HomeMy WebLinkAboutPermit Electrical 2007-1-11
O~077/G
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00054
ISSUED: 01/11/2007
APPLIED: 01/11/2007
EXPIRES: 07/11/2007
VALUE:
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
Springfield TYPE OF WORK: Restaurant
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Wiring for new equipment - exhaust hood with makeup. KFC
Commercial
Owner: LARlOT CORPORATION
Address: 390 EAST MCANDREWS
MEDFORD OR 97501
Phone Number: 541-840-5061
I CONTRACTOR INFORMATION .
Contractor Type
. Electrical
Contractor
JB ELECTRIC
License
104929
BUILDING INFORM A TION ,
Expiration Date
03/14/2008
Phone
541-687-5770
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORM A TION I
Front yard Setback:
Side 1 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:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction: . .
, -'~V .b,-\UIl\;:l;:, yuU LV fH]TlCE:
Notes: f~~;I~\~'~I;d~~t~d'~;t~l~~~ei~s~ii~~~: T
_. ,.,,_~~:^" r.,~nter. Thos _ __ ,"'1~ . ~~S PERMIT SHALL EXPIRF If: TI-Jr: IAInr./{
l'<lV....---- 0010througn Ul':'......... .rmn nu I nUlilLtU UNDER T 'j - . ,
"f) OAR 952-001- . f t ' eM h' ..' HIS PERMIT IS NOT
L 0 You may obtain copies 0 l ~a1u~uon DescrI tion JOMMENCED OR IS ABANDO
009 '. ~ center. (Note: the t I ~II ::0 ANY 180 0 NED FOR
D . t' ca\lIng~he . e.~ ~fif1..'1r:1tJ t+ility' N$)~j3t;SqlHf, Square Footage A Y P EvR 110 D.
escnp Ion berJ.\y-pe'OI-l"'ufi:S~ u\:1 IOn -. .. a ue Date Calculated
nUm ,'-' .. . 'oJ. - o OO.l'"'"32_23.!1!j.'f!1u1tIpher or Bid Amount
Center IS 1-.J v I
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 I
$4.60
$2.30
$3.68
$43.00
$3.00
1/11/07
1/11/07
1/11/07
1/11/07
1/11/07
Receipt Number
2200700000000000045
2200700000000000045
2200700000000000045
2200700000000000045
2200700000000000045
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Total Amount Paid
$56.58
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 aU 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
Electrical Authorization To Begin Work
E-mailedTo:info@jbelectricinc.com
Receipt # EC507716
1/11/20072:01:33 PM
City 0" Springfield
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsd/Buildinglindex.htm
TYPEiOF ,WORK
[X] Addition/alteration/replacement
FEE :SCH.EDULE'
Qty,
V./;"
/7'''-'';
Description
>:\;;'1 !::f
11,000 sq, ft. or less
I Ea. addl 500 sq, ft. or portion
i> .;;: I (;i~~:~e es~erf.) residential
I . Limited energy, multifamily
I residential (with above sq, ft,) .
IS~W.i~~;'()!Je~d~~~.i~~~~u~,i~';ill~r~~?~~?\~/9~'relo~~#o~,'/J:i<)1
I 200 amps or less 1
1201 amps to 400 amps 1
401 amps to 599 amps I
Ea.
Total
D New construction
>, CATEGORYOFCONS'rRUCTION ..', i.;("
.-~: ",.
D I or 2 fanily dwelling
D Multi-family
W Commercial/ Industrial
,.'JPBiSJTE"INFORM~TIONANi>iLOCI4:T10Ni
I Job no.: 06-414 I Job address: 2575 OLYMPIC ST
1 City/State/ZIP: SPRINGFIELD, OR 97477-3467
I Suitelbldg.lapt.no,:
1 Project name: KFC Exhaust hood & makeup
Cross street/directions to job site:
1 Subdivision:
Tax map/panel no.: 1703254101000
I Lot no.:
I 200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
I' :Bran~hcircuits;~~,altel'llt1o;it;i9~' ~xt~JlSionrperpa~el: i;,.
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B, Fee for branch circuits $43,00 $43.00
without service or feeder fee,
first branch circuit:
I each add! branch circuit $3,00
Wiring for new equipment - exhuast hood with makeup,
Name: RogerHeedarg
I Phone: (541) 687-5770
I Email: service@jbelectricinc.com
I Fax:
I EI. lie, no.: 3& 72S I CCB lic.no,: 104929
I Business Name: JOHN BRUMBACK
I Contact: JB Electric, Inc,
!Address: 4685 ISABELLE
City/State/ZIP:. EUGENE - WEST OR 97402-0000
Phone: 5416875770 I Fax: 5413028296
I Email: info@jbelectricinc.com
I Metro lie no.: I City lie no.:
I Supen.ising electrician's lie. no.:
I Supervising electrician's name:
I
I
I
I
I Subtotal I $46,00 I
Minimwn Fee $45.00 I
I I State Surcharge (8% of permit fee) $3.68 I
I l City OfSeringfield fees * $6.90 I
I TOTAL PERMIT FEE I $56.58 I
* City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee
I
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signa! circuit(s) or limited-
energy panel, alteration, or
extension.
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
f',
\ {)m 2tm-7 ,/
\ - I \ -- 1. ('}"'\Jl
/__\;' -~ C....~) ,'- ,
) \.... ( "', -p, ',(
r"~ lV\
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
,- .-:\ (i) _- -'~ C~
7'-'/ '-, ~ I I ---'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00054
COM2007-00054
COM2007-00054
COM2007-00054
COM2007-00054
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000000045
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01111/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
nJm
Page I of I
ONLINE JB Online
ELECTRIC
Payment Total:
2:52:27PM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
] II ] 12007