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Home My WebLink AboutPermit Electrical 2009-3-10 City of Springfield Electrical Authorization To Begin Work E-mailed To: dana@jbelectricinc;com Receipt # .EC5479R6,\V 3/101200910:25:06 AM fA;\ . G Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us o 1 or 2 family dwelling o Multi-family [2J Commercial! Industrial Description I Qty. I I<:a. I Total I :.-~l~_.j~~~. i~.'#I.-.-.~f~Q~.-~.~'.q.I!l~li~~~~TiI~_{J~:e,~I,j~~g~,ii..i~~!n~lti.~~~,.:... >' -, ~I : a_~!ll~"ti~~ :g~r.li~t;;. '<:'+;it~t!:, ,,:r~~ ~_.:' i-.ff ;'1,"" d:p., I"M":'\' ".!>'>~ II,OOOsq,ft.orless[4] I Ea. add! 500 sq. f1. or portion I1U New cOllstruction o Addition/alte.ratioi1/replacement ~\~.;~~~;1~~~~;f:;:'b~Q.~-~$TTEli]E?~M~~i6N~~-~B14~-~tI9~;~;#~~.~n:[~1~f:~:~11 IJob no.: ] ]-0133 IJob address: 421] MAIN ST I ICil}'/Stale/ZIP: SPRINGFIELD, OR. 97478.5954 I I Suite/bldg./apt.no.: I I Project name: Dutch 'Bros Coffee I NOTE: This Authorization To Begin Work ex'pires within 180 days if a permit is riot obtained. The local building de"partment may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. ~ ,.6?" 'ro\; c.&.'" ~$ I-Limited energy, residential (with above so. ft.) I-Limited energy, multifqmily residential (with above Sq. ft,) I-Limited energy, commercii;1 nol offered online at this jurisdiction (with above Sq. ft.) I - Stand-alone limited energy, resldentlal I - Stand-alone limited energy, multI-family '1 !~~~~;:~~~:~~~:;;l;:;:;~O~>;l[~~iig.,l~'~9&ilJ.,~ia~'c~~~1~1 1200 amps or less 121 I 12? I ~mps to 400 a~ps' [2] I 1401 amps Lo 599 amps [2] I l~t~.~JP,QRARy~~ervi~~9~>r~de~S;iIrst~ll~t,ion;:a!!edl!ion't:'~:-.?'(f.Y~'.1 :'A~D/Q.!~f~o'el!!!2!F:!t2z:~,~t',1tE'~f &:~:;,~~:.::,"~~' t:;J~;,:7;;~.o,_<t~.,_ "'Pi,:;- .~ 1200 amps or less [21 $63.00 $63.00 I 120 I amps to 400 amps [21 I 1401 amps Lo 599 amps [2] I I~Bran'ch"circuitS'fNE\V,:ajrei'aiionr6({ e'xteii~jon~,per;paneIT(t'"~Gr" 'Wil .~'~':;_",.,_,~'.:"'.-';''''' :'C:. .... .', .. .,:"",."~,,.>.....,. ~'_'.~ ''''''.:~':-,. '.,'''' . '"', - ~".' "^",,,. ....T_ ., ...', I A. Fee for branch circuits with I J '1 scrviccQ~derfee,each branch8rl:diENTION: Ore a )n law" nlli,,,. If "In II B. f'<f&li'lW'cjol!I'Il~t1l.dOptE d by the Oregon tlJtility I II It~!!;c~EftI~:Jf;:~::~~~1~~~;:~lt~~J~ ;(<;11 1;;~i;;'~\~il~rM:g;;cJ~J~~iiNI;'~~~~f~tt.i~.""" '1 I Each manllfac\UryQ.Q~..w~~uJar "" n.....' ..1....". I dwelling, s"v"c\ntdMf'!l!cd~ 1- 300-332- ~344). I 121 . I I Pump or lrrigation circle,[2] I I Sign or outline ligliting [2] I I Signal circuit(s) or limited- I I energy panel, alteratIOn, or extension [21 , l~fi':+~'?;'~lE'CtRI6A~PERMltFEES,i:7'~'"~~.~ ~.~,/;.7_ w;r:vl .1I_a_'/f4'::;\~"\. ~;:'?:k1<... ._._.--'.._. ,..",.'...F~4;.:.~. ~... :./^"'-."'.....: ::.-y'';\ffi'-''''''~ .........'" ."..;.. 1 Subtotal I $63.00 I 1 Slate Surcharge (12% ofpemlitfee) $7.561 1 Cny Of Sprlllglield fees * $3.15 I I TOTALI)ERMITFEE I $73.711 . City .0rSpringfield'fe<:s,: 5% Technology Fee rDtq :m\~\;p~'liO~"dJ 3 \ I D I D~ Cross street/directions to job site: i Subdivisiun: ITa\ lllap/pan'l'I'nu.: I Lot no.: 1702323201~OO Discorii1ect old com~e cart and recoliilect new co!fee cart with Electricilll I Name: Cllris Stewart IPhone: (541)517-5H85 /Euwil: I Fax: lEI. lie. nu.: 37-587C I Business Name: 18 ElcECi"RIC INC I Contact: John Brumback IAddress: 4685 ISABEi.LE S1' I City/State/ZIP:EUGENE - WEST OR 97402-9765 II'hone: (54l )68i5770 I F~x: ,(?4l)3028296 I Emlli_l: dana@jbel~c~r~cinc.com I Metl'o lie. no.: l'lU 11t.;t:: I City lie. no.: IS.""";,;,,. .'oct,HldS,f'IiiIilMlili::SHAll F)(PIRI= 11= TI-I': '.^'OI:!-K IS""",;,;". ,.,.",,(j,LI,fw.i)j;fIZIIDlltJimlf!R:.HlUEEMIT IS NGT . U"on ,ev;ew a~AMMfJ\Jt;;J:YJ.Qlld~.AMdlJOO/tlro FOR "e,mil wHI be A(II'lI'~ffl<A'\NllIIIit!fI1Il'Ib.siness day, with instructions on how to sc'lieftlh'd YcWIr'i'nspection. 1 CCll lie nu.: 104929 This Authorization To. Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00176 ISSUED: 03/09/2009 APPLIED: 02/05/2009 EXPIRES: 09/10/2009 VALUE: $ 20,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4211 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201900 Springlield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: Coffee kiosk drive thru - Replace Existing Modular Unit in Same.Location Commercial Owner: DONALD V PFEIFER TRUST Address: 1810 15TH ST SPRINGFIELD OR 97477 Phone Number: 503-484-3026 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor JB ELECTRIC License 104929 BUILDING INFORMATION I Expiration Date 03/14/2010 Phone 541-687-5770 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: NOTICE: I PUBLIC IMPROVEMENTS" Street ImprovementsTHIS PERMIT SHALL EXPIRE IF THE WORK Storm Sewer Availab~UTHORIZED UNDER THIS PERMIT IS NOT Special Instruction, COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: 1 V aluatio~ Descriotion I A~SJl!i.\1~l@tajnslaw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling Ul~ l;tdllltH. \l-.Ult::. lllC;' ~CII;it-'I''''''I'V number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Valne 'Date Calculated Pa~e I of 4 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description Plan Review Comm/lnd/Public + 12% Statc Surcharge + 5% Technology Fee Fire SF Fee - Non-Residential Modular Building Moved Structure Plumbing Conn Sanitary Sewer - Improvement. Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWIVIC Reimbnrsement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Service Reconnect + 12% State'Surcharge + 5% Technology Fee Temp Power 200 amps or less Total Amonnt Paid Initial Review flanning Review Public Works Review Public Works Review Amount Paid $151.78 $42.54 $17.73 $33.80. $233.50 $58.00 $357.62 $470.31 $10.00 . $1,229.78 $148.64 . $52.40 $3,583.17 $812.34 $278.19 $63.00 $7.56 $3.15 $63.00 $7,616.51 02/06/2009 02/06/2009 02/06/2009 02/10/2009 $1.00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00 176 ISSUED: 03/09/2009 ' APPLIED: 02/0512009 EXPIRES: 09/1012009 VALUE: $ 20,000.00 20,000.00 02/05/2009 Total Value of Project $20,000.00 $20,000.00 F~~.~ P~id . I Plan Reviews I 02/06/2009 02/09/2009 02/10/2009 02/10/2009 Date Paid Receipt Number 2/5/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9109 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 3/10/09 3/10/09 3/10/09. 2200900000000000145 3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152 '3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152. 3200900000000000152 3200900000000000152 3200900000000000152 3200900000000000152 2200900000000000244 2200900000000000244 2200900000000000244 APP LLH Replacement - no lire fee APP EMM To.be constructed per approved Final Plot Plan DRC2008-00064. Call Lissa Davis at 726-3632 for Final Site Inspection. WE TSS Contacted architect to request plans that rellect existing and proposed drainage Iixtures. He indicated that he would work on providing that information today. Additional plans were received by Building. I made copies of the pages I needed to complete review and calculated SDCs. Stormwater will connect to existing lateral. APP TSS Pa~e 2 of 4 , . CITY OF ~rKll'il:iI'lJi.LU Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-00176 225 Fifth Street, SJ1ringlield, OR ISSUED: 03/09/2009 APPLIED: 02/05/2009 54\-726~3753 Phone EXPIRES: 09/10/2009 54\-726-3676 Fax 54\-726-3769 Inspection Line VALUE: $ 20,000.00 Fire DCllartment Review 02/06/2009 02/23/2009 APP GRG Plans Review: Replacement prefabricated building for Dutch Brothers Coffee Kiosk. Job #COM2009-00176. Occupancy Classilication: M. Construction Type: V-B. Approximately 354 sq. ft. Provide address numbers in contrasting color from the. background positioned plainly visible and legible from the street or road fronting the property (2007 Oregon Structural Specialty Code 501.2 and 2007 Springfield Fire Code 505.\). Provide lire extinguishers with a minimum rating of2-A:\0-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above Iinished 11001' (2007 Springlield Fire Code 906). Structural Review 02/06/2009 03/02/2009 WE KLK Waiting for Special Inspection form To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. wili be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired I ~sn~cti~n.s , Footing:" After trellc~es are excavated. Foundation:" After forms are t;rected but prior to concrete placement. Structural Welds: To be done during construction by State Certilied Special Inspector. Pi-ovide-inspection test results to City Building Inspector. . Final Modnlar Set Up: After all reqnired inspections have been requested and approved and project is complete. Final Bnilding: After all reqnired inspections have been requested and approved and the bnilding is complete. Underground Plumbing: Prior to Iilling the trench and including required testing. Final Plumbing: When all plumbing work is complete. Final Mechanical: ,,"'hen all mechan'ical work is complete. Underground Electric: Prior to cover Final Electric: When all electrical work is complete. Pa~e3 of 4 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00176 ISSUED: 03/09/2009 APPLIED.: 02/05/2009 EXPIRES: 09/10/2009 VALUE: $ 20,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Springlield 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, Bnilding Safety. I further certily 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 during construction. Owner or Contractors Signature Date f Pa~e 4 of 4 ' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00 176 COM2009-00 176 ( COM2009-00 176 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: .~~ City M Springfield Official Receipt Development Services Department Public Works Department 2200900000000000244 Description Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Date: 03/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE JB Electric Online Payment Total: Page I of I 10:45:39AM Amount Due 63.00 3.15 7.56 $73.71 Amount Paid $73.71 $73.71 3/10/2009