HomeMy WebLinkAboutPermit Electrical 2008-9-26 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726:3769 Inspection Line
SITE ADDRESS: 1460 G ST
ASSESSOR'S PARCEL NO.: 1703362204601
CITY OF SPRIN(jJ:<u;LD
Building/Combination Permit
PERMIT NO: COM2008-01475
ISSUED:, 09/26/2008
APPLIED: 09/26/2008
EXPIRES: 06/09/2008
VALUE:
Springt1eld TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Add 100a ckt for new 30kva UPS info system
Comm~rcial
Owner: MCKENZIE WILLAMETTE REGIONAL MEDICA
Address: PO BOX 190700
SAN FRANCISCO CA 94119
Contractor Type
Electrical
I, CONTRACTOR INFORMA ;I?N I
Contractor
J K GUCKENBERGER ELECTRIC INC
License
45129
Expiration Date
04/24/2010
Phone
541-746-4656
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
FJl\IW'lIf.a. Setback:
~Ul~~I~ack' K
$~S BtiilUIi: SHALL EXPIRE IF THE WOR
~mi'i(j)\Il~@ltJi'JDER THIS PERMIT IS NOT
~llwlM&.qsro OR_I~ ~BANDONED FOR
AIH IOU UI\I rcn'u....
Street Improvements:
Storm Sewer Available:
Speciallllstruction:
It
Notes:
Description
Type of Construction
, BUILDING IN.FORMA TIO~ I
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
., . , , , REQUIRED PARKING
ATTENTION: oregoma requires you to
Overlay Dist: follow rules adopte , '. e Oreg~:lD Utility
# Street Trees Rqd: Notification Center. T ffilll!;''il/e set forth
Paved Drive Rqd: In OAR 952-001-001 0 ffil'oW~FitOAR 952-001-
% of Lot Coverage: 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
IIUIIIUI;iI ;VI ~;.v .:.,.....~...,' :,JJZJ :Li::::~:::::
I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Sidewalk Type:
, Downspouts/Drains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Date Calculated
Valne
Page 1 of2
Status
Iss II ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-376.9 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
+ 10% Administrativc Fee
+ 12% Staie Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
$14.60
$17.52
$7.30
$146.00
$8.80
$10.56
$4.40
$15.00
$73.00
Total Amount Paid
$297.18
Total Value of Project
Fees Paid I
Date Paid
9/26/08
,9/26/08
9/26/08
9/26/08
1219/08
12/9/08
12/9/08
12/9/08
12/9/08
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01475
ISSUED: 09/2612008
APPLIED: 09/26/2008
EXPIRES: 06/0912008
VALUE:,
Receipt Number
2200800000000001450
2200800000000001450
2200800000000001450
2200800000000001450
2200800000000001723
2200800000000001723
2200800000000001723
2200800000000001723
2200800000000001723
To Request an inspection call the 24 hour recordiog at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections reqllested after 7:00' a.m. will be made the following
work day.
I, Re,o~Ji~e~ I~~nedi~ns ,
Electric Service: Approval required prior to utility company energizing service.
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 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.
I furtber agree to cnsure 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 tile property, and tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 01'2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
Receipt # EC54337R
12/9120083:14:09 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
IJob no.: 20469 IJob address: 1460, G $T
I City/State/ZIP: SPRINGFIELD, OR 97477-4112
I Suite/bldg./apt.no.:
I Project name: Mckenzie Willamette
Cross street/directions to job site: Mohawk to G 5t
11,000 sq_ ft. or less
I Ea. add] 500 sq. ft. or portion
D New construction
IliJ Addition/alteration/replacement
I D 1 or2 family dwelling
o Multi-family . [i] Commercial J Industria]
I Subdivision:
/Tax map/pnrcelno.: 170336220460]
ILOf no.:
I-Limited energy, residential
(with above Sq. ft.)
I - Limitt:9 energy, multifamily
residential (with above Sq. ft.)
I - Liniited energy, commercia-\
(with above Sq, ft.)
- Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi-family
I ~ Stand-alone limited ener!,'Y,
commercial
i 200 amrs or less $73.001 $73.00
1201 amps to 400 amps
14'01 amps to 599 amps
1\,'t~~llfb~~)J~h:~<cfQ.~;r~l~{fS1}lr~tallatiOlllflit~~rition,
?AND/oRfr]!~~~i,~!~;t€r,;~l-::~~f~
1 200 amps or less
1201 amps to 400 amps
140 lamps to 599 amps I
I{Jjra'nC'I&irCrms~rsEW;';lIJicr;ftffin;,oRfexicnSjonrcr~pafu~rf
"~~Fe'e7a'I;~6We;~J::';"~'~:;II"'~-~'''''''' " 'Y" '?~~.~~
secv;ceftglfaWr tulOShlldoptld by thE Ore Ulih'
b'anC)~~Eient':'. ThM'Ul I..~ Ar" S It forth
~i,~~Jn~~ ' 1;!~,-oO 0 throug1 OAR 9! 2-001-
fi", btMllrcil/ou may obt ~In copie 1 of the rilles by
each add1t!at11h!J'the cente\. (Note: ,he telep lone I
I'M;sc~I,,'-"'biT i.tlfe'oregon'liIlIllYirlOll11ClUl\lQ!!!l1
',t~:~:~~:::t;~~~:~~1'~~~~~ji?2G:0Ls.~
dwelling. service and/or feeder
1 Pump or irrigation circle 1
1 Sign oroutline lighting. 1
Signal circuit(s) or limited. I
alteration, or
Install Recepacle from UPS system to server Room
1 Name: dan
I Phone: (541 )343-7297 I.'ax:
IEmail:dan@Jr~~'n~~,~crr~.m..,." ..~ .....,...., m, .,....
IC,'Cfj'i~~JT;~r~"'I"')Dji...w.~rco~~~ni~t~ci1i;"..~:i';;;?i,)'~
"*''-'''''LH::O". ~!'lM/T-1if: -" .. '. .,-.~._" . ',,0>, ,,-..,>~.
IEl.lie.no" 20-155!l'-'TI-J0RI~-:::::J I!NJ:; r; . -- 25. . RK
I Bo,;oess Name ";liytlll.~W~/itGE-fj'.~~'\S fHI3i'El1JVIJ I I:> NUT ,
IC~olacl' D"nBO"~~yI1'3:J 'JAY rE' "~UUNt:U FOR
IAdd"'" 2175 W2NDAVE fi/Ju.
J City/Slate/ZIP: EUGENE OR 97402
IPhon" (541)3437297 IF.Xi (541)3454'08
I Email: dan@reynoJdselectric.com
I Metro lie. no.: I City lie. no.: 2520S
1 SuperviSing electrician's lie. no.: 2520S
1 Supervising electrician's name: JOHN A REYNOLDS, JR
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
Subtotal I $88.00 I
State Surcharge (12% ofpcrmit fee) $10.56 I
City OfSpringtield fees * I $13.20 I
I TOTAL PERMIT FEE I" $1 J 1.76 I
* City Of Springfield fees: 10% Administration Fec; 5% Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days if a pennit is not obtained.
,
The local building department may detemiine that an
Authorization To Begin Work is null and void if it does not
meet applicable land ~se laws and local ordinances. .
.
COM: ::1OOB- DI41S
RCPT#.:J.dOCR-112.~
DATE PROCESSED: I.-+-9 - D6
This Authorization To Begin Work must be posted at the lob site until replaced Py a ~rnJ.i1:
" PROCESSED BY: V J20 0 l,V"
225 Fifth Street
Springfield, Oregon 97477
541-7?6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008"01475
COM2008-01475
COM2008-01475
COM2008-01475
COM2008-01475
Payments:
Type of Payment
. ONLINE CHGS
cReccintl
RECEIPT #:
2200800000000001723
Date: 12/09/2008
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
kr
, ONLINE
reynolds Online
electric
Payment Total:
Page 1 of 1
3:28:32PM
Amount Due
73.00
15.00
4.40
]0,56
8.80
$111.76
Amount Paid
$111.76
$111.76
12/9/2008