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Home My WebLink AboutPermit Electrical 2005-9-22 225 FIFI'H STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number cOC<<f'U)O f" - (') /I '-i ., 1. q:O€ATiON';"OFJINSiXii''4.TidFr!:i;f{t;/J',+:if.l. t" '''^ , .". '.' ., .'.., . ..... ~,.. -"""'4 .," .' .., j 3. C::rit( ~r\()U ) ~av.A LEGAL DESCRIPTION /70"3 22CO 2 t~coNTRA:CfoRjNsf;t:rriZ4TIoN:ONI1~2'1 . B. t~Sfttk'~;\~l~'''F~~[~t~;jIh~t;~i~tYo1t~' :Ai1~~atrKi1~ :~r..'R~ioca'ti~n;~.'" . .' ~ .,.....10-..>,,-. ,.' ~ ....,,;."<.":1/..'........,, '<:l.-.~->';;"~\,"~,' '~.-~,;..""'-....,.'. r-- 1't'~llI\CJ...".. i.l,...~ '.:>...~. 1/1',,": ,..'...,,:.~.-"!'"-...-....;,-;q<; , - -!;", -...~-: :-~ -, ".' -.,,/>> /.." ... Electrical Contractor <;UY\\'f<f- b-)t"cfv;L-MC 200 Amps or less . . $63.00 . 7 n ( / Oil 201 Ampst01~??PJiresYOuto I $75.00 'J5:q,:' Address . <H rOlJ2 ')ft.n)I'Y LIl tY.Y '1,,; ;(401 \\iiii;s%\600:~1segon Utilit\l $125.00 , , . , ." ..>""lAd hv tile \J' rth ~ g r2" rull601c'Ainps'.to lOOO,Amp's3.re set 10 $163.00 /1 J_O {( -1J -;f? ...... tpr I nub1:l u,..... 0 Phon~ 1 II '),--~'"O~,,\iO~O~~~IRRq,,*I!~g)!()AR 952- Ul- $375.00 . in OAR 95,Recoriile'i.kS,nllopies 01 the rules uy $ 50.00 0090. You m~Y ob .l'W?th'>.Y~\El\?h..one r<:O I -^ r 11'\nr,o.t~~r~el,:,~'~rl'a""( 'se'r"s.~ . ."::'''e~''''''r'''n Supervisor License Number ')( (J.LJ,\ ca ~ "...P. ~o~m"."",..""""".."" number 10 .c-' 1_800-332-2344). . /0 ,.. 0 7 <ins131la'iion, Alteration or Relocation rJ (1 200 Amps or less Constr. Contr. Nuinber / C; 0'8)' I 201 Amps to 400 Amps 40 I Amps to 600 Amps C>2bo7 . JOB DESCRIPTION lr'~re+ ~~~\\ . Permits are non-transferable and expire if work is ~ not started within 180 days of issuance or if work is Suspended for 180 days. ' City fVI eJllf? / Expiration Date ./' ------ ~ - Owners Name P,:c-..v <." l2ell Lw( 7iL Address Llll'JO s[- l'f~~ city"~k 15b.. j Phone 7ff' - 7l7t{ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature; Inspection Request: 726-3769 Date '0 A. t~'r~~~ii1f1: si~g"i~~'mffi~}';f:il~ip'q,~a~~iiig~~~filt~.l. ~.,___..........~.._~_.,_,..." ~'... ~_,'-.U _~"""'" ...__, ...._~ "_ __~,,,..v _-"I ,..".. ...., . 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 . I $50.00 .. ~1: '>1'~,'~'~. 't . "I -.,..;.....:..,' ." I ~ -.. .. $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D ,.;::'''t:;o:::.'''~'h''~C''~;';;''';l;:.~'1f.;~-"tt' ."-:r'-'~; . .rrB:r~.~~ ~ :,:.!_..~,~l~ i,:~~i .l."+f"d-':{. <t, \'-.Y::I'~"~':~' " ',. I . "'-, :,.~ .,-.r:_..:t.. _.: ,-, ~'" ,.' , , New Alteration or Extension Per Panel' One Circuit $ 43.00 Each Additional Circuit or with ) -:J ~ Service~r Feeder Pennit _rt' $ {OO UJ 7 n ~~~'~~~1~1";);~"~~;"~,:!?U~,~;,:"~~, ~... ....,',..- \ '~,!s~e~~~neol.l~'(sen'I;~~b0~2("m!~~e~).:,E."Ch'J!'~t~Il~11,01! n.',~",c~"r.\On OR IS. $ 50 00 '.,wup or.lIT1ganon~ 100 . S'~'IO' ~lr, r\~,Y hU ..R . $ 50 00 . '0'" ut me 'LTg tmg . Limited EnergylResidential \ $ 25.00 Limited Energy/Commercial / $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ttr ~.~_,..,.~..;< ,'__" ...~.' .." ..-,.. t'- -,- ,.~.. -,'-. 'S'fJjjToiAi-'6F~A1i6VE'~""'" "". f'o."j 4. :~,~~.~-5~;.q>..~.>' ,:~:t- ..."J;J....,.!t'c~I~.~(' "'j.'~<r::' ""~.. I 63.EE }'Z,'Bf , . \ 18"30 2P-{ !..!..:. l 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnslElectrical Permit Application t .o3.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status: Pending 225 Fiftb Street, Springfield, OR " 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01147 ISSUED: APPLIED: EXPIRES: VALUE: 08/24/2005 03/2112006 $ 50,000.00 . SITE ADDRESS: 528 Harlow Rd " ASSESSOR'S PARCEL NO.: 1703220002607 Springfield TYPE OF TenantlnfiIl TYPE OF USE: Alteration ; PROJECT DESCRIPTION: Tenant infill for Caffe Gourmet and bathrooms only. Owner: DIENS REV L VG TR Address: 42130 SE 149TH PL NORTH BEND WA 98045 Commercial Phone Number: 425-888-5849 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION' ATTENTION: Oregon 'awl'~qulres you to. . Contractor I ~ adopted by th'em~t)n Ut~prratIon Date CHAMBERS CON<; ~tb'ri'benter. Those lMM~re set fortl1l513012007 SUNSET ELECTR 'l? 952-00Hl010 thro' Mi~~J',R 952_001.0212712006 COMMERCIAL A 'R 0 y obtain co~!XOBnne rules byl2/1812005 TWIN RIVERS PL~J_~___._. ".^.^q~2.s.olonhnn" 03/1112007 _.!....._... ~. _ - . 1 ~HJ.hDINfilINKID~'IIONINolificalion Center is ;-iklU-~a~-~j44). # of Stories: Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled nla Occupant Load: # of Units: ~ Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: A-2 VB I DEVELOPMENT INFORMATION' Phone 687-9445 541-915-4883 541-461-4821 541-688-1444 Front yard Setback: , Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBLlC IMPROVEMENTS' ~IOTICE: Sidewalk 'Eyp.e:' FuIlv Improv~ RMIT SHALL EXPIRE: I~ rAt ~':-,n~ . YesHIS PE HIS rDownslX!utSlDrams AUTHORIZED UNDER T '''''''''''~." COMMENCED OR IS ABANDONED F9,R ANY 180 DAY PERIOD.. Notes: I of 4 Curbside 5' To Storm Sewer . 'Status: Pending : 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Estimate Type of Construction Estimate Fee Description Plan Review CommlIndlPubIic Plan Review Fire & Life Safety + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm ServlFdr 201 to 400 amps Total Amount Fire Department Review 08/25/2005 Initial Review 08/25/2005 Plan nine Review Public Works Review 08/2512005 08/25/2005 . CITY OF SPRINGFIELD Building/Combination Permit: PERMIT NO: COM2005-01147 ISSUED: APPLIED: EXPIRES: VALUE: 08/2412005 03121/2006 $ 50,000.00 I Valuation Descriotion I $ Per Sq Ft or multlpUer $1.00 Square Footage or Bid Amount 50,000.00 Value Date Calculated 08/24/2005 $50,000.00 $50,000.00 Total Value of Project Fp.p.s Pllirl I Amount Paid $240.92 $148.26 $18.30 $12.81 $63.00 $45.00 $75.00 $603.29 Date Paid 8/24/05 8/24/05 9/21/05 9/21105 9/21/05 9/21105 9/21105 Receipt Number 1200500000000001234 1200500000000001234 1200500000000001374 1200500000000001374 1200500000000001374 1200500000000001374 1200500000000001374 I Plan Reviews , ' 09/2112005 08/2512005 08/3112005 09/15/2005 OK GRG Plans Review: Tenant InfiIl for CaffE Gourmet. Job #COM200S-01147. Occupancy Classification: A-2. Construction Type: V-B. Provide address numbers In contrasting color from the background positioned plainly visible and legible from the street or road frontiug the property (2004 Oregon Structural Specialty Code 501.2 and 2004 Springfield Fire Code 505.1). APP LLH Fire extinguisher Is shown on Plan Sheet A-2. Will verify on Inspection. I received approval from Sunset Electric to Include their signed electrical permit form. APP EMM APP SB SDCs added. Credit for MWMC added to this (first) permit. Paying for all bathroom fixtures. 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line PERMIT NO: COM2005-01147 ISSUED: APPLIED: EXPIRES: VALUE: 08/24/2005 03/21/2006 $ 50,000.00 Structural Review 08/25/2005 08/29/2005 WE JMP See attached documents for 10 structural comments faxed to Eric Hall. JMP requested missing energy code forms and worksheet In structural comments. JMP faxed 10 page package of energy code forms and Information from ChamberslHall. SUB Review 08/25/2005 08/26/2005 WE JF SUB Review 08/30/2005 To Request an inspection caD 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. win be made the following work day. Framing inspection: Prior to cover and after all rough In Inspections have been approved. Walllnsulatlon: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. 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 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. Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover. 3 of 4 . . 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: COM2005-01147 ISSUED: APPLIED: EXPIRES: VALUE: 08/24/2005 03/21/2006 $ 50,000.00 By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon Is true and correct, and 1 further certify that any and all work performed shall be done bt accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertabtlng to the work described herebt, and that NO OCCUPANCY will be made oCany 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 constructlolL Owner or Contractors Signature Date , . 4 of 4 225 Fiftlt Street Sp,ri-nifield, Oregon 97477 541-726-3759 Phone . G~ ~ ~...~ illty of Springfield Official Receipt wvelopment Services Department Public Works Department Job/Journal Number COM2005-01147 COM2005-01147 COM2005-01147 COM2005-01147 COM2005-01147 Payments: Type of Pa)meut CI'editCard ~, , - 'i ;1, ;, 1. , 9/21/2005 RECEIPT #: 1200500000000001374 Date: 09/21/2005 Description Penn ServlFdr 20 I to 400 amps Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRIC Recei ved By djb I of I Item Total: LnfCkNumber AutllOl1zaUoD Batch Number Number How Received 092275 In Person Payment Total: 1:22:43PM Am... nt Due 75.00 63.00 45.00 12.81 , 18.30 $214.11 Amount Paid $214.11 $214.11