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Home My WebLink AboutPermit Electrical 2008-2-1 '-' \, CITY OF SPRINGFIELD, OREGON ,: . C<?.- BP ELD ZON ~~, INITIALS 't-J........ - <.. DATE 2-\ -0 is ~ ........ SOURC~~:::'~ 22S FIFTH STREET. SPRINGFIELP, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECI'RJCAL PERMIT APPLICATION City Job Number (f'T\<"V'\2Do"1...c>~~ Date l/3ll~ . 1. fLOCA:iwNOFINSTALLATION,'-: 3. f'COMPiETiimEscHEDULEBEWW CO-,'-=-J 2>b5S K?1~ ~. , ---, , SCAW\!.W A.I New Residential-.5ingle or Mnlti-Family,per dwelling unit. ,I, Service Included LEGAL DESCRIPTION: \,01-313'0 \q!J'U JOB DESCRIPTION: i,;'nlP ~V~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRAcrOR INSTALLATION ONLY ; Electrical Contractor ~h IU ~-<t\SG'Y\ 12e--v Address S'DtJ, S, \)~4 ~ City~ Phone h <6 f -(, I }.-J Supervisor License Number Lfo, 'i 5 \a\ 0"1 ,)..r.. - 3</ c....- Expiration Date Constr. Contr, Number EXPi:iZJ I 10 <6 Sign?/~s/1lec' ci V /$ Owners Name <PeAU~..a..C'u'" Address City Phone 9\,"tffff;t::ST ALLA nON '.alqn~t,~~%m~YF1'H~Wo~t AUTHORIZED UNDER THIS PERMIT IS NOT ~M\jMM1@:OR IS ABANDONED FOR ANY 1 RO nAY PFRIO[l Inspection Request: 726-3769 ~v. ~t--. lJL.P. ~ \0 \ D\ lID 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19,00 $50.00 B. I,Serv,ices or Feeders": InstalIation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163,00 $375,00 $ 50.00 c. r Temporary Services or Feed~r~ .1 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps jJ~~ ~O $100.00 '3Jp.Cf') _ i Over 600 Amps or 1000 Volts see "B" above_ D. 1'!J~anch ~ircuitS ' ,I New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E. tMisceil~neou;(Serviceifeeder not inchided)'-i'ach 1nstallaiion I Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Ene~iR~Udifti~: Oregon law re<$-iIslawou to L' 't d En fOil/"C'~ rules.adoptee oy me nr~{J"'" UliIity Iml e ergy Ommerc.l31 t...... ,.,. 4:"..UU' _ . . l~vdtlca~lon ven. er. lilY'" I . S e S~L..IUI Ul MlRtmum Eleclm:i!l~!:'!'!!J,!l~I?'i~~\'1n S'i'.{Mf. 4.1 SUBTOn:mC!lF~oW'obtalncoPiGSOft e ~ ll"lflo/.. s S ~hCl"1l1bllllt;: \.it::'llLt::'l. \,"Ult::f. Llltf le tffJl. It 2- s-ro tate ,u!1t1i\':.~!a\,for the Oregon Utility N' , 10% AdmlDlstratlve c."€nter is 1-800-332-2344 . 5% Technology Fee . ;l. () TOTAL '1&-S'2- Shared Drive(T;)lBuilding Forrns/Electrical Permit Application 8-06.doc . &:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 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 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 I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Low Voltage Electrical Mechanical Plumbing Contractor ROLAND UDENZE THE HASKELL CO A FLORIDA CORP CHRISTEN,SON ELECTRIC INC TTC COMMUNICATIONS 1NC FM SHEET METAL INC TWIN RIVERS PLUMBING INC License Expiration Date 147733 458 164114 89710 17695 05/11/2009 05/01/2009 04/11/2009 03/1512009 03/11/2008 Phone 904-791-480 I 904-791-4674 541-688-6121 541-689-2650 541-726-3000 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: ATTENTION: Oregon 1'C1\rtf'pl'tt:es you to Rearyard Setback: % of Lot Coverage: follow rules adopted by the Oregon Utility Solar Setbacks: Notification Center. Those rules are set forth 7./'l......... In OAR 952-001-0010 throuah OAR 952-001. ..... . . -E-R'MIT SHALL EXPIRE IF TlliPt}il~iC'IMPROVEMENTS:I"i:!u., You may ootaln caples at the rules by THIS P E'RM ~ - ~alllng the center. (Note: the telephone Street lliiproWlile1ftD UNDER THIS P ED"FOVR", numbSlde.walle'Rype~on Utility Notification S .r1'\r,n~~I'~II"I~I'~ OR IS ABANDON DCenter is 1-80P-332-2344). torm :Sewer "va .b :PERIOD ownspouts/DraIRs: Speciall'n'~lf.tct;dn~.A: . Notes: Paee I of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Constrnction Estimate Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology 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 SanitarylStorm 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 Surcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 amps/volts Perm Serv/Fdr 200 amps or less Perm ServlFdr 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: 07/1112008 VALUE: $ 29,769,000.00 1 Valuation Descrintion I $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 29,769,000.00 Value Date Calculated Total Value of Project $29,769,000.00 $29,769,000.00 06/19/2007 FpP~ Pqi'U Amount Paid Date Paid Receipt Number $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 4/2107 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 7/9107 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 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Technology 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 Exhaust Hoods Fixture Furnace - Unit Heater Furnace - up to 100,000 btu Plan Review Mechapical (25%) Plan Review Plumbing (30%) Sewage Ejector Pnmp Trap or Waste not Conn to Fixt + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 201 - 400 amps 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 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\/21/07 1\/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 11/21/07 1/31/08 1131/08 1/31/08 1/31/08 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200700000000001430 1200800000000000090 1200800000000000090 1200800000000000090 1200800000000000090 Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLF Cbeck dated 6/26/2007 from Haskell exceeded the current amount due on the project. I have requested the amonnt 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. Ilh 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. $977,846.1\ I Plan Reviews I 06/2712007 06/14/2007 APP JLP Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or fonndation inspection. 06/2912007 06/29/2007 10 LLH IRp~ Paee 3 of5 . .CITY OF SPRI1~u1'lELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Footing: After trenches are excavated. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: Whep all electrical work is complete. Low V oltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. 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 ip inspections have been approved. Walllnsulation: 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 SheathinglNailing: 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. ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Structural Concrete: In excess of 2500 psi. To be dope duripg construction by a State Certified Ipspector. 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 Department have been met. Final Building: After all required inspections have been reqnested 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 of5 -Wlr.~AI;CJ~K.!.D - " . -.- - --- " . eLll 1" OF ~rKmlJFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 07/11/2008 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. Presnre test done at this point. Rough Mechanical: 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 ofany 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 Paee 5 of5 225 Fif~h Street Springfield, Oregon 97477 . \. . T 541-726-3759 Phone .1~j Wi:~ .-.. ~~ .~ .,,".. .,... ~f Springfield Official Receipt '-Iopment Services Department Public Works Department Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check cReceint I RECEIPT #: Description Temp Power 20 I - 400 amps + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By CHRISTENSON ELECTRIC 1200800000000000090 Date: 01/31/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 1465 In Person Payment Total: Page I of I 11 :48:29AM Amount Due 76,00 3,80 9,12 7,60 $96.52 Amount Paid $96,52 $96.52 1/3 1/2008