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Home My WebLink AboutPermit Electrical 2007-9-10 ~;~\" :<, ;CITY:oF~'sP~iN,~FiE:LD.>6R:,EG6N~ >, :' ~ ~ ~ - .~, - ~ ~- ' ZON ~ INITIALS }.J~ DATE q ....t , - 0., SOURCE fY\ '()~H (12) "- I . 225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-37SJ . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C1- D / d ~ .( Date - 1. LOCATION OF INSTALLATION: 351f'Y ~f:[..!)(2J) sr oJ LEGAL DESCRIPTION: /70.5 d. d.. dO () 19 (]V JOB DESCRIPTION: ~O ~~U(L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. tt. +tL 01 . . 3. COMPLETE FEE SCHEDULE BELOW A. . New Residential- Single or Multi-Family per dwelling unit. 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 $117.00 $ 21.00 $55.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: Electrical Contractor Dl111.Yr 6l-lt ;fy}( efit.. 200 Amps or less $ 70.00 70. DO 012... ~ I 201 Amps to 400 Amps $ 83.00 Address rJJ ti.J.1J;I- IOLII.{ B; '11LfD/ 401 Amps to 600 Amps $138.00 ~ 601 Amps to 1000 Amps $180.00 City Phone 141 ~ gfjS)5 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 Supervisor License Number 5 Dftl) ,<; oB Expiration Date ID I Constr. Contr. Number ~ Owners Name &ke--::Xb-l LL <:-- / Address R-CI () .8 gffL; 'JJ e SrB;;JfJ':<' City~i~ Ow Phone 74f, -,rClC/<t 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 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over ~OO Amps or 1000 V~lts s~ "B" above. D.Branch Circuits $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 ~D lJpo.l1Q E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 ;:)aJSD Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE ~5Il.-1JD ;J--;) .4'0 ~ TOTAL ?;'ftJ. 4'0 Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc 8% State Surcharge 10% Administrative Fee 5% Technology Fee Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3344 Gateway St ASSESSOR'S PARCEL NO.: 1703222001900 Springfield PROJECT DESCRIPTION: Tennant infiJl for CIAO PIZZA Owner: 3346 GA TEW A Y LLC Address: 840 BEL TLINE RD STE 202 SPRINGFIELD OR 97477 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01293 ISSUED: APPLIED: EXPIRES: VALUE: 08/28/2007 03/11/2008 $ 219,500.00 TYPE OF WORK: Restaurant TYPE OF USE: New I CONTRACTOR INFORMATION. Contractor Type General Electrical Fire Contractor Mechanical Plumbing Contractor 1996 LLC SUNSET ELECTRIC INC NA TIONAL FIRE FIGHTER CORP COMFORT FLOW TWIN RIVERS PLUMBING INC License 114258 158859 134668 460 17695 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A2 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: IIIB 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: 1 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of3 Commercial Phone Number: 541-746-8444 Expiration Date 05/30/2011 02127/2008 01/01/2008 06/27/2009 03/11/2008 Phone 541-687-9445 541-915-4883 541-485-3566 541-726-0100 541-688-1444 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review CommlInd/Public Plan Review Fire & Life Safety + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01293 ISSUED: APPLIED: EXPIRES: VALUE: I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 219,500.00 Total Value of Project ~ Amount Paid Date Paid $684.09 $420.98 $28.00 $14.00 $22.40 $160.00 $50.00 $70.00 8/28/07 8/28/07 9/11/07 9/11/07 9/11/07 9/11/07 9/11/07 9/11/07 Total Amount Paid $1,449.47 I Plan Reviews I Fire Department Review 09/04/2007 Fire Department Review 09/10/2007 Initial Review 09/04/2007 09/04/2007 APP LLH Initial Review 08/27/2007 08/29/2007 APP LLH Plannin2: Review 09/10/2007 09/11/2007 APP EMM Public Works Review 09/10/2007 Structural Review 08/29/2007 Structural Review 09/10/2007 09/10/2007 10 LLH SUB Review 09/10/2007 08/28/2007 03/11/2008 $ 219,500.00 Value Date Calculated $219,500.00 $219,500.00 08/28/2007 Receipt Number 1200700000000001113 1200700000000001113 1200700000000001183 1200700000000001183 1200700000000001183 1200700000000001183 1200700000000001183 1200700000000001183 Fire Supression System by National Fire Fighter Corp Fire Supression System by National Fire Fighter Corp Fire square footage fee collected under building shell C6-858 Forwarded to Mick Nolte with the Building Department for review under contract with the City of Springfield. 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. Pa2:e 2 of 3 CITY OF SPRINGFIELD. Building/Combination Permit Status In Review PERMIT NO: COM2007-01293 ISSUED: APPLIED: EXPIRES: VALUE: 08/28/2007 03/11/2008 $ 219,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired InsDections , . Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 OCCUPAl'ICY 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 iuspections 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 Pae:e 3 of 3 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -01293 COM2007-01293 COM2007-01293 COM2007-01293 COM2007 -01293 COM2007-01293 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001183 Date: 09/11/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 2360 In Person Payment Total: Page 1 of 1 1 :50:39PM Amount Due 70.00 160.00 50.00 14.00 22.40 28.00 $344.40 Amount Paid $344.40 $344.40 9/11/2007