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Home My WebLink AboutPermit Electrical 2009-10-9 , , Electrical Permit .AjJplication 8 D I,I~r~~~R~1{t~,~~:f:Y$.~..q~LY.' I CO v/I\.u>oC;-O /47i Pemllt no.: ." f Date:/O -09- 0 ~ .225 Fifth .Sfree~. Springfield, OR 97477. PH(541 )726~3753. FAX(541 )726-3689 ,This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if ~ork is not started within 180 days of issuance or if work is suspendedJor 180 days. I~Ii~:N~Ji:r~~~~~~ilt()CAl!t;(;'OVERNMENT:;fAePROVAI.f.~~r~~;;;~r~~t): 1~%i}~trJ.i~~{f[~~\ii';?~~~;JfIE.EE~t_SCtiEDUIiEt.';1,~'f:~::~(;;:,:~'::'\'~'~1'7t:< '. 'r l I Zoning approval verified? D Yes . D No . li~~~ir~~J~~!!!~~!~?{~r{~~m~t;18~il.:~.~~~',:I. .~~W I 1;~~;f;~_;iii~~'!*i~'~CATEGORY~;OFi~CONSTRUCTION;~f}i:}\fl~~!~~~~xtf . J;}.~1;i~;~~~t{~llE~INIF,~R~~~;~~'~ND;~~~~~~;~~~~i~f[ : ~:~i~::ti~I,:,~:,:~:; service included: $134.00 $ i I/'.I. I Each additional 500 sq. ft. or portion lob site address: ;::)::7, II f\\\\I'YI}hL.J\YCfX - [hereof $ 25,00 $ I City: s~~t~ I dl State, ()t!- I ZIP: I Limited energy (2) \ $ 32.00 I $ 3z,c D _Subdivision: I ~ ~ Z S'I..( ( r Lot 00.:0 110 ( I Each manufactured homc or modJlar I! t~~i_~S(~,~~~;t~~~~~DES_CRIR.TION_~O~;~:WeRK~~~~'~;,~~~~f&~\i~~~~1%\J . dwelling service or feeder (2) $ 63.00 $ . rll\4 II.., 0 W10JlAttto.I'\el ~bll.~ f IJ ,I Services orfeeders: installation. ~/leralion.relocalion I I' . , 'I ^" \ !J\ ..i- \ ..L . I A ' -t1;. 00 amps or less (2) I I. I $ 81.00 $ 'is /.DID 'VJ! D0. ~4"f- ~_" , \1\lq~l..o,q>1 ,/ Ihli:~,g;"i+.t~",\iC't,~*y'";;~,;?~~ 1"1 r'lER"rvJ:OWNER\i",,~; 'J<~w!~~f(~t"'~1';fc.;l-Jl";~ I 201 to 400 amps (2) $ 95.00 $ I <.!,..\""_."",~,,".-I'<-'< ><~1il",~,"~r: r:: 'Ii-I",'- ;i),,-,~~~. ",_",.., ,'Ill"'. '" <,a.f I Name: d.JvvK ("L~1l2Ge-, e~e~~'lv tl,~,q!i.t!'.&Op~ampS1(2) $158,00 $ I I Address PD ElSA" 26' I ZJ:~ '~c:opted bYjthll 60Ht<j)I\00bl~.~1~~,j2) . $205.00 $ I I Ci(Y:(~.Jh&~ ~t: '~I)ZIP,39"l4'DZI~uqJ;~~\[~,i\[~\p.~.9~ volts (2) $469.00 I $ I I Phon'e' F'" OhR90.;<-UUI-VU'V ....1 ,IIReconnect'onl~'(2),'. 1$63,00 $ , . - . ax: ~-".- ~""nht:::linc(pll""""l"""''''''.W"' , I E-mail: uu~u'. p"'.... . ".--., nter (Nellel 'IemporaFyhse.~ces or fceders: installation, alteration, relocation j . Mlhnn the ce '~ U "" ",m"" , 'GUM 'I I I This installation is being made on residen-tia,IIQrjfarm" property':!gUl ,~Q~,...a,?1Rs or less v;) $ 63.00 $ I owned b~ me or a member of my immediate fam~YJr1[l1is is 1-8003'1"26'1'1; 40b amps (2) , I $ 87.00 I $ I property IS not Intended for sale, exchange, lease, or,rent. OAR I ., 479.540(1) and 479.560(1), 401 to 600 amps (2) . 1$126,00 $ I Signature: lOver 600 amps or 1,000 volts, see services or feedersseclion above j !~i5~~~1~~~:::J I :~~"~~~~;::~~::~fffEi:D1f~ I Phone: ~-Llt:i3f,,1l9:,1 F~:~.tJz~,-;)7/5. I First branch circuit (2) I' $ 55,00'1 $ I E-mail: I Each additional branch circuit ~i f. $ 6,.00 I $ I CCB licensc!1o.: 5/0 <t <{ I BCD license~ no::, :;tj~(~G I f Miscellancous.fe.es: :ervi~e or fee~er.not included J S, igning supervisor's license no,: ~;;].<);?~lll;t:. _,lEach PU'lle.Of1r!!IH\!.on"l';<;I,~(2)' I $ 63,00 $ I' I ' .. . -, ~I,KII 0t A I,,~,t<lt\r IF ,i1".~I,v,;i\ . Pnnt.name of Slgnmg supervISor: C)u,'7t 1.;\ ,V I:Ea~!' '!l6!' $):r o~t!J~"H Hp.Ili+l .' $' 63,00 $ I I . I "- -.. 0 -......IHI'-'=' rL\rv11.l...... f._. _ Signature of signing supervisor: ..-./ ~ I t1U hlLCL 9J -Signal. Clt~_~~lr~..l~itfA-cncrgy panel, $ 63.00 . $ /' I '1~nnn'-"If"1=n) lCa~W~QQtur;exteh IOA.V2)' I / vlvllvl,-,..v<-t,j.1 ..... ~ ?\ea~ f\O-\e. *'€.- 'oU\t\(h ~I~ \ ~DAY PERIi:~~;~~~;i;~;;;~~~~~~A~t'WSElk~i4~;~~\!E\;lli\fc!ii!!i\0jJ -:\\= \? ZDl)1- loL\-'1-t ~ O~ I (~i~:~;U~.I:;~i~f:e~O;;:~~) I $ Q:A .do , . _1'19 ~ \'V 'Q/ 1 (B)EntcrI2%surcharge(12xfA]) $ 0)5,<1><6 r\K " ,r \D c..fJ:. I (C) Technology Fee (5%nf[A]) , $ ;0,4'6 ~\Sb.::r . ^-..'- ~ ~ I TOTAL fees and surcharges (A through C): $JI/Lf,fjJ,3 :v 440-2584-1 (9/08/COM) \!) CITYVt< ~ndNGFIELD . Building/Combination Permit . Status Peridihg'~'.,., 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ' PERMIT NO: COM2009-01478 ISSUED: APPLIED: EXPIRES: VALUE: l(j/07/2009 10/09/2010 $ 40,000.00 , SITE ADDRESS: ,2317 OLYMPIC ST ASSESSOR'S PARCEL'NO.: 1703254101101 SPRINGFIETYPE OF WORK: Tenant Intill TYPE OF USE: Alteration PROJECT DESCRIPTION: Tenant infill- see COM2009-01470 for plnmbing Commercial Owner: OLYMPIC STREET PROPERTIES LLC Address: PO BOX 26125., ,..; ;i' EUGENE OR 97402, ;,~ ".' t,: 'f >:' I CONTRACTOR INFORMA TI0N~ . ATTENTION: u\e\,ju," '-the Oregon lh\{.'~ Contractor lo\\OW rules adoPte~hbYse rules cldcenserth ILO CONSTRNS:.ImNJ~ ~~nter'1 0 t~rough OI8~3-~5~-OO~- NEW WAY EI,..,"'Q:rRIOINE i-~~'o;n roooies at 5108~,I:.:o y OOtlU,I,.BUlbDIN,' ,GlINFORMATI0Ni-lcation ca, " ,. number tor lilt<, v~ugOO_332,23441. (#JofiStili-its, Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 05/15/2010 06/27/2011 Phone 541-521-0114 541-686-2365 Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B Lot Size: Sq Ftl st Floor: Sq Ft 2nd Floor: Sq,Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 'VB n/a I DEVELOPMENT INFORMATION I \ Frontyard Setba~k: " Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: ' N ~1~''3f!:Trees Rqd: XP\RE 1F lHE \NOR\<. l~aved;'?,~i1\~I[<\a~,LL E S PERMI1 IS 1'101 AU~~U~~~~~~fi:::~NDONEDFOR "nMMI'NCED OR __ :: - ^~. .""-- n '.'1 IP~B~~~MP'Re~EMENTS' R,EQUIRED PARKING 'Total: Handicapped: Compact: Street Improvemlmts: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: " Paee 1 of 3 Status "Pending'~'-------' 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541-726-3676 Fax , 541-726-3769 InspectionLine :, Description Tvpe of Constrnction Estimate Estimate ..... '.. o'.. ".- .. ~ jl ,., t . Fee Description Plan Review ConimlInd/Public + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend prc Ea Add Low Voltage - Commercial Indus Perm Serv/Fdr 200 amps or less " Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 CITY, OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01478 ISSUED: . APPLIED: 10/07/2009 EXPIRES: 10/09/2010 VALUE: $40,000.00 Value Date Calculated Total Value of Project L-Fpp< P~illJ Amount Paid Date Paid $40,000,00 $40,000.00 10/07/2009 $254.83 $25.08 $10,45 $96,00 $32,00 $81.00 10/7/09 10/9/09 10/9/09 10/9/09 10/9/09 10/9/09 Receipt Number 1200900000000001118 2200900000000001167 2200900000000001167 2200900000000001167 2200900000000001167 2200900000000001167 To Request an in'spection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wilt be made the following work day. $499.36 I Plan Reviews I I Rpn..;r~rl Tn<n~~t;nn< . ,1r'~ Rough Electric: Prior to Cover Electric Service: ,Approval required prior to utility company energizing service, Final EleCtric: When all electrical work is complete. ,t! .1. Low Voltage: Prior to cover, Paee 2 of 3 Status Pending 225 Fifth Street, Sprjngfield, OR :;',~ 541-726-3753 Phone" ' , " ;- 541-726-3676 Fax . 541-726-3769 In~p~c!io~ Line " , CITY: OF SPRINGFIELD' Building/C~mbination Permit PERMIT NO: COM2009-01478 ISSUED: APPLIED: EXPIRES: VALUE: 10/07/2009 10/09/2010 $ 40,000.00 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 auy and all work performed shan 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 OCCUPAN,CY:will he made of any structnre without permission of the Community Services Division, Building Safety, I further certify that only contracto~s and employees who are in compliance with ORS 701.005 will be nsed 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 c~rd 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 '. J, .. '.., I ~! . f . r" ,~ " i;.. ,. :i o' j \ Pa2e 3 of 3 Date 225 Fifth Street ' Springfield; Oregon 97477 541-726-3759 Phone , ' RECEIPT #: "'t..;..~......,.,."..", m;.'1 '~_ j 'I'.:; j-'- ..'" ': . . '.""-"-,,-- .. )' """....:...' .-" City of Springfield Official Receipt Development Services Department ~j Public Works Department 2200900000000001167 Date: 10/09/2009 ~ '.- Job/Journal Number~ Description COM2009-01478 ;"Perm Serv/Fdr 200 amps or less COM2009-01478 ';:'''<Add, Alter, Extend Circ Ea Add COM2009-0l478 Low Voltage- Commercial Indus COM2009-01478 + 5% Technology Fee COM2009-01478 + 12% State Surcharge.. Payments: Type of Payment CreditCard <1' ,Paid "By 1'1EW, WAY ELECTRIC :h,.;.-;y r '. ';. ~ " .of,' - ,.~ ~ cReceintl Item Total, Check Number Authorization Received By Batch Number Number How Received DJB 619063 In Person Payment Total: Page 1 of 1 2:39:22PM Amount Due 81.00 96,00- 32,00 10.45 25,08 $244,53 Amount Paid $244,53 $244,53 10/9/2009