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Home My WebLink AboutPermit Building 2007-4-27 (2) . Slalus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2400 Hartman Ln ASSESSOR'S PARCEL NO,: 1703223300600 Springfield .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Oregon Urology. Partiton wall in existing space Commercial Owner: HARLOW UROLOGY CENTER LLC Address: 2400 HARTMAN LN 200 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Coo tractor Type General Electrical Mechanical Plumbing Contractor JEFFREY JTAYLOR SCOFIELD ELECTRIC HARVEY & PRICE CO TWIN RIVERS PLUMBING INC Liceose 158664 38702 77 17695 Expiralioo Dale 02/11/2008 12/21/2007 10/31/2008 03/11/2008 Phone 541-990.0905 541-686.8612 541.746.1621 541.688.1444 BUILDING INFORMATION I # of Unils: 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: B VB n/a Lot Size: Sq Ft Isl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: ~o ~ \9'~'O~\,~ ~~ \P Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge. Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixtu re Minimum/Adjustment Plumbing Miscellaneous Mechanical Sanitary Sewer. Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Public Works Review Structural Review . .ITY OF SPRIN\Jl'lI!,LD' Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 I Valualion Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 12,000,00 Value Date Calculated Total Value of Project $12,000.00 $12,000,00 04/26/2007 Fpp< P~irl I Amount Paid Receipt Number Date Paid $10,00 $25.90 $12,95 $20.72 $43.00 $3,00 $123,00 $14,00 $31.00 $45,00 $19,79 $26,03 $2,29 $4,60 $2.30 $3,68 $43,00 $3,00 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000891 2200700000000000891 2200700000000000891 2200700000000000891 2200700000000000891 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 $433,26 I Plao Reviews I 04/26/2007 04/26/2007 04/26/2007 04/26/2007 Attached SDC Worksheet, (JHJ) APP JHJ APP DJB To Requesl an inspection call Ihe 24 hour recording al 726-3769, All inspeclions requesled before 7:00 a.m. will be made the same working day, inspections requesled after 7:00 a.m. will be mad.e Ihe following work day. UeolliretUnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved, Final Building: After all required inspections have been requested and approved and the building is complete, Paee 2 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Drywall: Prior to taping. .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 10/27/2007 VALUE: $ 12,000.00 By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 structurewithout permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Paee 3 of 3 Date City of Springfield tctrical Authorization To Begin Work. E-mailedTo:KAREN@SCOFIELD.NET Receipt # EC51202~ 6/112007 1 :33:52 PM .~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us TYPE OF WORK II FEE SCHEDULE I 0 I or 2 family dwelling o Multi-family IX] Commercial/Industrial I Description l. Qty. J Ea. Total I Residential SINGLE. OR multi-family dwelling unit. Includes attached garage 11.000 sq. ft. or less 1 Ea. addl 500 sq. n. or portion I ~ Limited energy, residential (with ubove SQ. n.) I-Limited energy, multifamily residential (with above SQ. ft.) I Sen'ices OR feeders installation. alteration. AND/OR rtlocatlon 1200 amps or less ]20 I amps to 400 amps 40 I amps to 599 amps TEMPORARY sen'ices OR feeders Installation. alteration, AND/OR relocation 1 0 New construction [Xl Addition/altemtion/replacement CATEGORY OF CONSTRUCTION I JOB SITE INFORMATION AND LOCATION IJob no.: 2007-058 IJob ndd....: 2400 HARTMAN LN ICUy/SlatelZIP: SPRINGFIELD, OR 97417- 1118 I SuittlbldgJapt.no.: I Project name: 2ND FLOOR REMODEL Cross stlfttldi~ctlons 10 job site: ISubdivision: I Lol no.: ]Tal map/parcel no.: 1.703223300600 I DESCRIPTION OF WORK 2ND FLOOR REMODEL PERMIT # COM 2007-00609 I Fa" (54 I) 686-8696 1200 amps or less 120 I amps to 400 amps 140 I amps to 599 amps I Branch circuits - NEW,alteration, OR extension. per panel I A. Fee for bmnch circuits with above service or feeder fee, each branch circuit. lB. Fee for branch circuits without service or feeder fee. first branch circuit: I each addl branch circuit I Miscellaneous I Service reconnect only I Each manufactured or modular dwellin2. service and/or feeder ] Pump or irrigation circle I Sign or outline lighting I Signal cireuit(s) or limited- energy panel, altemtion, or extension. $43.00 IName: ERIC SCOFIELD I Pbon" (541) 686-8612 I Emall: I $3.00 $43.001 $3.001 I I SITE CONTACT IEL lie. no.: 20-IC I Business Name: SCOFIELD ELECTRIC CO I Conlaet: ERIC SCOFIELD IAdd""": PO BOX 2765 City/StalefLIP: EUGENE OR 97402 IPbon,: (541)6868612 I Emall: KAREN@SCOFIELD.NET I Metro lie. no.: !Supervlsing electrician's lie. no.: 4218S I Supervising electrician's name: ERIC SCOFIELD CONTRACTOR I CCO lie. no.: 38702 nOl offered online at this jurisdiction I Fal: None II II I: 1'- . I . CIty OrSpnngfield I ELECTRICAL PERMIT FEES ICily lie. no.: Subtotal $46.00 State Surcharge (8% ofoennit fee) $3.68 Ci~ OfSprin~i1eld fees. $6.90 TOTAL PERMIT FEE $56.58 10% Local Admin Fee; 5% LOCal Tethnology Fee Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Sp'ringfield, Oregon 97477 541-726-3759 Phone .~~~ Ilk.. Cwf Springfield Official Receipt "opment Services Department Public Works Department RECEIPT #: 2200700000000000891 Date: 06/01/2007 2:46:42PM Job/Journal Number COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% Stat~ Surcharge + 10% Administrative Fee Paid By Item Total: Check Number Auth_orization Received By Batch Number Number How Received Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Scofield Online Electric Payment Total: $56.58 $56.58 cReceintl Paee I of I 6/112007