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Home My WebLink AboutPermit Electrical 2008-1-16 ((/ INITIALS 1JYY1 DATE / - //d -0)( SOURCE J-:YLr~..-' ZON 225 FIFI1I STREET. SPRINGFIELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL Pk~lTA!'~MCATION CIty Job Number ~'l..{t')lJ~ Date ;' .-'/1/1- (};( 1 LOCA1'ION OF INSTALLA1'ION: 3 COMPLETE FEE SCHEDULE BELOW t::ooo CO~ ~ _~~t./l.~qcto LEGAL DESCRIPTION -r-- A New ResldentIal- Smgle or Multi-Family per dwelling Unit. J -; 03 d~ I)(}),;), -?nJ Service Included JOB DESCRIPTION ~~~ Permits are non-transferable and expire If work IS not started wltbm 180 days of Issuance or .fwork IS Suspended for 180 days 2 COlVTP.ACIOR INSTALL4.TION ONLY ElectrIcal Contractor ~.__ <:1.( Address :,lIo~ r """""Vh"AC>'"-O d~'i. City SoJ:h.- Phone SD:J -3fa.{ - ~ II SupervIsor LIcense Number ?-,qq _ 50 1(., ExpiratIOn Date --.l.n I D Y( I Constr Contr Number (0 L/ 7 fo { Lo /0"1. ExprralIon Date Signature of Supervlsmg ElectrICian -~ -><~..... - ----- o-N,m, ~~ Addre~ ~n ~ t CIty '<::J~ \\D. _ Phone OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Owners Signature Inspect.on Request 726-3769 1000 sq ft or less Each additIonal 500 sq ft or portIOn thereof Each Manufacl'd Home or Modular Dwellmg ServIce or Feeder $117 00 $2100 $55 00 B S~J"vJ{'es or Fefr!t':r~ - I-rtstallllhon, Altef'}ltlOfI" or Rf"loc3hon~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNoIts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 C Temporary ServIces or Feeders InstallatIOn, AlteratIOn or RelocatIon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D Brancb CIrcUIts $ 55 00 $ 76 00 $110 00 New Alteration or ExtenSIOn Per Panel One Crrcmt Eacb AddItIOnal Crrcmt or WIth ServIce or Feeder Penmt $ 48 00 $ 400 E MIscellaneous (ServIce/feeder not mcluded) -Each Installation ~ or lITIgatIon $ 55 00 ~Outhne LIghtmg $ 55 00 SS- Llmlled Energy/Resldentlal $ 28 00 Limited Energy/Commercial $ 50 00 MlDlmum ElectrIC PermIt InspectIOn Fee IS $50 00 + Surcharges 4 SUBTOTAL OF ABOVE 6~- l. 100 - so ~. ~. ,~- G, <:lJ 85"' 12% State Surcharge 10% Admlllistrallve Fee 5% Technology Fee TOTAL Shared Dnve(T )lBuildmg Forms/Electncal Permit ApplicatIOn 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2007-01303 ISSUED' 10/12/2007 APPLIED. 08/30/2007 EXPIRES. 07/16/2008 VALUE: $ 150,000.00 225 Fifth Stl eet. Spnngfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3000 GA TEW A Y ST SPACE 906 ASSESSOR'S PARCEL NO 1703220002300 Spnngfield TYPE OF WORK Restaurant TYPE OF USE AlterdtlOn PROJECT DESCRIPTION Tenant Improvement for Charleys Gnlled Subs - Food Court Commercial Owner GA TEW A Y MALL PARTNERS Address 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 .1 CONTRACTOR INFORMATION. Contractor Type Contractor License ExpiratIOn Date Phone ArchItect VALERIO ARCHITECTS 323-954-8996 x I Electncal ROSE CORPORATION 54431 09/30/2008 541-686-0905 Mechamcal POLYTECH HEATING LLC 162238 11/24/2008 503-888-7999 Plumbmg ALS PLUMBING INC 95618 12/16/2007 (503) 375-3449 SIgn MARTIN BROS INC 64761 03/05/2008 503-364-2211 BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupaucy Group Pnmary Construchon Type Secondary ConstructIOn Type # of Bedrooms A-2 # of Stones HeIght 01 Structure Type 01 Heat Water Type Range Type Energy Path Sprmkled Bulldmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrdge/Cdrport Sq Ft Other Occupant Load 633 nla 5 I DEVELOPMENT INFORMA TION , Front yard Setback S,de I Setback S,de 2 Setback Redrydrd Setback Solar Setbacks Ovellay D,st # Street Trees Rqd Pdved Dnve Rqd 0/0 of Lot Coverage REQUIRED PARKING Total Hdndllapped Compdct NOT'CE~ IRE I\I'11lBEJ'(\l'lM"ROVEMENTS I Dt:RMIT SHAll EXP ,\ - ~u I AT1:!:NTIQN Oregon law requires you to Street Impra;Mh1I,iIt'sR\ZEO UNDER THIS PER~~1,1;' I foIl8J1'f1:ll'l!g I~Bpted by the Oregon Ulility Storm sewe.A,lJ~~b\~"'EO OR IS ABANDO'~~\J r_ i\ Notl~biM~m'dT.l1ose rules are set forth SpecmIInstrC.Rlh"vlt: " v PERIOD In OAR 952-001-0010 through OAR 952-001- ANY 1 SO D!'\, 0090 You may obtain copies of the rules by Notes calling the center (Note the telephone number for the Oregon Utility Notlflcalion Center IS 1-800-332-2344). Pa~e I of 4 Status Issued 225 FIfth Street, Spnnglield, 0 R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescriptIOn Tvpe of ConstructIOn Est,mate Estimate Fee DescnptIon Plan RevIew Comm/lnd/Pubhc Plan RevIew FIre & LIfe Safety -Mech Iss 2+ Apphances- + 10% AdmmlStratIve Fee + 5% Technology Fee + 8% State Surchdrge Bmldmg PermIt EvaporatIve Coolers ExhdUSt Hoods Fixture Gas Outlets 1-4 Mm.mum/AdjuSlment Mechamcal Samtdry Sewer - Improvement Samtary Sewer. Reimbursement SDC MWMC AdmmlStratlOn SDC MWMC Improvement SDC MWMC ReImbursement SDC Samtdry/Slorm Admm Vent Fan + 10% AdmmlStratIve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Clrc Ea Add Perm Serv/Fdr 200 amps or less -MechaUlcal Issuance Fee- + 100/0 AdmlOlstrdtIve Fee + 12% Stdte Surcharge + 5% Technology Fee EvapOl at.ve Coolers Mmlmum/Adjustmcnt MechanIcal + 10% AdmmlStratIve Fee + 12% Slate Surcharge + 5% Technologv Fee SIgn - Outhne L,ghtmg EdCh Total Amount PaId CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2007-01303 ISSUED' 10/12/2007 APPLIED 08/30/2007 EXPIRES: 07/16/2008 VALUE: $ 150,00000 I ValuatIOn Descrmtion I $ Per Sq Ft or multIpher $100 Amount PaId $521 20 $320 74 $40 00 $10918 $54 59 $87 35 $80 I 84 $1000 $20 00 $240 00 $500 $100 $428 49 $563 50 $10 00 $4,900 59 $589 65 $32461 $1400 $3160 $1580 $25 28 $176 00 $14000 $20 00 $500 $600 $250 $20 00 $30 00 $550 $660 $275 $55 00 $9,583 77 Square Footage or BId Amount 150,000 00 Value Date Calculated Total Value of Project $150,00000 $150,000 00 08/30/2007 Fpp" P~WJ Date P dId ReceIpt Numbe, 8/30/07 8/30/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 10112/07 10112/07 10/12/07 10/12/07 10/12/07 11/26/07 11126/07 11126/07 11/26/07 11/26/07 1/2/08 1/2/08 112/08 1/2/08 1/2/08 112/08 1/16/08 1/16/08 1/16108 1/16/08 1200700000000001130 1200700000000001130 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 2200700000000001583 3200700000000000770 3200700000000000770 3200700000000000770 3200700000000000770 3200700000000000770 1200800000000000004 1200800000000000004 1200800000000000004 1200800000000000004 1200800000000000004 1200800000000000004 3200800000000000037 3200800000000000037 3200800000000000037 3200800000000000037 Paee 2 of 4 U 1 Y OF SPRINGFIELD. Building/Combination Permit PERMIT NO ISSUED APPLIED. EXPIRES. VALUE' Status Issued 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Plan Reviews I ImtIdl Review 08/30/2007 08/3012007 WE LLH ImtIal Review 08/30/2007 APP 08/30/2007 LLH PlannlO2 RevIew Structural Review 09/10/2007 08/3012007 09/1 0/2007 09/10/2007 APP 10 EMM LLH Structural RevIew 09/10/2007 09/1312007 APP LLH Puhhc Works RevIew 09/1012007 09/2112007 APP JHJ SUB RevIew 09/1012007 09/2412007 APP DH Fire Department Review 09/10/2007 10/1112007 OK GRG COM2007-01303 10/12/2007 08/30/2007 07/16/2008 $ 150,000 00 Spoke ",th Rafal Balllk, apphcdnt, and told him we needed the plan review fee to process the applIcatIOn He saId someone local would be 10 to pay It Plan reVIew fee receIved - okay to process plan review Forwdrded to Mlck Nolte wIth the Bmldmg Department for review under contract wIth the CIty of SprlOgfield Plans revIewed by Mlck Nolte wIth the BUIld 109 Department under contract with the CIty of Springfield Attached SDC WOI ksheet (JHJ) See attached document for Fire Department Plans RevIew comments To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7:00 a.m. WIll be made the same workmg day, mspectlOns requested after 7 00 a m WIll be made the followmg work day I R~f)\I,\,rp(IIn<,nechons I Frammg InspectIOn Pnor to cover and after all rough m mspechons have been approved Firewall Located and constructed accordlOg to plans FlOal BulldlOg After all reqUIred lOspectlOns have been requested and approved and the hulldlOg IS complete Rough Plumblllg Prior to cover and lIlcludlllg reqUIred testlOg FlOal PlumblOg When all plumhlOg work IS complete Rough Mechamcal Prior to Cover Rough Gas After hne IS lOsfalled and reqUIred testlOg and capped If not attached to an apphance FlOal Gas When dll gas work IS complete. FlOal Mechamcal When all mechamcal work IS complete P d2e 3 of 4 -i*"- CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-01303 ISSUED: 10/12/2007 APPLIED' 08/30/2007 EXPIRES 07/16/2008 VALUE: $ 150,00000 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Rough ElectriC Prior to Cover Fmal ElectriC When dll electrical work IS complete ElectriC Service Approval reqUired prior to ullhty company energIZIng sel"Vlce SUB FlIlal After all requIred energy lIlspectlOns have heen requested and approved SUB Mechalllcal Followmg CIty Rough Mechalllcal mspectlOn approval dnd prior to any cover SUB Celhng Grid Intel lOr Llghtmg Sign Electrical After connectIOn IS made but prIOr to energlzlIlg By sIgnature, I state dnd agree, that I have carefullv exammed the completed apphcatlOn and do hel eby certify thdt all mformatlOn hereon IS true and correct, and I further cel My that any and all work performed shall be done 10 dccordance with the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work descrlhed herem, and that NO OCCUPANCY will he made of any structure wIthout permISsIOn of the Commumty ServIces DIVIsIOn, BUIld 109 Safety I further cerllfy that only contractors and employees who are 10 comphance wIth ORS 701005 will be used on thIS project J further agree to ensure that all reqUIred mspectlOns are requested dt the proper lime, that each address IS reddable from the street, that the permIt card IS located at the fl ont of the property, and the approved set of plans Will remam on the site at all times dUring constructIOn Owner or Contractors Signature Date Pa2e 4 of 4 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1303 COM2007-01303 COM2007-01303 COM2007-01303 Payments Type of Payment Check cRecelOtl RECEIPT # DescriptIon Sign - Outlme Llghtmg Each + 5% Technology Fee + 12% State Surcharge + 10% AdmmlStratlve Fee Paul By MARTIN BROS SIGN & SERVICE ~j4 CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department 3200800000000000037 Date, 01/16/2008 7 08 53AM Item Total t:heck Number AuthOrization Received By Batch Number Number How Received Amount Due 5500 275 660 550 $69 85 Amount Paid nJm 20329 By MaIl $69 85 Pdyment Total $69 85 Page I of 1 1/16/2008