HomeMy WebLinkAboutPermit Electrical 2010-2-15
Commercial Electrical Authorization To Begin Work
'li\ 69600-BEL-10-00073
0\0' Approval Code: 415132 2/15/2010 12:23 pm'
E-mailedTo:kshoemaker@scofield.net
II
SPRINGFIELD
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
o New Construction
(RJ Addition/alteration/replacement
,'er;;'CA fEGbRY.oF:CONST@S:TlbN/",;:,,~&-,0.~ :~",,-tiJ
o 1 or 2 family dwelling
o Multi-family [Zl Commercial
o Accessory
,." -:JOBSrrE.iNFoRMA'TlON':A:ND LOCA TION;-.",~0;;. ~ ~""'i,,~
JobAddress:4199 MAIN 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: 2010-007 O'Reilly Auto Parts #3044 .
Cross Street/directions to job site: 42nd 51. & Main St.
I Tax mapfparcel no.:
1702323202200
Add circuits for remodel.
r:ame: ERIC SCOFIEL~
I Phone: 541-686-8612
Fax: 541-686-8696
Email:
Elec lie. no.: 20-1 C
CCB lie. no.: . 38702
Business Name: SCOFIELD ELECTRIC CO
I Conta~t:
I Address: PO BOX 2765
I CityfState/ZlP: EUGENE: OR 97402
I.Phone: 5416868612
I Email: kshoemaker@scofield.net
Fax:
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
42185
Supervising Electrician's Name:
ERIC SCOFIELD
Number of inspections included in paid services:
Residential.Service: 4
Reconnect Only: 1
All Other Services: 2
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less 10 ground exceeds
14,000 Amps for allother
D Fire pumps
o Emergency systems
o Addition of a new motor load
of 100HP or more
o Six or more residential units in
one structure
o Health care facilities
I Description
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
[E~~ric'a.!,~~fh!ifF-ees:",,,,;'_'t~~~~<a
I Subtotal
Slate surcharge (12% of permit
total)
Technology fee (5% of permit total)
I TOTAL PERMIT FEE
~~
~ '0'
'\.
Co:-YI 2-0\ 0
Upon review and approval by your local jurisdiction, your perm'it will be e-malled or falled '"2 - \ tp _\ 0
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained.
The local building department may determine thai an Authorilation To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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
o Commercial-use agricultural 1
buildings
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 Supply voltage for more than
600 supply volts nominal
"'I
';'
$55.00
$55.00
7
$6.00
$42.00
, ,.","1
. "~-,.~.,- ",,,,.1
$97.00
$11.64
$4.85
$113.49
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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
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20IO"00204
ISSUED: 02/16/2010
APPLIED: 02/16/2010
EXPIRES: 08/16/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, I,
SITE ADDRESS: 4199 MAINST
ASSESSOR'S PARCEL NO,: 1702323202200
. ~ ,"
'Springfield TYPE OF WORK: Electrical Work Only
;
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Add circuits for remodel
Owner:
Address:
BARBER PROPERTIES LLC
82230 RATTLESNAKE RD
DEXTER OR 97431
,
-I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor
SCOFIELD ELECTRIC
License
38702
Expiration Date
12/21/2011
Phone
541-686-86 f 2
BUILDING ~NFORM~TfON'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
~ange,Type:
En'ergy.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:
nla
I DEVELOPMENT INFORMATION' .
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
- Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
" ,
Total:
, Handicapped:
Compact:
Street Improvein-e"ftS':'E'
... '"-I i t II .
Slor~ Sewer ~va'lali[~,'lMIT SHAll EXPIRE IF T' ",'
SpCClallnstructl~~:o,qIZED UNDER TH HE WORK
('n, ftn'Ei I IS PERMIT IS NOT
N t' "/,\,,1,, ,CEO OR IS ABANDON'ED FOR
o es. 1"1'.1\/ ., r.. -. ,
, '" I I,..U OAl' PERIOD,
1 PUBLIC IMPROVE~~il.ir~N: Oregon law requires you t,o
, follow rules adSldted, ~y the 9regon Utility
Notification Cemer:'!'~'&Iliefes are set forth
in OAR 952-001 mMfjSt\'ofii,,;iJr.i~~ 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Uliiity Notification
Center is 1-600-332-2344).
Description
Type of Construction
I Valuation Descriotion I
,.f. .
$ Pe~ s~% ,". h, Square Footage
or'multiplier or Bid Amount
Value'
Date Calculated
Paee I of 2
_.ti~~."'(jU,IIi!!J.9~'
l
CITY OF SPRINGFIELD
Building/Combination Permit
"
Sta tus
Iss u ed
PERMIT NO: COM2010-00204
ISSUED: 02/16/2010
APPLIED: 02/16/2010
EXPIRES: 08/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
Total Valne.or Project
Fees Paid I
111111,
Fee Description
Amount Paid:;)' y
:"c'
Date Paid
Receipt Number
.;. oj
Total Amount, Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the' same working day, inspections requested after 7:00 a.m. will:lbe made the following
work day. ' '
I RefJlJire~ Insn.ec,tinlJJJ
Rough Electric: Prior to Covel'
Final Electric: When all electrical work is complete.
By signature, I st~,te and, agree, that I have carefully ~xamined the cpmpleted application and do h~reby certify that all
information hereo'n is true and correct, and I further.c~'rtify that any,and all work performed shall' be done in accordance with
the Ordinances o(the City of Springfield and the Lawi'ofthe'State of Oregon pertaining to the w6rk described herein, and
that NO OCCUPANCY will be made of any structure'without'permission of the Community Servi~es Division. Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wilIbe used on this project.
[ further agree to I~nslrre~that all required inspections are requested at the proper time, that each address is readable from the.
street, that the pe~mit card is located at thefront of the property, and the approved set of plans wil,lremain on the site at all
times during construction.
Owner or Contra~tors Signature
Date
I ,~
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Page.2 of 2
"
225 Fifth Street
Springfield, Oreg~n 97477
541-726-3759 Phone
Job/Journal Number
COM20 10-00204
COM20 I 0-00204
COM20 I 0-00204
COM20 I 0-00204
Paynients:
Type of Payment
'ONLINE CHGS
cReceintl
RECEIPT #:
City of SprIrtgfield Official Receipt
Development Services Department
Public Works Department
3201000000000000050
Date: 02/1'6/2010
Description
Add, Alter, Extend Circ
Add, A Iter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
NJM
ONLINE SCOFIELD Online
Payment Total:
.'
Page I of I
8:39:59AM
Amount Due
55,00
42,00
11.64
4,85
$113,49
Amount Paid
$113.49
$113.49
2116/2010