HomeMy WebLinkAboutPermit Electrical 2010-4-26
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.us
0.-10.510
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00181
Approval Code: 026742 4/26/2010 10:26 am
E-mailed To: eugeneelectric@comcastnel
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-' CATEGORY OFCONSTRUCTIOI'l
IX] Addition/alteration/replacement
D New Construction
o Multi-family [2$] Commercial
o 1 or 2 family dwelling
, JOB SITE)NFORMATlON'ANDLOCA TION.
Job Address: 3000 GATEWAY ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suitelbldg.lapt.no.: 712
Project Name: Bumperzone
Cross Street/directions to job site: Gateway mall
Tax map/parcel no.:
1703220002200
Circuit for bumpercar transform,er
'SITE' CONTACT".,.":"':. _..-
Name: Monty Waqqoner
Phone: 541-344-3561
Fax: 541-343-7445
Email:
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. -'.CONTRACTOR ~
Elec lie. no.: 20-220C
90200 ..
CCB lie. no.:
Business Name: EUGENE ELECTRIC SERVICE INC
Contact:
Address: 120 MONROE ST
City/State/ZIP: EUGENE, OR 97402
Phone: 5413343561
Fax: 5413437445
Email: EUGENEELECTRIC@AOL.COM
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
3735S
SupervIsing Electrician's Name:
JACK R PATRICK
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
o Accessory
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Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained.
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The local building department may determine that an Authorization To Begi~ Work is null and
void if it does not meet applicable land use laws and tocal ordinances.
Please check all that apply:
o A seNice or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volls or
less 10 ground exceeds
14,000 Amps for all other
D Fire pumps
o Emergency systems
o Addition of a new molar load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three slor
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"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Description
-'~E.E SCHEDULE,
Qty.
Total
Branch circuits without service or
feeder
iVliscellaneous.""'" ~.'-
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Balance of permit fees
Electrj~'~I!?er!Tlit ffee~
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$55.00
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$3.00
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$58.00
$6.96
$2.90
$67.86
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00510
ISSUED: 04/26/2010
APPLIED: 04/26/2010
EXPIRES: 10/26/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3000 GATEWAY ST SPACE'Ii2
ASSESSOR'S PARCEL NO,: 1703220002300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Circnit for bnmper car transformer
Owner: GATEWA Y MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
Contractor Type
Electrical
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I CONT-RACTOR INFORMATION ~
Contractor License
EUGENE ELECTRIC SERVICE INC 90200 '
BUILDING INFORMATION ~
Expiration Date
03/1712011
Phone
541-344-3561
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:'
Energy Path: '
, Spfinkled B~ilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,I"~...:-'l/-.;: I.' .,,"' ..+ ""'. l .,
REQUIRED PARKING
Total:
Handicapped:
Compact:
.'1 V I. XPIRE IF T
THIS PERMIT SHALL \HIS PER Ton Descri
,\\JTHDRIlEO UNDER BANDDNEnF,OR" ' '
E'''''~[) ('\ItJ~~ "'$ Ph Sq Ft ; , 'Square Footage
Descri!ltiiiiiMM l'I'vpe'dfC uction I' I' . 0" Bl'd Amonnt
I }IY 180 DAY PERI, or mu tip ler
I PUBLIC'IMPROVEMENTS ~
Sidewalk Type:
, An n law tequires you\O
ATTENTION, 6'.IwnWB~tf(~'~lt19on U\llity
folloW rules adopte e rules are se\ forth
Notification Center, Thos hOAR 952-001-
In OAR 952-001-0gt~~~~~~i~S of the rules by
0090. You may 0 te: the telepho~e
r for the Oregon Uti Ity
Center is 1_800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Value
Date Calculated
Paee 1 of 2
Status
Iss u ed
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-0051O
ISSUED: 04/26/2010
APPLIED: 04/26/2010
EXPIRES: 10/26/2010
VALUE:
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.
, '
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
, Date Paid
Receipt Number
$6.96 .
$2.90
$55.00
$3.00
4/26/10
4/26/10
4/26/10
4/26/10
3201000000000000166
3201000000000000166
3201000000000000166
3201000000000000166
Total Amount Paid
$67.86
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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.
l Reauired Insnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUP ANCY 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 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. .', .Jii, :;;;;.~'f>il?''':~' ;' ".
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Owner or Contractors Signature
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Date
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