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
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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.
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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'
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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
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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