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HomeMy WebLinkAboutPermit Electrical 2010-6-6 ~SP~IN,~FIEL~ """tt~'r" ..~ 1!tS,>",,'i.(' ;;,~ ~',.. "~..;;]< -. . ::. , OREGON City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email;permitcenter@ci.springfield.or.us f""", .;; :. ':: ",.~,.';'" TYPEiOF WbRK~,d" '",S' . ,.;,; ~;:i: " .', .. n_ __ D New Construction IRl Addition/alterat; on/replaceme nt l: '" ;C:A.TEGbRY(jFCONS:rRUCTION:~"";, , """d,'. . . , <,.~ "'_'H..'.~'_ - _ .,' .. .... _ . D 1 or 2 family dwelling 0 Multi-family IZl Commercial D Accessory L . INFORMArIONAND120C:A.i'l(lN' . . Job Address: 200 39TH ST CityfState/Zrp: SPRINGFIELD. OR 97478 " .. Suite/bldg.lapt.no.: -- .. _..~ Project Name: zilkoski Cross StreeUdirections to job site: main 51 Tax map/parcel no.: 1702314101700 "l.: ,,",":'~" ,',.' .:" ....-....:i;" ,,-' ,~- . "'>:" remove and reinstall receptacles f-', 'j"'r " , ',,';SIJE.CONIAq ,;,i'Z'),,;':":'; I. : _'-f , --," . ., ' Name: Steve Hauck II Phone: 541-221-2665 Fax: 541-741-1085 Email: ['"'''';''' , ,,'J#, ',' '"" . cbNJB!<~TQR"" J'" :,... ,.; .. ,. .. Elec Iic. no.: 20-472C CCBlic. no.: 147618 .. , Business Name: STEVEN EDWARD HAUCK 11 .....-. ..-- --. -," Contact: .._--- -- ..-- " ,. Address: PO BOX 71361 ,-- City/State/ZIP: EUGENE, OR 97401 Phone: 5417411085 Fax: 5412212665 Email: Metro lie. no.: City Iic. no.: Supervising Electrician's lie. no.: 35775 Supervising Electrician's Name: STEVEN E HAUCK, I ,~.. .". 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 e-mailed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained. The local building department may determine that an Authorization To Beg!'!.~ork v i~. .null anC!, void if it does not meet applicable land use laws and local ordinances. ~";"'-r'_ ___ "~. ~--, (!/{). 6?/Pli' Commercial Electrical Authorization To Begin Work 69600-BEL-10-00248 Approval Code: 030348 6/6/2010 9:38 pm E-mailedTo:sshauck@comcast.net . "c", ,,' .. . ,,'j 'Pl;AN;REVII~W" h.'J", ',t, ;;, .. , Please check all that apply: D Hazardous locations D A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds D Buildings more than three stor 10,000 Amps at 150 Volts or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other D Floating buildings D Fire pumps D Commercial.use agricultural buildings D Emergency systems D Installation of a 150 KVA or D Addition of a new motor load larger seperately derived sys of 100 HP or more D "A" "E" or "1,2" or "1,3" D Six or more residential units in ' . D Recreational Vehicle Parks one structure D Health care facilities D Supply voltage for more than 600 supply volts nominal ,/"''';';'' .. ,-,. .FEE'SCHEDU12E,"'....: .~, ""../,,.;~~;;.. ; 1 Description Qty. I Ea. I Total i3taH~_h::cIt:c~.i~_-o~""-~~o~~-:;- ....';e...,' v" " ,.. >../ ',,,,~ Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 1 $6.00 $6.00 circuit without service electrical 'Po'rmit'fees. .. ",,, .. ,'.-t.""" " , .. .. . . Subtotal $61.00 State surcharge (12% of permit $7.32 total) Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 .ih~'-'\ ~'tY b<: ~~ ~\O \.p' ~~~ ~\'- Cfrrtw \0 - [fJo0(p . (p-,.....'O. nrfV 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: COM2010-00666 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 12/04/2010 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 200 39TH ST ASSESSOR'S PARCEL NO.: 1702314101700 Springfield TYPE OF WORK: Automotive TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Repair car-damaged CMU wall . ~ .\ Owner: BILL ZILKOSKI AUTO ELEC Address: 200 N 39TH ':, l ,,' SPRINGFIELD OR 97477 Contractor Type General Electrical I CONTRACTOR INFORMA TION I Contractor License JORDAN & JORDAN CONSTRUCTION INC 176193 STEVE HAUCK 147618 BUILDING INFORMATION ~ Expiration Date 05/14/2011 04/30/2011 Phone . 541-688-3998 541-221-2665 # of Units: Primary Occupancy Group: Secondary Occupaocy 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ ,^,,"-..- .,~~.._':...., REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: : ,'" "n ~ (t F. .'~. . Li'~ '~ERMIT SHALL EXPIRE IF THE WORK ,JTHORIZED UNDER THIS PERMIT IS NOT ,'):V1MENCED OR IS ABANDONED FOR .:JY 180 DAY PERIOD. .,'\ ..' . ~,f.;~', l~b.<,~;;Ra'l!e 1 of 3 ~)":/;;'I : j)l;, . .:L~0 ';."'~ ".1i:r~i, ~ .'f ...;....;._c.:.... ..0___ ~ . ;c~ ""~ ' 't,:';-'; ''l CITY OF SPRINGFIELD Building/Combination 'Permit PERMIT NO: COM2010-00666 ISSUED: OS/24/2010 APPLIED: OS/2412010 EXPIRES: 12/0412010 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V alu~tion Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~" A_ .. .'., Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Fixtu re Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Pai;V:" f;, ' , i/r. Date Paid Receipt Number $34.98 $14.58 $233.50 $19.00 $39.00 $7.32 $3.05 $55.00 $6.00 5/24/10 5/24/10 5/24/10 5/24/10 5/24/10 6/7/10 ,,6/7/10 6/7/10 ,6/7/10 2201000000000000565 2201000000000000565 2201000000000000565 2201000000000000565 2201000000000000565 2201000000000000642 2201000000000000642 2201000000000000642 2201000000000000642 Total Amount Paid $412.43"" ., , I Plan Reviews I To Request an inspection call the 24 hour re~9rding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, insll.!{ctjon~lr~Buesred after 7:00 a.m. will be made the following work day. ':...::: ,.:;:J.'.~"'t , ~,.... '~", ,.. I . l...j.e~iilire~nsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Masonry: Final Building: After all required inspections have been request~d and approved and tbe building is complete. Rough Plumbing: Prior to cover and including required testing. , Final Plumbing: When all plumbing work is complete. '}.: Rough Electric: Prior to Cover . .," ~~. ." Final Electric: When all electrical work is'cinnplete. Epoxy Anchors: To be done by Certified Spcilillnspector. Provide Inspection results to City Building Inspector. Paee 2 of 3 Status Issued jSJt.:'. . '):~':'l '7' !.. /.~r;;'. .-;",1..,/1,,1 . 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line H..j.' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00666 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 12/04/2010 VALUE: $ 20,000.00 Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special [nspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortar, Grout, and Reinforcing~teel Certilicates Inspection: To be doue duriug construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springlield. 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 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 wilhout 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 inspectious 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 iJ.{ .' ':' , L\, "", ,:~}'~f~ ':.~,':"1?;'(', ' .j -~,. ~ . ",;'~ Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone '.",,"; r.i"ii City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000642 Date: 06/07/2010 . 7:34:43AM Job/Journal Number COM20 1 0-00666 COM20 I 0-00666 COM20 I 0-00666 COM2010-00666 Payments: Type of Payment ONLINE CHGS cRcceintl Description Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS . Amount Due 55.00 6.00 7.32 3.05 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid nJID ONLINE hauck elect Online Payment Total: $71.37 $71.37 'C-t~~'fi' "j'.- , , (-;tbr.~ ,"., Page I of I 617/2010