HomeMy WebLinkAboutPermit Electrical 2011-3-16
bE~!\RTMENT USE ONLY
Permit no. s:; / 0 - f) f J
225 Fifth Street. Springfield, OR 97477 tPH(541)726-375H FAX(541)726-3689
Date:5 / (p .;2.&1 I
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.
" . '[OCAL'<;;OVERNMENTAP.PROvAL:",,(
Zoning approval verified? DYes D No
,.'';.CATEGORY;,iOI'CONSTRUCTIO
PROPERTY OWNER
Name:
City:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~~
1~
440-2584-J (9/08/COM)
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. . .',. ~. Q!y. Coit Total
,Nuni~er of!nspections p~~.:ite~_' (.) -'.. .. .' ea.', cost
. -; '. .. '.' . -' ,
. . -'
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, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1.000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) ,
$ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
20] to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
Fir~t branch circuit (2) I $ 55.00 $':f) -
Each additional branch circuit 19 $ 6.00 ~
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each aC:lditional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees I Sf-
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [AD ~d
(C) Technology Fee (5% of [AD $~
TOTAL fees and surcharges (A through C): .$1'::\.1 ~
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CITY OF SPRINGFIELD
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Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
www.ci.springfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
155 ued
01/19/2011
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000.00
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
OWNER:
ADDRESS:
WEBER'PROPERTIES LIMITED PRTSHP
PO BOX 23408
EUGENE OR 97402
Phone Number: 541-687-8445
CONTRACTOR INFORMATION
Contractor Type
General Contractor
Plumbing Contractor
Electrical Contractor
Contractor Name
ALAN S ROMBACH & WlLLlAM ROMBACH
BEND PLUMBING & HEATING INC
APEX ELECTRIC LLC
Lic Type
CCB
PLUMBING
ELECTRI,GAL
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load: 72
Electrical Sp~cialty COd~ Edition: ATTENTION: Oregon law requires you to '
Sprmgfleld Fire Code EdItIon: !oHow rules adopted by the Oregon Utility
Mechanical Specialty Code EditionNotlflca1IDmcCenter. Those rules are set forth
Municipal f Development Code: in OAR 952-001-0010 through OAR 952-001-
'. " . 0090, You may obtain copies of the rules by
Plumbmg SpecIalty Code Edltlun, calling the center. (Note: the telephone
Residential Specialty Code Edition: number for the Oregon Utility Notification
Structural Specialty Code Edition: &llJter is 1-800-332-2344).
# of Units:
BUILDING INFORMATION ~
# of Stories: 1
Height of Structure: 24,5
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
Construction Type
Occupancy Type
Type VB
A2 Assembly Intended
for FoodlDrink
Existing 2,230 s.f.
building
Occupancy
Comments
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Site Information
~
NOTICE: ,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. Page 1 of7
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
3116/2011 9:57:41AM
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:~:'n"OReGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/19/2011
ISSUED:
APPLIED:
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000.00
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION I
Overlay Oist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
VaJuation Description
I
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvoe
400,000.00 Bid
Unit Cost
1.00
Value
400,000.00
400,000.00
Springfield Building Permit.
3/16/2011 9:57:41AM
Page2of7
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
WWW.ci.springfield.or.uS
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000.00
01/19/2011
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
FEES PAID
~
DescriDtion Amount Paid Date Paid Recio! #
Structural Plan Review Fee Commercial $1,254.34 11/15/2010 2010000823
W. __"".
Technology fee (5% of permit total) $115.38 01/19/2011 2011000121
~tat~.'?f ()r_e9..'?~ S.ur~~~jl~(13~~.0~E.!'~cab~-'-~es) $263.22 .._.E.!l19/2011.... ._ 2011 OO~ ~1.
Deferred Submittal $114.00 01/19/2011 2011000121
-,-,-~,,,,~-_.,,.,,-
Fire, Life, Saf~1Y Pla~..Rex~_. $771.90 01/19/2011 2011000121
Mechanical Permit f~:.ibased on value of work) $205.75 01/19/2011 2011000121
Admin fee (10% of app~cable fees) . $11.40 01/19/2011 2011000121
Balance of Minimum Plumbing Permit Fees $1.00 01/19/2011 2011000121
Building Permit Fee $1,929.75 01/19/2011 2011000121
Planning. Minor Review. City $119.00 01/19/2011 2011000121
Sink/basinilavatory $19.00 01/19/2011 2011000121
Water heater $38.00 01/19/2011 2011000121
Branch circuits without service or feeder. each additional $90.00 03/16/2011 2011000491
-_.
St~!e...!?!-2.relLon .:>_urcharge (12% of applicable fees) $17.40 03/16/2011 2011000491
Technology fee (5% of permit total) $7.25 03/16/2011 2011000491
~~Enc:i5>2y'I~~(5~;"~iitotai)'-=~=~====~=- $0:60"- --OW/20'11--' -. ::..--== ~o.:i i_o~'~":.~'I
State of Oregon Surcharge (12% 01 applicable fees) $1.44 03/16/2011 2011000491
Branch circuits without service Of feeder - each additional $12.00 03/16/2011 2011000491
Branch circuits without service or feeder - 1 st circuit $55.00''''03/16/2011 '--"'2011000491
.--.--.--
Total Amount Paid $5,026.43
Springfield Building Permit
3/16/2011 9:57:41AM
Page 3 of7
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/19/2011
ISSUED:
APPLIED:
01/19/2011
11/15/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
09/03/2011
$400,000.00
SITE ADDRESS: '3220 GATEWAY ST, Springfield. OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
I
Plan Review
DeDartment
Application Acceptance
Received Due Date Comoleted Result
11/15/2010 11/15/2010 11/1712010 Application Accepted
Reviewer
David Bowlsby
Planning Review 11/17/2010 11/17/2010 11/18/2010 Approve~ Liz Miller
Comments: Received from building 11/17/10. Routed to Engineering on 11/18/10
~Y~1i2 V'&r~~R,~y~'~'~;~,:,,;:~~ ':; ,2~ ~~ ~:~,?,~ O~."'1;~!~.~/3,~1Pt>1~:~ L??/2?,_1g~~'~~:0~,~!9~~:,~~:-__;,j~':~;~~".,I:~f~~.ch~[~~ ~-;- -'\ ,-:'? ~f'f~;Z??~~
Comments:: ;,,"D1~~~~~s. o! sqlf?re;fo~_t~ge;'-_n~~~d~i!.i.~n~L?q,~;to.be-~s~~}$-~"~':i+.::"ilijct;ki'~v-,:_ :t ,'"1'-, ~ :,:~'~:2{ ,,~-~,~>"'f;:: r~'" ":::\;"'" '::",:1
Energy Code Review 11/22/2010 11/1712010 11/22/2010
Comments: Interior Igt only. No Bldg. Envelope or HVAC changes,
Approved
Structural Review
11/1712010 11/17/2010 11/24/2010
Add'] Info Required
Jack Foster
Kip Kaufman
Structural Review 11/1712010 11/17/2010 12/13/2010 Approved
Comments: General Contractor is required to complete deferred submittal form.
Inspection 01/19/2011 01/19/2011
Comments: Inspection in process
In Process
Springfield Building Permit
3/1612011 9:57:41AM
Kip Kaufman
Robert Castile
Page4of7
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perrnilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/19/2011
ISSUED:
APPLIED:
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000.00
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477.1035
ASSESOR'S PARCEL NO: 1703222002400
PROJECT DESCRIPTION:
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
INSPECTIONS REQUIRED I
Inspections
9012 SUB Final
SUB Final: After all required energy inspections have been requested and approved.
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Ceiling Grid: After drywall approval but prior to cover.
1110 Footing
1260 Framing
1540 Gypsum Board/Lath/Drywall
1600 Ceiling Grid
1996 Final Inspection - Planning
4500 Rough Electrical
1920 Miscellaneous Building
1260 Framing
Rough Electric: Prior to Cover
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1530 Exterior Shearwall
1260 Framing
'Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1530 Exterior Shearwall
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Framing Inspection: Prior to cover and after,all rough in inspections have been
approved.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Rough Plumbing: Prior to cover and including required testing.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1260 Framing
1260 Framing
3500 Rough Plumbing
1260 Framing
1530 Exterior Shearwall
1540 Gypsum Board/LathlDrywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Rough Plumbing: Prior to cover and including required testing.
Rough Electric: Prior to Cover
3500 Rough Plumbing
4500 Rough Electrical
Springfield Building Permit
3/16/2011 9:57:41AM
Page 50f7
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/19/2011
ISSUED:
APPLIED:
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000,00
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
3150 Underslab Plumbing
1260 Framing
Underslab Plumbing: Prior to filling the trench and including required testing.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1260 Framing
1530 Exterior Shear.-vall
1630 Roof Sheathing
1260 Framing
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Roof Sheathing
1540 Gypsum Board/Lath/Drywall
1540 Gypsum Board/Lath/Drywall
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
1920 Miscellaneous Building
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Shear Wall Nailing: Before covering sheathing with finish materials.
1520 Interior Shearwall
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Footing: After trenches are excavated.
1540 Gypsum Board/Lath/Drywall
1540 Gypsum Board/Lath/Drywall
1110 Footing
1120 Foundation
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all insfab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
Ceiling Grid: After drywall approval but prior to cover.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
1150 Slab/Flatwork
1600 Ceiling Grid
3999 Final Plumbing
4500 Rough Electrical
Springfield Building Permit
3f16f2011 9:57:41AM
Page 6 of 7
S!.RIN.. G FIEL~
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00711
IVR Number: 811174285018
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
01/19/2011
11/15/2010
EXPIRES:
VALUE:
09/03/2011
$400,000.00
01/19/2011
SITE ADDRESS: 3220 GATEWAY ST, Springfield, OR 97477-1035
ASSESOR'S PARCEL NO: 1703222002400
SCOPE: Restaurant
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Remodel existing Taco Bell. General contractor required to complete deferred submitttal
form.
1999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough MechanIcal: Prior to Cover
Final Gas:" When all gas work is complete.
2300 Rough Mechanical
2995 Final Gas
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
8999 Final Fire
1999 Final Building
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
4999 Final Electrical
2995 Final Gas
2999 Final Mechanical
By signature, I 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 or 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. 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 's 10 ated at the front of the property, and the approved set of plans will remain on the site at all times during
constructi
~//~' ?tot I
Date
Springfield Building Permit
3/16/2011 9:57:41AM
Page 7 of7
. ,
SP,'~~i.N...::'E. L~
~
~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541~726-3753
www.ci.springfield.or.us
811-SPR2010-00711
3220 GATEWAY ST
permitcenter@ci,springfield.Of.US
RECEIPT NO: 2011000491 RECORD NO: 811-SPR2010-00711 DATE: 03/16/2011
tbESCRI~TioN',',~""~i'.- ;.A;;';;~.;;;;:;';; ?'\"', ""',, . 222~";:"'AC.CQtJNiLCODE~;;': .:;,:.~';'..i'ANlOUN;tbuE""'::_~J
Branch circuits without service or feeder ~ 1st circuit 224-00000A26102 55.00
Branch circuits without service or feeder - each additional 224-00000-426102 102.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 18.84
Technology fee (5% of permit total) 100-00000-425605 7.85
TOTAL DUE: 183.69
LgAy'rJH~"~n~1Yeg:-::~,:~~::,~~Y9t~,:\e:C~SHiERtccAffpE~trl~~~~~':~cQNfM~:'~IS!ffi,,~)~1t0J~~i~::::.:-Z:~-'~AMQUNiCPhlct, '(.777': ::i'~"~", " .1
Check Nazry Hasbun 183,69
1534
TOTAL PAID:
183,69