HomeMy WebLinkAboutPermit Electrical 2008-11-26
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FA.X: (541)726-3689
ELECTRICAL)!ERMIT APPLICAll{JN
City Job Number U{)/YJ/ JrV K ~ (xJ3.5b
I. LOCATIONOFINSTALLATION:, 3. COMPLETEFEE SCHEDULE BELOW ,
c2eJLj3 ~;p-
.!lEGAL D~SCRIPTION:
~ # $'j/7
JOB DESCRIPTION:
~~a.v t21~
/
. Permitv;fe non-transferable and expire if work is
not started within J 80 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACToR lNsTALLATIONONLY'
Electrical Contractor
ADT SECURITY
Address
2815 SW 153RD DR
Ci ty B E A V E R TON
fl))r:ro6 #,".'c2J'3
Phone 503-469-7206
- t)S()3 '7-/
'Supervisor License Number
LEA389
Expiration Date
10/01/08
Constr, Contr, Number 59944
Expiration Date 5/7/2009
A. . Ne~, R.,.ldenlial-:- Single or Mulii-Family per dwelling unil.,
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion Ihereof
$121.00
$ 22,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57.00
. ".' -" '," ',. "..- .,".". ". /".
B. SeQ'.il;es,'I'i", Fe~dl'/'S ~Installatio,!> Alteration, or Relocation:',
AI I t:N UN: uregon law reLJUlres ynu 10
~OIIOW rules adopted by the Oregu'.n II";;I~'
2 AmRsorless, T ' $73,0
Otmcauol1l.Jenter. I hose rlll'~.J ,.'I <~ ,;rof Tn;- n
201 Amost0400,t1-mos101"'OI'C'" ",^, ~e$86, 0
ln1JM'tld;)c..Uul-~\) .11 '~I" _.... _h':'.UUI-
4qjoM}p'Yad'9P'"o/I'p.Jtai~ cooieo 01 II,,, '''~Wu<$P
601 6.n\ps!ptl1lo(h~nips (Note: the tE.leoi$:I8(i,OO
OvltUIIJllm!.MpS1\!61t5)legol1 Utility NoiificM!ltr.110
Reconnect elnlylter is 1,800.332,23441. $ 57,00
c. . :~emporary Seryi~~s o~ Fe~e~s
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps 10 600 Amps
$ 57,00
$ 79,00
$114,00
Over 600 Amps or 1000 Volts see "8" above,
Signature of Supervising Electrician ~ 10 D. .,' Bra~t~~:~~<; ,
-./. //" / New ~~le!i'tJon OrJr.ft@I,,\'1.r<rtrml: IF T I
-Y/lt~~S ':Ulr;; . 2/ {ltf onecii-l:{;tHOR1ZED UNDeR T""-' ___ $~~,d80RK
/ 16 ~ Each ~<IJI\tiP.~~!'f1j'trjt'<?R1(in ,"u ,el1!V1IT IS NOT
?, / '/~ / ~ Servi~WF~~de'O'Pefl1li't' <:J ABAMnONE~ *'eJR
Owners Name u!...e/YI r/", -f-r.(Ac..... ou Ar PERIOD '
Addr.;:!/97 // (/ f.-r~r ~ '-"~' /I1iSeellaneOU,S,(Servicc/feede~,ito~ i.neluded) -Each Inslallalion
Ci~..It d.-- P60ne Pump or irrigation $ 57.00
I Sign/Outline Lighting $ 57,00
OWNER INSTALLATION Limited Energy/Residential $ 29,00
The instal/ation is being made on property I own which Limited Energy/Commercial ' $ 52,00 52,00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
Owners Signature:
Inspection Request: 726-3769
, "
./"
4. 'SUBTOTAL OFABOVE
12% State Surcharge 6.24
10% Administrative Fee 5,z,0 ~
5% Technology Fee i, hO / ~
TOTAL 5 8..-:d c. (, ,
Shared Drive(T:)IBuilding Forms/Electrical Pcnnit A.M1Jjc8lion 7..o8.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008,00356
COM2008,00356
COM2008-00356
COM2008-00356
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 11/26/2008
1200800000000001182
Description
Low Voltage, Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ADT
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
njm
2942102
In Person
Payment Total:
~
, Page 1 of 1
10:31:29AM
Amount Due
52,00
2,60
6,24
5,20
$66.04
Amount Paid
$66,04
$66.04
11/26/2008
':;I!!RIl>/ill'II;IIil;~I"
-..,"'", "'r>."'" ".~"-/ .
.t : 1
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
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: OS/25/2009
VALUE: $ 523,800.00
SPRINGFIETYPE OF WORK: Restaurant
PROJECT DESCRIPTION: Sonic Drive - In
Owner: POLEN FUTURES LLC
Address: 2197 OL YMPIC ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Commercial '
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Low Voltage Electrical
Plumbing'
Sewer
Contractor License
NORTHSTAR CONSTRUCTION SERVICES L179729
VISION ELECTRIC 1NC 73391
ZCS ENGINEERING INC
NEXCON
ORRIE THE PLUMBER INC
BECKLEY EXCAVATION & UTILITY INC
Expiration Date
12/19/20 II
10/29/20 I 0
Phone
(541) 673-4204
541-479-3865
541-580,2445
(541) 779-9720
(541) 672-4050
182062
156215
151580
05/14/2010
07/21/2011
OS/2312010
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
B
VB
n/a
Lot Size: .
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
37
10,019
1,746
2,128
1 DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
I PUBLIC IMPROVEMENTS I
. Street Improvements:
Storm Sewer Available:
Speeial Instruction:
Notes:
Page I of 6
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
_~,!lt!,~~e~J,!;I~'~l;j",,;.<t~:~
~, '-.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
Plan Review Fire & Life Safety
-Mech 1ss 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 btu
Building Permit
Exhaust Hoods
Fire SF Fee - Non-Residential
Fixture
Gas Outlets 1,4
. Plan Review/Com,lnd,Pub Hourly
Sanitary Sewer ~ Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% 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
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backllow Device
Fixture
,Sanitary Sewer - 1st 50 Feet
I V 'J1u~ltio~ Descriotion I
I1IIIIIIII
$ Per Sq Ft
or'multiplier
$1.00
Square Footage
or Bid Am~unt
523,800:00
Total Value of Project
~ Fpp,. P~ilU
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
3/18/08
3/18/08
8/15/08
8/15/08
8/15/08
8115/08
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
9/18108
Pa!!e 2 of 6
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: OS/25/2009
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
_~,~I~~~~,~q;'
"
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Status
Issued
225 Fifth Street, Springfield,.OR
54]-726-3753 Phone
54]-726-3676 Fax ,
54]-726-3769 Inspection Line
Sanitary Sewer Each Addtl ]00'
Storm Sewer - ]st 50 Feet
Storm Sewer Each Addtl ]00'
Water Line - ]st 50 Feet
Water Line - Each Addtl ]00'
+ ] 0% Administrative Fce
+ ]2% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ ]0% Administrative Fee
FLS Safety Systems Review
+ ]0% Administrative Fee
+ ]2% State Surcharge
+ 5% Technology Fee
Low Voltage, Commercial Indus
Total Amount Paid
Initial Review
03/20/2008
Plannin2 Review
03/20/2008
Structural 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
]nitial Review
07/21/2008
$32.00
$50,00
$]28.00
$50.00
$32.00
$5.20
$6.24
$2.60
$52,00
$]2.00
$] 20.00
$5,20
$6.24
$2,60
$52,00
$25,344.26
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/1412008
EXPIRES: OS/2512009
VALUE: $ 523,800.00
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
11/] 2/08
11/]2/08
11/]2/08
]1/]2/08
11/]4/08
] 1/]4/08
] 1/26/08
11/26/08
11/26/08
] 1/26/08
220080000000000]4]6
220080000000000]4]6
220080000000000]4]6
220080000000000]4]6
220080000000000]4]6
120080000000000]]30
120080000000000]]30
120080000000000]130
1200800000000001130
2200800000000001644
220080000000000]644
]20080000000000]182
120080000000000]]82
]20080000000000]182
]20080000000000]]82
I Plan Reviews I
03/20/2008
03/27/2008
03/27/2008
04/04/2008
04/21/2008
04/23/2008
06/27/2008
07122/2008
APP NJM
WI EMM
. Waiting for SPR Tentative Decisio~,
FSP submittal and DA
(DRCl008-00023) ,
Plans reviewed by Mick Nolte with
the Building Department under
contract with the City of Springfield.
APP LLH
WI JHJ
Check with LDAP prior to approval.
Attached SDC Worksheet, (JHJ)
OK GRG
See attached document for Fire
Department Plans Review'
comments.
10 LLH
Requested special inspection form
from ZCS Engineering
APP JF
Requested Energy Forms 3/]8/2008,
See attached documents sor SUB
energy review approval.
APP LLH
Revisions to Patio Canopy
Paee 3 of 6
-~~r~..,~,~....I3!IE.~'_" .""..... 'i
cJ. "St"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine. Review
07/24/2008
Plan Review Comments
07/25/2008
Structural Review
07/22/2008
Fire Department Review
07/22/2008
Fire Department Review
11/1412008
07/24/2008
07/25/2008
08/07/2008
08/11/2008
11114/2008
CITY OF ~rK1r~GFIELD
Building/Combination Permit
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: OS/25/2009
VALUE: $ 523,800.00
APP EMM
Owner needs to sign Development
Agreement before building permit
issuance, Can Steve Hopkins at
, 726-3649 for Final Site Inspection,
PLEASE GIVE 48 HOURS
NOTICE,
10 LLH
I phoned J IIstin with ZCS
Engineering this morning to let him
know that I have not received the
special illspection form yet for this
project. He said he would check int<
it and get back to me soon, [also
made him aware that the LDAP has
not been applied for and .lhat the
LDAP needed to be issued prior to
this permit being issued. He said
they are currently working on the
drawings to submit to pllblic works
for the LDAP.
APP LLH
Revisions to Patio Canopy reviewed
by Mick Nolte with the Building
. Department under contract with the
City of Springfield,
APP GRG
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, Nil additional fire plans
review comments. Refer to fire plans
review dated 4/21108,
APP GRG
See attached document for Fire
Department Phms Review comment~
for the commercial kitchen hood
and duct lire suppression system,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 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.
Paee 4 01'6
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: OS/25/2009
VALUE: $ 523,800.00
225 Fifth Street, Springfield, OR
541-726-3,753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I ~P'\Wrp(lln<,llP~t'"
Ufer Electrical Ground: Install ground rod at footiug and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but pri.or 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 heen approved,
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 I)epartment have been met.
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.
Underslab Plumbing: Prior to tilling the trench and including required testing.
Underl100r Plumbing: Prior to insulation or decking,
Rough l'lumbing: Prior to cover and including required testing,
Water Line: Prior to tilling trench and including required testing,
Sanitary Sewer Line: Prior to filling trench and includiug required testing.
Storm Sewer Line: Prior to filling 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,
U!1derfloor Mechanical. Prior to insulation or decking and including required testing.
Underl100r Gas: After line is installed and required testing and' capped if not attached to an appliance.
Rough Gas: After line is installed and reqnired 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 reqnired
testing.. Presure test done at this point.
Rough MechaniCal: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete,
SUB Mechanical: Following City Rough Mechanical inspectinn approval and prinr to any cnver.
Page 5 01'6
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00356
ISSUED: 08/15/2008
APPLIED: 03/14/2008
EXPIRES: OS/25/2009
VALUE: $ 523,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 strncture without permission of the Community Services Division, Bnilding Safety,
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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 during construction.
Owner or Contractors Signatnre
Date
, '
Pace 6 of6