HomeMy WebLinkAboutPermit Electrical 2010-7-12
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email;permitcenter@ci.springfield.or.us
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o New Construction (Xl Addition/alteration/replacement
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0 1 or 2 family dwelling D M~lIi-fami1y [Z] Commercial D Accessory
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Job Address: 437 MAIN 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldgJaplno.:
Project Name: US BANK
Cross Street/directions to job site: 4TH STREET AND MAIN STREET
Tax map/parcel no.:
1703353111200
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RELOCATE ATM
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Name: Diana Ketts
Phone: 541-461-0291
Fax: 541-461-2340:
Email:
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Elec lie. no.: 20-53C
38497
CCB lie. no.:
Business Name: BEACON ELECTRIC
Contact:
Address: 2585 ROOSEVELT BLVD
City/StatelZlP: EUGENE, OR 974022500
Phone: 541-461-0291
Fax: 541-461-2340
Email: BEACONELECTRIC@ATT.NET
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
3485S
Supervising Electrician's Name:
GARY E JOHNSEN
Number of inspections Included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Jpon review and approval by your local jurisdiction, your pennit will be e-malled or faxed
within one business day, with instructions on how to schedule your inspection.
'OTE: This A.uthorlzation To Begin Work expires within 180 days if a permit is not obtained.
I'he local building department may determine that an Authorization .To Begin
'oid if it does not meet applicable land use laws and rocal ordinances.
1;11'2010 -00973
Work h. null and
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00320
Approval Code: 011940 7/12/2010 10:43 am
E.mailed To: keliasen@all.net
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l'''~:",,-~'.,,~'ht'r; "~>,.'t;.;.,_~,..,"~.,,R ~,N,REVIEW;\;i'~1fd..'~~" _ ::l',,~~:t:r _. ti!
Please check ail 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 star
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 molar 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
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Description I Oty. I Ea. I Total
~ranch1.cil'c~~i~'.~;f~!~~~~7{'iJ~~~~ft~~:'~~~~lk\f~~Li
Branch circuits without service or 1 $55.00 $55,00
feeder
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Balance of permit fees I I $3.00
~le.ctrical,Peli!1ft'Fie9s;k~;~:~-;,"-).,~g;~hY~~;:"i.~~~;~,:];j
Subtotal $58.00
Stale surcharge (12% of permit $6.96
total)
Technology fee (5% of permit total) $2.90
TOTAL PERMIT FEE $67.86
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Inspections Phone: .541,-726-3769
This Authorization To Begin Work.mustbe posted at the job site until replaced by a Permit
Status
Issued
1..
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00473
ISSUED: 04/16/2010
APPLIED: 04/16/2010
EXPIRES: 01112/2011
VALUE: $ 3,400.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 437 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353111200
Springfield TYPE OF WORK: Bank
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Relocate island A TM into exterior wall of bank-
Commercial
Owner:
Address:
US NATIONAL BANK
LAKE0012 2800 EAST LAKE ST
MINNEAPOLIS MN 55406
Owner: OF PORTLAND .
Address: LAKE0012 2800 EAST LAKE ST
MINNEAPOLIS MN 55406
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I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
- ,
Contractor " License
WALTER L BELL CONsi;;,' ' 187820
BEACON ELECTRIC 38497
BUILDING INFORMATION I
Expiration Date
08/24/2011
0111012012
Phone
541-554-0296
541-461-0291
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb: .
Sprinkled Building:
..
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
VB
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
follow rules ad'opted by the Oregon Utility
frotification I,jenter I nose ru e, d ~ ~l IU
";T[CE: I PUBLIC IMPROVEMENTS n OAR 952-001-00'10 through OAR 952-001-
Street Improvementsi) PERMIT SHALL EXPIRE IF"tHE WORK' 0090Sid~WIiIR\Type:jn copies of the rules by
. , 'IT IS NOT cal!J,.nq the center. (Note: the telephone
Storm Sewer Available:'JRIZED UNDER THIS PER!JI nurrl6'?,~I'.'jP\','fb'@,\'.aJ~~; Utility Notification
Speciallnstruction:J,JiiVlENCED OR IS ABANDONED FOR Center is 1-800-332-2344).
"NY 180 DAY PERIOD.
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00473
ISSUED: 04/1612010
APPLIED: 04/16/2010
EXPIRES: 01/12/2011
VALUE: $ 3,400.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V ah.i'~tion DescriPtion ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid~ .
~ ,; ,. ,
.,"....';.'\'
J'
Date Paid
Receipt Numher
$9.30"
$3.88
$77.50
$6.96
$2.90
$55.00
$3.00 ,',
4/16/10
4/16/10
4/16/10
7/12/10
7/12/10
7/12/10
7/12/10
2201000000000000368
2201000000000000368
2201000000000000368
3201000000000000418
3201000000000000418
3201000000000000418
3201000000000000418
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Total Amount Paid
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$158.54''''',,;, "'''''"".. .,:
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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
work day. .
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Framing Inspection: Prior to cover and 'afterJ all rough i~ inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Covel'
Final Electric: When all electrical work is complete.
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Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00473
ISSUED: 04/16/2010
APPLIED: 04/16/2010
EXPIRES: 01/12/2011
VALUE: $ 3,400.00
By signature, I state and agree, that 1 have carefnlly 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"without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~~ho'~~e)nc.ompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectioi1~iare :requested at the proper time, that each address is readable from the
street, that the permit card is located at the front oUh":property, .nd the approved set of pl.ns will remain on the site at .11
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times during construction. . ?~:
Owner or Contractors Signature
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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 #:
3201000000000000418
Date: 07/12/2010
IO:51:3IAM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
3.00
6.96
2.90
$67.86
Job/Journal Number
COM2010-00473
COM2010-00473
COM20 I 0-00473
COM2010-00473
Description
. "
Add, Alter, Extend Circ ",..,.. '
Minimum! Adjustment Electrical" ,,"
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
,'".,
~ :
ONLINE
BEACON Online
Payment Total:
$67,86
$67.86
NJM
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7112/2010