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Home My WebLink AboutPermit Electrical 2005-6-23 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00792 ISSUED: 06/23/2005 APPLIED: 06/23/2005 EXPIRES: 12/23/2005 VALUE: Status Issued SITE ADDRESS: 5415 MAIN ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1702334203300 I rPlJ1JI'res you to E......,.~,.,.". Q'^~"n aw ArT 'I'Irl!) OF USE: Addition'on Utility Commercial PROJECT DESCRIPTION: Freezer tray and drain tray heater. follow rules adopted by me ~1">J e set forth . Notification Center, Those rU,_e~~~ o~')_nn1_ in UAH ~O~-VVI.VV 1'-' ~...--.d.- - 0090, You may obtain caples of the rules by calling the center. (Note: the telephone ~"","pr Inr the OreQon Utility Notlhcatlon . FJ'nt,fl[ is 1-S0~~-~J' I CONTRACTOR INFORMATION I Owner: Address: SAFEWAY STORE #311 INC % CPTS 1371 OAKLAND BLVD STE #200 WALNUT CREEK CA 94596 Contractor Type EJectricaJ Contractor CHRISTENSON VELAGIO INC License 64137 Expiration Date 07/1412006 Phone 541-688-6121 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I \!:)I'C~'. plRE II' I\1E WORK #ofStories~Ul"'Pr.\'l,Mn S\-\I\LL tX "'~;.s~~i.T IS N01 Height ofSt,r,ucturelilIED UNDER 1\1\ ~,~ t;U~bF,It',l!~: Type ofHeat:lI\-\U NCEO OR IS I\BAsq)Ft 2nil Floor: Water Type;;Ow\W\E ^~ PERIOD, Sq Ft Basement: Range Typei~N'< \ 80 0" Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: ! DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount VaJue Date Calculated Paee 1 of2 . . CITY U1' ~rK11"u1'u.L1J Status Issued ,Building/Combination Permit PERMIT NO: COM2005-00792 ISSUED: 06/23/2005 APPLIED: 06/23/2005 EXPIRES: 12/23/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726--3753 Phone 541-726--3676 Fax 541-726--3769 Inspection Line Total Value of Project ~ 7 Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea A~d Amount Paid $5.50 $3.85 $43.00 $12.00 Date Paid 6/23/05 6/23/05 6/23/05 6/23/05 Receipt Number 2200500000000000819 2200500000000000819 2200500000000000819 2200500000000000819 Total Amount Paid $64.35 I Plan Reviews I 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. 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 tbat all Information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done In accordance witb tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. I furtber certify tbat onJy contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project. I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all times during construction. ~~.o At. ~ ~..3-- ~ - ~\-~~ Owner 0 ntractors Signature G(2s!OS )J'^--.. Date Pa~e 2 of2 225 Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone . 8B~ ~ Job/Journal Number COM2005-00792 COM2005-00792 COM2005-00792 COM2005-00792 Payments: ' Type of Payment CreditCard " " 6/2312005 RECEIPT #: lIfIIi&.ity of Springfield Official Receipt .evelopment Services Department Public Works Department 2200500000000000819 Date: 06/23/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By LARRY CHAPMAN Received By njm Pa~e I of I Item Total: Check Number Authorization Batcb Number Number How Received 023334 023334 In Person Payment Total: 2:23:45PM Amount Due 43,00 12,00 3,85 5.50 $64.35 Amouot Paid $64,35 $64.35 C0 .' i..; . .~~ ,'-'" ' .' ,.' , ,~ ' ... -', - , ,;,:'-':,-';:" ,,' ,CII"YDF JffiNGFIELD a ON<' --<,' ',,'.'" t e,.~, ~ "I..:"""":.... ,~ ',. _,.. . ',: - '~_' .... " 225 Hr HI STREET ~ SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~7~~~ ~ City Job Numb . ' - _' - ()mq~'Date Ca./'d-.'?:>)2JJO,S 0 , 1. "deJitifJNXifF.l~-':-'''''7''"''7'b~ 3. fg"eoNW~s.l:iii:St;:tU;d&Ml1EtQ~ 5~i5 . ., -~-"--""'" , ~"~~~ '.--------..---,'~'''','''' LEGAL DESCRIPTION "\1 n'J.. ~3 -L}?on 3300 . ' ~B DESCRIPTION __- ~ W Cet ~ lD('t1~ ml/Z.a-U Service Included t w requIres you to EkITION' Oregon a U 'l'hI , 100lllSq. It: orl~>i t~ by the OreQon tll~~6,oo EaCh\8aditi~'5000s8, \o<'se rules are set lU I , 1:.._ ' .. thCte6fCenter.lo 952 0"1 ~.L-. PIlrnon, 01.()010 through OAR -:l' ~,OO . in QIl-R 952-0 '1 the rules by , Permits are non-transferable and expire if work is ,Eacli ~iul,)1~\;4.Jt.QJAAiOr1 COpies 0 h '" not started within 180 days of issuance or if work is M&illt1r D~~g.~eooee (l1\ote: the telep o~e Suspended for 180 days. Feeder3.\\ing t ,,~ "" Uti~' "I^t;!i('.l\ti~.oo ,,~:Jk~:~:or~gon -- n~ ~l_"_,, M",_' B. S't!'tl"ees:ot<a<e_' "" s' lIfion ' ~tionS~elO"eanlin: -, . -,. . -' -.-. - .. 4014 ) I 611 } () 1 Installation, Alteration or ReJocation 200 Amps or leSs :;l&'..-Ill'-l L, 201 Amps to 400 Amps I I 40 I Amps to 600 Amps Expiration Date '7 I () (,p Over 600 'Amps or I 000 Volts see "B" above. 'f2ra? D=~ v- / Each'Additional Cireuit or with / L. S 3,00 / "p 0 '-' (' Service or Feeder Permit c-.r ;;Q- , ownersNam~~_,^-'(l.~_ ~{7_C:;:! it '31! " (' f ~ _E. ~~~eCllk~-!if'e'ifIIr'~~llr"a\fdlfd~~~~ Addresr-jOd7f5 l?:.71 4nMn. t3l1-1'..I.-2>ObF""'----",t.~~~~"-~/T;_,-,..-" ci~lt)J+- Ci1-~/-A NIp<- , '145q(p OWNER INSTALLATION ' . 1lll1~~-'-~""""''''''''''~~=':lt'''~ 2 ~,,->>a~~~'J.l.Ul'l!o. . 6 ~.... _ ~~~ ---~ Electrical Contractor r h rl-I s f"->t SOY\. I)..e,;(a')/;" City \ Ol. 'i ~ ,.... (2 ll.V-L PILI v:c. Address (~~thG-1 Phone , {PW'~I,I , " Supervisor Licimse Number Expiration Date Constr, Cantr, Number The installation is being made on r-.r-;i I own which is not intended for sale, lease or rent. ' Owners Signature: Inspection Request: 726-3769 200 Amps orless S 63.00 20 I Amps to 400 Amps S 75,00 401 ~p,s>~~go Amps SI25,OO 601 Am.\>s\o\lOOO Amps SI63.00 1l-.jI~O~O~.'T.'''' . . Over JPM ~RSlVolts HALL EXPIRe ,~ T'I~~Z?H9 ReconnecfOi1lyZEO UNDER THIC' ";-~':-,'.: S 50!OOi\ COMMENr:Fi"l nR I" ^",~..:_~:,~",T I~ NOT C.~m~~~. S 50.00 S 69,00 SIOO.OO - Pump or irrigation Sign/Outline Lighting Limited EnergylReiidentia1 Limited Energy/Commercial S 50.00 S 50.00 ' S25,OO S 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. JS8BTOTA];"OF~Ot,fi?~~'''!%~~~ 5 5 u-o """''$;~~~'''''l;;>~{j~~~ ' .3,&5 5,_50 ~4'~ 7% State Surcharge 10% Administrative Fee TOTAL _ Shar'ed. Drive(T:)IBuitding.FormslElcctrical Permit Application l-03.doc ~ .. '. . ~f"l-...o ~...~ ',~';.~[p ~ .~.". ~ 125 ~.~ U1 STREET ;cGFJELD. Oil 97477 · PR:(541)716-3153 . FAX: '(Jf4i:f;J'-O'''''N!ec, ~~~ ELECTRICAL P. APPUCA110N '-, "0, "'. '" 'GO' ~' ., Daf <on, lJ1te rJ ha CilyJobNumbc::rCO~1.bOlf -oI03L( Dale ~ ~ t? s/JeCifi:'f,efo/j , ' . "''', !'\ :J ~ /e"l1 o"'i" L :f:i;QCAi1Oi{OF";.:.;g,.;N~;~.~~':-~ ~~MP~~"'--' ,,_",'P. "'~'~ ~B' ". .-''''''=;~'''~~~ ~;I.;;;;.L.~",~-~..~~~-7~~~~~ 3w .~~.--....~~..~~:r~5'.....,:..~._.,z~ '_ cO:!. ':!\i-:..,.;~~~?kii~~~.s , 'e . ~---' . - .. S Lfl':;- Wi~#t S LEGAL OESCRIPTION : 170Z:5S.l-IZ J08 DESCRIPTION 03300 ~ b ,:) c;/20A.~ t ~ Z-i ; - Permi!s are non-transCa;abl. and expire If work 10 not starlrd 1rItIIln 180 d~Yl' of IssU81lCe or If work Is SuspendN for 180 da)'lI.: 2 ~~:;;-~~':'.~i;,~~PNL~ . :i:~~~~~~;.~~~':t~_llil~~~~"S::f;~ Sen<tte Induded 1000 sq. fl or loss Each additional 500 sq, ft. or , thereof pomoo ,= Each Mllnufllct'd Home or Modular Dwelling Service or Feeder ' "~~~~~~!'.Ii1~~"":"~;'~-::"'~~'~::.""-,,.I4":i~.~.; lo"'~,. "-..:;:->.=, .'- A.. P...'.,w;]tm..........;?.$.iiiklet'ii.....~~a'-' '.". if' ~~.~~t,~..A1~ ..,.;.~~..r;...,.&'.: ........~.~..:;\,~ ;.~.........:>.:.:"- ., ".'i';;6o'" $106.00 $19.00 SSo.oo 'B. ~~~,;!;1;~~~~f-~}~~1>l~~~4l<:. ii.a""~r~ ~,.","'c"<_,""lr'~,_~_""n_~,~-'~~@!l~l!!;.,~~~""" ." ,', ....~.~.n-:~..~::e-~.~\:;.<.,.__.....~_.~ ',::C:;,,~.JI ~=.;,;___~ .,:;;,: Eeettlcal Contractor cL n,p lA 0 Q II.QY\ C. Sf (Vi(O I/>J(.. 200 Amp> orles. $ 63,00 ~ <. 201~ltbto400Amps, $75.00 AddreSs I ~(l {De Jr. ~ !e~uil~l'/~f 600 Amps $J2$,oo ': \'Q~.!~ \\,\e o!e~!I~tooo Amps $163,00 City .1.1.~jr\~, ! t~~~:;"i",.{~~e !\lleS~~OI13 $375,00 : ~0110'f4 ~of\ cef\telo~o t'!\lO~g\'\ ~e'ti1\'~~ . S 50.00 . ,~o\lf\c1;1..a~\Al in cop1esc.., ,- - ,..., , ~ . "",,~~,,- Supervuor Uecnse Numlfin nll.~"''':..r;-l;:''hta 1'1 \e', '" ' 'i\l' ".'...:. --''''- . ~~, ,,~... ~;~~:!!lOil.~ ; o900flUL~ -. entel. ~ 0 utili\'! t-\o ExpiIlltian Date' I (} ~~lIiJ~.e ~_ _ nlec;ion ;332.~tpl}pllon, Alteration or ReIoc;atlon I !4\1'\~e! W' ~' is ~ .~OO 200 Amps or less ColIstr, Conb'. Number ~vl u1.tiii'tel 201 Amps to 400 Amps I D3/""C 401 Amps to 600 Amps &piralioo Date lL) Ovo:r 600 Amps or 1000 V olm see "Bn above. D ~1':~~.t~~~'r:;~~t~~.,~~~~..;ii~~~~~-;.~.T~ . ~~~~~~(~~~~?~~~"'~~,.~:~~ N c,P\iW!'er. irrigation f 'fir "'~~\>\OO ...~':"..n.,~",,"'e.>l.!JJ EXPIRE I ,.:" ~<oo lh~~rmo&l~1m5- 1" S PE -r. )1 1 Limi_,"~-.:o..J.ll>'':::~I\ "\VIII'" s .00 AU II ,.:m~lW-""'" NOD ~"'R CC~~:~gy~&JJial 1~C:U n.. $4S.oo M1~~'I:1ilcltlC'Pm;mlllt. ..:', . Pee 18 $45.00 + Sur....rges 4. ~~~~:Jft..~11: ,jl . .~: . ":~J'~;S~~~ 7b - ..rc>,. "%;,.,~ ~ Qtatr t... =harp? ' 1'910% Admir1Is!rative Fee " 'f be> ~ '~~TorAL,' ., S3~ ~r.s - !lIm(T:~ FanlIIIIlIc<:aIc P<mdt A " , "'" 1-43_ lnllld!lNllldfl ,/0 JUI:! SigoabUe ofS1Jpervising eJec:ai~ian ~ fl$,J' o:.N8JOC <;~Wh :P 3// 5'11 ~ A1 Alii s r sPr:o I Phone Addres$ Cily OWNEIUNSTALLAT :ON Thll iDstaIlalion is beiDg node on.... _~, 1 own which is DOt ;"......<)'1 for sale, ! :sse or IllIIt Ownen SigualUtO: --f- 10011'1 $ SO.OO $ 69,00 $100.00 New ~tentlon or ~OD Per Pille! ( On. Circuit Each Additional Circuit or with Service or Feedef Permit S 43,00 !{3 3. I $ 3.00 _.~~.~ .",...,,,, .$:';ii-_............- -. " '-.-..,._!;~........_~'".; !"!'l.:',:-"';'J:':-c ,".. ....".~'.r:y.~_l.ii/...'J:..."fU'-o:;~~Tl,.:J.i...."..~,l..,,~"~,....; ,,:,,~,...-.~~,, "',U',' E. ~ . - .... ~ ...I'1t:en.... ..... "iofrmauu ~ ~.eti. . . ': ..~~~~~~~:~~.ro,,~~w~~~'..l~'~~~'-~~~.~~'" "..i ._. _..._~__.........._._..................' ~..._....,""'-.......-.r... ...._ 8QA~ArLT.o Yv~ TT:An ~M .n.lT~.I.n . . CITY OF SPRINu1'1~LD Building/Combination Permit PERMIT NO: COM2004-01034 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02120/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Linc SITE ADDRESS: 5415 MAIN ST ASSESSOR'S PARCEL NO,: 1702334203300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 2 circuits - safeway soup kitchen Owner: SAFEWAY STORE #311 INC Address: % CPTS 1371 OAKLAND BLVD STE #200 WALNUT CREEK CA 94596 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03/17/2007 Phone 541-344-3561 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I # of Stories: :TTENTlON: ok!g~w requires you, to II eight of Structure ~110W rules ad ~V1f\l9dilregon Utility Typc of Heat: , ation Cent ~I/!P.et:are set forth Water Type: Notlfic 2-001 '$~i'OtI!lfllSAR 952-001- Range Type: In OAR 95 0 ~ call1:J!!ls'€f1f1Wl\Jles by Energy Path: 0090. .You may li t ~~r'the telephone Sprinkled Building: call1nG/1he ce c~:~an 'oad:Notification "",,",horfnfthe reaon III~Y I DEVELOPMENT JNFORMATlON tenter Is 1-800~;j;::-<:,)""I' . REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Ovel'lay Dist: # Street Trees Rqd: Paved Drive Rqd: 'Yo of Lot Coverage: .'t" Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Jmprovements: Storm'Sewer Available: Special Jnstruction: Sidewalk Type: DownspoutslDrains: Description Type of Construction NOTICE: T~IC: PHlMIT C:HAII FXPIRF IF THF WORK I . . . 1 AUTHORIZED UNDER THIS PERMIT IS NOT ValuatIOn DescrlOhon COMMENCED OR IS ABANDONED FOR $ Per S;1 Ft Square Foota~NY 180 DAY PERIOD. . Value Date Calculated or multiplier or Bid Amount Notes: Total Value of Project Page 1 of2 -[!;;. ~4~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01034 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02/20/2005 VALUE: Status Issued 225 Fifth Strect, Springficld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Jnspection Linc I Fecs Paid I Fcc Description + 1 neXt Administrative Fcc + 70;', Statc Surchargc Add, Altcr, Extcnd Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4,60 $3,22 $43.00 $3.00 8/20/04 8/20/04 8/20/04 8120/04 Receipt Number 1200400000000001248 1200400000000001248 1200400000000001248 1200400000000001248 Total Amount PlIid $53,82 I Plan Rcvicws I To Rcqucst an insJlcction call the 24 hour rccording at 726-3769, All inspcction rcquested before 7:00 a.m. will be made thc same working day, inspections rcqucsted after 7:00 a.m. will be made the following work day. I RClluircd Insnectinns I Rough Elcctric: Prior to Cover Final Electric: "'hen all electrical work is complete. By signature, I statc and agrcc, that I have carcfully cxamincd the completed application and do hereby certify that all information hercon is truc and correct, and I furthcr certify that any and all work performcd shall be donc in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hcrein, and that NO OCCUPANCY will he made of any structnre without permission of the Community Services Division, Building Safety. I furthel' ecrtify that only contractors and employees who lIrc in compliance with ORS 701.005 will be used on this project. I further agrcc to cnsnrc that all required inspcctions are requcsted at the propcr time, that each address is readable from the strcct, that the pcrmit card is located at tbe front of the propcrty, and tbe approved set of plans will remain on tbe site at all times during construction. Owner or Contractors Signature Date Pal!e 2 01'2 225 Fifth Street Spr;ngfiefd, Oregon 97477 541-726-3759 Phone . G~."""",.~ ~, ar of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000001248 Date: 08/20/2004 3:05:00PM Job/Journal Number COM2004-0 I 034 COM2004-0 I 034 COM2004-01034 COM2004-0 I 034 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Payments: Type of Payment Paid By Item Total: Check Number Authorization Rc("(~ind By Batch Number Number How Received Amount Due 3,22 4,60 43,00 3,00 $53.82 Amount Paid Credi tCard RUSS ROBBINS djb 020884 In Person Payment Tota.: $53,82 $53.82 8/20/2004 Page 1 of 1