1 t;. i' Amount Due 55.00 3.00 6.96 2.90 $67.86 Payments: Type of Payment Check Paid By LR BRABHAM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 38699 In Person Payment Total: $67.86 $67.86 ", . : r ' ~ ' \ :, f t ,If, Ie cReceinll Page 1 of 1 4/6/20 I 0