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Home My WebLink AboutPermit Electrical 2004-11-3 0>'01., ' ._ ,. I!. ... '" F.~t;;jii.,;:. 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726--'ll89 ~~ Ab!,. "" ELECTRICAL PERMIT APPLICATION ?"o- If!.~'f\ ~ City Job Number CO~'II\ Z.&:'4' - 0 it 0 '8' Date / I - 0"') - Cfb':;/ ", ~~.. '; . .' ~. ~,~ 3. 1r~Q.M..P=U:lj{FEESCHEDVLEm,.... i~~~"''''''>i~~~ '~,",,=,",~..._,_.,_l,.. ,..., ~'~:~~ . Q.,.~ ' A. ~~.R~i[~1ir.!~~~tf,~ 'Iv, ':f"v~~~1~ ~~""''''''''-=-'''----'~W',i:U..~~~:.A;.;' 1. ~':15'~' .0- :;;. Service Included '& \. 1006/s'Ci.Tflrof.less I '" ~ Eac~AA!!ir;io.:n.a.\'.~PP 81.ltlL'1."EXPIRE IF THE Vv ~R~ port}H~r~l'&/rlED UNDER THI~ nrn"'T ,~S" 9.00 ,J. ....,,,,, , .\J hill I Eac!tMa1MiaM-:d:HomgdfJ ABANDONED FOR MollllJiit Q~gllffig\S~~~~J>.!i, S50.00 ' Feeder Minimum Electric Permit Inspection Fee is 545.00 + Surcharges ~'~~~~ l~;b .,.........,.. .0-'"" .".._......... .....__.""~....".._..._. . .. . I. ~LOCATibNOFZiNSr'AfjE;(riON,l<~1~J !.-'J[n.:;:.I;.;t,.m;c.;'~~'~-'::;;.MIMl<i,~'~~~-' .~'i3't$'rt.'1' 'SLfb 1M j),- u'l' SI LEGAL DESCRIPTION 17D3""'3> 5'3/ 072.0-0 JOB DESCRIPTION b c ( Y7..-<-.vo.... :- ..(--S Permits are non-transferable and expire If work is ,;. not started within 180 days of issuance or If work is Suspended for 180 days, . '~"'~i""""'" ,\!-r'~" .,' ' .' ."'''''~ FcoNi'RAcrOil.:tNST:ifTi'.4?ifoNffNty, 2. t!;~~H~"Qi1"{.~~~~~&::::t.:.~~. ',' ~~'4")f. Electrical Contractor C!. ~d.AJ' E/,.,;;Ji;./~"ki Address -Pn . J<'" x 1/ 'l.? City C::Rto'('1~ Phone 99.5' <;c;tf,1. Supervisor License Number ,:] 9 70- S Expiration Date /0-/-01'< Constr. Contr. Number /. t;'"9 -::.:r? Expiration Date '7'-/..S"--cR' Signature of Supervising Electrician (V.i.,f), 2A._~~ o - Owners Name SPr~ Lod;e' --fl70 "3 Lf b 1111,4-( /I/' ~ r City S?r~ Address Pbone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~?"t:;li':'lf~l~",..~'ry~tfi+r.J"~"W:f~~"'"M~""~__~\"\~~l!ft.tJ~ B. ~S~~t<~~es9$~t~J~J.hU!.?&~~Iit~~,~!!J~~*~ion:,~' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to I 000 Amps Over 1000 AmpsIVolts Reconnect Only S 63,00 S 75.00 S125.00 S163.00 S375.00 S 50.00 1l'iii-,'J%'''''''.'''''''~''''''''''''~'''''''''''_I<k~llI'~'I'-;t\l.\:1\1ClI:\1~ c. ~mgQr:~r:-Y,~s._~I\~~.~~;().r~E7~(lers~~ ~. ~,~~~ Installation, Alteration or Relocation 200 Amps.or.less . S 50.00 1\1 n:NTION: Oregon tun 'Q'1u,r$i~~;u 201 Am%llbWQo1mJ'adopted b,' the a,lln-qo %y 401 ~~;\'?It!R~~'!mter, Th05S r::l!s: af~ORe rolJ, , Over 660 ~ps!Of.a01lO'iVOIM 5el!1tBfJaIlo~R 952'q&.1- D. [!.Jlirl}~1:~ii1~lbai~P'!~~jfltlLrtL~1;!~izriT~~'~l N AI ca(1m9flie cenler,qJe: !f1e feJepliOne ew . t'ifdIiP9"yrf~~st3Pe ~rf'J~~oJification if> One ClfCUlt Center is 1-800 4143.00 Each Additional Circuit or WIth <c,. ( } Service or Feeder Permit ~ S 3.00 E. _~fu~~~6ffs~s~~ic~jf~:a1~;m;tiiiti~d~tJ)\;Ei~jf"~~irli'ti5iii _, ,......._....-'..._~J"":ft>~"'=.,,_'''I.~.....,'l'l.~.....l'I."''''".tY.'',..~'''''-' .-..... I Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial S 50.00 S 50.00 S i5.00 S 45,00 Shared Drive(T:)/Building FonnslElectriclll Pennit Application t ~3.doc . CITY OF ~rKll~uN~L1J Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/0712004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 346 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107200 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel PROJECT DESCRIPTION: Ruthie B's Antique Shop and Tea Room, 10/5/2004 added HV AC. includes adding or extend 10 circuits. C Perkins electric taking over for Antonel10304. Owner: SPFD LODGE #70 IOOF >)t';"", ' Address: 342 MAIN ST SPRINGFIELD OR 97477 Contractor Type Applicant General Electrical Mechanical Plumbing NUII"t:; --.- ii ~L'r WORK TIIIIS9N~~H~,~~I1~RM'A ~1~r\1~ NOT AUTHORIZEU uNUttl I n10 r Ll "," 'v Contractor r.OMMENCED OR IS ABANll!fiunUOR Expiration Date RUTH BALLENGIt%V 1 RO DAY PERIOD, JWH CONSTRUCTION"INC 157103 09/23/2005 ANTONE ELECTRIC INC 145436 04/23/2005 MARSHALLS INC 25790 12/23/2005 VOS PLUMBING INC 41805 04/04/2006 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: B Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN n/a I DEVELOPMENT INFORMATION I Commercial Phone 747-3677 541-221-6015 541-689-4560 541-747-7445 541-485-0551 REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: ATTENTION: Oregon law t€qrnPastyou to % of Lot Coveraglfullow rules adopted by the Oregon Utility Notification Center. Those rules are set forth I PUBLIC IMPROVEMlfIS'i~ ::IO<:-UU I-UU I ~ lIlf~yn VI'" !J;)'::-UU'- . . "'!fou may obtam copies of the rules by calling tl'SicblmlUr.1Wete: the telephone number f<j)Jtt-\lJjlt~WlB.YIU~ Notification Center is 1-80()..332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: Palle 1 of 4 " . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 54t-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $10,000.00 $10,000.00 09/10/2004 l..Fppo PlilU Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $7.00 9/7/04 1200400000000001315 + 7% State Surcharge $4.90 9/7/04 1200400000000001315 Add, Alter, Extend Circ $43.00 9/7/04 1200400000000001315 Add, Alter, Extend Circ Ea Add $27.00 9/7/04 1200400000000001315 Plan Review CommllndlPublic $69.81 9/13/04 220040000000000tt53 -Mechanical Issuance Fee--- $10.00 10/5/04 2200400000000001239 + 10% Administrative Fee $23.64 10/5/04 2200400000000001239 + 7% State Surcharge $16.55 10/5/04 2200400000000001239 Building Permit $107.40 10/5/04 2200400000000001239 Exhaust Hoods $9.00 10/5/04 2200400000000001239 Fixture $84.00 10/5/04 2200400000000001239 Minimum/Adjustment Mechanical $36.00 10/5/04 2200400000000001239 SDC MWMC Administration $10.00 10/5/04 2200400000000001239 SDC MWMC Improvement $5,664.94 10/5/04 2200400000000001239 SDC MWMC Reimbursement $653.44 10/5/04 2200400000000001239 SDC Sanitary/Storm Admin $316.42 10/5/04 2200400000000001239 + 10% Administrative Fee $11.20 10/8/04 2200400000000001261 + 7% State Surcharge $7.84 10/8/04 2200400000000001261 Boiler/Comp Up To 100,000 btu $48.00 10/8/04 2200400000000001261 Furnace - more than 100,000 $60.00 10/8/04 2200400000000001261 Cas Outlets 1-4 $4.00 10/8/04 2200400000000001261 + 10% Administrative Fee $5.80 10/28/04 2200400000000001341 + 7% State Surcharge $4.06 10/28/04 2200400000000001341 Add, Alter, Extend Circ $43.00 10/28/04 2200400000000001341 Add, Alter, Extend Circ Ea Add $15.00 10/28/04 2200400000000001341 + 10% Administrative Fee $5.80 11/3/04 1200400000000001557 + 7% State Surcharge $4.06 11/3/04 1200400000000001557 Add, Alter, Extend Circ $43.00 11/3/04 1200400000000001557 Add, Alter, Extend Circ Ea Add $15.00 11/3/04 1200400000000001557 Total Amount Paid $7,349.86 I Plan Reviews , Fire Department Review 09/10/2004 09/29/2004 OK CRC See attached documents for fire department plan review comments, Paee 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 09/10/2004 09/13/2004 APP SKG Plannin~ Review 09/10/2004 09/23/2004 APP EMM Public Works Review 09/10/2004 09/23/2004 APP SB Structural Review 09/13/2004 09/2112004 WI JMP Structural Review 09/29/2004 09/29/2004 APP JMP Structural Review 09/10/2004 09/10/2004 WE DLM Structural Review SUB Review SUB Review 10/05/2004 09/10/2004 10/05/2004 10/05/2004 09/17/2004 10/08/2004 OK APP APP JMP JF JF SDC's for MWMC only, due to Dowutown Redevelopment District. Received 5 sheets of taped together sketch of 1100r plan. Waiting for other internal reviews. Received final internal review, Applicaut was requiested to submit teh following additional dwgs: 1. Kitcheu equipment legend identifying the location of each item of equipment. 2. Accurate drawings of existing restrooms to an appropriate scale such as 1/4" per foot. 3, Floor plan drawing of the overall tenant space showing locations of the kitchen, restrooms and espresso bar aud identifying the proposed use of the remaining spaces. BV AC only. No energy code issues. Added BV AC. 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. Ueollire~nsnections I Rough Electric: Prior to Cover Final Electric: Wheu all electrical work is complete. Final Fire Department, After all requirements of the Fire Department have been met. Final Building: After all required inspectious have beeu 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, SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Final: After all required energy inspections have been requested and approved. Pa~e 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 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 eusure 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 frout of the property, and the approved set of plans will remain on the site at all times during construction. ' Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Spring~eld, Oregon 97477 541-:nl'i-3759 Phone Job/Journal Number COM2004,Ol108 COM2004,Ol108 COM2004,Ol108 COM2004-01108 Payments: Type of Payment Check ~ I (./ 11/3/2004 . RECEIPT #: a.e~~~!'I.....~. /'I'!!-O..._- ._.._ __~ "'. WiL" - ,..." !. i " , , - ' .'~ 1200400000000001557 Deserlptlon Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Received By d'b ~ , Check Number Batch Number Page 1 of I MJy of Springfield Official Receipt .velopment Services Department Public Works Department Date: 11/03/2004 9:56:29AM Item Total: Authorization Number How Received Amount Due 43.00 15.00 4.06 5.80 $67.86 Amount Paid 4180 $67.86 $67.86 In Person Payment Total: ns'u..STREET . S~GmLD,o.."n. PH,("'>"'-3'" .FAX,(S4'''*'''' ~.' , ELEci:R.ICALPERMITAPPUCATION . ~"'''/'' ~ ., City Job Number tol-'-\-z.O-o4, _ OftulS Da~, "f)~"-iil.1..o"'rl:.. 7-D....( , " .' , . . - ~.}..q "'d -,0.11'"0'- . . ", ' i!'e=.-,.., ,.,,-,""',--'-- ,.,""...._"'.."..~~ lc.]w~"."'. ~;stlt. 'E~t~R\BEieiiA'i~~.... .' 1. i;@~E.Q..~~EQt.[i~ 3. , .. -~fJm-~"..,~-,.,,~ I II 1M A.. 4",-:, '. '>0 "q,,/"'ft. . 'S"ll:::> ,,,rotV' S'/ ~ o'i~..,~':--,... ~'" '" "O'~ . n' LEGAL DESCRIPTION A.~~d1ir """: ~o'. iiiti?"Fa' ~irulli~~ }70"3 '3 <;"'":3> I 072..00 Service Included 0'"",,4.-00 .. , \ JOB DESCRIPTION I ~regon la tll106,OO b ...., E a a~~OOrnel!-~the t1 II, I C ( .f2.Lv-.' -r- s.. ti lea ebWbenter. Those rules . se t19,oo . Permits are non-transferable and expire if work is ~~tl&tlOOa~~hrOugh OAR 9~001- J- not started within 180 days of issuance or' If work.is ~'itqJ,IjD~ ~ 6tOpies of the rules by' , Suspended for 180 days. ' r~liin~ ter (Note: tho tplpohonS50,oo .-~,~.~"'t""i:-~~ ,--~'~'P,,,....,:"",,~,~,,,.~. . ~""~~:~&:,,,~~~~~~""""""~:rr~ 2. ,!?QN1'IDrcro?, 5.TAEEA1J.UL''-I{UNfrYJ; . B. ~~~~f.\I~~~t~rationslo!:i~~ Electrical Contractor ,.Jl'IsiP~ 'f)arl~ t.nc 200 Amps or less S 63,06 I 20 I Amps to 400 Amps S 75.00 Address 1.S25 W II a M\ Dr 401 Amps to 600 Amps S125,OO I I ,/ r 601 Amps to 1000 Amps S163,OO I City f:\AQQ n.t . Phone 211Lr" ~7 ib Over 1000 AmpsIVolts S375,OO , \ Reconnect Only S 50.00 . I . E~""""~;=='""""""-""~~""~;"''lil'i'-'j{~il<;l'''!;\"IO!.>i C. ~.D.'P_O!Jl!'YCS:e.~C~ioc'ii/r.et..!;,=-~.,;,;i~~(jj~~~lii';~ Pump or irrigation S 50,00 Sign/Outline Lighting S 50.00 OWNER INST ~OOiON Limited EnergyiResidentia1 . S 25,00 Th . tallati . ~!C; PFJ,MIT SHALLpPIR~~ THE W(W~;tcd Energy/Commercial S 4500 . e ~ OUlS ^' lHl~jI6em11~m:K YWl'~n:f\MIT IS NU I . IS not mtended fo~saJ , I e r ~R IS ABANDONED ~um Electric Permit Inspection Fee is $45.00 + Surcharges . COMMENCED ~f;fill~~\\.oc..'",~_:"",,~~~-- Owners Slgnature:ANY 180 DAY PERIOD, 4, ~~9Jf~s.>~~~~ 5"8 7% State Surcharge l( 0 b ....-00 10% Administrative Fee ...> 0 TOTAL b7Kb Supervisor License Number Ln 3+ -S Expiration Date , D / 01 10"7 " I Constr, Contr, Number 2-0 - % ~ L/ /5b7G I Expiration Date I Q f Or) ; ~ /07 . / SicfS~:rCim ownL Name c:::., '? l.. ~ LO ~v-e P 70 Address 34 'Z... /YJ IJ-Id. os. .- City SP F'h Phone Inspection Request: 726-3769 t~~\~~ ~ 'b'\) . Installation, Alteration or Relocation 200 Amps orless' 201 Amps to 400 Amps 401 Amps to 600 Amps S 50.00 ,S 69,00 S100,oo Over 600 Amps or 1000 Volts see "B" above. D. ~~i:~~~'.\i! ~"- '-. ~~;' ..~ ' . ~W.... (I~.~.t~~." ..,~." ... "''': New Alteration. or Extension Per Panel , One Circuit I $ 43.00 Each Additional Circuit or with 5" Service or Feeder Permit S 3,00 4) J\ E. ~~ill?nf~~("~~ii.\'a~"".in@f.j'fJ}~ifff~ .~?__..,.....~,~"'-.~...,..~':: ~;,;1"""-' __".-n_~. ...,..~-~ . - . _ ,......"..~__ t:'__~n::1--':....1 D_;' &....Ii............ 1-0' ~ . . LlJ f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/0712004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 346 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107200 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel PROJECT DESCRIPTION: Ruthie B's Antique Shop and Tea Room, 10/5/2004 added HV AC. includes adding or extend 10 circuits Commercial Owner: SPFD LODGE #70 100F Address: 342 MAIN ST SPRINGFIELD OR 97477. .~. ,- ,. Contractor Type Applicant General Electrical Mechanical Plumbing I CONTRACTOIUNROr.fr.' IfiON I 1",.. ,\ ot'''''' gll"'~ ON'. ~~ed '0'# \,,~~~: al!l \\m~~_e ~~ a f 1\'1058 "op.,f\ \j<!j'!' ,..' ~~~1~10\"101l~s 01 \\W ijm.. ~V :{JUtum, ~\a.in co? . \\'Ie \elet4543~..., ....a.'# ".. "o\e ' , """" ,IWU ". en\el. ~\.. 0\\\\\'} 1'-1025790 ~~~e ;r" 016901'1 ~.,').2~~~1I1805 "W1i,,:r: .iii1ihoINb1NFORMATION I Expiration Date 09/23/2005 04/23/2005 1212312005 04/04/2006 Phone 747-3677 541-221-6015 541-689-4560 541-747-7445 541-485-0551 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I \r1't\t. ~~~_ , :nct.~ ' S\-\~i.S.. t.'1-~\?o~t.?oWl\\ \S \~VUIRED PARKING OV~I~~ Dist,.:'i\1'.J\)"'i . ~\)t?o ,\-lIS O~t.Q fO?vrotal: # Stre~~r!'i~.!!qa:_1j .?o \S ~~~~Q HandIcapped: Paved,I~,riY~~\l.l!;%\) \) '?oIQO, Compact: % of I;,ot €overa~:~ ?~ ~WiW\J I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of 4 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Estimate Estimate Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review CommlIndIPublic -Mechanical Issuance Fee- + 10% Admiuistrative Fee + 7% State Surcharge Building Permit Exhaust Hoods Fixture Minimum/Adjustment Mechanical SDC MWMC Administration SDC MWMC Improvemeut SDC MWMC Reimbursement SDC Sanitary/Storm Admin + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Furnace - more than 100,000 Gas Outlets 1-4 + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF ~rKll~ut<lJ!,LU Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 09/10/2004 ]?pp< PlIiiiJ Amount Paid . Date Paid Receipt Number $7.00 $4.90 $43.00 $27.00 $69.81 $10.00 $23.64 $16.55 $107.40 $9.00 $84.00 $36.00 $10.00 $5,664,94 $653.44 $316.42 $11.20 $7.84 $48.00 $60.00 $4.00 . $5.80 $4.06 $43.00 $15.00 9/7/04 9/7/04 9/7/04 9/7/04 9/13/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/8/04 10/8/04 10/8/04 10/8/04 10/8/04 10/28/04 10/28/04 10/28/04 10/28/04 1200400000000001315 1200400000000001315 1200400000000001315 1200400000000001315 2200400000000001153 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001239 2200400000000001261 2200400000000001261 2200400000000001261 2200400000000001261 2200400000000001261 2200400000000001341 2200400000000001341 2200400000000001341 2200400000000001341 $7,282.00 I Plan Reviews I Fire Department Review 09/10/2004 09/29/2004 OK GRG Initial Review 09/10/2004 09/13/2004 APP SKG Plan nine Review 09/10/2004 09/23/2004 APP EMM Public Works Review 09/10/2004 09/23/2004 APP SB Paee 2 of 4 See attached documents for fire department plan review comments. SDC's for MWMC only, due to Downtown Redevelopment District. . . Ll1 t' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/0812004 APPLIED: 09/0712004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/1312004 09/2112004 WI JMP Received 5 sheets of taped together sketch of floor plan. Wailing for other internal reviews. Structural Review 09/29/2004 09/29/2004 APP JMP Received final internal review. Structural Review 09/1012004 09/10/2004 WE DLM Applicant was requiested to submit teh following additional dwgs: I. Kitchen equipment legend identifying the location of each item of equipment. 2. Accurate drawings of existing restrooms to an appropriate scale such as 1/4" per foot. 3. Floor plan drawing of the overall tenant space showing locations of the kitchen, restrooms and espresso bar and identifying the proposed us< of the remaining spaces. Structural Review 10/0512004 10/05/2004 OK JMP HV AC only. SUB Review 09/10/2004 09/17/2004 APP JF No energy code issues. SUB Review 10/0512004 10/08/2004 APP JF Added HV AC. 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Final: After all required energy inspections have been requested and approved. Paee 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01108 ISSUED: 10/08/2004 APPLIED: 09/07/2004 EXPIRES: 04/26/2005 VALUE: $ 10,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that I 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 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 ofthe property, and the approved set of plans will remain on the site at all times during construction, Owner or Contractors Signature Date Paee 4 of 4 . .i~'~~~.'~~.~i '-."'~'- ~. Wit " "i'.' r ,j.' '~ _. "t."",,, IliiJ.ty of Springfield Official.Receipt .velopment Services Department Public Works Department 225 Fifth Street ,Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01108 COM2004-01108 COM2004-01108 COM2004-01108 Payments: Type of Payment CreditCard 10/2812004 RECEIPT #: 2200400000000001341 Date: 10/28/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 031050 In Person Payment Total: Page I of I 8:45:06AM Amount Due 43.00 15.00 4,06 5.80 $67.86 Amount Paid $67.86 $67.86