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Home My WebLink AboutPermit Electrical 2006-1-10 (2) I,. U,IJ .1.1 U"i , liiIooz ... ~C/ 1,.-: 10-0(,0 . fVM .', :~:i:,~;~~~~~PH:(541)~~S3 ~F~~l~_ __,:~j _~~~ CityJobNumber(5.... OI5~l ~ 1'10- (),o , - . 1 ~~,.. . ~-:' ""./ '.~ 3 !~~~7,;;;r;r.p~~Wji~~.:~~~l \ \ 4iP-D-- ::""-,=,=",, ..l'Yr~ ' . ~~...=r. .-......."",. ,. _""",~",~,I.~:i;l , \ . A. ~.:"- ",~r.""",,g' .~..,.?-=.._.~tf.;~.7"~~': ~ - ~"~~'~;az'< ~. ~..: \_lUS O~ CYn \::y~1""\7) ~~l,!daded ..., JOB DESClUP'I'lON 1000 sq. ft. or less $106.00 (7 ~ nr. ..L 11 _ - () Each additional 500 sq- ft. or \~..L..JLU>./ U)'>L.Jl(~p_LOlx. pomon1heroof' $19.00 Permllul'L,._ _....DSfenllJeand aplrelfworkls Each.MalIl118ct'dHomcor notstartl!dw\thln 180daysoflssaaneeorlfworkls ~~SerVicCm: ..,' rrc'l'ir, 'S YOl$50_oo _ _ __Suspended.far_18Il.dayL_ _ --- _~Ceder____~"c"21--,- ':-'-'"-""t\,/;-l-;,#Hjty--- -_. _____ -:--=-= -. ~.~--~- --':' -~"""~W,~~~,"'~~-' -- --- '.' .', "_-- ~ . B.!.~~.;'-i1,8. ':*~ ,I':~,~,"~:J:Z'!.'~&",&~~~ .. . . Q. OeJJ, ','au m,,\, obtain cOfJies ot ih ~ -~::. v~ ," E1ec1ric8l ~-:-JG-lMlil'-' Fj-,-r.~\ r .;tLYI u.. - ~~%~enfeF 1M';:';',:';;;':"";: .JL~~oOO H . --- -.- - ._~ - -.~- .20t~i~-400~.\L'-Uue~""'-(ellph$''75~00 --- -Address \dJ)l'IJ1:Iy,lI....U. '\'1-. - - ------40IAmpsIIO~~:Mpr;;,Il:hl' "D~~$'i2!JOO- _~ --- 601 ~ to 1000 kip. - -'::0>4'1. _ $163.00 Ph01l!' 3"14 -:>'''In I OvtzloooAmpslVolls I $315.00 R...._... Only I $ SOJlO .-:..:~.~~~~--"- -- :.' ,~. ,,-~.::..~- h",.,._,,~. ~"_"."" ,.,..." .' _, _. ..:;a _I.~.._.,. _, ".____ .__, ......:=,~,_.;.~' _" ,,_ , . '..-'~ ___" i- "' _..... ,. .fDitiiuvu.oD-,~1acM.1td:~- - ---....':"-~....-~.., ....---. -'..... - 200 Amps or Io6s . I $ .50.00' . 201 Amps tQ 400 ADips I S 69.00 40i Amoo'IO 600 Aiops I $100.00 T1UIIl.iC. Ov ~rJ~ _. Yo D. ~, N~~U'~'~ EDFOR 0ne~80 DAY PERIQIDm'-7 $43:00 tI -r7 - Each Additional CinnUt or 1VIt1i' Q -L:::..-?"....1"7. \\' ,\;. rv 1 fJ) . Servlceorl'~Pennit ---1_ S3.oo .........._..Namq~....... UJ IIlIr , {J/C.. ~~ g ~l>. (JIIJL/E.~~~" c~Ol1_.lfJ~~~ - Pllmpor~- . $50.00 I ~. Si:InIOn1Iinr: Lightlug s .so.OO OWNER INSTALLATION '. . ,'-,_. ~ "..~t $ 2S 00 . ....wwou.~....i_- . Tho ins1a1la1io11 is being IlllIdo on ..... _. y' I own which Limimd llneruYlC -,,,,.. . .Ial $ 4S.OO iSllDI' iulezJded fi)r sale, ~ or 1elIt. MInimum Electric PermlH. "," _.:".. 11ee Is llS.OO + SnrclIarges 0-..81........, 4.~~~1Iitt:zD 60 .." .'. ...,. '.' -, , 6" /-.0. ~.s_~. . -0-'.': _' .. UI_ 100Admill-.,,~,~~-.Fee- .. - l' ~- ~ TOTAL.. . ~ 8' d . (po ~~# ---,-..... ,... . ~ City F >JQt.lA.D._ o ~,. ,~~~~,-:~~.-~.-~,~:..~ ;:'~---:~:3:J~}~~!-'-~~.~ :.:~.:.:..:-.-'-- ~1Jale In~ -.... ~~-=- COUSlr. Contr. Nnmber q{') ~ 00 Expiration Dale _QIJ:LI Signatllte of Supervising Electrician -43. Ql' c9r, uO =rdfl~ InspecIkm ;.."".. t: n6-3769 :.~.~;.i..':iL.,,~~,.':};..i 1'-,,' _ .'~ ~';., ,-:.,:.~,'~< ,....:....;.. "":"""'-.' "",."~:,:'~ "..,~L'~"""'" FROM :EUGENE ElECTRIC .. . FRX NO. :541-343-7445 P1 ~an. 10 2006 09:33RM CITY OF SI'RINCil"lr:,I./), ORF(,()N 125 FTFTll STREET. SPRINGFIELD, OR 97477 . PH:(S4I)716-37~3 . FAX: (541)716-3689 ELECTRICAL PERMIT APPUCATION City Job Numb... I. ulf/. ('_.d~;'rl /""{' '~J:f(,~t'O , ,[{GAL DESC ON e! rln-l-n -.-/h,r._ of'l('''''\-.1 fu.,h,.:,.r.~ - JOB DESCRI1'T10N ~\,.. 0 '/.1<: IL", Permits Are llon-trAnsrerable and OIplro If work is not started within 180 dRY' or illunnu or It wnk Is Suspended for 180 days. 2. Rleclrical Contractor &ur~ Illr1A,;, .!S1l",V''''- Addre.., /;)fJ YV/"..,.."" 8-/-. City ~. Phone ~~</t/''''''''''''''L Supervisor LiceuseNumber <;,'::I,5.~ Expiration Date 10 I, "., I ConSlr, Contr, Numher q/}J;(Ol) Expiration Date ,<(I,., \1'\"7 Signature of Supervising Electrician '+a..h P~-:.I o Owners Name Address City Phone OWNER INSTALLATION The Installation ill being made on property' own which is not intended for 58110), IC38C or rent Owners Signature: Inspection Request: 716.3769 Date A. Service Included 1000 sq, ft. or Ie.. Bach addilioD81 500 sq. ft, or pnrtion thereof Each Manufncl'd Homo Or Modular Dwelllns Service or Feed.,- $[ 06.00 $ [9.00 $50.00 200 Amps or less 201 Amps to 400 Amp. 401 Amps 10 600 Amps 60J Amps to 1000 Amps Over 1000 Amps/Volts Recunnect Only $ 63.00 $ 75.00 $125.00 $t63.00 $375.00 $ 50,00 c.~m~._,.,_ Installation, Alteration or RelOCAtion 200 Ami'. or Jess 20 I Amp. to 400 Amps 40[ Amrs to 600 Amps Over 600 Amps or 1000 Volts see "a" above. D. ' 'I' New Alteration or Extension Per Ponel One Circuit i Each Additional Circuit or with q Service or Peeder Penn It $ 50.00 $ 69,00 $100.00 $43.00 LB.~ $ 3.00 !l/, ""- Pump or irrigation ___.__... $ 50,00 __.,__ Sign/Outline Llghling $ 50,00 LImited Energy/Residential __'_'_ $ 25,00 I..lmlted Bnergy/Comlllerclal $ 45,00 Mlnlmunl Electric Permit Inspection Foe Is $45.00 + Surcllarlll!S 4. 8% State Surcharge 10% Adll1iniitrative Fee cO -.-JQ..----..-.. ./. 90 7- </9 ~.;LVl TOTAL _ ~ .- Shared Orivc(T:)ffluildins PannslRlectnC41 Permil ^rpliutinn J..()(\,dne Jf#~~ ~ ?~~ ~cr /k!vS.. !Qbt.ffJJ ~-o/ 225 Fifth Street v Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-01547 COM2005-01547 COM2005-01547 COM2005-0l547 Payments: Type of Payment CreditCard :, :, . '~I ') :, :' 'i -';. .) - :, .. :, 1/10/2006 RECEIPT #: a'j~Oi,~_. .,,'" ,. Wii: ". . MtY of Springfield Official Receipt Wlvelopment Services Department Public Works Department 2200600000000000038 Date: 01/10/2006 Description Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By EUGENE ELECTRICIRUSS ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received njm 010411 Fax Payment Total: Page I of I 1:13:33PM Amount Due 43,00 27.00 5.60 7.00 ' $82.60 Amount Paid $82.60 $82.60 . . CITY VI' ~PRlr"lul'lELD Building/Combination Permit PERMIT NO: COM2005-01547 ISSUED: 01/06/2006 APPLIED: 11/01/2005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,SITE ADDRESS: 1144GATEWAYLP ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Medical Office - Owner: . Address: FRESENlUS MEDICAL CARE 1400 E SOUTHERN AVE, SUITE 500 TEMPE AZ TYPE OF USE: Alteration Remodel of medical offices in Suite 100rTENTION' Oregon la . , .. , w reqUires you to follow n dPCl ~rl""ntl"\'" h.. .u.. _ ,... __ _ . '."', Notification Center, Th(fho~e:~;m~~!-bt~7-~-,244-0034 In OAR 952-001-0010 through OAR 952-001- 009~:Youmay obtain copies of the rules bv Commercial PROJECT DESCRIPTION: Contractor Type Architect General Electrical Mechanical Plumbing Contractor ANKROM MOISAN ASSOC MCINTYRE CONSTRUCTION lNC EUGENE ELECTRIC SERVICE INC INNOVATIVE AIR INC MCINTYRE CONSTRUCTION INC -_.".'.~ .,'..... .....CIHt::/. \'\lUl~; melelepnone I CONTRACTOR INFORM\\TION' IJregon Utility Notification V",,,,,, ,~1-800-332-2344). License Expiration Date Phone 503-245-7100 541-687-2841 541-344-3561 541-746-1040 541-687-2841 3550 90200 161742 3550 10/08/2007 03/1712007 10/1112006 10/0812007 . # of Units: Primary Occupancy Group: _ Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: . # of Bedrooms: B BUlLDING,lNFORMA TION I ~l.. # of~n?l~fERMIT SHAL Lot Size: Heig :lJlliGfrAiOOl9 UNDE~ EXPIRE IIS'1ti1~~IJ:loor: Typ iiMfjNCED OR I THIS PE~ 1 lI'ii6or: WatANnyllflD DAY S ABANDON ~ ~Qient: Range Type: PERIOD. !QRaragelCarport . Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: IIA " I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: \ Notes: . Page 1 of4 Description Estimate Tvpe of Construction Estimate . Fee Description Plan Review CommlInd/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee-- + 10% Administrative Fee + 8% State Surcharge Backflow Device Building Permit Fixture Miscellaneous Mechanical Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add Total Amount Paid . . CITY OF ~rK11'luJ<1J!,LJ.J.. ' Building/Combination Permit- PERMIT NO: COM2005-01547 ISSUED: 01106/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 80,000.00 , Value Date Calculated Total Value of Project $80,000.00 $80,000.00 1lI01/2005 l..Fpp< PiWLI . Amount Paid Date Paid Receipt Number 2200500000000001531 2200500000000001531 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 1200600000000000018 2200600000000000038 2200600000000000038 2200600000000000038 2200600000000000038 $316.97 $195.06 $10.00 $68.97 $48.27 $28.00 $487.65 $84.00 $45.00 $45.00 $171.59 $225.66 $19.86 $7.00 $5.60 $43.00 $27.00 11/1/05 11/1/05 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/6/06 1/10/06 1/10/06 1/10/06 1/10/06 $1,828.63 I Plan Reviews I Paee 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permi( Status Issued PERMIT NO: COM2005-01547 . 225 Fifth Street, Springfield, OR ISSUED: 01/06/2006 541-726-3753 Phone APPLIED: 11101/2005 541-726-3676 Fax EXPIRES: 07/06/2006 541-726-3769 Inspection Line VALUE: $ 80,000.00 Fire Department Review llI03/2005 01104/2006 OK GRG Plans Review: Remodel for Fresenius Medical Care. Job #COM200S-01547. Provide fire extinguishers with a minimum rating of 2-A:I0-B:C every 75 feet oUravel distance. The top oUhe extinguisher(s) shall be between 3 and 5 feet above finished Door (2004 Springfield Fire Code , 906). " Provide illuminated exit slgnage meeting requirements 012004 OSSC 1011. Provide means of egress illumination meeting requirements of 2004 OSSC 1006. Subcontractor shall submit fire alarm plans to Springfield Fire Marshal's Office for review and approval for any modifications to the fire alarm system (2004 Springfield Flre.Code 901.2). Initial Review llI02/2005 11103/2005 APP LLH Plan nine Review llI03/2005 11/15/2005 APP EMM Public Works Review 11103/2005 1210212005 APP SB Added SDCs for new fixtures. " . Structural Review llI03/2005 llII0/2005 WE JMP See attached documents for 7 structural comments faxed to Timothy A. Root. Structural Review 11128/2005 12/07/2005 10 JMP WE. Received response from Timothy A. Root. Faxed energy code forms to Jack Foster. Left a voice mail for Tim requesting items 5 and 6-contractor data and valuation. Structural Review 0110412006 01/04/2006 10 JMP WE. Called and left a voice mail message for Tim Root requesting contractor data and valuation. SUB Review 12/07/2005 12/07/2005 APP JF No energy code Issues or Inspections, SUB Review 11103/2005 11/18/2005 WE JF JMP requested energy code Information In Item 4 of the attached structural comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Paee30f4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I 'Rp'ollirp.rl Tnsnp.~tions I 1rI r r I . CITY OF ~nur\jt:..rIELD . Building/Combination Permi~ PERMIT NO: COM200S-01547 ISSUED: 01/06/2006 APPLIED: 11/0112005 EXPIRES: 07/06/2006 VALUE: $ 80,000.00 Final Fire Department. After all requirements of the Fire Department have heen met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work 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. 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 herehy certify that all information hereon is true and correct, and T further certify that any and all work performed shall he 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, aDd 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 he 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 Pa~e4 of4 Date