HomeMy WebLinkAboutPermit Building 2007-7-23
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5515 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203300
Springfield
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01070
ISSUED: 07/23/2007
APPLIED: 07/18/2007
EXPIRES: 01/23/2008
VALUE: $ 20,000.00
TYPE OF WORK: Office
TYPE OF USE: Alteration
PROJECT DESCRIPTION: H & R Block Tenant demolition and improvements.
Commercial
Owner: MCKENZIE PLAZA LLC
Address: 1600 VALLEY RIVER DR STE 160
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
DMV BUILDERS
KEIZER ELECTRIC INC
License
164234
25359
Expiration Date
07/06/2009
06/25/2008
Phone
936-327-0012
503-378-0267
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:
B
VB
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
AI. - .... I mer t..1l' I '
... . ._r ...~. .:..~.:." loavv I I:I",U'ItI.:I yvu LV
I PUBLIC IMPROVEMEN1fe~w rules adopted by the Oregon Utility
l'fO IcatiQn,Qenwr,.,IhQse rules are set forth
In OAR 9~'-'08'f-'Oo~mnrough OAR 952-001-
0090. YOD~P"nt&iIDr3j:R$S of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special InstTJ\c.tw~.
Nv U ~1\Jott.. XPIRE If THE WORK
Notes: THIS PERMIT S~~~~ ;HIS PERMIT IS NOT
AUTHORIZED UOR IS ABANDONED FOR
COMMENCED .
ANY 180 DAY PERIOD.
Pa2e 1 of 3
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
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01070
ISSUED: 07/23/2007
APPLIED: 07/18/2007
EXPIRES: 01/23/2008
VALUE: $ 20,000.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000.00
$20,000.00
$20,000.00
07/18/2007
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.44 7/18/07 2200700000000001160
$10.22 7/18/07 2200700000000001160
$16.36 7/18/07 2200700000000001160
$204.44 7/18/07 2200700000000001160
$132.89 7/18/07 2200700000000001160
$81. 78 7/18/07 2200700000000001160
$6.80 7/23/07 3200700000000000491
$3.40 7/23/07 3200700000000000491
$5.44 7/23/07 3200700000000000491
$48.00 7/23/07 3200700000000000491
$20.00 7/23/07 3200700000000000491
$549.77
I Plan Reviews I
07/18/2007
07/18/2007
APP JMP
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.
~eouiredJnsnections I
Final Building: After all required inspections have been requested and approved and the building is complete.
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all debris is removed from the site.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01070
ISSUED: 07/23/2007
APPLIED: 07/18/2007
EXPIRES: 01123/2008
VALUE: $ 20,000.00
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 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
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
Date
Pa2e 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:rsinerius@keizerelectric.com
Receipt # EC514370
7/23/20078:45:23 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
COM: ~-cru--' - 0 I 07 0
RCPT#. ..~'2O"b 1 - LfCf (
DATE PROCESSED: 1-;)3, - or
PROCESSED BY:lli.n~(\\.
This Authorization To Begin Work must be posted at the job site until rePlaCe a Permit
D New construction
W Addition/alteration/replacement
D 1 or 2 family dwelling
D Multi-family
[K] Commercial/Industrial
Job no.: 9720 I Job address: 5515 MAIN ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6249
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.:
I
I Lot no.:
1702334203300
DESCRIPTION 9F WpRK
Modity six (6) circuits for remodel.
. 'SrrECON:r~GT
I Name: H&R Block
I Phone:
I Email:
IFax:
I EI. lie. no.: 24-68C 1 CCB lie. no.: 25359
I Business Name: KEIZER ELECTRIC INC
I Contact: Doug Aljets
IAddress: PO BOX 12426
I City/State/ZIP: SALEM OR 97309-0426
I Phone: (503)3780267 1 Fax: (503)3781861
I Email: rsinerius@keizerelectric.com
1 Metro lie. no.: 1 City lie. no.:
I Supervising electrician's lie. no.: 2843S
I Supervising electrician's name: DOUGLAS F ALlETS
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.
Description
Qty.
Total
Ea.
1,000 sq. ft or less
I Ea addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential Jwith above sq. ft.)
Services OR feede:rsinstana~!o.!\l ,~~~,~;~~i~D;ANDiOR .relocation
200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
I 200 amps or less
I 1201 amps to 400 amps
,11401 amps to 599 amps
Illranchc~rcyits':'NEWiIlItel"dtioD'.9~pterisiOlii pel' panel
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits $48.00
without service or feeder fee,
first branch circuit;
1 each addl branch circuit 5 $4.00
$48.00
$2000 I
1
I
I
1
I
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
I
I
I
· City Of Springfield
Subtotal $68.00
State Surcharge (8% of penn it fee) $5.44 I
City Of Springfield fees · $10.20 I
TOTAL PERMIT FEE $83.64 I
10% Local Admin Fee; 5% Local Technology Fee
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1070
COM2007 -01070
COM2007 -01070
COM2007 -01070
COM2007 -01070
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Date: 07/23/2007
3200700000000000491
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njrn
ONLINE
KEIZER Online
ELECT.
Payment Total:
Page 1 of 1
8:59:25AM
Amount Due
48.00
20.00
3.40
5.44
6.80
$83.64
Amount Paid
$83.64
$83.64
7/23/2007