HomeMy WebLinkAboutPermit Electrical 2009-7-7
City of Springfield
Electrical Anthorization To Begin Work
E.mailed To: billh@muzak.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
,
10 NewConstrUction
[ill Addition/alteration/replacement
I 01 or 2 family dwelling
o Multi-family. 0Corrunercial
DACceSsory
Addreu: 1870 MAIN ST I
City/StatelZlP: SPRINGFIELD, OR 97477 I
Suite/bldg./apt.no.: I
Project Name: Burrito Boy I
CrossStreetldirection, tojobsile: I
Tn.p/p",".o., ~f)\1O~j,... ~ I
1~~f~~,ij"lJlh~~.=zYDESCRII1,TION~OF:WORK~~~~1
LOW VOLTAGE SOUND SYSTEM
Name: William HIGGINS
Phone: 803-554-2594
Fax: 503-252-1109
Empil: billh@muzak.com
I Elee lie. no.: 26-IOSSCLE eeB lie. no.; ]42760
I Busineu Name: MUZAK LLC
I Contact:
.1 Address: 12449 NE MARX ST #10
I City/StatefZIP: PORTLAND, OR 972301055
I Phone: 503-889-3848 Fax: 503-889-3883
I Email:
I Metro lie. no.: City/ie.no.:
I Supervising Electridan's lie. no.:
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential Service; '1
ReconncctOnly: I
All Other Services' 2
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.
.'l
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
Please check all thaI apply:
o A service or feeder beginning al
400 Amps where the available faul1
current exceeds 10.000 Amps al
150 Vclts cr less 10 ground
exceeds 11.000Ampsfcrallctner
inSlaHalions
o Fire pumps
o Emeigency>ystems
o Addilioncfanewmotor load of
100 HP or more
DSi"crmoreresidenlialunitsinone
SI1"\lcture
DH~altnca(efacilities
69600-BEL-09-00025
7/7/2009 5,01 pm
Approval Code: 135462
O{A ~
G(}"/
raled al 600 amps
crmore
DBuildings more than three stories
DMarinas and boal yards
DFlcalingbuildings
DCommercial-useagricui,urnl
buildings
Dlnstallationofa'50KvAor'arger
seperalely derived sys
O"A"."E".or"l-rol""1.3"
DRecreationalVenideParks
DSUpplyvohage formo,e than 600
supply ~oll>nominal
I Description
Total
$58.00
.#J
.t\~~~\.Q
V'~':'.::.
I Stand-alone limited energy,
commercial
I Subtotal
I State surcharge (12% of penn it
total)
. 1 Technology fee (5% of penn it total)
ITOTAL PERMIT FEE
$58,00 I
$6.9.61
$2.901
$67.86\
~.d\
. I t.@...r:y
~~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
,(J)m~UDq
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Status
Iss u ed
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1870 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364200800
CJ' (;i.
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10f~1V
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00998
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/08/2010
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Low voltage audio system
TYPE OF USE: New
Commercial
Owner:
Address:
SUPER POLLO GRILL LLC
1870 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
Low Voltage Electrical
Contractor
MUZAK LLC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORM,!\TION.I
License
142760
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
DEVELOPMENT INFORMATION 1
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I ~'UBLI~ IMPROVEMENTS I
I Valuation Description ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e I of 2
Expiration Date
05/11/2010
Phone
800-33 I -3340
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
_'(~!'!!I~FI~l;)" ,...."'I
,
~t'"
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00998
ISSUED: 07/0812009
APPLIED: 07/0812009
EXPIRES: 01108/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
To!al Value of Project
Fees P~i~ 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indns
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
7/8/09
7/8/09
7/8/09
3200900000000000515
3200900000000000515
3200900000000000515
Total Amount Paid
$67.86
I Plan Reviews I
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.
Re(]lIired T~~,nection~ ,I
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is tflle and correct, and I fnrther 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 occur ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who arc 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 consfruction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00998
COM2009-00998 '
COM2009-00998
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT#:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000515
Date: 07/08/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ J 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
MUZAK Online
Payment Total:
r
Page J of I
7:28:59AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
7/8/2009