HomeMy WebLinkAboutPermit Electrical 2010-4-7
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00151
Approval Code: 059073 4/7/2010 11: 19 am
E-mailedTo:ashILelsperman@ies-co.com
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IRl Addition/alteration/replacement
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D New Construction
Please check all that apply:
o A service or feeder beginning
at 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
-CA TI~'G6RY:OF CO.Nl1TRUCTlON '.
D 1 or 2 family dwelling
D Multi-family [R] Commercial
D Accessory
,'JOIfSITE.INFORMA'nON AND 1..0C;\TI0N "..
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Job Address: 2750 GATEWAY 8T
City/State/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Suite/bldg./apt.no.:
Project Name: Target store #612
Cross Street/directions to job site:
Tax map/parcel no.:
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1703220002307
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o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation ota 150 KVAor
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
Description
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Qty. I Ea. Total
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
NDtification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344),
adding 3 ckts to video game display cases
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Eleetrical,P,,!rr:nlfFeei ;.
SITE'CONTACT,"': ~:
State surcharge (12% of permit
total)
Technology fee {5% of permit total}
Name: Jorge AIQeciras
Phone: 503-648-1900
Fax: 503-670-9572
Subtotal
Email:
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CCB Iic. no.:
182452
TOTAL PERMIT FEE
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Contact:
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Add...", 13970 SW72NB)AYt" PERIOD,
City/State/ZIP: PORTLAND, OR 97223
Phone: 5036481900
Fax: 5036709572
Email: tom.santoni@ies-co.com
Metro Iic. no.:
City Iic. no.:
Supervising Electrician's Iic. no.:
49115
Supervising Electrician's Name:
COREY L BAYSINGER
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services' 2
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Upon review and approval by your local Jurisdiction, your permit will be e-malled or fued
within one business day, with Instructions on how to schedule youri nspectlon.
NOTE: 'this Authorization To Begin Work expires within 180 days If a pennlt Is not obtained.
The lotal building department may determine that an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and lotal ordinances.
$55.00
$55.00
2
$6.00
$12.00
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$67.00
$8.04
$3.35
$78.39
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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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00436
ISSUED: 04/07/2010
APPLIED: 04/07/2010
EXPIRES: 10/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2750 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
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, ~pringfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Adding 3 circuits to video game display cases
Residential
Owner: GA TEW A Y MALL PARTNERS
Address: 1\0 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor License
IES INDUSTRIAL, INC 104388
I BUILDING INFORMATION ~
Expiration Date
03/01/20 II
Phone
541.672-8100
# 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:
Erll;rgy Pa,h:
Sp;'inkled 'Buildinir
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
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
. ATTi=MTln.,. ".M~_ ,_
NOTICE: . . I PUBElC IMPROVEM~~t rules adopted byi'h~-O;~;~~~~i1~~y
w!mK atlon Center Those I
Street ImprovemeliRMIT SHALL EXPIRE IF THE in OAR 952~1l~\'(j\jka:mlD' ru es are set forth
Storm Sewer'AV.rmb1fP UNDER THIS PERlv1ll1SNOT . 0090.. You l()ij\('R~~inS;J):a~~e95T.00~-
Special Instrucii6';::~ICED OR IS ABANDONED FOR calling the center, (Note: the tele;~;nse y
-, 'W PERIOD, number for the, Oregon Utility Notification
Notes,: Center IS 1-800-332-2344).
Description
Type of Construction
I Valuation Description I
$ Per Sq'Ft ~_' ':' '. Square Footage
,'.. . \- 1"'-' I, .
or muItipl~er'.IP "-.:" or Bid Amount
Value
Date Calculated
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Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00436
ISSUED: 04/07/2010
APPLIED: 04/07/2010
EXPIRES: 10/07/2010
VALUE:
225 Fifth Slreel, Springlield, 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
Fees Paid i
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Amouut Pai'd""
Date Paid
Receipt Number
$8.04',.
$3.35
$55.00
$12.00
417110
417110
417110
417110
1201000000000000311
1201000000000000311
1201000000000000311
1201000000000000311
Total Amount Paid
$78.39
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.
Reouired InsDect~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete: "
"
, '
By signature, I stale and agree, that 1 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 Springlield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Communily Services Division, Boilding Safety.
1 further certify that only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on Ihis projecl.
1 furlher 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. J
Owner or Contractors Signature
Date
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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 #:
1201000000000000311
Date: 04/07/2010
3: J 6: J 7PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amou'nt Due
55.00
12.00
8.04
3.35
$78.39
Job/Journal Number
COM20 I 0-00436
COM20IO-00436
COM20 I 0-00436
COM20 1 0-00436
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE IES Online
COMMERC
IAL
$78.39
Payment Total:
$78.39
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4/7/2010