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Home My WebLink AboutPermit Electrical 2005-3-8 JIl1 A- { f1( "::. '\ . LEGAL DESCRIPTJON I "? 0 '3"3 &4 1- 0 0 ? D 0 Service Included JOB DESCRIPTION 1000 sq. ft. or less . (WAf' L ..LEach additional 500 sq. ft. or 20'0 <:;t:;.(]..V/.(.(;- '"30 c-( .ec....::1Q>ortion thereof Permits are non-transferable a II 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 1. IE(!)GA~'FI~J.~ \!I'.I~ ~~.stJt',d.{.4(li'I(1).N " 1?!7o A. 2 rW€@MPRA.I~~';;~fnYSFAiI~:NeNlloNE~1 . Eli ; ;jI I 1.1.. ,I ~ II, I .." I I. j 1.1 Electrical Contractor lp..' 'e "'P-~ 'C.(o,J>t,,!... 200 Amps or less I $ 63.00 . ;j . 201 Amps tOrlO mps $ 75.00 Address 10. cJ (3')J '2~ L( ...~t\ltlJ \~ps $125.00 N:,~ ~...":l;:'~ a~ps, $163.00 City 1..if'A-\~",v.' I~ Phone~~'P;:-I:JA6fl<0O~.s\Clll~f!s" $375.00 ~\lo'll ~"'Ce"\9I'. ~ ~~~~., $ 50.00 ~\\)ce.\lOt'l.()01.()O'\O M1 iii Supervisor License Number "3 ~"k{p.I'r~2 "".ft,! obt.>>it'l~; ~ ~F.e:;aers____ 0090.'1UU cen\8f'~{l'l \\i~ 0 ~ Expiration Date '7/10 II Ct ...a\li"9~~e0te9ca~ I I\)..Iteration or RWClltl6nS ~\)\ I I . -,\U\'t'1061 1\\91 \8 '\ ~ Amps or les~ t.'/-.\l\?-t. t.?-\SI~\ ~ _.':\ $ 50.00 Constr. Contr. Number -, 3"{Ct$ ~ \\r\"20'I~AmP.S.to-400~\nP<LI~S \l ,,~\I'\) ,\"\J' $ 69.00 v"- '0\\1\\\ ~ :r.~' ." ~\J\~ ---,j 10/0 r ,,~~\)\'\mp's to @O\A:mp~'OI\~ $100.00 Expiration Date / I ( '" '\" . d,oil,r.-V _ ,,'" \';) I I t>.\9v,er,600.Amps'or.lO V.olts see "B" above. Signature of Supervising Electrician D.:} rancli -ircui L -,14 !"lew Alteration or Extension Per Panel ...0\, (iJ - . PJI/ . One Circuit dr '_--f7.A_f vv~ Each Additional Circuit or with . I / I Service or Feeder Permit SO $ 3.00 ')'(:) Owners Name 11</-,4- 1M OoA- d;'.-4c,('J~ Address ( 7-( ~ \2, v()(l _ ~.;,; ~ LI' E. Mi.scella~e,o~s (Ser.vicetfeeaer not in,c1uoea,l -E~cli. nstall.a1io~ City t= vt.&c7V~ Phone .!Stf>, A~ 13 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcbarges /-;"3, $ 43.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, -lease or rent. Owners Signature: 4. ~....~~7"""'. ~~~..';"'. 7% State Surcharge 10% Administrative Fee /5J fO 7' 1))0 17'7 C>( Inspection Request: 726-3769 TOTAL Shared Drive{T:)lBuilding FormslElectrical Pennit Application 1..o3.doc . . CITY OF SPRIN\JHI:!,LU ' Building/Combination Permit PERMIT NO: COM2004-00873 ISSUED: 08/11/2004 APPLIED: 07/13/2004 EXPIRES: 09/08/2005 VALUE: $ 15,485,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1870 MAIN ST ASSESSOR'S PARCEL NO.: 1703364200800 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Remodel existing structure. Owner: MONDRAGON SHARA Address: 1748 RIVER POINTE LOOP EUGENE OR 97408 Phone Number: 541-338-4373 '-, ' Contractor Type General Electrical Mechanical Plumbing 'IOU to I CONTRACTOR INFORMATIOl'j,,'te~es n U\i\i\'I ~. Ote'tl" ' \tle Qle90 set \o~ Contractor t-~~O ~ddpre~e 1\l1Ei18!!dl1DAte W A STEVENS CONSTRUCTI~~\escenl\9ll5l"~10\l9'" 0 ~~'1 CAMPBELL ELECTRIC No\if\ca\lO~.()o'\~BlI@ ~ cO?ies 0\ GUARDIAN FIRE PROTECT(~5 a1oM~ o\e,.\\,\e \ ,,!I061\ TOM CHARPENTIER PLUMB~\I~\l.~<> ~8~n U\ili\'oj , 6/2005 I BUILDING IlwB'~}..ikr;roN:'IJ\'\~eoo-aa't-,J. . \\' I .., "" .' ce\"~' Phone 541-579-4426 541-744-0705 541-726-7287 541-895-4517 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: VN nla . I DEVELOPMENt ","uNflATION , REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Bid Amount Pavinl! Tvpe of Construction Use Bid Amount Use Bid Amount Fee Description . Plan Review Comm/IndlPublic -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge Building Permit Curbcut Repair Curbcut Repair Exhaust Hoods Fixture Minimum/Adjustment Mechanical Paving Planning Final Occy Inspection SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Sewer - 1st 50 Feet Vent Fan Plan RevlewICom,Ind,Pub Hourly + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid . Fire Department Review 07/14/2004 Initial Review 07/1412004 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00873 ISSUED: 08/11/2004 APPLIED: 07/13/2004 EXPIRES: 09/08/2005 VALUE: $ 15,485.00 I Valuation Descriotion , $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 6,335.00 9,150.00 Value Date Calculated $6,335.00 $9,150.00 $15,485.00 08/10/2004 08/1012004 Total Value of Project ]?""o PiilLI Amount Paid $100.23 $10.00 $36.54 $18.06 $84.00 $10.00 $10.00 $9.00 $84.00 $30.00 $107.40 $143.00 $10.00 $694.97 $2,302.70 $330.47 $2,936.14 $665.65 $45.00 $6.00 $90.00 $15.30 $10.71 $90.00 $63.00 $7,902.17 Date Paid Receipt Number 2200400000000000920 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 . 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001034 2200400000000001541 2200500000000000267 2200500000000000267 2200500000000000267 2200500000000000267 7113/04 8/11104 8/11104 8/11/04 8/11104 8/11104 8/11104 8/ll/04 8/11104 8/ll/04 8/ll/04 8/11104 8/11104 8/ll/04 8111104 8/11104 8/11104 8/11104 8/11104 8/11104 12/22/04 3/8105 3/8/05 3/8/05 3/8/05 I Plan Reviews I 07122/2004 07/1412004 OK GRG See attached document for Fire Department Plan Review comments. OK RJB Pal!e 2 of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review 07/14/2004 Public Works Review 07/14/2004 Structural Review 12/06/2004 Structural Review 07/1412004 Structural Review 08/1012004 SUB Review 07/15/2004 07115/2004 07122/2004 12/1 0/2004 07/2112004 08/1 0/2004 08/02/2004 . CITY OF SPRINGFu'LlJ' Building/Combination Permit PERMIT NO: COM2004-00873 ISSUED: 08/11/2004 APPLIED: 07/13/2004 EXPIRES: 09/08/2005 VALUE: $ 15,485.00 APP EMM To be built per approved MDS (DRC2004-00021) and signed Development Agreement APP SB Sidewalk repair permits required for 2 closures. SDCs added. (New rates 7/1/04) 10 JMP Revising walls and ADA restroom. WE JMP See attached structural review faxed to Shara MonDragon. APP JMP Shara MonDragon responded to structural comments. APP JF BE passes. HV AC and Lighting will be provided when available. 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. ~pli In~I"IIPOlrtiimIW Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: PrIor to taping. Ceiling Grid: After drywall approval but prior to cover. 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. Curbcut - Close & RepaIr: After forms are erected but prior to placement of concrete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00873 ISSUED: 08/11/2004 APPLIED: 07/13/2004 EXPIRES: 09/08/2005 VALUE: $ 15,485.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By sIgnature, I state and agree, that I have carefully examined tbe 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 limes during construction. . Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Springfteld, Oregon 97477 54.1-726-3759 Phone Job/Journal Number COM2004-00873 COM2004-00873 COM2004-00873 COM2004-00873 Payments: Type of Payment CreditCard 3/8/2005 . RECEIPT #: GWiLr~'~~~. ~-. m__-.1 , ,. . - I __...-,_ _.. .1 ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000267 Date: 03/0812005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By A CAMPBELL ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 097781 In Person Payment Total: Page 1 of 1 3:34:22PM Amount Due 63.00 90.00 10.71 15.30 $179.01 Amount Paid $179.01 $179.01