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
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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
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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
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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
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.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;,::''''
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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. . .,'. .
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Owner or Contractors Signature
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Date
,
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"';''';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 ..--
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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
, .
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