HomeMy WebLinkAboutPermit Building 2005-6-6
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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~
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1. LOCA110NOFINSTALLATION 3, C01l1.PLETEFEE.8~QULffi L
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'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
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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---"'.-"~...':,
~
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....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