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Home My WebLink AboutPermit Electrical 2008-7-3 ZON C C/ INITIALS n J?1 / DATE i>'j......J [/ SOURCE f n ~.5,a& 22~FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number Chwt ~''t-008 Z't I ~OcXTI()N OF nVsrXLIATi()N; ; ~_____ _~~~~~~ ~ ~J. _~ _ _ ~ ." ~w 960 /~ ____, LEGAL DESCRIPTION I Zo 3:5 ~ L 0:::.800 A ~ New Re~l~e~_t",l;- Slll.ll~e or lVIulh:Fa,mdy per d"elhng UOlt. ,~_ ~ ~ ServIce Included JOB DESCRJPT(9 ~ :9r5v 8- - Oa8 ?3 1000 sq ft or less Each addluonal 500 sq ft or ~ P;;';'V ~ ~ 411/'--' portIOn thereof Permits are non,trah'ferable and expIre If work IS Each Manufact'd Home or not started wlthm 180 days of Issuance or If work IS Modular Dwellmg ServIce or Suspended for 180 days Feeder Date~ 3-0 2" ~_~_' -',' " ',- - ( --,/.. - , - 3 I COMPLETE FEE SC lJLE BEWW $11700 $2100 $55 00 ~~ 7 ~-=-~~"'.-,<.- ,~ 2 : CON1'RAc:o,~n:.8f1L~~qNONLYX; ElectrIcal Contractor ~ ~ u 7~~~ B : ServIces 6r Feeders - I.nstallahon, AlteratIons or RelocatIOn: ~___ *1 :r-**~~*~_ ** **' *** . Address 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60] Amps to 1000 Amps Phone 72f -/500 Over 1000 AmpsNolts Reconnect Onhr I('N 0 e90n law reqUires yOlfW t'I' , Utili'" /? d r' '5 C:opted by IhelOregon ,,,,",,, ' SupervIsor LIcense Number 7 l' p.;'t'-_l .__ Thosd:;ulel!leAl'~rfI\~\1J'vices or Feeders ~I :'IIIIGnt! 'I' VG' 'w' hOAR 952-001- / 'l~";" aC2 001-0010throug ...." () )'C!!!?'fP.J - :"n. ')blam copldYUII\llilllNll,eAlftlTahOn or RelocatIOn I vv"v (-~ .~Jenter (Note:ibW AWt~~~il& ~or the. oregon_~~1~Y~Wp.J?0 ~8b' Amps Center IS 1,800 tot' Amps to 600 Amps fo/ZVro / Ove.':200 ,tunps or 1000 Volts see "B" above D Branch CIrcUIts ' If) C{ 'L t:.a __.JV ~ J' $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 CIty ExprratJOn Date Constr Contr Number $ 55 00 $ 76 00 $110 00 ExprratlOn Date SIgnature of Supervlsmg ElectrICIan ~~ ?~ \rJy! Address '3 C( 7 L( S/;f~....... CIty E:-z-Lb-- New AlteratIon or ExtenSIOn Per Panel One CIrCUIt / Each AddtlIonal CIrCUIt or WIth 5 ServIce or Feeder PermIt $ 48 00 $ 400 lf2, ZD Owners Name vi It'd E ...M'~ce~~.n,~~us (se;~;o~~ ~ot.mclude~) -Each J nstal~atIon . ~Ci.: Pum X ~ \f WI\! \S ",01 $ 55 00 \'t.?WI\i ~~~ fOR $ 55 00 OWNER INST ALLA nON i\'\~\,\O"'\lt.\L e ~~~~ntIaI $ 28 00 The mstallatlOn IS bemg made on property 1 own wi~Wlt.~cm,Qi \6'/)'rgy/CommercIal $ 50 00 IS not mtended for sale, lease or rent ~ ~ MJ.nbt'i,g lectnc PermIt InspectIon Fee IS $50 00 + Surcharges Owners SIgnature f>.N 4 ~{;D~~~~O!~?VE".. -"-- b% @f: b&:J "$'(0 8b3b Phone 12% State Surcharge 10% AdmmlstralIve Fee 5% Technology Fee InspectIon Request 726-3769 TOTAL Shared Dnve(T )/Buddmg FormslElectncal Penmt ApplicatIOn 1-08 doc Status Issued CITY 0... ~rKlNG"'lJ!.,LD . Building/Combination Permit PERMIT NO' COM2008-00823 ISSUED: 06/20/2008 APPLIED: 06/09/2008 EXPIRES: 01/03/2009 VALUE' $ 2,000.00 225 Fifth Street, Sprmgfield, OR 541,726,3753 Phone 541,726,3676 Fax 541,726,37691nspectlOn Lme SITE ADDRESS 868 MAIN ST ASSESSOR'S PARCEL NO 1703354205800 SprmgfieJd TYPE OF WORK Restaurant TYPE OF USE Remodel PROJECT DESCRIPTION Remodel tenant area for Lottery & acceSSible restroom Commercial Owner KRYL PETER J Address 3474 SPRING BLVD EUGENE OR 97405 # of DOlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary Construchon Type # of Bedrooms Contractor Type Apphcant General Electncal Plumbmg Frontyard Setback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available SpeCial InstructIOn Notes I CONTRACTOR INFORMATION I co. License MFfti ~~MDn law requIres 0 AIMllIf1Cdt ~opted by the Orego! U~II~~ 153536 Rll'IIOAA'95I!JbI1~~~~e. rules are set forth 63137 1lOOm.E$'cJiIliilJ,,~n~'i}I<<D~J00:2"()01. 83311 n.....u...:~~ lfoneceh nt~ Niii,jj-~~' "'t11WMX~ION. "...... rt eO'JjUtluH ' Center Is 1-800'lila~ 'ly Notification 8Ul/jl4f. B Height of Structure Type of Heat Water Type Range Type Energy Path Sprmkled Bmldmg ExpIration Date Phone 541335,1174 541 942-2660 541,729,1500 541,726,9854 11/25/2008 02/15/2010 02/17/2010 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load VB No I DEVELOPMENT INFORMATION I REQUIRED PARKING Total Handicapped Compact Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage ,',OT'I(;/:- THIS P 1.1?!i..BLIC IMPROVEMENTS I ER1LT -'''-,~.. ""e1m:'T "1[: NOR~ AUTHORIZED UNDER THIS PERMIT IS NOT Idewalk Type COMMENCED OR IS ABANDONED FOR DownspoutsiDrdms ANY 180 DAY PERIOD. Page 1 of 3 Status Issued 225 FIfth Street, Sprmgfield, OR 541,726,3753 Phone 541,726,3676 Fax 541,726,3769 InspectIOn Lme DescrIptIOn Tvpe of ConstructIOn Fee DescriPtIOn Plan RevIew Commllnd/Pubhc Plan RevIew FIre & LIfe SJtety -Mechamcallssuance Fee- Buddmg PermIt FIxture Mmlmum/Adjustment Mechamcal Mmlmum/Adjustment Plumbmg Vent Fan + 10% AdmmlstratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Ore Add, Alter, Extend Orc Ea Add Total Amount PaId ImtIal RevIew 06/16/2008 FIre Department RevIew 06/17/2008 StructurJI RevIew 06/16/2008 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008,00823 ISSUED' 06/20/2008 APPLIED, 06/09/2008 EXPIRES, 01/03/2009 VALUE $ 2,00000 I Valuatron Descrmtron I $ Per Sq Ft or multIpher Square Footage or BId Amount Value Date Calculated Total Value of Project J?P~. P~\lU Amount PaId Date PaId ReceIpt Number $32 50 $20 00 $20 00 $50 00 $1600 $43 00 $34 00 $700 $680 $816 $340 $48 00 $20 00 6/9/08 6/9/08 6120/08 6/20/08 6/20/08 6/20/08 6/20/08 6/20/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 3200800000000000388 3200800000000000388 1200800000000000676 1200800000000000676 1200800000000000676 1200800000000000676 1200800000000000676 1200800000000000676 1200800000000000733 1200800000000000733 1200800000000000733 1200800000000000733 1200800000000000733 $308 86 I Plan RevIews I 06/16/2008 APP LLH Plans forwarded to Don Moore for dlstnbuhon and review as requested by Don Moore 06/1712008 APP GRG Plans RevIew addItIon of demlZlng partItIOns for hmlted remodel Job #COM2008,00823 Plans appear to meet code reqUirements See documents for Plan review comments 06/17/2008 APP DLM To Request an mspectlon call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7:00 a,m, wIll be made the same working day, mspectlOns requested after 7:00 a,m, will be made the followmg work day Paee 2 of3 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008,00823 ISSUED' 06/2012008 APPLIED' 06/09/2008 EXPIRES 01103/2009 VALUE' $ 2,000,00 225 FIfth Street, Sprmgfield, OR 541,726-3753 Phone 541-726,3676 Fax 541,726,3769 InspectIOn Lme I ReoUlred T nsnectJ~ns I Frammg Inspeehon Pnor to cover and after JIl rough 10 mspectlOns have heen approved Drywall Prior to tapmg FmJI BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete Underslab Plumomg PrIOr to filling the trench and meludmg reqUired testmg Fmal Plumbmg When all plumbmg work IS complete Rough MechaDlcal Prior to Cover Fmal MeehaDlcal When all meehaDlcal work IS complete Rough Eleetnc PrIOr to Cover Fmal Electric When all electrical work IS complete By sIgnature, 1 state and agree, that 1 have carefully exammed the completed applicatIOn and do hereby cerhty that all mformahon hereon IS true and correct, and 1 further cerhfy that any and all work performed shalloe done 10 accordance WIth the Ordmanees of tbe CIty of Springfield and the Laws of the State of Oregon pertammg to the work desCribed herem, and that NO OCCUPANCY WIll be made of auy structure WIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, Bmldmg Safety 1 further eertlly that only contractors and employees who are m compliance WIth ORS 701 005 Wllloe used on thIS project 1 further agree to ensure that all reqmred mspectlOns are requested at the proper hme, 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 remam on the sIte at all tImes dunng construction Owner or Contractors SIgnature Date Paee 3 of3 225 FIfth Street Spnngfield, Oregon 97477 541-716-3759 Phone G~ Wit CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008,00823 COM2008,00823 COM2008-00823 COM2008-00823 COM2008,00823 Payments Type of Payment Check cRLcemtl RECEIPT #, 1200800000000000733 Date' 07/03/2008 DescriptIOn Add, Alter, Extend CIIC Add, Alter, Extend CIfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By RALPH BROWN Item Total Check Number Authorization Received By Batch Number Number How Received 2616 dJb In Person Payment Total Page I of I 104729AM Amount Due 4800 2000 340 816 680 $86 36 Amount Paid $8636 $86 36 7/3/2008