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 >
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00198
Approval Code: 020417 5/7/2010 8:11 am
E-mailedTo:electricman1@centurytel.net
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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
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Name: matthew qrover
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Phone: 541-225-7827
Fax: 541-895-3922
Email:
tONTR.6;CTOR ,
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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
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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 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
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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
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
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$3.00
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$58.00
$6.96
$290
$67.86
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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.
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
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Inspections Phone: 54.1-726-3769
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: COM2010-00365
ISSUED: 04/0712010
APPLIED: 03/26/2010
EXPIRES: 10/0712010
VALuE:
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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:
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Storm Sewer Available:
Special Instruction:
Notes:
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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
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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
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4/7/10
4/7/10
5/7/10
5/7/10
5/7/10
5/7/10'
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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.
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Rough Electric: Prior to Cover
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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
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Amount Due
55.00
3.00
6.96
2.90
$67.86
Amount Paid
ONLINE COMPLETE Online
ELECT
Payment Total:
$67.86
$67.86
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5/7/2010