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Home My WebLink AboutPermit Building 2000-7-26 . . I Job# 00-00540-01 I . Page 1 of3 JUL 26 2000/4:40 PM/$ 1.50 ACCT#:100-00000-426605 #:01-0002685/0L880N ELECTRIC JOB#:00-00540-01 CITY OF SPRINGFIELD? OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00540-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Loca lion Of Proposed Site: 450 HARLOW RD Spr Assessors Map#: 00000000 Lot: Block: Addition: Tax Lot#: 00000 Subdivision: Owner: Jann Peeters Phone Number: 541-343-5200 City/State/Zip: Eugene, OR 97405 Value: $19,450 Address: 2773 Kismet Way Scope Of Work: Restaurant pre-manufactured esprosso bar Project did not pass minimum development standards review due to inadequate room for vehicle "r.r.P.~~ "nrl ollp.ino, Prnip.d rp.~lIhmittp.rI "nrl MDS "nnrnvp.rI hv K"v Bork R-Hl-OO Contractor Type Contractor Registration # Expiration Date General Contr Charles Chapman 13187 10/1/00 X,X,X New Phone Electrical Contr Arthur Fuller Construction 53983 Hwy 86, Halfway, OR 97834 Charles Chapman X,X,X 125956 12/3/99 541-785-3413 Plumbing Contr 13187 10/1/00 Quad Area: 1CNW # Of Units: Constr. Type: Water Heater: Office Use Land Use: Restaurants Zoning Code: CC Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Final Fire Final Building 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 ... , working day. ATTE\IIIIUI~.UI"lIv" oc", ,"'i",,,,,,, yu .' , follow rulasadopted by the Oregon Utlllt) Required Inspections NottIIcallOn \.Itlllltl'. ;-; IV~V ,.;1:5 a.~: MU^,,, , I Buildinll I inOAR952.Q01-Q010throUQhOAR952,.()Ob'- . . .. ""- M may obtain copies of the ru as y -When all Fire Department reqUirements have beaa......\'ou .t~telePhone -When all required inspections have been approveddll~1i8;'~\U1rs~Qtftle N,otiflcation numberforthe Oregon' ~lll I Electrical I CA\"I~1!,1_Il(l(l.~'l~-?~4\. -Must be approved to obtain permanent power. NOTICE: - Prior to cover. THIS PERMIT SHALL EXPIRE IFTHE WORK - Prior to filling trench. AUTHORIZED UNDER THIS PERMIT IS NOT -After device is installed but before backfilling 'Le(Jg~V1ENCEDOR IS ABANDONED FOR ANY 180 DAY PERIOD. Plumblnll Electrical Service Rough Plumbing Water Line Backflow Device ., . Zoning: CC FloodPlain? D Wetlands? D Journal numbers 1: 2000-04-0073 2: Comments: I Job# 00-00540-01 Overlay District: # of Street Trees: 3: . Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Planner: Kay Bork Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D IArea (Sq. Feet) I Main: Accessory: Fee Commercial Plan Check Total Plan Check BIJilding Permit State Surcharge For Building Permit Building Administrative Fee Total Building' Perm~nent: 200 Amps or Less Miscellaneous Electrical State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Waler SeNice Footage Plumbing Administrative Fee Total Plumbing SDC Administrative Fee Higll Turnover (sitdown) Restaurant Higll Turnover (sildown) Restaurant Total System Development Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Page 2 of 3 Land Use: Restaurants Pave Driveway? D Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 07/17/2000 2592 Buildinll 07/17/2000 2592 07/17/2000 2592 07/17/2000 2592 Electrical 07/26/2000 2685 07/1712000 2592 07/17/2000 2592 07/26/2000 2685 07/17/2000 2592 07/26/2000 2685' Plumbinll 07/1712000 2592 07/1712000 2592 07/1712000 2592 07/1712000 2592 System Development 07/17/2000 2592 07/1712000 2592 07/17/2000 2592 Value/Quantity I Fee Amount 18,650 $87.43 $87.43 800 $15.00 $1.05 $.45 $16.50 1 40 $50.00 $40.00 $2.80 $3.50 $1.20 $1.50 $99.00 64 $.00 $2.80 $40.00 $1.20 $44.00 $33.83 $676.59 $676.59 $1,387.01 . Fee Modular Total Permits w/o Srchg Grand Total Plan Check Type Checked By Initial Review-C/I/P Lisa Hopper Steve Templin Kay Bark Lome Pleger AI Gerard Engincering-CII/P Planning-C/I/P Slruclural-C/I/P Fire lVIarshal-C/I/P Job# 00-00540-01 Paid On Receipt# Permits w/o Srchg 07/1712000 2592 . Page 3 of 3 Value/Quantity Fee Amount I 18,650 $40.00 $40.00 $1,673.94 Date Completed Comment 04/13/2000 05/31/2000 06/28/2000 07/14/2000 04/20/2000 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 Slate 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 701.055 will be used on this project. I further agree to ~nsure that all required inspections are requested at the proper time, that each ad(~CSS is readatJle from the street, that the permit card is located at the front of the property, and the app{ ved set of pans ill remain on the site at all times during construction. C II arM~. \) , ~-Z.fo-(X) Sign HUrt \ Date 225 FrITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~~~ fb,....0. eO 1. LOCATION OF INSTALLATION, ~""o'\'); 450 Harlow Road ' ~ LEGAL DESCRIPTION Corner of Harlow & Game' Farm Rd. , JOB DESCRIPTION Espresso Stand Permits are non-transferable and expire if 'work is not started within 180 days of, issuance o. if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elec tri cal Con t rac tor Olsson Industrial ~.1.ecr.;rl.C . Address' P.O. Box 70413 City Sprin,,!field Phone 747-8460 Supervisor License Number 33345' Expiration Date 10-01-01 Constr Cont.. Number 63473 Expiration Date l_?F.J'Il' . s''".~~'~.. "."",,.. Owners Name Jann Peeters Address' 2773 Kifmet Wav City Phone Euaene OVNER INSTALLATION The installation is being made on property I ,own which is not intended for sale, lease or rent. Owners Signature: -------------~------------------------- DATE: RECEIPT #: ' RECEIVED BY: ELECTRICAL PERMIT APPUCATION Ci ty J~b Number (1) ~ 00 '5:4 o.~ 0 I 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or port'ion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps , Over 1000 amps/vol ts , Reconnect Only Items Cost Sum $ 85.00 - $ 15.00 .$ 40.00 1 $ 50.00 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 , C.' Tempora.y Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 'amps o. 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B", above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or,with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $,40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee _ TOTAL 50.00 3.50 J _ 'i() 'i'i.OO