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Home My WebLink AboutPermit Building 2005-08-15Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01061ISSUED: 08/15/2005APPLIED: 08/0512005EXPIRESz 0211512006VALUE: $ 3,500.00 Contractor Tvpe General Electrical BI-MART CORP #603 PO BOX 2310 EUGENE OR 97402 Contractor ORDELL CONSTRUCTION COMPANY ALERT ELECTRIC INC License 63030 12772 Expiration Date 0u0212006 05t22t2007 Commercial Phone 541-747-8734 541-747-2213 CONTRACTOR INFORMATION BUILDING INFORMI # 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 Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o 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: B Vlhr nla REQUIRED PARJilNG Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: ATTENTION: Oregon law requlres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note:the telephone number for the Oregon Utility Notification Center is 1 -800-332 -2344). DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of3 \ SITE ADDRESS: 1521 MOHAWK BLVD Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703253403900 TYPE OF USE: Repair PROJECT DESCRIPTION: Replace drywall in store due to smoke damage Owner: Address: I FXPTRE IF THE WORK n riIS PERMIT IS NOT ]ANDONED FOH Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-01061ISSUED: 08/15/2005APPLIED: 08/0512005 EXPIRESz 0211512006VALUE: $ 3,500.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 3,500.00 Total Value of Project Amount Paid Date Paid Value $3,500.00 $3,5oo.oo Date Calculated 08/05/200s Fee Description + l0Yo Administrative Fee + 77o State Surcharge Building Permit + l0o/o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid $6.06 $4.24 $60.60 $9.90 $6.93 $36.00 $63.00 $186.73 8/5/05 8/5/05 8/s/05 8/15/05 8/15/0s 8/15/05 8/rs/os Receipt Number 1200500000000001143 1200500000000001143 1200500000000001143 2200s00000000001092 2200500000000001092 2200s0000000000r092 2200s00000000001092 Fees Paid 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. Drywall: Prior to taping. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reouired fnsnections Paee 2 of 3 E- Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01061ISSUED: 08/15/2005APPLIED: 08/0512005EXPIRES: 0211512006VALUE: $ 3,500.00 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 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 Paee 3 of3 tr 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone city of Springfield Official Receipt :velopment Services Department PubHc Works Department RECEIPT #: 2200500000000001092 Date:08/15/2005 1:13:39PM Job/Journal Number coM2005-01061 coM2005-01061 coM2005-01061 coM2005-01061 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + 10% Administrative Fee Amount Due 63.00 36.00 6.93 9.90 Item Total:$r 15.83 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ALERT ELECTRIC llh 015716 015716 Phone $115.83 Payment Total: -STiEEr :r 'l I 8t1st200s Page I of I aFrIana 'I '1 Oct-IA-O1 Ol z43P 2?-{ FTFTH.STREET SPRINCFIELD. ORECON 9?1?] t\SPECTtON REQUEST: t 2.6 -)j (:,) oFFICE.726-31i9 City one OWNER ALLATION The installatron is being rrraCe on I. LOCATION OF IFiSTALLATIOTY 194-\ l'lcho"-rz ,.raa"",, \blr[ [].0h&tr)K- Pernrits irrc rtori-tttrrslerable anC expr if rvork is ltal st:rned rvithin lS0 dais olissuancc or ifrvork is suspendcd lhr IttO days. 2 CONI'RAC'TOR TNSTAJ-I.ATION ONLY Utcctriqd Contrrrcror A1€rt Ilectric Address 1.970 N. 2Bth Street_.. ci$$ranglls]g py,rr\g 7 47 - ?21 3 Srrperrisor License Nnnrber 243-S Expiration 10- 1 Constr Contr. Nr 2772 Expr ration f)atc 5-22- of Srrllcrlising Eltrctriciln rvners Cit.v Joh Nu ]. CON,O,LE*TE FEE S D A. Nerv Rcs!dcnti;rl-Single Multi-Fumill'p Sen'icc Incluift:rl Ilr00 sq.fr. or less Each additional 500 sq. ll or irortion rherecI En:ii Nlarrufd llornc or lv{odular Dtvetling Senice or Feeder B. Sen'iccs or Fcrdcrs Instd ltrtion, Allcrations orInc. Rcloc:rtion, 2fiJ anrps or less 201 anps to 400 arnps 401 anrps to 600 amps 6Ul aurps to l0{}0 anrps Or,er lt)00 amps/voits Recomect Onlv C. Temporar.v Scrvices or Fcerlels Installatiou, Altcrutirrn or Relocation ' 200 anps br less 201 a.rps to 400 amps Over {01 to 500 amps Over 600 amps or 1000 lolis scc 'B" abcre D. Branch Circuits Netv Alteration or Extension i)sr Panei One Circuit $50.00 -- -- s69.00 _ srco oo _ -__-_ $43.00 luded) _ $Jo.oo _- ._ $50.00 __- s25.00 _ _ $45.00 _ rion fec is S{5.0() = Surchargcr ,b' ELEC'TR]C APP $9" Ilerrrs Cost Surn $ I lX).(,0 _ $ 19.0r) $ ii) 0u o a L JO t -J -- s o:.oo ..- $ 75.00 _ $ t 25.00 -- st63.00 _- s375.00 $ 50.00 T@ :[:.ff:[:',H,crrcuit or *ii]t t"f[ $ 3 oo W E. l\{i.scellnneans (Scrvicc/fecder not inc propert'I or*'n which is lot intcnded for sale, lease or rent. ATTENTION: Oregon law .Each instailation lollow rules adopted by Orrncrs Signature Notification Center. Those h OAR 952-0014010 throu --!09fi.1burrTafobtd p6gRfiS 0l.thgi6d&+hynspc. Calling the center. (Note: the telephone umber fo r th e O re go rs tilllpT0ft iCIfd{rB 0 vE Center is 1 -80$S6EtE$,ftycharge 8 %" Arlminiitrativc Fceltla0L'g TOTAL \b a FIRE DAMAGE REPORT OR ELECTRICAL HAZARD 05'D[o[ I - eD -os FD-016 TO: FROM: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Date: Address or location of building lSfl rno\-o..o$ ( Bi-rn..t) /lclc\rcsr ajso O^(*.nf l')c)' aila u) Name of Owner {tA c ( "I^r.LLC (f .5.^.oQ 9.rr.tott Type of Building R.V"',\ 5[o.. Estimated value of building (Dwelling, Store, Warehouse, etc.) r+a)1 r .los +5oo .* f,r. b..i s I . E ,_:rr:t,. <r^ \r.^ l' 5Estimated loss to building $ Dateof fire -1 - ,B - c:s Location of damage to building ?c^e $e.t1s Ce'. (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire No,^,a @urned rafters, Beams, Joists, etc.) Additional pertinent information V:\FORMS-FDs Fire Dept\FD-016 FIRE DAMAGE REPORT.doc Cc,r-I I F"* '^qcL;Electrical Hazard L)f'a1 c.i,'l L t' ,t(r.l5 ' ,a CC (Wiring, Outlets, etc.) Signed CITY OF Buildin glCo mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 -7 2 6-37 69 I nspe ction Line PERMITNO: COM2005-01061ISSUED: 08/05/2005APPLIED: 08/0512005E)?IREST 0210512006VALUE: $ 3,500.00 SITE ADDRESS: l52r MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253403900 PROJECT DESCRIPTION: Interior TYPE OF USE: Repair Replace drywall in store due to smoke damage Springfield TYPE OF Owner: Address: Contractor Type General BI.MART CORP#603 PO BOX 2310 EUGENE OR 97402 Contractor ORDELL CONSTRUCTION COMPANY License 63030 Expiration Date 0u0212006 Commercial Phone 541-747-8734 m # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: ln OAR y16p090. You calling' number to by the Utility les are set forth roug h OAR 952'001' ol the rules bY ote: the telePhone n Utility Notlfication Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ATT follow ru 'lotificatioB Fronty,ard Setback: Side 1 Setback: Side 2 Setback: Rearl,ard Setback: Solar Setbacks: Street Storm SewerAvailable: Special Instruction: Notes: Overlay Dist: # Street Trees Paved Drive Rqd: o/" of Lot Coverage: -23441. nta Sidewalk Type: DowrspoutVDrains REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or muftiplier Square Footage or BkI Amount DEVELOPME Description Type of Construction loI 2 Value Date Calculated LUN TKAL T UK TNIU,I(IVTA 1 TUN I OT ,q Valuation Descrintion I CITY OF SPRINGFIELD Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 5 4l-7 26-37 69 I nspe ction Line PERMIT NO: COM2005-01061ISSUED: 08/0s/2005APPLIED: 08/05/2005E)PIRESz 0210512006VALUE: $ 3,500.00 Estimate Estimate Fee Description + l0tth Administrative Fee + 7oh State Surcharge Building Permit Total Amount $r.00 3,500.00 Total Value of Project Date Paid 8/s/05 8/5/05 8/5/05 Receipt Number 1200500000000001 143 1200500000000001 143 1200500000000001143 $3,500.00 $3,5oo.oo 08/0s/200s Amount Paid $6.06 $4.24 $60.60 $70.90 PIan Reviews To Request an inspection call the24 hour recording at 72G3769. 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. Drywall: Prior to taping. Reouired Insnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all inforrnation hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance rvith 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 certiff 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 lirom the the ard is at the front of the property, and the approved set of plans will remain on the site at all 9-s-os Orvner or Contractors Signature 2of2 Date 15! 225Fitth Street Springlield, Ore gon 97 47 7 5$1,-726-3759 Phone City of Springfield Official Receipt levelopment Services Departm ent Public Works Deparhnent RECEIPT#: 1200500000000001143 Date:08/05/2005 e:04:28AM Job/Journal Number coM200s-0r061 coM200s-01061 coM2005-01061 Description Building Permit + 7Yo State Surcharge + l0% Administrative Fee Amount Due 60.60 4.24 6.06 Item Total:$70.90 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard TODD STEBBEDS djb 097598 In Person S70.90 PaymentTotal: -Sffi- 8tsl200s lofl ffim,.s