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Home My WebLink AboutPermit Electrical 2003-9-4 Mh amreuD!S pazpOlHn'v' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:1..:l41)'Ub-368 . area ELECTRICA~~APPLICATION 'r-o--fb lk 71/1 {J'"'\' l:,. ..-- ~IUOZ . City Job Number 3 -u~)pate 09-04-2003 ~ '1'3^oJdde 1. 3. l1~E2~:fjr~~~~~~i '~~~~~Iij 840 Beltline Rd., Springfield, OR 97477 LEGAL DESCRIPTION ;703 J 530 00700 JOB DESCRIPTION Install Outlets Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~, - ""'~\r.gI?{~"- 2. fi\~, .~~~ .'l d ,lJy,t~(if. 1011 c; __ _ '''' ,ot YIlV:' ]jl,.leb.fui:eal;'(j)ontta6t~eBcbl-N%qdUE.:.fe~~~fc G6'.' ;n OAR 95?-O(\1-0J1 U m~ougi I c-JKr1 S'G2..C8' ~1t~s You m~p'6r.~J;~irz9~5!es Q1 the rules; ".... .1 _ J__I__'-_",,~ calling 1.;18 C~Wl~r. \!\lU:;:;;. 1I.v 'OIW.~' "":~ .~l1)urober for t. 08 O. lagon Utility Notlflcatlon Cny 'Euge~;'I1lh~~ ~rlO_~,\~~..~~...1.~:686-8612 Supervisor License Number 3240S Expiration Date 10-01-2004 Constr. Contr. Number 38702 Expiration Date 12 - 21-0 5 Signature of Supervising Electrician t1kk~~ Owners Name Sycan B Corporation. Address 840 Beltline Rd. Ci~ Springfield Phone 541-746-8444 97477 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. 7~~~~~ft~~r' . 2;~ME~is SHALL EXPIRE_IF THE ~9~0 2~~Mf?)fUlm WMPER lHIS PERMII l::i t1~00 4lVottlfi1BQOOID.()f?p~ A.BANDONELl t'UttI25.00 6~N\1nW~OM'0~OO. $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 OV\'(\ .c., ,. ;',,~\\1t \\,~..\\tt.-. \\ ~T>\\:" "\\-\\S'~t~ 0\\ \\\\S ?t~~lti1~~N\)~,\i9b)~\teYocation ~\j\\\0~\~~\\\~~ C 0\'1\\'1\'4 )bf\'lfn~~\~' Amps l\.~'o{ ~\)J)'1 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 L.J~ 1 $ 3.00 All 101l0\i . .- <..I ~u . , " . - c.~..>~.;.",~ IllOS..... .", ~I :"":ro"',iOI1 ~,:h",l. . 1\"-' ,~.-? 00 l'\lOllllvpunw or irrigc;lt,jOTh ~:n.;ollnh f}n:rt ~-I::l. ." $ 50.00 O I.\'-J o,.;I.-u~ ~.v.... : " L". "., 'n f. SigDlOutlwe.Lighting'"l1'\;-ZS 011\1:") n~IBS l $ 50.00 "090 \r'''U'I''7i:d't. ...J,V;"_.':" _.',....f~ 0 ..J .,;~jrn.it~4j:~fgy6Re'~iaentlal(13 (s!2~hn~v $ 25.00 eel'I.)'~ ..."'" ".\', \\\-"O\Yl""^lIUI' rJr. ""'t dE' g'lfi'- -~~ ! "~'l I"\{ i\.",t . "t'. $ 45 00 ' Imle., ner ~ ,\.,;.ommerCIa " . '1U u~~ IV: ... ..'- J.' - . . .. r.-:, ""~E.'l;' l'" .. __Ro.n...332~2344',. ~ Mmlmumudec.LflcPerimt'Inspechon Fee IS $4:l.00 + Surcharges 4. ~lo. DlJ '3.2'?- "1.. ton 53. x;;) 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc "_~~I~@!~~~I~~I" - ,-' If l~ ]', jl .. ~"; ."'?'..... Y", .'. I. r f._ ',.. .':' ."::....;.~..;J': ''''''':l':.''4''':~_~~~1' :~$:""""'" '\--+_,..~ ~ ' ~"::V 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: COM2003-00822 ISSUED: 09/05/2003 APPLIED: 08/26/2003 EXPIRES: 03/05/2004 VALUE: $ 8,000.00 SITE ADDRESS: 840 Beltline Rd 202 ASSESSOR'S PARCEL NO.: 1703153000900 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Addition of three offices Owner: SYCAN B CORP Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Contractor License Expiration Date SYCAN B CORP 72619 03/25J2004 SCOFIELD ELECTRIC 38702 12/21/2005 PACIFIC AIR COMFORT INC 39237 ,Qj/25J2004 BUILDING INFORMATION_l. \r ,\'\'t. ~t61 "" f.' \...\.. \:1--\'\\ 't.\\~\' ~ ti\)~~f.S'(~t~" S~r\ ~l\ ,\"\\S ? G~'t.'U r~t Size: .\ \ffgif!kt~tr.u~e-s ~'O~~'U Sq Ft 1st Floor: 1\\l\)\p.Rb\f t:~te 'Gl\ ~ G'U Sq Ft 2nd Floor: J't~~wrf. i\~'( ?'t.l\\ . Sq Ft Basement: . . ~\U\8l\ l}\J'e:' . Sq Ft Garage/Carport ~~rgy Path: Sq Ft Other: Impervious Surface Area: Phone 541-746-8444 541-686-8612 541-672-9510 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B VN SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: . U1res yoU to Compact: ~'''''l\''()regon law req U Tt l<riif:Eot CSoverage: d by the Oregon tl I Y . folloW ~.~I.~~~~~~;~Those rules ~:.e ~s...e~ ~~:: I PUBLl'c;;jMMQ>~JEMFJNTS ~'1rop~~~ ~~~'e";u1e~ l y may UUICU" co . hnne 0090. ou ter (Note~t~~)\\alk1'type:. calling the cen. I u.Jlih/ Notificatl~n ber for the Oregon UJ:lownsp9~ts!DralDs: num . 1 800-332-2344/. , Center IS - Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 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 Plan Review Comm/Ind/Public Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Refund - Plan Review Comm/Ind/ Refund - Plan Review Fire & Li + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Fire Department Review Initial Review Plannin2 Review Public Works Review Public Works Review Structural Review Structural Review SUB Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00822 ISSUED: 09/05/2003 APPLIED: 08/26/2003 EXPIRES: 03/05/2004 VALUE: $ 8,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,000.00 Value Date Calculated Total Value of Project $8,000.00 $8,000.00 08/26/2003 ~ Amount Paid Date Paid Receipt Number $59.67 8/26/03 2200200000000001431 $59.67 8/26/03 . 2200200000000001433 $36.72 8/26/03 2200200000000001431 $-59.67 8/26/03 2200200000000001432 $-36.72 8/26/03 2200200000000001432 $4.60 9/5/03 1200200000000002073 $3.22 9/5/03 1200200000000002073 $43.00 9J5/03 1200200000000002073 $3.00 9/5/03 1200200000000002073 $113.49 I Plan Reviews I 08/27/2003 08/27/2003 08J27/2003 08/27/2003 09/03/2003 08/27/2003 09/01/2003 APP LLH APP EMM PEND 9/3/03 - Received plans and assigned to Steve Barnes. KJV Left a voice message for Tim Hovet requesting information on the mechanical contractor. Tim provided the mechanical contractor information. 08/27/2003 08/29/2003 WE JMP 09/02/2003 09/02/2003 APP JMP 08/27/2003 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. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Wall Insulation: Prior to cover. 3 Drywall: Prior to taping. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00822 ISSUED: 09/0512003. APPLIED: 08/26/2003 EXPIRES: 03/0512004 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 4 Final Fire Department. After all requirements of the Fire Department have been met. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Rough Electric: Prior to Cover . 7 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 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00822 COM2003-00822 COM2003-00822 COM2003-00822 Payments: Type of Payment Check Receipt #: 1200200000000002073 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By SCOFIELD ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/05/2003 2:09:57PM Amount Paid Item Total: 3.22 4.60 43.00 3.00 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82