HomeMy WebLinkAboutPermit Electrical 2009-7-8
.City of Springfield
69600-BEL-09-00023
71712009 3:36 pm
Approval Code: 007132
Electrical Authorization To Begin Work
E-mailed To;
"
Check on status of permit
By Phone: 54J -726-3753 or Email: permilccoLer@ci.springfield.or.us
DHaz.ardousloc3tions
DAserviuurfeedcrraleda1600amPo
OfmQrC
o Addition/altcnllionlreplacemenl
Please ch~ck alllhal apply:
o A se,,'jceor feeder beginn;ng at
400Ampswherethea\'ai]abl~fauh
currel11cxceeds 10,000 Ampsal
15ll Volts Or less to ground
exceeds 14,000 Amp. for aJI other
installations
o NewConstructioll
DBuildings more than three slories
DJ\1arinasandboalyards
DFJoatingbuildings
DCommercial-useagncultural
buildings
DIIlstallationofa150KYAorlarger
sereratelyderivedsys
O"A","E''.or "J-2" or "J-3"
o Recreational Vehicle Parks
DSuPPly vOII:l/le for more thal1600
supply volts l10minal
o I or Z -Jamily dwelling
o Accessory
o Multi-family 0cDmmcrcial
I
I
I
I
I
o Fire pumps
o Emcrgencysyslems
o i\ddilion ofanewnlolOr load of
100 11P or more
DSixormoreres;de!1(i~lunirsinoflc
structure
Job Address: 2355 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.fallt.nu.:
Project Name:
CrossStreetJdirecriuns to job site:
o Health care faci:ities
Tn'plp""'no \'If)~~~ \ O\r'f7f/'
~~~~~W^,~\'~DESCRf~Tlo'Nt6EXWO'RK :~-~lf~~~~j\'f,~~",~1
I Description
l$e~,V:i~~~PE:f~~I!sf;
SCI'vices200amp5orlt:ss
il1staU70kwgeneratorset
I Branch circuits with service or feeder
eachclfcllit
".00\
Y4
587,001
SI0.44(
$4.351
$101.791
I NlIme: MICHAEL WEAVER
I Phune: 541.754-6171 1"1l~: 541-,754.1872
I Emllil: mweleclrie@wiltech.nel
V r
I [lee lie. nu.: 2.61C CCO lie. no.: 67362
I Business Name: M & W ELECTRIC INCORPORATED
I Coo"'" NOTICE~
I Add"", 298'1"I~lrrf';S1'1MIT ~HAI L fXPIRE IF THE WORK
I ChyIS"'.Jz'r,f'1'l'14l'irnll'l"fFl'l11J1JlFR THI~ PERMIT IS NOT
I Phon,,'41.7P.f;IR,\MI=M(~Fn nR I~MlA1\lnOf\1m FOR
I Ern'i1.mw'''ft!i~~4'l1f)ml'lAY PERIOD.
I SUbIOI~1
ISlatI:SlIrcharge(12%O{pr;:nllif,
IOtal)
1 Technology fee (5% ofpcfmil tolal)
1 TOTAL PERMIT HE
11 f:1 oq
Cq~q91
k1L
ATTENTION: O[,egon Jaw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001 ~
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
. Center is 1-800-332-2344).
v-.~~rb
n A'V \
\ ~Q-
0~
j Metro'kno.:
Supervising Electrician's lie. no.:
City lie. no.:
4274s
MichaelP,Weawr
SUJlervising Electrician's Name:
Number ofinspecliuns induded in paid services:
Residential Service:
Reconnect Only:
All.0therServices:
Upon review and approval by your local jurisdiction, your permit will be
a-mailed or faxed within one business day, with Instructions on how to
schedule your inspection.
it:
~ ~ 0-...'0
~
\9
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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF M'Kll.jGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00997
ISSUED: 07/08/2009
APPLIED: 07/07/2009
EXPIRES: 01l08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2355 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254101002
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install 70kw generator set
Owner: CITIZENS BANK
Address: PO BOX 30
CORV ALLIS OR 97339
'. CONTRACTOR INFORMATION I
Contractor Type'
Electrical
Contractor
M & W ELECTRIC INCORPORATED
License
67362
Expiration Date
06/19/2011
Phone
541-754-6171
BUILDING INFORMATION I
# 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE":ELOPMENT INFORMATION'
REQUIRED PARKING
ATTENTION: Oregoif1'J~J:.requires you to
follow rules adoptedIfiVWel\B~~bn Utility
Notification Center. TIH9.m~l'R~ are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
~~~~:"~; ~~.:~ ~'~:~~'::-. r.".':~:: ~~: ~:.':r--I-,:.~::
number for the Oregon Utility Notification
S'd Center is 1-800-332-2344).
I ewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouls/Drains:
Notes:
I Valuation Descrioti?n I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00997
ISSUED: 07/08/2009
APPLIED: 07/07/2009
EXPIRES: 0I/08/20Hj
VALUE:
.225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees ~~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
, Date Paid
Receipt Number
$10.44
$4.35
$6.00
$81.00
7/8/09
7/8109
7/8/09
7/8/09
1200900000000000783
1200900000000000783
1200900000000000783
1200900000000000783
Total Amount Paid
$101.79
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 Reclllired Insnections I
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 uf 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 readable from the
street, that the permit card is located at the ffontof the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 01"2
22S Fifth Street
Sp~ingfield, Oregon 97477
541..-726-3759 Phone
Job/Journal Number
COM2009-00997
COM2009-00997
COM2009-00997
COM2009-00997
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000783
Description
Perm 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: 07/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE M&W Online
ELECTRIC
INC
Payment Total:
7:59:IOAM
Amount Due
81.00
6.00
4,35
10.44
$101.79
Amount Paid
$101.79
$101.79
7/8/2009