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Home My WebLink AboutPermit Building 2007-4-27 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 02/14/2008 VALUE: $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2400 Hartman Ln ASSESSOR'S PARCEL NO.: 1703223300600 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Oregon Urology - Partiton wall in existing space Commercial Owner: HARLOW UROLOGY CENTER LLC Address: 2400 HARTMAN LN 200 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Plumbing Contractor JEFFREY J TAYLOR SCOFIELD ELECTRIC HARVEY & PRICE CO TWIN RIVERS PLUMBING INC License 158664 38702 77 17695 Expiration Date 02/11/2008 12/21/2007 10/31/2008 03/11/2008 Phone 541-990-0905 541-686-8612 541-746-1621 541-688-1444 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: 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 Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION' 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: Street Improvements: Storm Se~g.l1~~ible' Special IrlhUScRi~Mrr SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMMI1I~TION: Oregon law requires you to IUIIO ulel\:adlcu:ltrtMy.tl;1e Oregon Utility Notification C'~n'e~'itiose 'rules are set forth in OAR 952-cmaWiGP6d~ht~AR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Pal.!:e 1 of3 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 -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Public Works Review Structural Review 04/26/2007 04/26/2007 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 02/14/2008 VALUE: $ 12,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 12,000.00 Value Date Calculated Total Value of Project $12,000.00 $12,000.00 04/26/2007 ~ Amount Paid Date Paid Receipt Number $10.00 $25.90 $12.95 $20.72 $43.00 $3.00 $123.00 $14.00 $31.00 $45.00 $19.79 $26.03 $2.29 $4.60 $2.30 $3.68 $43.00 $3.00 $8.20 $4.10 $6.56 $12.00 $70.00 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 4/27/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 8/14/07 8/14/07 8/14/07 8/14/07 8/14/07 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000600 2200700000000000891 2200700000000000891 2200700000000000891 2200700000000000891 2200700000000000891 2200700000000001289 2200700000000001289 . 2200700000000001289 2200700000000001289 2200700000000001289 $534.12 I Plan Reviews I 04/26/2007 04/26/2007 APP JHJ APP DJB Attached SDC Worksheet. (JHJ) 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. Pal.!:e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00609 ISSUED: 04/27/2007 APPLIED: 04/26/2007 EXPIRES: 02/14/2008 VALUE: $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired jInsoections . Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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. Drywall: Prior to taping. 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 Pal.!:e 3 of 3 City of Springfield Electrical Authorization To Begin Work E-mailedTo:~REN@SCOFIELD.NET Receipt # EC515397 8/13120074:08:16 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction uu Addition/alteration/replacement Description Qty. Ea. Total g unit: ID~hides CATEG9RYOF CONSTRUCTION.. 10 I or 2 family dwelling 0 Multi-family [Xl Commercial/Industrial 1"'Joe SITE"INFORMATION.ANO<C:OCATIO'rIl' IJob no.: 2007-071 IJob address: 2400 HARTMAN LN I City/State/ZIP: SPRINGFIELD, OR 97477-1118 I Suite/bldg.lapt.no.: I Project name: OREGON UROLOGY Cross slreet/directions to job sile: 1,000 sq, ft. or less lEa, add I 500 sq, ft, or portion I-Limited energy, residential (with above sq, ft,) I-Limited energy, multifamily residential (with above s9, ft.) I Subdivision: I Tax map/parcel no.: I WIRE CT SCAN I Lot no.: . 'SITE CONTACT""" "';~> ';: 200 amps or less 201 amps to 400 amps 1401 amps to 599 amps . I I I BraIich 'i:lreuliscNEW, alte.ratio~: OR:extellsioD,per panel A. Fee for branch circuits with 3 $4,00 above service or feeder fee, each branch circuit. B, Fee for branch circuits without service or feeder fee, first branch circuit; each addl branch circuit . MisceItltn_eOu~i . I Service reconnect only Each manufactured or modular dwelling, service and/or feeder Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or Iimited- energy panel, alteration, or extension, $1200 1703223300600 " DESCRIPTIC>N OF WORK' I Name: ERIC SCOFIELD I Phone: (541) 686-8612 I Email: I I Fax: (541) 686-8696 CONTRACTOR'" .' I CCB lie. no.: 38702 I EI, lie. no.: 20-1 C I Business Name: SCOFIELD ELECTRIC CO I Contact: ERIC SCOFIELD IAddress: PO BOX 2765 I City/State/ZIP: EUGENE OR 97402 I Phone: (541)6868612 I Email: KAREN@SCOFIELD.NET I Metro lie. no.: I Supervising electrician's lie. no.: 4218S ~u.J>~l"\'ising electrician's_name:__I~R~S~_OFIELD I Fax: None I I I I I · City Of Springfield Subtotal $82,00 State Surcharge (8% of penn it fee) $6.56 City Of Springfield fees · $1230 TOTAL PERMIT FEE I $100,86 10% Local Admin Fee; 5% Local Technology Fee ,ELECTRICAL. PERMIT FEES I City lie. no.: ~_____n__J 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 Sv.ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 COM2007-00609 Payments: Type of Payment ONLINE CHGS cReceinl I Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 2200700000000001289 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS ddk Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/14/2007 11 :34:06AM Amount Due 70.00 12.00 4.10 6.56 8.20 $100.86 Amount Paid ONLINE Scofield Online Electric Co. Payment Total: $100.86 $100.86 8/14/2007