HomeMy WebLinkAboutPermit Electrical 2010-3-2
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~OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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TYPE OF WORK
o New Construction IRJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION I
0 1 or 2 family dwelling 0 Multi-family 00 Commercial o Accessory
JOB SITE INFORMATION AND LOCATION I
Job Address: 3264 GA TEWA Y ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.laplno.:
Project Name: Taco Time
Cross Street/directions to job site:
Tax map/parcel no.: 1703222002101
DESCRIPTION OF WORK i
New circuit for sign
SITE CONTACT I
Name: Russ Crane
Phone: 541-485-0922 Fax:
Email:
CONTRACTOR I
,
Elee lie. no.: 20.12C cee lie. no.: 4296
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON 5T
CityJState1ZIP: EUGENE, OR 97402
Phone: 5414850922 ,Fax: 5414854055
Email: FRED@BUILDERSELECTRIC.COM
Metro Iic. no.: City lic. no.:
Supervising Electrician's Iic. no.: 32905
Supervising Electrician's Name: RUSSEl W CRANE
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdictiOfl, your pennit will be e-mailed or faxed
within one business day, With instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances.
G 10. 111'(
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00093
Approval Code: 212023 3/2/2010 10:32 am
E-mailedTo:johnr@builderselectric.com
PLAN REVIEW I
Please check all that apply: D Hazardous locations
D A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 arnps or more
available fault current exceeds o Buildings more than three star
10,000 Amps at 150 Volts or o Marinas and boat yards ,
less to ground exceeds
14,000 Amps for all other o Floating buildings
0 Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 KlJA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
FEE SCHEDULE
Description I Qty. I Ea. I Total
Branch circuits
Branch circuits without service or 1 $55.00 $55.00
feeder
Miscellaneous
Balance of permit fees I $3.00
Electrical Permit Fees
Subtotal $58.00
State surcharge (12% ofperrnit $6.96
total'
Technology fee (5% of permit total) $2.90
TOTAL PERMIT FEE $67.86
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Inspection$ Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00264
ISSUED: 03/02/2010
APPLIED: 03/02/2010
EXPIRES: 09/02/2010
VALUE:
Status
Issued
SITE ADDRESS: 3264 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222002101
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New circuit for sign
Owner: MCHAINES LLC
Address: 840 BELTLlNE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
BUILDERS ELECTRIC INC 4296
BUILDING INFORMATION ~
Expiration Date
12/10/2011
Phone
541-485-0922
# 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:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
> Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
raved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
... _ Compact:,
I PUBLIC IMPROVEMENTS ~
Street Improvements: ATTENTIOl$lcOwaIRnfYp'e:requires youto
follow rules adopted tiy the Oregon Utility
Storm Sewer A vailable: Notification ~!!~.PVl\~~~jiJj$ are set forth
Speciallns(r:usiTJr;':E: E IF THE WORK In OAR 952-001-0010 through OAR 952-001-
THIS PERMIT SHAll EXPIR IS NOT 0090. You may obtain copies of the rules by
Notes: I~UTHOR\ZED UNDER THIS PERMIT calling the center. (Note: the tel~~ho~a
'A"",ChI BANDONEO FO~I! > > ' " the Ore on Utility Notification
;~,NY>180DAY PERIOD. I : . > I Center is
Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00264
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
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. '~!~tal V ~Ine of Project
I ' Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid Date Paid Receipt Number
$6.96 3/2/10 3201000000000000071
$2.90 3/2/10 3201000000000000071
$55.00 3/2/10 3201000000000000071
$3.00 3/2/10 3201000000000000071
Total Amount Paid
$67.86
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.
LRe~~iredl'nSDections ~
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Sign Electrical: After connection is made but. prior to energizing
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, 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 strncture 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 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, a~d the approved set of plans will remain on the site at all
. times during construction.
; i
Owner or Contractors Signatnre
Date
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Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: . 3201000'000000000071
Date: 03/0212010
12:22:52PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
3.00
6.96
2.90
$67.86
Job/Journal Number
COM20 1 0-00264
COM20 1 0-00264
COM20 I 0-00264
COM20 I 0-00264
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE
builders In Person
Payment Total:
$67.86
$67.86
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cReceintl
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3/2/2010