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Home My WebLink AboutPermit Electrical 2009-2-19 "" J fA . \,,~ u f'(\ \ \ ~ ,./iJ . 1.-- ~~'QW. Status Iss u ed \ U 1 'I' OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00242 ISSUED: 02/19/2009 APPLIED: 02119/2009 EXPIRES: 08/19/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726_3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Olympic St ASSESSOR'S PARCEL NO.: 1703254201601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Cheese Island remodel- WINCO Owner: Address: WINCO FOODS LLC PO BOX 5756 BOISE ID 83705 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NORTHSIDE ELECTRIC License 80593 Expiration Date 03/18/2011 Phone 503-585-4879 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Frontyard Set hack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Set hacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: [l.n/.J "',... n ^\, n,l""ll('\r'\ - ....,-_"'!): I PUBLIC IMPROVEMENTS I . 0 gon \aI)Hr"I'1;"~ "~,, :, . .. A~f-NT\ON. re db' th0 j J' . .' irlewalk Ty'pe:te Y ,1 . I " .~l fall w ,~.__. . Those flil,'- ...> .~-' N t"''''ltinn CprtAr. . .~. I' o Downsp.outslD,aIDs:,rOugh.. . '.' AR 952 uu ,-uu 'v.. . . " in 0 - a obtain caple,; 01.. j . ....., G090. You m Y (Note: Hle IE'" . . t calling the cen~~~gon Utilil;' ~:..;,..._...",".I.I number for the 0_339_2344.y.. ("'.........tor I!=;, 10-80 - Street Improvements: Storm Sewer Available: Special Instruction: Notes: . NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00242 ISSUED: 02/19/2009 APPLIED: 02/19/2009 EXPIRES: 08/19/2009 VALUE: 225 Fifth Street, Springfield, OR 54 I -726-3753PllOne 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project FeesPaid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Numher $13.08 $5.45 $55.00 $54.00 2119/09 2119/09 2119109 2119/09 3200900000000000103 3200900000000000103 3200900000000000103 3200900000000000103 Total Amount Paid $127.53 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. I Renuired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he 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 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00242 COM2009-00242 COM2009-00242 COM2009-00242 Payments: Type of Paytitent ONLINE CHGS cRecemtl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000103 Date: 02/19/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~tem Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE northside Online Payment Total: Page I of I 12:I5:22PM Amount Due 55.00 54.00 5.45 13.08 $127.53 Amount Paid $127.53 $127.53 211912009. City of Springfield Electrical Authorization To Begin Work E-mailedTo:ERIKA@NORTHSIDEELECTRIC.COM Receipt # EC547021 2119/200910:21:41 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [K] Addition/alteration/replacement 10 1 or 2 family dwelling D Multi-family o Commercial I Industrial IJob no.: 45731 jJob address: 1920 OLYMPIC $1' I City/StateliIP: SPRINGFIELD, OR 97477-3458 I SuiteJbldg.Japt.no.: Ip.-ojectname: Cross street/directions to job site: ] Lot no.: 1703254201601 ISLAND REMODEL I Name: WINCO Phone: IEmail: [F." lEI. lie, no;: 24-14C ICCBlic..no.: 80593 I Business Name: NORTHSIDE ELECTRIC I Contact: ERIKA WILSON Address: PO BOX 12323 I City/SlatelZlP: SALEM OR 97309 [rhono: (503)5854879 IFnx: (503)3640248 .Email: ERIKA@NORTHSlDEELECTRJC.COM I Mdro lie. no.: I Ci.ty lie. on.: I Supervising electrician's lie. no.: 1877$ I Supervising electrician's name: JON J WOLF Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with Instructions on how to schedule your inspection. .. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. ~~~ ~~ 1 1,000 sq. tl. or less [4] 1 Ea. addl 500 sq. ft. or portion I I I . Limited energy, residential I' (with above SQ. f1.) I-Limited energy, multifamily 1 residential (with above SQ. ft.). I I-limIted energy, commercial (with above sq. ft.) I - Stand-~lone limited energy, residential I - Starid-alone limited energy, multi-family I - Stand-alone limited energy, commercial !~~s~Ql~~1!~mrl1m!if2!t1l~~t!~~~~2J,!~!9l~f~~ 1200 amps or less [2] I . 1201 amps to 400 amps [2] 1401 amps to 599 amps [2) I Inot offered online at this jurisdiction. 1200 amps or less [2] 1201 amps to 400 amps [2] 1401 amps to 599 amps [2] \~i~~fiiY!]i~~:~!"~;:~~t~~,ti~~I~lii~~~]jrEI?~~lli~~l I' A. Fee for branch circuits -with. service or feeder tee, each branch circuit I B. Fee for branch circuits without service or feeder fee, first branch circuit f21 add\ branch circuit $55.00 $55001 I 1 1 1 Service reconnect only [2] I I EachmailUfactured or modular dwelling, service and/or feeder I 121 \ I Pump or irrigation circle (21 1 1 Sign or outline lighting [2] I I Sign. al Ci,.rcuit(S) or Iimited- energy panel, alteration, or extension P1. . IPl~~l1;CIf:\(\1!\!fEirECTRicAir,kERMTr;FEES'''''~i!E'~lw.fiZf~1 ~~~i~""".,~,..,,,0,,~,;,&,,,,,""""''''''==~<x.c.k~A&,g;ifjfflr;;p'~~ \ Subtotal $109,00 State Surcharge (12% of permit fee) $]3.08 I City Of Sprh1gficld fees'. $5.45 I TOTAL PERMIT FEE , $]27.53 . City Of Springfield fees: 5% Technology Fee I Default number of inspections aI/owed] ~'2.{)V9-0()2-~2- 2.- \ 9 ~ 'UCl N """ $600\ I I This Authorization To Begin Work must be posted at 'the job site until replaced by a Permit.