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HomeMy WebLinkAboutPermit Electrical 2010-8-4 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.u$ c/o ./(YI7 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00364 Approval Code: 009727 8/4/2010 11:43-am E-mailedTo:avs@secureacity.com D New Construction ~ Addition/alteration/replacement Please check all that apply: o A service Of feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 1 SO Volts Of less to ground exceeds 14,000 Amps fOf all other f'<""1,',r,yJc.i!!,i54"Wd(~CA1EGORY;Qii'C0Ns:fRilicmT()N~-f,"~~~;::~ ~"'~~_",__<~I.Il'%'~d _~ .'-__ ~__~,"___=__-__'1€__ __ - ......'-'--'_".+._ __-...,_-:>.~.J:~riw_~.....;:t~1!;~ o 1 or 2 family dwelling 0 Multj~family lZl Commercial 0 Accessory Job Address: 1505 MOHAVVKBLVD City/State/ZIP: SPRINGFIELD, OR 97477 o 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 Suite/bldg./apt.no.: Project Name; taco bell Cross Street/directions to job site: D Hazardous locations o A service or feeder rated at 600 amps or more o 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 "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Stand-alone limited energy, $58.00 commercial !;fi#.9~!!C~!jR~jf!i~~~~[~~*~~4J:~~"W:;rfk~~~JJiNyl:~'5}tfti~fj~~~ cli\.\O ~ State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Elee IIc. no.: 34-S01CLE cce lie. no.: 135086 Business Name: AMERICAN VETERANS SECURITY LLC Contact: Address: 8301 SW 135TH AVE City/State/ZIP: BEAVERTON, OR 97008 Phone: 503-641-6179 Fax: 503-808-9010 Email: Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 2277lEA Supervising Electrician's Name: JOHN M KELLY Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .~' .;0 ..,;.': ',. l .-' Jpon review and approval by your local Jurisdic;Uon, your permit will be e-mailed or faxed ~ithin one business day, with instruc;tlons on how to schedule your inspection. WTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. "he local building department may dlllermlne that an Authorization To Begin Work is null and 'old If it does not meet applicable land use laws and local ordinances. $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 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-0]049 ISSUED: 08/04/20]0 APPLIED: 08/04/20]0 EXPIRES: 02/04/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line <'::::::.\,i'!" "".., " SITE ADDRESS: 1505 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253404101 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Security Owner: CUDDEBACK COMMERCIAL PROPERTIES INC Address: PO BOX 5769 EUGENE OR 97405 I,C0NffRACTOR'INFORMA TION ~ Contractor Type Low Voltage Electrical Contractor AMERICAN VETERANS SECURITY License 135086 Expiration Date 04129/2011 Phone 503-319-4754 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Struchlre Xype,of Heat: WatereType: :~aiigeType:' 'Eh'~rgy 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 DEVELOPMENT INFORMATION . REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ' % of Lot Coverage: Total: Handicapped: Compact: ,I:.;'.' , ATTENTION: Oregon law require PWB C IMPROVEMENTS " . 1: "'OR" follow rules adopted by the Grego" v,"'" N I IJ: . t'n!Q.\QE If 1\'1.. vv 1 Street I~.emrJ'mJ\:'~r~enter. Those rules are set forth HIS PERM\1sgt~A\'!lkDll'I'" PERM\1 IS NO Storm S\Mer'\A:V'a'iiable!-0010 through OAR 952-001- T\l')IUOmZE()D.9~Hl1lf,S 0r,t}^\$ril\'lNEO fOR Special I1ls'ff.'ucHoii:may obtain copies of the rules by II OR \ ,",uANU calling the center. (Note: the telephone ''1MMENCEO 00 Notes' number for the Oregon Utility Notification 'I\{ i 80 OI\Y PERI . . Center is 1-800-332-2344). ." ! Valua'ti6n~Des~ri tion """'. . Description Type of Construction $ Per S<{Ft or multiplier Square Footage, or Bid Amount' Value Date Calculated Page I on Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01049 ISSUED: 08/04/2010 APPLIED: 08/04/2010 EXPIRES: 02/04/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line :r~tal Value of Project ,~F"ee~:P;-id .~ " '~~f:::?i;~~i' i.': "~;'~!V1 :.: ~, Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid';\', 'I Date Paid Receipt Number $6.96 $2.90 $58.00 8/4/10 8/4/10 8/4/10 3201000000000000513 3201000000000000513 3201000000000000513 Total Amount Paid $67.86 I Plan Reviews I .1, ....~ . . j '~'~'~':';:' ,'..~. .r'\?rV' 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. L Reouired InsDections , /.~ " Low Voltage: Prior to cover. ;-:':~.;1.~~ "1f~~~"~'i:~i;,::'''' ~:i;::f~ ,~;~~~'G!L~ "~, ,_ ':~j;:' : .' LI' . By signature, I state and agree, that 1 have carefully1iix'amined 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 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. 1 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. . .,'. . 1..;<,-\';'\, ,,'~, '"" '. Owner or Contractors Signature "";:!"; Date , "~~~L:"~:;~~~~";,; .: .. ," ".' >., C,; ':'";j ,~. ..,,)- . "';''';ee 2 of 2 \ , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000513 Date: 08/04/2010 12:08:56PM Job/Journal Number COM2010-01049 COM2010-01049 COM2010-01049 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee ..-- '","- Item Total: Authorization Number How Received Amount Due 58.00 6.96 2.90 $67.86 Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Check Number ,-..;.-,.---'" .'" .".".....~ Re.~eiyed,By"" Batch Number Amount Paid NJM ONLINE AMERICA Online N VETERANS Payment Total: $67.86 $67.86 , . "'"\ .' . \\tl\~ ~_ ". ". .~_:;* -:;Jt~ . j- 'l.,u&ti.',' ,.'; '/.~ 'i"'~c~:~~;.1;"\) .~ .'~ \.... .:, . ~~~'M'~'_" .,;":"-;<,-",,,,,. ~{ (~~;~.i/ ....~ . "'....., ;"\'''-' " .,i' 'k v~;:.~~:~-; ',. ). I'.. "'\", ~: .."c...""",,",.. -"",.:,,".~~.. ~(t,t~~i.J' . :,'1'-' ...:.,.;. 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