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Home My WebLink AboutPermit Electrical 2010-4-5 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00140 Approval Code: 005709 4/5/2010 9:28 am E~mailed To: erika@northsideelectric.com :!;~!- .. " ". SPRINGFIELD l~ -.-~ ct"" .-'\." <~ \. OREGON City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@cLspringfield.or.us ';',: ._. 'TYPE' OF WORK o New Construction IKJ Addition/alleration/replacemenl t j ',., . CATEGORY OF CONSTRUCTION, o 1 or 2 family dwelling o Multi-family IRl Commercial o Accessory ,JOB SITE INFORMATION AND LOCATION Job Address: 1920 OLYMPIC ST City/State/ZIP: SPRINGFIELD, OR 97477 Suitelbldg.lapt.no.: Project Name: 51593 Cross Street/directions to Job site: Tax map/parcel no.: 1703254201601 " ,[)ESCRIPTIONOF WORK., SECURITY ROOM 'i .. . SITE CONTACT ':.;, Name: James Davis Phone: 503-585-4879 Fax: 503-364-0248 Email: CONTRACTOR Elee lie. no.: 24-14C CCB lie. n?: 80593 Business Name: JGCM INC Contact: Address: PO BOX 12323 .-.... C;tyJStatoNeT~<<i~R 97309 Phone, 501HISdilER Email: Supervising Electrician's lie. no.: :;~'* "\1' 54415 Supervising Electrician's Name: NATHAN l SCHARER Number of Inspections included in paid services: Residential Service: 4 Reconnect Only: 1 AU Other Services: 2 Upon review and approval by your 10cIIl jurisdiction, your permit will be e.malled or faxed within one business day, with instructions on how to schedule your Inspect Ion. NOTE: this Authorization To Begin Wor1!. expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Begin Worle. Is null and void If It does not meet applicable land use laws and local ordlnanc es. tlO- 4-11 , - PLAN. REVIEW. . .. Please check all that apply: o Hazardous locations o A service or feeder beginning o 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 o Floating buildings 0 Fire pumps o Commercial-use agricultural buildings 0 Emergency systems o Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys 01100 HP or more o "N. ~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 E.. I Total Branch circuits ,. ,.'. ,'. . . . , Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 3 $6,00 $18,00 circuit without service Electrical-Permit fees ': Subtotal $73.00 State surcharge {12% of permit $8.76 total\ Technology fee (5% of permit total) $3.65 TOTAL PERMIT FEE $85.41 CJO-4/1 .~ y/s ATYENTlON: Oregon law requires you 10 9oIIow rules adopted by the Oregon UtllitV Notification Center. Those rules are set forth III OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules bv calling the center. (Note: the telephone lilUmber for the Oregon Utility Notlficallon Center is 1-800-332-2344). ,.~~~ 'W CO ftJ'f. ~~ \_~ 1>(\4) ~ V-~ \P Inspections Phone: 541-726,3769 This Authorization To Begin vVor~ 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 ",- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00417 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: Status Issued SITE ADDRESS: 1920 Olympic St ASSESSOR'S PARCEL NO.: 1703254201601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: 3 circuits for security room in Winco Foods Grocery Store Commercia) Owner: WINCO FOODS LLC Address: PO BOX 5756 BOISE ID 83705 I CONTRACTOR INFORMA TION ~ Contractor Type Electrical Contractor JGCM INC License 80593 BUILDING INFORMATION ~ Expiration Date 03/18/201 I 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: Railge Type: Energy Path: Sprinkled Buildin~: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a NOYICE:""""'l'Dml.ELOPMENT INFORMATION ~ THIS PERMIT SHAlUXPIRE IFTHEWORK REQUIRED PARKING FrontyaAU3dt1I5llallZEO UNDER THIS PERIIIIIT IS Nt}lrlay Dist: ATTENTION: Oregon ~qulres you to Side I S(t@f!4MENCEO OR IS ABAJ\IDONED FOR # ~treet Trees Rqd: follow rules adopted t:Jt:tlllii~ Utility Side 2 S1tIW~:80 DAY PERIOD. Paved Drive Rqd: Notification Center. Th~are set forth Rearyard Setback: % of Lot Coverage: In OAR 952-001-00fO through OAR 952-001. Solar Setbacks: . 0090. You may obtain copi.es of the rules by I PUB'LlC IMPROVEMENTS fUmber for the Oregon Utility Notification Center. is 1-800-332-2344) Street Improvements: Sidew.alk Type: . Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: : :d: ~,t ;" . . ' I V alua~;o~ ~~scriPtion I Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Valne Date Calcnlated Pa2e I of 2 . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00417 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add I ::Fees P.i.ili!.i . ;; ,;~ ' ,,' 1 ~- ~ .. Amount Paid Date Paid Receipt Number $8.76 $3.65 $55.00 $18.00 4/5/10 4/5/10 4/5/10 4/5/10 1201000000000000293 1201000000000000293 1201000000000000293 1201000000000000293 Total Amount Paid $85.41 Plan Revie~s' ~ 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. Reauired Insnect~ ~';'17~ .~-- -- .,.... .- . '.: 'I~,~:i:- ".;:- 'j'~;' Rough Electric: Prior to Cover <.v.n I, t :f. :i, Final Electric: When all electrical work is cO,ruplete. By signature, 1 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 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, 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. I'.. Owner or Contractors Signature Date ;' ~ 1, 'to ;,;'-\'. , 'li':- ;,":'~' ~'tt .f Paee 2 01'2 (ii, 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone G~!'At...~..E...ii.'......''''''.....'..'. Mr.... . t-"^," .... ..... .. .-.......\.,.;,.,0...=,......... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000293 Date: 04/05/2010 J1:16:50AM Job/Journal Number COM2010-00417 COM20 1 0-00417 COM20 1 0-00417 COM20 1 0-00417 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number . Number How Received Amount Due 55.00 18.00 8.76 3.65 $85.41 Amount Paid KR ONLINE JGCM Online Payment Total: $85.41 $85.41 '..,.'Ji'r', .,< V. .. r/Of HI , }ti; .'" 1;1 cReceiotl Page I of I 4/5/2010