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Home My WebLink AboutPermit Electrical 2010-6-25 Electrical Permit Application DEPARTMENT USE ONLY Permitno.:C/O -00 3( b trrY'QF.s'~iuNGFI)ELD' OREGON.:, . , ,.....~ _: - - h' f I '"'. ~ . '" . ,'. ? :. ....::1"'~ . - . + 225 Fifth Str..t. Springfield, OR 97477. PH(541)726-3753. FAX(541)726.3689 Date: b - 25-/0 This permit is issued under OAR 918-309-0000. Permits arenontrailsferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Signing supervisor's license no.: ljQ9,:z.-S Print name of signing supervisor: /}jCiU~ 1>0. ~~h".j' ('. Signature of signing supervjsor:~ (~ ) ~~ '" ,\. i I>( "\ , <t,'i>1 ,./I.,,,,,t /, ~. '\ I') 44Q.2584.1 (9108/COM) ,.... ',"ii. ".;7~:'.'!~:)'~iiG":F"j;:EE]SGHE.Dl.lljEr NUrn~eropnspecti~?s perit~m!) '. Qty. Cost ;,-' ea. r~>.';:';f;;~i~?}9s;;i'~~~,{~{9:n 'J.'otal cost Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ 25.00 LOCAL' (30VERNMENT APPROVAL. . ,. .." Zoning approval verified? 0 Yes 0 No ...... . ....Cf\TEGORY:Of'CONSTRUCrION\' ..... o Residential I 0 Government L.g-commercial ~YjfA.Oa::,SI"E'INF"QRMA;rIQNtAN[jn:OcAtION'S-!'/i~;t lob site address: /505 #10HAW~ I3l.-VO City: S P p-b State: o-lL I ZIP: '7747e Reference: /70'32-534 I Taxlot.: 04101 . . DESCRIPTION OF WORK' '. ;\ ..., ;Vet--.! /2.e--sr-A-v\(2.Afvr- ~L-a.,h'-~ ~ Ct~,-'^'-k 200 amps or less (2) $ Z<{3 PROPERty. QWNER 201 to 400 amps (2) $ "IS Name: L........dde-L.A-c:..L Co.-.-C9LClA-( 401 to 600 amps (2) $ Address: -pc) "EC>,x 5;76" 601 to 1,000 amps (2) $zeS City: e=v..&-f:::Nt; 1 State: oIL. I ZIP: "} 7 40r Over 1,000 amps or volts (2) $ Phone: _ . I Fax: . . Reconnect only (2) $ 63.00 $ E-mail" Temporary services or feeders: installation, alteration, relocation This in~tallatjon is being ma~e on.residen..'o!2L~'" ,e. i~ .,,,~ , owned by me or a member of my lmmedlaM1ilI\mjll"!'llrSA.:, ~ bl. tneo:Dll6gOO1 $ 8700 $ property is not intended for sale, exchang40l\QNler~3rR-."I:1R h,",'n . 479.540(1) and 479.560(1). Notification Center. I tt" s< '! iOOl~ $126.00 $ 000952-001-0010t ro \". """"""_" ...... . Signature: . In ""... . '~.'In 0 i 15'lS,,,,,,,,,,,...1ll6,,,,,,,00 volts, see servIces or feeders section above' CONTRACTOR INSTALLl&.'T1'Q~' "'ar. (f ot ~\lall~bl1.8:\1\WD"Dw. alteration, extensionpupanel Business name: .f+.nn"'-. el" LJ.-.~;'("... ,-,' r for the Oragc ~ '-ranch circuits with purchase of a service or feeder fee: Address: jq<('/:i -P''<le,^W~U~ b.., venl"'I'" ,- Each branch circuit 7 I $ 6.00 $LfZb City: ~~ I State: rJJ;? I' ZIP: q-r7o~ b. Fee for branch circuits without purchase ofa service or feeder fee: PhoneGll/'3'V' <:;;"'2n I FaxG'jIW Ctldlo~ . First branch circuit (2) $ 55.00 $ E-mail: c' "" ,..e.I" <.-/'r'o.-:; I,~","",,-;I jon.... Each additional branch circuit $ 6.00 $ CCB license no.: (}~11 R I BCD license no.: Miscellaneous fees: service or feeder ~ot included Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32.00 $ 63.00 Services or feeders: installation, alteration, relocation Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a Iimited~energy panel, alteration, or extension (2) $ 63.00 $ 63.00 $ 63.00 Each additional inspection: '(,} )~~~~~~,~,i"" $58.00 NOTICDE' - .. fjWO'5l:l~""" THIS ,~ n~ ~'\JfI~'P1RMIT IS NOT .;: AUTHll'(' '.ii~d~'!!I!l FOR ;.);i' ~~ COM~. ~<- .1U harge(.12x[AJ)'" . ~ ,.\Q ANY 1 P1tfT';;~hnology Fee (50/0 of [A]) ,...... .K)~ I \ \ ~, TOTAL fees and surcharges (A through C): ~~ $ $ $ $ $ $ $ $ .,; $ Cfb'f $ 116""g $ 4B~ $/ls"!.2'l:. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/28/2010 VALUE: $ 450,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , " SITE ADDRESS: 1505 MOHAWK BLVD ASSESSOR'S PARCEL NO,: 1703253404101 Springfield TYPE OF WORK: Restaurant PROJECT DESCRIPTION: New restaurant TYPE OF USE: New Commercial . _ _.-,' :;,';.';".i1i.4~;"i.~~;;~;:i~{I,:;:~, SIdewalk Type: '",' ... ....'". ~, , ., i: "",t: .,.u~ \NORI<. '" , ~O,.\C~: S\-l~'lt"!R'I'I~lJ.'Ilai'1[ \S NOl ~\~ , , 1\-\\S PERM\1 R 1\-\\S PERM ,,;;(". AUluORllED UNDE ^B^"DONED fOR "?"~,~' " 0 OR IS n nl' .. ' ,', ' COMMENCE 00'" .... I\N'I '\ 80 DI\'I pERl . Owner: CUDDEBACK COMMERCIAL PROPERTIES INC " Address: PO BOX 5769 . "" , EUGENE, OR 97405 " . I CONTRACTOR INFORMATION , Contractor Type Architect General Electrical Mechanical Plumbing Contractor License NIR PEARLSON ARCHITECT, INC ALAN S ROMBACH & WILLIAM ROMBAC 148057 APEX ELECTRIC LLC 175118 BEND PLUMBING & HEATING INC 155301 BEND PLUMBING & HEATING INC i 155301 BUILDING INFORMATION , # of Units: # of Stories: Primary Occupancy Group: ' A2 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: I requireS you laange Type: # of Bedro~NTlON: Oregon a~he Oregon Util~ergy Path: folloW rules adoPte~hb~e rules are set f~ink~ed Building:, No k,ug~~;~~;~~~~1~~~~~i~~ ~1~~~~~~~i~i ~~FORMA TION ~ 0090 You may obta , the telel',I!l'il'!i .' . ,ilM the center. (Note'TIY Notification , Frontyard s5l'li for the Oregon Ut~'_Z3441. Overlay Dist: Side 1 SetbJ;l~: Center is 1-800-33,~,~lreet Trees Rqd: Side 2 Setback: "Paved Drive Rqd: . Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: ,." -ri", ,; '-;,~, .~~,\!.; ,r Notes: Page 1 of 5 t:.i.l" -'.'-'! >."., ~ "'.1"':~~:~:,"";' Expiration Date Phone - 541-345-5547 06/11/2011 04/01/20 II 05/19/2011 05/1912011 541-330-5030 541-382-8577 541-382-8577 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 62 REQUIRED PARKING Total: Handicapped: . Compact: _ ":'::.!2~ ;..::' ~'~'...:...: . '~t:~~. '~~~~~l ~ir:" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/28/2010 VALUE: $ 450,000.00 Sta tus Issued .Wi,;p.;n ;;~ ,.,<\l.~;! .... 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Estimate Mechanical C/I Estimate Use Bid Amount $ Per Sq !,t or multiplier . \' '$1.00 $1.00 :. Square Footage ,:' ~~r Bid Amount 450,000.00 22,500.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $450,000.00 $22,500.00 $472,500.00 03/]212010 06/16/2010 ~ Fee Description Amount Pai~.;:;, . Date Paid Receipt Number ,..' .........,. Plan Review Commllnd/Public $1,386.6Id~: :~f;,t;~:' .. . 3/]2110 1201000000000000227 Plan Review Fire & Life Safety $853.30:":" ,. 'i........'; 3/]2/10 1201000000000000227 ....:.ul"it, . ,i>-;'!'l''i . + 12% State Surcharge $387.84. 6/16/10 3201000000000000303 + 5% Technology Fee $161.60' 6/16/]0 3201000000000000303 Building Permit $2,133.25 6/16/10 3201000000000000303 Fixture $589.00 6/16/10 3201000000000000303 Mechanical-Value $262.75 6/]6/10 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 6/16/10 3201000000000000303 SDC MWMC Improvement $3,001.63 " , 6/16/10 3201000000000000303 '1.' SDC MWMC Reimbursement $362:8('" 6/16/10 320]000000000000303 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 Storm Sewer Each AddtllOO' $19.00 6/16/10 3201000000000000303 Water Line - 1st 100' $76.00 6/16/10 3201000000000000303 + 12% State Surcharge $2.28 ;:.,' 1;.. 6/24110 2201000000000000736 + 12% State Surcharge $7.5f;'3 :~~r" .: 6124/10 1201000000000000752 + 5% Technology Fee $0.95,. d, ....,',,~ 6/24/10 2201000000000000736 ......,.--.".r-, "';<115;1., . + 5% Technology Fee $3.1~~" , 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 ]201000000000000752 + 12% State Surcharge $116.28 7/1110 220]000000000000781 + 5% Technology Fee $48.45 7/1110 220]000000000000781 Add, Alter, Extend Circ Ea Add $426.00 7/11]0 220]000000000000781 Perm ServlFdr 200 amps or less . $243.00 7/1/10 2201000000000000781 Perm Serv/Fdr 201 to ~OO amps $95.00 '7/1110 220]000000000000781 Perm ServlFdr 601 to 999 amps $205.00, <}/1I10 2201000000000000781 Total Amonnt Paid $35,859.28 '. ,; t,' ~! \ . :.. Pa!?:e 2 of5 " :\ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ", ... . ~ 'i:, ".'i. i,~~:' ~.. ~" . .;ti;,~';.. ,;."',"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-003]6 ISSUED: 06/]6/2010 APPLIED: 03/]2120]0 EXPIRES: ]2/2812010 VALUE: $ 450,000.00 Status Issued I Plan Reviews ~ 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 03/22/2010 03/22/20 I 0 10, BAR Started plan review Fire Department Review 03/19/2010 : 03/30/2010 WE GRG Need updated Plan Sheet A2.0 revision showing tire extinguisher placement. Fire Department Review 04/02/2010 04/02/2010 APP GRG See attacbed document for Fire Department Plans Review comments. Electrical Plan Review 04/05/2010 04/05/2010 APP BAR Electrical plan review fee is subject .... I ,~i to change with electrical permit " application. .... Fee based off of: ">t'" . . ..,,1: ::--"""'. 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 Corrections requiring DP's response in attached Structural review letter. Structural Review 04/22/2010 04/22/2010 WI CJC Resposes to plan review comments are approved. Waiting for PLIPW/SUB approval. Plan nine: Review 06/15/2010 06/15/2010 APP EMM Received plans late 6/14/1 O. To be constructed per Site Plan Review DRC2009-00049 conditions and Final approved Site Plan. Call Steve Hopkins for Final Sile Inspeclion prior to Final Building Inspection at (541) 726-3649. PLEASE GIVE 48 HOURS NOTICE. Public Works'Review 06/1512010 06/15/2010 APP CTM As submitted Public Works Review 06/15/2010 ,06/15/2010 ' 10 MS Recieved 6/14/20 I O. " il " Structural Review 06/16/2010 ,9li/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 be made the same working day, inspecti?ns requested after 7:00 a.m. will be made the following work day. Pa2e 3 of5 CITY OF SPRINGFIELD Building/Combination Permit Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line );').', PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/28/2010 VALUE: $ 450,000.00 Issued l....P-eouirecUnsnections ~ Ufer Electrical Ground: Install ground rod~l,r~o~W'~Jand call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. ",:)/ [ ~I 'I, Foundation: After forms are erected bnt pri6r'to concrete placement. Floor Insulation: Prior to decking. 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. Roof Sheathing Drywall: Prior to taping. 1,)', Masonry: Special: See Plan Reviewer or Inspectors Notes for specific requirements. Final Bnilding: After all Conditions have been 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 remo\>ed,from the site. ' "~" J.' .,.0' Underslab Plumbing: Prior to filling the trench and including required testing. ..1:,: ! .:. I r '.~ , . Slab: To be made after all inslab building se.i:vice equipment, conduit piping and other equipment items are in place but prior to concrete. '1(1'. 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. 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 to an 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 to 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 world~ cohtplete. .'t!t' 1':' ;.J.,','P3ee 4 of 5 ,;,,1:-1 i'~ , i .'i-I\" ::;., .;.j-p.; !".-;l," _~'I: , """ CITY OF SPRINGFIELD ~".}, .! \. ; "1~'i~- " " Building/Combination Permit PERMIT NO: COM2010-00316 ISSUED: 06/16/2010 APPLIED: 03/12/2010 EXPIRES: 12/28/2010 VALUE: $ 450,000.00 Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temporary Electric: Approval required 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 company energizing se,rvice. ,.1 :","; Final Electric: When all electrical work is complete. By signature, [ state and agree, that I have carefully. examined the completed application and do hereby certify that all ....,..-,'"1 ,'- - .....;_.-.,~. ,; t 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 of any struct.iJ,t~;withoiJt 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. 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 of the property, and the approved set of plans will remain 011 the site at all times during construction. Owner or Contractors Signature Date , ", i "~1. ,..~',Y.'i r . ~;~{"t:(1 ,~if\" .. <..~ ' , , ""~h';,' \ , '" 'i'/f.:~~ iL:.ri:\;. ',"! P.'"'" ~ \h -', ,. . :& i, Paee 5 of 5 225 Ififth S!reet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000781 Date: 07/0112010 11 :13:34AM Job/Journal Number COM20 I 0-00316 COM20 I 0-00316 COM20 I 0-00316 COM20] 0-00316 COM2010-00316 COM20] 0-00316 Payments: Type of Payment Check cReceintl Description Penn Serv/Fdr 200 amps or less Penn Serv/Fdr 201 to 400 amps Penn Serv/Fdr 601 to 999 amps . . Add, Alter, Extend Circ Ea Aqq,.~'. . + 12% State Surcharge + 5% Technology Fee Paid By MERRELL DEVELOPMENT CO LLC Amount Due 243.00 95.00 205.00 426.00 ] 16.28 48.45 $1,133.73 ,: Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 2695 In Person $1,]33.73 -~.'r-~~ Payment Total: $1,133.73 .. t_~)J::~'t,"~ Il~,~~ . , i~ l, : . ~. ~".~ . , ....-'.')'!' . '-",1 '\\'.. '~;~'~?!,~;l! . ,; t,;'pi~' !',L, ; -"'.'f' ',' . Page I of I 7/1/2010