HomeMy WebLinkAboutPermit Electrical 2009-10-29
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?1~t\ ~_.. : .;' Springfield, OR 97477
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Commercial Electrical Authorization To Begin Work
69600-BEL-09-00217
D 1 or 2 family ctwe~l.i~g '.0" .MUI~-r.~~ily,./ ~ [&] .,Commercial
r.~~:OB1SITEriNF,ORiiiATiON'ANDjtOCA'rION:c'i':;!;,~;15!"'1
o Accessory
Job Address: 2525 C?L '(MPIC ST
City/StatelZlP: SPRi~9F!E~D, <iR.'9?/tp.
Sulte/bldg./aplno.:
p..y
Project Name: Jerrys
Cross Street/directions to job, site:
I Tax map/parcel no.: -~ -:1703254308000'
Install 3 new circuits in. paint dept
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Name: Jeff Brown
I Phone: 541-485-0922
l Email:
1i>1'~'C:QN:t~<;IclR'fm:~'i'l\'~,,:;--!r~);:'t''':'~j
I Elec lic. no.: 20-12C CCB Iic. no.: 4296
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Business Name: BUILDERS ELECTRIC INC
Contact:
Addre,ss: 195 MADISON ST
City/StatelZth~t'i'f~R 97402
Phone: 54'? i:i~D~m ~U^lL ~1~~~artJ!'-".QD1t
I Ema": FRED~'l'I-R'l'R'm:fT'l'JNl2B...THI~ PEBMItI8 NOT
I Metrolic,noCOMMENCED OR IS AB'NJ~6NEDFOR
I supeN','ng--lMll,l:'cl.lH.1tiD.Ar PERIQ~
Supervising Electr~cian's Name:
RUSSElL R ROBBINS
Number of Inspections included In paid services:,
Residential Service: 4
Reconnect Only: 1
An Other Services: 2 '.
,
Upon review and approval by your local )urtadlctlon, your penn" will be e-malled or faxed
within one business day, wtth.lnstNctfons on how to Khedule your Inspection.
NOTE: this Authortzatlon To Begin Work expires within 180 dayslr a pennlt Is not obtained.
"
The local building department may detennlne that' an Authortzatlon To Begin Work Is null and
void" It doea not meet applicable land unlaw. and_~II?rdlnlnces.
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Approval Code: 619214 10/29/2009 2:46 pm
E-mailedTo:johnr@builderselectric.com
I Description I Qty. I Ea. J Total
1~-~'!9~_cirC~uftS:t:~,.::1:~:"'~."'i~,;1?~~':~"' t::~'j'- '.,~'~" ,~:-~~~., _,,~ ~ .
I Branch circuits without service or $55.00 $55.00
feeder
I Branch circuits each additional
circuit without service
1~leCfrical;'pefrrift'fee:s'" ;'r'J.i:l'i~?t:--;.":~ ~~;~'. ~.~ ,,""'\.~. ,~,~~". ~..:.:~, -".,..:
Subtotal $67.00
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boal yards
o Floating buildings
;0 Commercial-use agricultural
buildings
o Installation of a 150 'tWA or
larger seperately derived sys .
o "A", ~E~, or "1-2" or "I_3M
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
2
$6.00
$12.00
$8.04
$3.35
$78.39
tq -\CSq2. ~ ID!lCJ!eA
AlTENTlON: Oregon law requires ~I~
follow rules adopted by th~l~e~~et forth
Notification Center. Those h OAR 952-001-
In OAR 952-OO1~~nth~~~ of the rules by
0090. You may Ot (Note. the telephone
calling ~he :~ ~~~gon uilllty Notlficallon
number ~~ter is 1-800-332-2344).
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Inspections Phone: 541-726.3769
Th~s Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued '
CITY OF SPRINGFIELD
Building/Combination Permit
PERMITNO: COM2009-01592
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax ,', ' ,
541- 726-3769 In:spec!i~n Li~e .
SITE ADDRESS;" 2525 OIym'pic St
ASSESSOR'S PA~CEL NO.: 1763254308000
Spri~gfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIp'TION: Ins~a~ 3 new. circuits in paint department.
Owner: 'PACIFIC b)AST OPTIONS LLC
Address: PO BOX 2611
,EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/1012011
Phone
541-485-0922
BUILDING INFORMATION I
. 'i-- . ~
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq FOnd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units: '
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
n/a
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I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback: Overlay Dist:' Total:
Side 1 Setback: NOTICE' ' ,; " #St(eet-Trees Rqd: Handicapp.ed: '
Side 2 Setback: ,. EI " fMqd: ATTENTION: Oregort!.wNd':l\!w1res you to
Rearyard SetbacklH1S PERMIT SHAll EXPIRE 11110 if J6 rage: follow rules, adopted by toe Oregon UtiI~y
Solar Setbacks: AUTHORIZED,UNDER THIS PERM ; J " Notification Center. Those rules are set forth
~~:fJCn:' f:n I: .~.^l~r?"r:':' enD . ' In I"lAR !!IF;?-On1-1l0.1qthrouoh OAR 952-001-
ANY 180 DAY PERIOD I PUBLIC IMPROVEMENTS 10090. You may obtain copies ot tne rUleS DY
. , calling the center. (Note: the telephone
Street Improvements: ",' num~t!{IIH@regon U\ility Notification
Storm Sewer Available: ". DowwMlRrslD~a~n~~-332.2344).
Special Instruction:
Notes:
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I Valuation Description .1
"I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pliee I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: CQM2009-01592
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010.
VALUE:
" r
Status Issuedr
225 Fifth Street; Springfield, OR
541-726-3753 Ph'one,
. 541-726-3676 Fax ~: .!, ." '>
541-726-3769 Inspection Line,
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Eif"
Total Value of Project
:,'"
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Fees Paid I
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Fee Description "
+ 12% State Surcbarge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add_ __~.
--,
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Amount Paid
D~te Paid
,
".~
"
$8.04
$3.35
> $55.00
$12.00
10/29/09
10/29/09
10/29/09
10/29/09
Receipt Number
2200900000000001235
2200900000000001235
2200900000000001235
2200900000000001235
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Total Ani'ount Paid
j
$78.39
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I Plan Reviews ,
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 reques~ed after 7:00 a.m. will be made the following
work day. ' F . .
RProuired Insnections I
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, I state'~nd agree, that I have carefully examin,ed the completed application and do hereby certify that all
information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance witb
the Ordinances of the City of Springfield and the Laws ~f 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 tbat only contractors and employees wbo are in compliance with ORS 701,005 will be used on tbis project.
1 further agree to ensure tbat all required inspections are requested at tbe proper time, that each address is readable from the
street, tbat tbe permit card is located at tbe front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
, ,
Owner or Contractors Signature
.: I' I
Date
, :1:
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Page 2 of2
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225Fifth Street:.;' "; . ',,'
Springfield, Oregon 97477:, ,'" c"
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541-726-3759 Phone' ',V",,'
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT'#: '2200900000000001235
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Date: 10/29/2009
Job/Journal Number;!';~ :,'~e~~/ip~i~~' .~:...~:~~.\tT::
COM2009-01592 ,?;,,:,:?Add, Alter, Extend Circ
COM2009-0 1592 ' ' , , '"Add, Alter, Extend Circ Ea Add
COM2009-01592 ,!iir.5% Technology Fee
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COM2009-0 1592 -' + '12% State.~urcharge '
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Payments:
Type of Payment
Paid By ,
ONLINE CHGS ,:.oNLlNEPERMIT CHGS '
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cReceintl
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
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ONLINE BUILDERS Online
ELECT
Payment Total:
3:03:56PM
Amount Due
55,00
12,00
3.35
8.D4
$78.39
Amount Paid
$78.39
$78,39
10/29/2009