HomeMy WebLinkAboutPermit Electrical 2010-7-27
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Pho~e: 541-726-3753
Email: pennitcenter@ci.springfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00346
Approval Code: 027225 7/27/2010 11:08 am
E-mailed To: erika@northsldeelectric.c6m
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).
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Job Address: 1920 OLYMPIC 5T
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
City/StatelZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Si" or more residential units in
one structure
o Health care facilities
Suite/bldgJaplno.:
Project Name: 52889
Cross Street/directions to job site:
Fax: 503-364-0248
Subtotal
State surcharge <12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Elec lie. no.: 24-14C
80593
CCB lie. no.:
Business Name: JGCM INC
tlD-994
Contact
Address: PO BOX 12323
City/StatelZlP: SALEM, OR 97309
Phone: 503-58 ~
Fax: 503-364-0248
Email:
~IIT
Metro lie. no::OMMENCED OR IS ABI'iNOONED FOR
Supervising EI~;;b;ii~n~ liriJ'n)(.: PERI 001 S
Supervising Electriclan's Name:
NATHAN L SCHARER
Number of imspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your lo&al Jurisdiction. your pennlt will be e-malled or fIXed
wtthln one business day, with Instructions on how to sChedule your Inspeetlon.
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NOTE: This Authorization To Begin Work expires within 180 days If a pennlt Is not obtained.
The local building department may detennlne that an Authorization To Begin W.ork 15 null and
vold.1f It doeli not meet applicable Illnd use laws and local ordinances.
d!O.qqt.j
c:J Hazardouslocauons
c:J A service or feeder rated at
600 amps or more
c:J BUildings more than three star
D Marinas and boat yards
D Floating buildings
o Commercial-use agricuJtUlal
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", 6E", or "1-2" or "1_36
o Recreational Vehide Parks
D Supply voltage for more than
600 supply volts nominal
$36.00
$91.00
$10.92
$4.55
$106.47
kJ2- ,lZlllO
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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 Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00994
ISSUED: 07/27/2010
APPLIED: 07/27/2010
EXPIRES: 01127/2011
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 1920 Olympic St
ASSESSOR'S PARCEL NO.: 170325420]601
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 7 branch circuits for produce cases
Owner: WINCO FOODS LLC
Address: PO BOX 5756
BOISE ill 83705
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
JGCM INC
License
80593
BUILDING INFORMATION ~
Expiration Date
03/18/20 II
Phone
503-585-4879
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Prima ry 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 1st Floor:
Sq Ft 2nd Floor:
Sq Pt Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n1a
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setbac~:P~ved Drive Rqd: ATTENTION: Oregon la~ll~ you to
Rearyard setti'u'kICE: ..% of Lot Coverage: follow rules adopted by the Oregon Utility
Solar Setbac~ilS PERMIT SHALL EXPIRE IF THE WORK ~otification Center. Those rules are set forth
I DEVELOPMENT INFORMATION _
t"lUIII
IMPROVEMEN . You may obtain copies of the rules by
. a/ling~rgElnt~. (I'!ote: the telephone
numbel 11W'tJt~6!i1l Utility Notification
D%Wifs~lluh14J\lalll'!2-2344).
COMMENCED OR IS ABANO
Street Improveme\it];;j DAY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or ~ultiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e] of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00994
ISSUED: 07/27/2010
APPLIED: 07/27/2010
EXPIRES: 01/27/2011
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Descrintion
+ 12% State Surcbarge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$10.92 7/27/10 2201000000000000885
$4.55 7/27/10 2201000000000000885
$55.00 7/27/10 2201000000000000885
$36.00 7/27/10 2201000000000000885
Total Amount Paid
$106.47
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
work day.
~e(]uire~nsnections ~
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all
information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb
tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and
that NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety.
I further certit)' that only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project.
I further agree to ensure, that all required inspections are requested at tbe proper time, that each address is readable from the
street, that the permit card is located at tbe front oftbe property, and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Pace 2 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
Date: 07/27/2010
1I:50:20AM
2201000000000000885
Job/Journal Number
COM2010-00994
COM20 I 0-00994
COM2010-00994
COM20 I 0-00994
Payments:
Type of Payment
ONLINE CHGS
cReccintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Received By
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Amount Due
55,00
36,00
10.92
4.55
$106.47
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Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Paid
ONLINE JGCM INC Online
'Payment Total:
$106.47
$106.47
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7127/2010