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Home My WebLink AboutPermit Electrical 2004-9-1 ,'i .~.,.,;~.~.'-~. "''''-,~ '.r ',~ .', 'r' - .t_..:...._ ,~Il I. I LOCA110NOJ-:INSl'ALLA110N, .:'i,..', ;;"1 3. .~.. '.-:.<', ,- ~.. .... '-. ." . A;-,:':''-',. I. ~.. '~." . ':1' C;:)\.o 4 C"l .vi 0 \' n 'S t- LEGAL DESCRIPTION /tOL T"5'-f I JOB DESCRIPTION <::>3000 Constr. Contr. Number 4:;)q { 0 Expiration Date I 0 - I - o~ Signnf Supervising Electrician ( J/~~4. b:. /_ L Owners Name 13. ?Jr~/I1d,~: ~-k~,.. ~ Address 'Sct 7L.l 'S ?f2-,r-fCr ~V!:\ . City ~ Gr6ve Phone .' .... 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 l:-" ,.,'" ."'.., ,""'. '.-f"-" A. . New:Residelltial- Single or Multi- \- .~'~ ':. . ."t-.:,-.,...,_ .. . '- ." ':' Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof S 50.00 S 69.00 $100.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges _ - -E'': ..., ....~ 4. 'SUBl'OTAL.OF ABOvE:, ' .- ~ . . 7% Slale Surcharge 10% Administrative Fee 5g l{olO 5~ b70b TOTAL Shnred Drive(T:)IBuilding Fonns/Electricnl Pennil Applic::tlion I.OJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-0I002 ISSUED: 09/01/2004 APPLIED: 08/13/2004 EXPIRES: 03/01/2005 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 Commercial PROJECT DESCRIPTION: Demising wall between tenant spaces Owner: PSMMR LLC Address: 3474 SPRING BLVD EUGENE OR 97405 I CONTRAOIOR INFORMA nON I '~e"" '0\\\\"\~ Contractor ,,,'>/I \e~:e~O" e\ \O\\~. License SKYWARD~1;I,mCTI..ON<; s~J:f) 158289 BUMeRt. ~1~W\~q~?- 9 ,,\\0'" 'O'l 4296 ..~~ ~\es e~~\e\' \~'~YII,'BUiLl}iNG,INiiORMA TION I \0\\0'>/1 ~o" 0 C' $;)0\ \\\ co>. '. \'(\" ' o\\"V- # of Units: o'i>~\c0' 9r:,?:'J 0'0\0' ~O\~~\~.f.st}~~Cf-: Primary Occupancy ~01!P:?- -(O\) ~e~,,\e\' e~O" 11~i,gIi~Of Structure Secondary Occupancy'(11C!llP, . \'1\0 ~e 0\ .'O\F/r;pe of Heat: Primary Construction ~~\\\\c;\e\ \~I..e~ \'" \ Water Type: Secondary Construction Ty~(<\'O c.e~ Range Type: # of Bedrooms: Energy Path: Sprinkled Bnilding: Contractor Type General Electrical Expiration Date 01114/2006 12/10/2007 Phone 360-546-1625 541-485-0922 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REQUIRED PARKING . ~~a~~ Overlay Dlst: X \~~ !etit1: # Street Trees Rqd: 't.'f-'?\'?>.'t. ~'?>.~\\ \':1 andicapped: Paved ~~~e;~qd:, ':It\fI..\.\. ,t\\S '? ~'t.~ rQ ompact: % of'ldQ.t COY~Hlge1 \J~D't.'?>. ~fI..~~Cl ,t\\~~(\'?>.\lt.~n a'?>. \':I~~ I PUBLIC IMPRQV.EMEi-i~ft.'(\,.:' ~\'( \V' fI..\~ Sidewalk Type: DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: 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 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 $4,140.35 $1.00 Total Value of Project Fpp<, p"W Date Paid 8/13/04 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1104 9/1/04 I Plan Reviews I Paee 2 of4 . CITY OF ~rKll"u1<lJ'.,L1J Building/Combination Permit PERMIT NO: COM2004-0I002 ISSUED: 09/01/2004 APPLIED: 08/13/2004 EXPIRES: 03/01/2005 VALUE: $ 7,500.00 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 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01002 225 Fifth Street, Springfield, OR ISSUED: 09/0112004 541-726-3753 Phone APPLIED: 08113/2004 541-726-3676 Fax EXPIRES: 03/0112005 541-726-3769 Inspection Line VALUE: $ 7,500.00 Fire Department Review .08/13/2004 08118/2004 OK GRG Plan Review: Addition of a demising wall to separate tenant spaces. Job #COM2004-01002. Occupancy Classification: B. Construction Type: V-No Provide address numbers 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 minimnm rating of2-A:10-B:C every 75 feet oftravel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002.1). Provide illuminated 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 1). Initial Review 08/13/2004 08113/2004 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 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~/luirp.d Tnso~ctions I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-0I002 ISSUED: 09/0112004 APPLIED: 08/13/2004 EXPIRES: 03/0112005 VALUE: $ 7,500.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: ,Prior to taping. 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 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 eertify 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 Paee 4 of 4 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . G~ ~ Ia:-.- -' Jl/iJ..ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200400000000001119 Date: 09/0112004 1:22:39PM Job/Journal Number COM2004-0 1 002 COM2004-0 1 002 COM2004-0 1002 COM2004-0 1002 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard KEL Y OBRIEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 038467 In Person Payment Total: Amount Due 43.00 15.00 4.06 5.80 $67.86 Amount Paid $67.86 $67.86 9/1/2004 Page I of 1