HomeMy WebLinkAboutPermit Electrical 2009-1-12
li~t!<'iC;~~GJ)MEBNI\iII:N:t>!?~g~~(j)IlA'~~~~;
I Zoning approval verified? 0 Yes 0 No
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1 - . . - "-. 1-' - - , - -I - .- - ~ .- 'I Residential, per unit, service included:
o ReSIdentIal 0 Government 0 Commercial
1::~~~~i~~~TJ!~"~~~V::)i i ~~~::::':: ...,,,,""
1 Subdivisioh: '170 Z 3 Z z.. ~ 1 Lot no.: 00 :r 00 I Each manufactured home or modular I
'~~'~~1""~~';;~* : ::::::f,::~i:::';~'''"'"M'''"'~"'?~ :
I 201 to 400 amps (2) $ 95.00 $
1 Name: L,,^~I '- (.~rfJl.,.ltl. /1 u..c. I 401 to 600 amps (2) ,__ '}'" ~158.00 $
1 Address: I ~~O V,.. n~ ~ ,'ve.'(.. ~L 1 ~~~IMI'WJe(l!IJOS 'a~~r;A~'~~~n U~il~5.00 $
I City: ew.rC1"f::' I State: oIL 1 ZIP: "74 U I I fdY'~~~tQ(\~~b'1i'tllie rules ate ~~ l~~~.oo $
I Phone: 1 Fax: I N,.1l~o~.!:e~e9J1.~r\tl001 0 through UfTo rll e~ ~.oo $
.11' uk, ,.-.-- h\oIP.FU.l!'''" 31-t:
1 E-mail: I ~1\B\l/0"i'D'J~<IT\Ili,tIlS"""._(f~~\'\1.j1f(e'WlQ1POO~tion, relocation
20~i!\1iPll)>tlJ@.;. ,q<2j""" .. Utility NOtl1l,""V'"
This installation is being made on residential or farm property '. . th~ nrAOOn - -' J i) $ 63.00 $
owned by me or.a member of my immediate family. This I 2ll14!J'\fo'6'~iitjis 1-BOO-<l;j~-""T' $ 87.00 $
property is not intended for sale, exchange, lease, or rent OAR
479.540(1) and 479.560(1). . 1401 to 600 amps (2) I $126.00 $
Signature: lOver 6QO amps or l,OOO'volts, see services or feeders section above
i~r~I!;::~~:~i :~~i5~ijtit;;Li::~ I
I Phone: - -.. I Fax: I ~~~~N"Mic"Il~r,;~ia~~\Q\). / $ 55.00 $ SS1
E-mail: I 1 ~a~~l branch circuit $ 6.00 $ I
. CCB licenseno,:!~{, L/~ BCp) icense n~~O t../ J Miscellaneous fees: service or feeder not included J
I Signing supervisor's license no I J I Each pump or irrigation circle (2) $ 63.00. $ ! .
I Print name of signing supervis : .v I Each sign or outline lighting (2) $ 63.00 $ I
I Si~ature of signing supervisor: .1. I Signal circuit ora limited-energy panel, $ 63.00 $ I
alteration, or extension (2)
I Each additional inspection: (1)
EJect2'ical Permit Application
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.
1'~DEiiARTMEN:T1tJsE!ONu'Y-__1
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Permit no.: nIt.! 9 i'
. Date: /-(2 - ~t:>o ~ I
225 Fifth Street. Springfield, OR 97477+PH(541)726-375H FAX(541)726-3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days. .
$134.00
$ 25.00
$ 32.00
~~.O\
\}.\.. ~
~
(A) Enter subtotal of abo
(Minimum Pe~ Fee $58.00)
I (B) Enter 12% surcharge (.12 x [Al)
I (C) Technology Fee (5% o[[AD
I TOTAL fees and surcharges (A through C):
$
$
$
$
$5B
$ b';9
$ l~
$b7~
440-2584-J (9/08/COM)
Status
Issued
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY VI' ~t'KlNl:i1<lELD .
Building/Combination Permit
PERMIT NO: COM2008-01498
ISSUED: 12/1712008
APPLIED: 10/0212008
EXPIRES: 07/08/2009
VALUE: $ 252,000,00
SITE ADDRESS: 4181 EST
ASSESS()R'S PARCEL NO.: . 17.02322300300
Springfield TYPE OF WORK: TenantInfill
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Change of use from B to E. - OK to accept one-half of plan review payment per Robert
C. 11-18:2.0.08. .
Owner: LINCOLN CAPITAL II LLC
Address: 1580 VALLEY RIVER DR STE 27.0
EUGENE OR 974.01
Contractor . License
AFFOLTER WEST AND JOlreqUireS you to .
ESSEX OOlllEID,!Q'(!~~~j ,m~regon Ulj~~1
BURRErnuq}'R{)~~~ ~ Illles are SeY'~6
:~uOAR952'\JlBurLm~fNlJ(J'RI\1'\'~
0090,. You l\~; N.el I ! ole: the telepho~e
calling the cenW&ri~?1~t~ity Notification
nu!'liber for theJf~T, ~~~
14 Center 'tipe 0 ea t:
Water Type:
Range Type:
Energy Path:. ...
Sprinkled Building:
Contractor. Type
Architect
General
E lectricaf
# of Units:
Primary Occupan.cy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION'
Expiration Date Phone
1111.0/2.01.0 541-342-45.09
.0812.0/2.0.09 541-747-2724
No
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement: .
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
10.. ,.
Overlay Dist:
. # Street Trees Rqd: ..",,,-t
Paved Drive Rqd: E 'f ~ 'fl" 0'
t't01\C$:Of LOS\\'t>.\.'teP'~ ~t.~lJ\'i ,~ ~
"'I.\\~\;.E?~~ \\~D~? :~~~'rn~t.~ fO"
I ~UBi\~"-f1}~MpiTS .
\,u.{"".' 'Df>,~ v\:.,.e
,..~'l ~50
Total:
Handicapped:
.Compact:
Sidewalk Type:
DownspoutslDrains:
Pae-e I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Schools
VN
Fee Description
Plan Review CommlInd/Public
+ 10% Administrative Fee
+ 12% St~te Surcharge
+ 5% Technology- Fee
Bnilding Permit
Plan Review CommlInd/Public
Plan Review Fire & Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
- Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid"
Structural Review
Initial Review
Planning Review
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01498
ISSUED: 12/17/2008
APPLIED: 10/02/2008
EXPIRES: 07/08/2009
VALUE: $ 252,000,00
I ~~I~~.~ion Descd~tio~ I
$ PerSq Ft
or multiplier
$84.00
Square Footage
or Bid Amount
3,000.00
Total Value of Project
J;'pr~" ~
Amount Paid
Date Paid
$391.93
$120,59
$144,71
$60.30
$1,205.93
$391.92
$482.37
,
$6.96
$2.90
$55.00
$3.00
IlI18/08
12/17/08
12117/08
12i17/08
12/17108
12/17/08
12/17108
1/12/09
1/12/09
1/12109
1/12/09
$2,865.61
Plan Reviews I
10/02/2008
10/02/2008
WE RWC
11/1912008
11/24/2008
APP LLH
12/02/2008
12/02/2008
APP EMM
11/2412008
12/12/2008
WE RWC
Pa!!e 2 of4
Value
Date Calculated
$252,000.00
$252,000,00
11/10/2008
Receipt Number
2200800000000001652
1200800000000001228
1200800000000001228
1200800000000001228
1200800000000001228
1200800000000001228
1200800000000001228
2200900000000000035
2200900000000000035
2200900000000000035
2200900000000000035
called Kent Affolter about new plan!
for 1-4 use.10/2/08
Revised drawings,
This use has been approved by
planning for daycare and preschool
instruction and specifically prohibits
elementary school instruction at this
location without a discretionary
uselsite plan review and approval.
Revised Drawings Structural plan
review, planning review complete.
Waitting for tire to approval
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0l498
COM2008-0 \498
COM2008-0 1498
COM2008-0 1498
Payments:
Type of Payment
CreditCard
cReceirit 1
RECEIPT #:
2200900000000000035
Date:. 01/12/2009
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Teclihology Fee
+ 12% State Surcharge
Paid By
JOSHUA BURRELL
Item Total:
<"':heck Number Authorization
Received By Batch Number Number How Received
djb
0550lb In Person
Payment Total:
Page I of 1
1O:51:36AM
Amount Due
55.00
3.QO
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
1112/2009