HomeMy WebLinkAboutPermit Electrical 2004-11-23
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CITY OF SPRI~GF[E~
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. CITY OF SPRING1'lJ'.,LU .
Building/Combination Permit
PERMIT NO: COM2004-01300
ISSUED: 11/22/2004
APPLIED: 10121/2004
EXPIRES: 05/22/2005
VALUE: $ 1,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
\TT~~ITIf"\~'. r'I..____ 1_... ___..!~__ .._._"'_
...., - ~I- - - ) -- "-
SITE ADDRESS: 3521 GATEWAY ST SpringtIetdv rm~E(efl~Y..O.Rfii1eSyn:e.Jon Utility
ASSESSOR'S PARCEL NO.: 1703153301300 Notification Center, Those rules are set forth
in OAR 9~~1Q.~V~t;;roug1\!J;lil'ti!J!l2-001.commercial
PROJECT DESCRIPTION: Soda fountain change out after denoc<dCl:4~6'~ ~1iY.t'}''ll!J.l!.mlc,'Ln~t!'5I!l'ii{he rules by
(':;:Jllinn thp {":j:lnt,::t.r (t\I(\h:~' tho tolonnnno
Owner: BP WEST COAST PRODUCTS, LLC number for the Oregoptl<<lii~Nilliililif:1ti~/ll-670-5228
Address: 4 CENTERPOINTE DRIVE LA PALMA CA 90623 Center is 1-800-332-2344).
I CONTRACTOR INFORMA nON I
Contractor Type
General
Electrical
Contractor f!OTlCE' License Expiration Date Phone
MENG HANNAN CONSTRUCTION COPER'M47283 05/1312006 503-761-5290
JOHN BOYLES ~ ~~~ 'M".ihoo!z\LL EXPIRro~10?(~!l~mQi( 5036687440
, BUILDING INFeRMAT.ION:.~ul~t1 I HI~ PERMIT IS NOT
ANY 180 0 ABANDONED FOR
# of Stories: AY PE~IOD, Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
B
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
. I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paeelof2
.
. CITY OF SP1Ul'lul'l~LD
Building/Combination Permit
PERMIT NO: COM2004-01300
ISSUED: 11/22/2004
APPLIED: 10/21/2004
EXPIRES: OS/22/2005
VALUE: $ 1,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1:00
1,500.00
$1,500.00
$1,500.00
10/2112004
Total Value of Project
F~~s PairI I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$4,50
$3,15
$45.00
$29.25
$5.50
$3.85
$43.00
$12.00
10/21/04
10/21/04
10/21/04
10/21/04
11/22/04
11/22/04
11/22/04
11/22/04
Receipt Number
2200400000000001319
2200400000000001319
2200400000000001319
2200400000000001319
2200400000000001437
2200400000000001437
2200400000000001437
2200400000000001437
Total Amount Paid
$146.25
I Plan Reviews I
Structural Review
10/2112004
10/21/2004
APP JMP
Also OK with Jack Foster and
Gilbert Gordon,
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I R~ouir~rI Insn~~t~
Drywall: Prior to taping.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
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 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.
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 on the site at all
times during construction.
~o '_ c1Hctc~ ~
Owner or Contractors Signature
\ I - 2.-2... - 04
N I-----.-
Date
Paee 2 of2
225 Flfth Street
'Sp~!ngfjeld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01300
COM2004-01300
COM2004-0 1300
COM2004-0 1300
Payments:
Type of Payment
Check
11/22/2004
.
RECEIPT #:
~l
~..~
~y of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200400000000001437
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BOYLES ELECTRIC
Received By
njm
Page 1 of 1
Date: 11/22/2004
2:28:38PM
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
43,00
12,00
3,85
5,50
$64.35
Amount Paid
12987
By Mail
Payment Total:
$64.35
$64.35