HomeMy WebLinkAboutPermit Electrical 2010-7-28
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~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
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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
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225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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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
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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
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_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 ~
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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.
I Reouired Insoections .
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Electric Service: Approval required prior to;~tUft~:~~w'~'~ny epergizing service.
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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. .."
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Owner or Contractors Signatnre
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Date
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:'-"Pa2e 2 of 2
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 #:
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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
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7/28/2010