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HomeMy WebLinkAboutPermit Electrical 2009-10-14 I " , City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orclectricservice.com Check on status of permit By Phone: 541-726-3753 or Email: pennitcenter@ci,springfield,oLus , 0 New Construction .0 Addition/alteration/replacement Please check aJl that appJy: o A service or feeder beginning al 400 Amps when~ the available fault current exceeds 10,000 Amps at ISO Volts or less to ground exceeds 14,000 Amps for all other installations o I or 2 family dwelling o Multi-family 0C:ommercial o Accessory 1~':::~~~":'~::~L~~FOllMATldiFAND11!OCATrON... I City/State/ZIP: EUGENE, OR 97403 I Suite/bldg.fllpt.no.: j Project Name: Dari martlBob I C,"" S""vd;",tion. In in. .il.. I I I I I o Fire pumps o Emergency systems, o Additio,n ofanewmolOr load of 100 HPor more o Six or more residentiaJ units in one .lwetu.e o Health care facilities Total :;~;;;~:::~,~~ti'5Fcvj'~~:!i;~~'!c~~'j,~1 I Description Install circuits for food wanner, convection oven,& pizza wanner I Branch circuits without service or feeder I Branch circu,itseach additional circuit withoulservlce Nllme:JefTBrooks I I .I ISubtulai 1 State surcliarge(12% 6fpei'mit total) 1 Technology fee (5% of permit total) 1 TOTAL PERMIT ~'EI:i: Phone: 541.343-1681 Fax: 541-343.]683 Email:tena@ore]ectricservice.com 69600-BEL-09-00187 10/1412009 2:11 pm ApP"ro,'al Code: 0 14149 DHllZarwusJocations OAserviceorfeederratedat600 amps or more OSuildingsmoretharithreeslOries OMarinasandboatyards OFloatinllbuild;ngs OCommercial-useallricul1ural buildings Olnstallalion ofa I ~O "VA or larger seperalely derived sys O"A","E".or"].2" or "l-J" DRecre~lionalVehicleParks OSuppl~'vohalleformoTethan600 s-upply vohs nominal $55.00 $55.00 $6,00 $]2,00 $67.001, $8,041, $3.351 ,,"," I Elec lie, no.: C408 CCBlic.no.: 181997 Lq-L~LRB (dL,IOI14Io~ I Business Name: OREGON ELECTRIC SERVICE LLC I Con"'" ~!(\TIl'I:' I Address: PO B X'12~7 c.. -. I City/S"I<1ZIP,QI;1~XW~YJ SII,\:'l 3(rln:: Ir TII:: \\IOOl( I P.on"'41'34lWJflGRll:'~ :Jtd:X9JW;4fiWP.1IT IGtdO-:- I Em.i" :;C:.1MnJWl OR IS ADhfl:J3fJi:::; ~3r. . NIY ;-an DAY :--::::-:10'\ . 1 Metro he. no.: ~ty he. no.: I Supervising EJ<<tridan's lie, no.: 13925 1 Supervising ElectriCian's Name: Hennan onar Number of inspections included in paid services: Residential Service: 4 ReconnectOn]y: ] All Other Services: 2 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notillcation Center. Those rules are set forth In OAR 952-o01-Q010through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business day, with instructions on how to schedule your inspection. ~: . ,jJ~ \) . 0--. J'T 0:" ~VV 'b' 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 applic~ble land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~t.cf' \0'\ ~ ~~ ~ Status Iss u ed Lll i' OF ~nul'lGFIELD Building/Combination Permit PERMIT NO: COM2009-00668 ISSUED: 05/13/2009 APPLIED: 05/13/2009 EXPIRES: 04/14/2010 VALUE: " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4215 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344403100 Eugene TYPE OF WORK: Store TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: DariMart- replace line 10 septic tank and work 4 fixtures. Install three circuits for food warmer, cony oven, and pizza oven Owner: FIRST NATL BANK OF OR TR Address: %INDUSTRY CONSULTING GROUP, IN PO BOX 810490 DALLAS TX 75381-0490 I CONTRACTOR INFORMA !ION I Contractor Type Electrical Plumbing Contractor License OREGON ELECTRIC SERVICE 181997 READY ROOTER DRAIN CLEANING & R SI192524 ~UlLDING INFORMATION I Expiration Date 05/0912010 02125/2011 Phone 541-343-1681 541-744-7991 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft l'st Floor: Sq Ft ind Floor: Sq Ft Basement: Sq Ft Garage/Carport' . Sq Ft Other: Occupant Load: VB n/a , , I DEVELOPMENT INFORMATION I ' . , ~\I 1t:,,"U't. Oregon law r8A~IYmtlq>ARK1NG NOTICE: , follow rules adopted by the Oregon Utility F~ontyid ~~~mwIT SHALL EXPIRE IF THE W^o."frlay D.st: Notification Center. Those ruill!!IiI'~ set forth S,de I S ~'I- . . YfSlreet Trees R'WiOAR 952-001-0010 througt1bAfli9!l!J1e0-1- Side 2 Se it . RIZED UNDER THIS PERMIT IS Nil.'ted Drive Rqd0090. You may obtain copie~ftsles by Rearya.qsV~'lMJCED OR IS ABANDONED FOR % of Lot Coverage'calling the center. (Note: .the telephone' Solar s/lilJl.l:.a.80 DAY PERIOD. number for the Oregon Utility Notification ~---l..-- 1_ .. ........... ^,..",., ....l"'l...AI c_.. _. -_. __a .____ -. - I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page I of 3 Status Issued eITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00668 ISSUED: 05/13/2009 APPLIED: 05/13/2009 EXPIRES: 04/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .541:726-3769 Inspection Line I Valuation Descrintion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fee.~ ~a.id J Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Sanitary Sewer - 1st 100 Feet + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $18.24 $7.60 $76.00 $76.00 $8.04 $3.35 $55.00 $12.00 5/13/09 5/13/09 5/13/09 5113/09 10/14/09 10/14/09 10/14/09 10/14/09 1200900000000000443 1200900000000000443 1200900000000000443 1200900000000000443 1200900000000001146 1200900000000001146 1200900000000001146 1200900000000001146 Total Amount Paid , $256.23 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. I Reouired I nsnections , , , Rough Plumbing: Prior to cover and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all e,lectrical work is complete. Page 2 of3 , ,~ aeNNGmm:Do. --_0';'--;'""'T'""""0~"1"""''t'';;..f,,! ;I, h 0 - " - Status Iss u ed eITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00668 ISSUED: 05/13/2009 APPLIED: 05/13/2009 EXPIRES: 04/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 f~rther 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. . Owner or Contractors fiignature Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00668 COM2009-00668 C0M2009-00668 COM2009-00668 Payments: . Type or Payment ONLINE CHGS cReceintl RECEIPT #: Date: 10/14/2009 1200900000000001146 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 12% State Surcharge PliidBy ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Receiyed . KR ONLINE OR Online ELECTRIC SERVICE Payment Total: Page I of I 2:20:02PM Amount Due 55,00 12,00 335 8,04 $78.39 Amount Paid $78.39 $78.39 10/1412009