HomeMy WebLinkAboutPermit Electrical 2010-4-29
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Commercial Electrical Authorization To Begin Work
69600-BE L-1 0-00186
Approval Code: 029736 4/29/2010 9:46 am
E.mailed To: erika@northsideelectric.com
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@ci.springfield.or.us
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0 New Construction IX] Add ition/alterationlreplacement
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0 1 or 2 family dwelling 0 Multi-family lKl Commercial 0 Accessory
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Job Address: 845 NORTHRIDGE AVE
CitylStatelZIP: SPRINGFIELD, OR 97477
Suite/bldg.fapt.no.:
Project Name: 51884
cross Street/directions to job site:
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Tax map/parcel no.: 1703261201119 ~ il': " "
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GENERATOR
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Name: James Davis
Phone: 503-585.4879 Fax: 503-364-0248
Email: ..
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Elec lic. no.: 24-14C CCB lic. no.: 80593
Business Name: JGCM INC
Contact:
Address: PO BOX 12323
City/State/ZIP: SALEM. OR 97309
Phone: 5035854879 Fax: 5033640248 '. ,,~ < ,
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Metro lic. no.: City Hc. no,: -. ;
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Supervising Electrician's Iic. no.: 5441S
Supervising Electrician's Name: NATHAN L SCHARER
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 be e-mailed or fa~ed
within one business day, with instructions on how to schedule your inspection.
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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
Description
~f!rYJ<;'e~'9r.fee'ders
Services 200 amps or less
B~anclJ,f!r~uit_s~_ '4'f"
Branch circuits with service or
feeder each circuit
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
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 stor
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 Inan
600 supply volts nominal
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$141.00
$16.92
$7.05
$164.97
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The local building department may determine that an Authorization To Begin Wol1l is null and
void jf it does not l'i1eel applicable land use laws and local ordinances.
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NOTE: This Authorization To Begin Wol1l expires within 180 days If a permit is ,~ot obtained.
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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00535
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 845 NORTHRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703261201119
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Generator
Owner: NORTHWEST HOUSING AL T
Address: 2316 SE WILLARD ST
MILWAUKIE OR 97222
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JGCM INC
License
80593
BUILDING INFORMATION ~
Expiration Date
03/18/2011
Phone
503-585-4879
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction 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 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
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:' ,
# Street Trees Rq d:
Paved Drive Rqd:'
% of Lot Coverage:
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires y~LIC IMPROVEMENTS I
StreeIfI;ii1p"ove'me!lts:Jpwd by the Oregon Utility Sidewalk TYJW 1 \'I\:. \]'JOR\(
N~ificatil),! \i',8nt~r. Those rules are set forth " (,\,qc.l::. "",.I._t;~IRt. \~ ,.111' \S tl01
Ston]' em;r0i~"'0~~!l'r01 0 through OAR 952-001- ,.':', . ~ ~ \lJ\1I Srl'l"'-""Ii~ s~"...
Spec'db,,~t~'!Ju'?I?ay obtain copies of the rules by;;,;,;~,{< :,~" -,~,:'},\'" ?t?;TtD \.INDtR \1~DON't.D fOR
calling the oenter. (Note: the telephone ,', .. ,i1\-\OR - OR IS f'.\3
Notes:number for the Oregon Utility Notification ';'" ";'c: 'JM\IJ\I:NCtD ?'t.R\OD.
's -800-332-2344. ;,' '"I 1 f\(l Df'.'i
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00535
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
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
i,
Fees Paid-,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$16.92
$7.05
$60.00
$81.00
4/29/10
4/29/10
-4/29/10
4/29/10
3201000000000000173
3201000000000000173
3201000000000000173
3201000000000000173
Total Amount Paid
$164.97 _
I 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, inspecti?ns requested after 7:00 a.m. will be made the following
work day. ,- w_-'- -,,. .~ ,.. - -
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Reouired InSDect~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility compan~ energizing service.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any a~d all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon 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 on this project.
1 further agree to ensure that all requ;,-ed 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
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Date
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Paee 2 of2
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 #:
3201000000000000173
Date: 04/29/2010
12:29:38PM
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Amount Due
81.00
60.00
16.92
7.05
$164.97
Job/Journal Number
COM20 1 0-00535
COM20 I 0-00535
COM20 I 0-00535
COM20 I 0-00535
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add '..
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+ 12% State Surcharge
+ 5% Technology Fee
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Payments:
Type of Payment
ONLINE CHGS
Pa id By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE JGCM INC Online
Payment Total:
Amount Paid
$164.97
$164.97
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4/29/2010