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Home My WebLink AboutPermit Mechanical 2007-5-17 ~ . Status Issued .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00713 ISSUED: 05/17/2007 APPLIED: 05/17/2007 EXPIRES: 11/22/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: MILES INVESTMENTS LLC 2175 HWY 101 N FLORENCE OR 97439 TYPE OF WORK: Mechanical Only U ' rN'" "res you to C ' -rTENTIOM'tftI2@.R1 SE: ew UtTty ommerclal Jli.. , d by the Oregon 11 toUoW r,~I~~~~?~;eThose rules are _~et t.?~ "u"..v~"- Q010 througn v",n ...:J:: -- In O~fl952'()01- btain copies ot the rules \ 0090. 'Iou may 0 . Note: the tele~ho~e callmQ the cen~r (__ , ,,;I:", Notification r'\lImberlor 1IlC v:--,~:..... n~"_"~t.1..4). I CONTRAC,vKmFORMATION I Springfield SITE ADDRESS: 4095 MAIN ST ASSESSOR'S PARCEL NO.: 1702314104500 PROJECT DESCRIPTION: Install walk-in cooler Contractor Type Electrical Mechanical Contractor SCOTT ELECTRIC LLC CHILLER TECHNOLOGIES INC License 157142 132428 Expiration Date 09/25/2007 12114/2008 Phone (503) 581-1192 503-557-23 I 6 I BUILDING INFORMATION I FronIyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure: Sq FI 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: RanJ\;.T~l!e: Sq Ft Garage/Carport EBbrgy~arli: Sq Ft Other: Sp''1Ifl!9~I\:'''i'~'ngHALL EXfDZljE IF T~c.\\lll\ll<Load: .-'- -.1-. "':~""""''-'.: '......,:._z-: .~.., rCnlYll1 IloJ .'VI I DEVELOPMENT INFORMATION.. Jv,,''''~..v~u u~, ,_. .t!",~i)ONED FOR REQUIRED PARKING oNl!~~gPstrAY PERIOD. Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: . Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fpp,",~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Not Listed Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $9.00 $36.00 $4.60 $2.30 $3.68 $43.00 $3.00 5/17/07 5/17/07 5/17/07 5117/07 5/17/07 5/17/07 5/22107 5/22/07 5/22107 5/22107 5/22107 Total Amount Paid $121.93 I Plan Reviews , .CITY OF SPRINtJ1<If.LD' Building/Combination Permit PERMIT NO: COM2007-00713 ISSUED: 05/17/2007 APPLIED: 05/17/2007 EXPIRES: 11/22/2007 VALUE: Value Date Calculated J Receipt Number 1200700000000000585 1200700000000000585 1200700000000000585 1200700000000000585 t200700000000000585 1200700000000000585 2200700000000000798 2200700000000000798 2200700000000000798 2200700000000000798 2200700000000000798 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. Ue(]lIire'Un~nection~ I 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. Paee 2 of3 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00713 ISSUED: 05/17/2007 APPLIED: 05/17/2007 EXPIRES: 11/22/2007 VALUE: Status Issued 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 Cily of Springfield and the Laws or'the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Communily Services Division, Building Safely. 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 properly, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee30f3 City or'Springfield "trical Authorization To Begin Work E-m_ To: heather@SCOTTELECTRICLLC.<e Receipt # EC51164~ 5/22/2007 9: I 5: lOAM '~~"'"."''''~'~.... ~' ~. " -.....<.., . Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I Subdivision: ITax map/parcel no.: 'I 1 Lot no.: I I FEE SCHEDULE I Description I Qty, I Ea. I 'Iolal I Residential SINGLE- OR multi-famil,)' dwelling unit. Includes attached garage 11,000 sq. ft. or less I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above sa. fU I-Limited energy. multifamily residential (with above sa. ft) I I Services OR feeders installation, alteration, AND/OR relocation I 200 amps or less I 20 I amps to 400 amps I 40 I amps to 599 amps I TEMPORARY services OR feeders Installation, alteration, AND/OR relocation I 200 amps or less I 20 I amps to 400 amps I 40 I amps to 599 amps I Branch circuits - NEW, alteration, OR extension. per panel I A. Fee for branch circuits with above service or feeder fee, each brWlch circuit. I B. Fee for branch circuits without service or feeder fee, first brMch circuit: I each addl branch circuit j Miscellaneous l Service reconnect only Each manufactured or modular dwelling. service and/or feeder Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or limited- energy panel, alteration, or extension. I I I I I . City Of Springfield 543. 00 I 53.001 I I I I I I 1 Sublolal 546.00 I State Surcharge (8% ofoennit fee) $3.68 I Cily Of Srrin~field fees . $6.90 I TOTAL PERMIT FE!: . $56.58 I 10% Local Admin Fee; 5% Local Technology Fee 543.00 TYPE OF WORK I 10 New construction [i) Addition/alteration/replacement ,I CATEGORY OF CONSTRUCTION 10 1 or 2 family dwelling 0 Multi-family [Xl Commercial/Industrial I JOB SITE INFORMATION AND LOCATION , IJob no,: 2847 IJob address: 4095 MAIN ST I CilylStatelZlP: SPRINGFIELD, OR 97478-6457 I Suite/bldgJapt.no.: I Project name: Walk In Cooler Cross street/directions to job site: OR 126 to 42nd street (R) to Main (R) 1702314104500 DESCRIPTION OF WORK Walk In Cooler Wiring I , ~ame: Richard E. Scott rPbone: (503)931-1649 , I Email: rick@scottelectricllc.com SITE CONTACT 53.00 IFax: (503)931-1649 I CONtRACTOR ,lEl.lic.no.: 24-115C ICCBlic.no.: 157142 1 Business Name: SCOTT ELECfRIC LLC IConlact: !Address: PO BOX 2231 II CilylStHlelZlP: SALEM OR 97308 : IPhone: (503)5811192 IFax: None I EmaU: RICK@SCOITELECfRICLLC.COM I Metro lie. no.: I City lie. no.: ISupervising electrician's lie. no.: 2381S !Supervising electrician's name: RICHARD ESCOTT not offered online at this jurisdiction ELECTRICAL PERMIT FEES 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 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 Springfield, Oregon 97477 541-726-3759 Pbone . J7~~ Wit..... . C.&of Springfield Official Receipt "'Iopment Services Department Public Works Department RECEIPT #: 2200700000000000798 Date: OS/22/2007 1 :24:46PM Job/Journal Number COM2007-00713 COM2007-00713 COM2007-00713 COM2007-00713 COM2007-00713 Description Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Item Total: Lheck Number Authorization 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 Scott's Online Electric LLC Payment Total: $56.58 $56.58 cReceiotl Page 1 of 1 5/22/2007