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Home My WebLink AboutPermit Electrical 2005-11-16 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION / City Job Number CDM Z.OO~ - 0 14 ~ rDate If Ii 1::,/0 ) . LEGAL DESCRIPTION /70"32S>4 JOB DESCRlPTION 04 S-co e1G<.-.{- ~~ Jt;; ( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor{)RE.Gni\/ EiJC~T?!C' SERVICE P.Q Sri^{ r,i)::,7 . . L.., "'"',." EUGENE1 OF: 97402 Address City Phone~43-I&;<K:1 Supervisor License Number 1.3 9~ s Expiration Date .1 0 - I - 0 ~ C onstr, Contr, Number {Co {S L <? Expiration Date q -~l(- - '0 & Signarur! of Supervising Electrician ~ 7~~ (!J}J!Ovv See tf- ~ .J ~ v-J.- (\ I ) 70 jMok..4-w$: 5'PP~ Phone 72' -L(fCfO Owners Name A. ddress City OWNER INSTALLATION 1l1e installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included lOOO sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 1900 $50,00 B. ~o~ 200 Amps or less ~~~ , ~lj\63,00 201 Amps to 400 AmP~~\v..~ ~~\, \~~ $ 75 00 4~\~St to:f~ "\~\~ ~ Dl,\';Q ~V,. $125.00 ~~~~\f~~t\~~$ $16300 ~~\1~~~~ n.~. $375.00 ~~" 9~Y.\V $ 50.00 o O~ c. $ 50,00 $ 69,00 $10000 q3 Z( ~\) ce~ Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. hL( \{'lr b~O ' -,t./ f( 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Pemut Application ],03,doc CITY OF SPRING~lELD Building/Combination Permit Status: Pending " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01438 ISSUED: Arr LIED: EXPIRES: VALUE: SITE ADDRESS: 1621 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703253404500 Springfield TYPE OF 10/1312005 05/02/2006 $ 40,000.00 Office PROJECT DESCRIPTION: Partition removal and installation TYPE OF USE: Alteration Commercial \\t. 'N()\\~ rJ..~Q.t=. f 1f~" \~ \\0 PUBU 0 ~\S 1>>~~~~ ~O'" ,\\\'i> I'~~\tt.\) \l \)~ \'i> t.'O~Walk Type: . ~~'~~t.~C~~ i~\Q~. DownspoutslDrams CO~ \,~ O~ ~\\~ Owner: SCOTT STOVALL Address: 1570 MOHAWK SPRINGFIELD OR 97477 : Contractor Tvpe General Electrical Plumbing _., '0 u)tt:::> , - '. . ...\ rea . ,,;I ,hi N..~~~~~:rO~t~FORMA1flON . p.,,"rH:.l'rnO adO?teo IJ, e tuleS al\J "'- -001- Contrant~ {Ules 'e{ 1hos I-. Op."R 95~i~ense IUI'r cef\l' l-..ou9l' u\e::> ~ J VE B~'E~11 _0010 tIll . ot the t 116315 r.: _ 01 . ",n les 0\\<:'> ORE ~~Jill~t~~ ~eE.? e'. the tele?h~~~j.'~8 CHAPlN~~~~~.tIN.C\N~\ ,,\\\\\1 Notlt\C~n994 \\\n~ ~\., rvu\..,v" "~,, u.'. ca bet ,~dJlYIL"'U~(illN-F<ORMATIONI l1um centel ,..> # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled # of Units: Primary Occupancy Group: . Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: B VB I DEVELOPMENT INFORMATION. , Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street Storm Sewer Available: Special Instruction: Notes: , 1 of 3 Phone Number: 541-729-4840 Expiration Date 07/19/2006 09/28/2006 05/06/2008 Phone 338-9901 541-343-1681 541-485-1146 n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ..~. . _~~RlJ~QFllEI..n -I CITY OF SPRINGFIELD Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01438 ISSUED: Art LIED: EXPIRES: VALUE: 10/13/2005 05/02/2006 $ 40,000.00 I Valuation Description I Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated , Description Total Value of Project $40,000.00 $40,000.00 10/13/2005 ~Fees Paid I Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $202.90 10/13/05 1200500000000001517 + 10% Administrative Fee $6.40 11/16/05 1200500000000001733 + 7% State Surcharge $4.48 11/16/05 1200500000000001733 Add, Alter, Extend Circ $43.00 11/16/05 1200500000000001733 Add, Alter, Extend Circ Ea Add $21.00 11/16/05 1200500000000001733 Total Amount $277.78 I Plan Reviews , Fire Department Review 10/1412005 Initial Review 10/14/2005 10/14/2005 APP LLH Planninl! Review 10/14/2005 10/27/2005 APP EMM LUCS included in building permit for change of use. Catch basin filters, bike rack, screening of trash receptabcle and restriping of handicap space required to be completed before occupancy. Public Works Review 10/14/2005 Structural Review 10/14/2005 10/20/2005 WE JMP See attached documents for 5 structural comments faxed to Pamela Hillstrom. Structural Review 11/02/2005 11/02/2005 10 JMP WE. Received incomplete response . to structural comments. Still waiting on valuation verification from the contractor. SUB Review 11/07/2005 11/07/2005 APP JF No energy code issues or inspections. SUB Review 10/1412005 10/21/2005 WE JF See attached documents for energy code information request as item #2 in JMP's structural comments. 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. 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01438 ISSUED: APPLIED: EXPIRES: VALUE: 10/1312005 05/02/2006 $ 40,000.00 I Reauired Insoections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 22S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1438 COM2005-0 1438 COM2005-0 1438 COM2005-0 1438 Payments: Type of Payment Check , "I. >} "'~ . , . '; I ~ ,\ 11/16/2005 RECEIPT #: , r-oty of Springfield Official Receipt ;velopment Services Department Public Works Department 1200500000000001733 Date: 11/16/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By Received By OREGON ELECTRIC SERVICE djb 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 19180 In Person Payment Total: 1:28:50PM Amount Due 4.48 6.40 43.00 21.00 $74.88 Amount Paid $74.88 $74.88