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Home My WebLink AboutPermit Electrical 2004-11-15 '. project ell tubmlllod h2ll1lle to:lowlng , doell not requlr& apoclllc ilond Ul1. 225 FlFfH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FA-'\(: (541*fl~~9 G/) , ELECTR:t;1..Jff5f}:r APPLICATION lonlnn L/ Ci~;JOb~~.,~__ .. " -D~ ~:te llJ-1~Jd ~1 D:iI9/I/~f;;)(JO ~61 VC1 . I. I LOCATIONOJo;INfiTALLA110N ;..:1.., . ." 3.' COMPLETE FEE SCIHhj<1Lt'~\:J14'-. ." (':-1.' '- E1~4b d\1'ljn'.~~ "~. .'. .'. '.. .'" '. ....... .',' LEGAL DESCRIPTION A. .l'Ie--: R.~si~ential- Single or Mu\ti-Fainil~; per dwelling 'unit. . . no)... 33 L.J I 030 () V S~~vi~e ~~;I:ded . .. '. . . - '.. -. . lPJHlESCRIPTIO~ 1000 sq. ft. or less $ 106.00 ~ ----I, r> \ ~ I . /' I. h Each additional 500 sq. ft. or ~ . -1-(.1 \1) 7' M XI L\V.rW d- portion thereof $ 19 .00 ~. - . Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modulj!f~~1f16~~''\'ice or $5000 Suspended for 180 days. FeedeVOII I . Oregon law ;v'1.J...... )'OUtD' 2 ""CONTRACTOR INsTAiLATiON ONLY B."sNQii!i.~;~~~:;~~t~1J~~~fl?~~~ R~loc;;tiol;:. . . - '. "...,." .~: -'. .,_..,...., '" . " .... .. .'-. ". ~ in OAR 952-001-0010 'through O.:;tgset orth' .... Electrical Contractor BIlddp(s [if'c+rt c. InC 200~~(~Ji;!~retl'~ay obtain Copies et Ille I~~ 20 I ~ps ,,,,i\ ~,I(ffi~er. (Note: thllIClep~T' .1l" Address ICl S Macl,.')Qi\ 401/d}/m~86&lrA~Oregon Uti1itlJ NOtifi~'1too 601 Amps to Yoo?fE}[~J'800-332-2344). $163.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 .. Ci~ lS'IAene Phone 4~S-CA~:z v Supervisor License Number 3:;)90 - S Expiration Date I 0, I - e4:'t5( A) Nf}Tlrr: ',- '",'" . "."..,~ ,..". "-~', -'. ,. '~"\~l c.THTempo';ary Services or Feeders'. ,'i;' '1: ". .~..' ,'..' , '.\ ',~\";l IS PE" '. . . AIIT.',,~ ~~l!-'T SHALL FXp'-IQC l~. . Instnll.tionj~lte"atlon])r RelocuhqnlE WORK Gn^1^~J:^';',.. u"utH, HIS PERM' AtOO .A:mpSlarde,@R IS ABA IT IEl ^'6jio.00 . '2OY A~'I>rtQ\4Q(l:,1Wm5 NDONED FOIL' $ 69.00 401 Amps to 600 Amps' $100.00 O~er6.0~Amps or..I.oOO Volts~e~ "8" above. D. '~I.Branch Circuits .', ,~:~!: ';. ." :. t:~:.'. ,~ ,.:. '.' ..,~~::':, Constr. Contr. Number 4- 'dq l 0 Expiration Date I ';;) -10 - OJ New Alteration or Extension Per Panel _ One Circuit ( $ 43.00 L/... -? 6D ~ Each Additional Circuit or with " '3 U\,) . Service or Feeder Permit $ 3.00 Owners Na CY\CY\O~ I le .. -t .~._...,n.T',-.r~_""'--'-'''''''' '.~. Address ~ 0r" tC(}f\ ~ E. "~scellaneou~ (S~~vic~/f~eder not iIlc\uded).~Each Install~tiOli .. Ci~ t?()o r ~ Phone \. \ Pump or irrigation $ 50.00 -,.- Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7% State Surcharge 10% Administrative Fee ) / U?J '-f Co . . 3 .9.:2 4.(,00 $ ~.~ X2- Owners Signature: 4. SUBTOTAL OF ABOVE~ Inspection Request: 726-3769 TOTAL Shnred Drive(T:)/Building FonnslElectrical Pennit Applicnlion I.OJ.doc . . CITY OF SPRIr~ljt<lJ!,LU Building/Combination Permit PERMIT NO: COM2004-0I002 ISSUED: 11112/2004 APPLIED: 08/13/2004 EXPIRES: 05/12/2005 VALUE: $ 7,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5640 Main St ASSESSOR'S PARCEL NO.: ,1702334103000 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: Demising wall between tenant spaces. Advance America-Check Cashing Commercial Owner: PSMMR LLC ATTENTION: Oregon law requires you to Address: 3474 SPRING BLVD EUGENE OR 97405 follow rules adopted by the Oregon Utility Nntifi,.,~tif\n r.o"+,u TI,.,......_ ~..:'I: 1:: .:.!t-C....~ I CONTRACTo~;jJ1~RMUmJ.\l1~ throl:'9h OAR 952-001. . . riWIam Copies of the rules bf Contractor n~~,"gJcI\9~~. ~i~tWI~bfll18 Phone SKYWARD CONSTRUCTION betl~I Is ;'~~~W*ljcatIorI360-546-1625 BUILDERS ELECTRIC INC "4~ -- '"'n~"7 541-485-0922 Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B BUILDING INFORMATION I # of Stories: NOTICE: Lot Size: Height ofStructur<THIS PERMIT SH,sqlFElSiliilDdf: THE WORK Type of Heat: AUTHORIZED UN~glftl:Jii(!;lfI@:or';i1IT IS NOT Water Type: COMMENCED OP,Sf!jFi\lYilfffilSl\ttD FOR Range Type: ANY 180 DAY PEll?-IfI.GaragelCarport Energy Path: l'Iq'1l1 Other: Sprinkled Building: nla Occupant Load: VN I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # 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: DownspoutslDrains: , Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of4 ,- Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + 10% Administrative Fee + 7% State Surcharge ' Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . Amount Paid $59.67 $5.80 $9.18 $4.06 $6.43 $43.00 $15.00 $91.80 $185.97 $3,032.12 $687.32 $4.50 $3.15 $45.00 $4.60 $3.22 $43.00 $3.00 $4,246.82 $1.00 7,500.00 Total Value of Project F PPti', tIiIiL.I Date Paid 8113/04 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1/04 9/1104 9/1104 10114/04 10/14/04 10/14/04 11112104 11112104 11112104 11112104 I Plan Reviews I Paee 2 of 4 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01002 ISSUED: 11/12/2004 APPLIED: 08/13/2004 EXPIRES: 05/12/2005 VALUE: $ 7,500.00 $7,500.00 $7,500.00 08/13/2004 Receipt Number 1200400000000001214 2200400000000001119 1200400000000001296 2200400000000001119 1200400000000001296 2200400000000001119 2200400000000001119 1200400000000001296 1200400000000001296 1200400000000001296 1200400000000001296 1200400000000001473 1200400000000001473 1200400000000001473 2200400000000001403 2200400000000001403 2200400000000001403 2200400000000001403 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01002 225 Fifth Street, Springfield, OR ISSUED: 11/12/2004 541-726-3753 Phone APPLIED: 08/13/2004 541-726-3676 Fax EXPIRES: 05/12/2005 541-726-3769Inspection Line VALUE: $ 7,500.00 Fire Department Review 08/13/2004 08/18/2004 OK GRG Plan Review: Addition of a demising waU to separate tenant spaces. Job #COM2004-01002.0ccupaney Classification: B. Construction Type: V-No Provide address numhers In contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (1998 Oregon Structural Specialty Code 502 and 1997 Springfield Uniform Fire Code 901.4.4). Provide fire extinguishers with a minimum rating ofl-A:IO-B:C every 75 feet of travel distance. The top of the extinguisher(s) shaU be between 3 and 5 feet above finished Door (SpringDeld Uniform Fire Code 1002.1). Provide iUuminated exit sign age meeting requirements of OSSC 1003.2.8 Provide means of egress illumination meeting requirements of OSSC 1003.2.9. Above the main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware Is employed (OSSC 1003.3.1.8, exception I). Initial Review 08/13/2004 08/13/2004 OK RJB Public Works Review 08/13/2004 08/19/2004 APP SB SDC Charges for Change-in-use added. Structural Review 08/13/2004 08/13/2004 WI JMP Structural Review 08/19/2004 08/19/2004 APP JMP 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. Paee 3 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01002 ISSUED: 11/12/2004 APPLIED: 08/13/2004 EXPIRES: 05/12/2005 VALUE: $ 7,500.00 Status: . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certity that all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe 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 certity 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 pi aDS will remain on the site ~~I~S d~ ~ns=~ ll/l ~I oLl t-::J, r-- O";ner or Cont;';cto,l. ~i'gnature ~ Date v 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , :~; :~: Job/Journal Number COM2004-01002 C,OM2004-0 1002 COM2004-0 1002 COM2004-0 1 002 Payments: Type of Payment CreditCard \~.. ~; '1., ~. , , ~ 11/12/2004 . ~ RECEIPT #: .. of Springfield Official Receipt ~elopment Services Department Public Works Department 2200400000000001403 Date: 11/12/2004 Deserlption Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By Received By BUILDER'S ELECTRICIKELLY njm Page 1 of 1 Item Total: (,;heck Number Authorization Batch Number Number How Received 044386 In Person Payment Total: 1I:51:08AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82