HomeMy WebLinkAboutPermit Electrical 2009-1-14
,Electrical Permit Application
. D
225 Fifth Street+Springfield, OR 97477+PH(S41)726-3753+F:AX(541)726-3689
1IR1!~:i~~fi~.
I Permit noQn.. ~ l \ .
I Date:
This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
Signature: Over 600 amps or 1,000 volts, see serVices or feeders section above
gJiit"';'C:0NiliRJ.(Cj'l'0R'lilllfSiIiAl!!!f.l,l.iJij0JlimJlllfl_1 I Branch circuits: new, a/'era'ion. ex'ension per panel
I Business name: T)('(\\ ~ A (J. M ~)(.nn p v, I' I a. Fee for branch circuits with purchase ofa service or feeder fee:
I Address: \ ':J'I S L\ I Tr-- \l I I Each branch circuit I $ 6.00 I $
I City: ~ nOfi.i 1 Ii I State: 0(2.. 1 ZIP:QlLll'i> lib. Fedor branch circuits without purchase ofa service or feeder fee:
I Phone:ILjI-ril~ . I Fax:74/-D?,lrl I I First branch circuit (2) I $ 55.00S
I E-mail: {-,(aJ(;i IIm-Li dfl!\d T)U'(:nt1t~, /!lJrn J I Each additional branch circuit I $ 6,00 $
) CCB license no.: loc;rr:tl) ) BCD license 'no.: . l I Miscellaneous fees: service or feeder,not included
I Signing supervisor's license no.: LjljD,;; Lc A I 'Each pump or irrigation cirCle (2) $ 63.00
I ,Print name of signing supervis;r: ~\-el ) - I Each sign or outline lighting (2) $ 63.00
I Signature of" '. J 1- /l Signal circll.it or a limited-energy panel, I \ $ 63.00
slgmng supervISor. ~ alteration, or extension (2)
.
I Each additional inspection: (lj J $58:00 $ I
1~~~i;4:p.~IFiQ~N1f"iliS:EI&~1
~~'7~fll'l'~"i~i10G)l;LJ,""G0\ZEFfNMEN;tel!f~RFfR0VA~"fll!ll\lJ!"'~1
1~;:~i~}i)~i3ft; .~^.....,.....i.u_.~. ........"..,^._~... ,_ ____.. L~~ _. _.. --"- ," .. ." ""., ~""",""",rw~
I Zoning approval verified? 0 Yes 0 No I
IMilIllIllJ!ilJ:[c::~iJil':G<0:Ryj[0!tlic:0N$J1BUCmI0N~~~]I'
II J5~ ~.esiden~a.l.. . '.'j"' ..JO.......G....O,v. en:IIl:~.".:"""'.I..~~.;. .o.mm.~.. ~e~~.a.~., ., PC'"
ilY,~,."I?till;!,~B"",$ITtE?IIIllF,QRM~11IQNr1f!.IllQl!L:QCf!.1jI<:>llliv,,~1,~
I Job site address:9Ct7~ OIl \fY\.0'- c.. I
I City~i tl5.(1f'(LI State!O!<.... I zIP(l7L117
.1 SubdIVISIOn: 1 Lot no.:
1~~t:il':s:c:BIF!ml0:N~(')fJW.0:RK~tt'!!*~~~1
-r:f\~"'A U """
~\f1J1Y) (ui:r\1 ";--R(irni l1 9)n:;")jJ
IN~!i!PJIJ~if'..IlR0gER;tly.t0:Wjij~l!.!lIfJ~, .
I Name~ ()l (;O,-~ ~. d::t. J-J'...@;.. l.LC/
I Address Lo'53 O\~'(\-~-::>\
I City~ \ Q cL I State:(\Q) I ZIPC(-l.'J-r
I Phone: -\1- I Fax:
I E-mail:. v
This installation is heingmade on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
~~>S\ .
V\!. y
~~~
440-2584-J (9/08/COM)
h~"""~~~-fEE;WSGHEDuiJE"''''':t~. W 'M'.'
1i!l:_X'J\~l1IlHi!lliJ:''lJ'. .:J!: ......w.....~_,,1tt,,~~M,~
1~~~i~~~~~)!'I ~11;~~~~:\llli~~~~~
"""",TWffirrgr~Jl'~,'%iil{:,w.~...,...:,';7;C-ii/l;.,,~.!!;f~l i:s~ U9*tL~...!~ Bt_____ ---'~
I Residential, per unit, service included:
11,000 sq. ft. orlcss (4)
I Each additional 500 sq. ft. or portion
thereof
I Limited energy (2)
I Each manufactured home or modular
dwelling service or feeder (2) ,
I Services or feeders: installation, alteration, relocation
I 200 amps or less (2) $ 81.00 $
I 20 I 10 400 amps (2) S 95,00 $
I 40 I to 600 amps (2) $158.00 $
I 601 to 1,000 amps (2) $205,00 $
lOver 1,000 amps or volts (2) $469.00 $
I Reconnect only (2) I $ 63.00 $
I Temporary senices or feeders: instal/ation, alteration, relocation
200 amps or less (2) $ 63,00 $
20 I to 400 amps (2) $ 87.00 $
40110600 amps (2) $126.00 $
$134,00
$
$ 25.00
$
$ 32.00
$
$' 63.00
S
I
I
I
I
.1
Slo31
$
$
(A) Enter subtotal of above fees
(Minimum Permit Fee $58,00)
I (B) Enter 12% surcharge (.12 x [A])
1 (C) Technology Fee (5% of( A])
I TOTAL fees and surcharges (A through C):
$la ~~'
$ { ,5LP
$ '?1, 17t
$'7:2., 11
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00545
COM2008-00545
COM2008-00545
COM2008-00371
COM2008-00371
COM2008-00371
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 01/13/2009
2200900000000000047
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
OMUD & SWINNEY
Item Total:
Check Number Authorization
Received By Batch Number Number How'Re'ceived
njm 37311 In Person
Payment Total:
r
Page 1 of 1
2:05:58PM
Amount ~ue
63.00
3,15
7.56
63.00
3.15
7.56
$147.42
Amount Paid
$147.42
$147,42
1113/2009
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0037I
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2053 OLYMPIC ST
ASSESSOR'S PARCEL NO,: 1703254200900
SPRINGFIETYPE OF WORK: Restaurant
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Abbys Pizza
Owner: POLEN FUTURES LLC
Address: 2197 OLYMPIC ST
SPRINGFIELD .OR 97477
Contractor Type
General
Electrical
. Fire Contractor
Mechanical
Plumbing
I CONTRACTOR INFORMATION'
Contractor License
TBD
BUILDERS ELECTRIC INC 4296
OREGON PROFESSIONAL MANAGEMENT:
TBD
TWIN RIVERS PLUMBING INC 17695
BUILDING INFORMATION I
Expiration Date Phone
12/10/2011 541-485-0922
541-673-1337
03111/2009 541-688-1444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:.
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
A2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:.
Occupant Load:
10,890
5,506
VB
Yes
115
I DEVELOPMENT INFORMAT~ON I
REQUIRED PARKING
NOTICE'
Street Improvements: 'HIS . .
, I 1 PERMIT SHALL EXPIRE IF THE
Storm Sewer Avatla~I~.'JTHORIZED . .; WORK
Special Instruction: COMMENC" ED UNDER THIS PERMIT IS NOT
.,' OR IS ABANDONED FOR
Notes: i-\NY 180 DAY PERIOD,
Overlay Dist: ATTE'.':!')~.I: 0ro(")'1IPwTo1aI~r')s youto
1 . ._. t '..\o.',r"'..,n Il~dlty
# Street Trees Rqd: foLow tL,es 01""1,,8" "y 'Ha'nilicapped:
. Paved Drive Rqd: Notification Cent?r. T11 JS;cJfupT.~pellorth
% of Lot Coverage:in OAR 952-001-0010 [[Wough vP,H !oJ52c001-
0090. You may obtain copies of the rules by
. ~ollinn thp "pnler. . (Note: Ihe telephone
I PUBLIC IMPROVEMEN'JI8-I";".,r for the Oregon Utlllly NotlTlCaIlOn
Center is 1-800-332-2344),
Sidewalk Type:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
.Rearyard Setback:
Solar Setbacks:
DownspoutslDrains:
Paee 1 of7
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 CommllndlPublic
Plan Review Fire & Life Safety
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Techuology Fee
Addressing Assignment
Air Handling Unit 10,000 & Ovr
Air Handling Unit 10,000 &Ovr
Appliance Vent
Backflow Device
Boiler/Comm 15-30 HP
BoilerlComp Up To 100,000 btu
Building Permit .
Exhaust Hoods
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
SDC MWMC Administration
SDC MWMC Improvement
. SDC MWMC Reimbursement.
SDC SanitarylStorm Admin
Vent Fan
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
FLS Safety Systems Review
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Amount Paid
$1,917.40
$1,179,94 .
$35,90
$43,08
$17,95
$200,00
$73,00
$86.00
$40,00
$367,38
$440,86
$183,69
$35,00
$34,00
$34,00
$7,00
$16,00
$74;00
$14,00
$2,949,84
$20,00
$464,00
$28,00
$5,00
$10,00
$15,278,80
$2,143,21
$871.60
$28.00
$54,00
$540,00
$63.44
$634.35
$7:56
$3,i5'
$63,00
Square Footage
or Bid Amount
750,000.00
Total Value of Project
li'p.p:~ P.....litl .
\ n'loI
Date Paid
3/18/08
3/18/08
9/24/08
9/24/08
9/24/08
9/24/08
9/24/08
9/24/08
9/29/08
9/29/08
. 9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29/08
9/29108
9/29/08
9/29/08
9/29/08
9/29/08
10/2/08
1012108
11118/08
11118/08
1/13/09
1113/09
1113/09
Paee 2 of7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00371
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000,00
Value
Date Calculated
$750,000.00
$750,000,00
03/18/2008
Receipt Number
1200800000000000250
1200800000000000250
1200800000000001002
1200800000000001002
1200800000000001002
1200800000000001002
1200800000000001002
1200800000000001002
. 2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001457
2200800000000001476
2200800000000001476
1200800000000001155
1200800000000001155
2200900000000000047
2200900000000000047
2200900000000000047
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726:3769 Inspection Line
Total Amount Paid
Initial Review
Plan nine Review
Structural Review
Initial Review
Public Works Review
Fire Department Review
Plan Review Comments
Structural Review
Fire Department Review
Plumbine Plan Review
Plannine Review
03/18/2008
03/20/2008
03/20/2008
04/01/2008
03/20/2008
04122/2008
04/23/2008
04/22/2008
04/28/2008
05/09/2008
07/24/2008
$27,963,15
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0037I
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000.00
I Plan Reviews I
03/20/2008
03/27/2008
03/27/2008
04/01/2008
04/04/2008
04/22/2008
04/23/2008
04/2412008
04/28/2008
05/09/2008
07/24/2008
APP NJM
WI EMM
WE LLH
APP LLH
WI
APP GRG
10 LLH
APP LLH
APP GRG
WE SKG
APP EMM
Paee 3 of7
Waiting for Tentative SPR decision,
FSP and DA, .
Plans reviewed by Mick Nolte with
the Buildiug Department under
contract with the City of Springfield.
See attached documents for plan
review notes.
Site Electrical Pla'ns forwarded to
Bryan Richardson for review, Site
includes Abby's and Sonic (2043 and
52053 Olympic Street)
Check with LDAP for approval.
Attached SDC Worksheet. (JHJ)
See attached document for Fire
Department Plans Review
comments.
Requested special inspection form
from ZCS Engineering
Plans reviewed by Mick Nolte with
the Building Department under
contract with the City of Springfield.
See attached document for Fire
Department Plans Review
comments,_ architect responsed
dated 4/25/08, and FD approvals on
each response.
Plans on hold waiting for civil
drawings, Engineer stated plans will
be submitted to us for review by the
end of May
Owner needs to sign Development
Agreement before building permit
issuance. ~Iease call Steve Hopkins
at 726-3649 for Final Site Inspection
PLEASE GIVE 48 HOURS
NOTICE.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
09/0212008
Public Works Review
09104/2008
Plannin!! Review'
09/04/2008
Structural Review
09/0412008
Initial Review
09/1912008
Plan nine Review
09/23/2008
09/04/2008
09/08/2008
09/ll/2008
09/15/2008
09/1912008 .
09123/2008
CITY OF SPRINGFIELD
Building/Co-mbination Permit
PERMIT NO: COM2008-0037I
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000.00
APP LLH
Revisions to original submittal. No
application, list of changes, etc,
Received three copies, Routing to
Mick Nolte at the Building
Department, Fire Marshals Office,
Public Works/Planning.
APP RP
No new SDC's associated with plan
revisions
WI EMM
Planning is processing Minor Site
Plan Modification application, Liss3
Davis is planner.
APP LLH
'Forwarded to Mick Nolte with the
Building Department for review
'under contract with the City of
Springfield,
APP LLH
UF Supply Line and backllow
preventer by Omlid and Swinney
APP EMM
Approved by Lissa Davis, Planner,
Please call for Final Site Inspection
before occupancy is issued at
541-726-3632, Please give 48'hours
notice.
Paee 4 of7
_GRiR!l"'~~~~~
. . - .
[1 ~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Deoartment Review
09/04/2008
09/2512008
CITY OF ~rKmuJ:1IELD
Building/Combination Permit
PERMIT NO: COM2008-00371
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000,00
APP GRG
Paee 5 of7
Revised Plans Review: new Abbys
Pizza. Job #COM2008-00371. Job
#COM2008-00371. Occupancy
Classification: A-2, Construction
Type: Construction Type: V-B.
3,749 sq, f(, Occupant Load:
approximately'105,
Note: this revised submittal
eliminates the previously proposed
deli and the associated comments
listed in the earlier tire department
plans review. Refer to Fire Plans
Review Comments dated 4121/08
except for the comment listed below,
Comfort Flow Heating Plan Sheet 1
of 2 notes change to Type I hood
. over pizza oven and pressure fryers.
Subcontractor shall provide
submittal plans and cut sheets to
Development Services Division
Building Permit Review Technician
of a commercial kitchen hood and.
duct fire suppression system meeting
UL 300 for review and approval by
the Springfield Fire Marshals Office
for all cooking surfaces producing
grease-laden vapors (2007 .
Springfield Fire Code 901.2).
Status
Issued
CITY Vi< ~rKINGFIELD
Building/Combination Permit
PERMITNO: COM2008-0037I
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
10/0112008
1010112008
APP GRG
Plans Review: Underground Fire
Line for sprinkler system, Job
#COM2008-00371. Designer: Myles
Knebel. Contractor: Omlid and
Swinney, :
Plans show a 4 inch line feeding to
the proposed building from Olympic
Street. The fire line consists of 136
feet of 4 inch C900 CPVC pipe,(both
UL listed and FM approved) by PW
Pipe (PW Eagie), The stub, up for
connection to the future sprinkler
riser consists of 5 feet of US
PipelTyton 4 inch ductile iron pipe,
One CPVC ell and one ductile iron
pipe ell are in the layout.
Plans appear to meet code
requireme;nts.
Fire Department Review
1I/17/2008
11/17/2008
APP GRG
See attached document for Fire
Department Plans Review comment5
. for the sprinkler system,
To Request an inspection call the 24 hour recording at 726-3769, All inspections 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.
L,.RellnirecUnsnections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footingandlor
foundation inspection.
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement,
Slab: To be made after all inslab building service equipment, conduit piping aud other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathiug with finish materials,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Roof Sheathing
LathlPlaster: To be made after alllalhing and gypsum board, interior and exterior are in place, but prior to
plastering,
. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection,
Underslab Plumbing: Prior to filling' the trench and including required testing,
Paee 6 of7
CITY OF SPRIN\Jl'lELD
Status
Issu'ed
Building/Combination Perin it
PERMIT NO:COM2008-00371
ISSUED: 09/29/2008
APPLIED: 03/18/2008
EXPIRES: 07/13/2009
VALUE: $ 750,000.00
-
225 Fifth Street, Springfield, OR.
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Undertloor 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 filling trench and including required testing,
Storm Sewer Line: Prior to fillin'g trench,
Backtlow Device: Prior to covering and provide a copy of the test 'report on site at the time of inspection,
Underslab Mechanical. Prior to insulation or decking and including required testing,
Undertloor Gas: 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: Prior to Cover
Final Gas: When all gas work is complete,
Final Mechanical: When all.mechanical work is complete,
Final Plumbing: When all plumbing work is complete,
Final Building: After all required inspections have been 'requested and approved and the bnilding is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Low Voltage: Prior to cover,
By signature, I state ami agree, that I h~ve carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further ccrtif)' 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 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 inspectious are requested at the proper time, that each address is readable from the
street, that the permit card is located atthe front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 7 of7