HomeMy WebLinkAboutPermit Electrical 2010-3-1
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
c lo-2if~
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00090
Approval Code: 711045 3/1/2010 3:54 pm
E-mailedTo:rocky.thornton@gmail.com
Job Address: 5755 MAIN ST
Please check all that apply:
o A service or feeder beginning
al 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 Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
o Marinas and boal yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 'r0/A or
larger separately derived sys
D "A" "E" or "1-2" or "1_3"
. ,
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
o New Construction IKl Addition/alteration/replacement
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o 1 or 2 famiJy dweJ)jng 0 Multi~family [Z] Commercial 0 Accessory
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City/State/ZIP: SPRINGFIELD. OR 97478
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or l1}ore residential units in
one structure
o Health care facilities
Suite/bldg./apt.no.:
Project Name: red box
Cross Street/directions to job site:
Tax map/parcel no.: 170233440.0801
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install 1 receptacle
Phone: 541-953-0027
Email:
Etec Iic. no.: 20-206C
CCB lic. no.:
116329
TOTAL PERMIT FEE
$2,90
$67.86
Business Name: R1VERVIEW ELECTRIC
Contact
Address: PO BOX 5044
CityfStatefZIP: EUGENE. OR 97405
Phone: 5416861628
Fax:
Upon review and approval by your local jurisdiction, your permit witt be e-mailed or faxed
within one business day, with instructtons on how to schedule your Inspection.
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Email:
Metro lic. no.:
City lie. no.:
Supervising Electrician's Iic. no.:
3017S
Supervising Electrician's Name:
ROCKLIN R THORNTON
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work Is nutl and
~oid if it does not meet applicable rand use laws and local ordinances.
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: COM2010-00262
ISSUED: 03/02/2010
APPLIED: 03/02/2010
EXPIRES: 09/0212010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334400800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install one receptacle
Owner: MCKENZIE CROSSING PARTNERSHIP LTD
Address: 2811 EST STE B .
EUREKA CA 95501
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
RIVERVIEW ELECTRIC
License
116329
Expiration Date Phone
541-686-1628
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
. Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION ~
# 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:
ilIa
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
OverhiyDist:
..#Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~ . 'IOU \0
eQUlle8 '1i\Y.
01'\' ~~I~:1J~~legon \J~l)lin
"'ii" :,~\es adJ}\lW2~L."AII~~f\J:~-OO1.
10 0". center, ~9~h O~r\ ....
Notilicatlon O~ -OO~ 0 thlOU. 01 the lul9& ....
\n OAR 95Z~a'i obtain c~f~?~he \eI9,~ho~e n
0090..'10~ne centel, {N Utili\'f NO\lliCa\iO
In ,eoon .
r .' '. .8U'
center IS ~
Notes:
In 1=.
;~IS PERMIT SHAll EXPIRE IF THE ation Descri
':' T~ORIZED UNDER THIS PERMIT IS T
De;~~~i~ENCED,Qael~f~~OON.W FOW Per S,q ~t
. .IV I I,jb DAY i'fRIOD. or mullIpher
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
lL',
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00262
ISSUED: 03/02/2010
APPLIED: 03/02/2010
EXPIRES: 09/02/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees pallLi
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
3/2/10
3/2/10
3/2/10
3/2/10
3201000000000000068
3201000000000000068
3201000000000000068
3201000000000000068
;\
Total Amount Paid
I Plan Reviews ~
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.
LReauired IlIsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinan~es of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he 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 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.
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
if.14
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000068
Date: 03/02/2010
7:33:32AM
Job/Journal Number
COM20 I Oc00262
COM20 I 0-00262
COM20 I 0-00262
COM20 I 0-00262
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
~efeiyed By Batch Number Number How Received
Amount Due
55.00
3.00
6.96
2.90
$67.86
Amount Paid
njm
ONLINE riverview Online
elect
Payment Total:
$67.86
$67.86
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