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.
. '
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q;o7
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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