The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-5-29 A. New RC!iidcntial-Singlc or ~o~\'(\~i\'hllti-Famil)' pcr dwelling unit. ~}..o -ur:;,0 Service Included: OS8C\6 ~<s' (100 '(\~ \'l} .~06 fli,\'\\c. ~'O<<' ~~ .o,i,'<.l!.,./ CA. ~~~:t~ <.<>' C/ . .~ ~\{'i ?:P 0 Permits arc non-tnlnSfCrabl~~~a\~irc '\" .. k ' d 'I "'"',\\,,~, $Io~ 11 wor' IS not stane \\,lllll\,u'0;.{Ori.1YS1..0{\ of issuance or if \\"ork is s"spt'n~ed for ISO days, .;<. ,~(Io.., <:"" ~'3\f3 0C v . u\\1: 2, CONTRACTOR INST ALLA noo ONLY Burrell Bros. Electric 40159 Booth Kelly Road I .. 20() amps or less $ 63,00 Springfield, Oregon 97478 20 J amps 10 400 amps . ; " ~ $ 75,00 _ ~""-~~""L~ /b':'i 40J :1I11psto600amp,s,'""' ,.~~'\l'.4-$125,OO~ ., ',: '.., 601:lInpsIOIO()Oam\~"\'t\~,~~~$163.00_ Super\'isorLicellseNulllber~'"4-!-~", O\'erIOooamps~~ ~~~"l$~$375,OO_ , \'_\" , '" ", ' .,,' :" Reeoqneet<{.I1b~ ~"?€ x.~\: ~$ 50,00 bPlfalloIlDate~~A.. ,. ',: ,:. ' .-",~~.;' I~~.~~'t\\~~l\)~" ',' , " ,.. ' "" . )-', . ~'\~B...'\tli"\' ~\V~ 'S ll-'QFHders' I ' ConstrContr Number ~~"""'<",~ ~~~)r:~l~' ," ~9~Reloc";t'iOIl ' , \ ',': ':'" .. "\'f. 0.'t\l\)'?'_, 'I:;;....~, Q~~ :" bplf,'llOIl Date \~\~"" " ~~ ~~~a~o'r less. ,', , ,c.,() ",2~~mps to 400 imps Signarurc of SUllen hing Electrician ~~D\'er 401 ,to 600 amps ,,\ \ .. _ 0 O\'er 600 "mps or lOOO ,'olts see (j LO MULl 0 Wv\JL D, Br.,,:::' :~~:~its Owners Name :S'^N~ (0fL ~'^" New Alteral10n or 1~;'tenSi1l~~hr P:rneI I eo,ull ~'\.\\\\\\'j Address SO 7 AI lO"'-1.4-JltAv'\:::.. .\..,Qll~il\-~'f,~~eO(e9~: set \06~ $4300 \:.\'1\\01'<\'0 ?\e~'O'j "6 (u\es~?- 952-0 b" ",\1 (' ,\eS a; gaeh 'A\!liitional\0'rt!urt Of\wJtl\"serviee ~ v (\\.....' ""<0"" \tI"'. \0\\0 \\0(\ CeOr_8~\'e~,perml\}s 0\ e?~o(\.e $ 3,()0 l'Io\\\\Cl> 952.00' :o\l>$\ co\> . \~e \~\ '~ICl>\\O~ '(\ Op..?-E. $~ \isfcll\lneons','(S\ll~iec'fcc'lIr,~\llll i ne luded) \ '(0' ~",,,,.. \\\\1\" ^' 00"0. .>-e cEach)l!lSlOllatlOnl') 1')'3",..,. "'::J . 9 \'\' ~ \U~ n.'J.;"~,, Cl>\\\(\ (\of'il1nP. 2r\ ~'3Wl1on (\U~'Oe C€>~mril0\nline Lightlng Lrnllled Energ)'fRes Limited Energy/Collllll ;. 225 FIFTH STREET . SPRlNGFlELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1 LOj;A;rION OF IN;\TAL}..ATION '2568' IJIlfrf/lf S'l LEGAL DESCRfPTION 170:1.35'1 C. ,JOB DESCRIPTION A 'hb :t- I , \ Ci,y?~tl~ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Sig:nature: ;v. 'J~" ,.' eTR1CAL PERivITT APPLICATION " 3: COMPLETE FEE SCHEDULE BELOW I" :._~' ", j' '" " .' Items Cost Sum $106,00 $ 19,00 $ 50,00 B. Serviccs OJ" Feeders Installation, Alterations or' Rclocation: I' . $5000 $69,00 $100 00 L{) $50,00 $50 ()O $25 00 $45.00 i\linimul11 Electric Permillnspcctinn Fce~S~':;,(Il1.J;>Sllrchar~cs 4, SUBTOTAL OF ABOVE 70/0 Statc'Surcharge SUA) Administrativc Fcc Lf) 31'- '1)~ ;152 bS- TOTAL . . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00300 ISSUED: 05/1612003 APPLIED: 0412412003 EXPIRES: 1112812003 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 868 MAIN ST ASSESSOR'S PARCEL NO.: 1703354205800 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add type I hood and 3 appliances Owner: CORKUM B JUNE Address: 507 N TOMAHAWK ISLAND DR PORTLAND OR 97217 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Owner Contractor BURRELL BROS ENTERPRISES INC DENNIS MARICLE CORKUM B JUNE License 136446 63035 .r \~\n?-i. I BUILDING INFO~^'(f'lbr/.I'~ \'" ~O\ · 1. II \ ~\\jt.' ~~\..... ~ \,\\'2> l't:.'" , rO?- ~O ?t.,#,,~'i\i O~iif;.?- 1 ~\)()~t.'i) B 1\'\\'2> ()~gl. \ f(j1ct~ 1>-\\1\\ w.~~t.'ilf 0 e'?(ii.)'i). VN C. () W; ;\VJ1Ur~y~: 1>-~'l \Range Type: Energy Path: Expiration Date 08/20/2003 12119/2003 Phone 541-747-2724 541-935-3625 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION' REQUIRED PARKING Overlay Dlst: S \jOU to Total: # Street Trees Rqd: H~'JI/ (eqUI(e n \Jtili\\}H,andicapped: Paved Drivt.""gd:(egonb,J t\'1e o(egO set \O(Compact: -r:! eN \ \ <looted J leS ate OO~ o/;;-ofLotlS\overage: ( ,\'10Se (ll Op.f',952- b' \0110'1' " n cente . \'1(oug\'1 (uleS) .,~.i\icat\o _ ~M_OO~ot ,_.0<:' 0\ t\'1e ~~nP. I PUBLI(1\IMPiioy.'~N:fS~1' ~~~\e', ~~e ~;\\;catiOn uu"v' "'e ,,"'.... . "t\ll\'I calling t" "'e OtegolSld,e~~I~IDype: (lot t,. 800-'3!>t I1Utnbe centet is ~ - Downspoutsmralns: Frontyard Setbatk: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of3 v . . Lll f OF SPRIl'lut<l~LU Building/Combination Permit PERMIT NO: COM2003-00300 ISSUED: 05(16(2003 APPLIED: 04(24(2003 EXPIRES: IIf28(2003 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Footaee 4,000.00 Value $4,000.00 $4,000.00 Date Calculated 05116/2003 Total Value of Projett ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 5116103 1200200000000001229 + 10% Administrative Fee $10.56 5/16103 1200200000000001229 + 7% State Surcharge $7.39 5116/03 1200200000000001229 Building Permit $60.60 5116/03 1200200000000001229 Exhaust Hoods $9.00 5116/03 1200200000000001229 Gas Outlets 1-4 $4.00 5/16/03 1200200000000001229 Minimum/Adjustment Mechanical $26.00 5116/03 1200200000000001229 Plan Review CommlIndlPublic $39.39 5116/03 1200200000000001229 Vent Fan $6.00 5116/03 1200200000000001229 + 10% Administrative Fee $4.50 5/28/03 2200200000000000937 + 7% State Surcharge $3.15 5/28/03 2200200000000000937 Add, Alter, Extend Circ $43.00 5/28/03 2200200000000000937 Minimum/Adjustment Electrical $2.00 5/28/03 2200200000000000937 Total Amount Paid $225.59 I Plan Reviews I Fire Department Review 0412512003 05116/2003 APP AG Plan review - hood system (suppression) -Provide 1 K-type fire extinguisher in accordance with fire code requirements (3' to 5' above the floor, along the path of egress from the fryer. -contact Springfield Deputy Fire Marshal Gilbert Gordon at 726-2295 for witness of acceptance test of system. Structural Review 0412512003 04/28/2003 APP TCM 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. Paee 2 013 . . CITY lJl' 1)rK11~uNI!,LD Building/Combination Permit PERMIT NO: COM2003-00300 ISSUED: 05(1612003 APPLIED: 0412412003 EXPIRES: 1112812003 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insnections I 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 6 Rough Mechanical: Prior to Cover 7 Final Gas: When all gas work is complete. 8 Final Mechanical: When all mechanical work is complete. 9 Rough Electric: Prior to Cover 10 Final Electric: When all electrical work is complete. 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 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JobfJournal Number COM2003-00300 COM2003-00300 COM2003-00300 COM2003-00300 Payments: Type of Payment Check 5/28/2003 City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000000937 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By COFFEE TIME COLLECTIBLES 1O:39;32AM Received Sy djb Date: OS/28(2003 Amount Paid Item Total: 43,00 2,00 3.15 4.50 $52.65 Check Number Confirm No How Received In Person Payment Total: Amount Paid 52.65 $52.65 Page I of I . . cReceipt.rpt