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Home My WebLink AboutPermit Electrical 2008-7-25 {t. ~ ......D ZON \ Ii. y ~ INITIALS ,,\ Y\A. .A!. DATE 1~~1 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-J753 . FAX: (541)726-3689 IIIiIIJ' SOURCE ?..) ELECTRICAL PERMIT APPUCATION City Job Number L0VI1~oo7, -00 '-I b '7 Date 1/1,1..)0){ I I. [WCATIONOFINSTALLATION: 3. I COMPLETEFEESCHEDvLEBEWW. "3 3 J'7 'J?f{.n?p- J3 C'A- 1> :D ~ \I . ,_ J , , CITY OF SPRI1. '.LD, OREGON A. I New Residential- Single or Multi-Family per dweUing unit Service Included LEGAL DESCRIPTION: /7032200 00 ')02 $117.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder JOB DESCRIPTION: , ,/ (;'~i~ :'e::_:ns~~~Lpire~~T5 not started within 180 days of issuance or if work is Suspended for 180 days. $ 21.00 $55.00 B. I Services or Feeders - Installation, AJterations or Relocation: 2. I CONTRAcrOR INSTALLATION ONLY I Electrical Contractor :rJ.. r:>..., ~G..~ c......p., -r~.. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 200 Amps or less 20 I Amps to 400 Amps j>.c>. iSo,", 21J~ 401 Amps to 600 Amps ATl' 601 Amps to 1000 Amps City ?,.;. \I.).. [: L pPu?,~eENilIlOIII'{J~ ml, Over 1000 AmpsIVoIts NOlifi: ~Ule8 adOPI~on law reqU~econnect Only In OAR ~~on Center. T~ by the Ore as ~~_to. __ Supervisor License Number0090. Vrl,lM1'~~ OSe TUlfofiarlJ'fJifGtpry Services or Feeders C8Iling the 0 taln c:,~~9h OAF! ~ I r1rr1p Expiration Date ,gl:!~ tal:#t: (Note:e~: tlWttD'J'ftJn. Alteration or Relocation Center /0 ;egon Utility ~et~~'JIor less J AD ) ;2 3 ~.~~M'aws to 400 Amps 040 I Amps to 600 Amps Address $ 55.00 $ 76.00 $11 0.00 Constr. Contr. Number Expiration Date O~-- Jq_ 2t..'O Over 600 Amps or 1000 Volts see "B" above. S' tur fS .. EI tn D. I Branch Circuits .,. ':;:~.~ \\- - ~ :::~..," ,_..".., ,... -B alO Each Additional Circuit or with f IV Service or Feeder Permit Owners Name ~ ' Address ?O 'i? 0 }rUTH(/) I ';,~H,lIll ~l1It ~tWWl'.."!!.'.!~ (Service/feeder not included) -Each Installation I ' B< r "j liOMMENCE THIS ~ vvurm City Ir'f:7{/C _ "'-iJ. 0 OR I.5.ABAfIIO J~fon $ 55.00 U /JAY PERIOD. (fBe Lighting $ 55.00 OWNER INSTALLATION Limited EnergylResidentiaI $ 28.00 The installation is being made on ~'","Hi [ own which :ft Limited Energy/Commercial / $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is 550.00 + Surcharges Owners Signature: 4. I SUBTOTAL OF ABOVE I 50 /Zf% State Surcharge b 10% Administrative Fee S 5% Technology Fee Z:~v t3Fo $ 48.00 $ 4.00 ~o Inspection Request: 726-3769 TOTAL Shared Drive(T:YBuilding FonnsIElectrical Permit Application 7~7,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rK11~uNJ1.,LU Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/2912007 APPLIED: 03/3012007 EXPIRES: 01/01/2009 VALUE: $ 29,769,000.00 SITE ADDRESS: 3355 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 Springfield TYPE OF WORK: Medical Office TYPE OF USE: New Commercial PROJECT DESCRIPTION: Northwest Specialty Clinic Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP 147733 CHRISTENSON ELECTRIC INC 458 TIC COMMUNICATIONS INC 164114 FM SHEET METAL INC 89710 TWIN RIVERS !,~lIM;~JNG INC 17695 . ),., ,/..- . ...- il; O"{'Ciltiol-BUlLDlN<9 INFORMATION I 00.90 ;'1952_0 -C:l)ter. -~ Oy th . "'qlJlre Cillli YOIJ m 0 1-0/;9~S'foti6s: e Orego'8 YeIJ 1'0 I)lJmb 1)9 the ily Ol~el :j(tr~00f'6'~F6 f/ I.1tiIIlp er fOr t%ente'!;YJ ~f:t9JJ{~9~ 891 fol1h Center ~ O~.~~ 'W1f.'YiPJ~~ /he :-00,. 8 1 ~~e: 91epl1 e8 bv Ene .Olit;. Of/iii Sprinkled i\di~OJl/ n/a License Expiration Date Phone 904-791-480 I .904-791-4674 541-688-6121 541-689-2650 541-726-3000 541-688-1444 05/11/2009 05/01/2009 04/1112009 . 03/15/2009 03/11/2009 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: 135,205 1,706 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: PJO'i7c{!.o THIS EJ1:.,;,_. ,_ :THORIZP\~~VEMENTSI AN~MENCED O~u~1i THIS'PER f~ WOHf( Sidewalk Type: 80 DAY PER:gD.A8ArvDONE~/r IS Nor Downspouts/Drains: . rOll Paee I of5 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review Comm/lnd/Public + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcharge Building Permit Deposit Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Return - Deposit + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcbarge + 8% State Surcbarge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm Serv/Fdr 601 to 999 amps Temp Power 200 amps or less -Mechanical Issuance Fee- . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 01/01/2009 VALUE: $ 29,769,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Amount Paid $2,268.92 $9,698.99 $4,849.50 $7,759.19 $96,989.90 $25,715.32 $60,930.94 $38,795.96 $10,201.75 $13,418.47 $10.00 $122,046.85 $122,046.85 $1,812.30 $33,226.08 $353,019.54 $80,024.23 $5.00 $2.50 $4.00 $50.00 $-25,715.32 $10.00 $871.60 $5.00 $435.80 $8.00 $697.28 $3,225.00 $375.00 $1,953.00 $1,875.00 $1,125.00 $163.00 $100.00 $10.00 Square Footage or Bid Amount 29,769,000.00 Value . Date Calculated $29,769,000.00 06/19/2007 $29,769,000.00 Total Value of Project Fpp< PIi/iLI Date Paid Receipt Number 4/2/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 . 6/29/07 6/29/07 6/29/07 . 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 7/9/07 7/9/07 7/9/07 7/9/07 7/16/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 11/21/07 2200700000000000472 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 1200700000000000842 2200700000000001095 2200700000000001095 2200700000000001095 2200700000000001095 VOUCHER#121092 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001355 1200700000000001430 Paee 2 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Tecbpology Fee + 8% State Surcharge Air Handling Unit 10,000 & Ovr Appliance Not Listed Backflow Device Boiler/Comm 30-50 HP Boiler/Comp 3-15 HP Exbaust Hoods Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Plan Review Mechanical (25%) Plan Review Plumbing (30%) Sewage Ejector Pump . Trap or Waste not Conn to Fixt + 10% Administrative Fee + 120/0 State Surcharge + 5% Technology Fee Temp Power 201 - 400 amps SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportatiop Admin + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Total Amount Paid Public Works Review Plan Review Comments . $645.80 $322.90 $516.64 $75.00 $720.00 $14.00 $44.00 $22.00 $99.00 $3,304.00 $120.00 $1,836.00 $729.00 $1,062.60 $14.00 $210.00 $7.60 $9.12 $3.80 $76.00 $-185,823.12 $-42,123.31 $-11,397.32 $5.00 $6.00 $2.50 $50.00 $5.00 $6.00 $2.50 $50.00 $738,629.36 . unOF~rK11~GFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 01/01/2009 VALUE: $ 29,769,000.00 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 1/31/08 1131108 1/31/08 1/31/08 4117/08 4/17/08 4/17/08 4121/08 4121/08 4/21/08 4/21/08 7/22/08 7/22/08 7/22108 7/22/08 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200800000000000090 1200800000000000090 1200800000000000090 1200800000000000090 VOUCHER#00132313 VOUCHER#00132313 VOUCHER#00132313 1200800000000000385 1200800000000000385 1200800000000000385 1200800000000000385 2200800000000001125 2200800000000001125 2200800000000001125 2200800000000001125 06/27/2007 06/14/2007 I Plan Reviews I 06/29/2007 06/2912007 APP JLP Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLP 10 LLH Check dated 6/26/2007 from Haskell exceeded the current amount due on the project. I have requested the amount placed in the deposit account today (6/29/07) $25,715.32 be returned to the payee as soon as possible. Information forwarded to Kaye Wilson. llh Paee 3 of5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 01/01/2009 VALUE: $ 29,769,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~iI"I~lrI Tn~nections I 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Roof Sheathing/Nailing: Before covering sheathing with finish material. High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection results to City Building Inspector. Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test results to City Building Inspector. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Structural Concrete: In excess of2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Final Fire Department. After all requirements of the Fire J)epartment have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Paee 4 of 5 . . L11 l' OF ~rK11'lu1<lJ1.,LD Status Issued Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 01/01/2009 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 io 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. Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover. 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 oply contractors and employees who are in compliance with ORS 701.005 will be used OP 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 ofthe property, and the approved set of plans will remain on the site at all ti.mes during construction. Owner or Contractors Signature Date Page 50f5 .' . 225 Filth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment CreditCard cReceintl . ~ lilt.' RECEIPT #: * of Springfield Official Receipt _elopment Services Department Public Works Department 2200800000000001125 Date: 07/22/2008 Description Low V ollage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By Received By THE QUESTCOM GROUP INC djb Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 080870 In Person Payment Total: 2:37:56PM Amount Due 50.00 2.50 6.00 5,00 $63.50 Amount Paid $63.50 $63.50 7122/2008