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Home My WebLink AboutPermit Electrical 2007-6-22 '4) SPR'NQ~~ ",*.,} P 1 '1 " L/'"':. S . ~'r^ 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION I b I City Job Number (~VV\ 2.067- 00 7<,,( ~ Date /2 '!7fY S. Expiration Date 10 - I - 00, Constr. Contr. Number / 5 t, ~ 7 g Expiration Date 1 - / '-/ - 2- 0 0 ", IHTENTION: Orego.o law ron SiiLn;~r"erVi~~PJ8tfsj.ngJ:.lectrici'{lli 111 res yo u . . f-Jlcu oy me Oregon ' '~T Nctlfi~a . .n Center. ThO~1 Ul!,I~j in CA .~.. ru es ar . Drtll uC'..'U \I COi-[)(?10lhr lie! ..~~9C'.::;2GC;- oJ ," au may obt~~ In copies of the rules b I o call1ll~~~,e.'''fR1:~.A(J\IC)!e.:lt'Z:~teIAAfIj,t~- ) GIrL ~rfJei1u9 - ~~;T'wrc ~ "fIi'~W:J . v I c;8u,' ~l!I'1tL\~~'ficr;."'o .L Address Ce s 18C~~:;t7'1~t;.-TTt? ~T . City ElL6- <::/P ~e b?6 - / fD 7 Pump or irrigation Sign/Outline Lighting TI Limited Energy/Residential j ~;; The installation is bein made on propertlY-t/~\\{ftI-Vf-hi~h. Limited Energy/Commercial $ 45.00 ::::'::::m: sal , I e or rent i~~7.;~~c~:ml ;~iiilifiti~ In'pertion Fee b $45,00 + snrrharg;6 . I ( DAY p E:~ Ii) [) '8~~'s~~~~VsJi~~Q.~e J l,B 10% Administrative Fee '{be:> S;Yo let-~ rbS~ '730 TOTAL ~ Y' v 1. LOCATION OFINSrALi4riQlJl i )007 t+A-eiDJ 3. l~ LEGAL DESCRIPTION /703 '22-33- JOB DESCRIPTION ~ ctd C D C L-(o-O C-tr~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRA.CTOR. INSTALLATio.N ONLY. 2. <:,<-;...>;'.:J'~,:..~_ :;;;:.,::\.~ ~>., ....A ......~. Electrical Contractor [Loh 'j !II ~~J-rt i. ::J:f<lc... Address ~,o. !Z.9)( 2. f 2- I eW()'L(, 01.. tj 7 ,/0 2. City _E "'-) e..Y\.e.... Phone f'-t ~ t i/;- 5"' Lj tf t.f Supervisor License Number Inspection Request: 726-3769 , - -.",' -,' .......:.-.- '.." -,,' y, COMPLETEFEESCHEDllLE . ,. .... .... -,' -' ...... - .. ... ,...... .. .... - ...... ',:">--- ",.:':,': ,:^' . ; - -, -' ': .'- --"-'.:': .. -, :-.,'-'" A. . New ~esidentlal- Single or l\fulti':Family per dwelling unit. Service Included 1000 sq. ft. orless Each additiona1500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 AI?Ps or 1000 Volts see "B" above. D. .<< B~an,cti Circuits New Alteration or Extension Per Panel r One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 '13 3 I $ 3.00 E. $ 50.00 $ 50.00 $ 25.00 Shared Drive(T:)/Building Fonns/Electrical Permit Application 1-03.doc CITY OF SPRINGFIELD. Building/Combination Permit Status In Review PERMIT NO: cOM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 TYPE OF WORK: Interior TYPE OF USE: Remodel PROJECT DESCRIPTION: Interior remodel for nurses stations and records Commercial Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLAMETTE ST #106 EUGENE OR 97401 Phone Number: 541-686-1807 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MElLI CONSTRUCTION CO ROBS ELECTRIC INC COMFORT FLOW BARON PLUMBING INC License 63771 156678 460 147744 Expiration Date 02112/2008 08/14/2007 06/27/2007 05/14/2009 Phone 541-485-1417 541-686-5444 541-726-0100 541-935-1081 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B BUlLDING\INRORMlAIIT@N n law requires you to . ,T~~I.?W ~u es adopted by the O/'l=>q Q. Utilit # of Stmues,:atlon Center Those r I LoPSlze: Y . u es..aresct f~,.th Height QJ1~fr!J~tuUl"1-001 0 through O~( F~J~! Fl~.or: TypecoJ~t!a'bu may obta' . S\ iF'iv2.ndlFloor: W 'T' In copies of ).bl"dLh"" k-o.. ater .':m~e:g the ce t N 1Sq'"t't nasellJent: '-'_<.11'1 n Ar ( ote' th t. I ~ RangenTvp,e: f ~ . . e SqEFnglifage/Carport L.rl.JlJer or the Oregon Ut,'I.t I\)., t..... Energy Path: . I Y I ;o;qtlFt~(jltbe;r: Sprinkled Buirar.rJ~r IS 1-80liI--/~32 234Zj~cupant Load: VA I DEVELOPMENT INFORMA nON, Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: 1 PUBLIC IMPROVEMENTS I Sidewalk Type: NOl~CIE: . THIS PERMIT SHALL EXPIRE IF T~oWtl~1ets!Drams: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: cOM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,519.00 Value Date Calculated Description Total Value of Project $40,519.00 $40,519.00 OS/24/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $206.70 5/23/07 2200700000000000826 Plan Review Fire & Life Safety $127.20 5/23/07 2200700000000000826 + 10% Administrative Fee $4.60 6/25/07 1200700000000000814 + 5% Technology Fee $2.30 6/25/07 1200700000000000814 + 8% State Surcharge $3.68 6/25/07 1200700000000000814 Add, Alter, Extend Circ $43.00 6/25/07 1200700000000000814 Add, Alter, Extend Circ Ea Add $3.00 6/25/07 1200700000000000814 Total Amount Paid $390.48 I Plan Reviews I Fire Department Review OS/24/2007 06/22/2007 OK GRG Plans Review: Remodel of nurses' station, office and storage. Job #COM2007-00746. Occupancy Classification: B. Construction Type: V -A. Remodel consists primarily of removal of non-bearing stub walls and non-rated doors in two separate areas of the medical center. Plans appear to meet code requirements. Initial Review OS/24/2007 OS/24/2007 APP LLH Plannin2 Review OS/24/2007 05/30/2007 APP EMM Public Works Review 05/30/2007 05/30/2007 APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) Structural Review OS/24/2007 06/04/2007 WE JMP See attached documents for 5 structural comments faxed to Sara G. Bergsund. SUB Review OS/24/2007 06/04/2007 WE JF See JMP's attached structural comment #2 for the request of energy code forms and information. 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. Pa2e 2 of3 CITY OF SPRINGFIELD' Building/Combination Permit Status In Review PERMIT NO: cOM2007-00746 ISSUED: APPLIED: EXPIRES: VALUE: OS/23/2007 12/08/2007 $ 40,519.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 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 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 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 Pa2e 3 of 3 225 Fifth Street .. . ~ . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00746 COM2007-00746 COM2007-00746 COM2007-00746 COM2007-00746 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000814 Date: 06/25/2007 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee Paid By DA VID LAWLER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 067636 In Person Payment Total: Page 1 of I 10:46:04AM Amount Due 3.68 4.60 43.00 3.00 2.30 $56.58 Amount Paid $56.58 $56.58 6/25/2007