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HomeMy WebLinkAboutPermit Electrical 2010-5-12 Q.\O. ~}11 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 '. ~ : : '. . .' -"' ,;i ] 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 !lll~~:"~"'l~0B:srfE\lNi;,0ifM~TIOr,ji~NDlL!o~eMJ0N~~~Jiil 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 __",",y_'~'_"'",__""",,'''Y" '""-"'~_-fi~~"M:tbt'~~'tlll'%~l.;,,:,-,~~;~--:.,,t:;J.t"~"~'o:''fi\'" ~1~t;trJ~~Jl,~!:IXmJt~_eslYj7,;4,~f.~~t~,,~'"'0rX',%~~;:;~!~e~~ar~;~:~~ii:,,~i.;,-~ ComU/{) ~ 597 /)0 ~/;) __/u 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 _.Q)~ ~\i(;-~ 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 ~.\'o v!:y~~ ~ 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 " . 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 ~- ~;: ,,' ~ . Remiired'lnsnections I .--..,.. . - ,. ~ I :":;~":'; . ..4f" 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 . ~;,j..:~i ~.~.j .;.:" , udh' :'~'}".,'....h.. '1,'.:;':":-: _ .::-1_:':';~ . . ~~J': 'I, 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 ,I; ", \));,,1 '- .ij!'}i , '. it:' cReceint 1 Page 1 of 1 5112/20 I 0