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Home My WebLink AboutPermit Electrical 2010-6-24 Electrical Permit Application :crr~;OF,'SPRINGFiELJj';:dRE'GONt',' ;_~.'rt"';'-".....'_''.' .'l~ 1J;~""" ,~{" ."tr,.~-' ".''''''_~'' .~ ~._,.;t,t\I, ,., .. ~'", '. ".'. . h_ . ~o. I.',' 'q -1- 225 Fifth Street. Springfield, OR 97477HH(541)726-375HFAX(541)726-3689 DEP,~RTMENTUSE ONLY CO"""'Z:O(O-OO~( b Permit no.: Date: {,-ZeJ.-(O 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. 200 amps or less (2) $ 81.00 $ PROPERTy.oWNER 201 to 400 amps (2) $ 95.00 $ Name: ("....) de-0.A-c-k- Ce-_ .trul) 40] to 600 amps (2) $158.00 $ Address: 70 6:6X' ~?b '! 60Ito],000a!"ps(2)_. $205.00 $ City: ~ Cr~G::- 1 State;oIL.. I ZlIt '7 "JC{or Over 1,000 amps or volts (2) $469.00 $ Phone: _ _ Fax: _ _ Reconnect only (2) $ 63.00 $ E-mail:. 1:t:.mnorar" UDW'YOlbJelIation, alteration, relocation Tnis installation is being made on residential or fann propeIft)\1ow u lffiiiise'!l')' ijje Oregon UlIIflY. ( $ 63.00 $ f S owned b~ me o~ a member of my immediate family. This rNQjiflc tic r2ae..t~o ~t-"L"r\lI.R- %2-001 $ 87.00 $ property IS not mtended for sale, exchange, lease, or rent. v(j\'Oii.A 9 ;YlIrr 6' 479.540(1) and 479.560(1). '"'lOft i ~..:;: ~es of the rules $126.00 $ Signature: ' OO:ii ; l\lr'!ft#illJ;lmRNltt~,P!Jlj,~~~~Ye\!),'fr,;;ifes or feeders section above ..CONTRACTOR INSTALLATION nurn ar fllFJ.\\!i, \.lf~\i;\'(~'_~';4(ilt(l1\qn, extension per ponel Business name: 1\ ,... t:~'lP,J.''''''I~L.-- LL.L.. "lr:Fee'fur branch circuits with purfhase ofa service or feeder fee: Address: Iq<::;,,/;::) i?, oaer IP"",Js br, Each branch circuit $ 6.00 $ City: l<P.~ I State: n 1? I ZIP: q-)706l b. Fee for branch circuits without purchase of a service or feeder fee: Phone0lll~ ,<)n~D Fax;:5\( I W q,,,(,, tf First branch circuit (2) $ 55.00 $ E-mail: r> ""; A" I.wi.~' ~ I. +>WA~I ,('0'"'- Each additional branch circuit $ 6.00 $ CCB license no.: Il~lI ~ I BCD license no.: Miscellaneous fees: service or feeder ':lot included Signing supervisor's license no.: Print name of signing supervisor: Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) ~\0 1),Each additionalinspection:(I) . .. $58.00 $ NOTICE: "':f:F;t . ;;;;;[;;'~"')_l1!(id"1;)~ THIS PERMIT SHALL EXP'ltfh1tJW~";lnfharge (.12 x [A]) $ ?5"b AUTHORIZED UNDER THIS ~e~~5% of [A]) $ ~rs COMMENCED OR IS ABANrTO:r~l,J~~salitJ!surChargeS (A through C): $ 7Z 7' ANY 180 DAY PERIOD. "'LOCAL~ GOVERNMENT APPROVAL'; ;(".:'(: Zoning approval verified? D Ves D No .. .', ';CMEGORY.OF'CONSTRUCTIONi)" . D Residential I D Government I,.B-Commercial ~~]t~:,tOBc,SITEiINFQRMA-rIQNf?AND;;l1QCAtION~~!~j~i~i';, Job site address: IS-O <:;" ~O tM lv'\C. City: ~?,.:~ TState: &- I ZIP: "171..(77 Reference: I Taxlot.: DESCRIPTION OF WORK ,,; .;,,-,,.,,, le--'- P PDlvEVl Signature of signing supervisor: L(Q'J,<.-S bJ<l(J>" k IL:cb~;1 r .L. I / ~; I\~'U.. ~ ,\. vW be(~' I I 440-2584-J (9/08/COM) :'('~ ';;, '}e~~~ if;~ftl\~::~Y~r~~~t!<f~ J:=,EE ~,TS c H ED~LJt}E~~}i ~?~::i~i'i_!i~<<I,~?#~\~~~~~~~:?~iiH}; . ...... . . Num~erofin,spectio~s perile,!, !)., Qtjr.c.~~t 1~W Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, q/teration, relocation $ 63.00 $ $ $ 63.00 $ 63.00 $ :.,,"~': ~.p "I' ," , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/22/2010 VALUE: $ 450,000.00 ,..:J..t/~ "':d. Status Issued .',:''' " 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1505 MOHA WK BLVD ASSESSOR'S PARCEL NO.: 1703253404101 Springfield TYPE OF WORK: Restaurant TYPE OF USE: New Commercial PROJECT DESCRIPTION: New restaurant Owner: CUDDEBACK COMMERCIAL PROPERTIES INC Address: PO BOX 5769 EUGENE OR 97405 I CONTRACTOR INFORMATION ~ Contractor Type Architect General Electrical Mechanical Plumhing ,,~, ;'..1 Contractor .''') License .:',: .f NIR PEARLSON ARCHI'f.ECT, INC ALAN S ROMBACH &'WILLIAM'ROMBAC 148057 APEX ELECTRIC LLC f, 175118 BEND PLUMBING & HEATING INC 155301 BEND PLUMBING & HEATING INC 155301 BUILDING INFORMATION , Expiration Date Phone 541-345-5547 06/11/2011 04/01/2011 05/19/2011 05/1912011 541-330-5030 541-382-8577 541-382-8577 # of Units: Primary Occupancy Group: A2 Secondary Occupancy Group: Pri~ary Construction Type '=:"c ._:,,VB ~ . . _ Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structuie Type of Heat:, Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 62 No foUow rul.. adopted by the Or Notification Center. Those rules are set fo FrontYalE~ . .001..0010 through OAR952'O<M~erlay Dist: Side IS: DU, may obtain copies of the rulels ~""t reet T,'rees Rqd: . ng the center. (Note: the telePhon~" . . ' SIde 2 Set . tor the Oregon Utility Notlflcatl aved I?m:e Rqd: Re~ryard~ enter Ia 1-800-332-2344). .:,:.~f LO,t,Coverage: Solar Sethacks: ... . ','.1. . ,,'.!. PMENT INFORMATION REQUIRED PARKING Total: Handicapped: Compact: "',u,';, I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: j.;. Downspouts/Drains:.. .;,....,'...r,..,>;:'".:-.>",:,~, . ' . ,':,!'i):~i.;~$l~)J:t~j'%~*"i:~~,;t!:..:<;,,-:. NOTICE: ' . . iFlHE'WORK~: , THIS PERMIT SHADt:EtREXT~~~ERMIT IS NOT i?: " AUTHORIZED UN fOR,,,,.~;'~i . COMMENCED OR IS ABANDONE~"",",,';;f'\!'Xt ANY 180 DAY PERIOD. y "',(\") [);~'>>;..;:' , Notes: " Paee 1 of 5 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line /.." ,".1.., h,-f, ',.n (f , . ..,:.>:,~;. I VaJuation Description , DescriPtion $ Per Sq Ft or multiplier $1.00 $1.00 Tvoe of Construction Estimate Mechanical CII Estimate Use Bid Amount Square Footage or Bid Amount 450,000.00 22,500.00 , Total Value of Project ...~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: . 03/12/2010 EXPIRES: 12/22/2010 VALUE: $ 450,000.00 Value Date Calculated $450,000.00 $22,500.00 $472,500.00 03/12/2010 06/16/2010 Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/lnd/Public $1,386.61 3112/10 1201000000000000227 Plan Review Fire & Life Safety $853.30 3/12/10 1201000000000000227 + 12% State Surcbarge $387.84 6/16/10 3201000000000000303 + 5% Technology Fee $161.60 6/16/10 3201000000000000303 Building Permit $2,133.25 6/16/10 3201000000000000303 Fixture $589.00 '. :,\ , ) \. ~ 6/16/10 3201000000000000303 Mechanical-Value $262.75 :',' ',' < 6/16/10 3201000000000000303 Plan Review Electrical (25%) $245,25,_,.~; 6/16/10 3201000000000000303 Sanitary Sewer - 1st 100 Feet $76.00;;: .. 6/16/10 3201000000000000303 Sanitary Sewer - Improvement $751.92 . 6/16/10 3201000000000000303 Sanitary Sewer - Reimbursement $1,540.56 6/16/10 3201000000000000303 SDC MWMC Administration $10.00 6/16/1 0 3201000000000000303 SDC MWMC Improvement $3,001.63 6/16/10 3201000000000000303 SDC MWMC Reimbnrsement $362.81 6/16/10 3201000000000000303 SDC Sanitary/Storm Admin $130.99 6/16/10 3201000000000000303 SDC Transpo Improvement $16,749.83 6/16/10 3201000000000000303 SDC Transpo Reimbursement $4,595.64 ! ' 6/16/10 3201000000000000303 '. SDC Transportation Admin $1,219.63 6/16/10 3201000000000000303 Storm Sewer - 1st 100' $76.00 , 6/16/10 3201000000000000303 I Storm Sewer Each AddtllOO' $19.0lF "~f' 6/16/10 3201000000000000303 Water Line - 1st 100' $76.00 6/16/10 3201000000000000303 + 12 % State Surcharge $2.28 6/24/10 2201000000000000736 + 12% State Surcharge $7.56 6/24/10 1201000000000000752 + 5% Technology Fee $0.95 6/24/10 2201000000000000736 + 5% Technology Fee $3.15 6/24/10 1201000000000000752 Sanitary Sewer Each Addtll00' $19.00 6/24/10 2201000000000000736 Temp Power 200 amps or less $63.00 6/24/10 1201000000000000752 .: ,~\ ~ " <, , Total Amount Paid $34,725.55 ..... . ;.'1" . .' .. I,plan Reviews ~ Pa2e 2 of 5 CITY OF SPRINGFIELD 'Building/Combination Permit Status Issued PERMIT NO: COM2010-00316 225 Fifth Street, Springfield, OR " ISSUED; 06/16/2010 .'J APPLIED; 03/12/2010 541-726-3753 Phone 541-726-3676 Fax EXPIRES: 12/22/2010 541-726-3769 Inspection Line VALUE: $ 450,000.00 Initial Review 03/15/2010 03/15/2010 APP LLH Received Structural Design letter with original stamp from Artisan Engineering to be delivered to David Bowlsby. . , Electrical Plan Review 03/22/20 I 0 9JLW2OllL 10 BA~ Started plan review :;,'i:; Fire Department Review 03/19/2010 03/30/20 I 0 WE GRG Need updated Plan Sheet A2.0 revision showing fire extinguisher placement. Fire Department Review 04/02/2010 04/02/2010 APP GRG See attached document for Fire Department Plans Review comments. Electrical Plan Review 04/05/2010 04/05/2010 , A~P BAR Electrical plan review fee is subject to change with electrical permit application. Fee based off of : 3@200amp or less feeders 1@201 to 400amp feeder 1@600 to 1000amp service 73 branch circuits Structural Review 04/05/2010 04/05/2010 WE CJC Corre~tions requiring DP's response in attached Structural review letter. Structural Review 04i22/2010 0~/22/20 1 0 WI CJC Resposes to plan review comments are ap'proved. Waiting for I' ~ ,,, ') I, PL/PW/SUB approval. 't.-) .;.;:.... ~;. ',~," .''''~,~. ".~ '. Plan nine: Review 06/15/2010 06/15/2010 APP EMM Received plans late 6/14/10. To be constructed per Site Plan Review DRC2009-00049 conditions and Final approved Site Plan. Call Steve Hopkins for Final Site Inspection prior to Final Building Inspection at (541) 726-3649. PLEASE GIVE 48 HOURS NOTICE. Public Works Review 06/15/2010 06/15/2010 , APP CTM As submitted Public Works Review 06/15/2010 06/15/2010 10 MS Recieved 6/14/2010. Structural Review 06/16/2010 ' , 06/16/2010 APP CJC As noted on plans To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day. ,oji;.. '. ^,. Pace 3 of 5 , ~('"i ~ " J" llli:i@,;:P,'E!>!? L ". ,~"'>:.: . . ; '''''~"._, "".""', ',,;, CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM201O-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/22/2010 VALUE: $ 450,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l..JleOHiredJnsnections ~ 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. Foundation: After forms are erected but prior to concrete placement. Floor [nsulation: Prior to decking. Shear Wall Nailing: Before covering sheathing )"ith fi,!ish materials. Framing Inspection: Prior to cover and aft~';:"aii ro~g{in inspections have been approved. Wall [nsulation: Prior to cover. Ceiling Insulation: Prior to cover. Roof Sheathing Drywall: Prior to taping. Masonry: Special: See Plan Reviewer or Inspectors Notes for specific requirements. Final Building: After all Conditions have heen completed'as required on Development Agreement. . .,. '..;..... .- Final Building: After all required inspections,have been requested and approved and the building is complete. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. ' Underslab Plumbing: Prior to filling the trench and including required testing. Slab: To he made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Rough Plumbing: Prior to cover and including ~equired testing. Water Line: Prior to filling trench and incl~d.r~'g r~q"uired testing. Sanitary Sewer Line: Prior to filling trench ~~~, including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underslab Mechanical. Prior to insulation or decking and including required testing. Underslab Gas: After line is installed and required testing and capped if not attached toan appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected io a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Pa2e 4 of 5 " CITY OF SPRINGFIELD Building/Combination Permit Status ,,- I.: PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/22/2010 VALUE: $ 450,000.00 Issued 'I: ;ig,: ':,:~I; .~:( 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , .J, ~<:,L:i- ! ,; 1: Temporary Electric: Approval reqnired prior to Utility Company energizing pole. Underground Electric: Prior to cover Underslab Electric: Prior to cover Rough Electric: Prior to Cover , Electric Service: Approval required prior to utility com'p~ny en'~rgizing service. .' Final Electric: When all electrical work is co.niplete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all iuformation 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 hereiu, 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 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 o( the property, and the approved set of plans \viii remain on the site at all times during construction. ,,"~: ',.1 ~-' : ~ .l!hi~ ,;, '\: . Owner or Contractors Signature Date . ~ '. r, f "~\' ),t,!,:;~ '!1H.:..~t"" I '-, ~ :~.:. "!i Paee 5 of 5 225 Fifth..Street Sp~i~gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Pnblic Works Department RECEIPT #: 1201000000000000752 Date: 06/24/2010 2:07:4IPM Job/Journal Number COM20 I 0-00316 COM2010-00316 COM20 10-00316 Description Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee '. 'l.!'~\ i q ,.'1,} Item Total: Amount Due 63.00 7.56 3.15 $73.71 Payments: Type of Payment CreditCard Paid By NAZRY HASBUN Check Number Authorization Received By Batch Number Number How Received djb 237733 In Person Pay!"ent Total: Amount Paid $73.71 $73.71 . ~ . :} ..,h;l.'" " '"j,?" ".i.';"',''''~' '. ,'-. ..... ~. : l~ .', r. ,,",,,.:1:",, .~. .' cReceintJ Page I of I 6/24/20 I 0