HomeMy WebLinkAboutPermit Electrical 2010-5-12
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00205
Approval Code; 512162 5/12/2010 1:31 pm
E_mailedTo;kelly@builderselectric.com
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726.3753
Emai1: perm\tcenter@ci.springfield.or.us
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] 1 Of 2. family dwelling
o Multi-family (Z) Commercial
o Accessory
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
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Job Address: 3294 MAIN ST
City/State/ZIP: SPRINGFIELD, OR 97478
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
Suitefbldg.fapt.no.:
Project Name: Les Schwab 10-1087-s
Cross StreetJdirections to job site:
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 'r0/A or
larger seperately derived sys
o "A", orE", or "1-2" or "1_3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Branch circuits without service or
feeder
Branch circuits each additional 3 $6.00 $~8.00
circuit without service
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ComU/{) ~ 597
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State surcharge (12% of permit
total
Technology fee (5% of permit total)
Elec lie. no,: 20-12C
CCB lie. no.:
4296
TOTAL PERMIT FEE
Business Name; BUILDERS ELECTRIC lNC
Contact:
Address; 195 MADISON ST
City/State/ZIP: EUGE~E, OR 97402
Phone: 5414850922
Fax: 5414854055
Email: FRED@BUILDERSELECTR1C.COM
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Metro lie. no.:
City Iic. no.:
Supervising Electrician's IIc. no.:
32905
Supervising Electrician's Name:
RUSSEL W CRANE
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-mal1ed or faxed
within one business day, with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin War\( expires within 180 days if III permit is not obtained.
The local building department may determine that an Authorizatlon To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances.
$73.00
$8.76
$3.65
$85.41
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Inspections Phone; 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00597
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
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S]TE ADDRESS: 3294 MA]N ST
ASSESSOR'S PARCEL NO.: 17023]3]04600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCR]PTION: Four (4) circuits for vending machine and computers
Commercial
Owner:
Address:
LES SCHWAB TIRE CENTERS OF OREGON
PO BOX 5350
BEND' OR 97708
I CONTRACTOR ]NFORMATION ~
Contractor Type
Electrical
Contractor License
BUILDERS ELECTR]C ]NC 4296
BUILDING ]NFORMATION ~
Expiration Date
] 2(] Of20 II
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:
Rarige Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragefCarport
Sq Ft Other:
Occupant Load:
nfa
I DEVELOPMENT ]NFORMA TIO~
REQU]RED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
. % of Lot Coverage:
'''' . . ATTENTION: Oregon law requires youto
. . Utlllt
PUBLIC ]MPROVE on Center. Those rules are set forth
n 52-0~Ol 0 throughOAR 952-001-
0090. You m !:J\'!M'! el!~~s of the rules by
calling the OOWlupJ1M)l'1' .1!ft\1 !elephone
number for the Oregon Olm!y~~otlflcatlon
Center is 1-800-332-2344),
Frontyard Sethack:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction :
Notes:
NOTICE: lQj:
l~~HOR\ZED UNDER THIS
COMMENCED OR IS ABAN
AN'/fjhl'tOoil6~.PsM1~lrlgli $ Per Sq Ft
or multiplier
.' !:
Description
Square Footage
or Bid Amount
Value
Date Calculated
Page] of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.,
r
i
~.i';:5 \,' j' . ,-
:~'*otal,Y;'lue of Project
I ~F~es P~id M
Amount Paid
$8.76
$3.65
$55.00
$18.00
$85.41
. /, plan Reviews I
Date Paid
5112/10
5112/1 0
5112110
:5112110
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00597
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
Receipt Number
3201000000000000206
3201000000000000206
320]000000000000206
3201000000000000206
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.
Rough Electric: Prior to Cover
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Remiired'lnsnections I
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Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and 1 furtber 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 ;,t the proper time, that each address is readable from the
street, that the permit card is located at the front of the' properiy; and the approved set of plans will remain on the site .t .11
I \)0 .
times during construction. 1 (
Owner or Contractors Signature
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Paee 2 of 2
Date
225 Fifth Street
Spril)gfield" Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000206
Date: 05/12/2010
2:07:28PM
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
18.00
8.76
3.65
$85.41
Job/Journal Number
COM20 1 0-00597
COM20 I 0-00597
COM20 1 0-00597
COM20 1 0-00597
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
N~~ A ~
ONLINE BUILDERS Online
Payment Tota':
$85..41
$85.41
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cReceint 1
Page 1 of 1
5112/20 I 0