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Home My WebLink AboutPermit Electrical 2005-10-17 Yn1(2C- role9J s;illiQQ Itle ~~ . ... oesfnl\k~u~~t~~ q 225 FIFTH STREET .. SPRINGFIELD, OR 97477 .. PH:(541)726-3753 e FAX: (54'i!J92.fr-~689. 1 0 .1,,-(/'\.-1(.....J. .', J .ELECTRICAL PERMIT APPLICATI01V Zonmg . .... . "- City Job Number (OIM Z-f:>Of'- 0/1 )"l{ Date 10/17/05 Daie l. !-Tf9c...koHAWK BLVD LEGAL DESCRIPTION 17032S"33 3. II ';0 fWOHAlJlt.) $106.00 JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or NE CREDIT UNION TEMP SERVICE (PACIFIC CASCADE)portion thereof 2. .ii;;";"'; B. .,...:., .....;..~...L. "te' . 'l'J reC,U\ \)\\\\w . Electrical Contractor SCOFIELD ELECJ:~~{~fI \a: \ne 0\"@.0)~1&\W@(r.~ss .' r\:f\E.N1\U\ ~c\O?ted o\f ru\f\8 ia~.~is2t'Pj@@El Amps r u\eS 0. 1nOse ,.". ~R 7!.'~-- ,. , . Address PO BOX 27 65 \"'\\0'l'J r ("'en\er, h ou9\21(9.l AmQ~f!~g6G~ Amps . -.' 30\\0\\'-'- OW\\.r , n~\ne.:. -c . NO'I.\'IC 1:.(')_00,\-0 . co?le'M'1 A!o).1P..' srt9'. ~l:Oo.O Amps . 0 C\B9;.)~ 0\301\1 . .\le w'", \" ,\r.,0 Clty F,nc,F,NF.. O'R q7.lill2 Phol1r. 6\i36.{~~.l&-3.'l 0 \No\e.?~~r~8Q,o.G~mpsNolts 0090. . \.ne ce\l\,ec 90\1 \):[~etJql1~~?! Only ca\\1\l9 . tne ore 33'2--Z6, ber 'or. . s '\ _'000- Supervisor License Number . 'i()R_~uf\\ce\l\er I . C. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.,,,,. Expiration Date 10,...01,:,,0.7 CanstI'. ContI'. Number 38702 Expiration Date 12-21-05 S1":O Of~e'~;in;;'e,/l~ . // /~Z ~~~., V" _._ '-"II' _~ ,'._, Owners Name ~t: L ~ CA-dfr Address 10 75"' Oclt ~ ~. f- (:;:lA.. G-6V e Phone City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Sigr{ature: Inspection Request: 726-3769 $ 19,0.0. Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 . $ 63.00 $ 75.0.0. . $125.0.0 $163.0.0. . $375.00. $ 50.00 Installation, Alteration or Relocation 20.0 Amps or less .. J . 201 A..mps to 400 Amps . 401 Amps to 60.0. Amps $ 50,00 $ 69.00 $100..0.0. 5'0 New Alteration or Extension Per Panel' $ 43.00 Fc-LA.. $ 3 '-00 E. t'~'. I~ n'~ O~ 'I>.\()\k~~~'\;. . ~~'iJ.~ . o.~~~ \' lI:.;~~ 11t1\1.t\k . \.c. }o-v . \\\\~o n;:v \Nlo~., ~~<;i,~~~~~\genti~l . ~,~~~ijY/CommerCla1. $ 45.0.0 . MinLJ't~~ Electric Permit Inspeetion Fee is $45.00 + Surcharges $ 50.00 $ 50.0.0 $ 25.00 ~o , OlD .,..50 S".OO 5"~ .5"'0 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Builcling FormslElectrical Permit Application 1-03.doc Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09120/2005 APPLIED: 08/25/2005 EXPIRES: 04/20/2006 VALUE: $ 120,000.00 SITE ADDRESS: 1190 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253316400 Springfield TYPE OF Paving TYPE OF USE: New PROJECT DESCRIPTION: Site and utility work for Pacific Cascade Federal Credit Union Commercial Owner: PACIFIC CASCADE FCU INC Address: 1075 OAK ST EUGENE OR 97401 I CONTRACTOR INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: Contractor License MCKENZIE COMMERCIAL CONTRACTOR:45539 SCOFIELD ELECTRIC . 38702 COMFORT FLOW 460 ROBINSON PIN"M'iNi!ONcOregon law requion.;-4>u to TOIIO~~Utillty N 'f' T ItJl~ f otl Iv _ oet orth In OAR 952iP.9fISQ~Ws!hrough OAR 952-001- 0090. You 'MYgllPtitln copies bf the rules by calling thi' I"Prn~H&tfJte: the telephone number f~Ai'y~n Utility Notification CERtffl'gij) 'lfwQP-332 - 2344) . Energy Path: Sprinkled Expiration Date 07/21/2007 12/21/2005 06/27/2007 07/13/2007 Phone 541-343-7143 541-686-8612 541-726-0100 541-345-6909 Contractor Type General Electrical Mechanical . Plumbing Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: NOTICE- DownspoutslDrains THIS PERMIT SHALl eXPIRE IF THE WORK AUTHORIZED UNDER lHIS PERMIT (S Not COMMENCED OR IS ABANDONED FOR AN't 18Q DA't PERIOD. Notes: . 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Type of Construction Estimate Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Backtlow Device "" Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut Permit Curbcut Repair Encroachment Permit Fixture Paving Plan Review CommlIndlPublic PW Disc - 2nd Permit (Street) PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Sidewalk Permit + Addtl Sq Ftg Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Water Line - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge ~ Temp Power 200 amps or less Total Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 04/20/2006 VALUE: $ 120,000.00 I Valuation Description I $PerSqFt or multiplier $1.00 Square Footage or Bid Amount 120,000.00 Total Value of Project Fees Paid I Amount Paid Date Paid $304.30 $93.37 $21.21 $31.00 $28.00 $80.00 $80.00 $80.00 $40.00 $130.00 $56.00 $630.65 $105.62 $-30.00 $-30.00 $45.00 $14.00 $102.40 $45.00 $70.00 $45.00 $5.00 $3.50 $50.00 8/25/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9/20/05 9120/05 9/20/05 9/20/05 10/21/05 10/21/05 10/21/05 $2,000.05 I Plan Reviews I Fire Department Review 08/26/2005 09/01/2005 OK GRG Initial Review 08/26/2005 08/26/2005 APP LLH LDAP Review . 09/13/2005 LDAP Review 09/27/2005 10 VRJ 2 of 4 Value Date Calculated $120,000.00 $120,000.00 08/30/2005 Receipt Number 1200500000000001245 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 3200500000000000566 1200500000000001581 1200500000000001581 1200500000000001581 Plans Review: Site work. COM2005-01154. Refer to DRC comments for site plan review. LDAP submitted 9/22/05 and is under review. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 04/20/2006 VALUE: $ 120,000.00 LDAP Review 09/28/2005 09/28/2005 APP VRJ LDAP is at the front counter and ready to issue. $1620.00 is due at issuance and applicant has been notified. Planninl!: Review 08/26/2005 08/31/2005 APP EMM Public Works Review 08/26/2005 09/28/2005 WI SB Site Work only. Curbcuts, sidewalks, and encroachment permil fees added. Submit Encroachment Permit Application 2-3 days prior to requirement to work in Right-of-way or within PUE. LDAP Required. Applicant notified 9/13/05. DO not issue until LDAP issued. LDAP at counter ready to issue. Structural Review 08/26/2005 08/29/2005 WE JMP See attached documents for 2 structural comments faxed to Eric Hall. Structural Review 08/3012005 08/30/2005 10 JMP WE. Received phone call from Todd at McKenzie Commercial saying that he will get the Special Inspection Forms completed and to me soon. He said there will be no site lighting at this time and that the site work does not include any paving at this time. Structural Review 09/02/2005 09/02/2005 10 JMP WI. Received Addendum #1 addressing structural comments with the special inspection forms. Structural Review 09/13/2005 09/13/2005 APP JMP Received final internal approval. SUB Review 08/26/2005 09/06/2005 APP JF No energy code issues or inspections, To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. L Reouired Insoections I Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 3 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01154 ISSUED: 09/20/2005 APPLIED: 08/25/2005 EXPIRES: 04/20/2006 VALUE: $ 120,000.00 Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 stree~ 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 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1154 COM2005-01154 COM2005-01154 P:ayments: TyPe of Payment Check , I :1 :~ 10/21/2005 RECEIPT #: 1200500000000001581 Description + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By Received By SCOFIELD ELECTRIC CO djb 1 of 1 City of Springfield Official Receipt ~velopment Services Department Public Works Department Date: 10/21/2005 Item Total: Check Number Authorization Batch Number Number How Received 30390 In Person Payment Total: 8:11:55AM Amount Due 3.50 5.00 50.00 $58.50 Amount Paid $58.50 $58.50