HomeMy WebLinkAboutPermit Electrical 2010-4-14
SPRINGFIELD
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cf.springfiefd.or.us
C, 10 - lj-{p(p
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00172
Approval Code: 014693 4/14/2010 1:38 pm
E-mailedTo:tena@orelectricservice.com
1KI Addition/alterationfreplacemenl
'-'CA'rEG9RY~9F CONSTRUCTION. : . -~-.. ..- c
D 1 or 2 family dwelling
o Multi-family . [Z] Commercial
o Accessory
,.- ":.,0\, "JOBSiTEINFORMA'nON AND LOCATION'
Job Address: 5610 MAIN ST
CityfState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
Project Name: High Maintenance/541.726-0364
Cross Street/directions to job site: 56th Street 8. Main Street
Tax mapfparcel no.:
1702334103000
,1
Please check all that apply:
D 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
o Fire pumps
o Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o _Health care facilities
.;. {~'cl':--'.FEE SC~'H"E' DUL' E
"..$"..7 '''''''hi"/;..'; ....,........ _ _ ..~
QIy.
Service, Feeder and Circuits for Tanning Salon.
-.... ''"'~
~~~ ';'~;:';:_' 'SITE!CONIACT -.; _."
Name: Jeff Brooks
Phone: 541-343-1681
Fax: 541-343-1683
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Email:
CONTRACTbR'~
Elec lie. no.: C408
CCB lie. no.:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
Address: PO BOX 2237
CityfState/ZIP: EUGENE, OR 97402
Phone: 5413431661
Fax: 5413431683
Email:
Metro Iic. no.:
City lic. no.:
Supervising Electrician's lic. no.:
1392S
Supervising Electrician's Name:
HERMAN OLLAR
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 permit will .'b~~-~-mai~d ,.~;. faxed
within one business day, with instructions on how to schedule your Inspection. .~T/:'~'
NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained.
The local building department may determine thai an Authorization To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances.
Services 200 amps or less
Services 201 to 400 amps
Brancht6Tr~!.!i~. -". ~
Branch circuits with service or
feeder each circuit
Elo.ctrical Permif~ees
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
.Oni~
~0
Co(Y\lj)/ 0
LJ ~l Lf~[ 0
P(,AN REVIEW:~'
fEr
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
D 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
$269.00
$3228
$13.45
$314.73
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00466
ISSUED: 10/]4120]0
APPLIED: 04/]4/2010
EXPIRES: 04/]4/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5810 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334102300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service, Feeder and Circnits for Tanning Salon.
Commercial
Owner: AMIGOS III LLC
Address: . 32929 ROBERTS CRT
COBURG OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor \. License
OREGON ELECTRIC SERVICE' 181997
BuiLDING iNFORMATION ~
Expiration Date
05/09/2010
Phone
541-343-1681
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
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 1 st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
uta
I DEVELOPMENT INFORMA T10N I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
I PUBLIC IMPROVEMENTS I
i ,;\ ':TTENTI~tm\\'ohYJ%w requires you to
,_..;." IIow r~'e%8~~II~~regon Utility
:Otlficatlon Center. Those rules are set forth'
. '" OAR 952-001-0010 through OAR 952.001.
0090" You may obtain copies of the rules b
callIng the center. (Note:. the telephone y
Ct. 1 Ion
en er IS -800.332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
U I L
COMMENCED OR IS ABAN Maf:&H0!i\ Descri
ANY 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00466
ISSUED: 10/14/2010
APPLIED: 04/1412010
EXPIRES: 04114/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Uees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Perm ServlFdr 201 to 400 amps
Amount Paid Date Paid Receipt Number
$32.28 . 4114110 3201000000000000151
$13.45 4114110 3201000000000000151
$12.00 4fl4110 3201000000000000151
$162.00 4114110 3201000000000000151
$95.00 4114110 3201000000000000151
Total Amount Paid
$314.73
Plan Reviews I
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 InsDec~
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, 1 state alld agree, that I have carefully examined the completed applicatiou 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 Oregou 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 011 this project.
1 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 oUhe proPerty, 'and .the approved set of plans will remain on the site at all
times during construction. ' ,
.,j.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
320]00000000000015]
Date: 04/14/20]0
2:22:53PM
Job/Journ:ll Number
COM20 I 0-00466
COM20 I 0-00466
COM2010-00466
COM20 I 0-00466
COM20 I 0-00466
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Description
Perm Serv/Fdr 201 to 400 amps
,! i
Add, Alter, Extend Clrc Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
njm
. ',;"',
,f'
.'d
,
Page 1 of 1
Amount Due
95.00
12.00
162.00
32.28
13.45
$314.73
Amount Paid
ONLINE oregon elect Online
Payment Total:
$314.73
$314.73
4/14/2010