HomeMy WebLinkAboutPermit Electrical 2009-11-24
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
. ,
Email: permitcenler@cLspringfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-09-00260
'Approval Code: 735656 11/24/2009 11 :37 am
E.m~iled To: mgehrke@cselectric.org
: SPRIN..G.._..:.:FIEL.~D ....
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I <,~'~,.t.:-'''-'- '
" --.fK,'--~~
-,' :~~ OREGON
IRJ Additionfalteration/replaceme~t
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
blirldings '
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supplyvollage for more than
600 supply volts nominal
o New Construction
Please check all that apply:
D 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
I q 1 or 2 family dwelling D Multi-family IKl Commercial D Accessory
IjA~~,..~;~<::;.,iJOB.siTETIN~O~MATfoNfii.ND';::6cAfioNJ.!ll'G:~~
I Jo'bAddress: 117 S 14TH ST
I Ci,tyIState/ZIP: SPRINGFIELD, OR 97477
I S~ite/bldg.lapt.no.:
I Project Name: GoodFellas
I e,oss 5t"".d;",'lons '0 job sit., Ma;n 51
I T~x map/parcel ~o.: 1703363204401
IW:jf>~~tii,I~~'ti~,f;~DEScRif>;tjo}.r[6F~'iiii..O[Ri5:'~':!'t~~~
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
I Description
Total
replace damaged panel
I Services 200 amps or less
$81.00
I Branch circuits with service or j
feeder each circuit
1~}e'4!fr~:~}r~~r]rrilif~~~~~~%::C\:(
I Subtotal
I State surcharge (12% of permit
totall
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
15
$6.00
$90.00
I N~me: Aric Lohner
I Phone: 541-741c2236
I Emai1:
Fax: 541-741.2473
$171.00
$20.52
$8.55
E!ec lic. no.: 20-14C
I Business Name: C & 8 ELECTRIC IN,9
I Contact:,
3849
eCB lic. no.:
$200.07
l"
':":<,,!
LCi - \ Loq(y k2- l \ I Z-L/ 101
I Add",.., POPJa'l"tCE:
I e;tyJ5ta'.JZ,pntt&<~MRi st.lAlL EXPIRE If 1~ WUftI\
I Phon' 54174~~3~~~!.I~I:U UNUI:R JJ~l~;~m
I '.. . ~rWf~",JvED OR IS Pd3. .~~1i}~l1) -
":na,' C5El~ ~ ~'b?-~ ti~Dlnn
I M~tro lic. no.: '
I S~pervising Electrician's lic. no.:
I s~pervising Electrician's Name:
_. ~:'f'l'fl'ir
ATTENTlON: Oregon Jaw requIree you to
follow rule8 adopted by the Oregon UtI''''
Notification Center. Those M8I are set fOItb
., OAR 952..001..0010 through OAR 852.oot-
0090. You may obtain copiea of the NI8a br
calling the center. (Note: the telephone
IIlIIIlber for the Oregon Utility NotIlI a r'"
~Center 1I11lllO au 2311).
Inspections Phone: 541-726-3769 .~ ~
This A'~thorization To Begin Work must be posted at the job site until replaced by ~ Permit
City lic. no.:
48948
DAVID E GEHRKE
Number of inspections included in paid services:
Residential Service: 4 '
.Reconnect Only: 1
AI'I Other Services: 2
Upon review and approval by your I~cal Jurisdiction, your permit wtll be. e-mailed or faxed
wtthinonebusinessday,withlnstructlonso~howtoscheduleyourlnspectlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The, tocal building department may detel1l1ine that an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
.225 Fifth Street, Springfield, OR
541-726-3753 Phone ' .
541-726'3676 Fax
541-726-3769 Inspection Line
PERMIT NO: cOM2009-01696
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11 /24/2009
OS/2412010
$ 25,000.00
,
SITE ADDRESS: 117 S 14TH ST
ASSESSOR'S PARCEL NO.: 1703363204401
Springfield TYPE OF WORK: Restaurant
PROJECT DESCRIPTION:
TYPE OF USE: Repair
Car drove into building. See attached documents for police report. Plans are not
required if wall is constructed without any alterations from original construction.
Commercial
,
. O~ner:
Address:
CROMBIE DOUGLAS G
33328 HOWE LN
CRESWELL OR 97426
I CONTRACTOR INFORMATION I
dmtractor Type
Electrical
c'ontractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/0Il2010
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
S~condary 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:
. n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup!lnt Load:
REQUIRED PARKING
'1.'-
Front yard Setback: Overlay Dist: Total: .
Side 1 ~M'~E' ftreet Trees Rqd: ATTENTION: Oregon W)KJ;ll{~YOU to
side 2 f!~~RMrr SHAll EXPIRE IF THE WO ved Drive Rqd: foll.ow ~le9 adopted twJ/lj. ~gon Utility
Reary'lli ~Il,~kl- UNDER THIS PERMtI'lS N of Lot Coverage: Notification Center. Tl10se ea are set forth
Solar Se' a I;\ILI:O ED FOR In OAR 952'()01-00lqthrough OAR 952-001.
r.mn~ NeED OR IS ABANDON 0090. You may obtain copies of the rules by
ANY 18'0 DAY PEFlIUU. I PUBLIC IMPROVEMENTS LClllllng me cemsr. INOIS:. ~" '"tll!lnun"
" mumber for the Oregon UlIlity Notification
Si&eot~~0-332-2344).
I DEVELOPMENT INFORMATION I
S(reet Improvements:
,
St~rm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I V aluation D~scriotion I
Description
Type of-Construction
$ Per Sq ft
or mnUiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 3
-~.'illI;l,!I~~!E!!!t!;9'
,jhl
""J
~
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street. Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
54.1-726-3769 Inspection Line
..\.
PERMIT NO: cOM2009-01696
ISSUED:
APPLIED:
EXPIRES:
VALUE:
1112412009
OS/24/2010
$ 25,000.00
Status
Pending
Estimate
Estimate
$1.00
25,000.00
$25,000.00
$25,000.00
11124/2009
Total Value of Project
Fees Paid I
Fee Description
+'12%,State Surcharge.
+:;5% Technology Fee
Add, Alter, Extend Circ E~ Add
Perm Serv/Fdr 200 amps o,r less
Amount Paid
Date Paid
Receipt Number
'$20.52
$8.55
$90.00
$81.00
11124/09
11124/09
11/24/09
Il/24/09
2200900000000001324
2200900000000001324
2200900000000001324
2200900000000001324
Total Amount Paid
$200,07
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 lReOli'I'ed I lsopdions I
1111.1111111 11,;.1 7T
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Firewall: Located and constructed a'ccording to plans.
h .
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee2 of. 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: cOM2009-01696
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/24/2009
OS/24/2010
$ 25,000.00
By signature, I state and agi'ee, 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 Commnnity 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 fnrther 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
O.wner or Contractors Sign~ture
Date
1:1;,
".~ .
,.
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541~:726-3759 Phone
Job/JournalNumber
COM2009-0 1696
COM2009-0] 696
COM2009-0 1696
COM2009-0 1696
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001324
Date: 11/2412009
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% ~echnology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE C & S Online
ELECTRIC
Payment Total:
,
-,.! ,
Page J of I
1 :04:52PM
Amount Due
81.00
90.00
8,55
20.52
$200.07
Amount Paid
$200.07
$200.07
"'/24/2009