HomeMy WebLinkAboutPermit Electrical 2009-11-5
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"'dREGON
_ City Of Springfield
225 r~h St
Springfield, OR 97477
Phone: 541-726-3753
.Email: pennitcenter@cLspringfield.or.us
'.'Commercial Electrical Authorization To Begin Work
69600-BEL-09-00230
Approval Code: 515005 11/5/2009 1 :56 pm
10. New Construction .'. '.....:.I&J Addition/alteration/replacement
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_ ...tiZ2!tlIii_C~l'EGORY"OFci.C,ONs;rRl:J.c;rION,t'I1~,it-",g''','r<~
0: 1 or 2 family dweliing 0' Multi-family 00 Commercial 0 Accessory
lI!!ilitl\liJl!. _ :lJij:ioB1SiTETfNI10RMA1fi0NfANDjiI6.c~fI6N~~;",.1
Job Address: 3294 MAIN ST
CityfStatelZlP: SPRINGFIELD, OR 97478
Sufte/bldg.fapt.no.:
"
Project Name: las Schwab.
I Cmss S"eeUdlrectlo~s to j~b site:
I Tax mapfparcel no.: '.' 1702313104600
re-,arrange switching for lighting.
Name: Josh Paul
Phone: 541-485-0922 Fax:
Emall:
, Elec Ilc. 00.: 2Q--12C cca IIc. no.: ...4296
I Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON ST
Clty/State/ZlPNtGf~C~ 97402
Ph'one: 54148J;ijj,bS PERMrr SHALL fa'ffiLIi\IB5~5THE WORK
Emall: FREDt~lr6/.li.m{.E+M.Jt.!W=li I HIP t'tHlVllf t6 mr,
I Me"o lie, nO:AN;;I'~[~J~g[~I,~~,;I!~,~;tl::B F3n
I SUfervising Electrician's lie. no.:' - 52755-
I SUPervish,g Electrician's Name: RUSSELL R ROBBINS
Nu~ber o'f Inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permh will be e-malled or fal[ed
wUhln one business day, wUh InstRlctlons on how to sCh~ule your Inspection. '
NOTE: This Authorization To Begin Work expires within 180 days If a permit 15 not obtained.
. ,
The local building department may determine that an Authorlzatlon To Begin Work Is null and
void If It does not meet applicable land use laW8 and local ordinances.
E-mailedTo:johnr@bullders.electric.com
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tr.~,.t4.Fit~vlf,j~~:~L'jp;;~Rl!AN;REVIEW,tW~'~~IDi?Pi:i~~
Please check all that apply: . D Hazardous locations
o A service or feeder beginning 0 A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Build'ings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
'D'''A'', "E", or "1-2" or"I-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
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
D Health care facilities
I Description
I Branch circuits without service or
feeder
I' Branch circuits each additional
circuit without service
$55,00 $55.00
4 $6.00 $24.00
$79,00
$9.46
$3.95
$92.43
ld- ll[ IS I~
I Subtotal
1 State surcharge (12% of permit
. total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
Cct - \LQo5
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the telephone'
number for the Oregon Utility Notilioalion
Cent~r is 1-800-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
c
Status
Issued
CITY OF SPRINhHf.,LD
Building/Combination Permit
PERMIT NO: COM2009-01625
ISSUED: 11/05/2009
APPLIED: 11/05/2009
EXPIRES: 05/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectio~ Line
..
'"
SITE ADDRESS: 3294 MAIN ST
ASSESSOR'S PARCEL NO,,: 1702313104600
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: 'New
PROJECT DESCRIPTION: Rearrange switching for lighting at Les Schwab Tire Center
Commercial
Owner: LES SCHWAB TIRE CENTERS OF OREGON
Address:. PO BOX 667 ' .. : ,'....;..
PRINEVILLE OR 97754
I CONTRACTO~ INFORMATION I
Contractor Type
Electric,"
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2011
Phone
54 I -485-0922
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# ,,'f Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path':
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
OCCUP'lDt Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvements: .
Frontyard Setb~HJJICE: Overlay Dist: Total:
Side 1 Setback: THIS PERMIT SHALL EXPIRE IF T~MWIitK,es Rqd: ATTENTION: OregonIlM<tisE\B~:YOU to
Side 2 Setback:AUTHORIZED UNDER THIS PERMl'f\ISIOOVe Rqd: follow rules adopted !il,olitlY'~~egon Utility
Rearyard Setbasls:MMENCED OR IS ABANOONEO''f'lfltot Coverage: Notification Center, Those rules are set forth
Solar Setbacks:ANy 180 DAY PERIOD., ,', in OAR 952-001-0010 through OAR 952-001-
:"::":. \./:~ ___.. _r....._:.:;- ___:..._ _.1:"''''''", ....1...... "\:.
I PUBLIC IMPROVEMENTS I calling the center:- (Noie: the telephone ..
, ... nu~aL!l.?~ ttJ,!:l Oregon Utility Notification
. . 1 'C\lllfef rd'~:-800-3S.2-2344).
DownspoutslDrains:
Storm Sewer Available:
Special Instruction:
Notes:
. .. _._._-'':':'''":~'':'''::.'' ~,.'
>.''f"'' .
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e t of2
Status
Issued
CITY OF SPRINLl'lJ',LD .
Building/Combination Permit
PERMIT NO: COM2009-01625
ISSUED: 11105/2009
APPLIED: 11/05/2009
EXPIRES: 05/05/2010
VALUE:
, '
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726'3676 Fax
541-726-37691nspection Line
Total Value of Project
.'~.
Fees Pair! I
Fee Description ,;
+ 12% State Surcharge
+ 5% Technology Fee
Add, Aller, Extend Circ
Add, Aller, Extend Circ EaAdd
Amount Paid
Date Paid
$9.48
$3,95
$55.00
. $24.00
11/5/09
11/5/09
11/5/09
11/5/09
Receipt Numher
1200900000000001237
1200900000000001237
1200900000000001237
1200900000000001237
Total Amount Paid
$92.43
Plan Re~iews I
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a.l!1. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnecti?~,~, I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, lstate 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 he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 further agree to ensure that all required inspections are requested at the proper time, that each a~dress is readable from the
street, that the permit card is located at the front oflhe property; and the approved set of plans will remain on the site at all
times during construction. .",,'
OWner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-n6-3759 phone '
City of Springfield Official Receipt.
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001237
Date: 11/05/2009
2:20:31PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55,00
24,00
3,95
9.48
$92.43
Job/Journal'Number
COM2009-0 1625
COM2009-0 1625
C0M2009-0 1625
COM2009-01625 , '"
Description ;,.
Add, Alter, Extend'Circ
-, . .~Add,Alter, Ext~nd Circ Ea Add
. ,
, + 5% Technology Fee
:+ 12% State Surcharge
Payments: .
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLlNEBUILDERS Online
ELECTRIC
Payment Total:
$92.43
.' ~ .. . .
$92.43
cReceintl
Page 1 of I
11/5/2009