HomeMy WebLinkAboutPermit Electrical 2009-11-3
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City Of Springfield
225 Fifth St .' (. "~
<Sprir)gfield,'OR,9-!~X7'i-c: .
'i;Phone: 541~726:3753 ..
t7;Emaij:" permitcenter@ci.springfield.or.us
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Commercial Electrical Authorization To Begin Work
69600-BEL-09-00221
Approval Code: 003915 11/3/2009 8:54 am
E-mailedTo:ryan@securitymonster.com
J;il Addition/alteration/replacement
New Construction
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fauf! current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all pther
o Multi~family [K] Comme~c,ial
o Accessory
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Job A.ddress:3320 GAT!=WAYST/":':(:"'~':' '" ~:~'
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City/State/ZIP: SPR'INGFI~lD, 'oR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care faciHties
Su.ite/bldg./apt.no.: '
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Project Name: Travel lane County
CrossStreetJdirections tf? job site: Oakdale
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Stand,alone limited energy,
commercial
$58.00
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I Subtotal
I State surcharge (1211/<1 of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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, ',~: CCB Iic. no.:
177268
Elec lie. no.: ClE166
I Business Name: ANOROK rNC
Contact:
Address: 2722'SW327TH ST ,.
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City/State/ZIP: FEOERAt:WAY;~WA 98023
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Phone: 5413428111
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Fax: 5416101612
Email: RYAN@SECURITYMONSTERCOM
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Metro IIc. no.:
I Supervising Electrician's lie, no.:
I Supervising Electrician's Name:
City IIc. no.:
4524lEA
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ANDREW MORRIS
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Number of Inspections Included In paid services:
Residential Service: .:; 4
Reconnect Only: ~ { 1
All Other Services: ~L 2 !~ 'L..
Upon review and approval by your local JurisdIction, YlJur permit will be e-mailed or floll;ed
within ono business day, with instructions on how to schedule your inspection.
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "AU, "E", or "1,2" or "1,3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$58, DO I
$6.961
$2.90 I
$67,86 I
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NOTE: This Authorization To Begin Work expires within 1~~.daY8If a permit is not obtained.
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The local building department may determine that: an' Authorization To Begin Work is nutl and
void if it does not meet appllcabl~ la~d usi laws and iocal or.dinancos.
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___~L,..:: " Inspections Phone: 541-726-3769
This Authoriza\ion To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01607
ISSUED: 11/03/2009
APPLIED: 11/03/2009
EXPIRES: 05/03/2010
VALUE:
Status Iss~~9:f):ik, tW5:ixg.;~<,j,
225 Fifth Street;'Spnngfield, OR" ,,'
541-726-3753 Phone; .'
541-726-3676 Fax",} ":. " '.
541-726-37691.isp~ai~lii.ine<.';~ :,
SITE ADDRESS: 3320 GatewaY,St " Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO,:, ,'l703222001700
,~~:::,;;:,,+:;~,;;{!.;_~,,~,'.,/:;~,)E;f.!UTf'?f'," TYPE OF USE: New Commercial
PROJECT DE~,C.R.ifTj:ON:' CCTV,security,and speaker installation
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. Owner: '. 'NE'wc~b.hLCi;Y}
Address: 840 BELTLINE Rl)'ST~ 202
SPRINGFIELD OR 97477
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Contractor T\.pe~')~; Contractor
Electrical .' ANDROK INC
, CONTRACTOR INFORMATION I
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License
177268
BUILDING INFORMATION I
Expiration Date
07/1112011
Phone
541-342.8111
# of UnIts:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type', .->, ;;',1
Secondary ConstructiOliType: ",
# of Bedrooms: " .., '.'
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# 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:
nla
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I DEVELOPMENT INFORMATION I
, Frontyard Setback: .-.. -
Side 1 Setback: . :' ~' ~', _ ,0 ~~,
Side 2 Setback:',:: I ': ;"",~ ,:..:,::' , ",.'
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Rearyard Setba~k: ? ..; , ,
, Solar Setbacks: -; . ,
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVE~IfSl!O:'I: Oregon \alffl_re6:::~~I;U'~i\i\Y
, I I I s adopted by t ,e ,~~ th
folloW ru e ~!dewa,*iliype.\eS lire set for
NotificatIon C , ,~" ' hr~ I hOAR 952-0D1-
Storm Sewer Available: . ,.;. U In OAR 952-0ODtiW.l~Hgli~!!J1S,':1e rules by
SpecialInstruction: , . " lti" 0090. You may obtal(Note' the telephone
NOT'icE-' ,"p . . ( , calling the ct~~~gon Utility Notillcation
Notes: IHIS',P,ERMil SHALL EXPIRE IF THE WORK number~~:e:l& 1-800-332-2344).
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AU I vlUKllLtU ur~ucn 1,1 IOU ~r... ' .
COMMENCED'OR IS,A~ANDONE{lJig~ion Descriotion I
\NY 180 DAY PERIOD, .
, $ Per Sq Ft Square Footage'
Type of Construcbon ,) I' I' B'd A
or ":Ill tip ler or I mount
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Street Improvements:
Des'cription
Value
Date Calculated
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Status ,".'Iss)~~~;\it;,:.,: ,';', ,,;
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225 Fifth Street, Springfield, OR,!i ,,~,..
541-726-3753 Phone '
541-726-3676 Fax
541-726-37691nspection Line" ,[,$:,,2:,'::,
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01607
ISSUED: 11/03/2009
APPLIED: 11/03/2009
EXPIRES: 05/03/2010
VALUE:
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Total Value of Project
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F..... Paid I
Fee Description Arn~~nt Paid
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+ 120/0 State Surcharge';;, . ~\ _~-:t.. :~,:~~ :~ ';-,'
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+ 5% Technology'Fee"""" ..",'.., <':.."'~'
Low Voltage - Comfuercial Indus '
,
Date Paid
Receipt Number
$6.96
$2,90
$58.00
1l/3/09
1l/3/09
1l/3/09
2200900000000001252
2200900000000001252
2200900000000001252
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Total:Amouo't Paid
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$67,86
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Plan Reviews I
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To Request a~ in~p~ction call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m. will be ~:ade the same working 'day, inspections requested after 7:00 a,m, will be made the following
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Low Voltage: Prior to cover::- "
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By signature, I state:and agree, tbat I have carefully examined the completed application and do hereby certify that all
informat. ion hereon is trile aod correct, and 1 further certify that any and all work performed shall be done in accordance with
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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 witb 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 ofthe property, and the approved set of plans will remain on the site at all
times during constr~cti~p..'- :::.,..:~ 'iif! :,~
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Owner or Contractors Signature' .
Date
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225 Fifth Street" ,:" :,~:,
Springfield, Or;~~n9,1~P.7/ ~~i).'/,. :'\;'
541 ~ 726-375~ !;~~;::ii~~f:,Hi;t~;~t,~~t<~;,;'i:f::i; ·
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, ..RECEIPT #:
2200900000000001252
Job/Journai"Nu~b"~';~r;':-;:tpe~t(pti~lt1?.tf'::{': ;~'. .
COM2009-01607 ,:r":L~<<-,Vtilt~g~~<C~mme~~ial Indus
COM2009-01607 ')f'.', :+5% Technology 'Fee , .
. .....d .,,_ . :,' . .
COM2009-0l607.:'" '..f l2%State,Surchiu:ge,;'
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~;~;no~n~:~ment '.':~:;i;~.~~~~~!::~q??!~:?::~~l;~?'~?~::;:'~::
ONI,J~E CHG~ ': ,J~J:JljlNE PERMIT q-lqs
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cRcceintl
Received By
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Check Number
Batch Number
ONLINE
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Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/03/2009
Item Total:
Authorization
Number How Received
androk inc Online
Payment Total:
12:10:30PM
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
$67,86
$67,86
11/3/2009