HomeMy WebLinkAboutPermit Electrical 2010-2-8
V 10.01
(A
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
. Commercial Electrical Authorization To Begin Work
69600-BEL-10-00061
Approval Code: 044322 2/8/2010 238 pm
E.mailed To: pgauntlett@nwpump.com
J
I 0 New Construction lRJ Addition/alteration/replacement
1 . ":'~~+f.#i~'~~C'ATE'GORY;6F;.c6NSTJ~!)~:tT9'~J?~~'t~1f;,~~
I 0 1 or 2 family dwelling 0 Mul1i-family 0 Commercial fZ] Accessory
Ii , . r "r;j6frsl'rE'INFORMAfroN;ANb;il0CAilON~2t
I Job Address: 3375 GATEWAY 5T
I CityfState/ZIP: SPRINGFIELD, OR 97477
I Suitelbldg./apt.no.:
I Project Name:
I Cross Stre"d;,ec!;on' !o job ,;!e,
I Tax map/parcel no.: 1703222000901
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three slor
D Marinas and boat yards
D Floating buildings
o Commercial~use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o RecreatJonal Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
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
I Description
I Qty. Total
$55.00 $55.00 I
3 $6.00 $18.00
Install wiring for 1 diesel tank and 1 diesel dispenser, wiring methods pass through a
Class I Div I Group 0 area the Diesel tank itself isan unclassified area. Drawing 10
be mailed in perconversationwith.Brian Richardson
I Branch circuits without service or
feeder
I Branch circuits each additional
CIrCUIt wlthoul service
It~ ;i
I Name: Philip Gaunllelt
I Phone: 503-205-2178
I Email:
I Subtotal
I State surcharge (12% of permit
lotal)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$73.00
$8.76
Fax: 503-205-1465
$3.65
$85.41
Elec lie. no.: 26-852C
64567 '."
CCB lie. no.:
Business Name: NORTHWESTPUMP & EQUIPMENT CO
~ 1-t~1 \D
C.Dr<\ \0 -5\
I Contact:
I Address: 2800NW31STAVE
I CitylStatefZIP: P~ 97210
I Phone' 50351960fHIS PERMIT SHAl~'EX_4F THE WO~~
I Em.;I, P9"ntleh@lJ,llMiJ8IlED UNDER THIS PfKMltlS"Wu I.
I GUIVIIVIt:I~"'tu un 1~~,'l\A,c.rn~06..6NED ~ ..
Metro lie. no.: tV"l
;':iY 1 B8 DA'.' I'CRIS . . ,
Supervising Electrician's lie. no.: 48845
"..1'"
1tM:Z.~ lit JeIU90
UllIl'OIJPON Allllln uo6e~ ell MlJ JeqWIllI
IUOqd9l8l ell :elOW 'JllUlO 8lIl1lullJllO
Iq 88(IU e'UlO BeldlXl UJ8llIO Avw IlO,\ '0600
-lO&ZS8 WO 116noJlI O~O&~OO-ZS8 WO III
lIl'OJ lIS 8J1I8IIN llSOllJ. 'JelUlO uollllOYIlON
A&nnn uolleJO ell Aq pellloP8 Ie"" MOIIOI
...._..~:-~
-~~<V ~ . ,0,
~~'\ ~:O./
Inspections Phone: 541-726-3769 ~ IJ>-
This Authorization "To Begin Work must be posted at the job site until replaced by a Permit
Supervising Electrician's Name:
PHILIP GAUNTLETT
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services. 2
Upon review ilnd approval by your local Jurisdiction, your permit will be e-malled or faxed
within one business day, with Instructions on howto schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtaIned.
The local building department may determine Ihal an Authorililtlon fo Beghi Work is null and
void If It does not meet applicable land use laws and 'oc~1 ordinances.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Pending
PERMIT NO: COM2010-00051
ISSUED:
APPLIED:
EXPIRES:
VALUE:
01/13/2010
08/0812010
$ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 I nspection Line
SITE ADDRESS: 3375 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703222000901
... :. . .Springfield TYPE OF WORK: Tank(s)
.,"
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install fuel tank, piping and dispenser
Owner: JACKSONS FOOD STORES INC
Address: 3450 COMMERCIAL CRT
MERIDIAN ID 83642
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
NORTHWEST PUMP & EQUIPMENT CO
License
64567
Expiration Date
03/1212010
Phone
503-205-2158
BUILDING INFORMATION I
# 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 I'cath:
Sprinkled'Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: '(vvCZ-ZCC-OOg-\l'YI~~d:
Side 2 Setback: . Paved Drive Rqd: UO!Il30!1!ION AI!I!ln uo5~<m1 Jeqwnu
Rearyard sJlh9~:CE: . oio of I.,9t Coverage: 8U04d81S1 841 :SION) "J9IUElO a415u!lIl30
Solar Setbac~IS PERMIT SHALL EXPIRE IF THE WORI\ Aq sEllnJ 94110 sa!doo U!l3lqO AllW nOA '0600
;,~-;;;.:,~.;;:[[, J"E;;:f. ((1.3 rfAAlITI~ ~'.o.T ;3: :m:":\,:~-";l :;33 ;X iB6l:;\\:;'X
COMMENCED OR IS ABANDOllmflRIMPROVEMENTSlll0119S 9re SalnJ ElS041 'J9IU90 UO!leO!I!lON
'~!I!ln )J.o59JQ,9~1 Aq p91dope S91Dl MOIIO~
Strcet Imp"'AWrl~ DAY PERIOD. . o~ noRi$lfr'ltf.llAIW/'uo5aJO :NOllN3lJ.V
Storm Sewer Available: .DownspoutslDrains:
Special Instruction:
I DEVELOPMENT INFORMA;ION I
Notes:
Description
Type of Constructio'n
I Valuation DescrintionJ
$ Per Sq.Ft. Square Footage
or multip'lier ,:,~j '. or Bid Amo~nt
Value.
Date Calculated
Page I of 2
.c:.~~~~~9,~1~,gJ-~~L~,lJt~i,~ '
;Ii
.'1
~1
Status Pending
225 Fifth Street, Springlicld, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
50,000.00
Total Value of Project
Fees Paid I
Fee Description
Plan Review Comm/lnd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
,Amount Paid
," "',
Date Paid
$302.41
$8.76
$3.65
$55.00
$18.00
1/13/10
218/10
2/8/10
2/8/10
2/8/10
Total Amount Paid
$387.82
Plan nine: Review
Plan Reyiews I
'WE
01/20/2010
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00051
ISSUED:
APPLIED:
EXPIRES:
VALUE:
EMM
01/13/2010
08/08/2010
$ 50,000.00
$50,000.00
$50,000.00
01/13/2010
Receipt Number
2201000000000000036
1201000000000000112
1201000000000000112
1201000000000000112
1201000000000000112
In 5 Year TOTZ. Needs submittal
and review of DWP application. See
attached letter sent to
applicant/owner.
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.
Reouired Insnections I
/""
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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 Springlield 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 Commuuity 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 address is readahle from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain ou the site at all
times during construction. \ .
Owner or Contractors Signature
~.,:Ll~
Page..2 of 2
Date
27.5 Fifth Street"
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM20 I 0-00051
COM20 I 0-00051
COM20 I 0-00051
COM20 1 0-00051
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1201000000000000112
Date: 02/08/2010
Description
Add; Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How' Received
KR.
ONLlNENORTHWE Online
ST PUMP
Payment Total:
;;iZf'
-~{~
, .
1
'i, f
"1{;,;~
''::',',
Page 1 of I
2:52:20PM
Amount Due
18.00
55.00
8.76
3.65
$85.41
Amount Paid
$85.41
$85.41
2/8/20 I 0