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Home My WebLink AboutPermit Electrical 2008-3-10 ZON INITIALS tJ tv\. DA TE ~" ....Q <6 225 FIFTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 · FAX: (541)726-3689 . ~ SOURCE ~{}V ELECTRICAL PERMIT APPLICATION / / City Job Number LoVio1 ~cli- 000'67 Date 3jlOjt> 8 1. illY 3. :;:;q9~ff~f:i3."?:~~~sif#p~~~.l~JP,Tf :,;,1 ,. . ,vIA 0 l-t ,4t..I\<- IS/ v"J (0 . 200 Amps or less 20 1 Alnps, to,;4q9 Amps . 401 Amps to 600 Amps . 601 Amps to 1000 Amps I D <;(1- - 5'1107fEN Over 1000 Amps/V olts , fOlloW TIO~0fWct Only Nop' ~ule8 ad . Q~on law" l I1ICat'o~ n OAR 952.:0;': '090: You maD - 1 D throu es are set.tl cal1Jng the JeR~~/jt'eP.AAJ9S2.!b~tion ~mber for thi';AJttlSJts:f:~f the rU/~s ~ Center ifP, ~ 4IJjlit>p t!Jl!fcho~. 401 ~~~pscatiOIl Over 600 Amps or 1000 Volts see "B" above. D. Expiration Date .3 - I '-I.~ [) 60 Y Signarn9tf:::-- Owners Name jlJ! III/ LANd {o. Address ;S6' if {A-w'f'Lf"t!"c!L- City ~ ,?~/pvrf,e-IJ Phone . . Pump or inigation . $ 50.00 , NOTICE: Sign/Outline Lighting . $ 50,00 OWNER INSTALLATION . THIS PERMt"FS'R~fel/ReSidential $ 25.00 !he in.stallation is being made on property I own wr!4J.THOR'ZE~~ '0 m~e;QJf WORK $ 45,00 :::::~::~: sale, lease or rent fZ~~~,!}A!;ll~r~N is $45.00 +surch7~4 8% State Surcharge il(Ba 10% Administrative Fee Iz,QO 5% Technology Fee b't-o IS-7i1t!> J97~ LEGAL DESCRIPTION: , 17D3 ZS"/3 JOB DESCRIPTION: AJJ .20 DOS-CO c...lrc.LA~ ~ 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. Electrical Contractor :\b E" 1!'c.,ttH' i ruf,. ' Address t.J( o~tS I~A p.,E.LL~~. City Phone r::'oc, l=tv r- Supervisor License Number 3 ~ 1-:J- "S Expil'ation Date lo~l-Ib Constr. Coritr. Number If':>yct;:LC] Inspection Request: 726-3769 A. 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 $106.00 $ 19.00 $50,00 B. $ 63,00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 $ 50.00 $ 69.00 $100.00 New ~te~ll~io~,~r Extension Per Panel / One CrrcUlt ' ," _ ~r . Each Additional Circuit or with Service or Feeder Permit $ 4i1oo 1/8 76 I' $',00 E. TOTAL Shared Dlive(T:)IBuilding Fonns/Electrical Pennit Application 8-06,doc Status Issued . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00087 ISSUED: . 02/22/2008 APPLIED: 0112212008 EXPIRES: 09/10/2008 VALUE: '$ 19,476.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1979 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703251300500 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Lease Space for Lucky Lizard Owner: M & M LAND COMPANY LLC Address: 36986 CAMP CREEK RD SPRINGFIELD OR 97478 ' I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Mechanical Plumbing Contractor DORMAN CONSTRUCTION JB ELECTRIC FM SHEET METAL INC ROBINSON PLUMBING INC ,~-,..;..'t.'t~.' ._.-"1......... . License 68801 104929 89710 107124 Expiration Date 08/31/2010 03/14/2008 03/15/2009 07/13/2009 Phone 541-984-0012 541-687-5770 541-726-3000 541-345-6909 # of Units: . Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: # of Bedrooms: B - J__ I to.:~ 11\........:;\1.. ::-11~!'';.~ll !~U'Llt-1l... {I res you to ;;1BlJIbDIN.G, LEG gon Utility h\otii'ication Center. Those rules'are set forth in OAH#:::O:f~StQri~01 O:throughOAR 952-001.Lot Size: . 0090;. lte~~h~<S:ttuirtlO&pies of the rules b~q Ft 1st Floor: " , calJ'rltyp-e..1)fMd~ (Note: the telephone Sq Ft 2nd. Floor: numbWltertiJ5t~fegon' Utility Notification SqFt Basement: Rfi1Jg14:EIl'y~~ ~800-332-2344). SqFt Garage/Carport Energy Path: SqFt Other: Sprinkled Building: ' n/a Occupant Load: 49 J DEVELOPMENT INF:ORMA TION .1 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees. ~qd: 'Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street hnprovements: Storm Sewer Available: Special Instruction: IPUBLI~.VEl\1E~TS I . THIS PERMIT SHALL EXpmileWalHEYW{)RK . AUTHORIZED UNDER THI~fa\MJJtl~NRJs: .' COMMENCED OR IS ABANDONtD fOR ANY 180 DAY PERIOD. Notes: Paee I 'of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00087 . iSSUED: 02/22/2008 APPLIED: 01122/2008 EXPIRES: 09/10/2008 VALUE: $ 19,476.00 Status " Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phon~ 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction, Bid Amount Use Bid Amount" $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 19,476.00 Value Date Calculated Total Value of Project $19,476.00 $19,476.00 01/25/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $132.89 1/22/08 2200800000000000078 Plan Review Fire & Life Safety $81.78 1/22/08 2200800000000000078 -Mech Iss 2+ Appliances- $40.00 2/22/08 1200800000000000162 + 10% Administrative Fee $41.44 2/22/08 1200800000000000162 + 12% State Surcharge $49.73 2/22/08 1200800000000000162 + 5% Technology Fee $20.12 2/22/08 1200800000000000162 Building Permit $204.44 2/22/08 1200800000000000162 Exhaust Hoods $10.00' 2/22/08 1200800000000000162 Fixture $160.00 2/22/08 1200800000000000162 Minimum/Adjustment Mechanical $26.00 2/22/08 1200800900000000162 Sanitary Sewer - Improvement $428.49 2/22/08 1200800000000000162 Sanitary Sewer - Reimbursement $563.50 2/22/08 1200800000000000162 SDC MWMC Administration $10.00 2/22/08 1200800000000000162 SDC MWMC Improvement $9,383.13 2/22/08 1200800000000000162 SDC MWMC Reimbursement. $1,128.99 2/22/08 1200800000000000162 . SDC Sanitary/Storm Admin $85.30 2/22/08 1200800000000000162 . SDC Transpo Improvement $11,107.86 2/22/08 1200800000000000162 SDC Transpo Reimbursement $2,518.26 2/22/08 1200800000000000162 SDC Transportation Admin $1,171.71 2/22/08 1200800000000000162 Vent Fan $14.00 2/22/08 1200800000000000162 + 10% Administrative Fee ' $12.40 3/10/08 2200800000000000302 + 12% State Surcharge $14.88 3/10/08 2200800000000000302 + 5% TechnologyFee $6.20 3/10/08 2200800000000000302 Add, Alter, Extend Circ $48.00 3/10/08 2200800000000000302 Add, Alter, Extend Circ Ea Add $76.00 3/10/08 2200800000000000302 Total Amount Paid $27,335.72 Plannin{! Review 01/25/2008 Plan Reviews I WE Applicant will be submitting letter requesting exemption to the DWP application. Copy of letter to Amy Chinitz at SUB and to Liz Miller in Planning. Will approve when Amy has reviewed letter. Pa{!e 2 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Public Works Review Structural Review 01/25/2008 01/25/2008 01/2512008 01/25/2008 01/25/2008 01/31/2008 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00087 . ISSUED: 02/22/2008 APPLIED: 01/22/2008 EXPIRES: 09110/2008 VALUE: $ 19,476.00 APP NJM APP JHJ Attached SDC Worksheet. (JHJ) . APP LLH Plans reviewed by Mick Nolte with the Building Department under contract with the City of Springfield, 1. Install class II hood and exhaust Pa2e 3 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00087 ISSUED: . 02/22/2008' APPLIED: 01/22/2008 EXPIRES: 09/10/2008 VALUE: $ 19,476.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection 'call the 24 h~ur 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 Reauired InsDections I Shear Wal~ Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: ( Prior to cover and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When,all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all 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 p.ermit 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 Pa2e 5 of 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00087 COM2008-00087 COM2008-00087 COM2008-00087 COM2008-00087 Payments: .Type of Payment CreditCard cReceiot1 RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By KELLY KERSEY " I' City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000302 9:08:54AM Date: 03/10/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb ,042659 In Person Payment Total: Amount Due 48.00 76.00 6.20 14.88 12.40 $157.48 Amount Paid $157.48 $157.48 Page 1 of 1 3/1 0/2008