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Home My WebLink AboutPermit Electrical 2009-7-15 NOTlCE: K THIS PERMIT SHAll EXPIRE IF THE ~~~T AUTHORIZED UNDER THIS PERMIT I COMMENCED OR IS ABA~DON FOR ANY 180 DAY PERIOD, tf\ \\.~. ~ ~tfX ~ CitY of Springfield '1ti!BlNOl"EU>; .:""....""=..-:-.---:-.._~" Electrical Authorization To Begin Work EM mailed To: dan@reynoldseledric.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I D NewConstruction o AdditionJalteration/replacement PI~:JS~ check all that apply: DAscrvi~eorfeederbeginningal 400 An;ps where th~ available faull curren1e"'<;~eds 10,000 Ampsal 150 Volts or less to ground exce~ds 14,000 Amps roral] olher in,lallalion, I D I "2 f=;IY dw,IH,. DMUlti-familY o Commercial DACcessory Job Address: 353 DEADMOND FERRY RD o Fire pumps o EmergencysY-Items D Addition of a n~w mOUlr load of IOOHPormor~ o Six~rmor~residenlialunitsinone structure Dllealthcarefacilities Cit)'fStatelZIP: SPRINGFIELD. OR 97477 Suitelbldg.lapt.no,: Pruject Name: Birthing Center Cross Streetfdirections tu job site: Game Farm Road 11;;:;::"::::.:l~~__.",.~;",,~tfgl~r;r~~'~~'i.,~_",,1 ~~:t~~~i':~;",7ftDESGRJP-TION:OF0WORK'#'~,~:0E0'~<;&?,J;g1~rc:f~ inslalltempelectrical ITempsel>'ices200alllpsorless ISubtutal State surcharge (12% of permit total) Techno[ogyfee(5%ofpcrmitto!al) Name: Phone: Fax: TOTAL PERMIT FEE Emai!: Eke lie, no.: C451 . ~OI_lo~oW ~~Ie:. aU~t!t_b~liY~_~7L_ ::~l;,",~~'~:;h Business Name: NEW f~~QW~~~s1;N~~tNR.1 ~ 't'h;n~ IOn-h-OA"R- 9-52-001- I COO,"', nnqn VOl] mav obtain copies of the rules by I Add"';'2115w2NDA~lIinq the center. (Note: the telepnone I City/State/ZIP: EUGENf)tl~.wi_tor tneo u~e9.?!: :'...l~l:Ynl~~llllvCl.lIUll I Phone: 541-343-7i97 vt::lll\:l1 ~~x:154i~4'5~48'6't ........-. .). . I Emllil: jeremy@reyno~dselectric_colll I Merrolie.nu.: Cit}' lie, no,: I Supervising E1eclrician's Iic.l1o.: I Supervising Eleclrician's Name: Number ofinspectiuns included in paid services: Residentia[ Service: 4 Reconnect Only: I All OtberServices: 2 cC\ \ 036 Upon review and approval by your local jUrisdiction, your permit will be e-mailed orJaxed withjn one business day, with instructi'ons on how to schedule your inspection. ~~ ~ \>0 \:" 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 69600.BEL.09.00038 71J512(}{}9 3:00 pm Approval Code: 06749D localions ,erviee or feeder rated at 600 amps Of more Dnuildings more thanthreeSlories DMarinasand boatya;ds DFloa,ingbuildings Dcommercial-useagrieultural buildings Dlns,allationofa150KVAorlarger seperatelyderivedsys D,".A". "E",or"I-2" or"I.3" DRecreationalVehideParks OSupplyvoltageformorethan600 supply volts nominal I Qly, $63,00 $63,00 $7.56 $3,[51 $73,711 1~~:1ll 51 D9' ..... CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2009.01035 ISSUED: 07/15/2009 APPLIED: 07/15/2009 EXPIRES: 01/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 353 DEADMOND FERRY RD ASSESSOR'S PARCEL NO,: 1703154003700 SPRINGFlETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install temp electric Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor REYNOLDS ELECTRIC License 184921 Expiration Date '01/0212011 Phone 541.343.7297 BUILD!NG INFO~MA TION I ,# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: ' Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq' Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , J DEVELOPMENT INFORMATION I ATTENTION: Oregon law requlico y'"'''" fellow rules adopted by the Oregon Utility , - Frontyan wtm~~f,bn Center, Those rules are set fg~f.lrlay DIS!: Total:, S~de I Set hae )i,R 952.001.0010 through OAR 952.i!itf1treet Trees Rqd: , HandIcapped: S.de 2 Set \e~ (i, You may obtain copies of the rule!,'ib)ed Drive Rqd: Compact; Rearyard Secln:r1n the center. (Note: the telephOl% of Lot Covera!\!,: CEo ' Solar Setb"lib~ilber_for the, O~,e~,?~ ~;~i~~ ~~tification ~,~!Inc~~m ~I-lAkL EXPIRE IF 1HE':'V~~~ W"~' .~ , "-' -'- I ~UBLIC IMPROVE~i~'fl$)fIZED UND(R ~~~;~~~~IF~/n. Street Improvements: COMMENCE~JI,BJR. /:..ype: ANY 180 DAY PE'R'tOO. Downspoutsmrains: REQUIRED PARKING Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009.01035 ISSUED: 07/1512009 APPLIED: 07/15/2009 EXPIRES: 01/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line Total Valne of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $7,56 $3,15 $63,00 7/15/09 7/15/09 7/15/09 2200900000000000800 2200900000000000800 2200900000000000800 Total Amount Paid $73.71 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. I Re,9"ired Insneelions I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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 front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 22~ Fifth Street Springfield, Oregon 97477 541.726.3759 Phone .! Job/Journal Number COM2009.0 I 035 COM2009.01035 COM2009.0 1 035 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #:' City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000800 Date: 07/15/2009 3: II :40PM Description Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: <-':heck Number Authorization Received By Batch Number Number How Receiv,ed Amount Due 63,00 3,15 7,56 $73,71 Amount Paid KR $73,71 $73,71 Page 1 of 1 7/15/2009