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Home My WebLink AboutPermit Electrical 2004-3-22 22S rlJ' in STREET. SPRlNGFIEL ,OR 97477 . PH:(S41)726-37S3 · FAX: (S .3689 ELECTRICAL PERMIT APPUCATION 0 I 'The,following projectss submitted has the following City Job Number COWl2QO'3 -oIZ,3l. Date 3, Z,7/0 Lf ~o",ng, end does not require specific lend use 1 ,1tOcAtiO~OF!R$I~7fQ~3 )Tc6MPJ:j,;f.r;'n::,;:~rri'Z;~~~H~?l~~~,,,/<iljr"'1l!"~ . :;7~'-''';;;A-:;'---~~-:r'~ . ""~-,' -'-=~~. ". 'J:~:~f'i""" ",~'",r"""""~,",,,Pffi'''''fI':1i'''j~f1l1l!l:5fjifi1j:!!ytlt''''''' "tJbT; ~"...; "."",) LEGAL DESCRIPTION A. ~~~~~l!l~,g,,!~...~g ~;'l~:"'_'! ....-. "" ';1' ,::.,~~ ".1;"7~~ll 1703351.12- 0 '5lfC5G Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof LLL A-IJ STc .f'z,o E. ~qs~.~c~~t~'"ri".;rfo'rfu'ai!i~f;~~'~!t;jn:~tr~~:1 II ~II' ~11Atrt'Ar'lnc'ir"lhl:~-"-""""~ ~ Pump o~ImIZED UNDER THIS PERMll<lS<NOT sign/ouQQMill~~D OR IS ABANDONEIUlQIQ OWNER INSTALLATION Limited~~eg~fJiRIOD, $ 25.00 !he in.stallation is bein~'1"I'I:I~ ~J;" 1l!!J~..I.i1ii, equlres fJiltl!~ Energy/Commercial $ 45.00 O,s not mtse~ded for sa:~~~~~~::~:.e~~s~h~~~#~,:.i~_::~:~::=;:::t:~:~~:~,~,: Surcharges wners Ignature: 010 th ough OAR'. TAL,OF:ABOVE;"''''~'"s;~ ~~<<;1.i~ /7~-- In OAR 952-001-0 r ~"-"9' ~"'" ",~,,,_._,,_._._c"'_,;'\'~',li.:.~,7...,1. - _"""J'5l 009~ You may obtain copies of tha'r(/le T"'~"-"'='" "--~ " " .,.:.~,:>"~,,",' -- 'Z., . , '\ _ _ -l'N ~~ote: the telepw~liIllte Surcharge /7 Ctlllltty' IQ""...... ..,.;.. \' ., . . number for the Oregon Utility NOtlhoe4~Blninistrative Fee 17 :5'0 I . ~ --,..:~ 1_pn(V~~?-2344). f J 7) nspectlon Request: 726-3769' . TOTAL 7-.0..., - ~\,~ 51-3/..'[ l'-t::~ / G-t /Z.C LA...-h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~t;-"':.;.t~, .::~~"""~. :.."""%Io;".G.""'r___"~,'''''''''''l.",,,,;;,;~,,'';''''''~..''I;''~ ~, ON,lKAt. ,ORiINST.ifIj[j;{TIOMO ,',' 2. ..,"""' ..' ~~.... ,_., ... - I.'.;.,: Elecaical Contractor A'",';O/dS E1i!"d. .ta,c. Address 2/ 7!> LA/. L!!!i!-..A ve , City AD! ~n e. j) Phone 3 '13 -72- , 7 Supervisor License Number ~ 5 p.. 0 - :> Expiration Date /o/CY / Constr. Contr. Number / 7 z.-S- Z- Expiration'Date t!) 2-/ (/;) S 1 Signature of Supervising Elecaician Address S~iL III W. ,~ ~I.AG-e7IIe Phone City $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B ~~S-'''''',~(lC'';'~li'':.'P.l',.jj;'''''~:,'''II''''1')ti~1f."",,",,,~ji''::~R'''';-i1'"""tiilli..,.,j, . " e(VlCes:Of' """erll'-......tlI ~^'terallons o~ elOca on:~ \'['J:.~"_"l.;.P~.L.;a;.~~"''''-'t.'~ . ~.r.!-..!t!..""'f.oo"- ~IlIJl'lL'!'fW(':<:.r~."~;..' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~~~S'lt.V,..~metre~\O.' ~.~~. I .-' Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see uB" above. reB=>ITh'C=~"""':'~-'::...~~~"'if;j[{~-~llir~d"o/4>;!.'" D. ~.~.e.~.,,,,.::;,..Jr.5P).~~~~'~!?'~JJ'&tf.S,~!ebt~t:1&J New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Addioonal Circuit or with Service or Feeder Permit 41/ $ 3.00 $ 50.00 $ 69.00 $100.00 L(3 J5Z- Shared Drive(T:)lBuilding FormslElecttical Pc:rmit Application 1-o3.doc , ., . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01232 ISSUED: 01/20/2004 APPLIED: 12/10/2003 EXPIRES: 08/1712004 VALUE: $ 43,000.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 774 MAIN ST ASSESSOR'S PARCEL NO.: 1703354205400 Springfield TYPE OF WORK: Restaurant PROJECT DESCRIPTION: Remodel Existing Building for Subway TYPE OF USE: 'l; Owner: SPR LLC Address: III W 7TH AVE STE 320 EUGENE OR 97401 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Pl'h: . ~',7r: I~ itE \N~~.,. "01\Ct. \'!IIi S\\~\.\. t{I1'I:QE.WlJ~bkMENT INFORMATION I SETBtf\.~E\\ c\.) \)~\.)E\\ .~\.)U\{cJ r ".,-\\0\\11<- Q IS ~I?l" Front yard Setbll'eJ.!:\ ~CE\.) 0" \.) Overlay Dist: Side I Setback: CO\'!l\'!lE 0 \.)~'{ ~E\\IO . # Street Trees Rqd: Side 2 Setback: ~~'{ i \) Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION' Contractor RON BRONNER REYNOLDS ELECTRIC COMMERCIAL AIR INC JOHN L RILEY License 69855 17252 110075 55173 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ". Street Improvements: Storm Sewer Available: Special Instruction: Notes: " A-3 VN I PUBLIC IMPROVEM~~1H On laW re"'.... - n Utility A"El'liIOl'l:~;;t~d '0,/ tOB ~::;~e set lort' \oIlOW rules ~nter. ihose r\ OAR 952.-00 lotilication? o~_oo~othro~\l sol the rules \ OAR 952. 0 obtain cople telephOne \~090. ~ou ~:2enter. tl'lot~~~~~ l'lotilicatiOn callIng \or the oregon ",,,,?_'2344). number .~_ '<0 1_pnf'-' ' ro_~ Remodel Commercial Phone Number: 541-683-4664 Expiration Date 10/16/2007 02108/2005 12118/2005 12110/2004 Phone 541-726-9992 541-343-7297 541-461-4821 541-998-2812 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Paee I of 4 ~iii~ . . . CITY OF ~rKJ1'\j\.>t<1J!,LD Building/Combination Permit PERMIT NO: COM2003-01232 ISSUED: 01120/2004 APPLIED: 12/10/2003 EXPIRES: 08/17/2004 VALUE: $ 43,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .." I Valuation Descrintion , Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated Total Value of Project $25,000.00 $25,000.00 12/10/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlIndlPublic $145.86 10/14/03 2200200000000001655 Plan Review Fire & Life Safety $89.76 10/14/03 2200200000000001655 -Mechanical Issuance Fee- $10.00 1/20/04 1200400000000000079 + 10% Administrative Fee $62.67 1/20/04 1200400000000000079 + 7% State Surcharge $43.87 1/20/04 1200400000000000079 \~ Backnow Device $14.00 1/20/04 1200400000000000079 Building Permit $329.70 1/20/04 1200400000000000079 Fixture $238.00 1/20/04 1200400000000000079 Miscellaneous Mechanical $45.00 1/20/04 1200400000000000079 Plan Review CommlIndlPublic $68.45 1/20/04 1200400000000000079 Plan Review Fire & Life Safety $42.12 1/20/04 1200400000000000079 SDC MWMC Administration $10.00 1/20/04 1200400000000000079 SDC MWMC Improvement $1,548.92 1/20/04 1200400000000000079 SDC MWMC Reimbursement $4,189.51 1/20/04 1200400000000000079 SDC Sanitary/Storm Admin $287.42 1/20/04 1200400000000000079 + 10% Administrative Fee $17.50 3/23/04 1200400000000000372 + 7% State Surcharge $12.25 3/23/04 1200400000000000372 Add, Alter, Extend Circ $43.00 3/23/04 1200400000000000372 Add, Alter, Extend Circ Ea Add $132.00 3/23/04 1200400000000000372 Total Amount Paid $7,330.03 \, I Plan Reviews I Pa!!e 2 of 4 . . CITY OF SrK11~lJ1<l.l!..LD Status Issued Building/Combination Permit PERMIT NO: COM2003-01232 ISSUED: 01/2012004 APPLIED: 12/1012003 EXPIRES: 08/17/2004 VALUE: $ 43,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired TnSDP-dinnsJ I Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Plumbing: Prior to cover and including required testing. 6 Final Plumbing: When all plumbing work is complete. 7 Rough Mechanical: Prior to Cover 8 Final Mecbanical: When all mechanical work is complete. 9 Rougb Electric: Prior to Cover 10 Final Electric: When all electrical work is complete. II SUB Final: After all required energy inspections have been requested and approved. 12 SUB Ceiling Grid: Interior Lighting 13 SUB Exterior Lighting 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 tbe 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. Owner or Contractors Signature Date '. Paee40f4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01232 COM2003-01232 COM2003-O 1232 COM2003-0 1232 Payments: Type of Payment CreditCard ~Q=ft~., Wi!r'-~~--'--' ...... '. '-' ...'.' , .. '- -,~ . ;, -; : --~.-,...-.. .' ---./ Receipt #: 1200400000000000372 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb <":heck Number Batch Number Authorization Number Paid By ELLEN REYNOLDS 000331 023560 City of Springfield Official Receipt Development Services Department' Public Works Department. Date: 03/23/2004 2:53:3IPM Amount Paid Item Total: 43.00 132.00 12.25 17.50 $204.75 How Received In Person Payment Total: Amount Paid $204.75 $204.75 . .