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Home My WebLink AboutPermit Electrical 2010-5-3 C-\O- G"Slp City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Emait: permitcenler@cLspringfield,or.us Commercial Electrical Au'thorization To Begin Work 69600-BEL-10-00191 Approval Code: 213042 5/3/2010 10:28 am E-mailedTo:bhalada@quixnet.net ~. r'';'''''. .~_ , ~.;--' ,.,' - . "1f'<..< """:;"'7" 'PLAN REVIEW' .' '. , ATTENTION: Oregon law requires you t@ l:DlIow vulfi adopted by the Oregon Utility OOot\flC8tIon Center. Those Nles are set forth !:II OAR 952-001-0010 through OAR 952-001- CI090 You may obtain copies of the Nles by caRing the center. (Note: the telel?h~e number for the Oregon Utility Notification Center is 1-800-332-2344). ~ ,0 vy "4t ~ '4.';;'"~;-":'cS::'""~-',,- ",,~ -. '.'. 1;YPE Of,WORK"" . ;--,.~,.. D New Construction IKl Addition/alteration/replacement Please check at1 that apply: o A service or feeder beginning al 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all other ,,: CATEGORY Of'CONSTRUCTION,.'.... ..' ". o Multi-family IRl Commercial D Accessory o 1 or 2 fam!)'! dwelling '~OB'SITEfNj:ORMAiloN AND tOCATION ',",. Job Address: 160 S 14TH ST , ,~:~ City/State/ZIP: SPRINGFIELD, OR 97477 o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities Suite/bldgJapt.no.: Project Name: GROCERY OUTLET Cross Street/directions to job site: Tax map/parcel no.: 1703363204201 ',: " ::::::: ,0. DESC'RIF>TION :O~.""O"RK;,::.-7~:; INSTALL SINGLE CIRCUIT TO EGG COOLER ~, ~ '" Description !3:.f!3~ch\clrcults~ Branch circuits without service or feeder "~'~'.1 Mi~cejl~heous.:". Balance of permit fees Electrical Permit'Feesi"-'.!,: Subtotal ~. :?S(TE:CONT):\Cr;' . Name: JIM HOFFMAN Phone: 541-726-1306 Fax: Email: -CONTRACTOR' '~,: '..;~.., State surcharge (12% of permit total Technology fee (5% of permit total) """';\.;:" r, ,. Elec lie. no.: 20-87C 8699 CCB lie. no.: TOTAL PERMIT FEE Business Name: LR BRABHAM INC Contact: 'CAO-55lP Address: 68 W a $T Mo!'r0MMENCED OR IS ABANDOFi!1ED'mR suilJil,Y.;~JMJ,J)ilWn'P""RIDD. 4944S Supervising Electrician's Name: LARRY R BRABHAM, JR 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 pennit will be e.malled or faxed w1lhln one business day, with Instructlons on howto schedule your In spectlon. .~ ~f(t{/'O ~~ ~" NOTE: This Authorilatlon To Begin Wt;lrk expires within 180 days If a pennlt Is not obtained. The local building department may detennine that an Authorization To Begin Work Is null and void If It does nol meet applicable land use laws and local ordlnanc es. o Hazardous locations ,0 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 D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or"I-3" D Recreational Vehicie Parks o Supply voitage for more than 600 supply volts nominal Total $55.00 ,',. .;-; $58.00 $6.96 $2.90 $67.86 ~ '5/3] 10 ,~::.-~. Inspe~.!i.~.ns .p"'h.ol'e:. 541. 7,26.3769 This Authorization To Begin Work !:'lust b~ posted at the job site until replaced by a Permit '. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00556 ISSUED: 05/03/2010 APPLIED: 05/03/2010 EXPIRES: 11/03/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 160 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204201 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install single circnit to egg cooler for Grocery Ontlet Commercial Owner: WJS PARTNERS LP Address: 1537 S NAG LEY AVE PITTSBURGH PA 15217 ."r -,-,I . '" l,' I CONTRACTOR INFORMATION I Contractor Type Electrical . Contractor LR BRABHAM License 8699 BUILDING INFORMATION I Expiration Date 12/18/2010 Phone 541-747-6638 # 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Front yard Setback: . ..OYl'" ~~ist: Total: Side I Setbac*~Ol'Cf. t EXPIRE If 111!=S ~~t. rees Rqd: ATTENTION: Oregon 1a'H.eq\dllwVOu to Side 2 Setbackn-\\S PERMIT S\-\I\t: 1\-\IS PERM\1i d'tjnve Rqd: follow rules adopted by(helljlargon Utility Rearyard Setb~mHORllEO UNDER I\NDONE[)"ji~&ot Coverage: Notification Center. Those rules are set forth Solar SetbacksboMMENCED OR IS I\B. . .. . In OAR 952-o01-OO1~thr~gh OAR 952-001- 1INY ill' I PUBLIC IMPROVEMENTS ~lIIng the center. (Note: the telephone , "mber for the Oregon Utility Notification ~~ljsT"'-I800-332-2344). I DEVELOPMENT INFORMATlO~ . 'c;,,~ Street Improvements: Storm Sewer Available: Special Instruction : Downspouts/Drains: Notes: I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 . ~;, ~ \,;,,"" . ~. , .' -.! ;..,',', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00556 ISSUED: 05/03/2010 APPLIED: 05/03/2010 EXPIRES: 11/03/2010 VALUE: . ),:i~'';' f, i. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid .~ . .,' ; ~'. Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Nnmber $6.96 $2.90 $58.00 5/3/1 0 5/3/10 5/3/10 1201000000000000402 1201000000000000402 1201000000000000402 Total Amount Paid $67.86 I Pi~n Rey,iews ~ ..,,:1>';':',>1' '..Ij. 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 Insoections ~ Rough Electric: Prior to Cover Final Electric: When all electrical workis~o:mplete. . By signature, 1 state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne 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 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. I 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 ofSI!e.pr~per.ty, and the approved set of plans will remain on the site at all ... ,1.11: :', 'I' " times dunng construction. '~. f,';,: ,'..:.!;' .- ~, ,.~;""..." .., , " ',.~,,,",..,l;, ',,1, Owner or Contractors Signature Date ;,~.~ ' , ,;' Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ""i,' (i:Qji.'.' ~_H_..l City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000402 Date: 05/03/2010 Il:40:ISAM Job/Journal Number COM20 1 0-00556 COM20 1 0-00556 COM20 1 0-00556 Payments: Type of Payment ONLINE CHGS cRcceintl Description Add, Alter, Extend Circ + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 58.00 6.96 2.90 $67.86 Item Total: Check Number Authorization Received By Batch Number Number How Received KR . {,",;& q '(I~ :..;,;l.. ;i.ti";;.. ..,.' ~r 1 ~: ii ,;.- ,~ i ~ ., 1 ~ .t !'. Page I of I Amount Paid ONLINE LR Online BRABHAM Payment Total: $67.86 $67.86 5/3/2010