HomeMy WebLinkAboutPermit Electrical 2005-6-17
0611,/2005 @1:52
541746;38,
E'R~AN A~:DE~ON
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225 "IFTH SJl{l!l!l' . SPRINGFIELD, OR 97477 . PH:(541)72~3753 . FAX: (541)726-3689
ELECTRICAL PER11!IT APPLICAT1Q.~ f
City lob :>'umber CC4M'l.OO t.( - 0 ( S- '1..., Date
/82...
,~,TTE~1TI0N: Oregon law7~~yffi:i!fu I 2. 7'f
follow rules adopted by thW'eM~ft!J1\"\9'/iNf{e< I [3 z<:>
'_moo Request: 726-374<Jotification Center, Those R!Qjlr.l.are set forth 2/ Z 'it(
IOnOOgOAR}52-Q01-0bOt1 ~ through Of ~Mh~~&'?';AAb~~"'!;n. """,lEI"",,,., p"",;, ...""lkm;,,, ,,03.,::-'
, rOU may 0 aln copies 0 t e rules y
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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1. WC47tOJVOF 1N~rALLAT10N .. ,
,~S-S)O 'w1&I!.~-- ~f
LEGAL DESCRIPTIO:\'
.J<1.LTl<H ~~/70 '- 3l{ 11.
JOB DESCRll'TION
1;;000 I'1~N tiT.
Permlt!llrt nOD-tr.In.,Cenblt:l and exjl1re if work ii
not ,tnrted ~ithin 180 days ofissltl\nce or i! work is
S.'pended for 180 dnY',
'_"'_"'-'. :,.,.. "..._. ...._.._ _.~...... ~ . ~._ ~._. .n._____...'_
, CONnlAcToRL'iSl"ALLATJ, ONONLY
2.
E],e\rieal COIllt..1or .~.... ftloQIlIU/T&.7
Addr<:ss <l\&) I IJw c;;:
City UMHT':> ~ !'hone ~L_ln{',/~
Supervi:::(Jr LIcC'me NwnLer
'7"1'03$
~pUation Da:c
J(j.- t)j -Of:
ConstT'. Conn. ):"t.lmbCT
40~_
t>"-oZ- -01
F-xpitetio'C. Dn'k;
Sigroture (If SIJPlr'n'lsing Elccttician
~A-<-
0..0..., N.me .b~~:III I L.be..
Addr." Po ~)C. z.~
City ""At.-'l:!&:l~ Phone 1u,. P'i7''1'f1!;
OWNEll.lNS'fALLATIOlV
The inrtallalit'n ~s being made 00 I'-~'J""_.,.:J' I own whic:h
i!l no\ intended ~(lr sat,::. lca!i'l.: or r\i.lL
OWIlet:5 Si&naturc;
"
3, coM.PuriiiEE si:eEDui.iiiii:Ow:~-~~'-'-' ',...' ,
_________.h~.._."n _ ~ ......_... _'_" ___,__,_,_,___.,_.,-
~
~
$106,00
$ 19,00
Each Manufa.c.l'd H(lt\')t or
Mool.or O..eilir.g Service or
Ft.eder
$50.00
.........._,....._....__.____.._._.__..._........, ""n. _ ..._.___.__.... . ',."
D. smJ~"orFeOden ~ lris...natju;'; AiimUoo,or Reioeatla1J: .
b3
zoo Amps or 1<':':55 ~ (i~.OO
20 I Arnpstu 400 Amp, $ i $,00
401 }\tnp' to 600 Amp. 1125,00
6Ol/I,mp,tu lQOQAlDps~ 5161.00
Over 1000 ,\mp'Nol~~ ~ $:'75,00
Recennect Only ~~ '2J ~ S 50,00
c..T~mporol~~~~;:;------,..;.- "
I II' &:,,,~ ,{!; R I .
nsta ation;--.-uCuanoo ot e ocation
(:"t-....~ S)'"
200 .\mp.'qr.IOSll~ I
'01 ,,::!, "'\g!"O.O~. .
t.' I,U/'PSJO ~nmps
>> -"0.'
40l,Amp, tD'goo;6mp, S IOrl.OO
~-,~o..." ~
&-r-~G::.e.!J~2!tAirJi!o!.IQl!O Y~~~S_.~:!i': ~?Q~~'e ... ________.. . ...
~ ::.Y; ~B~'b CfrUu. . '. '
~ <l: <:(" '-5 ~ '
~ .:f? ~N~"AI~tiO. or Exr.",,!oQ Per Ponr!
'" ~ q~ G~urt
'<' r~aCl1AdditionaJ Cirru'l or wi'D
'J S~ice (J1 Feodc:r Petmit
~
S 50,00
S ,'S.OO
'5'0
S 43,00
:2.3
bi
S J.OO
._._-~.--_.__. - .... ,. -~..._---_. .. . " ~...-.~_.._._.__....,. .- -.---.
F. Mhcelti.".... (Servkilf.eiIet notindixl.d) :"E8rb ImtaD.ti(,.;
','
Pump or icrig.-u:to!1 ___ 550.00
SigniOutline Lighting $ 50,00
Lmlit<<'l [.ncr~y/R.csidenliai ____ 525.00
Umitcd E'nergy!Comrncr..:i~l $ ,(5.00
Minimum Elccrrh: t'ermit IJI:!!pnnoll f~f: 1.3 S4~.OO 1" Surcharge,
.. ......-. --;-..,.. ~'-, " .. ,. ...._-. ..-..-..-.. ~.,.. ._-..-....
4.SV1nUTAL OF ABOVE
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 12/17/2005
VALUE: $ 200,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5850 MAIN ST
ASSESSOR'S PARCEL NO.: 1702343200300
SPRlNGFIETYPE OF
Commercial Miscellaneous
TYPE OF USE: New
PROJECT DESCRIPTION: Dutch Bros,# 4-COFFEE STAND - Conventional Const,
Commercial
Owner: AMIGOS III LLC
Address: 8428 THURSTON RD
SPRINGFIELD OR 97478
Contractor Type
Architect
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
RON THIENES
DEL J INC
DEL J INC
LAWRENCE RALPH SABIN III
THOMAS E WHITE
License
Expiration Date
Phone
541-726-8795
541-476-1387
541-476-1387
541-582-1224
54 I -726-9778
40432
40432
163567
86252
09/02/2007
09/0212007
03/07/2007
09/25/2005
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
I"rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path: Path I
ATTENTION: Oregon~!WV~res you to nla
fon~w ~ules a~i;~EWi-1NFoWTION I
Notification C!...,._ . ~ .. '
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain ~I-Il!;I.mAI~1l rules by
calling the center. (~&.'l(1l/Sl!t<leph9ne
number for the Oreg~Vf!lil?'l\...6'til1&l50.n
Center is 1_ao/fuD1.MM4)~erage.
B
I
22,50
Heat Pump
Electric
Lot Size:
Sq Ft 1st Floor: 377
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Funv Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
Downspouts/Drains
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I of 6
Status: Issued
225 Flftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Use Bid Amount
Estimate
Pavine
Fee Description
Plan Review CommlIndlPublic
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Backllow Device
Building Permit
Curbcut Permit
Curbcut Repair
Fixture
Heat Pump
Minimum/Adjustment Mechanical
Paving
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each AddtllOO'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtllOO'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Temp Power 200 amps or less
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 12/17/2005
VALUE: $ 200,000.00
I Valuation Descriotion I
$ PerSq Ft
or multipUer
$1.00
$1.00
Square Footage
or Bid Amount
123,000.00
77,000.00
Value
$123,000.00
$77,000.00
$200,000.00
Date Calculated
0412112005
04121/2005
Total Value of Project
F"", PiWLI
Amount Paid
$578,92
$10,00
$157.64
$77,03
$31.00
$28,00
$640,40
$35.00
$30.00
$154.00
$12,00
$27.00
$475,95
$45,00
$146,22
$192,35
$42.00
$10.00
$1,954.28
$241.28
$138.79
$502.54
$6,784.56
$1,537.93
$1,960.07
$45.00
$42.00
$6,00
$45,00
$14.00
$18.20
$12.74
$69.00
$63.00
$50.00
Date Paid
Receipt Number
2200400000000001547
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000799
1200500000000000861
1200500000000000861
1200500000000000861
1200500000000000861
1200500000000000861
12/27/04
618/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/17/05
6/17/05
6/17/05
6/17/05
6/17/05
2 of 6
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
Total Amount
Fire Department Review
Fire Department Review
Initial Review
Planninl! Review
Planninl! Review
Public Works Review
.
03/01/2005
12129/2004
12/2912004
03/01/2005
1212912004
12/29/2004
$16,176,90
I Plan Reviews I
06/06/2005 OK
01/0412005
12129/2004
06/0212005
01/21/2005
OK
.
CITY 0.. ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 12/17/2005
VALUE: $ 200,000.00
GRG
GRG
APP SKG
APP EMM
WE EMM
WE SB
3 of 6
Comments originaliy in BIS dated
3/22105:
Revised Plan Review: Dutch
Brothers coffee kiosk. Job
#COM2004-01594. Revisions in civil
site work. No changes in plans
review comments. Refer to plans
review comments dated 1/4/05.
Plan Review: Dutch Brothers coffee
kiosk. Job #COM2004-01594.
Occupancy classification: B.
Construction Type: V-B.
Provide address numbers in
contrasting color from the
background positioned plainly
visible and legible from tbe street or
road fronting the property (2004
Oregon Structural Specialty Code
501.2 and 2004 Springfield Fire
Code 505.1).
Provide fire extinguishers with a
minimum rating of 2-A:IO-B:C
every 75 feet of travel distance. The
top of the extinguisher(s) shall be
between 3 and 5 feet above finished
floor (2004 Springfield Fire Code
906).
Development Agreement signed
6/1/05. No occupancy until ODOT
access permit obtained.
Needs to submit for Site Plan
Review, have approval, submit for
Final Site Plan and sign
Development Agreement.
Waiting for SIte plan review, WIll
probably change before final.
SDCs included.
. . CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMITNO: COM2004-0I594
225 Fifth Street, Springfield, OR . ISSUED: 06/08/2005
APPLIED: 12/29/2004
541-726-3753 Phone EXPIRES: 12/17/2005
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 200,000.00
Public Works Review 03/01/2005 06/06/2005 WI EW SDC's added. Curb cuts and
encroachment permit fees added.
LDAP approved and ready to issue
per Billy Curtiss. LDAP fees must
be paid.
Public Works Review 02118/2005 02/18/2005 WE SB Went to Pre-submittal for site plan
review. Building permit is
incomplete and new Information is
expected from applicant. SDCs are
wrong and need to be revised. swbb
Structural Review 03/01/2005 03/01/2005 10 JMP WE. Received item 4 (missing civil
and landscaping drawings). StiU
waiting for the other 7 requested
items.
Structural Review 04/2112005 04/21/2005 10 JMP WE. Received response to
structural comments. CaUed Ron
Thlenes for electrical contractor
information.
Structural Review 04/27/2005 04/2712005 10 JMP WE. Talked to Ron and he said he
wili confirm in writing tbat be Is an
owner of this stand and that James
Hamilton Inspects the welds. He
said that Double R Is the electrical
contractor.
Structural Review 04/28/2005 04/28/2005 10 JMP WI. Received a fax from Ron
Thienes confirming ownership and
inspector.
Structural Review 05118/2005 05/18/2005 10 JMP WI. Received from Ron Thienes a
fax stating that there will be a visual
special inspection of the shop
welding with reports. Also received
more revised plans.
Structural Review 06/07/2005 06/07/2005 APP JMP Received final internal approval,
pending LDAP issuance..
Structural Review 12/29/2004 01/04/2005 WE JMP See attached 8 structural comments
faxed to Ronald Thienes.
SUB Review 12/29/2004 01/10/2005 APP DH
SUB Review 03/01/2005 06/06/2005 APP DH
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After ali erosion measures are in place.
Backflow Device: Prior to coverIng and provide a copy of the test report on site at the time of Inspection,
4 of 6
.
.
CITY OF SPRINGFIELD .
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
Building/Combination Permit
PERMIT NO: COM2004-0I594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 12/17/2005
VALUE: $ 200,000.00
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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.
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.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufer Electrical Ground: Install ground rod at footing and call for inspection In conjunction with footing and/or
foundation Inspection.
Footing: After trenches are excavated,
Slab: To be made after alllnslab 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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering,
Drywall: Prior to taping.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide Inspection test reports to
City Building Inspector.
Roof SheathinglNailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector. '
5 of 6
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-0I594
ISSUED: 06/08/2005
APPLIED: 12/29/2004
EXPIRES: 12/17/2005
VALUE: $ 200,000.00
.
-~
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Fire.Department. After all requirements of the Fire Department have been met.
Final Building: After all required Inspections have been requested and approved and the building Is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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 filling trench.
Final Plumbing: When all plumbing work is complete,
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 tbe State of Oregon pertaining to the work described herein"
and that NO OCCUPANCY wiD 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 witb ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, tbat each address is readable from
the street, that the permit card Is located at tbe front of the property, and the approved set of plans wiD remain on the site
at all times during constructiolL
Owner or Contractors Signature
Date
6 of 6
225 Fifth Street
Springfie~d, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0l594
COM2004-0l594
COM2004-0 1594
COM2004-01594
COM2004-01594
Payments:
Type of Pa)1lleut
Check
;,
:\
,I.
:j,
6/1712005
.
RECEIPT #:
.~
Wit '.
1200500000000000861
Description
Temp Power 200 amps or less
Penn Serv/Fdr 200 amps or less
Add, Alter, Exlend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DOUBLE R PRODUCTS
....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
. Date: 06/17/2005
Item Total:
Lheck Number AutnortzaUOD
Batcb Nwnber Number How Received
999 In Person
Payment Total:
Recei ved By
djb
I of I
1:40:25PM
Amouut Due
50.00
63.00
69.00
12.74
18.20
$212,94
Amount Paid
$212.94
$212.94