HomeMy WebLinkAboutPermit Electrical 2008-11-26
Lll l' 0.. ~rKmtJ..IELD .
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01712
ISSUED: 11I26/2008
APPLIED: 11/26/2008
EXPIRES: OS/26/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1111 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253317000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Circuit for gas station remodel
Owner: . THABET INVESTMENTS-I I I I MOHAWK LLC
Address: PO BOX 70567
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type.
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Date
06/27/2009
Phone
541-686-2365
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water TYfle:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a.
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~~
~~~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
StormJI.'I"T",,~A~8""" I
S" l:1~ r '!IN,\Jregon aw requires you to
pecl:f~I'8Il!ll'adopled by the Oregon Utilily
Nollfleallon Cenler. Those rules are set forth
Noteln OAR 952-001-0010 Ihrough OAR 952-001-
0090. You may ?hfili'1 rnn100 ^. 'h^ ....._ _ L _ COMMENCED OR IS ABANDONED FOR
calling the center. (Note: Ihe telephpQ~-- ,.,;;',' ~:.;;; l~l\Y f'tKIUU.
number for the Oregon Utility Notificiiji ,aluation Description I
Cenler Is 1-800-332-2344). .
. . . $ Per Sq Ft Square Footage
Descl'lptlOn Type of ConstructIOn I . I' B"d A
or mu tip ler or I mount
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
DownspoutslDrains:
Value
Date Calculated
Page I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
$5.20
$6.24
$2.60
$50.00
$2.00
Total Amount Paid
$66.04
Total Value of Project
Fees Paid'
I Plan Reviews I
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01712
ISSUED: 11/26/2008
APPLIED: 11/26/2008
EXPIRES: 05126/2009
VALUE:
11/26/08
11/26/08
11/26/08
11/26/08
11/26/08
Receipt Number
3200800000000000765
3200800000000000765
3200800000000000765
3200800000000000765
3200800000000000765
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Inspections'
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
informati.on hereon is true and correct, aud I further certify that auy 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 fnrther certify that only contractors and employees who lire 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
Page 2 of 2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:jonette@neM.Vayelectric.com
Receipt # EC542693
11/25/20083:39:53 PM .
ii
IE"- "
. Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.ns
10 New construction ~ Addition/alteration/replacement
l:~~'~~~TEG6,~OF;Ci;>N[[R.UC)-t.qN!t';:";:'~1;::>;i"(
I 0 I or 2 family dwelling 0 Multi-family [X] Commercial/Industrial
: ~":;:".'<%oEHlTtE:iNi;oRMATI6WAND.~OCAfI6N -;ii;':'" . " -""j"-:I
.:'~XVi?,i,,3'j'1d.. """~~' ...... '''''', l,;- _h._.""",,,.=._,, '. ~. ..~'~.. "",A.,,,., .....'.";,,..."'.. .. .""'.' .,'t^"-dl....i'":":'~""" , "l ~'ih~'
IJob no.: jJob address: 111] MOHAWK BLVD I
'City/StatcfI.IP: SPRINGFIELD, OR 97477-4131 I
I Suitc/bldg./apt.no.: I
I Project nume: I
Cross street/directions to job site:
I Subdi\:ision: 1 Lot no.:
ITax map/pllreel no.: 1703253317000
l:'-~~_~'~:,' "":l!'~~~!~~pK~~~~T!Q.~Ef.;Wq'RK~_.~1?J~ ~~f~l~}:~:'~;:;~;~
small remodc] of gas station
:l<~-
"',->...
.~'... ;~"-
~ ...:'.
. """."'."1
':'~':2~" ,",' '.,m......,
- . ~. -- -- ;,,_.. .~..
I
I
'_:~~"\
~ ~srtE~cO~~~_ST,--
I Name: Mike Slaven
I.'hone: (54])50]-1569
I Email:
I Full.:
:~$ " '217i1.:;: ;;:~;.1I{j;:", <:;-~;.;.~P~1~9Jfi~~~~~~'.8~10,et_~. . :'1;K~~ ~ :.\.ti:.;,~ :;,;
lEI. lic. no.: 20-145C ICCBlic.no.: 51088
I Business Nnme: NEW WAY ELECTRIC INC
IConblct: 5]088
IAddress: PO BOX 21503
I City/Stllle/ZIP: EUGENE OR 97402
1 Phone: (541)6862365 1 Fax: None
1 Emai!: jonette@nev{waye]ectric.com
I Metro lie. no.: I City lie, no.: 409647
I Supervising eleetricill~'s lie. no.: 52525
1 Supervising electrician's name:. JUSTIN M PASLAY
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with Instructions on how to schedule your inspection.
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 Description I QtJ. Ea. Total
I;Rl..sii.iirrltial.SING LE: Oltmtilti~'ramily: d\\:ellinl:fu'lIif' Incli{destifbi,Xe:
!"h!i1[~elt111'r~g~~.r.,t:~~~~): '-5-f~~t':Lj'fG~~;~t'?jy{~(:.~;"
I ].000 sq. fi. or less I I I
I Ea. addl 500 sq. ft. or portion
l:-Lim!(tdJ.f~~it:f'gyr?
I-Limited energy, residential
(with above Sq. ft.)
I - Limitcd energy, multifamily
residenti<ll (wIth above Sq. ft.)
I-Limited energy, commercia.]
(with above Sq. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy, I
multi-family
I - Stand-alone limited energy, .1
commercial
1:~~~jE~'i'OljX~~~r11~,stllll~fFnrli!J~t1~}i~11I~N~jq:!'frc1~'ifi,!~qH,~~' \ I
1 200 amps or less I
1201 amps to 400 amps 1
1401 amps to 599 amps
I:T.El\:t,PORARY;Sen'iceS'(OR '~eedcrs)nsillllll,tion;~al~,e." ration,
A~plqRr~~o,c~t!,~.n -~',~i~..:'" i)h~.'l'~\~,,."'!fr; i
1200 amps or less
1 201 amps to 400 amps
1401 amps to 599 amps
1;~~~"~7~ii.;C~.f['~:~E.\\i!-~IL~~~tto!i!l2i~:~~~t,~lis~oi~~~!ifIia~.~lt~m::', ~-
I A. Fee for branch circuits \vith
service or feeder fee, cach
branch circuit.
lB. Fec for branch circuits
without service or feedcr fee,
first branch circuit
1 each addl branch circuit
,'-"~~' .
<.;;~..
~ ..
,~
$50.00
Hervice reconnect only
Each manufactured or modular
dwellinQ service and/or feeder
I Pump or irrigation circle
1 Sign or outline lighting
I Signa] circuit(s) or limited-
energy panel, alteration, or
extension.
I~,~~ ~,::;~r~;~i~':~,:E~~cT~lc~L P~-~~I,T i=EE.~,~~" ~.l,. .~i<.,'~~ I
I Sublotu] I $50.00
I Minimum fee used instead of Subtotal I $52.00 I
1 StateSurcharge(]2%ofpennitf~e) $6.241
1 City OfSpringfie]d fees. 1 . $7.80 I
I TOTAL PERMIT ".U: I $66.04
" City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
~8'"">~.nj 2-/
N rv\. r/
\ I ' 2-~ ....0 6
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1712
COM2008-0 1712
COM2008-0 1712
COM2008-0 1712
COM2008-0 1712
Payments:
Type of Payment
ONLINE CHGS
cRcceiotJ
RECEIPT #:
3200800000000000765
Date: 11/26/2008
7:31:09AM
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
50.00
2.00
2.60
6.24
5.20
$66.04
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE NEW WAY Online
Payment Total:
$66.04
$66.04
Page 1 of I
11/26/2008