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Home My WebLink AboutPermit Electrical 2009-11-18 .S~~I~=LD, ..~~~ . '~,h OK'EGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541~726"3753 Email: p~rmitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-09-00255 Approval Code: 08783D 11/18/2009 11:01 am E-mailedTo:jilll@vyanet.com o ~ew Construction IRl Addition/alter~lion/replacement Ift~:;;:r.~~~~CAiE-GORy!dF]C_(jN_ST8liGJI9Ni:-~4s:~!j~1~[~(;:~ I 0 ~,or 2 family dwelling DMulti.family l&] Commercial 0 Accessory ~.J...dJi'~~.)OB':SrTE'IN"'ORMAtioN'AN6'iYbcATlbN:m~.f~4 Job Address: 2861 PIERCE PKWY I CitylState/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: Project Name: I c,o~~ S".etld;<ec!;oos'o job ,it.. I Tax :nap/parcel no.: 1702302300102 low voltage electrical : I Name: Jon Christianson I Phone: 541-484-9078 I Em~iI: Fax: 877-722-4099 Elec',lic. no.: 20-476CLE I Business Name: 8T SEC,URETECH INC Contact: CCB Iic. no.: 156618 .,.","". Address: 514 NAISMITH BLVD ....uana:1l I C;ty/staWI,}.ld~~,.~ ~!ll E)I.P\R!\f (r;iiOT I 'i...,,.., rifr...../r,: - 1U1S rt,m1l phon,.' 5~'"~.):2ff3 0\11=0 UNDER n"'Bt1~ fOR I "t; ,II . O' III '''' I\p.&.t1 Em.;" "nMMFNCEO n_" I - - D^V 1'1:f\'OC. Metro lie. m.v.Y 180 1"'\1 , City Iic. no.: I Supervising Electrician's lie" no.: 4506LEA Supervising Electrician's Name: ~'ONATHAN GRIPPE Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All o.iher Services: 2 Upon' review and approval by your loc~1 Jurisdiction, your permit will be e-malled or faxed wlthln"one business day, with instructions on how to schedule your Inspection. NOTE:"Thls Authortzatlon To Begin Work expl~8 within 180 days If a permit Is not Obtained. The lcieal building department may determine Ihat an Authorization To Begin Work III null and VOid If It does not meet applicable land use laws arid local ordinances, (jq, \ lplP~ Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other 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 facilities I Description Stand-alone limited energy, J commercial o Hazardous locations o A service or feeder rated at 600 amp~ or more o Buildings more than three stor o Marinas and boat yards o Floalingbuildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal $58,00 Subtotal I State surcharge (12%of permit total) I Technology fee (5% of permit total) ) TOTAL PERMIT FEE. tq -lvLoB 'a-- $58.00 I '. , "" $58,00 $6,96 $2.90 J $67.86 I 11/ Iq, I OCj ATTENTION: Oregon law.requfres you to foll.~w r~les adoptecj 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 rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center 18 1-80Q-332-2344). ~\O\ \ \ l.CO q... ~~<< \j- , ~ "...,,(X~ \ \ C l'V -it/tf Inspections Phone: 541-726-3769 This Authorization To Begin W,ork must be posted at the job site until replaced by a Permit I -':s.~,'.'.'.~,' , '.:... :.'WII:~ - i, . ,: "', fi . ~'f.. '_, ~, .,,IT " ,.. ''''.~ .". .. .. .. ". .~.,- "" , Status Issued 225 Fifth Street, Springfield, OR 5M-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01668 ISSUED: 11/18/2009 APPLIED: 11/18/2009 EXPIRES: 05/18/2010 VALUE: SITE ADDRESS: 2861 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702302300102 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Low voltage electrical Owner: UNITED ASSN LOCAL 290 APPRENTlCESHI Address: 20220 SW TETON AVE TUALATlN OR 97062 TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical License 156618 BUILDING INFORMATION I Contractor SECURETECH INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 08/08/20 II Phone 541-521-2837 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dist: ,# Street Trees Rqd: X~ed Drive Rqd: ",cc. ~O~6"'f Lot Coverage:, \y'\ \<iI ~ _,o.'to. ;tJo~ - \C~. ~'I\~\.\.:;~'~ ~~~Ic IMPROVEMENTS I Street Inftlj~~e~~~\) '0~\)\;; S I'-'OI'-~ Storm sew1'P~~.i1r..}I~'t.\) ()~~'()\), ' Speciallnst~~ction;~~ \)~ '? rf\\~\' " f' \JV '\ CO" Notes: \>.~'{ , Front yard Setback: , Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Page 1 of2 REQUIRED PARKING Total: Handicapped: ATTENTION: Oreg6fl'11!W'~quires you to follow rules adopted by the Oregon Utility ~.og~~a~~~ ~:;~~.~ ~~~~s:~~;e~ ~~e nsoe~ ~~~h . 0090. You may obtain copies of the rules by ~!jtl.9 /h~enter. (Note: tI1e telephone nll'r\\1)e'f'6r'~llebregon Utility Notification DownGBnlanirra\ri90-332-2344)., Value Date Calculated ,__~~A,~~,,!:~I~_~)1 ~,\q:I.~~I"~(1 I,~ "3, Status 'Issued CITY OF SPRIN\.Jt<1J<..LD . Building/Combination Permit PERMIT NO: COM2009-01668 ISSUED: 11/18/2009 APPLIED: 11/18/2009 EXPIRES: 05/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3id I Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $6.96 $2.90 $58.00 11/18/09 11/18/09 11/18/09 1200900000000001266 1200900000000001266 1200900000000001266 Total Amount Paid $67,86 I Plan Reviews , To Rcquest an inspection call the 24 hour rccording at 726-3769. All inspcctions 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 Re{]uired Insnections I Low Voltage: Prior to cover. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any a~d 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. 1 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 tim~s during construction. Owner or Contractors Signature Date Pa2e 2 of 2 215 Fifth Street Springfield, Oregon 97477 54! -726-3759 Phone Job/Journal Number COM2009-0 1668 COM2009-0 1668 COM2009-0 1668 Pay~cnls: Type, of Payment ONLINE CHGS cReccinll RECEIPT #: ;~,""~I'!'-,~'!"',',"',.,' . .~ -ai:, - - ~ '" 1200900000000001266 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ,:.. ,"., " \'," Page I of I ONLINE SECURE Online TECH Payment Total: II :03:29AM Amount Due 58"00 BO 6"96 $67.86 Amount Paid $67,86 $67"86 11/18/2009