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Home My WebLink AboutPermit Electrical 2008-12-8 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01748 ISSUED: 12/08/2008 APPLIED: 12/08/2008 EXPIRES: 06/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 123 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154001100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Boiler Replacement Owner: PEACE HEAL TH Address: 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License OREGON ELECTRIC CONSTRUCTION INC 203 BUILDING INFORMATION' Expiration Date 07/01/2010 Phone 503-234-9900, I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigh/of Structure Type of Heat: Water Type: Range Type, Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Fl 2nd Floor: Sq Fl Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: 'n/a I DEVELOPMENT INFORMATION I 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: " Hand\.cappe~: Compact: E 1\11t:.1'iIIU...... VIt:!:fUlllav'l 19."t..........;II 1 v... ~ NOTle : n\1),!I"Ic.lMPROVEMENTS Itollow rules adopted by the Oregon Utility Street 1m mll?n~~!vm SHALL EXPIRE lP\'l'ft!""M1l NotifisMiM.~We.Those rules are set forth p AU-HQRIZED UNDER THIS PERMIT IS NOT ' In OAR 952-001-'1101'0 through OAR 952-001- Stor~ sew\'fr(~~weED ORIS ABANDONED FOR 0090.~m!lytornllm~pies of the rules by SpeclOllnsttli, '0 D^V PERIOD. calling the center. (Note:,t.he tel~~ho~e AN "t number for the Oregon Utility Notlflcalion Notes: Center is 1-800-332-2344). I, Valuation DescriDtion 1 Descriution Type of Construction $ Per Sq' Fl or mnltiplier Square Footage or Bid Amonnt Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01748 ISSUED: 12/08/2008 APPLIED: 12/08/2008 EXPIRES: 06/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54I-726-37691nspection Line Total Valne of Project Fee~ Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt Paid Date Paid Receipt Number $8.00 $9.60 $4.00 $50.00 $30.00 1218/08 12/8/08 1218/08 12/8/08 12/8/08 2200800000000001719 2200800000000001719 2200800000000001719 2200800000000001719 2200800000000001719 Total Amonnt Paid $101.60 I Plan Reviews I 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. Re{)lIiredlnsoe,dio~~ . Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with tbe 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 Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensure that all required inspections are requested at the propel' 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 tbe site at all times during construction. . Owner or Contractors Signature Date Page 2 of 2 city of Springfield Electrical Authorization To Begiu Work E-mailedTo:S.A.LANS@OREGON-ELECTRIC.COM ' Receipt # EC543293 12/8/2008 11 :46:26 AM A.'~~-: _,'.__;c.. Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns I D New construction [X] Addition/alteration/replacement 1;~::~ct~~~~~~~e~iI7~~K~~:~p~~OY,kE',3fg~1~~~'C\~':;~~5t~~:I I Description I Qty. l t:a. j Total I l~t~1d{~<r:~:iJ~~~~~?~1U~~'!'~~~Jltt~~~~~mI~rit~?;~i~'~~}~-l j ] ,000 sq. ft, or less I Ea. addl 500 sq. ft. or portion I D I or 2 family dwelling D Multi-family IKl Commercial I Industrial ",1iJlfJOBSlfEIINFC)RMAfIONr.i';ND,LOCAtION~i' ;"~["i/: '"",J "'I ""~d":>"""''''^'' ...,.... ~,."~_.,...,.,.;.,"',,._... '_,.,,"' """".,,,,_,~~..:,l:$;:Am.,,u,::.~"\.,",~,,,:&; I Job no.: 46242 I Job address: ] 23 INTERNATIONAL WAY I I Cify/StntelZIP: SPRINGFIELD, OR 97477-]047 I ) Suite/bldg.lapt.no.: I I Project name: I I Subdi\!ision: ITa:\: map/parcel no.: I Lot no.: I-Limited energy, residential (with above SQ. ft.) I . Limited energy, multifamily residential (with above SQ. ft.) I-Limited energy, commercia'l (with above SQ, ft.) I - Stand-alone limited energy, residential I . Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial 1!,~~~:(~~~!!j!~~e,rFE~t~]li!Jo-n!~!1ej:at!og~~TQI.O~;:!1~f~ll~n_~~~:1 1200 amps or less I I 120] ampsto 400 amps I I [40] ampsto 599 amps I I I ~ T E:.~!P,O I{~!~ y':sti~j~es,'~~~., f','edc~r~ ~~,~~~,~~I~it~,,'!:,~i; a~tfri~~o~t~ :'. __ , r~~,p~O~, relog<l!io~ ;:;:1i,;\-~' =:.;t,i.--.-,;.' -( '" .~ ";~~: .t 'i'ii-:;' '" I 200 amps or less I 201 amps to 400 amps I 401 amps to 599 amps l;ilfm~~':CI~\~~.~~~~~f~'ratiiif.tJ1!~'~exti::'1~(~~;.pftp~~~'t~E;bf~f' I A. Fee for branch circuits with I service or feeder fee, each braoch circu~.""._._J'\Mo-_ I ' ~ _ II B, Fedocb"""tHon\:bltl~... _'''':,v" '1" "''':S'>1l'dij' 1':'\:5 '00 I without serfcHCtlII<NOO ad, )pted by he ureg' m Uti it}' (,,,t branch""",",~"?A-CMl~' Th~, rules art. set fortt I I each add1lYi"fflllHi!;:>-O01_ 101 fl try,Pugh ~'lll ~ 1:~~~!i*n0$96".Youmiiv.obtain,i:opies;of,fne:,riiie'sbv I S,,,,ice cccoreailii1!il the ce ter. (Not 1: the tel phone I I Each manu'JlUfllDernJOfhme ur.egon I IlII1lY NO IIIcauon I dwellin~. service andl '= _ I Pump or irrigation circi~ r I I Sign or outline lighting I I I . Signal circuit(s) or li.mited- '1 I I energy panel, alteratIOn, or ,I extension, ". ' I:',. ;-.,;;;t,ii:" ;;;E~ECfRiCAL::PERMIT':F.EES:~'~"""~,'~'~~' ;-1 - ~.'-'- ...j ",,----', - .-"'--" ,-. ,'".,., , -'- "",'- .~' " I Subtotal I $80.00 I I State SurcharRe (12% ofoermlt fee) $9.60 I City OfSDrin~field fees *1 $l2.00 I TO'I~\L PERMIT FEE I $101.60 .. City Of Springtleldfees: 10% Administration Fee; 5% Technology Fee Cross street/directions to job site: ]703]54001100 Boiler Replacement ".'l I Name: Stacy Breaux IPhone: (541) 501-8626 jEmai1: I~.,.",.:;+':.'..: ,rL>:';&i:J;.~1;-:'Y:<';:N!'';!'~N,j'' ........-- - ';--" ".""'~'~'?ti:':"',f.';,,' ,:t"~... v'" ",'S'''' 'O".,r:::i"1 a..C~:'~:~';;7::gL:$ifl\'~3~f'iJ).;}t~~~~f~.t:'IRA~1~m.J~,~Jb,"Ei.~:f~'"'',::~'''.;''J.".:']~~tL;:~,,~, lEI, He, no,' 26-95C NOTIC'E: ICCBHe, no,' 203 I Business Name, ORE'l(im!liljl!~~oSttAlLlrswmE IF THt: WUKI\ IContne" SlIIRLEYLMfrHORIZED UNDER THIS PERMIlI::i NUl IAdd..."" ]010 SE ] lTftf'l'MMFNCED OR IS ABANDONED FOR ICily/Slatc/ZIP, PORTiliWi" "IIIlA7[Ji\,Vi<PERIOD. I Phone: (503)2349900 I.'ax: None IEmail: S.A.LANS@OREGON-ELECTRIC.COM .; 11\-letro lie. no.: I City lie. no.: I Supcr\'ising electrician's lie. no.: 30065 I Supervising electrician's name: GARY LEE PEOPLES IFn" (541)741-1585 Upon review and approval by your local jurisdiction, your permit will be o-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. COM:~CC8- fJIl45 RCPT#;~d.C:06-1f"/ 1'1 DATEPROCESSED:~9. This Authorization To Begin Work must be posted at the jg j site until replaced by a Permit. -,.', PROCESSEDBY:~k- .9 . _ ;." 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .f),!~'~~,-"~~~,~,,'il,',",-',',, ;', . .1,.',. ,. -"_. ., ,".' ..): City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1748 COM2008-0 1748 COM2008-0 1748 COM2008-0 1748 COM2008-0 1748 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200800000000001719 Date: 12/08/2008 Description + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By ONLINE PERMIT CHGS Item Total: t:heck Number AuthorizlItion Received By Batch Number Number How Received KR ONLINE OR Online ELECTRIC CONSTRU CTION Payment Total: Page I of 1 12:00:IOPM Amount Due 4,00 9,60 8,00 50,00 30,00 $101.60 Amount Paid $101.60 $101.60 12/8/2008