HomeMy WebLinkAboutPermit Electrical 2008-6-10
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ll5 FIFTH STREET, SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL Wi~fr '#!;pLICATION
City Job Number ~ '1..rJ1
1 LOCATION OF INSTALLATION.
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LEM1; DESCRIPTION ,^(l..., rV )
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Permits are non-transferal}e and expIre If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
,
CONTRACTOR INSTALLATION ONLY
2
Electncal ContlactOl :::f6 f6 LE c-n1..1 ( I k Ir
,
Address 'f08 S L <SA 'Be::t..(E srR.E.€-r
Phone 9fl /~7-~770
City EU,6p.JJ(:;.
ExprratlOn Date
3~7a-S
Illtl'D
IOy.q ;).q
-; / t;; /9-0 t I
Supervisor License Number
Constr ContI Number
ExprratlOn Date
3
COMPLETE FEE SCHEDULE BELOW
A
New ReSldenl1al- Smgle or IVIullI-Fannl) per d"ellmg umt
Service Included
1000 sq ft or less
Each addll10nal 500 sq ft or
portlOn thereof
Each Manufact'd Home 01
Modular Dwellmg Service or
Feeder
$106 00
$ 1900
$50 00
B Services or Feeders - 111S!allalIon, AlterdlIons or Relocatwn
200 Amps or less $ 63 00
201 Amps to 400 Amps $ 75 00
401 Amps to 600 Amps $12500
60 1 Amps to 1000 Amps $16300
Over 1000 AmpsNolts $375 00
Reconnect Only $ 50 00
C Temporarv SerVIces Of Feeders-
InstallatIon, AlteratIon or RelocatiOn
200 Amps or less $ 50 00
201 Amps to 400 Amps $ 69 00
401 Amps to 600 Amps $100 00
Over 600 Amps 01 1000 Volts see "Bn above
D Branch Crrcmts
New AlteratIOn or ExtenSIOn Per Panel t ~.oo 4~P()
One CrrcUlt
Each AdditIonal ClrcUlt or With \\J2 ( n4..dJ
Service 01 Feeder Pernllt $ 300
~n ~ E lVlIscellaneous (SeJ Vlce/feedeJ not mcluded) -Each InstallatIOn
~
City
Phone
N~STALLATION
:Wl~~Ji~t1i SI1lM1k ~J(<IlfRfIW'~ Wt'fflR"hlch
4JmdlilRIiliill ~N@~Rl"!'fflsr?~)hm IS NOT
CQW1[NCED OR IS ABA
~,"Y11''8~'tl\\vuP'ERIOD, NDONED FOR
~R.~:,~~qlp
Pump or illlgatlOn $ 5000
~b~htmg $ 50 00
JOlLqjjjlrulE!S1~%B%',ftl\(lreqUlres ynll to $ 25 00
In ~W\!~!ltM:PC<5/l1Rl~J~jl Oregon Utility $ 45 00
'\1IOlmu'Vl~qm ~QjJfilttit~m~t~~a~v~ $<.1!'t.bo + Surcharge:., ~
4... oa~wtJ't);~~~ACfi~Of the ru'~~~y' \~fL ,W
llumber for U " (ffl)ie 'the teleph .'
\~o ~fT1il1rrc1iarge1' lill'lty Notl'IC ~ne \1 .",!
t \) JQyo AdffiiniMtt:viFaiJ2 2344). I a JOn \ l . tf,.U
::::hnOlOgy Fee \~i i~
ShaJed Dnve(T )/BUlldmg Fonns/Electncal Penmt Appllcahon 8~06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00289
ISSUED 04/04/2008
APPLIED 02/27/2008
EXP]RES' ]2/]0/2008
VALUE $ 38,73000
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 5810 MAIN ST
ASSESSOR'S PARCEL NO 1702334102300
Springfield TYPE OF WORK Restaurant
TYPE OF USE
AlteratIOn
CommercIal
PROJECT DESCRIPTION Tenant mfill - QUlznos
Owner AMIGOS III LLC
Address 32929 ROBERTS CRT
COBURG OR 97408
I CONTRACTOR INFORMATION I
Contractor Type Contractor License ExpIration Date Phone
General TBD
ElectrIcal JB ELECTRIC 104929 03/14/2010 541-687-5770
Mechamcal COMMERCIAL AIR INC 110075 12118/2009 541-46 I -4821
Plumbmg RIGHT WAY PLUMBING 49561 12/16/2008 541-484-3787
BUILDING INFORMATION I
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
B
# of Stories
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
1,261
VB
Yes
32
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontydrd Setback
S,de I Setback
Side 2 Sethack
Rearyard Sethack
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
Total
Handicapped
Compact
IPUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
Special InstructIOn
Sidewalk Type
DownspoutslDrams
Notes
Paee I of 4
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Description
Tvoe of ConstructIOn
EstImate
Estimate
Fee DescriptIOn
Plan RevIew CommlIndlPublIc
Plan RevIew Fire & Life Safety
-Mech Iss 2+ ApplIances-
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
ApplIdnce Not LISted
BUlldmg Permit
Exhaust Hoods
Fixture
Gas Outlets 1-4
MlOlmum/AdJustment Mechamcal
Samtary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Samtary Sewer - Reimbursement
SDC MWMC AdmmlStratlOn
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SamtarylStorm AdmlO
Specl3l Waste ConnectIon
Water Lme - 1st 50 Feet
+ 100/0 AdminIstratIVe Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
Initial Review
03/0512008
I Valuation DescnotIon I
$ Per Sq Ft
or multIplIer
$100
Square Footage
or Bid Amount
38,730 00
Total Value of ProJect
F",,<, P~1lIJ
Amount Paid
Date Paid
$21938
$13500
$40 00
$67 95
$8154
$33 98
$20 00
$337 50
$10 00
$17600
$500
$1500
$50 00
$612 12
$805 00
$10 00
$4,067 99
$637 50
$306 63
$1600
$50 00
$ll 20
$13 44
$560
$48 00
$64 00
2/27/08
2/27/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
6/10/08
6/10/08
6/10/08
6/10/08
6/10/08
$7,838 83
I Plan ReViews I
03/05/2008
APP NJM
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERM]T NO' cOM2008-00289
ISSUED' 04/04/2008
APPLIED. 02/27/2008
EXPIRES' 12/]0/2008
VALUE, $ 38,730 00
Value
Date Calculated
$38,730 00
$38,730 00
02/27/2008
Receipt Number
3200800000000000132
3200800000000000132
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
1200800000000000308
2200800000000000874
2200800000000000874
2200800000000000874
2200800000000000874
2200800000000000874
-ii..~ CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO' cOM2008-00289
225 Fifth Street, Sprmgfield, OR ISSUED: 04/04/2008
APPLIED, 02/27/2008
541-726-3753 Phone EXPIRES: 12/10/2008
541-726-3676 Fax
541-726-3769 InspectIOn Lme VALUE: $ 38,73000
Plannme Review 03/05/2008 03/10/2008 WI EMM Does not dpprove Jomt use parkmg
agreement by ISsuance of bUlldmg
permit Checkmg on pavmg of
parkmg spaces on sepdrate tax lot
200
PublIc Works RevIew 03/1l/2008 03/1l/2008 APP JHJ Attached SDC Worksheet (JHJ)
Structural RevIew 03/05/2008 03/14/2008 10 LLH Forwarded to Mlck Nolte at the
BuIldmg Department for review
under contract with the City of
Sprmgfield
SUB ReView 03/11/2008 03/14/2008 APP JF Pass energy code plan revIew
Fire Department ReView 03/05/2008 03/25/2008 OK GRG See attached document for FIre
Department Plans ReVIew
comments
Plannme ReView 03/26/2008 03/26/2008 APP EMM Spoke with Ron Thlenes on 3/24/08
Does not WISh to construct on lot 200
lIsted as bid package #2 on
drawmgs I have crossed this out on
plans Tenant mfill for QUlZnos
only
Structural ReView 03/24/2008 04/03/2008 APP LLH Plans reviewed by Mlck Noltc at the
BUlldmg Department under contraCI
with the City of Sprmglfeld
Structural ReView 04/03/2008 04/03/2008 10 LLH Deferred submittals reqUIred for
Exhaust Hood, Duct, and Fan
To Request an inspection call the 24 hour recordmg at 726-3769, AlImspectJons 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.
, Rpl1l1lrprllnsnechons I
Frammg InspectIOn PrIor to cover and after all rough m mspectIons have been approved
Drywall PrIor to tapmg
FIrewall Located and constructed accordmg to plans
Fmal FIre Department After all requirements of the FIre Department have been met
Fmal BUlldmg After all reqUired mspectIons have been requested and approved and the buIldmg IS complete
Underfloor Plumbmg Prior to msulatlOn or deckmg
Rough Plumbmg Prior to cover and mcludmg reqUIred testmg
Grease Trap PrIor to Cover
Paee 3 of 4
-~~~
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00289
ISSUED: 04/04/2008
APPLIED, 02/27/2008
EXP]RES, 12/10/2008
VALUE, $ 38,73000
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lme
FlOal PlumblOg When all plumbmg work IS complete
Undertloor Mechamcal Prior to msulatlOn or deckmg and mcludmg required testlUg
Undertloor Gas After lIne IS IOstalled and reqUIred testlOg dnd capped If not attached to an applIance
Gas Service After lIne IS IOstalled and lIne has been connected to a mlOlmum of one applIance mcludmg reqUIred
testlOg Presure test done at thIS pomt
Rough Gas After lIne IS mstalled and reqUIred test 109 and capped If not attached to an applIance
Rough Mechamcal PrIor to Cover
Fmal Gas When all gas work IS complete
Fmal Mechamcal When all mechamcal work IS complete
Underslab Plumbmg PrIor to fillIng the trench and IUcludlOg required testlOg
By SIgnature, I state and agree, that I have carefully examlOed the completed applIcatIOn and do hereby cerllfy that all
mformallon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done 10 accordance WIth
the OrdlOances of the City of Sprmgfield and the Laws of the State of Oregon pertalOmg to the work deSCrIbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISSIon of the Commumty Services DIVISIOn, BuIldmg Safety
I further cerllfy that only contractors and employees who are 10 complIance With ORS 701 005 Will be used on thIS proJect
I further agree to ensure that all reqUired mspectlOns are requested at the proper time, that each dddress IS readdble from the
street, that the permIt card IS located at the front of the property, and the approved set of plans Will remam on the SIte at all
times dunng constructIOn
Owner or Contractors SIgnature
Date
Paee 4 of 4
225 FIfth Street
Sprmgfield, Oregon 97477
54]-726-3759 Phone
.T~
~J
~~~ w
CIty of Sprmgfield OffiCIal Receipt
Development Serv,ees Department
Pubhc Works Department
Job/Journal Number
COM2008-00289
COM2008-00289
COM2008-00289
COM2008-00289
COM2008-00289
Payments
Type of Payment
Cred ItCard
cRccemtl
RECEIPT #:
2200800000000000874
Date, 06/10/2008
DescnptlOn
Add, Alter, Extend CIrC
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
18 ELECTRIC
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
IIh 73553 Phone
Payment Total
Page I of I
I 58 09PM
Amount Due
4800
6400
560
1344
\I 20
$14224
Amount Paid
$14224
$14224
61l 0/2008