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Home My WebLink AboutPermit Electrical 2009-9-18 City of Springfield Electrical Authorization To Begin Work E-mailedTo:adam.fox@mclcctric.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us IE~ I 0 New Construction 0, AdditionlaHerlltion/replacement I Ol 0< 2f=;lydw,ll;ng OMnlh.f=;ly' ~Cnmm''';'l OA""'o<y 1!!?'!lj,C~~,,-~~oB'sYfE1NlORMATi6NrANDWcXTi6~ir~k:"t~.1i\ti1 I Job Address: 3110 PIERCEPKWY I I CityfState/ZIP: SPRINGFIELD, OR 97477 I I Suittlbldg.lapt.Do.: Project Name: SIPRnet Power CrossStreetldirecrionstojobsile: I Tax map/pareelno.: \DOb Provide 2 dedicated circuits and re wire switching for new room. Name: Adam Fox Phone: 503-645.5323 Fax: 503~690-4843 [mail: adam.fox@melectric.com Elee lie. no.: 34-618C Business Name: MILESTONE ELECTRIC CCB Iic. no.: 153480 I Cnn',," NOTICE: I Add",,, l800N'r/l1:r,HI'E1IIr!~1'T SHALL EXPIRE IF THE WORt<. I C;tyIS,.tolZlP, BIi.1YH-TPm'l'1'f"1]>OEJNDER THIS PERMIT IS NO I I Phnn"'03-645.5~~/lMMFNr,Fn OR l':j'Il!JA~Il-[JONEDFOR I Em.", CC@MELIi.'fWCfflft DAY PER I 0 D. I Metro lic. no.: 7457 Supervising Electrician's lie. no.: Supervising Electrician's Name: City lic. no.: 2113s William' A Coleman Number ofinspections included in paid services: Re~idenlial Service: 4 Reconnect Only; I All QtherServices: 2 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. NOTE: This Authorization To Begin Work expires within 180 days if a pennit 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 Please check aJlthal apply: o A service or feeder beginning at 400 Amps where the available fault currenteKceeds JO,OOO Amps al 150 Volts or Jess 10 ground exceeds 14,000 Amps for all other installations o Fire pump> o Emergency systems o Additionofanewmotorloadof JOOHPormore DSiKormorereside~tialuriitsinone structure o Healtlicarefaci1ilies I Description Branch circuits without service or feeder Branch circuits each additional circuit wilhoutsen'ice 69600- BE L-09-00 13 7 911812009 11 :45 am Approval Code: 882379 DHazardous'ocations DAserviceorftXd<:rrateda/6oo amps or more DBuildingsmore than threeslOries DMarinasandboalyards DFloatingbuildings DCommercial-useagricultural buildings DlnstallationofalSOKVAorlarger seperale1yderivedsys D"AN,"EN,orNJ_Z"orNf_J" DRecreationalVehicleParks DSupp'yvoltagcformorethan600 supply volts nominai \$55.00 $55,00 $6,00 $18.00 ISubtotal 1 Stale surcharge (12% of pen nil tOlal) 1 Technology fee (5% of permit total) I TOTAL. PERMIT FEE - tq - \3~:) $73.00 I $8.761 $3.651 585AII ~ q) IB)Der ATTENTION: Oregon law 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 ruies by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), \$\\\ reA (\ .~\V " V\ c fl<:!:-' ~--o'- \}""' , This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~~~ ~ ,(( ,\.O ~ .'\.""t:l Status Issued CITY OF SPRIN\.jHI!,LD Building/Combination Permit PERMIT NO: COM2009-01383 ISSUED: 09/18/2009 APPLIED: 09/1812009 EXPIRES: 03/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3110 PIERCE PKWY ASSESSOR'S PARCEIcNO.:, , 1702300001000 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Provide 2 dedicated circuits and rewire switching for new room Residential Owner: STATE OF OREGON MILITARY DEPARTMENT Address: PO BOX 14350 . SALEM OR 97309 I CONT.~CTOR INFORMATION' Contractor Type Electrical Contractor MILESTONE ELECTRIC License 153480 Expiration Date 11118/20 I 0 Phone 503-690-4843 BUILDING INFORMA nON, # 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 DEVELOPMENT INFORMATIO~ , REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: S'd 2 S tb k P d'O' R d ATTENTION: Oregon 1?;'o'0'm"~p~a'c"t"..9S you to lee ac"inTICE' ,ave rIve q : '" Rearyard Setback: . %,oLLotCoverage: follow rules adopted by the Oregon Utility Solar SetbackS:~IS PERMIT SHALL EXPIRE IF THt WUKI\ Notification Center, Those rules are set forth "'T' '~n'7~n ,,"'..CD TU'C D~D~AIT Ie: ~lnT in OAR 952-001-0010 throuah OAR 952-001- 'COMMENC-ED -OR-IS ABANDUlUB.LlOIMPROVEMENTsO,'90" You may obtain copies 01 the rules by , , calling the center, (Note: the telephone Street Impro"M\1tnWO DAY PERIOD, . numtside:w:llkffiypedon Utility Notification Storm Sewer Available: ofJ.\'J~~~lsJo~~R;~32-2344). Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ~ Pa2e I of 2 CITY OF ~rK1j~\.d'lJ!.LD Building/Combination Permit Status Issued PERMIT NO: COM2009-01383 ISSUED: 09/1812009 APPLIED: 09/1812009 EXPIRES: 03/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone' . 541-726-3676 Fax 541-726-3769 Inspection Line TotalValue of Project Fe~s P~id I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.76 $3.65 $55.00 $18.00 9/18/09 9118/09 9/18/09 9118/09 2200900000000001065 2200900000000001065 2200900000000001065 2200900000000001065 Total Amount Paid $85.41 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 work:ing day, inspections requested after 7:00 a.m. will be made the following work day. I, Re{lUir~d 1 nsnectionsJ 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 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 of2 225 Fifth Street Springfield, Oregon-97477. .,~ ' 541~726-3759 Phone.' ,,-', Job/Journal Number" cOM2009-01383 cOM2009-01383 COM2009-01383 cOM2009-01383 Payments: Type.of Payment. ,.: RECE~PT #: 2200900000000001065 Description . ~. Add, Alter, Extend circ Add, Alter, Extend circ Ea Add + 5% Technology Fee ,.+.12% Stat!' Surcharge " ONLINE cHGS. ONLINE PERMIT cHGS Paid By . , ' cReceintl City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/18/2009 Item Total: Check N umber Authorization Received By Batch Number Number How Receive~ KR Page I of I ONLlNEMILESTON Online E ELECTRIC Payment Total: 1:1I:28PM Amount Due 55,00 18,00 3,65 8,76 $85.41 Amount Paid $85.41 $85.41 9/18/2009