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Home My WebLink AboutPermit Electrical 2007-8-24 Date , ZON I,....f../ INITIALS fJfv'\ DATE ~,,;> <-f- (."'( SOURCE ,,^1~~ 8J~lf/n 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ' (J)WCZD07 - aD Y' j -- Supervisor License Number c2CJ~Jf( J Expiration Date /O,//,/a? AITEf\1'fION: Oragi~Iaw.R~ you to $ 55.00 Constr, Contr. Number /5'"2 27Cfo;[ow i'tl~~S adoptezilb~_ @r~~Hty $ 76,00 _ / NOn!:catlon Center. l'~A~~ltlS6'W'I~i1i>forth $110.00 7/z: 2/ 6 g In OAR S52~001~001Q..thr~gl1 QAR 9~~QQ'- " " , ( ulJ&U. You may obtalrlvBb'P'f~SlWqhir rU1~~ flts see B above, Signature of Supervising Electrician ~mng the centli.. {~~Wfeif8M"hone ~ number for the or'l.O~O~li~r~Rtifif"'~tinft \ / ~ ~./:/~ Center Is 1 wo. J~! ~44)~T'1!:romSiOn Per Panel C. ~ /~-:---- ne IrcUl ~ - 'Each Additional Circuit or with "':\ ./ ~.1J .-:" II , Service or Feeder Permit Owners Name T ~ .J ff~ l-L-"-- Address -po tr 0 K J '3 ( C::> 7 ( City C/VU.~ W . Phone' "CA OWNER INST ALLA nON 1. LOCATION OF INSTALLATION: 3. If 7.J' 1l6/A"cL' I /(/#Y LEGAL D~SCRIPTION: 170 ~ '2bZl' /). . . ~~.,-- ~~ ,~~l::/I .~e~ cZJC( JOB DESCRIPTION: :DUfl?~/r /lah-LJA-rUJ.6c ;:O~ k;.?~ (Y*~.A r Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor:~~I7'C.;f~ ~oLlc-J Address Br? AJ7 0""1+ 5'1 City ~()J&heL)) Phone _SC-// fl/..? g.fC/ Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling 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 $117,00 $ 21.00 $55.00 B. Ser~j~,s..or Feeders - Installation, Alterations or Relocation: III ~.~iTr ~I:. .', \, ,-'.J \. .: \."'i ,A~h:. 200 ~~~e~M? ~H~ll EX~!R= iF Tf1~, \ bRK 201 M1lp. I>;tA,jW. w.~mmf\.I.:J.' '[R n:;s P:'::lM~i)~OI 401 ~~.fu'I~%m~OR IS A6ANDON[~,' ;9 601 ~ tPl.lJl@AVnIPEBtOD. $ ~1>0 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 48,00 $ 4.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial I $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 5D t( "') "2~o 4. SUBTOTAL OF ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL bl55:- Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/19/2007 EXPIRES: 02/24/2008 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 Contractor Type General Electrical Low Voltage Electrical Plumbing Phone Number: Unlisted I CONTRACTOR INFORMATION I Contractor License LEE CONSTRUCTION COMPANY 63579 BOB FISHER ELECTRIC INC 96275 L M COMMUNICATIONS INC 152276 EUGENE EXCA VA TION & PLUMBING INC 138003 BUILDING INFORMATION I Expiration Date 01/16/2010 01/25/2008 07/22/2008 04/27/2009 Phone 541-683-3607 541-689- 7973 541-543-3561 541-988-0868 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: NOTICE: Sq Ft Basement: ;::;:yT;~~: THIS PERMIT SHAl~~~t:tfffHrw6RK Sprinkled Buildi~UTHORIZIhQ.UNDE8~~rRIilaWJ IS NOT ~r~t~~!,~,~J.ln:.Q..~n !b .\SAA:CCUI:~:-Gfl I DEVELOPMENT INFO~ PERIOD. REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law requires you.t.o follow rules ad ""... . "1" \.!L""}'I' UljlM Notification Cent ~DlI~S in OAR 952-001-0010 through 0 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~e number for the Oregon Utility Notification Center is 1-800-332-2344). Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Pae:e 1 of 3 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 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/19/2007 EXPIRES: 02/24/2008 VALUE: $ 40,000.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated Total Value of Project $40,000.00 $40,000.00 06/19/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/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 + 10% Administrative Fee $7.00 8/22/07 2200700000000001331 + 5% Technology Fee $3.50 8/22/07 2200700000000001331 + 8% State Surcharge $5.60 8/22/07 2200700000000001331 Perm Serv/Fdr 200 amps or less $70.00 8/22/07 2200700000000001331 + 10% Administrative Fee $5.00 8/24107 1200700000000001083 + 5% Technology Fee $2.50 8/24/07 1200700000000001083 + 8% State Surcharge $4.00 8/24/07 1200700000000001083 Low Voltage - Commercial Indus $45.00 8/24/07 1200700000000001083 Minimum/Adjustment Electrical $5.00 8/24/07 1200700000000001083 Total Amount Paid $2,162.41 I Plan Reviews , Pae:e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00899 ISSUED: 07/17/2007 APPLIED: 06/19/2007 EXPIRES: 02/24/2008 VALUE: $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 07/03/2007 07/09/2007 OK GRG See attached document for Fire Department Plans Review comments. Initial Review Public Works Review Structural Review 06/20/2007 07/03/2007 06/25/2007 06/25/2007 07/03/2007 APP APP LLH JHJ Attached SDC Worksheet. (JHJ) 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. 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. Low V oItage: 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 Pae:e 3 of 3 22'5 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 Check cReceintl RECEIPT #: 1200700000000001083 Date: 08/24/2007 Description Low Voltage - Commercial Indus Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LM COMMUNICA nONS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 16057 In Person Payment Total: Page I of] 8:14:33AM Amount Due 45.00 5.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 8/24/2007