HomeMy WebLinkAboutPermit Electrical 2005-9-22
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (5~fj;~~'~689 " ,- ~ '
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ELECTRICAL PERMIT APPliCATION 0\\0""11-0 (; "'-
City Job Number COt-fZOO f"- CO? ~b -<,,,0~,(\~p,,.e <-'(\~ 1zt'~ ~
1-U ,0 1,.0 ./ ./ \ -
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I. I LOCATIO/l{OFINSTALLATION I 3. I COMPLE;7.:E'F'EESC1JE151J.I;E"BELOW<
'1012- GPku)~ ~...,'Z-(:~"(:.O 6YL ,,0..\0,:,,"'/'-
LEGAL DE~RIPTION I A. I Ne!,' Residential." Single or Multi-Family per dwellill!: unit.
0~.J) \ 1L /703 2ZC>C> OZZOOServiee Included
JOB DESCRlP ,fION
SO....,p SVk..... ~ W\rJ"ss ':i)~~ ~"'-l
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Permits are non-transferable and expire if work is Each M~)lr'lft'!!~I'iW!' ,'!!Quires you to
not started within 180 days of issuance or if work is ATTEMlilJilfa~ Welling ServicetS\'egon Utility, $5000
S d d ' 180 d ,.."'-. "'- adopteo oy !II" , -" ,- '
uspen e .or ays. fo\loW''''-~~''' \ 5 are ~"".. ..
2. I CONTRACTOR INSTALLATION O/l{LY I Noti'iJi,at~~~~:6=~;:Zneft}i'lllti';J;>~i:rations or Relocation:
In OAIi btain cop Ie" u' ~
Electrical Contractor Mu,'?_A-lL LL Co 0090),6lP~A~~~e~rtles.s (NO, te: the telep'~Orc $ 63.00
call1Th'! t ~n~ u: Mio,!}mpsJtility No\t1l"." ,... $ 75,00
hPr onlle u' ~,,- \
Address It-\.{ 4. .... oJ "i. ~o,e> num401 C'rR'tJftgOPz.:J1jp~.32-23441' $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsIV01ts $375,00
Reconnect Only $ 50,00
lD~J"'" (1 ~(-U- ~
Owners Name~7V ~C; ~o. ~S
Address }/'D LJ AoC.Gt. b..L. E. ~Iisc_ellaneous (Service/feeder ~~WE.'Wen~aeh Installation I
L.. ~E\C~" \.l ~"'P\t\E-\ - :t \S "'\.II .
City C. <c/a.'o. It. Phone ?ll-1bo ~ ljl'el\~tt~l;\r>:~R i\1\S ptRMI r\~$ 50.00
( ~ i~tOi8h~ BMiOOW:.U v"$ 50,00
OWNER INSTALLATION ~~f~~~fidfu~l. $25,00
The installa.ion is being made on y,oy_..j I own which ~:m"'/3\9~~~ercia1 ~ $ 45.00 70
is not intended for sale, lease or rent Mini~m Electric Permit Inspection Fee is $45.00 + Surcharges
City ~o~
Phone $6:i~-'3NJ'
Supervisor License Number '2.01 (., -L Ii 0
,..! oS
Expiration Date
Constr, Contr, Number 14 'L ..., (,., 0
Expiration Date S -/ / ~ <=' (,.,
Signature of Supervising Electrician
Owners Signature:
Inspection Request: 726-3769
c. I Temporary,Services nr Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 VoUs see "B" above,
D. l- BranchJj,irc,ui~s
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3,00
d.1 SUB1'OTAL OF ABOVE
70
6"1'0
,-
/0 r:? cO
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(f:)IBuilding FonnsIElectrica! Permit Application 1-03.doc
/
.
. CITY OF SPRINGFIELD
BuildinglCombhiation Permit
PERMIT NO: cOM2005-00996
ISSUED: 09/13/2005
APPLIED: 07/27/2005
EXPIRES: 03/23/2006
VALUE: $ 7,000.00
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3032 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF
Restaurant
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Remodel Existing Building for Carls Jr apd Green Buritto.
Commercial
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3~4 AlTN PROPERTY TAX ADMIN
CHICAGO n.. 60606
Phone Number: 312-960-5000
'CONTRACTOR INFORMATION I
oIl \0
Contractor leC\\liles'/ \ili\'/ License
ESSEX GENE~I~Nsmu,FJ'IONl\ ~\ \01\54531
REYJ'l.Qt~"~~~tpC,)'/ \\'I1\lleS a.le s :i2..()()17252
CO~F~.Rlll}!r,.O'\el 1\'10se \'I Op.?o '3 \lIeS '460
HAit:~X,~RRr~),G~O \\'IIO~;~<; 0\ \\'Ie ~"'''I\m
\"V'" '5't.,v'/' ,~..~. "-'-',' ~~
\(\ Op.?o '3 \,!\a.,/ICBlJILul1""l1~FORMATIONI
()gO. 'IoU ce(\\"'''' (\ \)\1'''' 0.\.
. () . n \\'Ie O,,",ofl\ _._ 030. 'J
# of UOIts: c~\I\(\", l,"'e tt 0 .stones:'
" \0 ,\' ,.';'JV -
Primary Occupancy Group: (\U~.2-1 e(\\e1 is "eight of
Secondary Occupancy C, Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Range Type:
# of Bedrooms: Energy Patb:
Sprinkled
Contractor Type
General
Electrical
Mechanical
;. Plumbing
Expiration Date
11/1012006
02/08/2007
06/27/2007
10/31/2006
Phone
541-342-4509
541-343-7297
541-726-0100
541-746-1621
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
InEVELOPlh",,, I INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
";' Solar Setbacks:
Overlay Dist: Total:
# Street Trees , _~ _ Handicapped:
Paved Drive Rqd: ~'R"pact:
% of Lot Coverage: W ""'t. ~G QI
-'1'~' 'I'" \ t.~?~~t:~~\1 \~~
IPUBLIC IM/R~~i.spt.?- \ ~~~G~'t.\l 'v\, .
, LlO\\"-~' n?- \s t>(
F II I d '\II P ~\rcD \J \""'dewalk Type:
u v mprove ... ~t:\~\J\.. t.?,\\,v.
Yes c.G~ '\~() Gfl-,'l ? DownspoutslDrains
fl-,~'{ ,
'1
Street
Storm Sewer Available:
Special Instruction:
To Storm Sewer
Notes: Storm drainage piped into existing 8/12/2005 CAS
"
1 of 5
Status: Issued
- 225 Fifth Street, Springfield, OR
541-726-3753 Phone
-541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Estimate
Pavinl!
Type of Construction
Estimate
Estimate
Use Bid Amount
, Fee Description
'. Plan Review Comm/IndlPublic
-Mechanical Issuance Fe....
+ 100/0 Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Minimum/Adjustment Mechanical
Paving
Plan Review Fire & Life Safety
SDC Sanitary/Storm Admin
Storm DraInage Impervious Area
Vent Fan
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Building Permit
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Low Voltage - Commercial Indus
Low Voltage - Commercial Indus
Total Amount
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
56,378.00
7,000.00
3,622.00
Total Value of Project
Fp/,<. tlWLI
Amount Paid
$266.27
$10.00
$69.06
$44.10
$43.00
$144.00
$397.95
$27.00
$60.60
$163.86
$5.43
$108.64
$18.00,
$10.00
$17.40
$12.18
$28.00
$84.00
$14.00
$4.00
$41.00
$3.00
$54.60
$33.60
$4.50
$4.50
$3.15
$3.15
$45.00
$45.00
$1,764.99
Date Paid
7/27/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
8/24/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/13/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
9/23/05
2 of 5
. CITYOF~rK11'lGFIELD
Building/Combination Permit.
PERMIT NO: cOM2005-00996
ISSUED: 09/13/2005
APPLIED: 07/27/2005
EXPIRES: 03/23/2006
VALUE: $ 7,000.00
Value
Date Calculated
08/17/2005
09/07/2005
08/17/2005
$56,378.00
$7,000.00
$3,622.00
$67,000.00
Receipt Number
1200500000000001076
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001147
2200500000000001252
2200500000000001252
2200500000000001252
2200500000000001252
2200500000000001252
2200500000000001252'
2200500000000001252
2200500000000001252
2200500000000001252
2200500000000001252
2200500000000001252
1200500000000001390
1200500000000001390
1200500000000001390
1200500000000001390
1200500000000001390
1200500000000001390
Status: Issued
- 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
.
07/29/2005
I Plan Reviews I
08/22/2005 OK
3 of 5
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00996
ISSUED: 09/13/2005
APPLIED: 07/27/2005
EXPIRES: 03/23/2006
VALUE: $ 7,000.00
GRG
Plans Review: Remodel of
Schlotzky's Dell to Carl's Jr and
Green Burrito. Job
#COM2005-00996. Occupancy
Classification: A-2. Construction
Type: V-B. Occupant Load: 94.
Maintain address numbers in
contrasting color from the
background positioned plainly
visible and legible from the street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505;1).
Provide fire extinguishers with a
minimum rating of2-A:I0-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Provide illuminated exit signage
meeting requirements of2004 OSSC
1011.
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2004 OSSC
1008.1.8.3, exception 2.2). ,
Subcontractor shall provide
submittal plans and cut sheets of a
commercial kitchen hood and duct
fire suppression system(s) meeting
UL 300 for review and approval by
the Springfield Fire Marshals Office
for all cooking surfaces producing
grease-laden vapors (2004 SFC
901.2).
Provide K-rated extinguisher within
30 feet travel distance of
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: cOM2005-00996
225 Fifth Street, Springfield, OR ISSUED: 09/13/2005
541-726-3753 Phone APPLIED: 07/27/2005
541-726-3676 Fax EXPIRES: 03/23/2006
541-726-3769 Inspection Line VALUE: $ 7,000.00
commercial-type cooking equipment
involving vegetable or animal oils
and fats (2004 SFC 904.11.5).
Fire Department Review 09/2312005 09/23/2005 OK GRG Plan Review: Commercial kitchen
hood and duct fire suppression
system. Job #COM2005-00996.
Designer Mel Franks. Contractor:
Sanderson Safety. Plans appear to
meet code requirements.
Initial Review 07/27/2005 07/29/2005 APP LLH
Planninl! Review 07/29/2005 08/03/2005 APP EMM No change of use. Restaurant to
Restaurant.
Public Works Review 07/2912005 08/12/2005 APP CAS Storm drainage SDCs for new menu
board Into existing system 8/12/2005
CAS.
Structural Review 07/29/2005 08/08/2005 WE JMP See attached documents for 10
structural comments faxed to David
Beckman. Rick Fegles at Harvey
and Price will can with plumbing
data when the scope Is determined.
Les with Comfort Flow will can with
mechanical data when the scope Is
determined.
Structural Review 08/17/2005 08/17/2005 10 JMP WI. Received emailed response
letter.
Structural Review 08/22/2005 08/2212005 APP JMP Received final Internal approvals.
Structural Review 09/07/2005 09/07/2005 APP JMP Received additional plans from Zeke
at Essex, drawn by Harvey and
Price. On 9/12/05 Steve Barnes said
there would be no additional SDCs.
SUB Review 07/29/2005 08/05/2005 WE JF JMP called Texture at Essex to
request 2 sets of energy code forms
and worksheets.
SUB Review 08/1 0/2005 08122/2005 10 JF JMP received a mechanical plan and
some energy code forms and
forwarded tbem to Jack Foster.
Approved.
SUB Review 08/12/2005 08/22/2005 APP JF JMP received electrical drawings
and energy code forms from
Reynolds Electric and forwarded to
Jack Foster.
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.
~r1'1 TnWI';,tion< I
Framing Inspection: Prior to cover and after all rough in Inspections bave been approved.
4 of 5
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: cOM2005-00996
ISSUED: 09/13/2005
APPLIED: 07/27/2005
EXPIRES: 03/23/2006
VALUE: $ 7,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping.
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: Prinr to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
Final Electric: When, all electrical work is complete.
SUB Final: After all required energy inspections have been requested and approved.
SUB Ceiling Grid: Interior Ligbting
SUB Exterior Lighting
Low Voltage: 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 wiD 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 70\.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 wiD remain on the site
at all times during construction.
Owner or, Contractors Signature
Date
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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liit!ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00996
COM2005-00996
COM2005-00996
COM2005-00996
COM2005-00996
COM2005-00996
Payments:
Type of Pa)'Dent
CreditCard
:1
:'
:1
:(
:i
:'
"
:(
9/23/2005
"
RECEIPT #:
1200500000000001390
Date: 09/23/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Low Voltage - Commercial Indus
Paid By
WILLIAM HIGGINS
Item Total:
L:heck Number AuthonzatJon
Received By Batcb Number Number How Received
djb 182793 In Person
Payment Total:
I of I
11:27:37AM
Amount Due
3.15
4.50
45,00
3.15
4.50
45.00
$105.30
Amount Paid
$105.30
$105.30