Loading...
HomeMy WebLinkAboutPermit Electrical 2010-7-28 S:~~....:~~F~kEL~. 0 ' ~ ~OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@d.springfield.or.us - TYPE OF WORK - - -, , D New Construction [R] Addition/alteration/replacement CATEGORY OF CONSTRUCTION ] D 1 or 2 family dwelling D Multi-family 00 Commercial o Accessory JOB SITE INFORMATION AND LOCATION Job Address: 1210 40TH 5T City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./aptno.: Project Name: Aramark Springfield Cross Street/directions to job site: Tax map/parcel no.: 1702304400100 DESCRIPTION OF WORK I 200 amp or Jess SITE CONTACT I , Name: david roaers Phone: 541-521-7771 Fax: 541-747-8735 Email: CONTRACTOR I Elec lie. no.: C533 CCB lie. no.: 187877 Business Name: ALLIED ELECTRIC SOLUTIONS LLC Contact: Address: 360 SHELLEY 5T STE A City/State/ZIP: SPRINGFIELD, OR 97477 Phone: 541-521-7771 Fax: 541-747-8735 Email: Metro lie. no.: City lic. no.: Supervising Electrician's Iic. no.: 38095 Supervising Electrician's Name: ROBERT 5 HANSON 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 not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. C/O. /oo.tf Commercial Electrical Authorization To Begin Work 69600-BEL-10-00348 Approval Code: 218275 7/28/2010 11:00 am E-mailedTo:daver@alliedeleclricsolutions.com PLAN REVIEW I Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o 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 o Commercial~use agricultural buildings D Emergency systems D Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "AU "E" or "1-2" or "1-3" o Six or more residential units in ' , o Recreational Vehicle Parks one structure o Health care facilities D Supply voltage for more than 600 supply volts nominal FEE SCHEDULE .1 Description I Qty. Ea. Total Services or feeders Services 200 amps or less I 1 $81.00 $81.00 Electrical Permit Fees Subtotal $81.00 State surcharge (12% of permit $9.72 total) Technology fee (5% of permit total) $4.05 TOTAL PERMIT FEE $94.77 .~~ \Y oo~ ~~ ~Q <\~ ~& Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit UJm'/.;z:)f 0 ---- 0 \ 06-<L 1-';)6 - tD fiN\- 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line .~, " . ;:;'.,'.h:'-':\ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-OI004 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01/28/2011 VALUE: Status Issued SITE ADDRESS: 12]0 40TH ST ASSESSOR'S PARCEL NO.: ]702304400]00 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: 200 Amps or less Owner: IRISH GLENN INC Address: PO BOX 2266 EUGENE OR 97402 I CONTRACT0RINFORMATION ~ Contractor Type Electrical Contractor ALLIED ELECTRIC SOLUTIONS LLC License 187877 Expiration Date 08/31/20] I Phone 541-521-7771 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure TYl,e of Heat: ',.' ,', ;';;.""'. ; "Water, Type: "Rll"iigi!Tj'pe: ' "'"Energyi'a'th: Sprinkled Building: Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA TION' ~ REQUIRED PARK]NG Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: :, % of Lot CoveA:ll\'E- '.. . ,', ,':; I9.f1ovv~~~N:, Oregon law ro ". I PUBLICIMPRo'lffiMM~~.icel1t~r.'cT~oret~e, 6r~gon U~/;; . ~ ~ ~Ol-onln+h Ulesares t y '. OU may oBldewalkJ]YP-"i'1R'9 e forth callIng the am cOPie~ 'n 52-001_ , nUmber fo cent<D,o\!\jl)spquts/DraiilS'Jles by r the Orec/ . .c. me te/eph Center is i_aOon Utility No'lifi" one 0-332-2344), cation Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: THIS PER ^nn'" .'. " AUTHORIZED UNDER THIS PE t~Illliih9kbi!~c'ri COMMENCED OR IS ABANDONc I.::;;:..,~, d'" D " 'Y 1 iT' - "f e ~~.~.... . $ Per Sq.Ft' , " . . Square Footage escnptIonl\ N. ~ 'YP_CIO '-onstructIOD or multiplier or Bid Amount n Value Date Calculated Page] of2 Status Issued .' " ",', . ".., ,"P CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01004 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01/28/2011 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line ;~ !,I,': "~"'i'r. _Iptal Value of Project IJ~eesPjli.!tl.'. . Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid. . Date Paid Receipt Number $9.72 $4.05 $81.00 7/28/]0 7/28/]0 7/28/]0 320]000000000000478 320]000000000000478 320]000000000000478 Total Amount Paid $94.77 Plan Reviews ~ .',~. '1" i.., 'L " !, ,.j, ~, 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. I Reouired Insoections . ~: ,'. ...~"~ ," .'~,' . Electric Service: Approval required prior to;~tUft~:~~w'~'~ny epergizing service. iI'Yi~f:)r' ""';;;fi.:{>,.! ' . , '\(.'.j' l" By signature, ] state and agree, that I have carefullyiexamined 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 structnre without 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 ensnre 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 constructio'n. .." " . ',"f,1, , f. "".-. ,I' , " .l" ; , ~' Owner or Contractors Signatnre !. {:1 >'. ':'"'' Date . ., ~.. ,",.." ""'~'~ :tJ;i;';~;f>'~"'. ", ~: \, :'-"Pa2e 2 of 2 225 Fifth Street Springfield,.Oregon 97477 541-726~3759 Phone ~.!!.A~aF.~.ELG. ..i4 ..' . ....~... -- .. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . ..... ,.'", ~ 3201000000000000478 Date: 07/28/2010 12:15:02PM Job/Journal Number COM2010-01004 COM20 I 0-0 I 004 COM2010-01004 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Amount Paid NJM ONLINE ALLIED Online Payment Total: $94.77 $94.77 .!f' i ~ ,". , " 'I r ,~',; :1 " , . ',J! ~ : .1 r (0. ;' ~,' I' '^."...,,~....',... '. , ' " .,.';'(, , ., J'H~iT ) Pi ~lf.tiH/l;' cReceintl Page 1 of 1 ' i 7/28/2010