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Home My WebLink AboutPermit Electrical 2004-6-8 , o!e~~:s submitted hes the followln 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (SllF}92l1L3689 reqUIre specitic land use 9 ELECTRICAL PERMIT APPLICATiON Zoning (' (1 Ci~,>~~~ ~:~:~,>,,~: 20~:~~_~~:~,~.:te 0 :,'~. ~,~. ~ ..,,~;t~o~;~~?Signature.~ '~:'~~~~"l:~~": 1. '!LOCA170NOFJNSTALLA110N&';.;'.~;3'.;,f, 3.:: COllJPLEl'E FEE SCHEDULE BELOW .."..'1;.;.;,.....,:. ,',.;.'."':" ~,..............' u_~...;.....-;!;~41..~~_~ .,;.:~"'r." .".:~_"...:...,,'.:'ii,~:t.~:l.~~ ,...:...~-:...~..':Y'~"h..:i"X,.o.t.~..:........".. :....p.;..:.-r.I....,J,I..;,..., , .J.~ ...._:...-Z..i'"~ \..,..:.-:.,~\.!',.,...:r.;I.t.W1.G~:~ ?, C G; L r' A C ~!TIC<:t~~,;"'t<:';"':.".....rJX's?d,~:(?:t..iFV'?i.F.1''i!;~.'lt~.....~};;;f.,1~~~,.:~~.("~7~..l~i!!!i1~~~- ., Supervisor License Number -..../ 0 c. . ;;~-,. e_. ' ,~nlces<ore~~ ~rs.\.;~\i.,.t.~:;,?"'~~,'~~~'J":,t(." .... -,~' ~~ \5{~,"""''''.:I:''''~4'''''"',""",l~'o.l-''''''~'~''}~'~' )'i,~.........,~",....;.lI....I,t.,o..I",~..\.il2: .', Expiration Date Ie) / I I oS ~~n~\~tlltionorRelocation .~$' 'O'l~~~~~~'il7-i~;SO'l $ 50.00 Constr. Contr. Number I 'i '-\ it, 'i( S-rt\o":.^~ "'os~~ ~~tl1~~\~ps $ 69.00 ~~0" ~~""''10~~ Jl,WOZn:~\t1960R(Afllps $100.00 E . . D J /,\"'/DI1 ....~O" -"'\~ ~s::,'u .^COV ,\'(\0', 'i,\\\V xprratlon ate "oL,) --=' .... &.~o...... .!,<:i :o-:p.\\' ~Q).Ver. ROp'"I'Aq;;;.,s or 1000 Volts see "B" above. ~O~\ ....~ 9>;)" ~'O'l 0 0~ ~ . D\~ \ ibi.6..T- "-'-'''-''''7'''''''<''- ',~1! .' '. ~ f,.";.W.l;f"!;;';. r""'lffi.itl Signature of Supervising Electrician \t\ Or .JO~ rf>~'1' DO~~B.~~/1cli 'Circuits~ir.~-:i'J';~.;~L'.' :.., .. ~'" :-~~~,<!'.,,,,,,,'''0.i~;;i;;. ~1:n ". 0.'" \'(\0v~ O,eY r::/~;';''''''''' ,,,,~"'''__'l:;)..,,___....~..~~....._._l_",,'''_J'"~~.\i;.____,,,,,, "1 d;J~ ~\\~Q, \O~ ~0 \S \'~ew Alteration or Extension Per Panel G.ft'fv- 'U...,................. C,\<s<'00\ rlaf\\01 One Circuit $ 43.00 I ,. Each Additional Circuit or with cA-VVl.p PlA "\\ . Service or Feeder Permit i1~'~t ,-:'-"':.;.'~'f';~.J":ll.o'::. '.:.l;"'9J(""; ':':'1_ -:;' .'. '~: ':-"':;-~-.J~-W;~;5\~i!i1.:;t{(S Address 400b Rz.,A-1I\. ~l."", ..,/"J E. ~~~!!.i~~o~.~~!~~~~f~~,~~,I.~o~ ~~~~~~):I~~~~,'~~"~~~~ City b-v....~ Phone 14l' q~<D Pump or irrigation ~ '\,,~ ~::> ~(;)'\ 50.00 _ " Sign/Outline Lighting '?'<<;..~ 'I. #~ ~_,,'.\ $ 50.00 Limited EnergYlRe~d$~~~'S \l~(;),:\~~ ~- $ 25.00 Li~tll;F~~~~'tr~~~~~ I $ 45.00 '-I \ ~n~~~~~~~~~~~~;;'e~ ~;:,45;~;~~~~UrChargeS _ 4. f,:f~~~~E<~:'~JYJi.t;,!.c~'. : ;",',~'\A~~,,::! L(\ _~~~~~~._.~ ." d___.", 7% s~urCbarge 10% Administrative Fee t...{ooh H2.4N t.t I ~ (31" cl LEGAL DESCRIPTION /7033 l/lJ 'Z.- O/WO JOB DESCRIPTION'- L..o w \f 0 1-h4--c ,.f" Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days" ,t;1J"':- .",r!~:~:,""'''~,',,;,,.';.t.'''i:\P',~: -;. '., ;.. -v. ;~ .-........:.;">;:"-' .h..... t':~ o.COl\iTRACI'ORINST ALLA170NONl;Y,. 2. .;MI.l_~~:':;i,{;:j,..~;';:\.'h~~il..~..:...~~I'l.':~' ,...iJ.~;:::.,.J.:,_,:";';"w~; Electrical Contractor C2:u.'QX"";~ I "r\ b\@C.\('C~<\\C..5 Address 9. l). An'" L\ C\S LI %' City CW\, CJ7'iOo.J Phone LI~LI_ qal~ Owners Name OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 . . ,-,)' ~ -J> f<";.;IX'ti::;, _, ';'~ -":, ,":-,~..,...':i';':i;:::~; 'v"!' ", ~ ,:". '. t:,,' -v~ F:'-:Ii1~"}Ji"";~'J'_;~t'~~'~ A. ,~:~t:',~~_i~:.~l~i~~'~~'~~~~~'iot~~ Jl~~I,~ ~a ~i.~~: _~..~t~..~eJJT~~~~!~~~~~' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereo f Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50.00 ~; ,,;.,-:',r.',; ..;' 1'7., '" ,.,' :--<;''"\'',,~.:;,'(I ;'- ,','; "~,:~f ~~ '_:::-:'~ _~:t.":.t'~'O""'t~~#';\IIl B_ ;':Ser,-ices or. Feeders ~Jnsta1l3iion,:Alte-r:)tion's or~Relocntion::r~f ~.'i\';".:r""~,':;.:::.~"~'",,, ..!'.'M_~~'~':::' ';;L~.:;!~~i,.:.\:'''.. -J ~ '..' " :~..:...:r.;:...;.: ,~oiu-~~~:!......'l'j,;'M1lj 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 S 50.00 $ 3.00 TOTAL .... "]/) Ljr-=> Sz..~ Shared Drive(T:)lBuilding FonnslEIa::trical Pennit Application I-QJ.doc . CITY OF :St'Kll'\jlJFIELD Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 05/1012004 APPLIED: 01/21/2004 EXPIRES: 12/08/2004 VALUE: $ 23,040.00 .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4006 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344201600 Eugene TYPE OF WORK: Office ~ ~.D PARKING '\~)~~ ~~ ~~apped: 9.~ ~~~~pact: <<J ~~ s)<:s -y,,~~~~~ - . ~ " I PUBLIC IMPROVEMENT~~. #' ~ ~~t;;:,~~~~' . ~...' ~~~~~pe: ~.~.~ ~ ~ '\",~' ~~outs/Drains: ~~fij . ~<:s -A'" -t' TYPE OF USE: PROJECT DESCRIPTION: Camp Putt Sales office Owner: CAMP PUTT Address: % ROTH STEPHEN 4006 FRANKLIN BLVD EUGENE OR 97403 I CONTRACTOR INFORMATION I Contractor Type General Designer Electrical Mechanical Plumbing Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Contractor CHARLES L POVEY OREGON LOG HOME CO. DIVERSIFIED ELECTRONICS INC 144685 ALEXANDER J STAPLETON 41371. CHAPIN ENTERPRISES INC .s> "" 81994 BUILDING ,~~di6.N'. ~" O' ~.~ V #OfS~~0~rJ? ~o, ~0 ~ H",igh ~eoanC~0" ~.# ~~e.o tc- '!!;.;::,- ""fl"",&<r ,0" ~ 0 -!!i ~ 0" ~f4~)f"q-,g>.~~~~o $-' O~. ~~'j~t:p~ft~;# .;# f);cif .~f'~,g> ,,~~Jit~iJf.IJ.,jll,,~~~ri}i n/a ~ ~Fi.i&r1o~:";i ...::irJiwA TION I "...../I/fll. ..." """:<".),." .". !,,' .. ~o 0'(". ~ ,0 #' -$' r;;,OJc::,q,~gjy Q!Jt: \J '# ~et Trees Rqd: P~ed Drive Rqd: % of Lot Coverage: License 33293 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B VN Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of 4 Addition Commercial Phone Number: 541-741-9828 Expiration Dlite 04/14/2006 Phone 541-913-0808 541-549-9354 541-484-9078 541-484-7278 541-485-1146 06/23/2004 02/05/2006 05/06/2008 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Planning Final Occy Inspection SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Fixture Water Line - 1st 50 Feet Water Line - Each AddtlIOO' + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 23,040.00 Total Value of Project Fpp<. P1\lU Amount Paid Date Paid $140.79 $28.96 $20.27 $216.60 $28.00 $118.00 $13.71 $11.83 $192.81 $43.71 $274.22 $45.00 $8.40 $5.88 $21.00 $63.00 $8.70 $6,09 $28.00 $45.00 $14.00 $4.50 $3.15 $45.00 1/21/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/5/04 3/24/04 3/24/04 3/24/04 3/24/04 5/1 0/04 5/10/04 5/10/04 5/10/04 5/10/04 6/8/04 6/8/04 6/8/04 $1,386.62 I Plan Reviews I Paee 2 of 4 . CITY OF I)rK11~td'1I!,LU Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 05/10/2004 APPLIED: 01/21/2004 EXPIRES: 12/08/2004 VALUE: $ 23,040.00 Value Date Calculated $23,040.00 $23,040.00 01/2112004 Receipt Number 2200400000000000049 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 2200400000000000211 1200400000000000375 1200400000000000375 1200400000000000375 1200400000000000375 2200400000000000507 2200400000000000507 2200400000000000507 2200400000000000507 2200400000000000507 1200400000000000867 1200400000000000867 1200400000000000867 . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 01/28/2004 Initial Review Plannin!! Review 01122/2004 02/23/2004 Plannin!! Review 01/28/2004 Public Works Review 01/28/2004 Structural Review SUB Review 01/22/2004 01/28/2004 03/02/2004 OK . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00084 ISSUED: 05/10/2004 APPLIED: 01/21/2004 EXPIRES: 12/08/2004 VALUE: $ 23,040.00 GRG Plan Review-Camp Putt Miniature Golf Course (same address as RRP): construct sales office. Job #2004-00084. Occupancy Classification: B. ConstrucUon type: V-No 256 square foot office with 812 sq. ft roof. 01/22/2004 02/24/2004 APP APP Provide or maintain address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4). Provide public works lock on man gate at Concord Street. LLH EMM' Obtained Plumbing permit on 2/2/04. Steve to inspect stub. No connection allowed at this time. Waiting for contractor to obtain plumbing permit for stubbed up sink not to be connected until sewer is available. K1tU Gale Planner Minor Site Plan Review 2002-02-0046 Corrected SDCs to remove connection. to sewer (septic until new Franklin Blvd Trunk Line is complete) Received 1/28/2004. WE 03/01/2004 APP EMM SB TCM 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. 02/02/2004 02/06/2004 OK APP 8 Footing: After trenches are excavated. 9 Foundation: After forms are erected but prior to concrete placement. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 4 Drywall: Prior to taping. . . 6 Final Building: After all Conditions have been completed as required on Development Agreement. 18 SUB Final: After all required energy inspections have been requested and approved. 13 Rough Plumbing: Prior to cover and including required testing. 14 Storm Sewer Line: Prior to filling trench, I Rpnni~n~nections I Pa!!e30f4 . . CITY OF SPRINGN1i.LU Building/Combination Permit Status Issued PERMIT NO: COM2004-00084 ISSUED: 05/10/2004 APPLIED: 01/21/2004 EXPIRES: 12/08/2004 VALUE: $ 23,040.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 3 Final Plumbing: When all plumbing work is complete. 21 Underground Plumbing: Prior to filling the trench and including required testing. 20 Underground Electric: Prior to cover 11 Rough Electric: Prior to Cover 1 Final Electric: When all electrical work is complete. 7 Final Fire Department. After all requirements of the Fire Department have been met. 19 SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. 15 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 16 SUB Ceiling Grid: Interior Lighting 17 SUB Exterior Lighting 12 Rough Electric: Prior to Cover 5 Electric Service: Approval required prior to utility company energizing service. 2 Final Electric: When all electrical work is complete. 22 Water Line: Prior to filling trench and including required testing. 23 Low Voltage: Prior to cover. 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 Paee 4 of 4 225 Fifth Street Spr.ingfield, Oregon 97477 541-726-3759 Phone . ~~~I_!lIg~~.,_._"__.__ .. Wit, j I -.-.-' '.: ..,y of Springfield Official Receipt .veIopment Services Department Public Works Department RECEIPT #: 1200400000000000867 Date: 06/08/2004 9:53:12AM Job/Journal Number COM2004-00084 COM2004-00084 COM2004-00084 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Payments: Type of Payment CreditCard Paid By ALAN WOOSTER Item Total: Check Number Authorization Received By Batcb Number Number How Received Amount Due 3.15 4.50 45.00 $52.65. Amount Paid djb 000404 055025 In Person Payment Total: $52.65 $52.65 6/8/2004 . Page I of I