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Home My WebLink AboutPermit Electrical 2004-1-9 ;5/23/02 . THU,. 08 :4~FA,.X;,?4172~36P . "c CITY,LOF)t SPRINGf'IELD> , ,~;. .-;::J}~;:s"..c~''':t~t'~':;:;'~~f1r:~~;'':~:i~r;;i';t~,~l~,~~~~-;>;~i~~,~ ~ - 19JOOl , -- , " . -~ , ~-~:{!'l:!s.;::;< , ".)~A'.;; ~-f\ff~i;'4::";~; , '1'''' ~i," 225 .r1.t'!~STRJ:./:.l" SPRtNGFIEiD;"OREGON 97477 ~SPECfioN'~Ql.JEST: .726.3769 OFFICE: 726.3759 ,.:, ,~' ,;.,,'. "~~."J' :C.' ELECTRlCAL PERMIT APPLICATION City Job Number COpvf 2..001 - 0 I Z 2- ~ 3. CO~LETBFEESCHEDULEBELOW 1. LOCATION OF INST,ALLATION ~38 Bel+IIY1e i~d- LEGAL DESCRIPTION 170"$. i:;-30 A. New R~~~utia1-Single or o \O\\~~ulti-FamilY per dwelling unit. o'0'3-,<>\'(;\\'l>-~o Service Included: 00 90 0 ~\~0 eC,\\\V <o~'O. e '<>~ v' 0-~ 0o..~\~ JOB DESCRIPTION ~~O\e ~o\ ~ (\. ~ -re..no...o -+- ~ \ r'\ is Y\ ~~-.ti'<0~ 1\00'<> ~ a 'i;. \0" '(J.<0" 0\'/ '\'(\ ;{,\~ \ ~ Pel1mrs are non-transferable <lJl:l:! t;,~'Pfrc1-o{\\'('\ ,/ if work is not started W'ithin 180?aays e of issuance or if work is susoended for /'" ",~'3-\V~ '. .... '0'''' 180 days. ,p,e \1,i':/> ~\0\ ,......j\.\ 2. CO:STRl\CTOR INST ALL.1.. TION 01\TL Y Items Cost Sum $106,00 $ 19.00 $ 50.00 Electrical Contractor SCOFEILD ELEGTRIC CO B. Services or Feeders Installation, Alterations or Reiocation: ~~4~ 200 amps or less S 63.00 201 amps to 400 amps S 75,00 401 amps to 600 amps S125.00 601 amps to 1000 amps $163,00 Over 1000 amps/volts ' S31~-i/B\.\ \0 Reconnect Only n \a'i" ,.eQ~~ll5'O~~ :\\O~..o{ego the orego ,,-ten' c. Te)Qli\i~ set\'ti~,~l?d'c~ fU\89 are &e ..ao- T nsta~Uolf'4 J..\R~~Wtl@1f ~'cr\R.)n O~f\ 9S2;, \ \\nce.\\Ol'\ .oo'\otnfO. otthe ru,es 200 i~~1t)S2-00'\ \a\t'\ cot)\9S ~~\Mlnot'\e 201 >>nJ'tiAo ~'I O~er {~0\9: \~~~~\cat\OH Over 4~frci\\\~~ can r~gO(\ U\\\\~''oR4)O Over 600Cli.mi~f ~fJ!!lh~f.? ~~P,OO-33'2.2.~ . . "B" abovaU"'~ rC'"""(,'f ,e Address PO BOX 2765 CitY E'CGENE, OR Phone 686-8612 97402 Supervisor License Number ')08-8 fxpirarioll Dale: 10 11/04 Conslr Cantr, Nttrnb::r 38702 ExpiTc.tiOTI Dare _ 1 ? !? 1 /01 Signsture of Supervising Electrician Owners ~gme S)Ct\..f'\ g., Cor P .. Address SfJ..fO Be.H-\H)e R~., S+e,,~(i2.. , Cit"Sf-r'C\5~\e.\~ Phone, 7~ b-~!jlJ~ D. Branch Circuits New Alteration or Extension Per Panel One Circuit $4J,OO y 3 Each Additional Circuit or with Servi:::e a or Feeder Permit 3 $ 3.00 I OV,"?'IER INSTALL~ TIO:'\' TI.e iD.s:aUation is :,eing ~de on prop=rt). I O\\TI which is not intended for sa}::. ie2.se or rent. Owners Signature: E. Miscellaneous (Service/feeder not inc.1uded) -Ea:::h installation N01\C~.~P or.4'1i~r~eTillpmE \f 1\-\E WORK s~o.OO_ 1\-\\5 p~~iJ~~1~ PERM\1 \& NU \ s~o,oo ~Ul\-\O~~&~~DONEO fQ9. ~~:~~ . CON\MEN. ~R\QU. . ~N'{ 18\l1b1i~~1"'Electric Permit Inspection Fcc is S45,OO .;- Surcharges TOTAL S-d.., 00 3,,&1-/ 5'~~o ~O D ((tj 4. SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee Status Issued CITY OFSPRINGFIEL~ Building/Combination Permit PERMIT NO: cOM2003-01225 ISSUED: 01107/2004 APPLIED: 12/0912003 EXPIRES: 07/0712004 VALUE: $ 25,000.00 ,.., 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 838 Beltline Rd ASSESSOR'S PARCEL NO.: 1703153000900 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant improvement - SelecTemps Owner: SYCAN B CORP Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477 Phone Number: 541-746-8444' I CONTRACTOR INFORMATION I 't, Contractor Type General Electrical Mechanical Contractor SYCAN B CORP . SCOFIELD ELECTRIC MICHAEL GRIFFIN License 72619 38702 150189 Expiration Date 03/25/2004 12/21/2005 01/23/2004 Phone 541-746-8444 541-686-8612 541-942-8339 BUILDING INFORMATION' '<j # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 'IOU \0 . ,,^(\l1\res '.J~la, I ON' oregon \~l(lji~'h~~~ORMATION . SETBAC~E.N1\ ~Qo9\edt) se tU :lI....~gS2;.()U . ~ ru\es r 1no nO~P \ Front yard Setbac~\~~ 9.\\on cente 0'\ 0 \N'o~g_ q't_mnfi~ Side 1 Setback: '~o\\\\Cf\ 9S2:~QP'\,-9:,; ia\'" C09\e~\~~~qd: Side 2 Setback: \ oP\ " U {{\e.'/ 0'0 ~NO\e: \~~v~~: 0090. 10 '; center. \J\\\\\'/ \'lU\":- . Rearyard Setback: Ce.\\\n9 \"e e oregon ~~~ Coverage: Solar Setbacks: kef \Or \n . "\ _p-nn-3,. nU<<""'! ,..~",~,.." ,e -- PUBLIC IMP NTS E \f lHE WORK lHIS PER u~~~~;~~M\T \S NOT AU1HORIZED . ft~~i6o.R COMMENCED OR liJ . ANY 180 DAY PER\OD, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: e. ~{:. Paj;!e 1 Qf 4 '- ". -,-:?~~.!~9.ISI~'iI?\' ,~:;..,~' t' - .' d Status Issued <,CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01225 ISSUED: 0110712004 APPLIED: 12/09/2003 EXPIRES: 07/0712004 VALUE: $ 25,000.00 225 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 'c' Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 , Value Date Calculated Total Value of Project $25,~00.00 $25,000.00 12/09/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlInd/Public $145.86 12/9/03 1200200000000002572 Plan Review Fire & Life Safety $89.76 12/9/03 1200200000000002572 -Mechanical Issuance Fee- $10.00 1/7/04 1200400000000000014 + 10% Administrative Fee $5.20 1/7/04 1200400000000000015 + 10% Administrative Fee $26.94 1/7/04 1200400000000000014 + 7% State Surcharge $3.64 1/7/04 1200400000000000015 + 7% State Surcharge $18.86 1/7/04 1200400000000000014 Add, Alter, Extend Circ $43.00 1/7/04 1200400000000000015 Add, Alter, Extend Circ Ea Add $9.00 1/7/04 1200400000000000015 Building Permit $224.40 1/7/04 1200400000000000014 "i;" Miscellaneous Mechanical $45.00 1/7/04 1200400000000000014 Total Amount Paid $621.66 I Plan Reviews' I '. " Pal!e 2 of 4 ~$~ CITY OF SPRINGFIELD WiL. · Building/Combination Permit Status Issued PERMIT NO: cOM2003-01225 225 Fifth Street, Springfield, OR ISSUED: 01107/2004 541-726-3753 Phone APPLIED: 12/09/2003 541-726-3676 Fax EXPIRES: 07/07/2004 541-726-3769 Inspection Line VALUE: $ 25,000.00 Fire Department Review 12/12/2003 01/05/2004 OK GRG Plan Review: interior remodel for Selectemp personnel job placement services. Job #COM2003-01225. Construction type: V-No Occupancy classification: B. 1800 sq. ft. Provide or maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide or maintain fire extinguishers with a minimum rating of 2-A: 1 O-B:C every 75 feet 01 travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Provide illuminated exit signage meeting requirements of OSSC 1003.2.8 for the rear exit door. Provide means of egress iIluminatiol1 meeting requirements of OSSC 1003.2.9 for the hallway area. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" (OSSC 1003.3.1.8, exception 1). Eliminate Door C and stub wall/door assembly between hallway and reception area to create one room meeting requirements of OSSC 1004.2.2. Initial Review 12/10/2003 12/11/2003 APP LLH Plannin2: Review 12/12/2003 12/1812003 APP EMM Public Works Review 12/12/2003 12/30/2003 APP SB No SDCs, no change of use. no new fixtures. remodel only. SWB Structural Review 12/11/2003 12/1212003 APP JMP Called Tim Hovet to discuss OSSC 1004.2.2 travel through intervening rooms. Pa2:e 3 of 4 :_3~.,~~!~,SF,5I!~=L;:ei"!-'''''~-~~, t Status Issued CITY OF SPRINGFIELD. Building/Combination Pe~mit . PERMIT NO: cOM2003-01225 ISSUED: 01107/2004 APPLIED: 12/09/2003 EXPIRES: 07/07/2004 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Review 12/1212003 12/18/2003 APP JF To Request an inspection call the 24 hour recording at 726-3769. All ins~ection 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. Reouired InsDections I 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. 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 Mechanical: Prior to Cover 7 Final Mechanical: When all mechanical work is complete. 8 SUB Final: After all required energy inspections have been requested and approved. 9 SUB Ceiling Grid: Interior Lighting 10 Rough Electric: Prior to Cover 11 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. ,I Owner or Contractors Signature Date Paj!e 4 of.4 ..l.25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1225 COM2003-0 1225 COM2003-0 1225 COM2003-01225 Payments: Type of Payment Check Reccipt#: 1200400000000000015 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee 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: 01107/2004 10:23:17AM Amount Paid Item Total: 43.00 9.00 3.64 5.20 $60.84 How Received In Person Payment Total: Amount Paid $60.84 $60.84