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HomeMy WebLinkAboutPermit Electrical 2010-5-7 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us > c,\O'~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00198 Approval Code: 020417 5/7/2010 8:11 am E-mailedTo:electricman1@centurytel.net ,'. .;":;:'1;',' ";CA TE(398~9FC;9NSTRt.iCTION o Multi-family [E] Commercial ..'Y;JOB'SITE INFORMATIONANOtOCATION:: Job Address: 1820 OLYMPIC $T City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldgJapt.no. : Project Name: waffle house Cross Street/directions to job site: Tax mapfparcel no.: 1703253107701 repair damaged conduit an coductors f'" . _StTE.GbNTACf:-~:'.- Name: matthew qrover ..<- Phone: 541-225-7827 Fax: 541-895-3922 Email: tONTR.6;CTOR , ~; .;~'" Elec lie. no.: C441 184274 cee lie. no.: Business Name: COMPLETE ELECTRICAL iNSTALLATIONS INC Contact: Address: 33024 CAMAS SWALE RD City/StatefZIP: CRESV\fELL, OR 97426 Phone: 5418953922 Fax: Email: Metro lie. no.: City lic. no.: 'Supervising Electrician's lic. no.: 53675 Supervising Electrician's Name: MATTHEW E GROVER Number of Inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 . >',-~ ,"-;1'";""';1';,, ".. .~' Please check all that apply: o 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 D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities , ., h~; 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 buHdings D 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 '. " $3.00 ~ .. $58.00 $6.96 $290 $67.86 'V--~~. \ Y;)'\.~~ ~ 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. UYnW10 ~(J::)305 5-7-10 nm 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 Begin Work is null and void if it does not meet applicable land use laws and local ordinances. BranCh,Circuits Branch circuits without service or feeder MiscellaH.ec5'jj~i:':f0i>ki 1;". ~ Balance of permit fees Ele'ctrical: Pc~rITiitF9:9~~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ~Q # \)~ . '\ Inspections Phone: 54.1-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,.;.' ,.:I.;t " '. j CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00365 ISSUED: 04/0712010 APPLIED: 03/26/2010 EXPIRES: 10/0712010 VALuE: ,,"'< Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1820 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107701 Springfield TYPE OF WORK: Fire Damage . TYPE OF USE: Repair PROJECT DESCRIPTION: Fire Damage to Country Waflle Restaurant Commercial Owner: MCKA Y COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 Contractor Type Electrical I CONTRACTOR INFORMATION ~ Contractor ., License BUILDERS ELECTRIC INC "',,1' 4296 BUILiiiNGINFORMA T10N ~ Expiration Date 12/10/2011 Phone 541-485-0922 # 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA T10N ~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ . Sidewalk Type: ATTEDb~oUfs:1g11lii~\V requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth CE In OAR 952-001-0010 through OAR 952-001- N~!': L EXPIRE IFT\1E WORK 0090. You may obtain copies of the rules by A\JTH'ORIZED UNDER T\1 T' ",n, Cf\Q lUmber for the Or~gon Utility Notification COMMENCED OR IS ABAND t\\uHllll'1'I'On Descri Center Is 1-800-332-2344). Description ANY t~~e g~t!n~~~~~~n $ Per Sq Ft Squ~re Footage Value Date Calculated or multiplier or Bid Amount Street Improvements: ,~ ' ' , ~,''':C :;../1;:.$;;:', .'~frIi tm :. '....~ ,. ._:.;!~,! Storm Sewer Available: Special Instruction: Notes: :(l:i, . ,it iI":', .,_r\ ...... Page I of 2 Status Iss u ed ,;.'If:;: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line {,\~:~- "j . ~~ Total Value of Project L Fees Paid.... Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $7.56 $3.15 $63.00 $6.96 $2.90 $55.00 $3.00 Total Amount Paid $141.57 Date Paid ., 4/7/10 .' 4/7/10 4/7/10 5/7/10 5/7/10 5/7/10 5/7/10' ~.!: \';:./T . , I p'Ian Reviews ~ ,','i. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00365 ISSUED: 04/07/2010 APPLIED: 03/26/2010 EXPIRES: 10/07/2010 VALUE: Receipt Number 3201000000000000131 3201000000000000131 3201000000000000131 3201000000000000193 3201000000000000193 3201000000000000193 3201000000000000193 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 ~ Electric Service: Approval required prior to utility company energizing service. ,. , Rough Electric: Prior to Cover ,. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefnlly examined the completed applkation 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.w,ho are in compliance with ORS 701.005 will be used on this project. I further agree to ensnre that all required inspectionsI[rer~~\Iested a\ the proper time, that each address is readable from the street, that the permit card is located at the front oLthe.property, and the approved set of plans will remain on the site at all times during construction. rA~"?: Owner or Contractors Signature Paee 201' 2 Date 225 Fift\1 Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000193 Date: 05/07/2010 9:02:51AM Job/Journal Number COM20 1 0-00365 COM20 I 0-00365 COM20 I 0-00365 COM20 1 0-00365 Payments: Type of Payment ONLINE CHGS cReceiotl Item Total: Check Number Authorization . Received By Batch Number . Number How Received Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS NJM 1; 1':'.'1;-- :~4~~. ..~.,. "j,i' ,~ ff.._.;"lf.. ';... .{~;~:_~ ,> R~:; . ~I :; '~' Amount Due 55.00 3.00 6.96 2.90 $67.86 Amount Paid ONLINE COMPLETE Online ELECT Payment Total: $67.86 $67.86 ., '~~,. ,'i~\~~: ~';j ,:'. " ");' '.; I "{", ;.;...1;i.1l. .'...,lI' " PogO'! of 1 5/7/2010