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Home My WebLink AboutPermit Electrical 2004-11-4 22$ FrITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)lt~Bl/,.. :Or.:9, :II'): ELECTRICAL PERMIT APPLICATION O~q/ q.,O' :9.0, t, "'.., (QUel( 0 . 0'0% City Job Number CO"" ZOO-. - v 1/4 L Date f .., q/" <c, "~., <'/q~ 'VI. "~/i) Otr. .$'lI. 1. 3. ~~~j;of:~.', ..1<1., it,' ,.;:~;...~, B.if'~t~l~. .i~iW.~ "'.r' -~_~.J.S Electrical Contractor C..J!.1.bIE t: I €./I TPjl'. SUI/IcE.. 200 Amps or less . $ 63.00 20 I Amps to 400 Amps $ 75.00 401 Aml!S to 600 Amps $125,00 60ATIi:~~tIOOo f,~,gon law re~U1res YO'$f~3,OO JoilB'.J3 ~~es C?l?red by the v, CYUII J~~o/s 00 ~~f,hB~q, I re~ Those rulv,:: ~'~_~.~;$csa~O -m emffs 2-~01-o010througl' v;-,r; ",,2-001- ~'';'''.'---'''.IJi_-' .--"....~r .,"~'- C. " . '1 es _ ttl,eooe B: _ ilt. ~ -, - - ; ~,~1.{.J~1~., ,'..... ........; ,'.....' , -... ~'1.:.. ~ I nUI?JRer fqr,tthe Oreg"of) y'tiliti! Notification nsta al101ceY1 ~~~yof-gM~~~~~,,~,y4). 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 The installation is being made on property I own which is not intended for sale, leaseorrenLN 011 C E: ~i ~ W~\~~ \'ro!',~( Inspection Fee is $45.00 + Surcharges THIS PERMIT SHALL,,,. ,. - Owners Signature;. UTHORIZED UNDEi4.1 . A NCED OR IS AD;"'UU"~ . COMME_ -DAY PERIOD. 7% State Surcharge AN 1 10\1 10% Administrative Fee 5SI$" Mlh/l/ Sr LEGAL DESCRIPTION --J 7CTl.--3>3 '12--- 03300- JOB DESCRIPTION fl-b.D t.f C.1t2.<......,./--.s. Permits are non.transferable and expire if work is not startcd within 180 days ofjssuance or if work is Suspended for 180 days. 2.~~~ Address /';_0 m~III/UJ6 .s.::,-. City D-lttN E.. Phone '3 '-11./ - 3 {; fp / Supervisor License Number .3' 1- 3 S. ~ I () J I !,J,.tJ () -:+- 9rJ:J.CJD _~Jrt-/() :; Expiration Date Constr. Contr. Number Expiration Date Sig~ature of Supervising Electrician r;rul~Z:;:-4. Owners Name SA-FcF /AI Il, Address 55/ S- i11 ,4,/1/' City S.p r ~ Phone -rt 31 / ~I OWNER INST ALLA nON Inspection Request: 726-3769 ,. " . " .' t~'., ; "'." '.l-t 'V.... . , . ;.'''( oct: '.~.~~. A. ~i~!.:.J~"'n" Service Included I 000 sq. ft. or less Eaeh additional 500 sq. ft. or portion thereof A ~ $50.00 Each Manufact'd Home or Modular Dwelling Service or Feeder Over 600 Amps or 1000 Volls see "B" above. D.Ii\B1..<\'~il'e.i.&lirf~~~~ . New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Pennit $ 43.00 L./?> '7 4- ., $ 3.00 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 S 25.00 $ 45.00 5Z 36'1 ') 2-':::> bO '6'1 TOTAL SbarocI Drivc(T:YBuildias FonDSIEI_1 Permit ApplicatioD 1'()3.doo {Of"~: , .':..tf: ,;" . CITY OF SPRIj~l>t<mL1J Building/Combination Permit PERMIT NO: COM2004-01142 ISSUED: 09/30/2004 APPLIED: 09/15/2004 EXPIRES: 05/04/2005 VALUE: $ 26,142.00 . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5515 MAIN ST ASSESSOR'S PARCEL NO.: 1702334203300 Springfield TYPE OF WORK: Office TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant infill. Change of Use, Ed. Jones Investments - replacing SUBWAY. (Safeway Store is landlord) Remodel. Remove 5 plumbing fixtures. Owner: SAFEW A Y STORE #311 INC Address: % CPTS 1371 OAKLAND BLVD STE #200 WALNUT CREEK CA 94596 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date MARKET CONTRACTORS L TD 62833 12/13/2006 KEC ELECTRIC INC . 0 oM requires yOO~3/2006 GOHMAN MECHANICA6~.ON'd regpteJ~ Oregon L't):i~/2005 D P PLUMBING INC fo\l()W ':'ll~~~_?^, ThWqHules are seb~~005 I BUrI~8iNtt~'J1I@NtU9h OAK \lO'::-VV ,- . ,... b"" '! ies of the rules by no~~ You may 0 'lain l;V 1I0e IRf,~' the center. (Note: the telefE'oqrs:~e: He'linltl! pffi!!{)regon Utility Notlf!ftjiifr't'st Floor: TfIle or t:,~nter is 1_800-332-2344)'Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B VNSpr I DEVELOPMENT INFORMATION I Phone 503-255-0977 503-439c0904 503-650-1588 503-537-9492 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVE]\O,"-",,,, . Sidewalk T~~~:i\-lE \NOR\\ "01\C~RMIi SI-liDclw~iCJ~~W,~\11:\S NOi :~:OR\I\:O \J~~~; ~~~~OONEO rOR COMMENCO~~ PERIOO. I'.N'i 180 Notes: Pa~e 1 00 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review CommlIndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Miscellaneous Mechanical Plan Review CommlIndlPublic Plan Review Minor - Planning + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Fire Department Review 09/16/2004 Initial Review Plannln~ Review 09/16/2004 09/16/2004 Public Works Review 09/1612004 Structural Review 09/16/2004 Structural Review 09/29/2004 Structural Review SUB Review 09/30/2004 09/17/2004 . CITY OF SPK1j~l>J'iJ'..LU' Building/Combination Permit PERMIT NO: COM2004-01142 ISSUED: 09/30/2004 APPLIED: 09/15/2004 EXPIRES: 05/04/2005 VALUE: $ 26,142.00 I Valuation DescriDtion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 26,142.00 Value Date Calculated $26,142.00 $26,142.00 09/29/2004 Total Value of Project F'pp< PiiIIJ Amount Paid $85.02 $10.00 $28.11 $19.68 $236.10 $45.00 $68.45 $59.00 $5.20 $3.64 $43.00 $9.00 $612.20 Date Paid Receipt Number 9/15/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 9/30/04 11/4104 11/4104 11/4/04 11/4/04 2200400000000001168 2200400000000001224 2200400000000001224 2200400000000001224 2200400000000001224 2200400000000001224 2200400000000001224 2200400000000001224 1200400000000001566 1200400000000001566 1200400000000001566 1200400000000001566 I Plan Reviews I 09/30/2004 09/1612004 09/22/2004 09/29/2004 09/1712004 09/29/2004 09/30/2004 09/22/2004 OK GRG See attached document for Fire Department plan review comments. APP SKG APP EMM Trash screening requireme~t in rear of building area needs to be completed before occupancy. No new SDC's: No new square footage. No new paving. 5 less plumbing fixtures. Replacing SUBWAY Sandwicb restaurant. Emailed Andrew Dugas requesting written confirmation of cost/value. Received valuation as an email attachment from Todd Rocha. Received last internal review. APP SB WE JMP WI JMP APP JMP APP DO Pa~e 2 00 . . CITY VI' ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01142 ISSUED: 09/30/2004 APPLIED: 09/15/2004 EXPIRES: 05/04/2005 VALUE: $ 26,142.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~eouired Insnf'ctions , Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. Ceiling Grid: After drywall approval but prior to cover. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is com.plete. Rongh 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 be 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 Pa~e3 of3 225 Fi(th Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-01142 COM2004-01142 COM2004-01142 COM2004-01142 Payments: Type of Payment CreditCard 11/4/2004 RECEIPT #: a~.;. ~i .~~) JiJ..ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000001566 Date: 11/04/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUSS ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 004426 In Person Payment Total: Page 1 ofl 9:46:20AM Amount Due 43,00 9,00 3.64 5,20 $60.84 Amount Paid $60.84 $60.84