HomeMy WebLinkAboutPermit Electrical 2010-6-3
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenfer@ci.springfieJd.oLuS
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D New Construction IRl Addition/a 1teraliD~freplacement
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D 1 or 2 family dwelling D Multi-family IZl Commercial D Accessory
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Job Address: 2720 GA TEWA Y ST
CltyfStatelZIP: SPRINGFIELD, OR 97477
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Suitelbldg./apt.no.: , ':~i"'~ '.;~"'" 'q" ~ .
Project Name: 3L21 031-1373 ....Ii " ;
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Cross Street/directions to job site:
Tax map/parcel no.: 1703220002305
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Replace 14 ballasts on two circuits
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Name: Alex Olvera ..... .,.~ .. "
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Phone: Fax:
Email:
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Elec lie. no.: 37-620C ece lie. no.: 91668
Business Name: CHERRY CITY ELECTRIC
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Contact: ' .... -., -.
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Address: 1596 22ND 5T SE :-;~:,
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City/Sta!efZIP: SALEM, OR 97302 ,."
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Phone: 5035665600 Fax: 5035408147
Emall: syutzie@cherrycityeJectric.com
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.: 36408
Supervising Electrician's Name: DOUGLAS S HAYCOCK
Number of inspections included in paid services: "
Residential Service: 4 " , , ",;.' ,
Reconnect Only: 1 ,...',-- ,
All Other Services: 2 ~' -- r'
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Upon review and approval by your local Jurisdiction, your permit will be o..JTlailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Wor1< expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Wor1< is null and
void if it does not meet applicable land use laws and local ordinances.
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00241
Approval Code: 013070 6/3/2010 8:10 am
E-mailedTo:sdempsey@cherrycityelectric.com
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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 at150 Volts or
less to ground exceeds
14,000 Amps for all other
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
buildings
o Installation of a 150 KVA or
larger seperately derived sys
D "A" "E" or "1-2" or "1-3"
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o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
o Fire pumps
o Emergency systems
[j Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
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Description
'BranctJ;'circuHs~
"6",,,_,,,.,
Branch circuits without service or
feeder
Branch circuits each additional
. circuit without service
Elec~rlc;:al 'PermitF.e'es~:"~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
$6.00
$61.00
$7,32
$3,05
TOTAL PERMIT FEE
$71,37
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Inspeciions i;>hone:' 541',726.3769
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This Authorization To Begin Work'must be posted at the job site until replaced by a Permit
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225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2010-007I4
ISSUED: 06/03/2010
APPLIED: 06/03/2010
EXPIRES: 12/03/2010
VALUE:
Status
Issued
SITE ADDRESS: 2720 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703220002305
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace fourteen (14) hallasts on two circuits
Commercial
Owner:
Address:
GA TEW A Y MALL PARTNERS
PO BOX 617905
CHICAGO IL 60661-7905
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
CHERRY CITY ELECTRIC 91668
BUILDING INFORMATION ~
Expiration Date
07/20/20 II
Phone
sdempsey@cher
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# of Units:
Primary Occopancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#~f 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
DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
. ~aved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
. Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes: ,.'~",.."
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I V alu~tion Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00714
ISSUED: 06/03/2010
APPLIED: 06/03/2010
EXPIRES: 12/03/2010
VALUE:
225 Fifth Street, Springtield, 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
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
6/3/10
6/3/10
6/3/10
6/3/10
2201000000000000621
2201000000000000621
2201000000000000621
2201000000000000621
Total Amount Paid
$71.37
I Plan Reviews ~
To Request an inspection call the 24 hour re~!>rding at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp,ections requested after 7:00 a.m. will be made the following
work day. ." '.
Re~~ired InsDections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any a~d all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the Stitte of Oregon pertaiuing 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 nsed on this project.
I further 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
Date
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Paee 2 of 2
225 Fifth Street
Sprin!\fiel~, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000621
Date: 06/03/2010
1:12:35PM
Job/Journal Number
COM2010-00714
COM20 I 0-00714
COM20 1 0-00714
COM2010-00714
Description
Add, Alter, Extend Circ
Ad,!, Alter, Extend Circ Ea Add, '.
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
55.00
6.00
7.32
3.05
$71.37
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT GIGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
nJm
ONLINE cheny city Online
Payment Total:
$71.3 7
$71.37
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6/3/2010