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Home My WebLink AboutPermit Electrical 2009-9-8 City of Springfield Electrical Authorization To Begin Work E-mailedTo:morgan@olssonelec.com 'i ~ ~ Check on status of permit IL."';~~'::J~:.' .. ~.~~f{~1,5"T.YPE:OF.:WORK:~'~~:O!;--~_~'7:~";:~..:-~~;'." I 0 New Construction 0 Addition/a1teration/replacemenl . ,-: . -"_,,;,; 'f ~ _.. "~--"'" By Phone: 541-726-3753 or Email: permilccnter@ci.springfield,oLus -."':,-'~-~:-" 1:~;~~,,:~;r;'>'''c'';~''I!CA TEGORY..O'F CONSTRUCTION' ,",,:": '" ;~, IO],,'fwn;]YdWdIiO, OM"h',',m;]y 0co~"';'1 OA"',"O'Y '.:'iY.~~1JOB'SITEiNFORMATioN'AND.UOCAfIONF;~::;:' ;"4"'''' ,,'11:: Job Addre5S: 123 INTERNATIONAL WAY CityfStat~ZIP: SPRINGFIELD, OR 97477 I Suitrlbldg./apl.no.: j Project Name: I CrossStreetfdirectionstojobsile: I '"m",,""lno,\ r:1r0\~~ 0\\0\ It-~~I\:-~~.,:-' '~~~.~'-~;:~~~J~~E.SCRi~TIO.t[OF;-,WOJ~)S~:?'~?-?-~'"C .~- ~:::;:~~~ Remove and relocate existing lighting circuit. '~"~~i~~'t~.~'t:ji~ttE,CONiA:CT;~'7,~~-L;~";'?:;i/~;-"~_,.,.~, Name: Olsson Electric Phone: 541-747-8460 Fal:: 541-747-8460 Email: :Z&CONTI~ACTOR =;". t'.!'1":i'G":".-.:-' I Eleclic.no.:20-24f~nT~('\r. CCB lie. DO.: 63473 I B",;nmN,m"O~~~~~~~~~:~'rW~~I~DIQ~ II' THF WORK I ContaCI: .1.....' l''\I''''lI'''7l'"'r'' 111\1n[:O TWIt::. D~QMIT IS NOT I A~dress: p~ HOX~O~~~..~:~~~~~'-(~ ri1- ~~. '.^..r:.^ Mnnf\l~n FnR I Clt)'fStalelZIP: EtMeN~, BRl..r:;'74b'1 I rrnlnn . .u'''' n..... n^' I Phone: 000_343_08661111 I VV W,,, 't.., f'ai':54"1-747-8460 I Email: CHUCKG@OLSSONELEC.COM I Melro Jic. no.: I Supervising Electrician's lie. DO.: I Supervising Electrician's Name: CifJlic, DO.: 33345 Douglas Heer Number of inspections includell in paid services: Residential Scn-'i,,;c: 4 Reconnect Only: 1 AlIOlherSen-'ices: 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 yold if It does not meet applicable land use laws and local ordinances . ',I I I Please check 1II11h~1 apply: o A service or feeder beginning a1400 AmpswfleretbeavaiJablefaull currenlexceeds 10,OOOAmpsal 150 Vohs or less to gmuod exceeds J4,OOO Amps for all other installations 69600-BEL-09-00122 9/8/2009 9:45 am Approval Code: 004666 PUWREVIEW '-',~',,,,-.,, DHalardous,ocatil.lns DA service or feeder rated al 600 ampsl.lrmore """'-~~. o Fire pumps o Emergency systems o Addilionofanewml.llOrlolldof 100 Hl'or mOle o Six or more rcside1ltialunits inl.lne struClUre o Healtbcarefacililies DBuildings more tbanlhreeslories DMannas and boal yards DFloalinllbuildingS DCommercial-useagricuhural buildings Dlnslalllllionofa150KVAorlarger seperalelydenvedsys D"A"."E",or"l-l"or"I-J" DRccrcationalVehideParJ.:s DSUpply voltage for more tban 600 supply volts nominal ;,;+-" "':~~if:.F,EE'stHEDfJL.E~; _':,;->i> '"' I Q'Y, J E", Description Brll'iich. drcuifi~\)!:. Branch circuitswilhoUlSCrviceOT feeder ""L",",- ~iisEelJl1nc:o_u~~-t-t:i'- Balance ofpcnnit fees EI,ec_~r!~~LPe!n~It Fe~::' Subtotul Stnte surchurge(12%ofpemlit total) Technology fee (5% of perm it total) . ~ ,0.,_<.,_,_. ,,- "- 't-..'~- "~;;o:1 :'~\_ I nODI ,I > - '"~. .,-,' TOTAL PERMIT FEE ]1 $55.00.l $1.00 I eq- lDUlO " d,., ,i,.~. ., 31 'fZ~.:7?-' S58,00 $6.96 $2.90 $67.86 Rt qlK!Dq o on law requires you to ATTENTION; reg the Oregon Utility follow rules adopted bYe rules are set forth Notification Center. Th~S hOAR 952..001- in OAR 952-001-0~t~~~ :~~i~S of the rules by 0090. You may 0 (Note' the telephone calling the cen~r. on Utility Notification ~:;::,'l' ;'iOO332~~ rJ. ~ \;~.~ O,:\~~ ~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination' Permit Status In Review PERMIT NO: COM2009-01260 ISSUED: APPLIED: EXPIRES: VALUE: 08/26/2009 09/08/2010 $ 1,300,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 123 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154001101' Springfield TYPE OF WORK: Interior TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: Peace Health Data Center Remodel Owner: Address: PEACEHEALTH 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Contractor DATA SPECIALTIES INC OLSSON INDUSTRIAL ELECTRIC License Expiration Date Phone 714-523-8489 01/26/2011 541-747-8460 63473 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I. ' '" I c," liON: Oregon IfREl;lOFREDYI!JNRKING NOTICE: ,follow rules adopted by the Oregon Utility Frontyard ~ 1~3C~tRMIT SHALL EXPIRE IF THE ~,~f1l{y Dlst: Notification Center. Thoi,l'iPla!iJs are set forth S~de 1 Setb~ l:rHORIZED UNDER THIS PERMIT IMIOft Trees Rqd: in OAR 952-001.001 0 thrtt-~gfliS~p"p"e.JIJ2-001- S,de 2 Setb q: ~~~ENCED OR IS ABANDONED FcftlIved Drive Rqd: 0090, You may obtain cdf.QmP~~(;le rules by Rearyard S ,&ck: blo of Lot Coverage: calling the center. (Note: the telephone Solar SetbalJt~~ 180 DAY PERIOD. , number for the Oregon Utility Notification ....._ _~ _ _ '_ .. n("\r'\ <")''')1''1 t'"'\1))I A\ --...., ,- , I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: No change in occupancy. No new SDC charges. No worksheet attached Paee 1 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2009-01260 ISSUED: APPLIED: EXPIRES: VALUE: 08/26/2009 09/0812010 $ 1,300,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Estimate Type of Construction , Estimate' $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,300,000.00 Value Date Calculated Total Value of Project $1,300,000.00 $1,300,000.00 08/26/2009 Fees Paid I Fee Description Plan Review Comm/lnd/Public + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number $3,635.29 $6.96 $2.90 $58.00 8/26/09 9/8/09 9/8/09 9/8/09 1200900000000000990 1200900000000001034 1200900000000001034 1200900000000001034 Total Amount Paid $3,703.15 I Plan Reviews I Fire Department Review Planning Review Structural Review SUB Review 09/01/2009 09/01/2009 09/01/2009 09/03/2009 Plans and energy forms set to SUB/Ilh Initial Review 08/28/2009 09/01/2009 APP LLH Plans not submitted in sets, Charged for extra staff time to compile No change in occupancy. No new SDC charges. No SDC worksheet is attached. Public Works Review 09/01/2009 09/01/2009 APP EW 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 Reouired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 2 of 3 '-WlrSi~_~~I~C?!1IBfI?i 7 ' ~ '. " , .-~ ,,~-- Status In Review 225 Fifth Street, Springfield, OR 541-72~-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01260 ISSUED: APPLIED: EXPIRES: VALUE: 08/26/2009 09/08/2010 $ 1,300,000.00 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 ill 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 Pa2e 3 of 3 Date , "..- 225 Fifth Street.. Sp~ingfieId, Oregon 97477 541-726-3759 Phone RECEIPT #: Job/Journal Number COM2009-01260 COM2009-0l260 , COM2009-0 1260 Description Add, Atter, Extend Circ ,'+ 5% Technology Fee "+ 12% State Surcharge Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS '. cReceintl 1200900000000001034 City of Springfield Official Receipt Development. Services Department Public Works Department Date: 09/0~/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page] of] ONLINE OLSSON Online INDUSTRl AL Payment Total: 10:34:08AM Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $67,86 $67,86 9/8/2009