The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-3-31 SPRINGFIELD tt:\., ..--- ' -~ "". - '. ~ ..' .,~7 (l.f; " , OREGON City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00131 Approval Code: 031304 3/31/2010 10:40 am E-mailedTo:erika@northsideelectric.com TYPE'OF.WORK . o New Construction IRJ Addition/alteration/replacement D ! CATEGORY OECONSTRUCTION o Mufti.family 00 Commercial o Accessory 1 or 2 family dwelling JOB SITE INFORMA nON AND LOCA nON Job Address: 1920 OLYMPIC 5T City/StateIZIP: SPRINGFIELD, OR 97477 Suitefbldg.Japt.no.: Project Name: 51481 Cross Street/directions to job site: Tax map/parcel no.: 1703254201601 DESCRIPTION OF WORK CKT PIZZA COOLER '~SITE CONTACT Name: James Davis Phone: 503-585--4679 Fax: 503-364-0248 Email: ."CONTRACtOR Elec lie. no.: 24-14C cee lie. no.: 80593 Business Name: JGCM INC Contact: Address: PO BOX 12323 ....-'...',.}::.!.!t;:..:.;,.'\-:......' Phone: 503 Email: Metro lie. no.. City lie. no.: I Supervising lectrician's lie. no.: 5441S Supervising Electrician's Name: NATHAN L SCHARER Number of Inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your pennlt will bo. o-malled or faxod within ono buslnou day, with Instructions on how to SChedule your Inspection.. : ..' NOTE: This Authorization To Bogin Work expires within 180 days if a pennlt 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 Ind locllordlnances. (,16-3<6\ PLAN REVIEW Please check all that apply: o Hazardous locations D A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three stor 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other D Floating buildings D Fire pumps D Commercial.use agricultural buildings o Emergency systems o Installation of a 150 KVA 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 . _~~_0'_ FEE SCHEDULE . Description I Oty. I Ea. I Total B!~nch circuits .. .. '.. '. . .. Branch circuits without service or 1 $55.00 $55.00 feeder Miscellaneous '.. . Balance of permit fees I I I $3.00 Electrical Permit Fees .. .. , " ~'" , . Subtotal $58.00 Slate surcharge (12% of permit $6.96 totan Technology fee (5% of permit total) $2.90 TOTAL PERMIT FEE $67.86 Clo-3~q ~ o ) ~h() AlTENTlON: Oregon law requires YOU.t.o follow rules adopted by the Oregon Utility ~otificatlon Center. Those rules are set forlb In OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~e number for the Oregon Utility Notification Center is 1-800-332-2344). ~~ ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~ ~~. .n,..\\ 'b\V E;I!RINGf!IIILD, '!! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00389 ISSUED: 03/31/2010 APPLIED: 03/31/2010 EXPIRES: 09/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Olympic St ASSESSOR'S PARCEL NO.: 1703254201601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: I cicuit for pizza cooler in Win Co Grocery Store Residential Owner: WINCO FOODS LLC Address: PO BOX 5756 BOISE ID 83705 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor JGCM INC License 80593 BUILDING INFORMATION ~ Expiration Date 03/18/2011 Phone 503-585,4879 # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ . REQUIRED PARKING Total: Handici'..I!lled' ATTENTlON:Oregon IaYiJNtll\\I~~ YOU,to follow rules adopted by ItleOregon Utility Notification Center. Those rules are set forth . 010 throu hOAR 952-001- 90 You may ob n copies alilng ~he center. (Note: the telephone num~(I\e'Qpl.gon Utility Notification ~"nter is 1 ,.809-332-2344). D<YWn'~poutsmrallls: Front yard Setback: Overlay Dist: Side I Setback:'~"\';<\"'~~tMl.r.~e.LTrees Rqd: Side 2 Setback: MOTICE' . . Paved OilY; Rqd: Rearyard Setba'ThIS PERMIT SHAll EXPIRE IF ltIlit\tJQtm.v~rage: Solar Setbacks: 11 T UNDER THIS PERMIT IS NOT. . COMMENCED OR IS CIMPROVEMENT 11 MY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier . Square Footage or Bid Amount Value Date Calculated Page I of2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line r,.-:y! ....i:".Jl<f:';' . + ~.' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00389 ISSUED: 03/31/20]0 APPLIED: 03/31/20]0 EXPIRES: 09/30/2010 VALUE: Status Issued 'j't"'h """,.;,,'-'" Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid . Date Paid Receipt Number $6.96 $2.90 $58.00 3/31/10 3/31/10 3/31/10 1201000000000000280 1201000000000000280 1201000000000000280 Total Amount Paid $67.86 I Plan Reviews ~ 'l"~': ".. "~ . .,.~ -" . ,?i, :p 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 ReQuired InsDections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all infOl"mation hereon is true and correct, and I (urther 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 tbat NO OCCUPANCY will be 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 be 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, tbat 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 ,,,-, M_' ..',,.-;.,,..... 'J': Date ,.:[:.1', , . ::i Paee 2 01'2 r ;. ; 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone lif- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000280 Date: 03/31/2010 IO:42:53AM Job/Journal Number COM20 I 0-00389 COM2010-00389 COM20 1 0-00389 Payments: Type of Payment ONLINE CI-IGS cRtccintl Description Add, Alter, Extend Clrc + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CI-IGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 58.00 6.96 2.90 $67.86 Amount Paid KR ONLINE $67.86 $67.86 JGCM Online Payment Total: Page I of I 3/31/2010