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Home My WebLink AboutPermit Electrical 2004-4-21 ':: ':/.';::.\::'-.' CITY. OF SPF' 'GFrnLD -'OREGON ':;-.. '.- ,: . :,,<":~':'''.~..::' ,,-.... '." ~ .~ ::'':,. ,--'::, ,- . ., .'. .,- .:. 225~IFTHilTREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54l~Z~8nd~g project as submitted has the following ELECTRICAL PERMIT APPLICATION ! zoning. and does not require specific lend use City Job Number C f.{ - (:)0 Lt J I..{ Date / I 17 0 u approval.. CJL) - - :/ -, ZOning l&~Ii!E!il"'" ~'S'~"'-'~ :~7"';".';'~~~.. .~.~. ' 3. ~~~~~~lN~~.~~,~~""I=~~: . ....~~ceJ Ai.Jthorized Signature _ I. fiL~~f!~.MbF.iiNST~:g@"~A\lt\1Cl . ...~ ,,.,....~'""....<:';io.>"-"""":..-........~........~_~~~~ 5b30 m/J-IN <:>+- LEGAL DESCRIPTION 170Z-3~1.f./ 6300D JOB DESCRIPTION 'zo<::?'+WI fJ S~L. d,l'1"'7e Permits are non~transrerable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 IJ'?GeNtH~R~]"f~m.U-@M@)s.mv,;~ . R1~>:t,~r>('r.~'4.,7.~!r\.~~o.:..~"''''~'~~~~ Electrical Contractor E 113t:i1/: E1e:drir...-',' ; (;(; Address l io M.oY\ VDG city8Q~ Phone ~Lj4-?l51o I Supervisor License Number .:5 7 '::5 ') . <;' Expiration Date / tJ - 1- t:J s/ Constr. Contr. Number CL6 qoWO Expiration Date 3/ n I oS Signature of Supervising Electrician Jru~;1~ ... Owners Name PSJ17m r?_ .;IN c.__ Address '3 q 71.{ SP{2J/IICr J3c.\J~ City tLAbt:::'NC: Ph~ne OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease. or rent Owners Signature: Inspection Request: 726-3769 A. ~N?~~~i&~li1i~I~B'i1fr!lc or 1>~'trtif.F1i'ffifi~-tr%#{rHi~g-; J'nItKi~ r~ ___..........I:'m.;~.::I'~ ~ .. .~-;,-<>......~Jl.~~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ;':': '* $50.00 B. WE!rWi'e~~tJ~~~fil,)~i'i~t~~t.'~ftf~ . .t1~lk~ .' ~:~~"~~,,~~Y~J~~~~~t~.,,.~r,t..;~ 200 Amps or less (e~\l\(~S ~?X\i\i\'$ 63.00 b3 20 I Amps t~~4R~AtliP~~~"e O(89v:' ..e\ \c(75.00 il~~~' OOJ:mp";?'i a (\l\aS "'; Q!iZ-<$925.00 , ~.. ~ .)1'-"; \"\05 IX . ." \ .II';?J ~1\Iilps-t\> IHQ9rA1,p~(0\l9"U, .he (\l\t'S163.00 \Ol)ve~IOOO ~:;'Rs.(Vo1& co?ias V' .:"'\ap"O~~?rOO ~OR*\,#c7-0~ O'O\~\~t<lo\e" \'.'0 :',,,'i\iC\$\'5ti.oo \(\ 0 ::(o\l ~ ~ \e(. \ \l\i\\\~'?). &$\"~~1~ic~~~~~~,;t".Ili'I.~'!"fr~ ~"";>>t~ ~m,_,.. oJ''' lS., _ .. - 4"....~~ \lltlue( _ -,,>"~ '.. Inrtallation, Alteration or Relocation . $ 43.00 $ 3.00 E. ~g~~~~\![v"1~'felI~.i,~~~~~~m ,..' _ 'In. "'P-. -I~~" ~~~~:!.c.I:"~ t.-. ,.... I"'~~H.~, _ Pump or inigation SignlOutline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 +Surcharges 4. 'S&.Bi\,@~~~&"~~~ 6 '3 !6'tL li'~.a'~_~~ _iLlI .630 t 73?L 7% State Surcharge 10% Administrative Fee TOTAL I Shared Drive(T:)/Building FonnsIEleclrical Permit Application 1-Q3.doc . . Lll t' U1< ~rRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00414 ISSUED: APPLIED: EXPIRES: VALUE: SITE ADDRESS: 5630 Main St ASSESSOR'S PARCEL NO.: 1702334103000 04113/2004 10/20/2004 $ 69,600.00 Springfield TYPE OF WORK: Restaurant PROJECT DESCRIPTION: Subway TYPE OF USE: Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 Contractor Type Applicant General Designer Electrical Plumbing I. CONTRACTOR INFORMATION I Contractor DENNY MCCURDY LEMAR & SON CONSTRUCTION INC SUBWAY EUGENE ELECTRIC SERVICE INC HOFFMAN NORTHWEST INC License 32241 90200 71162 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: A-3 Height of Structure Secondary Occupancy Group: Type of.Heatires yOU to Primary Construction Type VN ON'oreglWatl!rIT~~~ gon Utility Secondary Construction Type;~lIEN1' dopteHange\TYpl~e e set tori # of Bedrooms: tolloW r.u\e~~nter. '~~rgy pilCh'? :~ 952.00 \jotiIiC!~~~_nn1_001 0 ttl.ro.~~~ ~t the rules \ \~~~: You lTI<DEVELOPMEN'II'INF(l)RMATI(}N I I\"ngttle,,"'''- Utllnylw....-~ ca \ tie Oregon 44) ~ber tor t 0 ~ I' nCt-;>ot?3 . nu". .:~. v<r aY'UlS :. - --'" # Street Trees Rqd: Paved Drive Rqd: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: % of Lot Coverage: Alteration Phone Number: 541-912-1895 Expiration Date Phone 541-747-8409 04/2812006 541-747-0568 800-888-4848 03/1712007 541-344-3561 01116/2005 949-380-4161 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: ~ .sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WUKI\. . AUTHORIZED UNDER THIS PERMIT IS r.lb'r'nspoutslDrams: COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Paee I 00 . . CITY OF SPRIr\iu1<l~LU Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00414 ISSUED: APPLIED: EXPIRES: VALUE: 04/13/2004 10/20/2004 $ 69,600.00 I Valuation Descrintion , Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 69,600.00 Value Date Calculated Description Total Value of Project $69,600.00 $69,600.00 04/1312004 F pp< tiIilIJ Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $291.62 $6.30 $4.41 $63.00 4/13/04 4/20/04 4/20/04 4/20/04 Receipt Number 3200400000000000040 1200400000000000507 1200400000000000507 1200400000000000507 Total Amount Paid $365.33 I Plan Reviews I Fire Department Review 04/14/2004 Initial Review 04/1412004 04/14/2004 APP RJB Plan nine Review 04/14/2004 Public Works Review 04/1412004 Structural Review 04/14/2004 04/15/2004 'WE JMP 4/1512004 Called Denny McCurdy for verification of contractors and value and asked for an exiting plan and discussed the issues and options. 4/16/2004 Denny changed 2 contractors and showed a bid. Exiting plan will be provided next week. SUB Review 04/14/2004 04/16/2004 APP JF 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. ~nirr,rllnsnections I 9 SUB Ceiling Grid: Interior Lighting 7 Framing Inspection: Prior to cover and after aU rough in inspections have been approved. 5 DrywaU: Prior to taping. 4 Ceiling Grid: After drywall approval but prior to cover. 6 Final Fire Department. After all requirements of the Fire Department have been met. I Final Building: After aU required inspections have been requested and approved and the building is complete. 8 Rough Plumbing: Prior to cover and including required testing. Paee 2 of3 . . \...11 f U1< ~1"Kll'1lJ1<IELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00414 ISSUED: APPLIED: EXPIRES: VALUE: 04/13/2004 10/2012004 $ 69,600.00 2 Final Plumbing: When all plumbing work 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 utility 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. 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 Paee30f3 225 Fifth Street Springfield, Oregon 97477 541~726~3'759 Phone . ~ Jib' of Springfield Official Receipt Wvelopment Services Department Public Works Department RECEIPT #: 1200400000000000507 Date: 04/20/2004 9:04:36AM Job/Journal Numher COM2004-00414 COM2004-00414 COM2004-00414 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Payments: Type of Payment Paid By CreditCard RUSS ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000360 020496 In Person Payment Total: Amount Due 4.41 6.30 63.00 $73.71 Amonnt Paid $73.71 $73.71 4/20/2004 Page I of I