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Home My WebLink AboutPermit Electrical 2004-2-6 ct as submitted has the following , not require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX!l~~~26-3689 ELECTRICAL PERMIT APPLICATION 4!*' ' Zoning CityJobNumberCo~~ZOoy__C:OI/~ Date f} T~ () ~te ~-q-()'t J < ~"". ' . ',r-" . . < . ' ... ,.,.. ,l:\utpQrj;zeq.~ign9ture .. ..~, '. 1. "~bCAl'IONPF.Jl\lSTALLAl'IOl\l" 3.,COltfl:?L'E"[fFEESCHEL>CJLE ~1!,LOlV,'>,; , LEGAL DESCRIPTION 170~'Z-b'31 <;--kt;t~+ PI~A Address Z {(") /7 I AI-;1/A- ~C-V1~(~ ~ E. ':~Y~S,~il;~';9U~:\S;~r,Yi~:/feeden~~thlci~~edt~E~~h InstaU~tion C;ty (-~7V'E Pto~;r:~~~~~~;~T~~~~ h~j!=:~-~ .~~ -- :~~~~ .. ~ .. OWNER INSTALLATION T atiO'n Center. n-e)\~ 9!J2~.GKesidential $ 25.00 The installation is being made~~~?~\vQ~~? th p'~~~itW~~~dommercial $ 45.00 . . · y ontain CO' h Ile IS not mtended for sale, lease oJG93. YO'U ma ,,,"MiDirtib'mt~\MtI2xermit Inspection Fee-if'$45.01h+ SurcharIJes . ~he center. \'~ \\.\ t't'catlon L----".!2 ,- calling \\1 Utili~ ....0' I , '," ." s ::> Owners Signature: number 1O'r the Oregon43~'~~~;rAL QF ABOVE ,...",,,,tC'V' i~ i.P-()()..... -,,, s " , . '.;:' . -;; J' 5 7% State Surcharge 10% Administrative Fee 5 I ~ TOTAL 6lj~ . ! () 2(O~ JOB DESCRIPTION 'J3WO f /kD~ 5" c...\~~("~ Permits are ~n-transferab1e and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~,,,""^""<, .' " ~. '{,. ..<'}X?C":::,:;:.;:,,}'" '"''YpC''-O:''' '>';""'--~"'. '~""V',,:; 2. (iJl~~KIjlg~L~J;!:~r~~rfe!j;f!!j~t,; ElectricalGb~~~f B LOca E,Czc:c, Address8~o 92- b<~() City Phone Supervisor License Number 3 g-I if S Expiration Date 10/ 0 Y Constr. Contr. Number I D~b"7 7 Expiration Date ;/ () b r Signature of Supervising Electrician ~ Owners Name Q --' ( \../' Inspection Request: 726-3769 Q..~ A. .,N ~~~~~id~n t,ia!. ~sI~,.'~h~;~tU~iti-FJriiij);"~.'~, ; 'cl~~~iIihg,'~\lit: ,.... :, """'>""'" . ..... ,.' ""..".~.~~ ~'.'m.;,..,. .~ _. .... ._ ",' ., """, '..,.....'. ~"V"""/' ..'" H":".'-, "" ,.. .~, ,< .... v'<'^" ,:,'",;,:,"... '. ;" ~,.,J..., '.".,.,.. "-"'\<\" ''>>~: "- Service Included 1 000 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 $50.00 i~' ',:t"~<::; ,.. .., "', \-",: ";::'';'.f:'': .---:../,..:" ':;'''. <.."..,,:" '>'.::::':',:'",:~~}:y~' mS:'?,'W':'1\"".' 4>:;:" "'~:7; .: ,>>:\'0 ,-' "~'." ..', .. ,":, :'l;:'?<;", .".':' B.r$ervices'd'r Feeders -.i:nstaUation,At'te~a (ions or Relocatioil: t(,";Sf:i:>~ )':;,,:i:::- :..~~..j;~+,~'-:;;,~.< ;.",;""?,i,',, . '\:".::;~k:,:,,:, )-,.,?-J,i.:' ,~x'.,;..,,:.;,i, '''',:~,~,o ,,'~..}~-!>. ";~~:j,~",:,,~,,, ,,~~~;':, 0' ,,: ,~:" ",,: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 S'l'>:~,""<'}';"'::"':::'}<:r;~,",,:2p'^''''~<?/.''TF''':<:n::/"',c'\'}c:..:.;' ,If{'' C. ';!~~!?'<>El!E~,~i~~isis~r~te~~;~rt :- Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps t~~,Q~: $ 69,00 401 Amps tJt4~pffiMIT SHALL [X-PffiE~~fl~ \^!0RK q~eS~"?g;~;~i~~~Pl~~\?J~tl"1\ll~~ERMIT IS NOT D.'\~r;an~~ CtfG~M~NCtO;;OR.tS . A;e;l\f\lPON:~t) FO~ \ New Alteratp?"'Pr100dilbi~J>ffiI~1 if J ~ One Circuit I $ 43.00 (\ Each Additional Circuit or with. ~ $ 3.00 IL ,. ~ Service or Feeder Permit . ), Shared Dlive(T:)/Building Fonns/Electncal Pennit Application I-03.doc "'?/. , Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00113 ISSUED: 01128/2004 APPLIED: 01128/2004 EXPIRES: 07/30/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 215 Q ST ASSESSOR'S PARCEL NO.: 1703263102103 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add 2 circuits .'.. Owner: Q STREET PLAZA PROPERTIES LLC Address: 2677 WILLAKENZIE RD, STE 3 EUGENE OR 97401 ISONTRACTOR INFORMATION I Contractor Type Electrical Contractor GLOBE BUILDING & ELECTRIC License' 103677 Expiration Date 01104/2006 Phone 541-683-7077 '_BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFO~~ I . iUIRED PARKING . \ THIS PERMIT SHALL EXPIRE I THE WORK Overlay Dlst: , AUTHORIZED UNDER THI1: ~. IT I~NOT # Street Trees Rqd. ( P.P^: Paved Drive Rqd: COMMENCED OR IS ABA ,trU % of Lot Coverag~NY 180 DAY PERIOD. I ".\-- _"n I~W reQuires YO~U..~ol ' ATTEN I IV'''''-'~''P , _ ~aagr i I 1 , , ' les art~lWMYINJlPl<<JVEM~. ' ' folloW ru , no~~ I u1-..- r . '>1otification Center. hrough OAR 952.()O Sidewalk Type: l\ OAR 952-001.-P~~ ~n~'~oPlesof th'e rules l Downspouts/Drains: 0090. YOl:)may obta Note: the telepho~e calling the center~ ( on Utility Notification nUfnber~~~~~~\~~ _~OO-332-2344). , Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I~aluation Description I Description Type of Construction $ Per Sq Ft or multiplier ' Square Footage or Bid Amount Value Date Calculated Total Value of Project Pae:e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Ex~end Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Add"Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Amount Paid Date Pai<J $4.90 $3.43 $43.00 $6.00 $5.50 . $3.85 $43.00 , $12.00 $55.00 1/28/04 1/28/04 1/28/04 1/28/04 2/6/04 2/6/04 2/6/04 2/6/04 2/6/04 Total Amount Paid $176.68 I Plan Reviews I Fire Department Review 01/30/2004 01/27/2004 OK CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00113 ISSUED: 01128/2004 APPLIED: 01128/2004 EXPIRES: 07/30/2004 VALUE: GRG Receipt Number 1200400000000000121 1200400000000000121 1200400000000000121 1200400000000000121 1200400000000000174 1200400000000000174 1200400000000000174 1200400000000000174 1200400000000000174 Plan Review: Addition of 7 sprinkler heads and associated piping to existing system for interior remodel. Submittal by Omlid and Swinney. Plans appear to meet code requirements. 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. I_Reouired Insoections .' 1 Rough Electric: Prior to Cover 2 Final Electric: When aU electrical work is complete. 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 Pal!e 2 of 2 Date 225 Fifth Street c Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00113 COM2004-00 113 COM2004-00113 COM2004-00 113 COM2004-00 113 Payments: Type of Payment Check Receipt #: 1200400000000000174 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Received By djb Check Number Batch Number Authorization Number Paid By VONFROCK ENTERPRISES 787 ~ity of Springfield Official Receipt Development Services Department Public Works Department Date: 02/06/2004 '. Item Total: 11:47:32AM Amount Paid 3.85 5.50 43.00 12.00 55.00 $119.35 How Received In Person Payment Total: Amount Paid $119.35 $119.35