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Home My WebLink AboutPermit Building 2010-4-5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00414 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: $ 13,300.00 Status Issued 225 Fifth Stl'eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1128 5TH ST ASSESSOR'S PARCEL NO.: 1703263402700 Springfield TYPE OF WORK: Awning PROJECT DESCRIPTION: Awnings TYPE OF USE: New Commercial Owner: EVERYONES MARKET #1 LLC Address: 1225 E GRANT ST LEBANON OR 97355 I CONTRACTOR-INFORMATION I Contractor Type Electrical Sign Contractor IMAGE KING INC IMAGE KING INC License 161313 161313 BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyal'd Setback: Solar Setbacks: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: "'r' - '; , I PUBLIC IMPROVEMENTS. Expiration Date 09/01/2010 09/01/2010 Phone 541-484-1482 541-484-1482 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: '..' Sidewalk Type: ,,,,'''',c,- ,."".?' ~ Downspo[,is~'~~~O~ ~ ~\V-~ \~ ~,,\tt \\0 ,,~: 01\tt". ~ $'t\~\.\. t.f,,\~ V't.~t.~ ~O\\ ,'.' :'ii-i ',' I~\\\S ~~~~'t.~ \)~~~: ~p.~t)O .., 1>-\)\ ~'t.~C~O V't.V-\O\)' T, c,O\J'l '\ I'll) \)1>-'1 1>-~'{ Street Improvements: Stol'm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion ~ ....\ .' Description Tvpe of Construction $ Per Sq.'Ft or muiil"iier Square Footage or Bid Amount Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Building Permit Minimum/Adjustment Electrical Amount Paid Date Paid $27.96 $11.65 $55.00 .' $175.00 $3.00 4/5/10 4/5/10 ". 4/5/10 4/5/10 4/5/10 Total Amount Paid $272.61 I Plan Reviews ~ Structural Review APP DJB 04/05/20 I 0 04/05/2010 r . r, .' ~ ... " ~ :"~f:'ry1'. "1 ~ .::~:,,\. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00414 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: $ 13,300.00 Value Date Calculated Receipt Number 1201000000000000294 1201000000000000294 1201000000000000294 1201000000000000294 1201000000000000294 engineered awning I placement To Request an inspection call the 24 hour ~.~ciirding"at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, in'spections requested after 7:00 a.m. will be made the following work day. l..JlenuirerUnsnections I Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , ,,- f, i'~ '"' . '1.....;: .".J....," J ;'. . Paee 2 of 3 ~::!~:. ,,:,,' ':';"i':' .:. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00414 ISSUED: 04/05/2010 APPLIED: 04105/2010 EXPIRES: 10/05/2010 VALUE: $ 13,300,00 ,', . ~ '- .;1. 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 [ 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. --~)O~~. ~ Owner or Contractors Signatur 1"\'- L{-S-IO Date " Paee 3 of 3 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726.-3689 ~ DEPARTMENT USE ONLY C,.O",""ZOIO -00414 Pennit no.: " CITY OF SPRINGFIELD, OREGON Date: L{ - 'S -f C> This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Il^.:l) FEE SCHEDULE Number of inspections per itcm'() Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sQ_ fl or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home Of modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: instal/ation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $~ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter subtotal ofabov~ (Minimum Permit Fp$58~ $'5:Z (B) Enter 12% surcharge (.12 x [A]) $ by(" (C) Technology Fee (5% of [A]) $ ? 9q TOTAL fees and surcharges (A through C): $:b7~ LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION City. Reference: "- ~ Name: Address: _ c,~ State: D~ ZIP: 'H:355 Fax5<l1 -JS"t SSQ5 '" A. c 54/.lDl'l.?>o1-.5 This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale. exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: Business name: ~ Address: Print name of signing supervisor: Signature of signing supervisor: ~~ w~ ~~~ ~ 44O-2584-J (9/0~/COM) 22~ Fifth Street Springfield, Oregon .97477 541-726-3759 Phone ~J~Q~;~ ~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 12010Q9000000000294 Date: 04/05/2010 t:t7:55PM Job/Journal Number COM2010-00414 COM2010-00414 COM2010-00414 COM2010-00414 COM20 I 0-004 J 4 Payments: Type of Payment Check cRcceintl Description Building Penn it Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Paid By IMAGE KING INC Check Number Received By . , Batch Number DlB .' "", . "",~. ;\' . l~ \ "~<";r . ",-"\' Page I of I Item Total: Authorization Number now Received Amount Due 175.00 55.00 3.00 27.96 11.65 $272.61 Amount Paid 14320 $272.61 $272.61 In Person Payment Total: 4/5/20 I 0