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Home My WebLink AboutPermit Electrical 2010-4-12 Electrical Permit Application l~i'~ ,_~ ,;;... <;;.~ "..-~,,~;:.. .,,~.c.'_....,>.-."'I'~ . ;f:;;~'::.~, -~,c~_ -"'. , '< :(:ITYOR SPRINGEIEUD"'()REGONt~ ~1"" .':!'-"'>,.., -..00. .~~'"'" ~"_ ,,-- ..,.~~;~..i'lf':.::O'-'{ ~;!IX'lio!"<f'~_~ ~, ..' ~. ,- .,_'l 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726-3689 '. DEPARTMENT USE ONLY "':OW1eco7-o/7c o. Pennit no.: Date: 4-fl-tO This permit is issued uuder 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. '\.:OCAL<?O"ERNMENT APP~()"AC;:'"" Zoning approval verified? 0 Yes 0 No ,.C,Il.TEGORYiOFCQNSTRUCl'ION)" .... o Residential 0 Government ~~ Commercial ih'i;i~~,J_O B\;$I"f1:,: IN FQRMA:npNf ANj;)r4()CATiPN:t1)~i\it'i Job site address: tfL\ - A:.LUluJ :.D City: 5Pf(,~ \0--D .~ ZIP: Reference: /70]. 22-L( Taxlot.: O/~O DESCRIPTIONPF WORK'- ;., U)l,lJ U'OL;YP,&f - ']) 4( '~'\1 ,;VI -r< ~~~ ~~ .." ..~'._',.:;".' ~. CCB license no,: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: <..? ;;&P- I 440.2584-1 (9108/COM) NO't,ct~ . "'~\.\. ~?\R~ \f ~ ~~:~~~~ ~~~~: ~~~~~~~~ COMMEN%~~~E\\\OO. '. ",NY 180 ~'\.J :0 k~:ir v=~ ;'~;; ('- ~i~\:ifF;t'ir:~~~7~i~~t~'~!; F,E~~~}SC.BE[jJieET':'7,:~~:~~~1f;!r,~~~?;;,,;~7~~~~~i:~~r; '-.'," . Cost Total ..Numf:!er" o~jnspecti():li5 per,it~m: (). Qty. ,-,,' -'-.-. .'". ",'. '--,;.--.,.,.,. ea.' cost Residential, per unit, service included: 1,000 sq, ft. or less (4) $134,00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) I $ 32.00 $('z. Each manufactured home or modular $ 63,00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158,00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $459,00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration. relocation - 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6,00 $ b. Fee for branch circuits without purchase of a service or feeder fee; First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6,00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign nr outline lighting (2) $ 63,00 $ ~igI)aJ circuit or a limited-energy panel, $ 63.00 $ :ii, "':;;:~ii or extension (2) '\ a: itional inspection: (I) $58.00 $ A~~,f;:"#"ii~'APpmCAN'ri'DSE:;': ;;:;,f.~:2;:f;:f?:~h,;,: ,..~" . ",-~':;..:..Yb~".,,:;c'H;"'~"-'~' "..." -",_ _ ..."....,:' '<'" . ___ _~:,"" .",:: :t ~9IEnt~;;;uhtotal of above-feos.. $58 ,;. t(Minim~m Permit ~$58;'o"oy (B) Enter 12% surcharge (.12 x [A]) $ b~ (e) Technology Fee (5% of [A]) $ t70 TOTAL fees and surcharges (A through C): $7 -db --aT CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/2512009 EXPIRES: 10/12/2010 VALUE: $ 655,000.00 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 445 Harlow Rd ASSESSOR'S PARCEL NO.: 1703224407200 Springlield TYPE OF WORK: Medical Omce 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 ~ ':, I CONTRACTOR INFORMATION ~ Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor License TONY KOACH ARCHITECTS BURTON WALTER 114163 WHISKEY HILL ELECTRIC INC 162985 NATIONAL NETWORK SERVICES OF ORE054300 COMFORT FLOW HEATING CO. 460 PMSI LLC 158286 I BUILDING l~fpRMATlON. NTI0N: Oregon laW re4u"o~ ~ ~tility # of Units: ATTE rules adopted by the li>(,Etl!R;~ ~~blth 2 Primary Occupancy c1ffi~~tlon Centa. ThOse ru~~ ~/KJ'f'ture 21.00 Secondary occupancif952.001.0010thrOU.9 fih'e f!#luy Primary Constructio e You mal}6btaln COpl~ at~fe1)yjwe Secondary Constructi9 \mg the center. lNot~i'iie'!-fOtt~ion # of Bedrooms: number for the.Olegon.33 _ .!\~.Path: Center IS 1-800 prinkled Building: No I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-520-9022 Expiration Date Phone 503-358-4602 541-744.7017 503-981-4640 541-726-9209 541-726-0100 503-466-2222 OS/24/2010 02/0112011 02/10/2011 06/27/2011 01/14/2012 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: Street Improvements: Storm Sewer Available: Speciallllstruction: I PUBLIC IMPRql~S . . l EXPIRE If THE WOR ~StI~9'~tJlIT IS NOT ~~~3~~Zi~o U~R>\&v~tAQ~~~~~e~ . ", ANY 180 DAY PERIOD. . Notes: Paee I of 5 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate 't ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/12/2010 VALUE: $ 655,000.00 I Valuation Description ~ $ Per, Sq Ft or multiplier $1.00 Square Footage or Bid Amount 655,000.00 11125/2009 Value Date Calculated Total Value of Project $655,000.00 $655,000.00 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/IndlPnblic $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 t 5% Technology Fee $11.40 1/12/10 1201000000000000036 Fixture $228.00 1/12/10 1201000000000000036 + 12% State Surcharge $363.07 2/3/1 0 1201000000000000100 + 5% Technology Fee $160.13 2/3/10 1201000000000000100 Bnilding Permit. $2,967.60 2/3/1 0 1201000000000000100 Copies - Ea AddtI @ 50 Cnts Ea $29.00 2/3/10 1201000000000000100 Copy 6th @ 75 cents $0.75 ,2/3/10 1201000000000000100 Deferred Submittal $912.00 2/3/10 120]000000000000100 Demolition $58.00 2/3/]0 120]000000000000100 Penalty. Fee - BWOP Building $58.00 2/3/]0 ]20]000000000000100 Plan Review Minor - Planning $119.00 ,.. 2/3/10 ]20]000000000000100 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 2/3/10 120]000000000000100 SDC MWMC Administration $10.00 2/3/10 120]000000000000100 SDC MWMC Compliance Charge $8.46 2/3/]0 120]000000000000]00 SDC MWMC Improvement $9,566.67 2/3/]0 120]000000000000100 SDC MWMC Reimbursement $731.49 2/3/10 ]20]000000000000100 SDC Sanitary/Storm Admin $554.04, 2/3/10 ]20]000000000000]00 ......."..., + 12% State Surcharge $140.64 :"..,"'i 3/19/10 ]20]000000000000246 + 5% Technology Fee $58.6Q' 3/19/1 0 1201000000000000246 Add, Alter, Extend Circ Ea Add $492.00 , 3/19/10 1201000000000000246 Perm Serv/Fdr 201 to 400 amps $475.00' 3/19/]0 ]201000000000000246 Perm Serv/Fdr 601 to 999 amps $205.00 3/]9/10 ]201000000000000246 + 12% State Surcharge $6.96 4/6/1 0 220]000000000000324 + 5% Technology Fee $2.90 4/6/10 2201000000000000324 Add, Alter, Extend Circ $55.00 4/6/10 2201000000000000324 Minimnm/Adjnstment Electrical $3.00 4/6/10 2201000000000000324 + 12% State Surcharge $6.96 4/12/10 2201000000000000348 + 5% Technology Fee $2.90 ' 4/12/]0 2201000000000000348 Low Voltage - Commercial Indus $58.00 4/12/]0 2201000000000000348 Total Amount Paid $2],424.Q7.. . Paee 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: 10/12/2010 <,..,-,', VALUE: $ 655,000.00 541-726-3769 Inspection Line ': Plan Reviews ~ Structural Review 12/30/2009 10 DJB Received response from Tony Koach (arch.) to comments dated 12/20/09. Structural Review 02/18/2010 Mechanical PIa us and application SUB Review 11/30/2009 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 Plannine Review 11/30/2009 12/01/2009 APP EMM All tenant uses must be those listed as permHted uses in the Neighhorhood Commercial zoning district. Replace failed landscaping plants as shown on approved landscaping plan. Structnral Review 12110/2009 12/10/20.09 '. 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 Department Review 11/30/2009 01/04/2010 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 01/12/2010 WE KLK Completed 2nd structural review, 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 02/01/2010 02/01/2010 APP KLK Structural Review 02/17/2010 02/17/2010 10 DJB Received Mechanical Plans Deferred ,r" ,~'" . I~ '.. Submittal ')> Initial Review 02/18/20 I 0 02i18/2010 APP LLH Mechanical Plans and application ,.~ .... forwarded to Kip Kaufman Paee 3 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/12/2010 VALUE: $ 655,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 02126/2010 02/26/2010 WE CJC Applicaut to provide: 1) Engieering for seismic allacment or RTU's over 400# and unit heater over 75# 2) Fire damper listings . ",~ :J,: Structural Review 03/0312010 03/09/2010 WE KLK Provide 1) Wet-signature stamped engineering for seismic bracing, 2) Listings for Fire Dampers. Structural Review 03/18/2010 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 r~cordjng at t26-3769. 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. ~enllirerUnsnec.tions ~ 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 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 steel reinforcement in place. Post and Beam: Prior to 1100r 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 cover. Ceiling Insulation: Prior to cover. :1 " Roofing: Prior to installing any roof covering. Roof Sheathing Drywall: Prior to taping. Firewall: Located and constructed according to plans. Lath/PIaster: To be made after all lathing and. gypsum board, interior and exterior are in place, but prior to plastering. ."1\(~' ' '.', Pa2e 4 of5 ",,'11 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01700 ISSUED: 02/03/2010 APPLIED: 11/25/2009 EXPIRES: 10/12/2010 VALUE: $ 655,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 [nspector. 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 dnring construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection resnlts shall be provided to the City of Springfield. Final Fire Department. After all requiremen~~:?f t,be ~ire D,epartment have been met. 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. Undertloor Plumbing: Prior to insulation or decking. Shower Pan. Prior to covering and including reqnired 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 agree, that I have carefully examined the complcted 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 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 tbe Community Services Division, Building Safety. I further certify that only contractors and employees W'titi iu1tUn compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections\~re 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 Page 5 01'5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~8~Q~;LDii. .. '. .. -..' -. -...-.....-.. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000348 Date: 04/12/2010 2:40:35PM Paid By NATIONAL NETWORK SERV Item Total: Check Number Authorizution Received By Batch Number Number How Received Amount Due 58.00 6.96 2.90 $67,86 Job/Journal Number COM2009-0 1700 COM2009-0 1700 COM2009-0 1700 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid djb 080677 In Person Payment Total: $67.86 $67,86 " '.'.{ , ~~"~ rr;' ~ < '\ ,f,~~1~ ,".1..,;" ..".....,.., ~.;'H~',;. . -:_f;.. j' '- J /i\ ~.' cRcccintl Page 1 of 1 411 2/20 I 0