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Home My WebLink AboutPermit Electrical 2004-10-5 c- ,}... . ',':'>:':"':":<:'"-".-',;:e 'OF' :.~ G ED'" - ,~ ",:,."-.: ~ _'; I' ,,~'" ,'l ~ p" > ~ ," ~: ,.,,, ,<," ". ,'~,'l"" ,'i,~. .,,~.~~. ..-.,- ,^ ,"., . r' 'j,..:...,....~' ., ,." . "'<",'" ,"" .:,,~ -,~ ." :.~.... ,'J' .",; .~ . . . 11l.~llil1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . F~,(: (5~iIP.-;1I89n 1'0,-,: ql'J oY/)/: . ELECTRICALPEIDfITAPPLICATION ~~ <l<lo&%CI o 81} il,s City Job Number CON\."Z OO~- 0 t c:Y15 Date \0 r 5 -CX\" % <O~/~ OI,&;lI6,lJli(, 'lV '0 "lr9 9C1IJ. 3. :'.coiip,'LEiEFEi~.~,m,'n~' _' W:~~~<!;It:$I.'I}~~o ',; , ':-'~, ....,....,ql} Vlo.;J ~~I <lll '''Ill ""e 8(} 'lJ .J-,. .. _.-- .~ -.'" ". '.'~", ~-' '.. . A. r;c'~ Resi<lential- Single or J\.iultic ,', '.;., "".- ,". ." '. Installation, Alteration or Relocation 200 Amps or less >:> ....o.~ $ 50.00 201 Amps to 400~~ ,o~ ~ $ 69.00 401 Ampsto~~",,0-~~-o~ $100.00 Over 600 !fPh....d:~ J fl6'A..'91It4'e~'B" above, D.Br~f~~~'to~~~l~~1>o'" ",''',,''-',, " "~. ~ b-<> fo0 Ql &: ,~0 ,&,V " ~ ~~~~Q,'t,~~l~'Per Panel ^~'tn$f.iJJui~f;) vo~ ~r6-::';~:'\ ~. , $ 43,00 de- 3, ro ~' ~:..,,~ cJRl~r:cl) t& ilth ~ ~'=-~~rif'eMuoT~;t'bf.:,"tY ~ $ 3,00 C),oa " :,.o~ iff'!l: #0 P' ~0'")'~- \~,~r!Ji C?l'? ~.-r!P ,lJ....<a ,.' '. -, -, . " , ~~ ~~~ne"6Us'e>ervice/feeder not included) -Each Installation ~~!{,o"'e- .', -s.' .~~ ~'I. ~ \1 ~~.~:.r.Jtion . $ 50,00 Sig~utline Lighting $ 50.00 Limited Energy(Residential $ 25.00 Limited Energy/Commercial $ 45.00 . .........'.":-F..".;..-"":-...~r.,. . '1',-,-, '-_e;~"'.-'_;r'('::"",~;"J'~ I. i:'LOCAJ10NOFINSTALLA110N'{;i;i'~ ;(:~ . ."..... " " . . - . ". __,,.'- ,- .' - <,,' '_. ;,';'." . ,. ;,,;,,"j ~i;:; ,:. t,:!',,: I; '3o~S G.[<"\:E-W~ f: LEGAL DESCRIPTION II O"?:, "'-'-7..0 CO q oll.:-: JOB DESCRIPTION ~ t.--1'-'1~tl.~ 4- ~v-..~c.~ C~CU\\S Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 'f:':',l ~ -~.- .," ...- . ", " ~. ". . };ONTRACTORINSTALUTION O/:JLY 2. .:; "'",;:.,.. :~,,:<..J;f";'{";''''!''/i~:';''i..; ~':. ;'Yft/ ;, ',9 ::~~. ;::,: if'.~'l:.. ~'i'i~~:~"; .'":: Electrical Contractor Rtll'ldf'fS 'fle-ctrl C InC Address IClS Mack'iQn Phone 4 ~5 r CA d.:l.. ~'\:)<(-\ Supervisor License Number 3;)9 O~y\<:;!j,f-. ~'\:) , rJ- ~ '0l<(- Expiration Date I D' !--k;1't <l~j~Y.-~.<-~ '-<. )\ r.:.>--> (-<.y.~,:> 'N\),\~r Constr. Contr. Number ~{09--~ ~~::.. ~ ~";;'\)'fi] , Expiration D~~'L<~f/,u. 0,'<-V.I)'V ~ :f.> \()~ .\:;\'v ,<-v Si atur of S~R'isrng(Electn<ttan / "-'V~ ~,..... ~ V" /~~'l~~<6 City flJ3C'ne Owners Name ~ ~ ~~A..L:S> So Address "L0'13 C> L"'/\l\? \c. City ~ e~tf'.c, '" j;.L"D Phone Co ~ 't' "2..l\ OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale,Jease or rent. Owners Signature: Inspection Request: 726-3769 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 $ 19.00 $50.00 B.' Services or Feeders -.Installatio~, AIt~r"tions or Relocation: ' ' ';,. -,"' .........', ":'-"',',.", "..,- . " ;;", .;,.".:,.... ",-. .,' , 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslV olts Reconnect Only $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 c. '?-'T'~~;~'~~~Y-~S~r~;i~~~ -'~;.'F,~~'~e/~'<"~,S:'. ~'~:'.~;-~ ,'t'y;~t~ J~~~:~:.t'; :}~f.~~~~.f~!!; Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ,'SUBTOTALOFABOvE., "'.' ... .. ,.. . ,. . -' .~. ... "', '.. '. .' 5'Z..tO '3<b~ S.LO ba.8~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)lBuilding Fonns/Electricnl Pennil Applicalion I-OJ.doc " . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01075 ISSUED: 10/18/2004 APPLIED: 08/27/2004 EXPIRES: 04/18/2005 VALUE: . 5 \$,12f7,500.00 \lr(\ ,vv' _.....1""1 I::\\I\J reQI.. I H,lihl ~.......,..r:t-r-nur'L v ~'.' .1 h., the U'lIJId....... ~ ,.......th SITE ADDRESS: 3405 GA TEW A Y ST ;~'sp.aiigficl,,-JO~l:YP~'OFCW()"~; Ij~aifrant ASSESSOR'S PARCEL NO,: 1703222000904 Notihcation \,;e~_l)010 through \~he rules 'oY . Op..R 952-00 TY~F..l}lO\fllS~:O Altp<\l,W1n In ?~.J oDrcrr.l"V"'" k te\e\JntJ PROJECT DESCRIPTION: Demo playland and update '\%iyg,roomlli'ilu re~tff."(l"lte: .\~ ,e tilicaUon ...,,\\ing the eel) ",onOO Utility tlO m'oenu, '''-, 800-3~"""~ ,\~' Owner: MCDONALD'S CORP I1U tar \$ 1- Address: 2073 OLYMPIC ST STE 211 SPRINGFIELD OR 9747,peo 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Commercial , CONTRAL<vK INFORMATION I Contractor Type Architect General Electrical Contractor RICHARD 0, FREIHEIT, ARCHITECT LEMAR & SON CONSTRUCTION INC BUILDERS ELECTRIC INC License Expiration Date Phone 425-827-2100 04/28/2006 541-747-0568 12/10/2007 541-485-0922 32241 4296 VN I BUILDING INFORMA nON I hw "",~' " LL EXPIRE IFTHE WORK # of Storie.: PtRl\I1\ r SHA ' PELot~i~e: NOT Heigh~'!'.fSt~uctu[e8 UNDER THIS O~'ihE6tfloor: Type oW~~.t.:.ENCED OR IS ABAND S1q:~t 2n~ Floor: Water :frJle:\ 80 DAY PERIOD, Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: SoJar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Strect Improvements: Storm Sewer A vailahle: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of 4 " 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 Fee Description Plan Review CommlInd/Public + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixtu re Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC Sanitary/Storm Admin Refund - Surcharge Total Amount Paid - I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 127,500,00 Total Value of Project Fpp<, PIilIJ Amount Paid Date Paid . $441.61 $6,40 $4,48 $64,00 $64,00 $75.36 $52.76 $43,00 $9.00 $656.65 $14,00 $31.00 $54,83 $72,13 $6,35 $-64,00 ' 8/27/04 10/4/04 10/4/04 10/4/04 10/4/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/5/04 10/8/04 $1,531.57 I Plan Reviews I Paee 2 of 4 . CITY OF iSrKlI'HJ1<lJ!,LlJ. Building/Combination Permit PERMIT NO: COM2004-01075 ISSUED: 10/18/2004 APPLIED: 08/27/2004 EXPIRES: 04/18/2005 VALUE: $ 127,500.00 Value Date Calculated $127,500,00 $127,500,00 09/13/2004 Receipt Number 3200400000000000222 3200400000000000274 3200400000000000274 3200400000000000274 3200400000000000274 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 2200400000000001240 JE .' . . Lll f OF SPKll'ild<U,LU '1 Building/Combination Permit Status Issued PERMIT NO: COM2004-01075 225 Fifth Street, Springfield, OR ISSUED: 10/18/2004 541-726-3753 Phone APPLIED: 08/27/2004 541-726-3676 Fax EXPIRES: 04/18/2005 541-726-3769 Inspection Line VALUE: $ 127,500.00 Fire Dcpartment Review 09/0712004 09/20/2004 OK GRG Plan Review: interior remodel, Job #COM2004-01075. Occupancy classification: A-3. Construction type: V-N, Maintain address numbers In contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (Oregon Structural Specialty Code 502 and Springfield Uniform Fire Code 901.4.4), Maintain fire extinguishers with a minimum rating of 2-A:10-B:C every 75 feet of travel distance, The top of thc extinguisher(s) shall be between 3 and 5 feet above finished floor (Springfield Uniform Fire Code 1002,1). Initial Review 08/30/2004 08(30/2004 APP SKG Public Works Review 09/08/2004 09/08/2004 APP SB SDC'S FOR ONE FLOOR SINK ADDED. NO ADDITIONAL FLOOR SPACE, OR IMPERVIOUS SURFACE. Structural Review 09/09/2004 09/0912004 WE JMP Talked to Terry from Lemar & Son, and Loy Taylor from McDonald's. No mechanical. Replacing some plumbing fixtures and adding a floor drain for a dipping well. Left message for Loy asking for clarification on the different values submitted, Structural Review 09/13/2004 09/13/2004 WI JMP Talked with Dave Puent and Loy Taylor, Deduct $7,500 for painting from the $135,000 total for a net value of$127,500. Structural Review 08/30/2004 09/08/2004 WE JMP Received 9/7/2004, Left voice mail message at Lemar & Son Constr. requesting information on mech" , plumb" and bid value. Structural Review 09/30/2004 09/3012004 APP JMP Received last internal review, SUB Revicw 09/07/2004 09117/2004 WE JF Requested clarification from architect and project manager regarding lighting system and building envelope, SUB Revicw 09/30/2004 09/30/2004 APP JF I. I I Pa!!e 3 of 4 ~ . . CITY OF SPRINtd<l~LlJ Status Issued Building/Combination Permit PERMIT NO: COM2004-01075 ISSUED: 10/18/2004 APPLIED: 08/27/2004 EXPIRES: 04/18/2005 VALUE: $ 127,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 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. I Reouired Tn~nedj'W Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover, Drywall: Prior to taping, Ceiling Grid: After drywall approval but prior to cover, 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. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection, SUB Final: After all required energy inspections have been requested and approved, SUB Ceiling Grid: Interior Lighting Rough Elcctric: 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 1 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 ofany 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 "m~;;J:."ruct;9 '/:'>1 ~ ) I () - /K' M- 0',",., ~." ","""" Date Pa~e4 of4 225 Fifth Street .. Springfield, Oregon 97477 541-726-3759 Phone . a~~'~~~'f.I..!!-D,"_ _..,..,____..- I., Wit,' ! "' -.- .... : __'" _ - J ' llliii.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2004-01075 COM2004-0 1075 COM2004-01075 COM2004-01075 COM2004-0 I 075 COM2004-0 I 075 COM2004-01075 COM2004-0 I 075 COM2004-0 I 075 COM2004-0 I 075 Payments: Type of Payment Check 10/22/2004 RECEIPT #: 2200400000000001240 Date: 10/05/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add , Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Stonn Admin Building Pennit + 7% State Surcbarge + 10% Administrative Fee Paid By LEMAR & SON CONSTRUCTION, INC. Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 9659 In Person Payment Total: Page 1 of 1 8:55:21AM Amount Due 43.00 9.00 14.00 31.00 72.13 54.83 6,35 656.65 52.76 75.36 $1,015.08 Amount Paid $1,015.08 $1,015,08