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Home My WebLink AboutPermit Electrical 2009-11-10 ',' Cq./lPty ,~I, ..' ,,~ .,.,. City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541~726-3753 Email: permitcenter@ci.springfield.or.us " Commercial Electrical Authorization To Begin Work 69600-BEL-09-00240 Approval Code: 04538B 11/10/2009 6:48 am E-mailedTo:rdoane@cochraninc.com ., I SPRINGFIELO= Jt~\\'\. r ",:!-: ~-. II,,: "'~' ,', ' (=:;7,,j '.- 'k:--\ OREGON 1~~~~1~:r:yP,EloF~WORK'.!\I~'j;t~Aiiit9~j!fl~'1l:!1:I' I 0 New Construction ... IRl Addition/alteration/replacement 11!f~~CAtE~QRylQf:l.C9t:1-af~u:C:fl()N~;~~~~~k!!l~ I 0 1 or 2 family dwelling ~ O. Mu'ti~family 00 Commercial 0 Accessory 1~~~JOB1SifE1rNF.ORrMTiOti!'AND'~ocAfi6Iii~~~rJltrt.;,,! I jOb Address: 650 Q~ST " I CityfState/Z1P: SPRINGF,IELD, OR 97477 I Suite/bldgJaptno.: I Pr~ject Name: Fred Meyer Springfield I Cross Stre'UdlreCtio~ to It .its: D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 't\IIA or larger seperately derived sys D "A", "EO" or"I-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for more than J 600 supply volts nominal 1~;"':'\A~~>lI;:@i,:'1!,~f5t'-: ~F,EES<::"HE:DU[E~,t;:'{, ,I I Description l Qty. I Ea. ~ Total I l~ranch~ciiCu,-ts!;~@t, :7~~.:~t;"~.f'~' '17(~ :-{.:.~ J~;~,~~_l k>A~~~1 I Branch circuits without service or $55,00 $55.00 feeder I Branch circuits each additional circuit without service 1~leCtricin',p,~r'!ljt:f;~s'~~~J4U~r:";"':~.D.:l~f;" ~'k}i~::.~_. I Subtotal I State surcharge (12% of permit totall 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 D Fire pumps o Emergency systems . D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities 1703262405500 Tax map/parcel no.: 1!l1~:~.tB~i~~DE5'c~fJj;f(QNloijbW08K~~:;;:-~"i!f~J~':;-i ;;Ji~) 430609-27119 Install 2 circuits for new UScan register ~t;::i;;:,{~il~EI!~"~~s(fg{c]iiiiTic.t~~~:?ii1iil:"'i,:;1i'1',~, I Name: Jeff Chabbert I Phone: 503-522~7351 . Fax: 503-238-2098 I Email: ~Wt~,~t-!~#~"~CON"TRAGI<5ii_~~'iiz~~;i:~~~~ $6.00 $6.00 $61.00 $7.32 $3.05 $71.37 Elec lic. no.: 37-546C I Business Name: BROADWAY ELECTRIC I Contact: I Add...", p~~E:' I Clty/StatelZl~I$~T!i'iRM1Ta5HAh.l EXPIRE IF11IIWOIK I Phon" \~!~~.!ll.~l:~ U_I~D.~HIH~~rI!.NUI I ;,v"v.d,,,Eu un I.) A6ANDONEDP6n Email: leullen@COchraaIAC.~'1\ 1'\ . " , ~~ ..:\1' r~!1I,,~ I Metro lie. no.: City lie, no.: J CCB lic. no.: 72942 K1C \l/l 0 109 " c.9- \lP4a ,,oW".'_''"'I!'''''''''9 ATTENTION: Oregon law requlres yetlte follow rules adopted by the Oregon UtlIIW Notification Center. Those rules aruelfDdlt In OAR 952-001-0010 through OAR 952-D- 0090. You may obtain copies ,ofthe rulea1W oaIl1ng the center. (Note: the lelephone lumber for the Oregon Utility NotifIcatIae o.nter II 1-800-332. aa..~\. A~ ~~, r\(\~~ ~ ~W'"sr '0Y 0~ ~~ 3447$ :~ Supervising Electrician's IIc. no.: Supervising Electrician's Name: KENNETH T KATO Number of inspections included in paid services: Residential Service: .4 , Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your pennlt will be e-malled or faxed within one business day, with InstructIons on how to schedule your I~!pectlon. NOTE: This Authorization To BegIn Work expires wI~n ~~~~ clays If a pennlt is not obtaIned. , ,- The local building department mlIy'detennlne that' an Authorization To Begin Work III null and void If It cloes not meet applicable land use laws ancllocal orclinancell. J, Inspections Phone: 541-726-3769 This Authorizati,on To Begin Work must be posted at the job site until replaced by a Permit ~;p " CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2009-01642 ISSUED: 11/10/2009 APPLIED: 11/10/2009 EXPIRES: 05/10/2010 VALUE: r\~' ,.(: Status Iss'ued , . ,. 225 Fifth Sireet;Springfi.eld, OR,', 541-726-3753 Phone' ,"", 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: <"<<fso QST') , ASSESSOR'S ~ARCEL NO.: 1703262405500 Springfield TYPE OF WORK: Electrical Work Only .'. , " TYPE OF USE: New PROJECT DESCRIPT~ON::: Ins.ta1l2 circuits for new UScan register in Fred Meyer store. ,''',: 7': "... Commercial Owner: Address: METROPOLITAN LIFE INS CO PO BOX 35547 TULSA OK 74153 ,.' , ,1' i . l . I CONTRAC~OR INFORMATION I \. Contractor Type!" Electrical i Contractor BROADWAY ELECTRIC License 72942 Expiration Date 05/14/2011 Phone 503-238-2098 BUILDING INFORMATION I ., # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction' Type: - # of Bedrooms: ' ~ ..' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a --._...~',~ REQUIRED PARKING , " Frontyard Se!lll}fll: :'.' .;:.. ..; .... Overlay Dist: T ~~Ires you to Side 1 Set'tl'oHlit:, .....'UIlMlV'.et Trees Rqd: ATTENTION: Oregon I a IC l!itility Side 2 setfj:acli:~ERMI1;,SHAlL EXPIRE If: ,n :~ Drive Rqd: follow rules adopted by II !:I setfor1h Rearyard S,~l?1~~.IZED.UNDER THIS PERMn'rotfooi' Lot Coverage: Notification Center. Th~:u hOAR 952-001- Solar Sethac:~,:,vIENCED O!\_I.~ ABANDONED ~,,~~R~,,~~~~~-~g~~~ coPi~S of th,e ~,~~ by :. t ~u Ul-\l rL.1 uvt:. I PUBLIC IMPROVEMENTS lalling the center. \1~U'U"t"IL.'ty'" ~icrtili~ .., ....mber for the Oregon II ""AA) .. :,'.:" .. SflImtllll<ilf~p'i90-332......... . q >: '.l. I' DEVELOPMENT INFORMATION I Street Improvements: - Storm Sewer Available:: Special Instruction: Downspoutsffirains: Notes: " '. .I V~luation Descriotion , Description - Type of Construction ;. I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated t ,. '. Pa2e I of 2 225 Fifth Street, Springfield, OR .-':~ 541-726-3753 Phone, .,', ';',,::)'.:1';'" 541-726-3676 Fa~ . ;,. -:(", .' .:: "< . .,'., . 541-726-3769 Inspection Line ',) CITY OF SPRlNtJn~LJJ' Building/Combination Permit PERMIT NO: COM2009-01642 ISSUED: 11/1012009 APPLIED: 11/1012009 EXPIRES: 05/1012010 VALUE: \.. :';":'" .t:~ ." Status Iss u I'd ..{ :" /. ..t.> ;~. " '; .'~ . . Total Value of Project ,~. :", ~~~.::.::':.~: ~ Fee Description;' '; 'i + 12% State Su~ch~rge" + 5% TechitohigyFee ' Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fees Paid I Amount Paid Date Paid Receipt Number $7.32 $3.05 $55.00 $6,00 11110/09 11110/09 11/10/09 11/10/09 1200900000000001250 1200900000000001250 1200900000000001250 1200900000000001250 , Total Amount Paid ,. $71-37 ..1. . 1: ,,;/ \ 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. ,J Renuired Insneelions I , , " Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. .: ;.' . 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, andI further certify that any and all work performed shall be done in accordance with the Ordinances ofthe 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 he used on this project. I further agree t~ 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 const.ruction. d .Owner or Contractors Signature~ ~', :' ~' . ! Date '. .. ~. .~ ':-,'i Pa2e 2 of 2 21.5 Fifth Street.: " Springfield, Or~go'~:.97:47'7;;+ 5"iH -726-3759 piio~t' 1i~~:". ",'." - ' '.-.. /<,. .' .,.,.,....._..._""...L.." Cily of Springfield Official Receipt. Development Services Department Public Works Department . ':_~';;<.;.; i',;~. ~/::. .' . .." ,- ':~" ',:-, RECEIPT"#:. ',1200900000000001250 Job/Journal Number .: C0M2009-0 1642 COM2009-0I642 C0M2009-0 I 642 COM2009-01642 Payments: Type of Payment ONLINE CHGS cReceintl Date': 11/10/2009 . Description , Add, Alter, Extend Circ , . .'. \~ . . Add, Alter,E]{te~d ,Circ Ea Add ;~,+, ?o/.~Te~Iin6i?~~Fee ' .-:: '/'+"12% State Surcharge ':f.;~.; i~' X:.. : \.~. . Paid By ~,. , ONLINE PERMIT CHGS ,. " 'r:' ". ~. '. '."_ c;' : "," "\ L; .!'. J , - il .'" - ., .~ " . ." . " , '. " " Item Total, Check Number Authorization Received By Batch Number Number How Received KR ONLlNEBROADWA Online y ELECTRIC Payment Total: ,j'-? ,,'\' ,.,.- ;,.," " ., " Page I of I 1I:17:3IAM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 11!10/2009