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Home My WebLink AboutPermit Electrical 2005-9-15 .;s:-- ~o 1>~ ,1i b~'~v .",0A~' , ~S~I ~'>~10 .lY: ... . 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~~~" ',,' ~~ . ELECTRICAL PERMIT APPLICATION ~ Q&00~ ~ .",' City Job Number tom '200S - 0 l OS'7 Date q I fv~':::> .,<-~ ~.. ~6 10' 0 I .~. ~tiii'~ . ,:..,~< ' 3. ;:c,9.Ji,j~gt"J:jF){~:.". MlJ~~JY/ ;~7,' , 0 ~e ..,0 <;)'f> ~v' ",.:'.c""-;~""'> .-"~""'""""~:-"""'~';"'''''''i~:''"'' '5V~\.'~'>."'''''' -\"if5~--~"'i'~~:-- ""~",,,-,,,y,,,,;,,,:""!,_,,,,,-,.,.-:c-:::.,,:" . A. ~ Nfl\:~~~.~ri:ti4i;~iiiiile:or~~!ti'J'~ii!jlffp'er1h~~l!!!g~~i~ ~.1 ..-....-.... . "'.. _... . - . I ' , " .' . CITY OF S" )INGFIELD, OREGON ' j~ ' . ., " Phone ?fJ-I?t/? Supervisor License Number If' q!J..S /tLO!-tJ7 IJ() 200 Amps or less $ 50.00 Constr. Contr. Number &2. '1ls" 201 Amps to 400 Amps $ 69.00 /7 ./ 401 A~PH(>ll!Q.lM,Jfj:pg,gon law r~auires YCSqOO.OO Expiration Date ~~;-o7 Ovet6WAmp~%f'i'6O{rvilisYsk~P.'fi1j~bWv~.Ulility ~7tlt~ . . o~~s~1:"~w ~ - Eacl\1M!!Lti.9.n~l.Q~UiJOJ~thUtilit~otification . 300 ~::sN\~; ~~~ ~~~~ Sr~;::~:3~;~:;i~~~~;:;:~t:~';;C~~~;;::~h~nst~ll.t'~~l City Chl~o 1. h.c;OC1iI6.rf'OFPfS1,:AjJiAit@';'.t;..~'&iJ .::D~ LEGAL DESCRIPTION r-Vl \T)C)'?,~.on OL\v \ JOB DESCRIPTION, ~ c). i( CM--Lts . Permits are non-transferable and expire if work is ~ not started within 180 days of issuance or irwork is Suspended for 180 days. :'Ie~~:~~~gt::fj~t,.: :1 City Expiration Date Phone 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 ", Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Eacl] Manufact" d Home or , ,ModularP~:~llipg ServiC'KorF THE WOR,( '"F"d ' i)' u liT I~ ",nr $50.00 , ,eeer,J ul,uUllll1~ rtni, ,- ..-, l' .B.,' ~'~~~ic~.~'fJjii~d~f~~~~!;tI~~~t~lt~;i~~(~9:~'-9~L~.~j~,~_~ti.gE,::'~::',J /'.1.,' lvv LJI"'\l rL \IV . 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~,: ....,~,c...-:.f1.-,.<." ","i ..-..-"1.....- .,""'-'-.","':"-, ... '1."," "':'~':!-". -, "$4J': '" co","':' '-~f~" ''''>-.~~: ",>7 ,',' ~~d'i c. ~T~Jnporary'S_.~rVic~s' ~~;J1'eed~..s:tt:,l:~~)f;\> '---:~~~'!~ff'!'-;0tL~~")_:; ~~';1 Installation, Alteration or Relocation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential , Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 1SUB:rofAiOF ABOVE l~ ,- .:"" ,,';:r'iJ',,:i,':/._, - .,,;.): '. ."",. ~~;~ "I ~1 00 ~_"'11..0. 3.'.2.."2- 4."0 S3 . gd-. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FonnslElectrical Pennit Application) -o3.doc -,- ,,,... . .. .' e:<~'i[~...~... ~. ~'~J;' ,~,~;;...:.l.S'r'At.'E ',O.F.:O'..R. E..'G ON,.",,.,m,i: ,~{!,'~,'T".c.,.";\'\,.".'.''i-\;.-. W. - '~'F{;t\0't..W.,';:::'.-",iP{CC.:'.ON. ST.. .R..,-U"C.....:n. '...0- N '..,..i::. '0.' NT.~RA. '.i::T:OR...S...,.B..-....O....A R,' D';;;;:r,C., f I.,.i.'.~'i)..;i. 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CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01057 ISSUED: 08/04/2005 APPLIED: 08/04/2005 EXPIRES: 03/14/2006 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3030 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002109 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration PROJECT DESCRIPTION: Interior partitions for Avis Inside Sears auto center Commercial .'. . Owner: GATEWAY MALL PARTNERS I tll~ ret."" I Si :"LL E':P:r~E IF THE \^InR'" Address: 110 N WACKER DR BSC 3-04 ATIN PROPcTA~'-'~DM1~t, Ii H,S Pc,1",i1T IS t.rOT CHICAGO IL 60606 CUI",,'CI\t.:cU urt is AJA',;0C~JED FOR I\IH IOU UI\Y r'tKIUU, I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor License BLODGETI CONSTRUCTION ASSOC INC 122898 BEAR MOUNTAIN ELECTRIC LLC 136298 BUILDING INFORMATION I Expiration Date 05/1612007 08/06/2007 Phone 509-663-9800 541-953-6747 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n1a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION' ATTENTION: Oregon law requires you to fo~erlay:Dist:opted by the Oregon Utility Notl!i~treetlTi'ees>Rqcfhose rules are set forth ib crl.':~e9:QrI"elRqd:O through OAR 952-001- ooS"&. o.fJ&':G.~v"lJIge:1 copies of the rules by calling the center, (Note: the telephone .. .... .__4:__ REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer A vaUable: Special Instruction: ...."" ".. .", ",,-. .". """ ....."..) . .-....-- , PUBLIC IMPROYEMENTS 132-23.:4), Sidewalk Type: Downspoutsffiralns: Notes: Paee 1 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01057 ISSUED: 08/04/2005 APPLIED: 08/0412005 EXPIRES: 03/14/2006 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 12,000.00 Value $12,000.00 $12,000.00 Date Calculated Description Tvpe of Construction 08/0412005 Total Value of Project ~ F pp< tIiIiLI Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $12.30 8/4/05 1200500000000001141 + 7% State Surcharge $8.61 8/4/05 1200500000000001141 Building Permit $123.00 8/4/05 1200500000000001141 + 10% Administrative Fee $4.60 9/14/05 2200500000000001268 + 70/0 State Surcharge $3.22 9/14/05 2200500000000001268 Add, Alter, Extend Circ $43.00 9/14/05 2200500000000001268 Add, Alter, Extend Clrc Ea Add $3.00 9/14/05 2200500000000001268 Total Amount Paid $197.73 I Plan Reviews I Plannine Review Public Works Review 08/04/2005 08/04/2005 08/0412005 08/0412005 APP EMM APP SB see parcel tag SDCs: no cbange from Shopping Center to Shopping Center. No new square footage, no new impervious. Sarah has coordinated parking numbers. plan not required. copy to fire marshall Structural Review 08/04/2005 08/04/2005 APP JMP 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required Inspections have been requested and approved and tbe building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01057 ISSUED: 08/04/2005 APPLIED: 08/04/2005 EXPIRES: 03/14/2006 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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 aU 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. 1 further agree to ensure that aU 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 I 057 COM2005-01057 COM2005-0 I 057 COM2005-0 I 057 Payments: Type of Payment CreditCard " :. ;, " '\ :, " " 9/14/2005 .. . RECEIPT #: _~~I'""''1l''''; ~,': -. -. , , c , 2200500000000001268 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHAD PERKINS Received By ddk Check Number Batcb Number Page I of I .Jl!.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 09/14/2005 Item Total: Authorization Number How Received 015177 In Person Payment Total: 3:09:45PM Amount Due. 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82