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Home My WebLink AboutPermit Building 2004-3-3 (2) . - ,. Status Issued 225 Fifth Strect, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3521 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703343200200 Eugene PROJECT DESCRIPTION: Lot lighting poles. Owner: MOE SIG & KAY TR Address: PO BOX 847 SPRINGFIELD OR 97477 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00181 ISSUED: 03/03/2004 APPLIED: 02/17/2004 EXPIRES: 09/03/2004 VALUE: $ 500.00 TYPE OF WORK: Office TYPE OF USE: Alteration Commercial '. "\., .1 CONTRACTOR INFORMATION I Contractor Type General Engineer Contractor OWNER K*A ENGINEERING BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U-2 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: VN License Expiration Date Phone 541-684-9399 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS , DEVELOPMENT INFORMATION I ,. c Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: ~ ~, NOTICE: THIS PERMllSHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal1e 1 of3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: ATTEr" fiul'l:iJregO!l,aW re4u1rEi'; Y'-''''.:''' follow rules adopted by the Oregon Utility . Notification Center. Those rules are set fortt. in OAR 952-001-0010 through OAR 952-001 0090. You may obtain copies of the rules b\ calling the center. (Note: the tele.~ho~e number for the Oregon Utility Notification Center is 1-800-332-2344). . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00181 ISSUED: 03/03/2004 APPLIED: 02/17/2004 EXPIRES: 09/03/2004 VALUE: $ 500.00 Status Issued ';t. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500.00 Value Date Calculatcd Description Tvpe of Construction Total Value of Project $500.00 $500.00 02/17/2004 Fppo, p.,W 'x. Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Foundation Permit Amount Paid $29.25 $9.10 $6.37 $43.00 $3.00 $45.00 Date Paid 2/17/04 3/3/04 3/3/04 3/3/04 3/3/04 3/3/04 Receipt Number 2200400000000000145 1200400000000000269 1200400000000000269 1200400000000000269 1200400000000000269 1200400000000000269 Total Amount Paid $135.72 I Plan Reviews I Initial Review 02/1712004 02/17/2004 APP RJB Planninl1 Review 02/17/2004 02/26/2004 APP EMM Copy to DRC2002-08253 Structural Review 02/17/2004 02/19/2004 APP JMP SUB Review 02/17/2004 02/23/2004 APP JF 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. "1 I Foundation: After forms are erected but prior to concrete placement. 2 Rough Electric: Prior to Cover 3 Final Electric: When all electrical work is complete. Pal1e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00181 ISSUED: 03/03/2004 APPLIED: 02/17/2004 EXPIRES: 09/03/2004 VALUE: $ 500.00 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 tbat 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 witb ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at tbe proper time, that eacb address is readable from the street, that th\, permit card is located at the front of the property, and the approved set of plans will remain on the site at all tim~::~ ? .7<)4 Owner or Contractors Signature Date Pal1e30f3 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~tF~~u~RssUbmittedhasthefolloWlng ELECTRICAL PERMIT APPLICATION :3 _ ) -61:. . ':'."~:,,o:~b Yooes not require specific land use City Job Number Co ~ "VeOI:\- -00 \9 I Date u:..:.., ~ 0 ~,,,~\UVQI. ~ . ~..,....,........ ",~~~'~';;""".;:J:nnf,:=:r.r..,~-::;,t~<;':,~~,....,~.., "!i.(~''',#'~r':(.~'. "',~""""'."..""""''''~.=".,_ .,~.o.n.:"c",,,,,,,=_..3:':.*-o~_ '" ..., ,:~~~ 1. ilEOCATIO/ll;OFdNSTALI:fA110NIi'",;'.'R.";>j. 3. *:COMPL:ETE,PEE-8€lIEDffLt!, DnLuw,~,;",.:t';~:..,,\, r.""''''''.'~ lk-~~-'04Ii.i('\o__~.:.o,.n;....,;~.J'.-,..... t.._.....:.:;.;.~~..~~' ___..I"[:,RJi,"'~'~,, . ~"'''-"'~~hiijf;ij{~1."",~~,.::.."A''io.li.\L~~,'Jj.'1;i1' -'."-' ~""-"'.~..~~~ ,_~,,~l.W.lr.:!~;, 30. / fY /l;JkL %1 t/d """,',,:00 Slgneture . A. ~~?~:~fi~~nii~~?m11~Y5~i~~i~mili~~~~~illlig~tt~~it:::~:: ~~.. ,,~_~ '.'"~''' ",:::,",.,_...,.,",.... _'.4,1,,-- ,.-. ~"."~""-"~' -. .,', C'" "-"..,v..1Il;~,toW;t.~ LEGAL DESCRIPTION /7.0J.'3d's:J ;;1 ;{{)~ JOB DESCRIPTION Lo, L..l<; \\;.Ttt-lC.. \:"Ou;.<;. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 <lays. , :'lec::=~;~~;l~~Q;;J Address /: (). IJO.)( 2. 'ILl City E ~u-.l..- Phone (PII) tft- J'Yvr Expiration Date t./711'1 S (tJ ~O V Supervisor License Number 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. tf.s'e:~k~i;~r1Fe~a~ts'~~.fnitaliitiO~;j\I'ft;atf6ri~"O-;';R~io'C1i.tiori:::;1 'W~,I,",.,,,,,,,.,....!w.,:...:.;...,.... ....r.....'''''... ~.,-,-"~,.I."','.-':>'7m~~~.~~:,,-_....!',~ ~1'~~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslV oIls Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. t:,T"1rr;"piif:ryiS'ef.\;k~s~r;F:e'rder~"{,:,fir/~:~:fr~~~',~~,~,~~:j;;.<<;tt.~,~: ~:j l.i:l't;tI\;;.r;.....~~:t,~~~:...Ju,~:w~~- " \"'lE,$.;~;h~..:.,..;...;:..~ Installation, Alteration or Relocation ~Ln.C 200 Amps or less $ 50.00 Constr. Contr. Number I ~15l1::.N/.1I0N:Uregon law requi1ep~iiIjl.<lb 400 Amps $ 69.00 0- fp)lpw);u~dopted by the OrEl(j!)lI1l.\J,U~\\l600 Amps $100.00 Expiration Date 'If -N'oii'f~aA Center. Those rUles~re I;f rth 1000 v I "B" b . . ~:J:.. 10 ps or 0 ts see a ave. . .. In OAR 952-001-0010 through g _' '~a ; ?tJi(.i'" .,~.,,- 'i-. . .'''' il"",' ,:~ <. ""~ ,,;.\".1 SIgnature of SupervlSlng 9!Rs!ro~"I'ou may obtain copies of tll JfJ\ID; ~ .. .~. ."., '" ..il;,.. ., i<l\'...,.....it; .; ;,'. ).":'1 ~ -t..- c.z:::. callin~.the center. (Note: the tM!lplWBetion or Extension Per Panel number for the Oregon Utility 1'Gll1litinlilMl I Center is 1-800-332-234il1):h Additional Circuit orwith Service or Feeder Permit $ 43.00 $ 3.00 L.f3 . a:J .~..,. Pump or irrigation $ 50.00 SignlOutline Lighting $ 50.00 Limited EnergylResidential $ 25.00 NOlIe,:. The install tion is beinll.,ma(ie on property I own which Limited Energy/Commerclal $ 45.00 . 't dd' "I'I'IIJ'F.l"-LTtSHA IS not m e e lor Auet ease or.ren II EXPIRE IF ThlfnilllUm Electric Permit Inspection Fee is $45.00 + Surcharges lIoR/ZED UNDER THIS Vf9.-Rr '-1,''''- ., ".,''''' < ," .' ,. .;t.' . ." Signature:C~M 'ENCED OR PERMIT 4Slfsrmr.OTAi!:OFtABOVEi,.' ~: '\.,i4i.: tt'! 'd J,'JN I~O DAY PER,ISoDA.BANDoNED FOR~'3I'~-t!." t."",", ,::;;:.;:- '~d~l;l;<:.-,..:\i"~m\ ///. 7% State Surcharge 10% Admmistrative Fee Owners Name A. ~SI Address I!<J. !t0Y <(, '-/7 City y{jd 7:JI7fP Phone OWNER INSTALLATION o . - Inspection Request: 726-3769 E. ~~I~;f[~n~9N~i~i6:I~~B~~!I~f~~~~;~jt~~Kc~;l!im~ill~ ~ ...., -. - ,-~ L/l-- TOTAL .~ ,'1. Z- ''L~o 53,~"Z..... Shared Dlive(T:)IBuilding FonnslElectricnl Permit Application 1-03.doc 225 Fifth Street'" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00181 COM2004-00181 COM2004-00181 COM2004-00181 COM2004-00181 1ItiE'!.~:Cj~<lf': ~"~.'.~ ~ .. ....- ... .;. c.'...... ." ; " - ' . ,', , . '{'.'~.' .~~' ... ~-' ."""'/? . - Receipt #: 1200400000000000269 Description Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Foundation Permit Payments: Type of Payment Paid By Check MOE PROPERTIES Received By dIm t.:beck Number Batch Number Authorization Number 8561 '" City of Springfield Official Receipt' Development Services Department - Public Works Department Date: 03/03/2004 11:52:37AM Amount Paid' Item Total: 43.00 3.00 6.37 9.10 45.00 $106.47 How Received Amount Paid In Person Payment Total: $106.47 $IU6.47 ' . .