The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-5-13 , EleCtrical Permit Application 225 Fifth Street+Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689_ 1{'lqEP~RTMENT'USE'ONi.!y , Permit "no.:CW-- 6 07-. Date,-S :""').3 - W This permit iS,issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance o~ if w'ork is suspended for 180 days. '!LOCAL: .GOVERNMENTjAPPROV At Zoning approval verified? 0 Yes 0 No :CATEGORY.OF'.CONSTRUCTION , Phone: \ E-mail: 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: ~~w \.; ~\ ;\,~ b"" ~ ~cfK ~ 440-2584-1 (9/08/COM) ..... _ '.. 1F,EE"SCHEDULE', c_ N~mber:of~nsp,~ction~,'p~~,:it~~'h); "~I Qty -;1 ~"-'::~~~t_ Residential, per unit, service included: Total cost 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ . thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelJing ~ervice or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $' 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 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 $ 20i 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, a/t'!,.ation, extension per panel a. Fee for branch circuits \vith purchase of a service or feeder fee: I ,\ Each branch circuit I '$ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: . First branch ~ircuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Each pump or irrigation circle (2) Each sign or outline lighting (2) SignaLcircuit or a limited:...energy panel, alteration, or extension (2) Each additional inspection: (1) $ 63.00 $ f -">\ J $ 63.00 $ . "'" ") $ 63.00 $~, $58.00 $" ''\'", ..<j:..: Miscellaneo....s fees: service orfeeder not included \ <., ,\1. ,No! '" (A) Enter subtotal of abqv.e fee.s (Minimum Permit Fee $58.00) (8) Enter 12%surcharge (,12 x [AD (e) Technology Fee (5% off A]) ~\ c!}I $ '~5"(P $/\ i'fi . /$ 'B.-'N TOTAL fees and surcharges (A through C): c 5<3r?O k- .{' 6 ?66 ~ 'j" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00602 ISSUED: 05/13/2010 APPLIED: 05/13/2010 EXPIRES: li/13/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1130 SHELLEY ST ASSESSOR'S PARCEL NO.: 1703270000902 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low Voltage Owner: TURTLE MOUNTAIN LLC Address: PO BOX 21938 EUGENE OR 97402 - t;,-;:.;.2':~:":." . ~ f' t" ;: . fl'"'' t Owner: Address: ArrENTlON: Oregon law requires you to LOR 2 ~nOW rulea adopted by the Oregon UIlI1ty tmuftcatton Center. Those rulea are eel forth UMPQUA BANK LEASING .. OAR B62-G01-G010through OAR 952-001. 6400 SW CORBETT AVE 0080. You may obtain copies of the ndes by PORTLAND OR 97239 calling the center. (Note: the telephone IIUIIIber for the Oregon, UIllily NotlficaUQft MCKA Y COMMERCIAL PROPERTIES 41&Iter 18 1.e00.332-2344) . 76 CENTENNIAL LOOP STE D . EUGENE OR 97401 STANPAC INC RR#3 SPRING CREEK RD SMITHVILLE, ONTARIO Owner: Address: Owner: Address: Owner: Address: TOBYS FAMILY FOODS LLC 1160 SHELLEY ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: "#of Stories: Lot Size: Height of Structure ,.. '. . , .'. Sq Ft 1st Floor: . ,.,,,'--""',;"";',. NOTI~I~e ;;'~Heat~l EXP1~E lF~HEWOR~~;; ~:~e~~~;: THIS Pi Pr . ER THIS PERMIT IS NOsq Ft Garage/Carport AUTHOR . C!.ARANDONED FOR Sq Ft Other: COM MffitGiQ.f)fUlllliIg, n/a Occupant Load: IU I R8 SA': PliR1Qn I ~EVELOPMENT INFORMATlO~ REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: > Page I of 3 'HZ' .::;{~,'~;~~;" ':'..' 'd,..t. ...",.. '.'," Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction : Notes: I Valuation Descriotion ~ Description Tvpe of Construction $ Per Sq Ft or multip,lier ,';.",;,:, .. ,...:,kif.. . .".;~.:':~ Square Footage o.r Bid Amoun t ~,.~.A....... .' ,;.~,,;. , "; Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technolagy Fee Low Voltage - Commercial Indus Amount Paid $6.96 $2.90 $58.00 Total Amount Paid $67,86 Date Paid 5/13/1 0 5/13/10 '5/13/10 I Plan Reviews , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00602 ISSUED: 05/13/2010 APPLIED: 05/13/2010 EXPIRES: 11/1312010 VALUE: Sidewalk Type: DownspoutslDrains: Value Date Calculated Receipt Number 2201000000000000492 2201000000000000492 2201000000000000492 To Request an inspection 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. will be made the following work day. ii:",!; ',} ',~;' ~e~'i.i.i~e;Unsnections I 1 . 'i Low Voltage: Prior to. cover. '-0,' . ,. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ...:_l..::"t CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00602 ISSUED: 05/13/2010 APPLIED: 05/13/2010 EXPIRES: 11113/2010 VALUE: By signature, I state and agree, that I have carefulliexamined the completed application and do hereby certify that all information hereon is true and correct; and I fnrther certify that any and all work performed shaltbe 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, Bnilding Safety. 1 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 ,..""~'" ,,:J;~~~I~; ;. ,,,...,,,,,, .-;~:iJ,l,::,' J , t~ . ..i . , ,. . ~:-."i ,.. ,. ..'_t, ;.,; Page 3 on Date 225 Fifth Street Springfiel~, Oregon 97477 541~726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000492 Date: 05/13/2010 IO:41:26AM raid By RY AN DONAHUE Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 58.00 6.96 2.90 $67.86 Job/Journal Number COM20 I 0-00602 COM20 I 0-00602 COM20 I 0-00602 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid KLK KLK 035868 In Person Payment Total: $67.86 $67.86 i:-<: ~~~~1~t ,~~~~,;4'l".. ._",'-. , II J ~ 1"'; .~{~tt, , ;.;}t;-i.:; ':~L~i ,_.--'-~ -..". "'-~' . .r,. :. cReceintl Page 1 of 1 5/13/20 I 0