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HomeMy WebLinkAboutPermit Building 2005-6-6 ~\,,~ ~0'~,,0 \'1> 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 1Q~~0~,O~~; ELECTRlCALPERMITAPPLICATION ,0""~Q.,)\<0, \Y City Job Number ~ ~'S"-OO 4-\ \ Date n(" - O~vo~ ~~.~ ~v ~' -;:'0 (, 1. LOCA110NOFINSTALLATION 3, C01l1.PLETEFEE.8~QULffi L "/0') ',_/I c-r "",,~<o~" 1."", .. '1ot{) I ,. 14,... ~ \ fQ\' /"d-\/\., ,~~ , "..,~<~ LEGAL DESCRIPTION \ ~ TJ'L?52JW IjCIV"ew Residential- Sing~..1)f ~~~li~miIY per dwelling unit. \ ~"',...."''' _ ~ t\ LL Service Included ' >01>,0 \" ' JOB DESCRIPTION 1000 sq, ft, or less $106,00 C Each additional 500 sq, ft, or A 0'0 V(.u.,~ ro.' 10,h-t\c..v, coo~ ponion thereof . ' . , f)- G CITY OF SL~)NGFIELD, OREGON ~~l ~::* 2. CONTRACTOR INSTALLATION ONLY B, Services or ~~ - Installation, Alterations or Relocation: ./' Electrical Contractor ~ ~ C k ~\<.. ..l.~ _...t~~~::~. ' $ 63,00 ~~~~ml?&\eo~~~9 '0'1" $ 75,00 Address QS.7 f70oL,~\.ob~ ~fjt1 ~?~~<Okl~~~6 $125,00 (\ ~"~~\)~~~~i~'Q(\ $163,00 City SIW"'1"\U.o Phone $\ ~\~G~~.~"~~ $375,00 ,.. r 0r>S''' ~ ,,~o~ec~~). $ 50,00 ~ ~\).-(OIol ~r:fJ O'~~ ' Supervisor License Number '-I/?1 '"' S ~\\"~,\o'!~J~rary Services or Feeders ,.~,\\"", ' Installation, Alteration or Relocation Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder Expiration Date 10 -07 Constr, Contr. Number / I.... 2. \ q I 11-11-0<0 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50,00 $ 69,00 $100,00 'Expiration Date Signature of Supervising Electrician rY7~ I '\ Owners Name PF€: I f E:~ Address '?> oz.'=:> N',Jd~ ~T, City $eal~et.b Phone Over ~OOJ\mps or 1..000 Volts see "B" above.- D. ' Branch Circuits . -- New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit I $ 43,00 $ 3,00 43,09- -3,05: E, ~~fis~elianeous (seW:"io/\l!eiierl'n~t 'illclUd~~d) -Ea;h Installation ~Qi\C":'", "'\-\f\\.\...,\:..~~,~\:.. \'fill IS NOI IS 1'\:..1'\~~ump. or\l'V!S~I,l!\", 1'\:..1'\ tD tOI'\ $ 50,00 \ \\"'LlOI'\IISig"Y~tIYne MgJitili)PN $ 50,00 f',u \ \I ',-f\ ()I-\ \;:J OWNER INSTALLATION O\"\'J\tNLiiniteilE. nergxlResidential $ 25,00 C"' '" ~v I't\'\\U-' , The installation is being made on property I own whichf',N'i '\ \\\ll\..mited Energy/Commercl3l $ 45,00 is 1I0t intended for sale, lease or renl. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7% Slate Surcharge 100/0 Administrative Fee 4-b,OO> ,:!--, -z...~ 6,..,bo S'>.87- Owners Signature: 4, SUBTOTAL OF ABOVE Inspection Request: 726-3769 TOTAL Shared Drivc(T:)IBuilding Forms/Electrical Permit Application 1-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ,. . CITY OF SPRINGFu,LlJ Building/Combination Permit PERMIT NO: COM2005-00411 ISSUED: 05/12/2005 APPLIED: 04/12/2005 EXPIRES: 12/02/2005 VALUE: $ 72,900.00 '. . SITE ADDRESS: 4221 Main ST ASSESSOR'S PARCEL NO,: 1702323201900 Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant lnfill and remodel , Owner: PFEIFER DONALD V TE Address: 326 MAIN ST SPRINGFIELD OR 97477 Contractor MICHAEL S BIELER ORDELL CONSTRUCTION COMPANY i~ WEILAND ELECTRIC INC ttAu\te'5 '~\\'j~ COMFORT FLOW 0'(\ \ltff e ete 0&0\\0 BARON PLUMBIN~pl,~:o~1..q ~,~...\\~ t w.:~~ p..1'f':\,jjI.nl~rl'IN<< I~F.ORM\\.TI<fNjJtul 0f'0 \o\\ctl. ~ot\ ~~'\.6l>te c:P9\Y'! \0r..e9:'.n\\0(\ ~OU~\~ ~'l!'bf'St~}(\ 0\0'. ~e ~O'U\~ A2 \t\ O"'~ ,<o.y~~t :If\.5tr~~i\\\'l.y.A)' Q'iJ~Q.. (~ i'd~QP~7.-Z. VB ~\\'il ~l\tir *Il!:\~ ~~tt~'ijpe: ' . Energy Path: Sprinkled Building: Contractor Type Architect General Electrical Mechanical Plumbing # 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: , Speclallnstructlon: Notes: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-345-0808 541-747-8734 541-485-3639 541-726-0100 541-935-1081 01102/2006 01/23/2007 06/27/2005 05/1412007 nla Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement, Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENTINFORMATI0N I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk"yP~: , \l\~ If In\;' 'vY'( "01\C~, II S\-\r>.\..\.. c'f,,'r :; p.~P,misp',furs/Drains: I\-\IS 'rc~~cO u~Ot\\ I~~~\)Q~@ rQV\ r>.UI \-\0 " 0\\ IS r>.u ' CO\'!l\'!lt~c;~ 1'1'.\\\00, r>.~'{ ~ea Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line Description Type of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safely + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Evaporative Coolers Exhaust Hoods Fixture Furnace - more than 100,000 Gas Outlets 1-4 ' Gas Outlets 4+ Plan Review CommlIndlPublic Plan Review Fire & Life Safely Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanltarylStorm Admin Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 72,900.00 Total Value ofProjecl Fppr, PIilLI Amount Paid Date Paid $221.91 $136.56 $10.60 $7.42 $43,00 $63.00 $10,00 $77.04 $53.92 $460.35 $9.00 $9.00 $252.00 $15.00 $4,00 $3.00 $77.32 $47.58 $822.47 $1,081.97 $10.00 $3,221.91 $305.44 $272.09 $18.00 $4.60 $3.22 $43.00 $3.00 4/12105 4/12105 4/26/05 4/26/05 4/26/05 4/26/05 5/12/05 5/12/05 5/12/05 5/12/05 5/12105 5/12/05 5/12105 5/12105 5/12/05 5/12/05 5/12105 5/12105 5/12105 5/12/05 5/12105 5/12/05 5/12105 5/12105 5/12105 6/6/05 6/6/05 6/6/05 6/6/05 $7,286,40 I Plan Reviews I Paee 2 of 4 . \...11 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0041I ISSUED: 05/1212005 APPLIED: 04/12/2005 EXPIRES: 12/02/2005 VALUE: $ 72,900.00 Value Date Calculated $72,900.00 $72,900.00 05/03/2005 Receipt Number 2200500000000000419 2200500000000000419 1200500000000000503 1200500000000000503 1200500000000000503 1200500000000000503 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000574 2200500000000000715 2200500000000000715 2200500000000000715 2200500000000000715 . \..,11 i' OF SPRI1"j'-"l'lJ!.LU Building/Combination Permit PERMIT NO: COM2005-00411 ISSUED: 05/12/2005 APPLIED: 04/1212005 EXPIRES: 12/02/2005 VALUE: $ 72,900.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 04/13/2005 05/0312005 OK GRG Initial Review Plan nine Review 04/1312005 04/1312005 04/13/2005 04/19/2005 APP APP SKG EMM Public Works Review 04/1312005 SB 05/03/2005 APP Structural Review 04/1312005 04/20/2005 WE JMP Structural Review 05/03/2005 05/03/2005 10 JMP Structural Review SUB Review 05/04/2005 04/1312005 05/04/2005 05/02/2005 APP APP JMP DH See attached document for Fire Department Plans Review comments. Conditions of LUCS need to be met before final occupancy. Add 2 streel trees, 2 catch basin filters, 19 bicycle parking spaces, screening for dumpsters. Metco has signed statement. Tara Jones is planner. See enclosed LUCS. SDCs added. 5/6/05 SDCs revised for Pub use, See attached 11 structural comment, faxed to Michael Bieler. WI. Received structural response letter from Michael Bieler with structural cales for swamp cooler from Arthur Wild. Received final internal reviews. To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 R.m, will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rpnll~'~ In.n,ert~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Drywall: Prior to taping. 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. Rough Plumbing: Prior to cover and Including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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. Paee 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-004II ISSUED: 05/12/2005 APPLIED: 04/12/2005 EXPIRES: 12/02/2005 VALUE: $ 72,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Celllng Grid: Interior Lighting By signature, 1 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 ofany 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. 1 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 " Paee 4 of 4 225 Fifth Street iSpringfield, Oregon 97477 . L 541-726-3759 Phone . .'~.C---"'.-"~...':, ~ ~.! ....ity of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00411 COM2005-00411 COM2005-00411 COM2005-00411 Payments: Type of Paymeut CreditCard II'" I ~ I, "10 .' 6/6/2005 RECEIPT #: 2200500000000000715 Date: 06/06/2005 Description Add, Alter, Extend Circ Add, Alter; Extend Circ Ea Add + 7% Slate Surcharge + 10% Administrative Fee Paid By MNB ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 006854 In Person Payment Total: Page I of I 8:22:43AM Amount Due 43,00 3,00 3,22 4,60 $53.82 Amount Paid $53,82 $53.82