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Home My WebLink AboutPermit Electrical 2009-12-16 CCI.111~ Commercial Electrical Authorization To Begin Work 69600-BEL-09-00280 Approval Code: 517180 12/13/2009 11 :50 am E-mailedTo:sprinter5c@yahoo.com 1':t"'i~;.:,,;j.';;'<,::~ip.lANiREi,tIEW- c ;'~':'_:.'~C' .:'~I S P,R,I,N G~ L~',- II".., ~ ~:: :.< ~~ ~&1:,;,:' '. 'OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Emait: permilcenler@ci.springfield,or,us . ~,:-;,' ...,:- - :~-~-~J' ~ ij~~JYPE:OF.!WORK:~~~j~:.~~~~~:~::<~:..~*l_,~ o New Construction (R] Addition/alteration/replacement '''", c" -'CATEGORY,bF;CONl)T~UCTION',': o 1 or 2 family dwelling 0 Multi-family IX] Commercial 0 Accessory JOB:SITE INFORriI.(TION;ANOLOCATION\';;.' : Job Address: 235 Q ST City/State/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.fapt.no.: Project Name: Cross Street/directions to job site: 1703263102105 Q~~G_R!eit~'N,6i=lwQRfS~;"}~K}~~.~~;~~~.~r~. ,:fZ:.'~>:~'~,; Installing panel to accommodate new x-ray machine. Tax map/parcel no.: I, I Name: Jeremv Coooer I >" :~:;. '~,..'.;;;'SITE CONTA(t .~, .. -.n' . ,,~ Phone: 541-743-1213 Fax: 541-895.2207 Email; .1 _'--:fJ~;' .:,"<. '-",r,~ J-..,,;, "'~'~'CON-r'-T'RA"CT"O-R' -~--'l__:~j.,.:,'<~b,r"i\,.;; ..",T_.-.-<_'""'''''.~'',,. _',"~_,_ _ ....,..,_ "'n__~.....,r,~;:;f>;',r'...' >. 'i'-~' Elec lie. no.; C256 CCB lie. no.: 174458 Business Name: SPRINTER ELECTRIC INC Contact: I Address: 82924 FLORENCE AVE I CityfState/ZIP: CRESlNElL, OR 97426 Phone; 5418955256 Fax: 5418952207 Email: Metro lie, no.: City lie. no.: Supervising Electrician's IIc. no.: 5407S Supervising Electrician's Name: JEREMY J COOPER Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdIction, your pennll will be e-malled or falted within one business day, with instructions on how to schedule your inspection. NOTE; This Authorization To Begin Work expircs within 180 days if 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 applicable land use laws and local ordinances. >. Please check all that apply: D 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 Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial.use agricultural buildings o Instailation of a 150 KVA o~ larger seperately derived sys D "A", "E", or "1,2" or "1,3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal I:>:;;;;:'," .~.'J' ;.;~~:i=E(SgHtDU[E'-:.,',,:, '", ~,.' ". Qty, Ea, ':~ o Fire pumps o 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 ','J !,./:-.,'] I Description IS9rVices~9r"fged~r's,~- ~J'(:-. <~;. ., ~ .' I Services 200 amps or less If3Fcmctl cjic~it~~~'-~ ,.,.~, 1 Branch circuits with service or feeder each circuit 1~19ctfical ~er_rilit'F-~~~~':~', j Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Total = ~~;:;-;- ".i;"'''.'~f.. . " ,&\~ '0Y ~~. I $61,00 I $61,00 I ,~-'I $12,00 I "" ::""1 ~ , 2 $6,00 ,I '+-i<~~. ;..... $93,00 $11.16 $4,65 $108.81 ~r-)' P\ 1..:7, .0 \ t} >..\9~<:(~ ~~ (!om 2<J7Jtl- () /77 S 17/Yl /d-//L//tJy Inspecfions Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01775 ISSUED: 12/1412009 APPLIED: 12/1412009 EXPIRES: 06/1412010 VALUE: SITE ADDRESS: 235 Q ST ASSESSOR'S PARCEL NO.: ]703263]02]05 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: PaneIfor x-ray machine Owner: HERON BAY PARTNERS LLC Address: 814] SE 44THST MERCER ISLAND W A 98040 TYPE OF USE: New Commercial I C?NTR~CTOR INFORMATlO~ , Contractor Type Electrical Contractor SPR]NTER ELECTRIC ]NC. License 174458 Phone 541-743-1213 Expiration Date 02120/2011 BYILDlNG INFORMATION I # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Constrnction Type Se,condary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT ]NFORMATION, Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Disf: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PU~L1C IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstrnction: Notes:. NOTICE:,;,. - - -- .- -...., .v-.~~ 1~~II.-,^,nDv I nr0 rCT\lVIII 011ML..L L/\r l~' ,,_ I , .e. .. - lJTHORIZED UNDER THISlpv~M\Ttil8nIl19JscriDtion '!\r,h~E~,ICED OR IS ABANJJ'u"Lu I V" -." ..... .\'f r'r:Q!C'n $ Per Sq Ft Type of.Construchon' I . I' or mu tip IeI' REQUIRED PARK]NG Total: Handicapped: Compact: _.-'f<l.~.'1I"""~-~<" Sidewalk Type: law requIres you to Amm\QNjJ~AQ9cNy'ihe Oregon Utility follow rules adopte se rules are set 10rth Notification Center. Tho hOAR 952-001- In O"R 952-001'()0~~h;~~i~S 01 the rules by 0090. You may?!:t_ "'nip' the teleph'Jne , CWIllI~ tI..... ........". . l't',",lV N('lI'i;';ullU'1 I th Oreaon J ,. ' , number for e. -,-.,' ~""-'--344'J' Center 's 1-6u"-"V~ <- Description Square Footage or Bid Amount Date Calculated Pa2e 1 01'2 Val'ue Status Issued CITY OF ~rKm'-'l'lELD BuildingiCombination Permit PERMIT NO: COM2009-01775 ISSUED: 12/14/2009 APPLIED: 12/14/2009 EXPIRES: 06/14/2010 VALUE: 225 Fifth Street, Spl'ingtield, OR 541-726-37531'hone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ,',. Fees Paid J Fcc DescriPtion + 12"/., State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $]1.16 $4.65 $12.00 $81.00 12/14/09 12/14/09 12/14/09 12/14/09 3200900000000000805 3200900000000000805 3200900000000000805 3200900000000000805 Total Amount Paid $]08.81 I Plan Reviews I To Request lln 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. Re\!uired hlsnectinns I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 cerfify 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 hCl'ein, and that NO OCCUPANCY will be made of any structure withont permission of the Community Services Division, Building Safet)'. I further certify that only contractors 'IOd employees who lire 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 locllted at the front of the property, and the approved set of plans will remain on the site at all times during constructioll. Owner or Contractors Signature ,Date ".1' .'! :, f. Pa2e 2 01'2 225 Fifth Street Springficld, Oregon 97477 541-726-3759 Phonc ~-r 1:~Fl"a~", ",.'" " , 7'- ~ ~;" City of Springficld Official Reccipt Dcvelopmcnt Scrvices Dcputmcnt Public Works Dcpartment Job/Journal Number COM2009-0 1775 COM2009-0 1775 COM2009-0 1775 COM2009-0 1775 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: 3200900000000000805 Datc: 12/14/2009 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add ' ' + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Totul: Check Number Authorization Received By Batch Number Number How Received njm ONLINE sprinter elect Online Payment Total: " Page I of 1 8:14:15AM Amount Due 81.00 12,00 4,65 11.16 $108.81 Amount Paid $108,81 $108.8] 12/14/2009