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Home My WebLink AboutPermit Mechanical 2005-12-12Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 5 4l-7 26-37 69 Inspection Line CITY O Building/C ombination Permit PERMIT NO: COM2005-01648ISSUED: 1211212005 APPLIEDz 1112812005 EXPIREST 0611212006 VALUE: SITE ADDRESS: l50l MOHAWKBLVD ASSESSOR'S PARCEL NO.: 1703253404401 PROJECT DESCRIPTION: Instal hood and exhaust fan Springfield TYPE OF WORK: Restaurant TYPE OF USE: New Owner: Address: Contractor Type Electrical Mechanical MOHAWK TAVERN PO BOX 214 SPRINGFIELD OR 97477 T,JOIISE: PERCIBpnse 90200 90545 03n7t2007 04120t2008 Commercial Phone 541-344-3561 541-726-9194 Contractor ANY 1S0 oAY EUGENE ELECTRIC SERVICE INC WEBB INDUSTRIES INC Date m # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buildlng: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nnQ- lUtrv. n) at REQUIRED PAR]CNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Pase 1 of3 IS NOI iou( oo Aeut noA Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fsx 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01648ISSUED: 1211212005APPLIEDz lll28/2005EXPIRES: 0611212006 VALUE: Description Tvpe of Construction Fee Description + l0%o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200500000000001681 2200500000000001681 2200500000000001681 2200s00000000001681 Amount Paid $4.90 $3.43 $43.00 $6.00 $s7.33 $ Per Sq Ft or multiplier Square Footage or Bid Amount t2n2t05 t2n2t05 t2n2t05 t2n2t05 tr'pes Pqid Plan Reviews To Request an inspection call the24 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 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. Reouired fnsneefions Pase 2 of3 Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-01648ISSUED: 1211212005APPLIED: 1112812005 EXPIREST 0611212006 VALUE: 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY 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 Page 3 of 3 225 Fifth Street Springfield, Oregon 97 477 54\-726-3759 Phone -ity of Springfield Official Receipt ;evelopment Services Department Public Works Department RECEIPT #: 2200500000000001681 Date: 1211212005 11:49:12AM Jnb/Journal Number coM2005-0r648 c0M200s-01648 coM200s-01648 coM2005-01648 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0Yo Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$s7.33 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard RUSS ROBINS ddk 012401 In Person Payment Total: $57.33 -55ffi \ t2/12/2005 Page I of I has lowing use 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726.3689 1 LOCATION OF INSTALI-AT'ION LEGAL DESCRIPTION JOB DESCRIPTION Permits and expire if work is E LECTRI CAL P ERM IT AP P LICATTON Ciry Job Number D Date J.COMPLE'IE FEE SCHEDWE A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or ohhsdBAAlDoNED FoR DdiltB6&0&4oo Amps 401 Amps to 600 Amps 601 Amps to 1000 AmPS Over 1000 AmpsA/olts Reconnect OnlY Zoning i not started within 180 days of issuance or if work is Suspended for 180 days P,l0TlcE: Feeder I CONTRACT O R INSTALLATION oNdlii s P E ru4 I T$htA[J, EXFH[.]F ftt6tht0&t6, HORiZED.Uf{OEfl THIS PEflMIT IS NOT- $50.00 Alterations or Relocation: At.,'I Electrical Contractor City Lttltvtn Phone .3 tl{ -}5ta t Supervisor License Number Expiration Date Constr. Contr. Number qCA l.\n Expiration Date Signature of Supervising Electrician Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signarure: C. TemporarY Sen'ices or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 Amps $ 69.00 Over 600 Amps or 1000 Volts see "B" above. D $ 63.00 $ 75.00 $125.00 $ 163.00 $375.00 $ s0.00 uo New Alteration or Extension Per Panel. onecircuit I $43'00 3:**i1l:::::.x"Horwith 2 $300 ,b C,oo 0 E. N,Iiscellaneous (Sen'ice/feeder not included) -Each Installation Paore-7fu ' 131l t,rmp or irrigation $ 50.00 S i grrlOutline Lighting Limited Energy/Residential $ 50.00 $ 25.00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * surcharges 4. SWTOTAL OF ABOW 7o/o State Surcharge l0% Administrative TOTALInspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Pennit Application l -03'doc 150 t $106.00 $ 19.00 Address l?O fi-.inrc..,, SA . ---c 232, q \ 401 Amps to 600 Amps $100.00