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Home My WebLink AboutPermit Miscellaneous 2008-11-18 (2) CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2098-01677 ISSUED: 1l/18/2008 APPLIED: 11/18/2008 EXPIRES: 06/04/2009 VALUE: $ 24,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 388 Q St ASSESSOR'S PARCEL NO.: 1703262405700 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Interior Reinodel - Dental Consultants Owner: TRINITY PROPERTIES Address: 384 Q STREET SPRINGFIELD OR 97477 Phone Nnmber: 541-484-2022 I CONTRACTOR INFORMATION ~ Contractor Type General Electrical Plnmbing Contractor MORSE LANE CONSTRUCTlONINC JB ELECTRIC KEVIN COHEN PLUMBING INC License 176408 104929 1763 II Expiration Date OS/2512009 03/1412010 . 05/30/2009 Phone 541-935-6741 541-687-5'770 (541) 607-9208 BUILDING IN~ORMA TI~N.' # of Units: Primary Occn[lancy Group: Secondary Occupancy Gronp: 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 Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMA!ION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Setback: #Street Trees Rqd: Handicapped: Side 2 Setback: ' Paved Drive Rqd: - ,l' . Compact: Rearyard Setback: % of LotCoverage: . . . Solar Setbacks: NOTICE', ATTENTION: Oregon law requires you to ., {. . fnllnv./ ruloc: ~r1nntorl h\l thQ ()ronnn I Hilih, 1 HI~ I'I:HMII ~HALL I:Xt'r!t1riJ; l/'ili~~EMENTs~otifice:tion Center. Those rules are set forih AUTHORIZED UNDER' TH~ :, OAR 952-001-0010 through OAR 952-001- Street ImprovemertlllilMENCED OR IS ABANDONED fOR 0090. SI!J~'f1I!ly'lli1l!\ln copies of the rules by Storm Sewer Av'jijNlll~80 DAY PERIOD. calli\)'J.th,rs.ltIl[ltlffir~~~te:the telephone SpecialInstrnction:' num6er'lor~fie, Oregon LJtllity NotJflcatlon Center IS 1-800-332-2344). Notes: tV~{p ~~\y ~ Page I of 3 Status Issued ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01677 ISSUED: ) 11/18/2008 APPLIED: 11/1812008 EXPIRES: 06/04/2009 VALUE: $ 24,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluation DescriDtio~ 1 Bid Amount Use Bid Amonnt $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amonnt 24,000.00 Valne Date Calculated Description Type of Construction Total Valne of Project $24,000.00 $24,000.00 \1/18/2008 Fee~ Pai,d I, Fee Description + 10% Administrative Fee +'12% State Surcharge + 5% Technology Fee Building Permit Fixture + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt Paid Date Paid Receipt Number $33.19 , $39.83 $16.60 $246.92 $85.00 $11.50 $\3.80 $5.75 $50.00 $65.00 11/18/08 11/18/08 11/18/08 11/18/08 11/18/08 12/4/08 1214/08 12/4/08 12/4/08 12/4/08 2200800000000001658 2200800000000001658 2200800000000001658 2200800000000001658 2200800000000001658 2200800000000001708 2200800000000001708 2200800000000001708 2200800000000001708 2200800000000001708 Total Amount Paid $567.59 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r.equested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followiDg work day. I Re/lllire~ I nsoe~t,i~~,~ I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Bnilding: After all required inspections have been requested and approved'and tbe building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electri~: Prior to Cover Final Electric: When all electrical work is complete. Page' 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRmlJJ<1J<.L1J Building/Combination Permit PERMIT NO: COM2008-01677 ISSUED: 11/18/2008 APPLIED: 11/18/2008 EXPIRES: 06/04/2009 VALUE: $ 24,000.00 By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne 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 Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project. I further agree to ensure that all required inspections are reqnested at the'proper time, tbat 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 Page 3 of3 Date City of Springfield Electrical Anthorization To Begin Work E-mailedTo:dana@jbelectricinc.com Reccipt # .EC543132 12/4/2008 I :42:42 PM ~,~,,':!! "~"F' ~"'. -'".. - -- . ._.~ .,' '-~ - Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 10 New construction . [X] Addition/alteration/replacement 1..'~'1{{~~.~,~i$::Ci:.4~MiA~:~j~q~i~G_9~~Jf(~9~<?~[i]~ftrI2~~~~~"y~;~~~!~,;j,~~~~ll:p.~:1 10 I o~ 2 family dwelling D Multi-family [Xl Commercial/Industrial I 1,,_ '1 7""'~ }, -.:;:,l:::"t;-#;llJ6e SITE~NF'oRMATioN'ANDiOCAif6tf~f:~t-" ::;. ~",_:~i.<:,,_::..~.-:t!1 .~" '..~,_..,,=. -.. ,_ '__,< .F'';>-'.... ,~.._~".._.~."_ .'-. ""',..., .~"',.'..' .,.....,,~...__. -'~.. ...____ __c';:''"_ ;;;:.' ","""..~7_-"d._ .'c. IJobno.: 11-0122 !Jobaddrcss: 388 QST I ICily/State/ZIP: SPRINGFIELD. OR 97477-2140 I I Suite/bldg.!apt.no.: I I Project Dume: 388 Q Street Dental Lab I Cross street/directions 10 job site: I Subdivision: map/parcel no.: 1703262405700 !Lot no.: Move three existing outlets add 5 new outlets install 14 new Circuits for new TI: 1.:<: ';-}i'~~,.'. ;j,".~-:ifK~~' ~';'h'ir" i""~''?':'''''/SITfco~iTACf:",';;''JL~/'1'1'l-;:I..:r'.^'i:;'' .~t;';'..i; *",' ~. ,.:'" :t..~fJ: p ~t...,~&: r:.~ oi~t, :'-~:L_)" , ;",",.~, _ ~. ',-~:" .. -L +~"', '.. k', <~~-!"J (:~..'i'/b I Name: Kelly Kersey I"hooe: (541) 687.5770 I Fa>: (541) 687-5770 I Emuil: kelly@jbelectricinc.com If 1..:l.lic. no.: 37-587C ICeB lie. no.: 104929 I Business Name: 18 ELECTRIC INC I Contact: John Brumback IAddress: 4685 IS~!3gLLE ST ' ICiI)'/StatelZIP: El'Mi~TOR 97402.9765 __ ~ _... u. ~ IPhooe: (541)6875HdIS PI:KMII ::iHALI+'k!\r~!f2~JIc "ORI. 1';maH: daoo@jbel1lliililil:\JJi\JLtU UNUth I nl.) ;:~ntv'iIT IS ri3-T IMetro'k, 00,: COMMl::NGI:U UK l::jdWIi\\W,\J,~ED H}h ISupe.-vi'iog e'e,,-AWl', il8li1.lJM7iiI:KIUU. ISupeniising electrician's nume: JOHN BRUMBACK Upon review and approval by your local jurisdiction, your permit will be e-mailed 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 pennit 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. I Description t Qty. . Ea. 1 Total I:J!CSide~'tJ~I'~INGL, E~'Oi(.n'iilti:fumi,h~Q?c1~i~~~::"~~,,;1 faitachrdiifragW:~~/'1$J%ft~ ':. 'o~f",w.;:n'Y:;',,:, .~"K..:;~ ''''0-'''''''''' ""__",...AL,)i.k"e$'fFii.:_.",..h'-,;ll"(-,,*6:,~'~.-,,,,, . ""."il.:~"'''' 11,000,q ft,orle" I I I I lEa, addl 500 sq. ft. or portion I I ,.-.;",_;, . ' , ,,"'c' ,~ , ...:, ,:,' -.', .c' '.' .",. '." " '.,".. " 1~L1mltcd:Energv,>~-,::r~-'!F';;:~ ,. . _" .,.:>-~,~ ',' ,.' "' "","",". ..,."~...,~,,,.#;..,),; ~'~"'\ ,'1>' .",.~~_,..,--...~.. . - Limited energy, residential I (with above sa. ft.) - Limited energy, multifamily I residential (with above sa. ft.) I-Limited energy, commerci1il I (with above Sq. n.) I - Stand-alone limited energy, I residential " "Stand.alone limited energy, I multi.family I - Slond-~lone limited energy, I I commerCial l~~r~;i~~~-i q.~TffC.doc.ti>~nstal,laiion~.al~tiU9nr~~l'i:lli9~~.\~~cini.~~1.~ '~1 I 200 amps or less ! 1201 amps to 400 amps I 401 amps to 599 amps 1200 amps or less I 201 amps to 400 amps 1:~~;';;;:i~i~:;~:;"\..iltFniiio-,~oR;~,,i~'iO';rp~:t;p~n~'"?~k1'" A. Fee for branch circuits with L service or feeder fee, each ~i1~ii~Wi~~;;~d ~y ';~; ~;~J~~ ;;il~T~50001 I fi"t NanWiunlbiQn Cenler, Irhose rul3_s are se forth I I eachb1Idj),m6l6f<~01-001_(J throumt OAR>!lMl-00~5001 : :~;~~!~~"~~~~~~~~i~t~~~I~~~!;~~~~~le~etlW:'''1 I 'Each mmmiatttm:Jot'lrtbdl11ar"'~" tt.....' l::lnl11 r'Cvufl\..1~l\.1II I dwelling, service6ltil/iltlli:dS 1. 300-332-l1344\. I Pump or irrigation circle I I Sign or outline lighting I I I Signal circuit(s) or li,mited" I I energy panel, alteration, or extension. I~ik_\' o;'~\ELECJ:R'CAI:P.ERMJ;- F,EE~it-lfZri .:{:,.;-,', I I Subtotal $115.00 I I State Surcharge (l2% of permit fee) $13.80 I I City Of Springfield fees" $17.25 I l TOTAL PERl\-IIT FEE $146.05 I "City Of Springfield fees: 10%Administration Fee; 5% Technology Fee COM;~ -t21J 0"/'1 RCPT#.;':)8-cre - \1 06 DATE PROCESSED:!.d.-hL1 M This Authorization To Begin Work must be posted at the job site until repl~c7d h a ~r,9Jll , . PROCESSEDBY:~ 225 Fifth Street Springfield, Oregon 97477 541-146-3759 Phone Job/Journal Number COM2008-0 1677 COM2008-0 1677 COM2008-0 1677 COM2008-0 1677 COM2008-0 1677 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #; Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS . City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001708 Date: 12/04/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE JB Online ELECTRIC Payment Total: Page 1 of 1 2:01:44PM Amount Due 50,00 65,00 5,75 ' 13,80 11.50 $146.05 Amount Paid $146,05 $146.05 12/4/2008