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Home My WebLink AboutPermit Electrical 2010-6-16 SP~I~~,~ ~~ ~OREGON City Of Springfield 225 Fifth St. Springfield..OR 97477 Phone: 541':726-3'753 Email: permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00267 Approval Code: 016018 '6/16/2010 2:28 pm E-mailedTo:erika@northsideelectric.com ':Pt!:AN.REVIEW..::,:: '" ,I 'I , ""-i.i~ n:;:~~ ,",", D New Construction IRl Addition/alteration/replacement 1 , ",'"' , (::A]EGORYQF(::ONSTRl.JciION1 : ir:,,:;,:: '",j' ....,'" ,< , , D 1 or 2 family dwelling D Multi-famIly IZI Commercial D Accessory i .JOB .SIJ:EINFO~MA nON. AND l.OcATiON'!!!:!. \;)(4 ."~:.'lF .~_.'J Job Address; 1920 OLYMPIC 5T City/State/ZIP: SPRINGFiElD. OR 97477 Suite/bldg.lapt.no.; Project Name: 52360 Cross Street/directions to job site: Tax mapfparcel no.: 1703254201601 I~;:C.,~ ILi: :!.~ RECEPTACLES FOR CAMERA IN BASKET/CART ARE.A AND RECEIVING AREA ~",. :T:,;: · SITE . ,,,' Name: James Davis Phone: 503-585-4879 Fax: 503-364-0248 Email: I , '.. : .. " .. T UNIK~ ::: :",'",',:] Elec lie. no.: 24-14C CCB lie. no.: 80593 Business Name: JGCM INC Contact: ':'~'I" ,_, .....{ .r....,.... .. ;t.J~t~~:.!'t MV <"000 I:VDIRI: : WORK' 5~' ,qi~',S,~ft'f'6 u..h!j~1B'l' mrs PERMIT IS NOT :?' Pho~~]563~ilS40R IS ABANDONED~33s4024s . .,.':, E~aW:U UAY P .. Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 5441S Supervising Electrician's Name: NATHAN L SCHARER Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurlsdictlon, your permit will be e-malled 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 ill not obtained. The local building department may determine that an Authorlzallon To Begin Work Is null and void if It does not meet applicable land use taws and local ordinances. Please check allthat 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 Branch circuits without service or feeder Branch circuits each additional circuit without service ~le'c'frical'Permlt:Fee~\ ;!',;1!H'f Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE tID-1m. C/O.7'lO o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings mare than three star o Marinas and boat yards D Floating buildings D Commercial.use agriCUltural buildings D Installation ofa 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for mare than 600 supply volts nominal $67.00 $8.04 $3.35 $78.39 ~LRllu[[D ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952,001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1 ,800,332,2344). ~ ~ Cb.\' i\;)s. ~ lo.\1.\O ~S~Q.-- ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00780 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Olympic St ASSESSOR'S PARCEL NO.: 1703254201601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Receptacles for camera in basket/cart area and receiving area for Winco Commercial Owner: WINCO FOODS LLC Address: PO BOX 5756 BOISE ill 83705 Contractor Type Electrical Contractor JGCM INC I CONT~CTOR INFORMATION I License 80593 BUILDING INFORMATION I Expiration Date 03/1812011 Phone 503-585-4879 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Hei2ht 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: n1a I DEVELOPMENT INFORMATION . .. REQUIRED PARKING ,....' Frontyard Setback:' , ~ 'l'la?-~verlay Dist: . . Total: to - Side I Setbac~. "-'f..'\'\?-t. \f i"'T \S ~a1i S~reet TreesA'(ifcENTION: Oregon law reqUlr~,y~fflft~ped: Side 2,Settil.Q&. S\-II\\..\.. <- S '\'t.?-Wlh Paved Drive fbIihw rules adopted by the ore~Qmffl,~j Reary~'rd Set6:PcM11 \ I\,\Dt.?- 1\-11 DO\'\t.O fO?- % ~fLot CoNmiji@ationCenter. Those rules are se 0111 Solar SJb~c~f',12t.D v 0 IS 1\\)1\\'\ In OAR 952-001-0010 through OAR 952-0 b- ') \I 'v~.,("" Or> : obtain co les of the rules y -'\-1\\\1\\-1" "? ' I'. .- 119 center. (. Ot9: me e 8... 11 . .' < o.() Df>\1 PUBLIC IMPROV~~,~~S:'r the Or')!:)!)'1 :.iti!i':: ",,)jincatI0n Street Improvements: 'Center S;dewalk:'I:ype:34~)" Storm Sewer Available: Special Instruction: DOWDspoutslDrains: Notes: ~. ; . I Valuati~n Description I Description Tvpe of Construction $ Per Sq Ft or multiplier 'Square Footage ~~m,d Amount Value Date Calculated Paee I of2 ",. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00780 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Descrivtion + 12% State Surchar!:e + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.04 6/16/10 3201000000000000305 $3.35 6/16/10 3201000000000000305 $55.00 6/16110 3201000000000000305 $12.00 6/16/10 3201000000000000305 Total Amount Paid $78.39 I Plan Reviews ~ 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 workday. , l....P-eouirerUnsnections ~ Rou!:h Electric: Prior to Cover Final Electric: When all electrical work is complete. i By si!:nature, I state and a!:ree, that I have carefully examined the completcd 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 ofthe City of Springfield and the Lawslofthe 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, Buildin!: 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2010-00780 COM201O-00780 COM2010-00780 COM20 I 0-00780 Payments: Type of Payment ONLINE CHGS cReceil1tl RECEIPT #: 3201000000000000305 II , '.,,,'. r;" Amount Due 55.00 12.00 8.04 3.35 $78.39 Date: 06/16/2010 3:06:16PM Description _, Add, Alter, Extend Cire ~",:~;'..." Add, Alter, Extend CiTc Ea Add. + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received; By Batch Number Number How Received Amount Paid KR JGCM Online Payment Total: $78.39 $78.39 ONLINE "'. ~ ,. f. "~. \, . " ~ . '. . ." . '_.~ ...--............,. ,""'j,.!; ,.~ ..-.t ~ ; ,J. ~, \~ C J'_"~f. ".M' "";'-'''' ~. - .... "..,.; . . ~ Page rof 1 6116/2010