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Home My WebLink AboutPermit Electrical 2009-9-21 , City of Springti~ldJY " Electrical Authorization To Begin Work E-mailed To: Check on status of permit By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us , 69600-BEL-09-00144 9/2112009 4:22 pm Approval Code: 015478 1-l'\ t 0.../\ V i"'" " -,,~dditi,onlaJtl;rlltionJrep[acem~nt o New constru~~on. "-'~ Please check all lhal apply: o A service or feeder beginning nl 400 Amps where the available fault currenl~xceeds 10,000 Amps at 150 Volts or less 10 ground exceeds 14,000 Amps fOl all Gther installations lo! m'2f=iiYd~~t~~"': [JM"I~:'f'~:!Y ,~~C"~"'i'! OA"","'Y Ii ~ ~,~~-E~OB!SITE!JNEORMATlomAND!I!OCATib~~.lfJ.;'J.m:!! I Job Address: 3110 p:IERCE PKWY I City/State/ZIP: SPRI~GFIELD, OR 97477 '.-. I SuiteJbldg./apt.no.: Project Name:.OR Nat'fG.uw:?SIP_~~t --. CrossStrtetldirections to' job site: o fire pumps o Emergeri'cysyslems DAddilionofanewmotorloadof 100 HP or more . o Six or more residentiaJ units in one structure o Health care facilities I To> m.p/p",,! "0,' \l1Q1 '?:rY-y") ,t;> \, . " ./ IlJIllliCb~:4~"(*,,D~$c::RfF<TIo'NrOi'';WQR~~.w~~~='8I Description Run CA T6 cables to safe in SIPRnet room. Stand-alone limited energy, commercial Subtotal State surcharge (12%ofpennil tOlal) Technology fee (5% ofpemlit tolal) TOTAl. PERMIT FEE Name: Aaron Van Fleet Phone: Fax: Email: Elee lie. no.: 34-648CLE CCB lie, no.: 154665 Business Name: TRITON COMl\1UNICATIONS LLC Contact: Address: PO BOX 1091 CityfSta~elZIP: HILLSBORO, DR 97123 Phone: 971-235-.1357 ~~ Fax: 503-615-5800 Email: Metro lie. no.: Citylic.no.: Supervising Elet'tridan', lie. no.: Supervising Electrician's Name: Number of inspections included in paid services: Residential Service: ,4 Reconnect Only: '.1 All Other Services: 2 " 'l ~6' O/C ct:<(t-- t.~ 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. '# ~......, 0..,8? ro'~ NOTE: This Authorization To Begin Work expires wi~in 180 days If a pennlt is not obtained. The local building department may determine that an 'Authorization To Begin Work Is n~1I and void If it does not meet applicable la'nd use laws and loc-al ,. ,. . ordinances: . i, This Authorization To Begin Work must be posted at the job site until replaced by a Permit co/y/,2- at) ( - {} I,J 9(( /7/1/1 ' 1;);)/ u 7 ' DHa.zardous'ocations DAserviceor feeder rUled at 600 amps or more DBuildillgsmorethanlhree,tories DMarill~sandboalyards DFloalingbuiJding5 DCommercial-useagriculturaJ buildings DlnstalJationofal50KVAorlarger seperareJy derived sys D"A". "E",or"J-2" or"I.3" DRecreationalVehicleParks DSUpply voltage for more thlln 600 supply vol15 nominal $58,00 $6,961 $290 I $67.861 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01398 ISSUED: 09/22/2009 APPLIED: 09/22/2009 EXPIRES: 09/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3110 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702300001000 SPR1NGF1ETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Run CAT6 cables to safe inSIPRnet room. Owner: Address: STATE OF OREGON MILITARY DEPARTMENT PO BOX 14350 SALEM OR 97309 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical , Contractor TRITON COMMUNICATIONS License 154665 Expiration Date 03/10/2011 Phone 503-615-5800 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I, REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: , ^''''... ATTENTION: Orego,n law requires you to Storm Sewer Available: ICE: toll ow rLQ2);v!!.~P_'l!l-,!'mr~ins: Oregon Utility Special Instruction:HIS PERMIT Notification Center. Those rules are set forth AUTHO SHALL EXPIR in OAR 952-.0.01-.0.01.0 through OAR 952-0.01- Notes: COM RIZED UNDER TH E IF THE WORK 'QQ~Q. You may obtain copies of the rules by ^.. n, MENCED OR I~ ^". :S_ PERMIT IS Mnr callinq the center. (Note: the telephone ". 'vv UAI' PERla '-. ,.... "::.:~:; .'-UK ..' ;Ijmber lOr me uregoll UlIlIlY ,"VlIllvallV" D, I Valuation DescrIntIon I Center IS 1-8.0.0-332-2344), Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01398 ISSUED: 09/22/2009 APPLIED: 09/22/2009 EXPIRES: 09/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~~s P~id J $6.96 $2.90 $58.00 9122/09 9122/09 9122109 Receipt Number 3200900000000000660 3200900000000000660 3200900000000000660 Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Total Amount Paid $67.86 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 Reoll'red In.nections I II.~,I In Low Voltage: Prior to cover. 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 Springfieid and the Laws of the State of Oregon pertaining to the work descrihed 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 Page 2 of2 225 Fifth Street,; : .' Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000660 Date: 09/22/2009 9:17:27AM Job/Journal Number ' COM2009-0 1398 COM2009-01398 " COM2009-01398 I?escripti~n Low Voltage - Commercial Indus , : + 5% Technology Fee + 12% State Sur,harge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE TRlTON Online Payment Total: Amount Due 58,00 2,90 6.96 $67.H6 Payments: Type of Payment ONLINE CHGS Amount Paid $67,86 $67.H6 cReceintl Page I of I 9/22/2009