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Home My WebLink AboutPermit Electrical 2007-7-24 ZON GU INITIALS l\.\ i'v\. DATE '1-~I-C 1 SOURCE .:c::OL9~:J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number UJ vV\ 'ZOO 7 - OD 8'" , , Date 200 Amps or less $ 50.00 Constr. Contr. Number /19- ?>Z- C 201 Amps to 4;0 Ae'VOU to $ 69.00 _-,...\,....'~N. Cr~;)~ los lr<1i6W~tmty , $100.00 E' D I f 0'73 1\1 ;'.. \.,,,.;: tedbythe ~ _ . xplration ate -.- j'J~..\': f'. a.c?~v6f,6B~e\t1U\SS)~.r~~@ Jee "B" above. .... .. f"'en'C"ir,.11 . h 1~952 Signature of Supervising Electrician NOJU':i~~~:~~ ~QI?:OO~:ttrJtbl(gt'C e ruleS by . ~O~~.ti-i;u ~ay m~i~~~~~~~ Per Panel caUing the ce~'~owill\m\V Notification numosr for t~~i~~saf?a~~t,[t or with cent r~ervice or Feeder Permit /0 $ 3.00 LLC . Pump or irrigation. $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited&\\{gyIResidential $ 25.00 !he in.stallation is being m~~rty I %'t-ft\t~~?,~.t \f 1\M;t~Nlffgy/commercial $ 45.00 IS not Intended for sale, leas.rf\'5e~~~.M1' I' ER 1H\~ii\i1\h ~"~tric Permit In~pection Fee is $45.00 + Surcharges -rHO~,7..EO UND . r\\\\r\f'\W::n FO\\ . . " e 7 Owners Signature: />,U I ". En OD \S ~\)t"\\',\UI'! 'S'OBTOTAL OF ABOVE- / Q\\}1t1PENC un. .' .. . C _~,', 'on f0ft.'1 PER\OD. 8% State Surcharge , '1'1 ANl i 10% Administrative Fee 970 5% Technology Fee l{ ~')- lIt{ 11 ; ." "- ."-' '. . 1. LOCA.TION OF INSTALLATION: I ~73 p,~~=- ?lLtvy I LEGAL DESCRIPTION: 17t)'] 2bL3 b2.10/ JOB DESCRIPTION: s ~ & P/Wt;L 1/ Ii) t..lrc..v.."; h Permits are non-transfer/ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, . - -, CONTRACTOR'INSTALLATION.ONLY 2, Electrical Contractor ~::f-.,,~ f1J:;tv:~ Address 1.$ D K, 1f/t4 l... &IJ vV, JlI! c..... -;- ( City t- U7 ~ Phone -1~ 539 Zil.3 Supervisor License Number ., YiC:;- .5 Expiration Date /17 /0-- /J I YIltl;;f c;y f-~ Owners Name l> \L sA-t~ Address ?o i!ox 151 () 7/ City (it (J.. L~ a)/~ . cA Phone , Inspection Request: 726-3769 7- 2'!-O I 3, . COAIPLETE FEESCHEiYULE BEL 0 IV A, .. New ResidenE~~ __ SiI~gl~_orMulti-Fa.mily p~rdw.~lling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or . Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders'.:'" Installation,Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 bJ c. Temporary Services or. Feeders Installation, Alteration or Relocation $ 43.00 '30 E. Miscellaneous (Serviceffeedernot inchided) -Each Installation TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/19/2007 EXPIRES: 01125/2008 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1873 PIONEER PARKWAY EAST Springfield ASSESSOR'S PARCEL NO.: 1703262302301 TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant improvement for Great Clips Owner: PK SALE LLC Address: PO BOX 131071 .CARLSBAD CA 92013 Phone Number: Unlisted I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor License LEE CONSTRUCTION COMPANY 63579 BOB FISHER ELECTRIC INC 96275 EUGENE EXCA V A TION & PLUMBING INC 138003 BUILDING INFORMATION I Expiration Date 01116/2010 01125/2008 04/27/2009 Phone 541-683-3607 541-689- 7973 541-988-0868 # 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: ENTlON' Oregon law requlres you to An . d ted by the Oregon Utility Notes: fOIl~~ ~~l~~:n~~ Those rules are set forth ~o~~~a ~~2-o01-0o'1 ~ thrO~gh ~~e~~~O~ 0090. You may obtaIn cOPI~~e telephone calling the centoer. (NO~tillty Notification number for the regon '.l'.l2 I'l'-lAA) Center is 1-800""", -~.r-' . Sidewalk Type: Downspouts/Drains: NOTICE: IT SHALL EXPIRE 'F THE WORK l~~H~~~D UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .}'. Pal.!:e 1 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/19/2007 EXPIRES: 01/25/2008 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $40,000.00 $40,000.00 06/19/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $202.90 6/19/07 2200700000000000986 -Mechanical Issuance Fee- $10.00 7/17/07 2200700000000001140 + 10% Administrative Fee $44.12 7/17/07 2200700000000001140 + 5% Technology Fee $22.06 7/17/07 2200700000000001140 + 8% State Surcharge $35.29 7/17/07 2200700000000001140 Building Permit $312.15 7/17/07 2200700000000001140 Fixture $84.00 7/17/07 2200700000000001140 Miscellaneous Mechanical $45.00 7/17/07 2200700000000001140 Plan Review Fire & Life Safety $124.86 7/17/07 2200700000000001140 Sanitary Sewer - Improvement $296.85 7/17/07 2200700000000001140 Sanitary Sewer - Reimbursement $390.45 7/17/07 2200700000000001140 SDC Sanitary/Storm Admin $34.36 7/17/07 2200700000000001140 SDC Transpo Admin $14.21 7/17/07 2200700000000001140 SDC Transpo Improvement $231.66 7/17/07 2200700000000001140 SDC Transpo Reimbursement $52.51 7/17/07 2200700000000001140 + 10% Administrative Fee $9,30 7/27/07 2200700000000001199 + 5% Technology Fee $4,65 7/27/07 2200700000000001199 + 8% State Surcharge $7.44 7/27/07 2200700000000001199 Add, Alter, Extend Circ Ea Add $30.00 7/27/07 2200700000000001199 Perm Serv/Fdr 200 amps or less $63.00 7/27/07 2200700000000001199 Total Amount Paid $2,014.81 I Plan Reviews I Fire Department Review 07/03/2007 07/09/2007 OK GRG See attached document for Fire Department Plans Review comments. Initial Review 06/20/2007 06/25/2007 APP LLH Public Works Review 07/03/2007 07/03/2007 APP JHJ Attached SDC Worksheet, (JHJ) Structural Review 06/25/2007 Being reviewed by Dave Puent 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. Pal.!:e 2 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/1912007 EXPIRES: 01/25/2008 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insoections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service, 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 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. Owner or Contractors Signature Date Pal.!:e 3 of3 225 Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00899 COM2007-00899 COM2007-00899 COM2007 -00899 COM2007-00899 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001199 Date: 07/27/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 040544 In Person Payment Total: Page I of 1 12:01:11PM Amount Due 63.00 30.00 4.65 7.44 9.30 $114,39 Amount Paid $114.39 $114.39 7/27/2007