HomeMy WebLinkAboutPermit Electrical 2010-8-4
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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
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TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Extend circuit
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
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PERMIT NO: COM20IO-01043
ISSUED: 08/04/2010
APPLIED: 08/04/2010
EXPIRES: 02/04/2011
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-?26-3769 Inspection Line
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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
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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 ,
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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.
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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.
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Owner or Contractors Signature
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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,
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Tax map/parcel no.:
1703153300100
Extend circuit
Name: Northwest Credit Union
Phone:
Fax:
Emall:
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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
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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
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Page I of I '
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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