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Home My WebLink AboutPermit Electrical 2010-5-6 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us 0.\0, ~IS Commercial Electrical Authorization To Begin Work 69600-BEl-10-00196 Approval Code: 006118 5/6/2010 1 :52 pm .,' 'iYRE~c:iFW6RK:;':"::'''~J;' ,. E-mailedTo:tena@orelectricservice.com PLAN'REVIEW :CALEgORYOF CONSTR.lJ,CTIOW 1 or 2 family dwelling 0 Multi-family [Z] Commercial 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 10 ground exceeds 14,000 Amps for all other '"JOBSITE,INFORMATlmi',(ND LOCATION.. .,f. .\",'.," Job Address: 3585 MARCOLA RD -,...,. City/State/ZIP: SPRINGFIELD, OR 97477 o Fire pumps o Emergency systems o Addition of a new m~tor load of 100 HP or more o Six'or more residential units in one structure D Health care facilities c Suite/bldg.fapt.no. : Project Name: Spfld Sch. Dist. Fuel Station 541-914.2485 Cross Street/directions to job site: 42nd St Tax map/parcel no.: 1702300001939 o Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Description Disconnect & reconnect fuel dispensers Branch circuits without service or feeder Branch circuits each additional circuit without service Electrical:Pe-r.mit i=ees': Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) ~SITE~CONTACT, ", Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: f. '" ';',CONTRACTOR Elec Iic. no.: C408 TOTAL PERMIT FEE cce lie. no.: Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 CityfStatelZIP: EUGENE, OR 97402 dr: ~ o.:~ o Phone: 5413431681 Fax: 5413431683 Email: Metro lic. no.: i City lic. no.: Supervising Electrician's lic. no.: 13925 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 be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. 60/11120/ () .z' i '0 -(;, ,-/() NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To void If il does not meet applicable land use laws and local ordinances. ~~g~~.W~~:~ !'S~.~~I! ".,;1,:... ,"d $55.00 $5500 3 $6.00 $18.00 ~ it.. $73.00 $8.76 $3.65 $85.41 \ \. --s-. Q \' A.' t{)" '- ~ ~? '\( ~ (){)S7\ /7 /YL-. Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line '" ':, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00575 ISSUED: 05/06/2010 APPLIED: 05/06/2010 EXPIRES: 11/06/2010 VALUE: Status Issued e'~- SITE ADDRESS: 3585 MARCOLA RD ASSESSOR'S PARCEL NO.: 1702300001939 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Disconnect and reconnect fuel dispensers Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License OREGON ELECTRIC SERVICE 181997 BUILDING INFORMATION' Expiration Date 05/0912010 Phone 541-343-1681 # of Units: Primary Occupancy Group: Secondary Occupancy Gt.oup: Primary Construction Type Secoudary Construction Type: # of Bedrooms: # of Stories: Height 'orStructure Type of Heat: ...~ater Type: m,'nge 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 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: . Compact: %. of Lot Cov~r~ge: law requires you.'~ . ATTENTION: Ore~eo; by the Oregon Utility PUBLIC IMPROVE illiJ8 n Center. ~ ugh OAR 952-001- n ,,2-001~001~t ro. softherulesby 0090. '(ou m~I~Ik~?\he telephone calling the <rrg~lt,>miiiiljtS!otifiCatlOn. number for tn. '800-332-2344). Center IS ,- Street Improvements: Storm Sewer Available: Special Instruction: Notes: .. fI~~7, ."! i ";,;- -',' NOTICE: ..' ::: ':' ..... THIS PERMIT SHAll EXPIRE IF_ Description , 'ITHORIZED UNDER THIS PER~T . I. . , Ft S uare Footage Description "~"'AiI;lvpe:of"'tln"'rJlf!iiP.lDON ~flliql' q B'd A .,,'I.I~.L '.lVt..[) 'iJn IV' ,. mwHpler or I mount 'n nw PERIOD. Value Date Calculated Page I of 2 ,~ I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00575 ISSUED: 05/06/2010 APPLIED: 05/06/2010 EXPIRES: 11/06/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line """- '., . ',)"ota.(Y~i.u:eof p'roject. .... ~;!.' .,; . ~ 1',~IFees Paid ~ Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt Paid Date Paid Receipt Nnmber $8.76 5/6/10 3201000000000000190 $3.65 5/6/10 3201000000000000190 $55.00 5/6/10 3201000000000000190 $18.00 5/6/10 3201000000000000190 Total Amount Paid $85.41 , I, .elan 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. , Rediiired lrisoections ~ "'-;',->- Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 certi(y 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 ofthe'property;'iind the approved set of plans' will remain on the site at all times during construction. ,~: I~ -, ,i ':~ ~! ' Owner or Contractors Signature Date ;.'.....::. ,~i1i~~ . .~. [-1 ~ Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-'726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000190 Date: 05/06/2010 2:07:27PM Job/Journal Number COM20 I 0-00575 COM20 I 0-00575 COM20 I 0-00575 COM20 I 0-00575 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee '.:.1.",' :_ '... Paid By ONLINE PERMIT CHGS ,. .', Check Number Received By Batch Number Item Total: Authorization Number Amount Due 55.00 18.00 8.76 3.65 $85.41 How Received Amount Paid $85.41 NJM ., ONLINE :OREGON Online ELECT Payment Total: ." ,~,l;..';.:, . l "..., "\., 'A ,. "\.. :!:; Page 1 of 1 $85.41 5/6/20 I 0