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Home My WebLink AboutPermit Electrical 2007-10-31 ('1\l JL< c{\ SP~ ~GP~ (D--Vloj 3. I COMPLETE FEE SCHEDULE BELOW _ _ _ , _. _ J A. I New Residential- Single or MUlti-Fam5~g~e~N~D1 ..' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CD""" W07 - OOqb C) 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only tlTTElIIl10,N:..oregon.r, , "'" I'oll.ow rrde~ llelpll!l!J!']i~&flIFf.llUtD Nat'fication \Illnte~ Th f9!,uu Vl/Illy In OAR 9521mlallail~~~:;'~!lS are,vet!c.'tilJn (lflon. Younpll.pP.taJ ',:,""':l:Iu'e!A1![g:i:.1:OO1.) /Lh-I calling thEf JU hreC I(\,qe~es of the rules by "" $ 50.00 Ulj lil!!mber for2If~~S ((:I4'Oll;1.lnp~elephone $ 69,00 Centgl fS"J3s9gor6Q~IAlnfiotificatio" $100,00 . au -;:s:j2-2;:S44\ Over 600 Amps or 1000 Volts see "B" above, D. I Branch Circuits 1. I LOCATIONOFINS~ALLATION') 1i I 3~~ (Q&-,......, _1;-rP7i1IL r~ - LEGAL DESCRIPTION J'.I VEVL ~O J)IL /70lZZ00 OO?oz. JOB DESCRIPTION i\-6-J ~ a Q (( o Permits are non.transferable and expire if work is not started within 180 days ofissnance or if work is Suspended for 180 days. 2. I CONTRACTOR INSTALLATION ONLY I Electrical Contractor Lk I ., r <.U",--- ~ flt.-1.. . Address ~ C City &., 11.L I O~~ Phone 11 ~~-&{ r( Supervisor License Numb~ Expiration Date ;::- , Constr. Contr. Number Owners Name Address City Phone OWNER INSTALLATION N Off,\,nf.t,II~J.io~ifA\:~~W!l4~\in~~rd,\iE.W~~hich 1H'fJ'9tfil1tM\\l'eliNd~'R ffI\'5oPt.~\fiS A.\\IHORIZEO UNOIS "BA.NOONEO FOR Ownef&I~1!Jt@R t'I CONlI'JI!; v PERIOD. A.NY 180 0/1;, Inspection Request: 726-3769 ), Q)l~O>, Date Service Included 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 Services or Feeders - Installation, Alterations or Relocation: 31 do<) "l I $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 \,15'3 ,.. I . \n_o("' 41;:) (" .... I (. '3 ..... ~/< / New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with I 0"" ...-- Service or Feeder Permit 'I ) $ 43,00 $ 3,00 ~d;;- S-- E. I Miscellaneous (Service/feeder not included) -Each Installation 1 Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergyfResidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTAL OF ABOVE I <60/ L, lO~.2L' ~1.12fL Ljt/D'ifT) ; ,- - ~, 8% State Surcharge 10% Administrative Fee ''IU'lALS6 '\~ \a- Shared Dri~ing FO~lecni,"17;it 0:1;00 b~rc I .... 225 Fifth Street Springfielii, Oregon 97477 541-726-3759 Phone . ~~~;~ Wit _u - Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check Check Job/Journal Number COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 COM2007-00469 Payments: Type of Payment Check Check cReceinl1 RECEIPT #: 1200700000000001355 Description Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Perm ServlFdr 40 I to 600 amps Perm ServlFdr 601 to 999 amps Perm ServlFdr 1000 amps/volts Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee C_f Springfield Official Receipt D.opment Services Department Public Works Department Date: 10/31/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By CHRISTENSON ELECTRIC CHRISTENSON VELAGIO NJM NJM Description Perm ServlFdr 200 amps or less Perm ServlFdr 201' to 400 amps Perm Serv/Fdr 401 to 600 amps Perm ServlFdr 601 to 999 amps Perm ServlFdr 1000 amps/volts Add, Alter. Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee 0196546 1280 l:heck Number Batch Number Paid By CHRISTENSON ELECTRIC CHRISTENSON VELAGlO Received By NJM NJM Page I of I 0196546 1280 In Person In Person Payment Total: Item Total: Authorization Number How Received In Person In Person Payment Total: 2:42:45PM Amount Due 1,953,00 1,875,00 1.125,00 163,00 375,00 3,225,00 435,80 697,28 871.60 100,00 5,00 8,00 10,00 $10,843.68 Amount Paid $10,284,88 $558,80 $10,843.68 Amount Due 1,953,00 1,875,00 1,125,00 163,00 375,00 3,225,00 435,80 697,28 871.60 100,00 5,00 8.00 10.00 $10,843.68 Amount Paid $10.284,88 $558,80 $10,843.68 10/3112007 -WtaP-,,~!lIN, G.J~l,'~' . : ". '.' ,'. , . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 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 RiverBepd 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 Contractor License Expiration Date Phone Architect ROLAND UDENZE 904-791-480 I General THE HASKELL CO A FLORIDA CORP 147733 05/11/2009 904-791-4674 Electrical CHRISTENSON ELECTRIC INC 458 05/01/2009 541-688-6121 Low Voltage Electrical TTC COMMUNICATIONS INC 164114 04/11/2009 541-689-2650 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Copstruction 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: 'Occnpant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: --. Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage;ENTfON: Oregon law requires you to .~~~I,~~_~~I~~ adopte,? by the Oregon Utilit --......... "''-'~O'Ult:t\;)C1reSelTo~n I PUBLIC IMPROVEJMENTS~r001-001 0 through OAR 952-001- _wo', 'vu maY<1Ii1\lJ1ilkqi";o~:of the rules by callmg the cen'Ier. (Not~~the telephone number for th'I?6Wn~out${,Qr:l'iI!~tification Center IS 1-800-332-2344). , fJCTtCE' ' Street Imi!rovements: t.11:"~,':Yi(VIlT. 'C::HAL Storm SewerLAvailalile: L EXp speci.lllrMtr.'t.~V~ij!J UNDER THIS IRE IF THE Wo ANY 18 '-'tD OR IS PERMIT RK Notes: 0 DAY PERIOD ABANDONED F. IS NOT . OR Paee I of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Ipspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Comm/lnd/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Deposit Plan Review CommlInd/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 Snrcharge + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 1000 ampslvolts Perm Serv/Fdr 200 amps or less Perm ServlFdr 201 to 400 amps Perm Serv/Fdr 401 to 600 amps Perm ServlFdr 601 to 999 amps Temp Power 200 amps or less . ecITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 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 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~, P'1iliJ Date Paid Receipt Number 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 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 7/9/07 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 10131/07 10/31/07 10/31/07 10/31/07 10/31/07 10/31/07 Paee 2 of 4 . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 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 Total Amount Paid $968,004.65 I Plan Reviews I Plan Review Comments 06/29/2007 06/29/2007 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 (6129/07) $25,715.32 be returned to the payee as soon as possible. Information forwarded to Kaye Wilson. llh Entered SDC fees based on DFU cales in memo provided by CLAIR dated 6/8/07 as directed by Ken. JLF Public Works Review 06/2712007 06/14/2007 APP JLP 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. L....f.eolliredJn~nections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 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: When 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 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. Paee 3 of 4 . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00469 ISSUED: 06/29/2007 APPLIED: 03/30/2007 EXPIRES: 04/29/2008 VALUE: $ 29,769,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Roof SheathinglNailing: Before covering sheathing with finish material. High Strength Bolting: To be done dnring 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 bnt 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 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 Department 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 reqnired 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. 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 to Cover By signature, I state and agree, that I have carefully examined the completed application and do bereby 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 Oregop pertaining to the work described herein, apd 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. Ij~,-^ r~'d~/I Owner or Contractors Signature !f /~J;j? Date l Paee 4 of 4 .