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Home My WebLink AboutPermit Electrical 2009-1-13 '. Status Issued CITY OF SPRIN\.JNELD Building/Combination Permit PERMIT NO: COM2009-00059 ISSUED: 01/13/2009 APPLIED: 01/13/2009 EXPIRES: 07/13/2009 VALUE: 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3660 GA TEW A Y ST ASSESSOR'S PARCEL NO,: 1703153300100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Add 2 circuits for break room counter Owner: NORTHWEST COMMUNITY CREDIT UNION Address: PO BOX 70225 EUGENE OR 97401 I ,CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SCOFIELD ELECTRIC License 38702 Expiration Date 12/2112009 Phone 541-686-8612 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 GaragelCarport Sq Ft Other: Occupant Load: nla .REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Comoact: . Rearyard St,\'1mCE', '. % of Lot Coverage: ATTENTION: Oregon law-reqUIres you to ~I'drl' I follow rules adopted by the Oregon Utilify Solar SetbaTHis PFRMIT SHALL EXPIRE IF THE WORK Nofification Center, Those rules are set forth AUTHORIZED UNDER THIS PErp{}lfrJitfiMPROVEMENTSIIn UAH l:IO~-UU1-UU1~ mrougn UAH l:IO~-UU1. r.~MMFNCED OR IS ABANDtJ,ku '"" . 0090., You may obtain caples of the rules by Street Imprll' !11e.t\r~: . ca_,t/;\~I. (Note: fhe telephone A y l1lu DAY PERIOD,....o... number for the Oregon Utility Notification Storm Sewer A vailable: c'.~ ' V" ~ DO"elN'l/!lI'1'l'fiYi/JO-332-2344), Special Instruction: G~t: ~~ Notes: . ~y I DEVELOPMENT INFORNIATION I I Valuation Descriotion I Description Tvpe of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued 225.Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Fee Descriotion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $7,32 $3,05 $55,00 $6,00 Total Amount Paid $71.37 Total Value of Project Fees Pairl I Plan Reviews I Date Paid 1113/09 1/13/09 1/13/09 1/13/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00059 ISSUED: 01/13/2009 APPLIED: 01/13/2009 EXPIRES: 07113/2009 VALUE: Receipt Number 1200900000000000014 1200900000000000014 1200900000000000014 1200900000000000014 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, ~efp~}rerl.I nsp~~~j~,!~ I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, 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 aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of auy 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 Paee 2 of2 Date City, of Springfield J Electrical Authorization To Begin Work E-mailedTo:kshoemaker@scofield.net Receipt # EC545025 11131200912:10:23 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I -Liinited en~rgy, residential (wIth above SQ. f1.) Ie Limited energy, multifamily residential (with above SQ. f1.) ..Limited energy, c'ommercia-] (with above sq. ft.) - Stand-alone limited energy, residential I . Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial 1~~Ij~~E~~~~ti~[~~f~U~!1~~~~]mt!~~19~lQml~1i,,~1 1200 amps or Jess [2] 1201 amps to 400 amps [2J 1401 amps to 599 amps [2] l:tT E~r P~(jRA~ ,jrv~'~~R'-fNdc'rs1inS.taiiuii6nfUlteraH6ri, ?AND/ORtFelOcntioll-:+ 'i::':g::~~ii0'!fii>>~ .. . , .....j",,*',,=l,'=,-.-.~""~ _;,' ~'!t: Jr.:. ~...~?,r,.:,p~"~;,, 1200 amps orless [2] 1201 amps to 400 aJpps [2] ~Ol amps to 599 amps [2] . . I I ?BtaDth~f~it~REWtalier.llioii:;6R~'ex'tem-io~nrper,p"anel~r~ro1~ .~"..::::t.~,=",~.,"""....'.""e...."~,",6~'''''nl:''l'_'''_''',,''''''..._h,,"',","".,..\i."~"""'''' I A. Fee for branch circuits with service or feeder fee, each branch circuit lB. Fee for branch circuits, I $55.00 $55.00 without service or feeder fee; "cal bm . ,~'fibN: Orcllon h~'N Jrq"lre, y '" In I.'ach ad dn'cJl co, mt ..' ~/.th ....0J.f!qPlfll UJilily600 '1 ~n;,- an,...,YlP5I'''~'''1'''~'A:r'!:':'''i.'l'OS:'~ru'l:e=s:!aferseffiSitn~' _..__=__ r"'t"nl1"!:l .h,u-.t1'l~> :an ~"'ili.:".1 ~'.'.. .... ... ..., _.. ...._'----'_-".._____If!E. I I S''''icfrl<f?llIJ'f~Il-001-00rO throug' OAR9~2-001. . Each' \!1e1"n'f6 'tlbt in caple I 01 me r le5 IJY : I ~;;elli'ca1if~!}"f~r~~te. (Note:. .he tel~~~on~ II P,m mIW~fI~iJgl[l!jle v eyulI UlI "1 rJ".j{'T~tv;\ . p _.. -000 00' 2311). I I S'gn omlline ]ighlllli~ . I I I Slgnal'Clfcuit(s) or li.mited- J energy panel, alteratIOn, or extension [21 ' 1"kk$lC~~""~=~""'-'" .'. ---'"'"'~",,,:x'w. ~~~.$fiG~."-il~~!g~~TJ!L't~lff~~rw!tJ~E~~- '''-.''~*';i~5.:4t'31g I Subtotal I $61.00 I I State Surcharge (12% of permit fee) $7.32 ! I City Of Springfield fees" I $3.05 I I TOTALP[RMITFEE I $71.371 ., City Of Springfield fees: 5% Technology Fee [Default number ofilispections allowed) tom 3Dm- COOS~ \ 8.tXFt- 't.\' , ~O~ This Authorization To Begin Work must be posted at th~;e until replaced by a Perml\. I D New construction Ii] Addition/alteration/replacement 1 or 2 family dwelling D Multi-family IJob no.: 0]09-016 (Job address: 3660 GATEWAY ST I City/Statc/ZIP: SPRINGFIELD, OR 97477-6009 1 Suitclbldg.lapt.no.: 1 Project name: NW COMMUNITY CU-GATEWAY Cross street/directions to job site: I Subdivision: ITax map/parcel no.: ILot no.: 1703153300100 I Name: DARRELL ERICKSON I Phone: (541) 686-8612 1 Email: derickson@scofield.net I Fax: (541) 686-8612 IE!. lie. no.: 20-1C I Business Name: SCOFIELD ELECTRIC CO I Contact: ERIC SCOFIELD IAdd"'S: PO BOX 276:NU I'GE: ICity/Sta"IZIP, EUGEJitl!.~ fl~MIT St r J:YQUl': II: TH~ WOOl{ IPhO~" (541)6868612 ,AUTHORIZED 11 j:!N'l'j'JIS PERMIT 1:3 fJY.' IEmad' k,ho,mak,,@s{;;fil,MMENCFn nR I.~ ~R4.MDONED r3;'l IM'trolic. no.' ANY 180 DAY P~~iPlM='oo., ' ISupen'ising electrician's lie. no.: 4218S . ISupcn'ising electrician's name: ERIC SCOFIELD 1 ceB lie. no.: 38702 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 s,chedule 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. 11,000 sq. ft.or less [4J Ea. addl 500 sq. ft. or portion Inot offered online at this jurisdiction I I I I I I 225 Fifth Street Springf\fld, Oregon 97477 541-726:3759 Phone Job/Journal Number . COM2009-00059 COM2009-00059 COM2009-00059 COM2009-00059 Payments: . Type of Payment RECEIPT #: City of.Springfield Official Receipt Development Services Department Public Works Department 1200900000000000014 Date: 01113/2009 1:49:49PM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceint I Amount Due 55.00 6.00 3.05 7.32 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR ONLINE SCOFIELD Online ELECTRIC CO Paymeut Total: $71.3 7 $71.37 Page I of I 1113/2009