HomeMy WebLinkAboutPermit Electrical 2009-11-6
.
City Of Springfield
225 Fifth 5t ' . <;
, .. Spring~t::~d, qR_~7Jil"
:~ ~:';. Phone::. 5~ 1,~ ?f~3! 53;'
. ':;.,f~'Einail: permilcenter@ci.springfield.or.us
ON,"".' '..
Commercial Electrical Authorization To Begin Work
69600-BEL-09-00232
Approval Code: 005739 11/5/2009 3:44 pm
E-mailed:To:tena@orelectricservice.com
'.
I 0 New Const;uctio~~t: . . <"':. ~ ' (1;~ . ;.. IRl Addition/alteration!replacement
11m:~,~BC~fE.'G~[Yll'l~Qlj'$.fRUi::fi6N_:L':J'~,1'l~~
I 0 1 or 2 family dwelling 0 Multi-family 00 Commercial D Accessory
1~.~'!ii~~fJOBlSfTE!INF.ORMlmOIil'~ND~ifoc~TiON~~fl~!ii\~
I Job Address: 1651 S'F ST':' :;. '. .
I City/State/ZIP: SPRI~G~.IELi), C)'R '97477 ~
I Suite/bldgJaplno.: , ' :-
I Project Name: Swan~6~Grb~pi-;62-33PO' . .',
I Cm.. St'.etJd;r.CtlOn~ to jobs;t..
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
. 0 Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
,0 "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nomina!
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
1703350000300
Tax map/parcel no.:
Description
Total
Wire Fire Suppression System
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
$55.00
$55.00
3
$6.00
$18.00
Name: Jeff Brooks
I Phone: 541-343-1681
I Emall:
I Subtotal
I State surcharge (12% of permit
total\
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$73.00
$8.76
Fax: 541~343-.1683
$3.65
I Elec lie. no.: C408 CCB Ilc. no.:
I Business Name: OREGON ELEC'TRIC SERVICE LLC
$85.41
181997
C,y - \ LDO~
It!Ln!Ui
~
.....,
I Contact tICTV'1=' ' . " .- . _1I.oaK
I Addres.. PO ~~~7PERMTT SHA~': ~;;t_i"iMot
I C;tyIStateIZlP.~\{~@RI~ UNUI:"'~9I1MnOMEDf'OR
I Phon.. 54134316s',)MMtN\j~?, pO~gl~. 5413431683 "
I ANI Iilf.::J. c. .
Emall:
I Metro lie. no..:= '
I Supervising Electrician's lie. no.:
I Supervising Electrician's Name:
--""'.
'I Wfeqlilre9YOUtl~
.......eNTIOI-!: o!egodnb~ the orego~~ 1~
,., I ~ adopte, leI are.....
tolloW rules nte!. 'Tl\ose ru" AI" 952-001-
NotilicatloO 2~1_001othrou.gh ~1 the rulel bit
10 o/>.f\ 952 may obtain COP'~~e telephone
0090. '(ou otero (Note.. No\I~
calling the :e.Oregoo \It\I~).
number tor l~ 1.:&01)-332-
center.. :
r\~tD .. ~ 6"-
.l\~j.N 'C O\:,V f.. 0.: ~
W '0.' \\.- #-
~~
;,~ _ ..._City lie. no.:
13925
HERMAN OLLAR
Number of Inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2-:'
.'~" ~,.
Upon review and "pproval by your local JurisdictIon, your penn!t will be e-malled Or faxed
within one busIness day, ~th .'n~tnJctl.ons on how to schedule your Inspection.
NOTE: This Authorization To Begin Wol1< expires within 180 days If a pennl! Is not obtained.
.
The local building department may detennlne that an AuthorizatIon To BegIn Work Is null and
void If It does not mett applicable land use laws and local ordinances.
Inspections Phone; 541-726-3769
This Authorization'T~ Begin Work ~ust be posted at the job site until replaced by a;,Permit
..
Status
. Issued
CITY OJ:< ~rKlNGFIELD "
Building/Combination Permit
PERMIT NO: COM2009-01633
ISSUED: 11/06/2009
APPLIED: 11/06/2009
EXPIRES: 05/06/2010
VALUE:
225 Fifth Street, Springfield, OR"'"
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: ' 1651 SF ST
ASSESSOR'S PA,-RCEL, NO.: 1703350000300
.. .~ -~
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 4 circuits to wire fire s~pression system
Owner:
Address:
SWA:NSON GROUP MFG LLC
1651 SF ST /:--
~'.-. .
SPRINGFIELD OR '97477
I CONTRACTO~ INFORMATION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
, I 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:
~ater Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Loa~:
n/a
"
..>
I DEVELOPMENT.INFORMATION I
REQUIRED PARKING
~~;;;~~~'fi~d:.' · ~~~~;capped:
Pave f~:" Compact:
. ~ ~~<<age:' oU \0
~~~^~~~ . v~t .,,~~I~;~ j~~.
~. ,,-~'f.' JStlQ.lMPROVEMENTS I OI0Q,O~ '0'1 \~0 ~0" \!.Ie rj)?-oU".....
~'y' ~., ~" I, ~. ~o. 011) ol'S'- ~e"v~
Street Improvements: ...\~'\~ ~((..~ ('\ ~\"n. \~.,.." ...-r~~~~~t.~"'oUQ,~ ~\~el~~o(\e
\' ~ ~ ~~'v (:I'" ~(:I(:I. P" ' IU~e..c..e~\<~ . ~I).\~I \0" 0 \0\e9 '--:'.\ftt\
Storm Sewer Available: '\'(-,'\ '(-,(:I~ R.,~\) ~~~ \O\'O~ ~1P'".,~~~~~~a:i1lg;. ~e ~<:f.\~~
Special Instruction: ~~\,,~~~ \)~ ~o\\\\~~ 9'i:J~Sj 'ilo'l o'o\~. ~o\t\\\\~,;.AA.'.
,,\)'~' \ 'O~ \~ 0111 '{oU 11\ r;ja~\e 10Q,O~ $J'l:'VT"
Notes: t>.~..J" r;l'::J90~\\<,\Q, \~0~ \~e 0 \-'000
, Ce:"",'Oel ~O^,,\el \i" .,
.,.l
Frontyard Setback:
Side 1 Setback: , "
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I Valuation Des~riDtion I
Description
Type of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'Page 1 of 2
,- ~11 ,
CITY OF SPRINGFIELD
Building/Combination Permit
, .
Status
Issued
. .
PERMIT NO: COM2009-01633
ISSUED: 11/06/2009
APPLIED: 11/06/2009
EXPIRES: 05/06/2010
VALVE:
225 Fifth Street, Springfield, OR '.
541-726-3753 Phone,
541-726-3676 Fax '", :'"
541-726-3769 Inspection Line
,I
"fot~1 Value of Project
Fee, Paid'
If. ",
Amount Paid
Date Paid
Receipt Number
Fee Description; , .
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
$8.76
$3.65
$55.00
$18.00
1116/09
11/6/09
1116/09
11/6/09
1200900000000001243
1200900000000001243
1200900000000001243
1200900000000001243
Total Amount Paid
, $85.41
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. "
Rellllired Insp,ection,'
, I III
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully exami~ed the completed application and do h~reby 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",;)) be made of any structure. without permission of the Community Servi~es 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. I I "
Owner or Contractors Signature "
Date
_!.-.;
Pa2e 2 of2
22;i Fifth Street..
Springfield,Oregon9747T
541-726-3759 Phone;.'
,. . ~',
Job/Journal Number'
C0M2009-01633
COM2009-01633
COM2009-01633
C0M2009-01633,
Payments:
Type of Payment.
ONLINE CHGS
cReceintl
",..,.
) . RECEIPT #:
..,.'''".... 'C'"
\,-':'
. City of Springfield Official Receipt
Developmeht SerVices Department
Public Works Department
1200900000000001243
Date: 11/06/2009
De~c~iptiori,:' ..i f((. :
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+5% Technology fee ':'
. i:tH%S~~i~:~urCl)~ge
.' ,....
. ",!,aid)ly)',
'ONLIN,E"PERtY'ITCHGS.
,:'.:
. . ~,t ,;,,:
"
.Pf
,:1 .
Received By
KR
'.'
~ ~ ..' ;:,.~,c~~i ~:~:._,
'\ .... ". ,of -'., r
..~: c.
_~ ~,~"'t.\"
u
Page I of 1
,
Item Total:
Check Number Authorization
Batch Number Number How'Received
ONLINE OR ELECT. Online
SERVICE
Payment Total:
2;09:14PM
Amount Due
55.00
18.00
3.65
8,76
$85.41
Amount Paid
$85,41
$85.41
11/6/2009