HomeMy WebLinkAboutPermit Electrical 2008-11-12
Date
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INITIALS . J7 r>--
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225 FIFI1I STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL, PERMITAPPLICATION
CityJobNumber ('nfY1?--6D)(' - 00350
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LEGAL DESCRIPTION: .....
->P"'7fAI/
JOB DESCRIPTION:
,
~J VI cU..iJ
Permits are non-transferable and expire if work is
not started within 180 days of issuance or ifwork'is
Suspended for 180 days.
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fJONrKACITOR.fNSTlff::EA'FIONlONl:i1{"!l
2. '" _, "~hI",",$kA/m011Gi,HWi:li\i!;h6!'itfW_\)~"i,i~
Electrical Contractor Nti')(t'e.... L C. c.
Address 2- 797 f//.E. /Wlq f,." rlJr;
City 1<0"'6..._
v'
Phone 5Y!-.!Pi?tJ-2-'f'fJ"'
Supervisor License Number .'59' J2 L;;: t'
Expiration Date 10 /oil 2..,O( I
Constr. Contr. Number . J <;(' '2. 06 2-
Expiration Date or /1'1 /20/0
Signature of Supervising Electrician
~~
Owners Name JJ-6b V S'
,
Address
City
Phone
OWNER INSTALLATION
The installation is being made on ,,,v,,,aY I own which
is not intended for sale, lease orrenl .
Owners Signature:
Inspection Request: 726-3769
3.
A. !~R.~lillril~sifi'0Ww~MffilrrE;rii1iiJJ41~ifiawfiiibihifuJ~7fifr
~"''''''''''''~,"''''''''''';'4,^W'''4",a~""g''j&i~''m1.",,,_",",,,,:4.;~'_0'''~'''''Y>1I!,"~_", .... ,_.g"". ",..,
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
$121.00
$ 22.00
$57.00
B.
200 Amps or less
201 Amps to ~OO Amps.
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpslVolts
Reconnect Only
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
. im/JMi'_\'_'" '1;l,,,,,JL,,, ,," .~ mP"'_-flY~~e+
C. ,iem: -":!m-:~."Jrs'ltvic~"b0j~#F~a~~~^"
'" ~,,~~~~:;j~lltl~SIi'J~L ....... .
. ~ regon law reqwes vc...., '
'Installation fl<\~tl!I>alulseAA~loWtilln the Oregol; :.' I, .
200 Amps Np,tification Center. T~o_s_e.~~le'S/5fo6't ::
'Yn (5~R 952-001-001 C ,~, ~~~,,-C;j".K ",." -c,. .
201 Amps t0~9.AWRJ'may obtain ~~;';M ')~t7!?-;92iC"',
401 Amps to tillQl~Jt$Je center.' (Note: 'hA$.H~tQ())n"
Over 600 AnfP~H.dt9WWs W.rqB~J~t.iU~y Noufic;;tian
. p'~"'---'~'"'-'''''~''''''' ". . .~\,~-....-
D "~-~""n''''.'ts'i8_'.w... ,-", ,_M,", '.E.' '..
. _:~._-JJ\~S!:Mi~l,r,;;qt_)Nl!3!jLlml~_: ,,' .. 'i" - ~'--cijiili$8:- _. ,,"
New Alteration or Extension Per Panel
One CircUit
Each Additional Circuit or with
Seivice or Feeder Permit
T'('!:." .
E.iM..!!(~f@~~~.~AE-fS~'3'Jt\Y;$jiW~!@i0'3r;;qRV~'R4~00i;jtI4W$F'--'" '4dWlil-jJtWWt~" '"
. 'r:, ls.ce - _ __ _ '.j. - _ Iii - _ .:' ...tit a IOB-
,," -~ _ ";,, .' ',.- '.-. ',..-. "c' -'. __ _"11.; .= _. _' ._'''' . .: . _ -"".~"" .
Purn AUTHORIZED UNDER THIS PER~mb% NOT
Si~o":t~i8~E~.gERR\~~.E;Ar~[jvH~fQ~ .
Lmuted EnergylReSl~ntJal'. . $ 29.00
Limited Energy/Commercial\ Y $ 52.00
. Minimum Electric Permit Inspect!on Fee is $52.00 + Surcharges
F/"x~""~":::iMm:"!~mtii!if-*'*"""'_' .,........'?
4. SVB[f(c)J(~OFr~q.lffi', 5::l. . 0 ~
12% State Surcharge 0. ;;L yI
10% Administrative Fee .5. ;:)Lev'
5% Technology Fee ~ j", 0
&&.oy
$ 50.00
$ 5.00
..-./
TOTAL
Shared Drive(T:)/Building FonnsIElectrica1 Pennit Application 7-1J8.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. City of Springfield Official Receipt
Development Services Department
Public Works Department
Jo~/Journal Number
COM2008-00356
COM2008-00356
COM2008-00356
COM2008-00356
Payments:
Type of Payment
Cash
cReceintl
RECEIPT #:
1200800000000001130
Date: 11/12/2008
Description
Low Voltage - Commercial Indus
'+ 5% Technology Fee
+ 12%.State Surcharge
+ 1 O%Administrative Fee
Paid By
NEXCON, LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
In Person
Payment Total:
Page I of I
3:10:02PM
Amount Due
52.00
2.60
6.24
5.20
$66.U4
Amount.Paid
$66.04
$66.04
_~"""'11/12/2008
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2043 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254200700
PROJECT DESCRIPTION: Sonic Drive -In
Owner: POLEN FUTURES LLC
Address: 2197 OLYMPIC ST
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: 05/12/2009
VALUE: $ 523,800.00
SPRINGFIETYPE OF WORK: Restaurant
TYPE OF USE: New
Commercial
I C:ONTRACTOR INFORMATION'
Contractor License Expiration Date Phone
NORTHSTAR CONSTRUCTIQN SERVICES 1179729 . 1~1,1,9,1t~nedre~ Y(,,'l.t0
VISION ELECTRIC INC 7~mENTION, ~r~W3~~20,W.3 Orbg(541).67~-4204
ZCS ENGINEERING INC follow rUle~a n~er ThoJSG rules al.541'-'479!31865
NEXCON. l8~fatlo~_O~1-0WifJ41~QlOJr, OAP54'i~58022'445
ORRIE THE PLUMBER INC I -l05u may 0!lVt.lilnO~'i3S 01 th(5[j.ij"7Z9Y9720
BECKLEY EXCAVATION & UTILITY INC 1 ,nn Ire cen'!l512~Violro the .~~~sjl!??Zk4050
I BUILDING INFORMA TIOllillll1II;" d forttne. ur1~8!JOuO'_332~2344i. .
, .. "I Can ar IS
Contractor Type
General
Electrical
Engineer .
Low Voltage Electrical
Plumbing
Sewer
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
,Energy Path:
. .Sprinkled Building:
VB
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
37
10,019
1,746
2,128
n/a
.~._d ._0
I DEVELOPMENT INFORMATION ~ ,.o._.o'
REQUIRED PARKING
Total:
"audicapped:
Compact:
Overlay Dist: ..
NO~e!~e~~;~\~t~XP\RE IF THE WORK
THIS%'Iip.fYljhi()'V~Ef\'''rH\S PERMIT IS NOT
AUT~?~,I~p,.., U~~lQ ~RANOONED FOR
I pbi:tliQI~~BO~~M'I>~TS 1
Page 1 of 6
Sidewalk Type:
Downspouts/Drains: .
, _~~AI~ll\IifI~,
a' .
,".-
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 Comm/IndlPublic
Plan Review Fire & Life Safety
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee.
Addressing Assignment
Appliance Vent
Backllow Device
Boiler/Comp 3-15 HP
Boiler/Comp Up To 100,000 btn
Building Permit
Exhaust Hoods
Fire SF Fee - Non-Residential
Fixture
Gas Outlets 1-4
Plan Review/Com,Ind,Pub Hourly
Sanitary Sewer - Improvement
Sanitary,Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 100/0 Administrative Fee'
+ 12% State Surcharge,
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 401 to 600 amps
Temp Power 200 amps or less
+ 100/0 Admillis.trative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backllow Device
Fixture
Sanitary Sewer - 1st 50 Feet
I Valuation Description I
$ Per Sq Ft
or multiplier
$1;00
Square Footage
or Bid Amount
523,800.00
Total Value of Project
L.FI'~. f?id ,
Amount Paid
Date Paid
$1,391.49
$856.30
$40.00
$331.34
$331.53
$138.14
$35.00
$7.00
$16.00
$50.00
$14.00
$2,140.76
$10.00
$550.60
$496.00
$15.00
$50.00
$571.31
$751.33
$10.00
$13,517.28
$1,626.42
$823.82
$14.00
$50.00
$60.00
$25.00
$300.00
$143.00
$57.00
$51.80
$62.16
$25.90
$16.00
'$160.00
$50.00
3/1 8/08
3/18/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
9/4/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
Page 2 of 6
CITY OF SPRINljl'lJ<.LD
Building/Combination Permit
PERMIT NO: cOM2008-00356
ISSUED: 08/1512008
APPLIED: 03/1412008
EXPIRES: 05/1212009
VALUE: $ 523,800.00
Value
Date Calculated
$523,800.00
$523,800.00
03/14/2008
Receipt Number
1200800000000000249
1200800000000000249
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248 .
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001248
2200800000000001341
2200800000000001341
2200800000000001341
2200800000000001341
2200800000000001341
2200800000000001341
2200800000000001416
2200800000000001416
2200800000000001416
2200800000000001416
2200800000000001416
2200800000000001416
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet .
Storm Sewer Each Addtl 100'
Water Line - 1st 50 Feet
Water Line - Each AddtI 100'
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indns
Total Amount Paid
Initial Review
03/20/2008
Plannimi Review
03/20/2008
Strnctural Review
03/20/2008
Public Works Review
03/20/2008
Fire Department Review
03/20/2008
Plan Review Comments
04/23/2008
SUB Review
03/20/2008
Initial Review
07/21/2008
Plannine: Review
07/24/2008
$32.00
$50.00
$128.00
$50.00
$32.00
$5.20
$6.24
$2.60
$52.00
$25,146.22
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMITNO: cOM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: 05/12/2009
VALUE: $ 523,800.00
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
11/12/08
II /12/08
11/12/08
11/12/08
I Piau Reviews I
03/20/2008
03/27/2008
03/27/2008
04/04/2008
04/21/2008
04/23/2008
06/27/2008
07/22/2008
07/24/2008
APP NJM
WI EMM
APP LLH
WI JHJ
OK GRG
10 LLH
APP JF
APP LLH
APP EMM
Page 3 of 6
2200800000000001416
2200800000000001416
2200800000000001416
2200800000000001416
2200800000000001416
1200800000000001130
1200800000000001130
]200800000000001130
1200800000000001130
Waiting for SPR Tentative Decision,
FSP submittal and DA
(DRC2008-00023) .
Plans reviewed by Mick Nolte with
the Building Department under
contract with the City of Springfield.
Check with LDAP prior to approval.
Attached SDC Worksheet. (JHJ)
See.attached document for Fire
Department Plans Review
comments.
Requested special inspection form
from ZCS Engineering
Requested Energy Forms 3/18/2008.
See attached documents sor SUB
~nergy review approval.
Revisions to Patio Canopy
Owner needs to sign Developmeut
Agreement before building permit
issuance. Call Steve Hopkins at
726-3649 for Final Site Inspection.
PLEASE GIVE 48 HOURS
NOTICE.
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00356
ISSUED: 08/15/2008
ApPLIED: 03/1412008
EXPIRES: 05/1212009
VALUE: $ 523,800.00
_~!i'lill}!':'I!-\IiII~",.
. t,
f,;
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan Review Comments
07/25/2008
IO LLH
07/25/2008
Structural Review
APP . LLH
07/22/2008
08/07/2008
Fire Department Review
08/11/2008
APP GRG
07/22/2008
I phoned Justin with ZCS
Engineering this morning to let him
know that I have not received the
special inspection form yet for this
project. He said he would check intc
it and get back to me soon. I also
made him aware that the LDAP has
not been lIpplied for and that the
LDAP needed to be issued prior to
this permit being issued. He said
they are currently working on the
drawings to submit to public works
for the LDAP.
Revisions to Patio Canopy reviewed
by Mick Nolte with the Building
Department under contract with the
City of Springl1eld.
Revisions to Patio Canopy.
Revised Plans Review: Sonic
Drive-In. Job #COM2008-00356.
Occupancy Classification: B.
Construction Type: V-B.
Approximately 1,746 sq. ft.
Occupant Load: 37.
Revisions are for structural and
electric. No additional fire plans
review comments. Refer to tire plans
review dated 4/21/08.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made thesame working day, inspections requested after 7:00 a.m. will be made the following
work day.
I R'1!"!I'r';~I'1~~npfl-"
Ufer Electrical.Ground: Install ground rod atfooting and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: Aftertrenches are excavated.
Foundlltion: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete. .,
Shear Wall Nailing: ,Before covering sheathing with finish materials.
.Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Page 4 of6
CITY OF ~nuNGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: 05/1212009
VALUE: $ 523,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Roof Sheathing
Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to
plastering.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Final Fire Department. After all requirements of the Fire Department have been met.
SUB Insnlation 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.
Underslab Plumbing: Prior to filling the trench and including required testing.
Underl100r Plumbing: Prior to insulation or. decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Underslab Gas: After line is installed' and required testing and capped if not attached to an appliance.
. Underl100r Mechanical. Prior to insulation or decking and including required testing.
Underl100r Cas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one- appliance including required
testing. Presure test done at this point. '
Rough Mechanical: '.Prio't to Cover
Final Cas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric:. When all electrical work is complete.
Low Voltage: Prior to cover.
Pa2e 5 of6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726~3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: 05/12/2009
VALUE: $ 523,800.00
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 worl, performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pe<taining to the work described herein, and
that NO OCCUP ANCY 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times du~ing construction.
Owner or Contractors Signature
Page 6 of6
Date