HomeMy WebLinkAboutPermit Electrical 2010-5-21
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00219
Approval Code: 024352 5/21/2010 9:48 am
E.mailed To: rob@campcreekelectric.com
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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0 New Construction lKJ Addition/alteration/replacement
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0 1 or 2 family dwelling D Multi-family [RJ Commercial D"A~cess~ry ,
,,",.~.: , JOS!SITE INFORMATION'ANO;LOCATIOt.(,'" ';4~; ',]
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Job Address: 3100 E 17TH AVE
City/StatelZIP: EUGENE, OR 97403
Suitefbldg.lapt.no.:
Project Name: Glenwood Central Receiving Station/Recycling Modifications
Cross StreeUdirections to job site: Glenwood Blvd.
Tax map/parcel no.: 1703334400300
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Relocate one sub-panel, eliminate one sub-panel, modify 17 branch circuits all in
the "Bring" recycling area.
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Name: Mike Eastland
Phone: 541-501-1588 Fax: 541-741-6208
Emall: U".__ .. - ,
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Elee lie. no.: C81 CCBlic. no.: 164877 ..:.~;,!?:. ".....~ ,
Business Name: CAMP CREEK ELECTRIC LLC
Contact:
Address: PO BOX 41900
City/StatefZIP: EUGENE, OR 97404
Phone: 5417461471 Fax: 5415178725
Email: LONNIE@CAMPCREEKELECTRIC.COM
Metro lie. no.: City lie. no.: '" -..."
Supervising Electrician's lie. no.: <<.
30235
Supervising Electrician's Name: DAVID A FEIEREI5EN
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' ~"mailed or faxed
within one business day, with instructions on how to schedule your inspection. . J-f-:;; :;""rJ"'.'.' .t.~ "_ ,_
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not;ol:i~~l~ed:-" :'J"
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The local bulldfng department may determine that an Authorization To ~'!i!!n Work is nul! and
vofd ff ft does not meet applicable land use faws and focal ordinances.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
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
Description
Services 200 amps or less
~ra"h~h'clrc!Ji~_:
Branch circuits with service or
feeder each circuit
EI~ctficBJ;P.9rmjfFe~s0,
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "\-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
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$102.00
r'.,
$183,00
$21.96
$915
$214,11
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Inspections Phone: 541.726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3100 E 17TH AVE
ASSESSOR'S PARCEL NO.: 1703334400300
Eugene
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00656
ISSUED: OS/21/2010
APPLIED: OS/21/2010
EXPIRES: 11/21/2010
VALUE:
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Relocating sub-panel, eliminate one sub-panel, modify 17 branch circuits all in the
Bring recycling area.
Owner:
Address:
COUNTY OWNED LANDS DEPT
125 E 8TH AVE PUBLIC SERVICE BLDG
EUGENE OR 97401
I CONTRACTOR INFORMA TlON .
Contractor License
CAMP CREEK ELECTRIC LLC 164877
BUIL~ING INFORMATION ~
Contractor Type
Electrical
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
,# Of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
06/09/2011
Phone
541-746-1471
nla
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires 'yo~.to
follow rules adopted by the O~egon Utility
o I . .
PUBLIC IMPROVEMENTS OAR 952-001-0010 through OAR 952-001-
0090.sY~l?$"ln copies of the rules by
call1nglliii'cemer: (Note: the tel~pho~e
numB6~mPeglilll:Utility Notification
~. .,. Center 181-800-332-2344).
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Di~l:""
# Street Trees Rqd:
'. .( "P~ved Drive Rqd:
% of Lot Coverage:
Street Improvements:
~HmCE:
Storm Sewer Avalla~le: :tUE WORK
Special Instructibfil:l::i PERMIT SHALL EXPIRE IF \ill, ':,' I....
AUTHORIZED UNDER THIS PERMtT IS"NfrT'"
COMMENCED OR IS ABANDON8D.;FORi,':,
AN R ERIOD.!.l !:.
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Type of Construction
,i';,
Pa2e 1 of 2
J ~ I , '1
- . REQUIRED PARKING
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
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Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$21.96
$9.15
$102.00
$81..09,,: :"
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Total Amount Paid
$214.11
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00656
ISSUED: OS/21/2010
APPLIED: OS/21/2010
EXPIRES: 11121/2010
VALUE:
Receipt Number
3201000000000000216
3201000000000000216
,3201000000000000216
3201000000000000216
To Request an inspection call the 24 hour r,e,;sgrllt'1g,at)f6~3769. All inspections requested before 7:00
a.m. will be made the same working day, insp.~ctions requested after 7:00 a.m. will be made the following
work day. -."",," ','0'<'
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ReQuired InsDections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
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By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and 1 further certify that,any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the i;~'';'s 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 furtber 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 of the property; and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Page 2 of2
Date
225 Fifth Street
Sprin~field, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000216
Date: OS/21/2010
IO:17:44AM
Job/Journal Number
COM2010-00656
COM20 I 0-00656
COM20 I 0-00656
COM20 I 0-00656
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Recei!ved By
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Page 1 of I
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Amount Due
81.00
102.00
2L96
9,15
$214.11
Item Total:
Check Number Authorization
Batch Number Number How Received
ONLINE camp creek Online
elect
Payment Total:
Amount Paid
$214,11
$214.11
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5/21/2010