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Home My WebLink AboutPermit Building 2007-8-21 CITY OF SPRINGFIELD' Building/Combination Permit Status In Review . PERMIT NO: cOM2007-01232 ISSUED: APPLIED: EXPIRES: VALUE: 08/21/2007 02/22/2008 $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 S 59TH ST ASSESSOR'S PARCEL NO.: 1702343201001 Springfield TYPE OF WORK: Interior TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: TI of existing dental office Owner: MCKENZIE DENTAL CENTER INC Address: 110 SOUTH 59TH STREET SPRINGFIELD OR 97478 Phone Number: 541-747-8030 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License TEAM MASTERS CONSTRUCTION LLC 165274 J K GUCKENBERGER ELECTRIC INC 45129 OREGON CASCADE PLUMBING & HEA TIN 127 OREGON CASCADE PLUMBING & HTG 127 BUILDING INFORMATION I Expiration Date 12129/2008 04124/2008 11/2812008 11/25/2008 Phone 503-407-0792 541- 7 46-4656 503-588-0355 503-588-0355 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # 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 GaragelCarport Sq Ft Other: Occupant Load: VB nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: NTION: Oregon law requ'r~s ~BLIC IMPROVEMENTS' Street ,=~t!doPted by the I~~e~:et t~~ !ldidewalk )W~ .OOIH3d AVO 09 t J...NV Storm~~' ~ 1~~~S~;1~~~:U~h OAR 952-001- ION S~:~c1~~~ HO 030N3l1\JWOO Specian ~O\\\ btain copies ot the rules by J. tJjONn 03ZU:fOHlnv 0090"n o~he %~ter. (Note: thetele~hO':'e )fHOM 3Hl:lI 3HldX311VHS llWl:J3d SIHl Notes: can g t the Oregon Utility Notification .3~flON numberC:~ter 's 1-800-332-2344). · Paee 1 of 3 CITY OF SPRINGFIELD - Building/Combination Permit Status In Review PERMIT NO: cOM2007-01232 ISSUED: APPLIED: EXPIRES: VALUE: 08/21/2007 02/22/2008 $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 200,000.00 Value Date Calculated Description Total Value of Project $200,000.00 $200,000.00 08/21/2007 ~ Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $637.55 8/20/07 1200700000000001070 $10.80 9/12/07 2200700000000001440 $5.40 9/12/07 2200700000000001440 $8.64 9112/07 2200700000000001440 $48.00 9/12/07 2200700000000001440 $60.00 9/12/07 2200700000000001440 Total Amount Paid $770.39 I Plan Reviews' Fire Department Review Initial Review Plannine Review Public Works Review 08/28/2007 08/22/2007 08/28/2007 08/28/2007 08/22/2007 08/28/2007 08/28/2007 APP LLH APP EMM APP JHJ Attached SDC Worksheet. No New SDC's. (JHJ) Received 8/28/2007 with 4 applications and a heavy backlog. Structural Review 08/22/2007 SUB Review 08/2812007 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. ~eouire~nsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: cOM2007-01232 ISSUED: APPLIED: EXPIRES: VALUE: 08/21/2007 02/22/2008 $ 200,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Paee 3 of 3 3. ZON ~(, INITIALS N IV 1 .. DATE 0. -'1".- 0" I SOURCE ~~ ~()J Date :J./a-! 0 f COMPLETE FEE SCHEDULE BELOW 215 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 B. Serviccs or Feeders - Installation, }\ltcration~ or Rclocat-ion: ATTENT!.QN: Oregon law requires you to ~ K (-:rl (~l..,U-r n L> J tvG 200 ~~W J'~b~~ adopted by the Oregon 1Jmi~Q ')0l'lpllnc~tI9R..~r.ter. Those rules are s~~l~ ~ ,+ - JnJt~ ~5:t.:1 ~1 0 through OAR 9~"\:1U'f<o U(j n 5 40 bOOCY." %(ffi,~tain copie!': of the r~ess~ 601.AmMi$r1g t~. (Note: the telepl$cP~oo OveIl'l1OOlDAIhf~re9on Utility Notifi~~O Reconnect oQ~nter is 1-800-33,-~"~4r.- $ 50.00 ELECTRICAL PERMIT APPLICATION eo>-. W0'1-0/~~ City Job Number 1. LOCATION OF INSTALLATION: lID u.!:::> 1M LEGAL DESCRIPTION: lltT~ 31' 3~ 0 I lJO I JOB DESCRIPTION: I ~ CW;ud:s Permits are non-transferable and expire if work is not started within ISO days of issuance or if work is Suspended for 180 days. 2. C01VTRACTOR INSTALLATION ONLY Electrical Contractor Address ZItS, City ~nnU(ct <-) Phone '1'-4 (0 j+hSh Supervisor License Number <J-<3l'S S Expiration Date 10 - I - "1 2...0 -L(~ C Constr.Contr.Number Expiration Date I - I -0'25 Signature of Supervising Electrician ~ , Own'''N~' m~en:2iL, J)~~ Address {, 0 6 ---S1-+A City ~?ef. Phone 7t.f 7- "iQ3o OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. New Residential- Single or Multi-Family per dwelling unit 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 C. T('mp()rar~' S'-'niccs or Fccl!{,rs InstaUat~n~Alteration or Relocation 20~~~~rfussl All EXPIRE If T~EtWtrnK 2011~ ~Pt~ijMMi~ E R THIS r"RMIT~SSNOT 40~AlI~QS\36 0 r:: I $J.Q0.00 r()l\Ol\nr-~IC~ IS ABA~D9N[D Fun Over'6(')O'i'Un' bO RfdB see B above. D. I#~~J ~ cm s . New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with / t:- Service or Feeder Permit ..J ~ $7 4-<3 00 to 0 ou E. Miscellaneous (Service/fecder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE I 0 ~ /' 8% State Surcharge ~ lip cf 10% Administrative Fee 10 . ft> 5% Technology Fec S, tf1) TOTAL / ,~;). gL Shared Drive(f:YBuilding FonnslElectrical Permit Application 8-06.doc 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"01232 COM2007-01232 COM2007-0 1232 COM2007-01232 COM2007-01232 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 2200700000000001440 Date: 09/12/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge. + 10% Administrative Fee Paid By JKG ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 04556C Phone Payment Total: Page I of I 2:45:33PM Amount Due 48.00 60.00 5.40 8.64 10.80 $132.84 Amount Paid $132.84 $132.84 9/12/2007