HomeMy WebLinkAboutPermit Electrical 2009-12-1
SPRINGFIELD
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, OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
Email: permilcenler@ci.springfietd.or.us
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Commercial Electrical Authorization To Begin Work
69600-BEL-09-00262
Approval Code: 001207 12/1/2009 8:22 am
E-mailedTo:davidom@e-c-co.com
o New Construction,
(R] Addition/allerationlreplacement
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available faull currenl exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
I 0 1 or 2 family dwelling
o Multi-family lXI Commercial
D Accessory
>. ~-;;F'JOB:SiTE;INI;ORMA;TloN:ANISLOCAfION ~.$i'f1;l.';.~~
Job Address: 1007 HARLOW RD
City/State/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100HP or more
D' Six or more residential units in
one structure
o Health care 1acilitles
Suite/bldg./apt.no.:
Project Name:
Cross Street/directions to job site:
I Tax map/parcel no.: 1703223300400
It~~:~~~t;~;;~!i~i:~li~Jj~9IS:gfifFjJI~:rr\fQBrW9M~E.~:~~~~~
I R~model existing office space in room numbers 231. 232, 222, & 234
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas <lnd boat yards
.0 Floating buildings
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
;""-';;'t'A'..;j1
"'?i'~'_:t:r:'i
I Branch circuits without service or
feeder
$55 00 I
Name: ROQer Mitchell
Balance of permit fees
$3.00 I
$5~;~!1
$6.961
$2,90 I
$67.86 I
, 09,'
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Phone: 541-345-0669
Fax:
I Subtotal
I Stale surcharge (12% of permit
lotal)
I Technology 1ee (5% of permit total)
\ TOTAL PERMIT FEE
Email:
Elec lie. no.: 22-15C
CCB lie. no.:
49737
Business Name: EC COMPANY
Contact:
Address: 32758 OLD HVVY 34 SE
C.ity/State/ZIP: ALBANY, OR 973210343
Phone: 5419264266
Fax:
Email:
I Metro lie. no.:
I Supervising Electrician's lie. no.:
Supervising Electrician's Name:
City lie. no.:
. ."'~
3257S
WILLIAM R COBURN
Number of inspections included in paid services:
Residential Service' 4
Reconnect Only 1
All Other Services: 2
Com2uv9 - CV~:f7
/7n~ /d-/o//(f)
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 jf a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if It does not meet applitable land use laws and local ordinances. '
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01687
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
VALUE: $ 25,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1007 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300400
Springtield TYPE OF WORK: Office
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: 575 sf remodel 4 oftices to 6 oftices
Owner: WILLAMETTE MEDICAL CENTER LLC
Address: 541 WILLAMETTE ST #106
EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Contractor
MElLI CONSTRUCTION CO
E C COMPANY
License
63771 ,
49737
Expiration Date
02/12/2010
01/15/20 I 0
Phone
541-485-1417
503-224-3511
~WLDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Siz.e:
Sq Ft I st, Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
liB
Yes
I, DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
RearyaE~ Setback:
Solar Setbacks:
Oxerlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQWRED PARKING
Total:
Handicapped:
Compact:
. a.TTENTION: pregon law requires ~ IC IMPROVEMENTS 1
" do ted by the OrogO\"',,,,\,,I-; I. -
Street IJqJI:<\~efQ~fl~.a t ~ Those rules are set forth
tlotlllcatlon 'Cen e . h 0 ^ R Q52-001-
Storm ~''ClAI'\OOIl>61H.0010thrOug t'\he~ruies by
Special bOOOi,c'lillll:rnay obtain ~~~~~h~ telephone
calltng tfhe ~:~~;~Jon Utility Notillcation
Notes: number or . 00 332-2344)
Center \S 1-8 - .
Sidewalk Type:
DownspoutsfDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOr
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
paee I of 3
.. :1
Status
Issued
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descrh)tion Tvpe of Construction
, Mechanical CII Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Mechanical-Value
+ 1211.., State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
CIl y OF SPRIJ'Iol.I'JJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01687
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
V ALUE:$ 25,000.00
I v aluati~n Des,c~jDtion ,I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
01' Bid Amount
2,000.00
Value
Date Calculated
$2,000,00
$2,000.00
11/23/2009
Total Value of Project
U'''f\f1i.11J
Amount Paid Date Paid Receipt Number
$40.83 11/23/09 1200900000000001282
$17.01 . 11/23/09 1200900000000001282
$282.25 11/23/09 1200900000000001282
$58.00 11/23/09 1200900000000001282
$6.96 12/1/09 3200900000000000784
$2.90 12/1/09 3200900000000000784
$55.00 12/1/09 3200900000000000784
$3.00 12/1/09 3200900000000000784
$465.95
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 ~eollire~~.npf'tion\'\ I
Framing Inspection: Prior to covel', and afte~ all rough in inspections have been approved,
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Paee 2 of 3
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:t.,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01687
ISSUED: 11/23/2009
APPLIED: 11/23/2009
EXPIRES: OS/23/2010
VALUE: $ 25,000.00
By signature, I state and agree, that I have earefull)' examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shal,l 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 Serviees 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 propel' 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 Contractoi's Signature
Paee 3 of 3
Date
>
225 Fifth Street
Springfield, Oregon 97477
541-726:37S9 Phone
Job/Journal Number
COM2009-0 1687
COM2009-0 1687
COM2009-0 1687
COM2009-01687
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
8f):";.,":.
Wit, "
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City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000784
Date: 12/01/2009
8:35:26AM
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
3.00
2.90
6.96
$67.86
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
NJM
ONLINE EC In Person
COMPANY
Payment Total:
$67.86
$67.86
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12/1/2009