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Home My WebLink AboutPermit Electrical 2009-3-13 This permit is issued nnder OAR 9l8~309,0000. Permits are nontransferable. Permits expire if work' is not started within 180 days of issuance or if work is suspended for 180 days. :' 1~~~fIfOG~l:'1GQVERNMEt-JJT'-~~&R(,;)Yfi.l5tili'TS'!il1 ~~~~~'1il~~!:;iiS"j:;IiiE[).l!J.[!E~~~;R'fJ I Zoning approval verified? ..0 Yes 0 No I ~~~~'~'T1l~~~~~~liIIQ~II\€OS:.!!llii'Fota~f,lj ~~CAmEG0RY+fl()J;;iEf€'0NSmRlJ()ml()N~~~t'Iii'''-l!'1 jf;[""^",.'".?"-"~"",'<<",,,,,,,,,,,,,,...,,,.,1ll' i'-'f_" ",-~a~\_" ~J'.o.g~ ""~ ~~." -' , 'I" W~._ JJt_ A. -' - - "I" l -- ".;5'iS"""'-'~"~:;1 I Resident.iall per unit, service included: I D Residential D Government D Commercial ' ID!Il!tijJ0BlfSIJI'Efjlf:,II;:QRI'IiI~il!IQN!l,l\'ND.II!Q()~'f:ION!llI'k'l7fl~11 11,000 sq. ft or less (4) :: I $134,00 $ I I b. ddr ' &' '" L t..u", 1.J.l-' 1 Each additional 500 sq. ft, or portion '.1 $ 25,00 $ "I' Jo site a ess. _\ -. ) . ~. :..J\ \' . ~\ . thereof I~ I City:~~~m oQCJ, I State: ~)\?J ZIP: a.1t"'1!_ I Limited energy (2) .. I $ 32.00 $ I ~~[j~S()RI~iflIQNj[0IiiWJ~;~~~j]t~~ 1 ~~~~I~:"s~~~~~~~~~e~~:r (~)odularc I $ 63,00 $ 1 ~f1," L..j I' I) .' r ,1- P ,A A' I I I Services or feeders: instal/ation, alter~tion, relocation I I~ .,U Cl I VI) l--.f, ( ,. I r-, J- VwAA/ I -r ~"'-4Y1;-r V' ,I 200 amps or less (2) $ 81.00 $ I l~~~'~~ ::::~~~:;~i,) :::~; i I CIty' ~))t'\f 'r\~ Stat.(){L.. I ZIP:C{1t02.- Over J .000 amps or volts (2) $469,00 $ I I Phone: _ - ~ ' I Fax: Reconnect only (2) $ 63,00 $ I I E-mail: Temporary services or feeders: instal/ation, alteration, relocation I This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ I owned by me or a member of my immediate family: This, 201 to 400 amps (2) $ 87.00 $ I property is not intended for sale, exchange, lease, or rent OAR 479,540(1) and 479,560(1), 401 to 600 amps (2) I $126.00 $ I Over 600 amps or 1,000 volts, see services or feeders section above I I I I b. Fee for-branch circuits without purchase ofaservice or feeder fee: I I I I I I I I Electrical Permit Application 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(54t)726-3689 / ~gnatnre: "l!l~~"",", "c, .. - ,n" . "., ~"""""""","-~"r,,"i W~.lF~,,,,€.0.NiIi~€jr:QR,,INSjJ)~l!:I.!1,l.mI0.N,,,,,",,,~.,,,t:i\:j*,!1'i:i Bnsiness name: tYC){~-4f- Eledrr'ea.f (~1(~ I Address: IIIL? Yl'rYl( D/u ~ . I City: ~~'J~w.'IL rState: oY I zIP:Q1JJ--l I Phone:9t1 -'iN- h7c6 I Fax: I E-mail: I CCB license no,:15')O'77 I BCD license no,:Pt'l6-c. I I Signing supervisor's license no.: ,'?; lJ 1')7- - '? , I'~m'o=' "",.,m, ...,m,o, ~,e;,~ . I Slgnatnre of slgnmg supervIsor: r I . . ~ lb~~ 't 'f>(' ~ 440-2584-) (9I08/COM) Il~QY)Eti?A.RT,MENT~USEl0Nlt'W"';'~\1 i;i>1t1::<:f~4,:'\i?,.:,"~"t:&;n.'i;~'''ii2it'}~5:~(A~~;;~~ I Permit no: L q-eJ(;) il '--I I' I Date: ~~ -O~ I Branch circuits: new, alteration, exten''sion per panel a. Fee for branch circuits with purchas~ of a service or feeder fee: Each branch circuit I $ 6,00 I $ First branch circuit (2) $ 55,00 $ $ Each additional branch circuit $ 6.00 Miscellaneous fees: service or feeder not included I Each pump or irrigation circle (2) $ 63.00 I Each sign or outline lighting (2) $ 63,00 1 Signal circuitor a limited-energy panen $ 63.00 alteration, or extension (2) I Each additional inspection: (I) $ $ $ $58,00 $ I (A) Enter subt~tal of above fees (Minimum Permit Fee $58.00) .1 (8) Enter 12% surcharge (.12 x [AD I (e) Technology Fee (5% of [AD 1 TOTAL fees and snrcharges (A through C): :'~,~ $ II. ~t $ //.5, Yl Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00114 ISSUED: 03/1312009 APPLIED: 01123/2009 EXPIRES: 09/13/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 115 S 5TH ST ASSESSOR'S PARCEL NO.: 1703353110400 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: MOMMA's Kitchen T.!. Owner: ROY AL BUILDING LTD PARTNERSHIP Address: PO BOX 24608 EUGENE OR 97402 I..~ONTRACTOR INFORMATION I Contractor Type Electrical Plnmbing Contractor . License NORTHWEST ELECTRICAL CONSTRUCTI 155877 BARNES HIGH TECH PLUMBING INC 83311 BUILDING INFORMATION I Expiration Date 06/13/2009 02/17120 I 0 Phone 541-466~3201 541- 726-9854 # of Units:, Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: A2 # of Stories: Height ofStrnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: SqFt 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: , Notes: NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 'I, O. r"'" 1"'\// re0'III'C'lS \!OU LU I PUBLIC IMPROVEMENl'S 1)'-" I e.q~" .~. .,u "" . . 'l..m'-,vy . "...:'.~)S ad:'1Ied ljy \119 Oregon Utility Notific2,tion CerSidewalk-Typc: s ~re set forth . OAR 952-001.Q01 0 t1110U0!l O!,R ~152-001- In, DownspontslDl'ams:, rules by 0090, You may Olll8,1!, vU\-,'vO u, U'~ calling tile center. (Note;lhe telephone number for the Oregon Utility Notllicatlon Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instrnction: Page I 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation, Descriotion I Description. $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Tvpe of Constrnction Total Valne of Project Fpp<, PIWlJ Fee Description + 12% State Snrcharge + 5% Technology Fee Fixture' + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend. Circ Ea Add Amonllt Paid Date Paid' $13.68 $5.70 $114.00 $11.64 $4.85 $55.00 $42.00 1123/09 1123/09 . 1123/09 3113/09 3113/09 3/13109 3/13/09 Total Amonllt Paid $246.87 I Plan Reviews I CITY OF SPRINtd'lJ!,LD Building/Combination Permit PERMIT NO: COM2009-00114 ISSUED: 03/1312009 APPLIED: 01123/2009. EXPIRES: 09/1312009 VALUE: Valne Date Calculated . Receipt Nnmber 2200900000000000095 2200900000000000095 2200900000000000095 2200900000000000256 2200900000000000256 2200900000000000256 2200900000000000256 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 7:01) a.m. will be made the following work day. UeollirerUnsnections I Rough Plumbing: Prior to cover and including required testing.. Final Plumbing: When all plumbing work is co~plete. Rough Electric: Prior to Cover Filial Electric: When. all electrical work is complete. Paee 2 of 3 ) Status Issued CITY OF SPRINGFIELD Building/Combination. Permit PERMIT NO: COM2009-00114 ISSUED: 03/13/2009 APPLIED: 01/23/2009 EXPIRES: 09/1312009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre,I state and agree, that I have carefnlly examined the completed applieation 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 be made of any strnctnrewithont permission ofthe Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensnre thal'allrequired inspections are reqnested 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 constru.ction. Owner or Contractors Signature Date Page 3 of3 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number . COM2009-00114 COM2009-00 114 COM2009-00 114 COM2009-00114 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000000258 . 8:31:07AM Date: 03/13/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55.00 42.00 4.85 11.64 $113.49 Paid By JESSE RODOLFINORTHWEST Item Total: Check Number .Authorization Received By Batch Number Number How Received Amount Paid njm 013217 In Person Payment Total: $113.49 $113.49 Page I of I 3/13/2009