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Home My WebLink AboutPermit Electrical 2006-1-9 . . . CITY OF SPRINGFlELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541\)~t~~~"""':: ELECTRICAL PERMIT APPLICATION ,J . / 'i>~' ~~V City Job Number COW\toos- - C I 679 Date I' S- / o..b '00\".,:-",,00 <;>"" . . . - . - , ""'-(n'~S'~ 3.00'w.EiffiE'PEErSGHEti-.ljjEtoW~~ I. ~.ii.~~m:l~~i~T:I:.N:;~ ~~'-~t1tes''''-'''''u'~~.Ufr~ 410 \ iMA-t/l/ sr ~Not~1.?t~~~:~~~tGr;;,-::~~"~~ LEGAL DESCRIPTION A. ,Ne ,Resi!lentiiito,Siilgl. .Jifu!ti-F:a,,!i!t1p'er:lI.,.elli.qgi,!nit:~ 17D? "'22.' ., 02 C;oo ':1 r,,, rough OA . .." '- .:> .) l- / Service,lncludedllay obtain cop' R 952-001 1 000 ~.d,~'2fl~hp center. (Not~'.e.~_ of the rLSl 06;0~ . , lJut;:r P"'."f;: :0\ J Each additionilJ, 500 sij'. ftrogon ut'i"~ ":""'Phone portion thereo'fenter is 1'800-3~:' f~ NotlfICi$il~iOO .........C,v4-4) 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 Modular Dwelling Service or Suspended for 180 days. Feeder 2 t~Q~CiORti?i.,' ~ST;&--:f/i::;,~,~7;~v;;;yjJ B. ~~~~~~~fnrfiilJ~ilioD, ~f=ti~=R'iitrc:ti~~, . .'k,.,.--v....-~~~""""""...,.?~.:r~:.--',...,~ffr~~ ~ ",":k~;;"""""'.ci~~:i'~1!OUH~~. -"., . - . I" -:.'~ Electrical Contractor '~u.:) V 0.. \Mf',v'" Z~ -\--Vi l. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address -,3L\ z.. L.~(J ft.J e. . 401 Amps to 600 Amps $125.00 60] Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 ~~".J'IWl:~, "d~~~~~W~~~ C. rem.. . ,l'I '''" ~l\M" 'r~ IDstaliat~~Ull1W~~~lJ\eANDDNED fOR 200 AmpC ~~O DAY PERIOD. $ 50.00 201 Amp ~OO~mps $ 69.00 \ 40] Amps to 600 Amps $100.00 Expiration Date. 6\ '-> LDDlJ) Over 600 Amps or 1000 Volts see "B" above. ,,~.~Jttr;oo . D=~=:'~~ / .. Each Additional Circuit or with '" Z 7 Owners Name L.--/-+II: ~"'- LLL Service or Feeder Permit , $ 3.00 /'. r ~~T. l1-"""'''''''''''~'"'''''''~-''''~'''"'A<'''''y'u,,"..:tl;''-'''><''-'''''''''-"'''l Address Z2 ~ ~- (Af.;,.....r~ I~ ' ZD~-.E. ~M..~~tl!!q~~'i(~c;~~ei~~li~!i~~~I~~~~ii.~~~~1~~~!1!;~~,~i,~~b JOB DESCRiPTION A~~ 10 c.. \ rc........; .f.<, ..-1~ ~ $50.00 City b.t~ €-~ Phone ~<:j,oDO Supervisor License Number 'L \ 1.\ L S 10/\ /'LOCI C\DlL~ Expiration Date Constr. Contr. Number City I--v...C-€Ntt Phone Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited EnergylCommerciai $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges - ' " ,- , , ',' '" - ."' ~ 4. ~~OT'Ml!l)B~VE~;!;f""'''~~'fi;1'j , .~ ~ ~~;~"''''~-''''''~';{~;'"~~'t--:&~~,~~a~>!':t'f_.,*~ 9/0 State Surcharge 10% Administrative Fee 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 TOTAL 70 5b~ 7,r lfZ ~ Shared Drivc(T:}'Building Forms/Electrical Permit Application I-oJ.doc . . CITY OF SPRINGFIELD 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: COM2005-01679 ISSUED: APPLIED: EXPIRES: VALUE: 12/0112005 06/23/2006 $ 30,900.00 SITE ADDRESS: 4105 MAIN ST ASSESSOR'S PARCEL NO,: 1702323202900 Springfield TYPE OF Restaurant TYPE OF USE: Remodel PROJECT DESCRIPTlON: Remodel for Deli from existing eatery Owner: UTILE DANNY LLC Address: 2295 CO BURG RD STE 205-J EUGENE OR 97401 1 CONTRACTOR INFORMA TlON I ( Contractor Type , General , Designer 't: Electrical . - Mechanical Plumbing Contractor License EXP.i.!:ation Date WASHBURN BROTHERS CONSTRUCTlON 1163707 .. "".' 03/15/2007 MCINTlREDESIGN .' . . .".r'unlll:,I'ih DOUG PALMER CORP ,_ :. ",f' 90725; ~;~!e se~o~i9~!2006 MARS HALLS INC ' ," - -" 1 '25790 u 01'1" 95<1212312009 RS PLUMBING CONTRACTlN.l;i)n C~~\~~,$)1038161~ ~I Ihe 1\,\'of/04'12008 I BuiiDlNG~tNFORMA:r:IONI~~~\ne \e\e~i~~~;~n OO\j\J.. .~- Ine cenw1. , nll\i\\\'l ~o\\ # ofLStO~es:\OI Ine Olego 0_332-2344kot Size: Heig!ttlofel r en1el is ~ .80 Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: A2 VB I DEVELOPMENT INFORMA TlON I Commercial Phone .541-343-1182 541-517-4304 541-434-5600 541-747-7445 541-461-4714 , Frontysrd Setback: , Side 1 Sethack: ; Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: i\\t. ~Q~~ ("flIQr- \f - \': t"oi !pUBLIC llhrKu," "~~I~\JI\"( SW',\.~~ ~~\S ~t.~~O' fO~ ,t\\oJ I t.~'~\~$ ~\)O~ Partiallv Improved t>.\)i\\Q~\tc~~ b~\'S' Setback 5' Yes tQ\JI\JIt.~ Sf>.~~!JiWnrainS Curb and Gutter ~~'i \~O 0 Street Storm Sewer Available: Special Instruction: Notes: 1 of 3 . Status: Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " Description , Type of Construction Estimate Use Bid Amount Estimate Pavln!! Fee Description Plan Review CommllndlPublic + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount . CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2005-01679 ISSUED: APPLIED: EXPIRES: VALUE: I Valuation Descriotion I 12/12/2005 12/09/2005 12/2312005 12/30/2005 12/12/2005 Square Footage or Bid Amount 22,400.00 8,500.00 Total Value of Project Date Paid 1211105 1/5106 1/5106 1/5106 1/5/06 I Plan Reviews I ~ Fire Department Review 12102/2005 12130/2005 OK GRG .. Initial Review 12102/2005 12102/2005 APP SKG Plannin!! Review 12/02/2005 . 12/13/2005 . APP EMM $ Per Sq Ft or multiplier $1.00 $1.00 F....., P'IULI Amount Paid $44.46 $7.00 $5.60 $43.00 $27.00 $127.06 APP CAS WE JMP 10 JMP 10 DH WE DH 2 of 3 12/0112005 06/23/2006 $ 30,900.00 Value Date Calculated 12/23/2005 12/23/2005 Public Works Review 12/02/2005 Structural Review 12/02/2005 Structural Review 12/23/2005 SUB Review , 12/23/2005 SUB Review 12/05/2005 $22,400,00 $8,500.00 $30,900,00 Receipt Number 1200500000000001770 1200600000000000016 1200600000000000016 1200600000000000016 1200600000000000016 See attached document for fire department comments Owner states that this use was last a restaurant use per call on 12/12/05. Since there is no change of use and no addition to building or parking lot planning review Is not applicable, Improvement Agreement on file (1976) for 41st Street side, Interior remodel only Credits given for removal of fixtures 12/12/2005 CAS See attached documents for 6 structural comments faxed to Paul McIntire. WI, Received response from Paul McIntire. Forwarded drawings and energy code forms to David Harris. JMP forwarded drawings and energy code forms. JMP cailed David Washburn to resolve Issues with corrected forms and missing information. JMP called Paul McIntire to request missing drawings and energy code forms. . . CITY 0.. ~rKll~tJt<lELD Building/Combination Permit Status: Pending 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005.01679 ISSUED: APPLIED: EXPIRES: VALUE: 12/0112005 06/23/2006 $ 30,900.00 To Request an illSpection can 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. win be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 Plumbing: Prior to cover and Including required testing: Final Plumbing: When all plumbing work Is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving 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 1 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 ofthe 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 ofthe property, and the approved set of plans wID remain on the site at all times during constructiolL . Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfleld, Oregon 97477 541-726-3759 Phone . JoblJournal Number COM2005-0 1679 COM2005-0 1679 , COM2005-0 1679 COM2005-0 1679 Payments: Type of Payment CreditCard ; '" :r :. :l. :c ; . h :( :1 :l :r. " , 4 '. .' " 1/5/2006 'I RECEIPT #: 6 MY of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000016 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By DOUGLAS PALMER Recel veil By djb I of I Date: 01/05/2006 Item Total: LhecK NumDer AutnonzatJon Batch N umber Number How Received 081703 In Person Payment Total: 12:26:39PM Amount Due 5.60, ' 7.00 43.00 27.00 $82.60 Amount Paid $82.60 $82,60 -