HomeMy WebLinkAboutPermit Electrical 2010-6-6
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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: " .', ..
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D New Construction IRl Addition/alterat; on/replaceme nt
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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.: -- ..
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Project Name: zilkoski
Cross StreeUdirections to job site: main 51
Tax map/parcel no.: 1702314101700
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remove and reinstall receptacles
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Name: Steve Hauck II
Phone: 541-221-2665 Fax: 541-741-1085
Email:
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Elec Iic. no.: 20-472C CCBlic. no.: 147618 ..
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Business Name: STEVEN EDWARD HAUCK 11 .....-. ..-- --. -,"
Contact: .._--- -- ..--
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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
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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.
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00248
Approval Code: 030348 6/6/2010 9:38 pm
E-mailedTo:sshauck@comcast.net
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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
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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
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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: 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
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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 ~
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REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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Li'~ '~ERMIT SHALL EXPIRE IF THE WORK
,JTHORIZED UNDER THIS PERMIT IS NOT
,'):V1MENCED OR IS ABANDONED FOR
.:JY 180 DAY PERIOD.
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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
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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;, '
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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 ,
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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.
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Rough Electric: Prior to Cover
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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
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225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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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. .
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Owner or Contractors Signature
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Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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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
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Page I of I
617/2010