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Home My WebLink AboutPermit Electrical 2009-11-30 ',I '1 Electrical Permit Application o . lif::"DEPAifrMENTIJSE,oNL:i' 'I .-.,,:';,,: :\: ';'P"'"~~;~',--~,' _;., . . ' " .. .. -~.. I P~~~z.oo 5'- 01 0 ('7 I I Date II - 3. 0 -0 r I "225 Fifth Streett Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 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. ""~;Lilocp,.L::G0VERNMENT;ll!~I"R0VALt;:ii~;j"}~(!RWWi',1 I\l:q,*:iiE\iim\<.'f~\%'~M'l!~1f;EEtfSCHEJj.ljJjE1li~}~\Sj\lj~1'i'lil.~~~'lJ,j!1 I Zoning approval verified? DYes 0 No I 1''N''b' "'r::':":":"i:\"-:'\'i"i"()"'''IQi''j : cosf:"1 'Total"1 1':""t'L"'CATEGORv'''Of'"CONSTRUCTION''' '''''::' ,.,>, I 1,;~n\"~r.,~,,}jn:s~~~~,:e:~~!R~J.:~~,~:,, ;i~(, ",r',);.~ea;'!:'! ,"'<psC.,'; I'~:~:':~;:~:ial' 'I D'~o~:~ment 'I' lB-c:~:~~:;~1 "I I Residential, perunit, service included: I 1~~,,!~L(0B;kSI'liE\~INf;:.oRMATIONIfANb!H!(;>:cP,;'liiONil'\~~'1 11.000 sq ft, or iess (4) $134.00 $ I I . . \ -2 ,! ""'JIb,,,, " ,- ,I I Each additional 500 sq, ft, or portion $ 25,00 $ I Job sIte address::) N ~ .::7'" thereof , I City:c..:Dr.~iUl:i I State: 012 I ZIP: Q7'177 I I Limited energy (2) $ 32,00 $ I 1,~~r.:~:;ce:J~C;~~I~T:70~':0f~wJ~~~,~~.~~~~~~:i I ~~~~I~~ns~~~~~r~~ ;e~~:r (~rodular $ 63.00 $ I Iw.1e. I\t.v l~, $.caMO Genie, T ;L;..\c\,e"qrJ<O. I I Services or feeders: instaliatian, alteration, relacalion I I . ' I 200 amps or less (2) $ 81.00 $ I I. ' ;PRbf>,ERTy,OWNER,: ::", , I 201 to 400 amps (2) $ 95,00 $ I I Name: GAVv\I~t:ZL W Lez(r(-f~40It0600ampS(2). $158,00 $ I I Address: Z 7'f (( SLJ (" Jwv? ~r::~ ft9Mo~af\%~jJt"'T"lres y~y !a $205.00 $ I I City:tJt: S I LI..v~cf I State: oIL. I ZIP: 97 Ii rljl~~F1I"\OflieJil;bY>4i<leI1OOJg0n UliIii\l $469.00 $ I I 1 a I"'...."''''",. '/IYW rUles are Sellor!/! I I I Phone - - I Fax: -, In OA~ 9 if..ffi'j~~nl:\f61'tir6ugh O^n9S~:.e- r~ $ 63.00 $ I E-mail: ~"::.ulC II1IflaV<1!ll!ltail<lr\!~!% lJ1etlVli'i6'1WI/'tll\lion, al/eration, relocation I This installation is being made on residential or farm properl11umI2~~~~~~'I~~el~elerhone r $ 63.00 $ I owned by me or a member of my immediate family. This. ellIeif' iq~"v,~( ~' y~ olllCallOn $ 87.00 $ I property IS not mtended for sale, exchange, lease, or rent. OAR I ,_? 44), I 479,540(1) and 479,560(1), 401 to,600 amps (2) $126.00 $ Signature: lOver 600 amps or I,~OO volts, see services or feeders section above I I. '..:-, .':iC0NTRAci;oR' INSTALLATI0N.: .:". :', ,'1 1 Branch circuilS: new, alt~rpt!'fn, extensia~ per. panel I I ,Business name: KGJO(LA-ICv\.. b-l~(' /L- I I a. Fee for branch circuits withpurch~_~~,~fa service or feeder fee: I I Address: 7.\ l ( i'Sn:;..iAv...aX! {:;ve., I I Each branch circuil I $ 6.00 I $ I I City: &v<1. e"e., I State: (:;Ie... I ZIP: "'j"/4!Y1 1 I b, Fee for branch circuits without purchase of a service or feeder fee: I I Phone:54/c337 7'i63 I, Fax5'/( -515, f:4':54 II First branch circuit (2) II $ 55.00 $ S-sr I E-mail: reJ{lluj..o1\.de6k.i:...0L.C0w.eq5+-.ne.-r I I Each additional branch circuit <<;l $ 6.00 $"70 I I CCB license no,: liY66b 1 BCD license no,: 111.C3'5'-( I I Miscellaneous fees: service or feeder nal included I I Signing supervisor's license no.: '5;/.41-5 I I Each pu~p or irrigation circle (2) I $ 63,00 $ I I Print name of signing supervisor: (ll\j>;.tt--Sj... i '\2:. N on C~EaCh sign or outline lighting (2) $ 63.00 $ I I Signature. of signing supervisor ~ QllL l~~H~ 1Yf~~*-\t "1 'rif! W01H $ 6300 $ I " '---' COMMER~ ~~~~tJ,Mt:{'J,DKn:-f:E:w. ,,' r ,.,~,~,}~;;,~o,,,!,,,~,,,,,,.ll ANY 180 ;;~T:":r.1DD~"''''~' FmE AN:r,?,USE}>I ','1-J':,.":/,r,,,.,..\t!:>f.',-' (A) Enter subtotal of above fees (/ ) (Minimum Permit Fee $58.00) $ b ,I (B) Enter 12% surcharge (,12 x [A]) $ I (e) Technology Fee (5% of [c\J) $ I TOTAL fees and surcharges (A through C): . $ ~~ ~ <0' ..... t~ ~0-' /0 ~O Liz ~r 99~ 440'2584,) (9/08/COM) CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: C.OM2009-01097 ISSUED: 09/15/2009 APPLIED: 07/29/2009 EXPIRES:, OS/25/2010 VALUE: $ 15,318.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,541-726-3769 Inspection Line SITE ADDRESS: 152 28TH ST ASSESSOR'S PARCEL NO.: 1703364100200 Springlield TYPE OF WORK: Mechanical Only TYPE OF USE: New PROJECT DESCRIPTION: Type I Commercial Kitchen Hood Install and gas piping Owner: CAMPBELL W LEIGH TE Address: 27411 SW CAMPBELL LN WEST LINN OR 97068-9530 I CONTRACTOR INFORMATION I Contractor Type Electrical Fire Contractor Mechanical Contractor License REVOLUTION ELECTRIC, INC 179066 OMLID & SWINNEY FIRE PROTECTION 62730 MARTIN C~L1C 169547 rol/owr~""-' .. IIlr.1<1(.\~~ Notifl . ' I ;;f"\ll11to InOA~~2 enter. Thos,~/V.egon UWity ]g 'OO'HM~I es are 881 fOr1h ;;nYou maYIlJl:iaIlh ~,qIUJAR 952-001. 9 lhe ce~f YN ',$ of the rules b VB er for th~~B;- ~e telephone Y Ceoler ia1nje~'ty Notification . Energy Pat1i;2344). Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Front yard Sethack: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: -'" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMP~OV~MENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE' , THIS PERMrr . ~~THORIZED J~~~ f"PIRE IF THE WOFtK AN~n~~:~ ~~:gtB~~:O~~~"m~ NOT . , Notes: .... .. " Page 1 of 4 Commercial Expiration Date I 0/30/20 II ., i2/15/20II 04/07/20 I 0 Phone 541-505-8351 541-741-1775 541-736-3438 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: _lO,~5!IN~~IIil"P, l. ];' Status Issued 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriPtion Tvpe of Construction Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents FLS Safety Systems Review Mechanical-Value + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid '. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01097 ISSUED: 09/15/2009 APPLIED: 07/29/2009 EXPIRES: OS/25/2010 VALUE: $15,318.00 I Valuation Descrintion , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F"!'., pqWJ Amount Paid Date Paid . Receipt,Number $12.00 $23.34 $9.73 $3.00 $0.75 $120.00 $194.50 $10.20 $4.25 $55.00 $30.00 9/15/09 9/15/09 9/15/09 9/15/09 9/15/09 9/15/09 9/15/09 11/30/09 11/30/09 , 11/30/09 11/30/09 2200900000000001042 1200900000000001060 1200900000000001060 1200900000000001060 1200900000000001060 2200900000000001042 1200900000000001060 2200900000000001333 2200900000000001333 2200900000000001333 2200900000000001333 $462.77 Plan Reviews I . Structural Review 07/31/2009 Structural Review 09/11/2009 Initial Review 07/30/2009 07/31/2009, APP LLH Structural Review 08/18/2009 08/18/2009 WE KLK lnitinl Review 08/31/2009 08/3112009 APP LLH Initial Review Structural Review Additional information - Climate Control Fire Suppression System. Sent to Gilbert Gordon, Fire Marshals Office for review. 09/10/2009 Additional information - Climate Control 09/11/2009 APP LLH 09/14/2009 09/1412009 APP KLK Paee 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire DelJartment Review 09/15/2009 APP GRG 08/31/2009 CITY OF St'Kmld' lELD Building/Combination Permit , PERMIT NO: COM2009-01097 ISSUED: 09/15/2009 APPLIED: 07/29/2009 EXPIRES: OS/25/2010 VALUE: $ 15,318.00 Plans Review: Commercial Kitchen Hood and Dnct Fire Suppression System. Job #COM2009-01097. Designer: Chuck Harper (drawn by Steve Francalancia). Contractor: Omlid and Swinney Fire Protection. Plans Reviewed under the 2007 Springfield Fire Code and 2004 NFPA 17A. This system will be an Amerex KP475 UL 300 listed wet chemical system with a.maximum capacity of 14 now points. The system will he protecting a 10 inch by 23 inch (66 perimeter inch) duct with two 16416 . duct nozzles (1 now point for each nozzle) and a 10 foot long plenum with one 11982 nozzle (I flow point). Appliances to be protected are two II inch X II inch fryers, each fryer protected hy one 13729 nozzle (2 now points for each nozzle, 4 now points total); a 24 inch by 18 inch griddle protected by one 11982 n;'zzle (1 flow point); a 30 inch by 22 inch 4-burner range protected by one 14178 range nozzle (2 flow points) and a 12 inch broaster protected by one 13178 nozzle (2 flow points). There are 12 now p,oints total for duct, plenum and appliance 'protection. Plans appear to meet code r~quiremments. 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...equested after 7:00 a.m..will be made the following work day, ~eolliredJnsnecti()ns I Fire Department Kitchen Snppy System: Coordinate inspection with City Fire Marshal's Office Fire Department Alarm System: Fire Department Alarm System Acceptance InspeCtion. This inspection inust be requested and approved prior to reqnesting any occupancy approval. Final Fire Department. After all requirements of the Fire Department have been met. Pace 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01097 ISSUED: 09/15/2009 APPLIED: 07/29/2009 EXPIRES: OS/25/2010 VALUE: $ 15,318.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rnugh Mechanical: Prior to Cnver Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. By signature, I state and agree, that I have carefully examined the completed application arid do hereby certify that all information hereon is true and correct, and] further certify that any and all work performed shall b'e done in accordance with " the Ordin.nces 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. 1 further certify that only contractors and employees who are in compli.nce 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 readahle from the street, that the permit card is located at the front of the property, and the approved set of pians will remain on the site at all times during construction. Owner or Contractors Signature' Date Paee 4 Of 4 225 Fifth Street Springfield,Oregon97477 541-7Z6-37'59 Phone City of Springfield Official Receipt , Deveiopment Services Department Public Works Department Job/Journal Number COM2009-0 I 097 COM2009-0 1 097 COM2009-0 I 097 COM2009-0 1 097 Payments:, Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000001333 Date: 11130/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By I MATTHEW SCHULTZ Item Total: Check Number Authorization Received By Batch Number Number' How Received djb 04093z In Person Payment Total: Page 1 of 1 II: 18:55AM Amount Due 55,00 30.00 4.25 10,20 $99.45 Amount Paid $99.45 $99.45 11/30/2009