HomeMy WebLinkAboutPermit Building 2002-1-16
SPRINGFIELD
~.,
225 North Fifth Street
Springfield, OR 97477
Job# 01-01277-01
~ -"
Page 1 of 3
TRANSl! :.Q1-0007787
DPTE. JAN 16 :::00:::
AI1T REeD: 2 $ 61 75
CHANGE:
CASHIER:003
,
. .
.
COMMERCIAL PERMIT
City Of Sprmgfleld
Commumty Services DIvIsion
BUlldmg Safety
Job Number 01-01277-01
Office 726-3759
Inspection Lme 726-3769
Location Of Proposed Site 1815 Pioneer Parkway East Spr
Assessors Map# 17032623
Lot Block Addition
Owner
Address
Tax Lot # 02401
SubdivIsion
David 80rnsteln
31500 Coburg Bottom Loop Road
Phone Number 541-485-2382
City/State/Zip
Remodel
Eugene, OR 97408
Value $14,500
Scope Of Work Restaurant
Chicken Bonz
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor
Registration #
44227
Expiration Date
1/22/2002
Phone
541-988-0493
RL Schmidt
2335 31st Street, Springfield, OR 97477
The Murphy Hams Company Inc
1116 S "A" Street / Po 80x 7632/Eugene,
Or/97401, Springfield, OR 97477
ASSOCiated Heating & Air Conditioning Inc 106275
Po Box 412, Eugene, OR 97440
Absolute Plumbing Services Inc
2487 Park Forest Dr, Eugene, OR
97405-1292
142410
4/20/2002
541-736-1292
8/31/2002
541-683-2590
67664
7/1112005
541-345-3055
Office Use
Land Use
Zomng Code
Bedrooms
Range
Quad Area 1 CNW
# Of Umts
Constr Type
Water Heater
# Of BUlldmgs
Occupancy Group Offlce/Professlom
Heat Source
Sq Footage
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
working day
Foundation
Frammg
Drywall
Fmal Fire
Fmal Site Plan
Fmal BUlldmg
ReqUired Inspections
I BUlldm!l I
-After forms are erected but prior to concrete placement
- Prior to cover
- Prior to taping
-When all Fire Department requirements have been met
-After all reqUIrements have been met for MInimum Development Standards or from the Develor
- When all required inspections have been approved and the bUIlding IS complete
I Job# 01-01277 -01 I
RequIred InspectIons
Electrical
Rough Electrical
Final Electrical
- Pnor to cover
- When all electncal work IS complete
I Plumbln!!
- Pnor to filling the trench
- P nor to cover
-After device IS Installed but before backfilling trench
- When all plumbing work IS complete
Mechanical
Underground Plumbing
Rough Plumbing
Backflow DeVIce
Final Plumbing
Rough Gas
Final Gas
Final Mechamcal
-When all gas work IS complete
-When all mechanical work IS complete
Construction Types
Occupancy Groups Office/Professional/Rest
# Of BUIldings # Of Stories
# Of Bedrooms Current Umts
HandIcap Access? 0 Census Code Does not apply
[Area (Sq Feet)
Main Accessory Total
Height (feet)
Proposed Umts
Fee
Paid On Recelpt#
Plan Check
11/19/2001 7276
Commercial Plan Check
Total Plan Check
BUilding Permit
State Surcharge For BUilding Permit
8U1ldlng Administrative Fee
Total BUIlding
BUlldln!!
12/11/2001 7481
12/11/2001 7481
12/11/2001 7481
MinImUm Electncal Permit Fee
Branch CirCUits W/O Feeder or Service
State Surcharge - Electncal
Administrative Fee - Electncal
Total Electrical
Electrical
12/17/2001 7536
12/17/2001 7536
12/17/2001 7536
12/17/2001 7536
MInimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8ackfiow Prevention DeVice
Administrative Fee - Plumbing
Total Plumbing
Plumbln!!
12/11/2001 7481
12/11/2001 7481
12/11/2001 7481
12/11/2001 7481
12/11/2001 7481
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
Mechamcal
01/16/2002 7787
01/16/2002 7787
01/16/2002 7787
01/16/2002 7787
Page 2 of 3
Value/QuantIty
Fee Amount
14,500
$9516
$9516
14,500
$14640
$1025
$1171
$16836
4
$ 00
$52 00
$364
$416
$59 80
9
$ 00
$12600
$980
$1400
$1120
$161 00
$400
$4100
$360
$10 00
Job# 01-01277-01
Paid On Recelpt#
Mechamcal
01/16/2002 7787
System Development
12/11/2001 7481
12/11/2001 7481
12/11/2001 7481
Review not required No alteratIons being
made that reqUires Commercial energy review
per phone conversation with Jack Foster
12/10101 L Hopper
8y signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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 Spnngfleld and the Laws of
the State of Oregon I further state that only contractors and employees who are In compliance with
ORS 701 055 will be used on this project I further agree to ensure that all required inspections are
requested at the proper time, that the project 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
dunng constructI07/ (
nwl-,g{)~
Fee
I
State Surcharge - Mechanical
Total Mechamcal
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Grand Total
Plan Check Type
Checked By
Date Completed
Initial RevIew-C/I/P
Englneenng-C/I/P
Plannlng-C/I/P
Structural-C/I/P
Lisa Hopper
Pam Ownby
LIZ Miller
11/27/2001
12/07/2001
12/03/2001
11/29/2001
Tom Marx
Fire Marshal-C/I/P
AI Gerard
12/11/2001
Fire Marshal-C/I/P
AI Gerard
01/14/2002
SU8 - Comm/lnd
Jack Foster
12/10/2001
Signature
Page 3 of 3
Value/Quantlty
Fee Amount
$315
$61 75
13
13
$24 45
$27781
$21112
$513 38
$1,05945
Comment
If Mechanical eqUipment IS changed or added,
a MechanIcal permit and inspections will be
reqUired
Plan review - remodel of eXisting restaurant for
new ownership
1 Provide hood system submittal showing
changes to fire suppression coverage for new
or modIfied equipment
2 PrOVIde a K type fire extinguisher wlhtln 20
feet of deep fat fryers
3 Provide 1 -2A 108 C fire extinguIsher for
the restaurant, mount with handle between 3'
and 5' above finIshed floor
4 Ensure address numbers on front and rear
of store are easily vIsible and contrast with the
background color
Plan review - Hood suppression system for
restaurant ( 1 hood 2 fryers and a charbroiler
1 PrOVide a full system test In the presence of
the Deputy Fire Marshal - call 726-2294 for
inspection
/-1/- 0 ?..
Date
::srrFTHSTllrET
~r:'mNOrtnD on QiJ;;
(S"" 726 3i53
r~X(S4" 7<63889
Resrdenlial Plan Reviewl
Permit Application
Job NUlhber {)/~DIZ7?-o /
P/l!oJt fill 0'" Ihl! foll(HI '''g In/ormallon 10 II,t 6tJI of YO"" 06111'). Camp/tit 1,1/o"''''(1tlon 11111 (tJJiJI
III qpcl~'" plun r~I'Il!U'
\ 8\ ~ \\)Y J1IY_P r-' p~ .r'v'If-:'Y:'U /<~
Subdivision '-'
LocallOn of Proposed Work
Map and 11lJ(-lol Number
Lol Block
Owner C' f\\.('~f2-rn7~~J' Q~~ \
Addr'a..l6J'J' .00,<\QO;- V~t.lctitt-r"':(1 ~.
C,ly '- t-'rPn~\- '\~ ~, Stale J. \)~ lEv Code ct llr I ~
OescrobeWork \"'Pll\r, (00. CAE\,S [\IDf>l-f j
Check One \ -- U 1 -I -
ONew j1glRemodel OAdd,lion DOemollsh DOlh"
Contractor's Name
CCBII
Expiration Date
Phone II
General
Plumbin!! J D' l'"
Mechamcal~"'(\'(rB::: l\ro--XUX.l.-C\--'.ty{ n 1 nl ()~rJ~
Electncal U - -,
. Slructure Information
SQUARE FOOTAGE
x
S/SQUARE rOOT ~ VALUE
MaIO
Garage
Carport
Tol.' Value
Pion Check ree
Received lly
Ileal Source
Power Source W.ter lIealer
Energy ralh
R.nge
Does Ilus property require ony of the followmg?
Lnnd DrRlnAge Alteration r~nmt
Ov~r-wldth or second driveWAy
Do you need temporary power?
3ve.
Ves
Ve.
JNo'
JNo
JNo
Note5/CommenlS
Validation
Nt'".. fI ,~, I" ,I" ~lll J{,' t'" ..t,~ ,"lrh ~(t' n ,It'll' t... . \ flf,I t1~ J~1'f'
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST 726-3769
I'. OFFICE 726-3759JOB 53-01617-041
,~~I) .
I LOCATION OF INSTALLATION
1894 PIONEER PARKWAY EAST
ELE CAL PERMIT APPLICATION
elt) Job Numbel (){) - OD IT=>;- D f
3 COMPLETE FEE SCHEDULE BELOW
LEGAL DESCRIPTION
.7 n; Z". ~/3
A Ne" R<""'ildentl.d-Smgle or
Multl-Fam,l) per d\\ ellmg umt
ServIce Included
(l 2.-30 L--
Items Cosl
Sum
JOB DESCRIPTION ri , !ollowlng project as submltled h~OP'etol19wl?qess
,./,....JlIJ\I,Md.dDes nol require spectIYc tafiIJ. lis!'
LOW VOLTAGE DATA/TELECU1'H;1fH,UfuA'l'lUl<! EdCh addItIonal 500
RACK ROLL OUT "-.-(1-> Sq ft or portIOn
Zoning
Pernnts are non-trdnsferable and explrc '"l..- - I ~ -0 Z, Ihereof
If\"\-ork IS not started wIthIn 18olalJvs' - ~ \ Ldcn LVlanUIG Home or
of Issuance or If work IS suspendedlfor-u Slonature __ ~1\Jf'J.d.u.l'l-r nw",lltng
180 days ServIce or Feeder
$106 00
$ 1900
$ 50 00
2 CONTRACTOR INST ALLA TION ONLY B ServIces 01 Feeders
In"itall.lhon, Alterations or
Electncal Contrdctor CHRISTENSON ELECTRIC, INC. RclocdtJOn
Address III SW COLUMBIA, SUITE 480
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 J amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 63 00
-----.:.. $ 75 00
$12500
$163 00
$375 00
$ 50 00
Ctt',PORTLAND, OR Phone(503)241-4812
Supenlsor License Number 873S
hplratiOn Date 10/ 1/04
26-34C ,C Temporary Se.:vlees or Feeders
Constr Contr Number . ,~~e. Installahon, AlteratJOn or RelocatIOn
hV..v:....,. ~
, - ~ MliSLlKLLEXPIREIFJWORK
E'plratlOn Date 10/1 tl1!.i'S PER"" '20 ~"{ less '
~l! fHORIZEDUNDERTHI5PER ~to 400 amps
Slgn.ltm e of Supermmg 11~'O~~ td~CED OR IS ABANDONmr~1 to 600 amps
FRIOn O\er 600 amps or 1000 volts see
18PIlAYP I' "8" abO\e
$50 00
$69 00
$100 00
~!{ ~ "i..I,
Owners Name SAFEWAY
Address \<2A"\-t_~(OoJO r'DV4 S
C,ty~N ~ Phone
OWNER IN~ALLATION
....2/8/02
D Branch CIrcUIts
New Alteration or E"tenslOn Per Panel
One Clfcm\
$43 00
Each AddItional Clrcmt or \Hth ServIce
or Feeder PermIt
$ 300
Ol\onlH SIgnature
E I\hseel!.llIeous (ServIce/feeder not ,"cluded)
-Each mstallatlOn
P~mp ..or lrnga(lOn
" 'n, '(1 by 'I1e%lJ.!l~\il\J.l" Llghtmg
, :, ,"". I I 'ItI,~,~ ,Jl!!!}I!fx!J?1!<(rgylRes
,J; , \ ~J-!.... \ J 1 '/' 1\ I true, Ir~If!})!~Jtn~rgv/Comm
,...j(\ '\ \", \ ,I' JI ~ '~'l-:::s:;fnlervlr t
';3 itf1\, q '~t 0 MmlllJUm~!lG!llcg,e~mlt Inspection Fee" $45 00 + Sm ch.lfge'
1ijHl{.itH 1 -, t~l ) _ j~ u11{ i \j~,~llJwU01
" I 4 SUBTO;x;A~ OF ABOVE
7% St,lte Surcharge
8% Admllllstratne Fee
$50 00
$50 00
$25 00
----.L$4500~
The Illstdllation IS bemg made on
property I own whIch IS not Intended
for sale, lease or rent
~1,,3lj~
1....11 '1
\)1
r
, ,
-3 f1~3C:1 lJ.A;
"j]j:31\J(i
'0 #='~ll;d~
45
3 15
3.60
TOTAL
51.75
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