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HomeMy WebLinkAboutPermit Electrical 2009-6-29 / City of Springfield ..~~I!!"g'2!IJ[Lq, Electrical Authorization To Begin Work E.mailed To: bill.frc):@redhillsclcctric.com Check on status of permit By Phone: 541~726-3753 or Email: permitcenter@ci.springfidd.or.us I 0 New Construction o Addition/alteration/replacement Please chcckaJI that apply: DAserviceorfeederb~ginningal 4ll11,\mpswhcrelhe~vailablcfault current exceeds 10,000 Ampsal 150 Volts or less to ground exceeds 14,000 Amps foraJl OIher inslallations '1 OJ ,"'.n;Jydw'";"g OM,";.'.n]]y 0C,mm""'J OA"",my 1~~+::r~~'~J.:~owfEiNFtoRMA?flON:"AN5llioCAT(oKj~~~;~;~f~ ~~' l Job Address: 919 KRUSE WAY ... I City/State/ZIP: SPRINGFIELD, OR 97477) I SuiteJbldg.lllpt.no.: I Project Name: A~&T GAME FARM RD I Cross Stnet/directions to job site: BEL TLINE, TO HQLLlDA Y INN HOTEL I Tax map/parcel no.: \ '1 D~'""L'1-."'2.0 0\#<60'-' Description NEW 200 AMP SERVICE AND FEEDER WITH CIRCUITS N:une: SCOTT WARRELL Phone: 503-969-4054 Fax: 503-554-1735 Emllil: bill,frcy@rcdhillsclcctric.com Elec lie. no.: Clll? CCBlic.nu.: ]34593 Business Name: RED H]LLS ELECTRIC & TOWER SERVICES [NC Cont!-lCI: Address: PO BOX 490 Cil)'/StalelZIP: Dundee, OR 97115 Phone: 503-554-]525 Fax: 503~554.]735 Email: gay]c.frcy@rcdhillse]cctric.com Metro lic. no.: City lie, no.: Supervisinj: Electrician's lic. no.: 4390S WILLIAM J-l FREY SUllervising Eleclrician'sNalTle: Number of inspections included in Ilait! sen'ices: ResidentiaiService: 4 Reconnect Only: ] All Other Services: 2 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. 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 DfirepulllPs o EmergencysY51cms o Addilion ~f a neW motor load of 100 HP or more o Sixor more residential unils in One strUClur~ o Health care facilities Services 200 amps or1css Branch circuilswith service or feeder each circuit I Subtotal IStatesurchargc(12%OfPermit total) ITcchnology fee (5% of permit totul) I TOTAl. PERMIT FEE' b .~ ~ ~~ 0~ 69600-BEL-09-00012r fA }\ 6/2912009 6:09 pm V~ \ DA se~ice or f~eder rated at 600 amps or more DBuildings more than lhreestories DMarinasandboatyards []Floatingbuildings DCommercial-useagricuhural buildings DlnstalJalionofal50KVAorlarger seperatelyderivedsys r;-1"A" "E" 01"1.2"01"1-3" "-' ' , DRecreatiollal Ve~ide PaTh DSupply voltage for more th:m600 I: supplyvollsnominal l 81 S6.00 $48.00 $210.00 $25.20 S10.5ol $245.701 ~ 0"'- <\:\:.t:"J~ :~"o"'" ....~ , This Authorization To Begin Work must be posted at the job site until replaced by a Permit. . ' (!o-n2ODP 6/M/OC) q;o7 /7/Y'- CIT"i OF SPRINGFIELD Building/Combination Permit I Stlitus Issued PERMIT 'NO: COM2009-00957 ISSUED: 06/3012009 APPLIED: 06/3012009 EXPIRES: 12/3012009 VALUE: 225 Fifth Street, Springfield; OR. 541~ 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 919 Kruse Way ASSESSOR'S PARCEL NO.: 1703222006800 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New' PROJECT DESCRIPTION: New 200 amp service w/feeder and circnits. Commercial Owner: SYCAN B CORP . Address: 840 BEL TLlN!,: RD STE 202 SPRINGFIELD OR 97477 Phone Number: 54]-746-8444 " ... J CONTRACTOR INFORMATION I Contractor Type, 'Contractor License Electrical RED HILLS ELECTRIC & TOWERSERVIC 134593 BUILDING INFORMATION I Expiration Date " 04/16/20 II Phone 503-554-8244 # 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 ] st Floor: Sq Ft Zh,d Floor: Sq Ft Basement: Sq Ft darage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Set hack: Side Z Sethack: Rearyard Set hack: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I,Total: :'H.ndicapped: : Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Availahle: DownspoutslDrains: Special Instruction: ATTENTION: Oregon law requires you to NOTlGE,:- Notes: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIR Notification Center. Those rules are set forth lJl Jn~nDI7r'n', '''n~_ _, :._ ~ ~FTHE WORK in OAR 952-001-UUlU mrougn UI-lU co."_",, ,- . ,--- _..u~., "'''' ,- LnlV1I1 Iv I~U I 0090" You may obtain copi~S oft[llViiiuati'on DescriDtioif:lMMENCED OR IS AB~NDONED FOR calling lhe center, (Note. lhe ''''~I~' ,.,.. . Y 180 DAY PERIOD, . . number for the Oregon ~tiIity Nc~N>eftS({Ft . Square Footage , DeSCriptIon TvpetofronstructlOn'_234A\ I' I' B'd A Value Date Calculated \.Jt;i1 tit lb. t-uv..rv........ or mn tip lef or I mount ' Page I 01'2 Status Issued CITY: OF SPRINGFIELD Building/Combination Permit I, , PERMIT NO: COM2009-00957 ISSUED: 06/30/2009 APPLIED: 06/30/2009 EXPIRES: 12/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541~726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pa~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Numher $25.20 $10.50 $48.00 $162.00 6/30/09 6/30/09 6/30/09 6/30/09 3200?00000000000493 3200900000000000493 " 3200900000000000493 3200900000000000493 " . Total Amount Paid $245.70 " 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. I, ~.e(J,uired In~pe~.ti,o~~ I 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 shallihe 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 readahle 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. ' Owner or Contractors Signatnre Date . I~ 'Pa2e2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00957 COM2009-00957 COM2009-00957 COM2009-00957 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000493 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 06qO/2009 Item Total: Check NUlT!ber Authorization Received By Batch Number Number How ,Received Paid By ONLINE PERMIT CHGS NJM Page 1 of I , ONLINE RED HILLS Online Payment Total: ~\ 8:03:41AM Amount Due 162.00 48.00 10.50 25.20 $245.70 Amount Paid $245.70 $245.70 6/30/2009