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Home My WebLink AboutPermit Electrical 2007-1-18 ZON CG INITIALS N, M. DATE I - I CJ - () ) . 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)72'1-36 9 SOURCE(YVl ~~I J...,] ELECTRICAL P~!T APPLICATION City Job Number ~VV\ '2-807- - GOoSV X9 Date \,/ l~ / 07- 3. COMPLETE FEE SCHEDULE BELOlV Pump or irrigation $ 50.00 'Sign/Outline Lighting $ 50.00 OWNER INSTALLATION .' Limited Energy/Residential $ 25,00 The installation is being made on property I own which,. . Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. C MiiiimumElectric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. ~'iJBTOTALOF ABOVE b--:; ~ .U-& ~& t1,f(o : '0 r:; . ')..0 . '30 :)..~O . Q fSfo.$f6( 7 30 fJ.$ ctric~t Application 8-06,doc (UJ j) u.. :{2') CJA-C J.A.~ 1. LOCATION OF INSTALLATION: L=~:C~TIg,~ (7D ~ Z-S"'{ \ Of,OC( C;;O~ DMCRlPTION: W ~ t6l - {MJsL) WW ~ ../ - , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATIONONLY Electrical Contractor ;""{2, ~U ( TR.- \ (,..- i N G ' Address Lf~~ T c"i>cp,e.L./..y......--- '7~ --- City Y ~~ Phone lo~r:r-6'f7{) Supervisor License Number ~g+ 2 5 -g. Expiration Date ~( I o"l- Constr. ContI., Number J 0 If:J 2- '1 Expiration Date ,) / I <I I 0 ~ . . \1rem~ [/ .r Owners Name L.Aa..,\.o,.- . Co f-,\) Address :3 7 Q ~ # '-A~ ~ 'ewi ~ City lMt::'d 4-~ PhoneeilO.'",~'~Of:,I.. ./ Inspection Request: 726-3769 o=t-t> 2-',0 A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders ,..'....." ......'. ,...,...... Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600.Amps Over600#,ps,orlbO~N~ltssee "B" above. D. B'f~~ChS{t1J>>f411/~/fa:? f'. . New A,lter.ation orItXieAsRlW,~er Panel ....... One CrrcUlt I( \) 43,Uu l{ J .,:.:n Each Additional Circuit or with "2. 0, ,,7\ Service or Feeder Permit - ":/ -:::L. ~ 3;,4 ~ . E. .l\~i~cenaile(}Us(Service/fee~er llQt included)-Eachlnstallation $ 50.00 $ 69,00 $100,00 8% State Surcharge 10% Administrative Fee 5% Technology Fee, ~~ Shared Drive(T:)/Building Fonus Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101001 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00054 ISSUED: 01/11/2007 APPLIED: 01/11/2007 EXPIRES: 07/11/2007 VALUE: Springfield TYPE OF WORK: Restaurant TYPE OF USE: Alteration PROJECT DESCRIPTION: Wiring for new equipment - exhaust hood with makeup. KFC Owner: Address: LARIOT CORPORATION 390 EAST MCANDREWS MEDFORD OR 97501 Contractor Type Electrical Contractor JB ELECTRIC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Commercial Phone Number: 541-840-5061 I CONTRACTOR INFORMATION I License , 1;,lQ4929 Expiration Date 03/14/2008 Phone 541-687-5770 BUILDING INFORM~IJ(ION.''. ~ "'~'<S . # of Stories,~ O~4f. <?~ 19~1' Lot Size: Height of Stn{(:ture* <7-0 J'~ Sq Ft 1st Floor: Type of Heat: /&00 (;1<<'0 (/10 ~<'<, Sq Ft 2nd Floor: Water Type: ~r 01> <?<<'1> ~ Sq Ft Basement: ,..,."Range Type: "o<<,~ <r ~ :,o~"Ft GaragelCarport , Ene.rgy Path:. . IQ -1&-1, ~ .N~q/Jtt Other: , _,; , , ,~p'rmkled BUlldmg: <? nla ~G>O}~~~~~'~ Load: "O&(I,D"E~TEL,OPMENT INFORMA nON I v<'() ;/ {st ,1;01>4- . ';' "<91./. r.O -~.... '~,:" . ,f' ,.C, (/..0 R1tQUIRED PARKING. (.;: .I'1.l (;- V, ',',". "'(" ... 'T , I'.?,.,: 'li..., '7;. u) '(Y", '-'r. <"~;~:(';'6 ~:9~e!:BtQ~,t::)f--(., Total: ^ "'0. ~",#IStr;eet',;Tr.ees Rqd: <" Handicapped: \".; "rA ex. ~t",,' /.~ "".$) .~ 0 ' (, (ilA "';", P.~vea;:Driv,e>Rq'(!:- ~ r"" ,.., Compact: ",t.. vo"/" 0 ......1./ "1'-'" ~1> ., c~/. ~;$l o,(1-:ot.;€;ovsyage,;. ~C'l-, -'""", is')' '--"9; 'OJ.: "<9 ./ 0 ~I': './ (j, -'. ~:?~~Ol/ / .~'.I'.l. is' 0, .AY~ _& ~<<'.. I~..: I PUBLIcYMrR~0YE'ME'N"iS;I~1~,.J 'a<7;J()~i;bv",o~CI<S' f..'O, Sidewalk Type: ~ ~6' (il" /01) Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00054 ISSUED: 01/11/2007 APPLIED: 01/11/2007 EXPIRES: 07/11/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $2.30 $3.68 $43.00 $3.00 $0.60 $0.30 $0.48 $6.00 1/11/07 1/11/07 1/11/07 1/11/07 1/11/07 1/18/07 1/18/07 1/18/07 1/18/07 2200700000000000045 2200700000000000045 2200700000000000045 2200700000000000045 2200700000000000045 2200700000000000074 2200700000000000074 2200700000000000074 2200700000000000074 Total Amount Paid $63.96 I Plan Reviews I 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. ReQuired Insoections I Rough Electric: Prior to Cover 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 Pa!!e 2 of 2 225 Fifth Street Springfiel4, Oregon 97477 541-726-3759 Phone . Ci,",' of Springfield Official Receipt D ,opment Services Department Public Works Department Job/Journal Number COM2007-00054 COM2007-00054 COM2007-00054 COM2007-00054 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000074 Date: 01118/2007 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 17935 In Person Payment Total: Page I of I 9:25:22AM Amount Due 6.00 0.30 0.48 0.60 $7.38 Amount Paid $7.38 $7.38 1118/2007