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Home My WebLink AboutPermit Electrical 2008-7-23 , . _.".bCI1~~_P~ ~1?:~11~9FI1?bP, OREQ9N ":i?~ . SPRINGFIELD , ~ ZON INITIALS DATE SOURCE 225 FIFTH STlU.ET . SPRINGFIELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CDrn 7-6T)~... no zz.'2l InstallatIOn, AlteralIon or RelocatIOn ~NTION 0l1'1~\lH~ulres you to A I I.. In Ir1".9on Utility fnlloW rules ad:aJPtJtIh!tVw ffil savB'iletforth Nobllcatlon centi:\r'AUU:~b~ Qll~~~52-o01. in OAR 952-001.ollfO'Wi U1't'G1\~ ul "nV 0090 You mafb\9trofl(bAJillls;t5lftbM'Vh~ns1l{,e "B" above llJ~ .lb!'l.te1ep 0116 calling theLtenlJll'arteft tilif~'"NoliftcatlOn umber lor the Oregon I Y /" n cente\'l~~.aiiW-~<E\ltenslOn Per Panel ___ I~ /Vl L..-~ One CircUIt - ~ ~ Each Additional CrrcUlt or With \oOt.lI\ \~ \ 1\ ". ~ . I \of. ServIce or Feeder Permit $ 400 OwnersName~~ .v.t\. ~ ~ Address t\~ H 11 , \l.l1o ~ t\( E M ;s~~lIaneous (Se.:v,ce/feeder -not mci:ded) -E~ch I n~talIa-;IO~ - City C(l~_. Phone ~l5'6? OWNER INSTALLATION 1 LOCATION OF INS1'ALLATION: *% c;l'1n1L fttAw1 red. L\~D5~ob\W JOB DESCRIPTION (:;5 ~ .s.ervt'u.. fJ'f U>frfru.- K..iD.s.~ Permits are non-transferable and expire If work IS not started wlthm 180 days ofIssuance or If work IS Suspended for 180 days 2 CONTRACTOR INS1'ALLATION ONLY , . /-I(J J!.- /J1ee.hlifll CAI Elec/ncal Contractor Address -') 0 b OSCtLr Phone 34-5- 2G'38 ~ no >1 , City <---7~ "'- Supervisor License Number ~?)/?,cj S ExpiratIOn Date /o.-LJ/- 20)0 Constr Contr Number C357 ExpiratIOn Date Signature of Supervlsmg Electrician TIjv I'IljIf)W.1fn IS bemg made on property I own which Is.po't'lhfhtll6d for sale, lease or rent I HIS PERMIT SH ~~~~~lE'ffie All EXPIRE IF THE WORK COMMF^,~EO ~~~~~~H1,S PERMIT IS NOT ANY 180 DAY PERIOD. AIVUUI'II:D FOR InspectIOn Request 726-3769 ~:{t. ~L\-$Q4 ~t.f . l4 (')h/1I t\o~ ~foit- ~~ Date 3 COMPLE1'E FEE SCHEDULE BELOW A New ReSidential - Smgle or Multi-FamIly per dwelhng umt. l _ _ ___ _.... ~ _~ Service Included 1000 sq ft or less Each additIOnal 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $117 00 $ 2100 $55 00 B ' Services or Feeders - InslallalIon, Alterations or Relocation' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only / 70- $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 -- C Temporary Services or Feeders $ 55 00 $ 76 00 $110 00 $ 48 00 Pump or ImgatlOn $ 55 00 SlgnlOutlme Llghtmg $ 55 00 Limited EnergylResldentlal $ 28 00 Limited Energy/Commerclal $ 50 00 MinImum ElectriC Permit InspectIOn Fee IS $50 00 + Surcharges 10 lID <'6 . q.() "1 ;'0 ~.an <3 ~. ~n 4 SUB1'01'AL OF ABOVE 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Dnve(f )/Bulldmg FonnslElectncaJ Permit ApplicatIOn 1-08 doc ~oJf <?>O1.,.. '0$1,0 _~GlF.liILD """ ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00228 ISSUED: 05/09/2008 APPLIED: 02/15/2008 EXPIRES: 01/2312009 VALUE: $ 26,500.00 225 Fifth Street, Sprmgfield, OR 54 I -726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3636 GAME FARM RD ASSESSOR'S PARCEL NO 1703153301100 SPRlNGFIETVPE OF WORK Modular VOlt TYPE OF USE AddItIOn CommercIal PROJECT DESCRIPTION Installation of coffee kiosk Owner JENNIFER L MATTHEWS REVOCABLE TRUST Address 450 FUL VUE DR EUGENE OR 97405 Phone Number 541-513-1353 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechamcal Plumbmg Contractor License KH CONSTRUCTION LLC 172777 HOME COMFORT HEATING & AIR CONDI 84164 HOME COMFORT HEATING & AIR 84164 EASILY AMUSEDLLC 181336 ,BUILDING INFORMATION I ExpiratIOn Date 10/27/2008 06/2512011 06/25/201 I 03/26/2009 Phone 54 I -858-6777 (541) 345-2838 541-345-2838 (541) 726-6858 # of Umts Primary Occupancy Gronp 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 Sprmkled Bulldmg LotSIZC Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 172 VB I n/a I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd' Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact f PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer AvaIlable SpecIal InstructIon SIdewalk Type Downspouts/Drams Notes Paee1 of 4 _~J/If:I!I..EJ~ ~~"A ~ , Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme DescrlDtIon Tvpe of ConstructIon FoundatIon Onlv Use B,d Amount Fee DescnolIon Plan Review Comm/lnd/Pubhc + 5% Technology Fee Encroachmeot Permit + 10% AdmmlStratlve Fee + 12% State Surcharge + 5% Technology Fee Addressmg AssIgnment Backl10w Device Fire SF Fee - Non-Resldenhal FIXture Manufacturcd Home Conn - Plmb Modular BuJldmg Samtary Sewer - 1st 50 Feet Samtary Sewer - Improvement Samtary Sewer - Relmbursemeot SDC MWMC Admmlstrahon SDC MWMC Improvement SDC MWMC ReImbursement SDC SamtarylStorm Admm SDC Transpo Improvement SDC Tran.po ReImbursement SDC Transportahon Admm Storm Dramage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl100' Water Lme - 1st 50 Feet Water Lme - Each Addtl 100' NSF - Postmg Site NSF - Admmlstrahve Fee + 10% AdmlDlStratlVe Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount Paid I ValuatIOn DescriptIOn I $ Per Sq Ft or mulhpher $100 Amount PaId $32 50 $675 $13500 $5574 $64 83 $2701 $35 00 $1600 $1720 $32 00 $50 00 $260 22 $50 00 $14283 $18783 $10 00 $1,31612 $15836 $25 92 $3,79951 $861.38 $365 36 $1,34948 $50 00 $1600 $50 00 $1600 $50 00 $11000 $700 $840 $3 50 $70 00 $9,379 94 Square Footage or BId Amount 1,500 00 Total Value of Project Frp, P",~ I Date Paid 2/15/08 3/7/08 3/7/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 5/9/08 6/9/08 6/9/08 7/23/08 7/23/08 7/23/08 7/23/08 Pal!'e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00228 ISSUED: 05/09/2008 APPLIED: 02/15/2008 EXPIRES: 0112312009 VALUE: $ 26,500.00 Value Date Calculated $1,50000 $1,50000 02/15/2008 ReceIpt Number 1200800000000000139 2200800000000000297 2200800000000000297 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 12008000OOOOOOOO447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 1200800000000000447 2200800000000000855 2200800000000000855 2200800000000001126 2200800000000001126 2200800000000001126 2200800000000001126 -ii' Status Issued 225 FIfth Street, Sprmgfield, OR 54 I -726-3753 Phone 541-726-3676 Fax 541-726--3769 InspectIOn Lme IUltial Review PlanOIDe Review Pubhc Works RevIew Fire Deoartment Review SUB RevIew Structural Review Plannme RevIew Imtla' RevIew Planum!! Review Structural Review 02/20/2008 02/20/2008 02/20/2008 02/20/2008 04/14/2008 04/28/2008 05/01/2008 05/02/2008 05/02/2008 05/02/2008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2008-00228 ISSUED: 05/09/2008 APPLIED: 02/15/2008 EXPIRES: 01/23/2009 VALUE' $ 26,500.00 I Plan Reviews I 02/20/2008 APP NJM 02/21/2008 02/26/2008 03/13/2008 04/14/2008 04/30/2008 05/01/2008 05/0212008 05/06/2008 05/0612008 WI EMM APP JHJ APP GRG 10 LLH APP LLH APP APP EMM LLH APP APP Pa!!e 3 of 4 EMM LLH Needs Site Plan Review decslOD, Fmal SlIe Plan and Development Agreement Attached SDC Worksheet (JHJ) Plans Review coffee luosk. Occupancy ClassIficatIon B Construcllon Type V-B 172 sq ft. Provide address numbers ID contrastmg color from the background poslllOned plamly VISIble and legIble from the street or road frontmg the property (2007 Oregon Structural Specialty Code 501 2 and 2007 Sprmgfield FIre Code 505 I) ProvIde fire extmgUlshers wltb a mlDlmum ratmg of2-A IO-B C every 75 feet of travel distance The top of the extmgUlsher(s) shall be between 3 and 5 feet above fimshed floor (2007 Sprmgfield Fire Code 906) Requested energy forms per subs request. See attached documents for copy of letter RevIewed by Mlck Nolte With the Buddmg Department under contracl With the City of Sprmgfield RevIsed site plan Forwarded to LIZ M,ller and Steve Graham RevISed Site Plan RevISed sIte plan routed and approved CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: C0M2008-00228 ISSUED: 05/09/2008 APPLIED: 02/1512008 EXPIRES: 01/23/2009 VALUE: $ 26,500.00 225 Fifth Street, SprlnRfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Line To Request an inspectIon call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7'00 a.m. wIll be made the same workmg day, inspectIons requested after 7:00 a.m. wIll be made the followmg work day. ~'rp.-l I\,.,np..t~ Encroachment After Item(s) have been removed to mspect conditIon of pubhc right of way FootmR After trenches are excavated FoundatIon After forms are erected but prIOr to concrete placement Fmal Fire Department After all reqUIrements of/he Fire Department have been met Fmal Modular Set Up After all required inspectIOns have been requested and approved and project IS complete Water Lme Prior to fiJlmR trench and mcludmg reqUIred testmg Samtary Sewer Lme Prior to fillmg trench and mcludmR required testmR Storm Sewer Lme PrIOr to filhng trench Backflow DeVice PrIOr to covermg and provide a copy of the test report on SIte at the tIme of mspectIon Manuf Home Plumbmg After home has been connected to water and sewer Fmal Plumbmg When all plumbmR work IS complete Electnc ServIce Approval reqUIred prior to utlhty company energlZmR service By SlRnature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth the Ordmances of/he City of Sprmgfleld and the Laws of/he State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure WIthout permISSion of the CommunIty ServIces DIVISion, BuIldm!! Safety. I further certtly that only contractors and employees who are m compliance wIth ORS 701 005 wIll be used on thIS project I further aRree to ensure that all required mspectlons 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 durmg constructIOn Owner or Contractors SIRnature Date Pal!e 4 of 4 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00228 COM2008-00228 COM2008-00228 COM2008-00228 Payments Type of Payment CredltCard cRecemtl RECEIPT #. 2200800000000001126 Date 07/23/2008 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 10% AdminIstrative Fee + 5% Technology Fee Paod By JAMES CARTER Item Total Check Number AuthOrization Received By Batch Number Number How Received IIh 23463 Phone Payment Total Page 1 of 1 8 02 34AM Amount Due 7000 840 700 350 $88 9U Amount Paid $88 90 $88 9U 7/23/2008