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Home My WebLink AboutPermit Electrical 2004-5-17 . . 1I0!t' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~~.ijh~/8s . . pprov I doss n SUbmilt ELECTRICAL PERMIT APPLICATION ~ /0 a 0/ rsqUirs S Sd has /hs ~ It . . . -,/ 17 Z PSClli I oO"'ln City Job Number COMZO04-003..>bDate I 0, D"e~nm9____Q..(!candUss 9 I. Ii'LiJbl:fio.i\l:iJEiNSi'AL'iJ1(,i'iON'0i::~'''f;:i 3. F),eoMPi.Ei;EfJtf!EIii~-:D~1if:hfiT;~" ..~ ~~. '.~. ~...". ....p., ,..-"':" .'~.."""""':.' .1'__" .,,, d. '" .:....'.,_"'.~""-....'...,~_.d'Q .i",,_,,~ I!i ~.."",...._~..u,,,.,.,.,_" '.',~, ' ~I ~,t)Q-.f~j~" ',.~'~~"~ 1+ "-L~ L./OZ, 1/Yl,4-//V ST '",e___ ~ I A. 1:1-~~Rr~i~Cf!t;~(i=S:inil~~!~M,~ili'fninil)';~'er .~In\f.,/j SerVice Included LEGAL DESCRIPTION 17D2.. 3/l.( I Ob '700 JOB DESCRIPTION A~D 12 o (2..c.u.. ( ,+-,,- 1000 sq: ft. or less Each additional 500 sq. ft. or ponion thereof $106.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. l:'(::om'iacro'R'1NS'TA:t:T';t?fioMOlvHhl 2. r. _~,:.., ~. ':"',,-J'\-..a-".::.'K~"..;,.:;,.,.t,l;>'.......:,_....'c."'i'-<.. ,,-, ,.:-,,:.Aii."~'i:,..f.;,..~::_.h' '''.~'' : Electrical Contractor'7j~ (.1 111 h? r It? f' L"r ..ai, Address vJo r;j;:i)/J-( r/ /5rJ~ City ~t1/H-R. / Phone 51-/ -6t/, c?$5 $ 19.00 .... A $50.00 ~ \J B. .S~~~c~'s:,6if€:d~}s-k:~Iiiii~lta<lfo(j;':AUeiatib'~i~JhReh)g;lii~ri: ":1 .'" . . ... '''." , . ~-. , . \.!j...... t{,J!"~. ,,~,'t',J.'\'_,;"'~~"":;' ,. ....._:.J:: ,.._ . '" - ,--. .."".':' . '~".;, --1 ._jo.-J' .. _ ." , .., ""'_ l. Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps 10 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 . Supervisor License Number .~~,;;7 X'd S Expiration Date I () -() 17) C/ Constr. Contr. Number ~ c:; / 0 J' c:f Expiration Date ;", -;} 7 -I) 5 c. iT1'ffi~i.7a1W;'Se'n;rce~7M~W~ed~~s~~c,'~;,~.~::~o:~i!i';''';':' :J;: ,,~'rF;~ J ~~ :.\.1 """~...p..,"""",,",,, ~~ '. '-. ,"~<""_..~,...~ "', ,""."'" ':-.. ,~"" . .,-,,\ ,.1," ;-io:', ." l if'!;;:!--",);.,,__;;';: ,-0' :...,,,. --.J Signarur :~S7:Z3;/ v- - /' OwnersNameT,.aLO ,.,.,k .J::Nfl.... Address :3 ~g-D ~~JII~~~~nD~::J~~?~iliiK~~,i~ (~.e'g.~f~idh:';b'(!IJ~I@,~d)'~E:ii5_h1ilst~lInti'ill City t::::vl&t7V' ~ificJ1!ill1ll'c.'lntAr Thn!lAryles are sl!tlW!rtW irrigation $ 50.00 . in OAR 952-001-0010 through OAR 9~tline Lighting $ 50.00 OWNER INST ALLAlTJ0N You may obtain copies of the rul00ilell Energy/Residential $ 25.00 . ... callin~the cen~r. (N~e' the telepbnn... d E /C . 1 $ 45 00 The mstallatlOn IS bemgfellade_OI D~Qne!'lV own w . . . 'L",!!"e nergy ommerCla . . .. U1I1Dt; " nne regon Illy Noli!l IS not mtended for sale, ease or rJ:l1 . . 1 800 .,.,., 2^ Mini~Dl};lectric Permit Inspection Fee is $45.00 + Surcharges \..enter IS - -..-,- ~J' 4 ~;S""UB"";1;.^O'';';';'O'-F::<'DO.'-'VE'/''l.;:-/:':'::~. ......:'~ . " _,':1,:_' ,;l.n.L. '. ,,:nLJ,,_ _..~~',~..~. '"'\: :;. .;. .~t.~;" ':"'.;I,;;"n.;.1~,.~'.rt;l":"';I'''~''''''',_'\~L~..f,,.11'''',,r''~ t'o., Insta,"\Trt ~~ration or Relocation 200 ~~ ~r~'sAM\T SHAll EXPIRE IF THfsWlORK 201 ~~~~ejOIt&UNOER THIS PERMls d9..d6u I 401 ~~~ WtvwsOR IS ABANOONEO$UfiO!oo Over 6Q9~<,\~(9rf1.lJY<PC.QliOOe "B" above. r~~"r~"'" ..-,..~,-~....,~:';"...,..,...,_.",~",;:'''I:'''''' .,.., '-. 7'''''~' ."'..'...;.,-.........''1',...;. ..~...,.,~ D-'Braiich'Gkcuitsd1:'~""t",,;:~+,,:,,,"';;:,.;o"".\i';;': ",'.'''1: ~,'''i.,lo'~...'....,..- V,''''_' . '",; 1 '..;.,,~(.n~ ,_..,~ ,~,>;lo~~,":1,<;'i'~1';":,,_ .:t~;;t :'i'~,.'~:t~;"", " ;,':"....;},.,. "~.r.' New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with I I Service or Feeder Permit $ 43.00 L{3 -:.>3 $ 3.00 7% State Surcharge 10% Administrative Fee 7b '5 'Jz. 7bO 'b3~ Owners Signature: . Inspection Request: 726-3769 TOTAL Shared Drivc(T:YBuilding FormslElectrical Permit Application 1.Q3.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . L11 f OF SrK11"lu1<1J!,LD Building/Combination Permit PERMIT NO: COM2004-00336 ISSUED: 04/12/2004 APPLIED: 03/26/2004 EXPIRES: 11/17/2004 VALUE: $ 5,000.00 SITE ADDRESS: 4027 MAIN ST ASSESSOR'S PARCEL NO.: 1702314106900 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Convert to accessible restrooms Owner: TACO TIME INTERNATIONAL Address: 3880 WEST 11 TH AVENUE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor License DANIEL LANSING 112061 NEWWAYELECTRICINC 51088 READY ROOTER DRAIN CLEANING & R SIl92524 Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-687-8222 Expiration Date 03/07/2006 06/27/2005 02/18/2005 Phone 541-933-1779 541-686-2365 541-744-7991 I BUILDING INFORMATION I # of Stories: Lot Size: B Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: NOTICE: Sq Ft Garage/Caryort Energy Path]HIS PERMIT SHALL E~IRfoiiiIHE WURK Sprinkled Bui1'l'ti'l~iORIZED elifDER mf8~I\M~qaJl] NOT 1#8AA'.oo . '.\ li,t'I I;) ~OMU':";;::[; f3f. I DEVELOPMENT I l\r., IUI~Y!'1 ftRIOD. REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: '" 11:1" 1IUTI ':~:Jlftl_ . 'p[J IIDI.{,: IMI"Ra\'I!)MF.I'l:J8 fOI.I?W~les .' q l _ t. ...~, .1,,,,t Notification Center, Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: Pa2e10f3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review CommfIndlPuhlic + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture + 10% Administrative Fee + 7% State Surcharge , . Add, Alter, Extend ClrC Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Structural Review . . CITY OF SrK11'1lJFIELD Building/Combination Permit PERMIT NO: COM2004-00336 ISSUED: 04/12/2004 APPLIED: 03/26/2004 EXPIRES: 11/17/2004 VALUE: $ 5,000.00 I Valuatinn Descriotion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Value Date Calculated Total Value of Project $5,000.00 $5,000.00 03/26/2004 ]?pp<. PIilLI Amount Paid Date Paid Receipt Number $44.46 $12.44 $8.71 $68.40 $56.00 $7.60 $5.32 $43.00 $33.00 3/26/04 4/12/04 4/12/04 4/12/04 4/12/04 5/18/04 5/18/04 5/18/04 5/18/04 1200400000000000396 1200400000000000467 1200400000000000467 1200400000000000467 1200400000000000467 1200400000000000760 1200400000000000760 1200400000000000760 1200400000000000760 $278.93 I Plan Reviews I 03/29/2004 03/29/2004 03/29/2004 04/01/2004 APP LLH 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 wo'rk day. ~rpilln~,~ 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 3 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 6 Rough Electric: Prior to Cover 7 Final Electric: When all electrical work is complete. Pa2e 2 of3 Status Issued 225 Fifth Street, Springfield, OR 54h726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . LlJ f OF SPRINGFu,LU Building/Combination Permit PERMIT NO: COM2004-00336 ISSUED: 04/12/2004 APPLIED: 03/26/2004 EXPIRES: 11/17/2004 VALUE: $ 5,000.00 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 Paee 3 of3 Date 225 Fifth Street Springfield, Oregon 97477 541-.ii6-3759 Phone . Job/Journal Number COM2004-00336 COM2004-00336 COM2004-00336 COM2004-00336 Payments: Type of Payment CreditCard 5/18/2004 RECEIPT #: 8"~AJ~C11I!1..~L.D,_... . ___ ~. ~' -..~ ; ~ ' .ar of Springfield Official Receipt "elopment Services Department Public Works Department 1200400000000000760 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By NEW WAY ELECTRIC Received By djb Page I of 1 Date: 05/18/2004 Item Total: Check Number Authorization Batch Number Number How Received 000386 036927 In Person Payment Total: 2:14:05PM Amount Due 43.00 33.00 5.32 7.60 $88.92 Amount Paid $88.92 $88.92