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Home My WebLink AboutPermit Electrical 2004-3-19 "- : '225,FIFTHS~ET ~:..,\ r...lfl :'<:."'.'1 ;SPRINGFIELD, ORfGQ)'l97777!.' j I f :., INS~EcTION REQU#S\, 726:27,69=, : ", \ ,C!.~FI,CE: 726-3(59 .. :! ' [ Ii c.::' , _,' ,I t-c;; II).' '\ .: 1, .f,; j! f.. \ ':. / I. L LOCATION OF!NSTALL~TION I i 'c.. ,c..' 710 C::> '.'- mA-IN" -.:s i". I .-: : ."'1_ . ,.: , '., EL~CAi PERl'vnT APPLICATION ; r; I . c \ 1 . .... . c' . :1 ; 'CitY'Joh NumherCQ.t(Zc:lC::>,{-e>oz69 Ll :J;.: II fl' " . " 3.'.COMPLETE FEE SCHEDULE BELOW l- 1." i I '}" t... I "Ao.-N' 'R"'-d . I S' I . CW CSI entia - mg c or ---------~~. ~ ----. Multi.Family per dwelling unit, Sen'ice Included: LEGAL DESCRIPTION 170 3~ b'i 7. C>2./fJO , , JOB DESCRIPTION ('YJ1,- 'oJnldlill!S ~~<DllrlV6s 'T"EN A-t--I'- J N.t:::;.l.J_! ,\ or-' ""el1 "rlrliliejl!1!J 500 , 11 O-loI - ~ s~, ft or port IOU Permits me liou.transferable and expire -:"IV' tH~~~ if work is not 'started within 180 days d tI Each MI!^91'lPJilome or , .. . A..A~n pUBr ~1I1~9 s eJrnb9J IOU ~!lRJI,R~!I~! of Issuance or .If work IS suspen'llO\M8f!o, 941 S84 pell!wqns sa pd!"dJtt'ejl!M, I Img 180 days ServIce or ee er ,S Items Cost Sum $106.00 $ 19,00 i - r I $ 50.00 ,', 2. CONTRACTOR INSTALLATION ONLY B. SelTiees or Feeders '(\ r.l ,_1," Installation, Alteraiions 01' Electrical'~OIltracto:-L'~ <:; vtf'OfUC Relocation: / Address.ia. 0 ~ ~\t2- /''0, 200 amps or les/ City x.f)~i Phone '.~t1:U~~J'r~"" ;~: ~:::~~ :~6~~ ~~:~~ , Supervisor rJ:lb~r /4~qtt~>~f: . ." ~~.~~I;~~~~~;;.~;~~ J <j, 0 I ,( ,/.', ' ... . 'Qrl;~Q.rReconilectl,Onl)' Y utili\y Expiration Date . I 07A:IjjfB,. (';' tect'PY the o(egoo -'for! 1/ . " . B '-. . follow r . flTempO,.an'IScl;;,ic~S'lo~~eeders . L. ' 01,' a 'h.o1' e:1",..4~IVY-. ""^ r:-'959..A I\} Coostr, Contr. Number ' 0''1 ',' ^Hlln1'lil ' ,;Installatio"j)'Altel'ation or Relocation < . -- - ~ '" r:>. "u\J,I,,!;"A',,-:' Of\"e (tl\aS \ ~ , ,. -----.. <11 , I 0 ,t, OAn.. " , ,', bl~l1 (:-ople.$. . " ......ExplratIon Date . - _ ~:::~ ''IllU mall <> .:?RP.t-g~lI!.S.!1qless~hO~e . -a-:"\ tn....lne:center. '201 amns tot400jaillpslOn . C:t\ll ~ ---, ~...o(j()n \,.:n,tl\)' ..-~ Signatnre of Supen'ising Electrician mber10r tn"'"~O'.er"~O I to:600lamps .... nu .. f'~n-.:'";I,''''''''''.o::...)''''~'' '" ~ . ~'-.-'. A.' r...'-"- OVer 600 amps Ot!OEOvolts see . . ".... - /';/J "8" above " . _0 ~~., _ (Add /\ \ - -," ""'.", ." ", ~. d D. Branch Circuits ) Owners Nal~e 'S.-re-II i-:rV . '/ 1fT! Ne'~/lter:;t~ol1 orlE';tension Pc/P'I!ICI Address PC> (Sa;t" zbl Z S- On;~'tircuit' ' " " . , , City f::::l)..l:;;' . "\ ~$~30~b ). ---'- $ 75.00 $125,00 $163,00 $375,00 $ 50.00 , ," . , '. $50.00 $69,00 $ 100,00 $43,00 Phone Each Additional Circuit or with Servi,9C \.I . NOTICE: , o~ Feeder Permit". -'2.. $ 3,00 J...B... OWNER INSTALLATffll:i PERMIT SHALL E .. ~ '." , The installation is being,.,li1,;a,sl9l)m:D U XP~ErJfisllk,M!61R~cn'ice/feeder not inchl(l~lI) property I 0\\'11 which is)).~tli'tlreh\jett NoER THIS PERMI:JElwlNfilSfallation for sale, lease or rent. lJOMMENCEo OR IS ABANDONEcPlilWfor irrigation . -.-.-::. $50,00 ANY 180 DAY PERIOD. Sign/Outline Lighting $50,00 OWIIC~:S Si~natiJrc: . Limited Ener1:,1)'/Res $25.00 . Limited Energy/Conlin $45.00 I\"linimum Electric Permit InsJlection Fcc is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrati\"e Fcc TOTAL 8/ 5"67 '6/0 90/ 77 225 Fifth sfreet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00269 COM2004-00269 COM2004-00269 COM2004-00269 Payments: Type of Payment CreditCard . . I) J -$ ~Ji: . Iliiti h.,'. . '~_. .: ---tj , '.m.~ . >: j ". ;. - j ,-.....-- ,.. . Receipt #: 2200400000000000260 Description + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add Received By lkw (;heck Number Batch Number Authorization Number Paid By C&S ELECTRIC 000005 018991 ,? City of Springfield Official R€ceipt Development Services Department Public Works Department Date: 03/18/2004 10:16:51AM Amount Paid Item Total: 5.67 8.10 63.00 18.00 $94.77 How Received In Person Payment Total: Amount Paid $94.77 $94.77 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2100 MAIN ST ASSESSOR'S PARCEL NO.: 1703364202700 PROJECT DESCRIPTION: Reconfigure 2100, 2104 Main Street Owner: PARAMOUNT CENTER LLC Address: PO BOX 26125 EUGENE OR 97402 . LI1)' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00269 ISSUED: 03/18/2004 APPLIED: 03/11/2004 EXPIRES: 09/18/2004 VALUE: $ 19,400.00 Springfield TYPE OF WORK: Store TYPE OF USE: Alteration Commercial Phone Number: 541-232-1117 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone Architect STANLEY L HONN 541-485-5150 General ILO CONSTRUCTION 82355 05/12/2004 541-521-0114 Electrical C & SELECTRIC 3849 09/0112004 541-741-2236 Plumbing BILL BAILEY PLUMBING INC 84110 06/24/2005 541-998-1141 I BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: M VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENTINFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: f Storm Sewer Available: Special Inst~ct~1'C E' , u' MIT SHALL EXPIRE IF THE WORK Notes: l'0~H~~~ZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180.DAY PERIOD, Sidewalk Type: ATTENTION QO.":'l,Spo.ut.siDrai.\,!,.:res you tv follow rules adopted by the Oregon Utility \Jotification Center. Those rules are set for n OAR 952-001-0010 through OAR 952-00 0090. You may obtain copies of the rules I calling the center. (Note: the telephone number for the Oregon Utility Notification ,....-_._~:..... '" n"'''.':l':''1.'?1t14). Pal!e 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Fire Department Review Initial Review Planninl! Review Public Works Review Structural Review SUB Review 03/17/2004 03/1212004 03/17/2004 03/1712004 03/12/2004 03/17/2004 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 19,400.00 . ell r OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2004-00269 ISSUED: 03/18/2004 APPLIED: 03/11/2004 EXPIRES: 09/18/2004 VALUE: $ 19,400.00 Value Date Calculated Total Value of Project F"po PiiILI Amount Paid Date Paid $19,400.00 $19,400.00 03/11/2004 $120.51 $8.10 $5.67 $18.00 $63.00 3/11104 3/18/04 3/18/04 3/18/04 3/18/04 Receipt Number 1200400000000000295 2200400000000000260 2200400000000000260 2200400000000000260 2200400000000000260 Received 3/17/2004. 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. $215.28 I Plan Reviews I 03/1212004 APP LLH I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. I Rpolli,-,ptl'no,n,prt~ Paee 2 of3 . . LII}' OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2004-00269 ISSUED: 03/18/2004 APPLIED: 03/1112004 EXPIRES: 09/18/2004 VALUE: $ 19,400.00 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 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 ofany 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 Date Pal!e 3 of3