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Home My WebLink AboutPermit Electrical 2004-5-13 , . .~. . .' City OF S. lNdFtEttl bREGON ( .' . , - . ,~ . . '-,' . , , '. . .; . s submitted has the tollo I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FMC'!'t$44?\ll6>%llMt require specitic land u w ng approval. S9 ELECTRICAL PERMIT APPLICATION ZOning, ~ City Job Number COlN1 "Z.,Oo"f -oC z.y I Date ~lle ,6- / q :0 t.{ I 11'j ..'... ". . 'j '~'~'I., I(C.,O"M'p.'LE'''',iE,',-';;'''i4miii:ri'.'i:''Bj;..,nlM',:,''!'~'('IJ':O./1','. , "i I. LEq~...E'!:,~q~!NS7":11~4~.OfY6,,;.~ij<?t! 3. L.",~,...:..h~-_~. ., ':~.,,~ b i"~ fflhN 51 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work Is Suspended for 180 days. 2. ~~cqlytM.lfrQ,8!N~r~D,r~!.PlY;Q:@r:;j Electrical Contractor G ~ s r, IfdYIC I]AI\C, . Address r [>. 8Di \l\\S J- City _sr{\I~fld.Phone iYI-223l, Supervisor License Number Lf~ q L\ S \ D-OI-OY- :S~L/q Cf-j-ol/ LEGAL DESCRIPTION ;702-355 L D5'3( 7 JOB DESCRIPTION I Z. <:) ~I"S~vL Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician .);1Lu.'~~ Mf2- Owners Name G, b.;",,,,,, I b-r bs v~ Address th}? ~W'c><>J.. ....t- City T7...,C-!';'" Phone qq~.1.'1~~ A. riN~~;;~~~i~~~ti'i~~~).itgif ~tM~,I~' R~niJi~ li~~;iiir~li'p.~~i1it(. ;V! Service Included 1000 sq. ft. or less Each additional 500 sq. fi. or portion thereof $106.00 $ 19.00 ~dL, . $50.00 ~ 'i B. fseHilMs' lfilF~~~j!i;'::C;JJUljm;lili,ii; AfI"'Ji'alfotii}o';: R~locijiliiDi~i ~)::,-",:t".";;~,,.I.....,.,::,f' ..,.....,~\~t-.~.i ..-,~~.};r;J-fu'~~1;;::.f,: "."-":", "~ 200 Amps or less / $ 63.00 63 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 Each Manufact'd Home or Modular Dwelling Service or Feeder c. 1,'filit6rli" 's~Vi.es;Ilr:'bee.ie'rSi!i~""s,~~i~P;!;;''''''' -'Fi.",.,~~ fio.., - ,.P...~..~J:'Y.,,__.~ '-.'-.. -,' ~~--:-"<-""l- " "~!.... ...;~,.~~ '.\\:W.11 Installation, Alteration or Relocation $ 43.00 $ 3.00 E. i;:Mis~"fi~if~~li'ls'~M~reVd~j!l\l\klriQlfcl~Q1'--':Eii~HY.i~lilulH~fi fd ~.!-.a,,' ,,,:>' .."-,.,,,;,,;.r(,, t~~,~ ",'. --..' ...p,....,,.,, ".V' '<',.'''-','''- :,.....,. '-'"' ,......,,'o')~'" "'i - Pump or irrigation $ 50.00. Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited EnergylResidential $ 25.00 The installation is being mad<rI'R J!fPperty I own which Limited Energy/Commercial $ 45.00 , is not intended for sale.1GaU M\'e\!'MIT SHAll EXPIRE Niilli\fu~It\l,~rlc Permit Inspection Fee is $45.00 + Surcharges Owners Si nature: ~~H~~~ZEO UNDER THIS PE~~'~l~WtmoiMom1.l'1~~~tA:iIFt1i~~[~ 63 g COMMENCED OR IS ABANDONl;l.:..~2"~:,.3,,E"A"'''''''';' .",~~iJ"'I;~fi'!f"~'c!r;S1 ,'\NV 1Rn nAY PERIOD. 7% Slale Surcharge l(41 10% Administrative Fee 670 TOTAL 7 '3 ?l- Inspection Request: 726-3769 I , , "Ii ", Shared Drive(T:)lBuilding Fot'ImIEIoctricaJ Permit Application I-OJ.doc . . Lil}' OF ~rKlNGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00241 ISSUED: 05/07/2004 APPLIED: 03/02/2004 EXPIRES: 11/1212004 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6900 Main St ASSESSOR'S PARCEL NO.: 1702353205317 Springfield TYPE OF WORK: Restaurant TYPE OF USE: New Commercial PROJECT DESCRIPTION: Site Preparation for Espresso Stand for River City Coffee. 4/26/2004 Added state inspected building. SDCs not included for kiosk. Owner: GIBSON & GIBSON Address: 668 GREENWOOD ST JUNCTION CITY OR 97448 Phone Number: 541-998-2388 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor EUGENE SAND & GRAVEL C & SELECTRIC TWIN RIVERS PLUMBING INC License 44524 3849 17695 Expiration Date 02123/2005 09/01/2004 03/11/2005 Phone 541-683-6400 541-741-2236 541-688-1444 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Lot Size: Height of Structure 10.50 Sq Ft 1st Floor: 128 Type of Heat: Electric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range TYPiTTENTION: Or~07I ~ l'sdil:,i ~g'<lPrport EnergyPa :11,g I sado~ bby~~~t1tillil7 SprinkledN~hldi~~~ Center. 'thoSG Iilffill~det~ I DEVELOPMENT OO{)fu\fifi~i.~ mro~gn Vi"\l"l_"'...... I" "uV.. l!!'ij71ln coPlascrithQ.,w~Jm,D PARKING calling the center. (Note: ths tal~H6JU, Overlay Disfiumber for the Oregon Utility NotJiillaliofn # Street Trees Rqd:Center 151-800-332-23.ll4)l1andicapped: Paved Drive Rqd: Compact: .'% of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC ll\'lr",v~EMENTS I Street Improvements: n10TIC~' I~ \;. Fullv Improved Storm Sewer Available: THIS PERMIT SHALL~PIRE IF THE WORK Special Instruction: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: DownspoutslDrains: Curbside 5' To Storm Sewer Notes: Pa2e 1 of3 -~ . . CITY OF SPRINGl'lJ<..LU Status Issued Building/Combination Permit PERMIT NO: COM2004-00241 ISSUED: 05/07/2004 APPLIED: 03/02/2004 EXPIRES: 11/12/2004 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Descrintion Estimate Pavinl! Tvpe of Construction Estimate Use Bid Amount $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 15,000.00 15,389.00 Value Date Calculated Total Value of Project $15,000.00 $15,389.00 $30,389.00 04/2612004 03/02/2004 L..J;rp< V'lillJ Fee Description Amount Paid Date Paid Receipt Number Plan Review CommlIndlPublic $100.23 3/2/04 1200400000000000264 + 10% Administrative Fee $27.22 4/12/04 2200400000000000348 + 7% State Surcbarge $8.26 4/12/04 2200400000000000348 Addressing Assignment $31.00 4/12/04 2200400000000000348 Paving $154.20 4/12/04 2200400000000000348 Planning Final Occy Inspection $143.00 4/12/04 2200400000000000348 Sanitary Sewer - 1st 50 Feet $45.00 4/12/04 2200400000000000348 Sanitary Sewer Each Addtll00' $14.00 4/12/04 2200400000000000348 Storm Drainage Impervious Area $620.31 4/12/04 2200400000000000348 Water Line - 1st 50 Feet $45.00 4/12/04 2200400000000000348 Water Line - Each Addtll00' $14.00 4/12/04 2200400000000000348 Plan Review CommlIndlPublic $95.16 4/26/04 2200400000000000402 + 10% Administrative Fee $14.64 5/7/04 2200400000000000491 + 7% State Surcharge $10.25 5/7/04 2200400000000000491 Building Permit $146.40 5/7/04 2200400000000000491 Sanitary Sewer - Improvement $120.47 5/7/04 2200400000000000491 Sanitary Sewer. Reimbursement $158.48 5/7/04 2200400000000000491 SDC MWMC Administration $10.00 5/7/04 2200400000000000491 SDC MWMC Improvement $117.98 5/7/04 2200400000000000491 SDC MWMC Reimbursement $309.43 5/7/04 2200400000000000491 SDC SanitarylStorm Admin $17.91 5/7/04 2200400000000000491 SDC Transpo Admin $167.79 5/7/04 2200400000000000491 SDC Transpo Improvement $2,413.45 5/7/04 2200400000000000491 SDC Transpo Reimbursement $547.08 5/7/04 2200400000000000491 Storm Drainage Impervious Area $37.12 5/7/04 2200400000000000491 + 10% Administrative Fee $6.30 5/12/04 1200400000000000719 + 7% State Surcharge $4.41 5/12/04 1200400000000000719 Perm ServlFdr 200 amps or less $63.00 5/12/04 1200400000000000719 Total Amount Paid $5,442.09 I Plan Reviews I Initial Review 03/03/2004 03/05/2004 APP LLH Held to discnss addressing with Fire Department Pal!e 2 of 3 . CITY OF ~rKIl'ltTJ<1ELD' Building/Combination Permit PERMIT NO: COM2004-00241 ISSUED: 05/07/2004 APPLIED: 03/02/2004 EXPIRES: 11/12/2004 VALUE: $ 15,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannine Review Plannine Review 04/26/2004 04/26/2004 03/09/2004 04/26/2004 04/27/2004 OK APP WE RJB EMM EMM Plan nine Review 04/09/2004 04/09/2004 APP TAJ Public Works Review 03/09/2004 03/26/2004 APP SB Public Works Review SB 04/26/2004 04/28/2004 APP Structural'Review Structural Review APP APP JMP JMP 04/26/2004 03/05/2004 04/27/2004 03/19/2004 Waiting for Final Plot Plan and Development Agreement. Final site plan received and approved, signed develoment agreement received on 4/9/2004. SITE WORK ONLY. SDCs FOR KIOSK NOT ADDED. SEE SDC CALCULATION SHEET ATTACHED. SDC's for building added. Talked to requester and they are proposing to attach a three compartment sink, a mop sink and one ice maker to the sanitary system. (Not on plans)SWB Received 3/9/2004. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l...!fouired Tnsn~ 6 Rough Grading: After gravel is in place but prior to placing concrete. 4 Final Paving: After paving is complete. 9 Water Line: Prior to filling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 5 Foundation: After forms are erected but prior to concrete placement. 7 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 3 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 10 Electric Service: Approval required prior to ntility company energizing service. 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 be made of any structure without permission of the Community Services Division, Building Safety. 1 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 of3 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0024I COM2004-0024I COM2004-0024I Payments: Type of Payment CreditCard 5/12/2004 . RECEIPT #: .P~RINQ~,IILO, " ~_',_"___' "., Wir' ',.... : \1!!W., . ~...._- aity of Springfield Official Receipt Wevelopment Services Department Public Works Department 1200400000000000719 Description Penn Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By C&S ELECTRIC Received By djb Page I of I Date: 05/12/2004 Item Total: Check Number Authorization Batch Number Number How Received 000381 012087 In Person Payment Total: 9:19:20AM Amount Due 63.00 4.41 6.30 $73.71 Amount Paid $73.71 $73.71