HomeMy WebLinkAboutPermit Electrical 2010-4-7
C-IO-3lh
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00150
Approval Code: 117035 4/7/2010 9:57 am
E.mailed To: kelly@builder5electric.com
c c)'t!:,.!iLAN:REVIEW
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
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D New Construction IRJ Addition/allerationlreplacement
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D 1 or 2 family dwelling D Multi-family IRJ Commercial D Accessory
'. .. . JOB SITEINFORNlAJION'AND LOCATICJN' . - >-:
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Job Address: 1820 OLYMPIC 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg./apt.no.:
Project Name: McKay
Cross Street/directions to job site:
Tax mapfparcel no.: 17032531 077a 1
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reconnect house panel
i .,::r, ,"',:L''''.; ~;;;,~ITE CONTAcT' "';~,0' ", "," .; .'. 'i"",
Name: Kellv O'Brien
Phone: 541-485-0922 Fax:
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Elec lie. no.: 20-12C cca lie. no.: 4296
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON ST
CityfState/ZIP: EUGENE, OR 97402
Phone: 5414850922 Fax: 5414854055
Emall; FRED@BUILDERSELECTRIC.COM .
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.: 3290S
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 jurisdiction, your permi! will
within one business day, with instructions on how to schedule your Inspection.
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be"t,e-mailed '~or faxed
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NOTE: this Authorization To Begin Work expires within 160 days if a permit is not~~bt~ined.
,
The tocal 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.
,.,.;i~..t:FEE'ffcHEDULE
Description Qty.
Mjscellaneous~::I[tL!":j
Service reconnect only
~lectrlcajP.~rm"jfFe~ss'",",:"':', _
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
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
TOTAL PERMIT FEE
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o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
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
$63.00
.,
, .
$63.00
$7.56
$315
$73.71
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4-/-10 nlY1
Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00365
ISSUED: 04/07/2010
APPLIED: 03/26/2010
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: 1820 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703253107701
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
PROJECT DESCRIPTION: Fire Damage to Conntry Waffle Restaurant
Commercial
Owner: MCKA Y COMMERCIAL PROPERTIES LLC
Address: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2011
Phone
541-485-0922
BUILDIl,rc INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# 61' Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge 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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: -
. . # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street ImproveJft"n!'MTION: Oregon law requires you to Sidewalk Type:
Storm Sewcr tC.~(j!es adopted by the Oregon lJtility NOTlCEnspoutslDrains:
Special InstnJ\!Rlific:ation Center. Those rules are s-eillortli: -'tf ' THIS PER'MIT SHAll EXPIRE IF THE WORK
In OAR 952-001-0010 through OAR 9S2::00{:" olC.' T
Notes: 0090. You may obtain copies of the rules by , AUTHORIZED UNDER THIS PERMIT ISRNO
calling the center, (Note:.thetele~h.one COMMENCED OR IS ABANDONED FO
Center is 1-800-332-21344', t' D 't' II ANY
~va ua IOn escnp IOn I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Recon nect
Amount Paid
$7.56
$3.15
$63.00
Total Amount Paid
$73.71 .
I Plan Reviews I
Date Paid
4/7110
4/7110
4/7110
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00365
ISSUED: 04/07/2010
APPLIED: 03/26/2010
EXPIRES: 10/0712010
VALUE:
Receipt Number
3201000000000000131
3201000000000000131
3201000000000000131
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. . .t, ,..;:
Reauired Inspections I
Electric Service: Approval required prior to utility company energizing service.
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 witb
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 permissi~n of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtber 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
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Pae.e 2 01'2
225 Fifth Street
Springfiel'd,'Or~gon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000131
IO:15:58AM
Date: 04/07/2010
Job/Journal Number
COM20 1 0-00365
COM20 1 0-00365
COM201O-00365
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Service Reconnect
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
7.56
3.15
$73.71
Amount Paid
nJm
ONLINE
$73.71
builders Online
elect
Payment Total:
$73.71
.Page 1 of I
4/7/2010