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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 If"; , . "i ...... . c'>; " ..H...I: , '" ikCS;c.o.; 'J,,",; D New Construction IRJ Addition/allerationlreplacement _ ': --. c, ,cA TEGORY-OFCONSTRUCTioN ,'::;"~?";.i,0.~t.'t :1 D 1 or 2 family dwelling D Multi-family IRJ Commercial D Accessory '. .. . JOB SITEINFORNlAJION'AND LOCATICJN' . - >-: . 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 " .:. ~. _w. _.< C~_" ....^'....~ . .. .' . '::,;"}:-! .. . .0'" '1:J.!,S~RIPTION.o.F;:W(jj:fK.",:;,,: . ..... c- ,<. ~ -;' reconnect house panel i .,::r, ,"',:L''''.; ~;;;,~ITE CONTAcT' "';~,0' ", "," .; .'. 'i"", Name: Kellv O'Brien Phone: 541-485-0922 Fax: ., . .' .:lJ:~X ;. ,;'-;. Email: .' ,-.. ,..";; ':."' ~ '., ,.... '"GONTR,6,C1QR..,.,..' :,~.-: '~~"":'::,'::,' , _"'4 .- ' ":.' , i 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. -~- . ,-- ,~-,..'. be"t,e-mailed '~or faxed .";t':;. -..:..... ..,. ;':"} 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 .~ j<~ ~~ ,\\ \'d- ~Q 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 ()~Q ~~CC/ .i.. ~. ~. ~~ .~\ 0- 003&S 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 ',l 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 " :t- i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :i~U ., .'~- 1,'.' 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 . ~'J;::t' <!J .', t,. . ~~, , q Pae.e 2 01'2 225 Fifth Street Springfiel'd,'Or~gon 97477 541-726-3759 Phone -~~~ ii-.. ............-...-........... ........... ^ '..' . - - . .. . . ~-' . ~ , . ~ ,.._..,.~..,........~.- _..... . 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