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HomeMy WebLinkAboutPermit Electrical 2010-8-4 " ~,) . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-OI043 ISSUED: 08/04/2010 APPLIED: 08/04/2010 EXPIRES: 02/04/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3660 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703153300100 , Springfield TYPE OF WORK: Electrical Work Only ..~ . TYPE OF USE: New Commercial PROJECT DESCRIPTION: Extend circuit r,:./ Owner: NORTHWEST COMMUNITY CREDIT UNION Address: PO BOX 70225 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ':1 I;' ~: BURRELL BROS ENTERPius'ESiNC License 136446 Expiration Date 08/20/2011 Phone 541.747.2724 BWLD"N'<i"INF(IRMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary 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 Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTlNFORMATION W REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS Ii ON' Oregon law requires youto ", ~NTI. _ "w the Oregon Utility . ~:. ' ,. . follow rUll!iIl~iiTRt~~~e rules are set forth ;,~,-~;. ' '. ~otiflcatio~~i:~q1JAgrailf.$':1 OAR 952-001- i L;O In OAR 95 btain copies 01 the ruies by ,- 0090. You may 0 . Note the telephone Notes: NOTICE: calling the cen~1. (on Utility Notillcation THIS PERMIT SHALL EXPIRE IF THE WORK number :~~:=leiS ;~~00.332'2344). 1UTHORIZED UNDER THIS PERrv]ftIS r~OT ~ r!MMENCED OR IS ABANDONEIb.Y~wation Description I 'J 1 Q,1 OIlY PERIOD. Description Type of Construction Street Improvements: Storm Sewer Available: Special Instruction: $ Per Sq Ft or multiplier Square Footage or Bid Amount Value' Date Calculated ,.,c.,' . ~.1 "J Paee I of 2 r; El~!ilI!'l"ClE:IE.~; , I t CITY OF SPRINGFIELD Building/Combination Permit ~:' ';: 'r-. , PERMIT NO: COM20IO-01043 ISSUED: 08/04/2010 APPLIED: 08/04/2010 EXPIRES: 02/04/2011 VALUE: Status Issued '(;;,\ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-?26-3769 Inspection Line i~i?f~"'" ... '" '\'\.~-\::::;-;'~'. \' Total Value of Project l.,.,Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid. ' Daie Paid Receipt Number .,'.:,-,." 8/4/10 8/4/10 8/4/10 8/4/10 3201000000000000509 3201000000000000509 3201000000000000509 3201000000000000509 $6.96 , ,; $2.90"" $55.00 . $3.00 .,...., Total Amount Paid $67.86 Plan Review.s , .,', ,.~':;"~~i, t~'i..;,,,.:1 .~, ! " ..' ",..", '<-', , " To Request an inspection call the 24 hour re~~rdin'1Fat 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inS'pections requested after 7:00 a.m. will be made the following work day. ' L-Reouired Insnections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is co'!'plete. " , By signature, I state and agree, that I have carefully ~.~amined'i~~'compieted application and do hereby certify that all information hereon is true and correct, and I f"rtll"r 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 employees who are in compliance with ORS 701.005 will be used on this project. I further 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. :J;! .""~;~''; ""'ie', t;1.~ '. ..' t. "" Owner or Contractors Signature ;"',' ,""',-,,', .' , Ii ',I' Date Pa~e 2 012 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00361 Approval Code: 045110 8/3/2010 5:44 pm E-mailedTo:burrellbros@integraonline.com o New Construction IX] Addition/alteration/replacement "...........;.... "".;c....n..........-.'_.,,"" ,.,.. -., ...::.".;w.:..,._....... '''.', '. ~..CATE(;QRY-OFJC9NS1:BU~:mON o Multi-family [R] Commercial 0: Accessory ""jOS'SITE INFORMA TIONAND.LOCA iIONii'1:~ i./; C';; . Job Address: 3660 GATEWAY ST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cross Street/directions to job site: Northwest Community Credit Union, , 'r<; Tax map/parcel no.: 1703153300100 Extend circuit Name: Northwest Credit Union Phone: Fax: Emall: ..:_-,:".., Elec lie. no.: 20-442C CCB lie. no.: 136446 Business Name: BURRELL BROS ENTERPRISES INC Contact: Address: PO BOX 697 CityfState/ZIP: WAL TERVILLE, OR 974890697 Phone: 541~741-7813 Fax: 541-747-2724 Emall: burrellbros@integraonline.com Metro lie. no.: City Iic.'no.: Supervising Electrician's lie. no.: 47215 Supervising Electrician's Name: JOSHUA J BURRELL Upon review and approval by your local jurisdiction, your permit will be i e.mailed or fa:Ked within one business day, with instructions on how to schedule your Inspect!~:.~.:.'''. ., . . .. .' NOTE: This Authorization To Begin Work expires within 180 days if.. 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. Please check:all that apply: D 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 'U' D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities D Hazardous locations D A service or feeder raled al 600 amps or more D Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "AU, "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal $58.00 $6.96 $2.90 $67.86 Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the jOb site until replaced by a Permit 5I:;'::;::~'~ Description ~ra:~~~F~irc~J#;':::,', , Branch circuits without service or feeder Mi~cel~anet?lIs)'-',., .~.'- Balance of permit fees ~I~ctrjc~.i.:.~er.rriit F;,ees:'; . Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Can/2dO ~ O/o.L;6 #ij//& ./Jr--' ,.:)- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000509 Date: 08/04/2010 8:12:I1AM Job/Journal Number COM20 I 0-0 1043 COM2010-01043 COM2010-01043 COM2010-01043 Payments: Type of Payment ONLINE CHGS cRcccintl Description Add, Alter, Extend Circ Minimum/Adjustment Electrical'! ". + 12% State Surcharge ':; " + 5% Technology Fee Paid By ONLINE PERMIT CHGS Received By Check Number Batch Number NJM ONLINE 'i' : ~. "i /, , i.' ..' ,. l;,iii '; .~ ~. Jj.. -ii' Page I of I ' '. ;. Item Total: Authorization Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Amount Paid BURRELL Online BROS Payment Total: $67.86 $67.86 8/4/2010