The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-12-15 City Of Springfield 225 Fifth 81 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfieJd.or.u5 Cq./1QO , Commercial Electrical Authorization To Begin Work 69600-BEL-09-00287 Approval Code: 046696 12/15/2009 10;28 am E-mailedTo:jen@iesyst.net 11if;;';',;~r4's,,,'~;f4p.LANRE\iIE\IV~,c~,,,. ,11 "S!,RIN~ [:~~ 'c';C~~ !:It. '.~ OREGON t.' " ~~iE:;~{,7s,,;JfiiP.EioF,;WORK!PW.., o New Construction IKl Addition/alteration/replacement I. : '/<, ;',~'CATEGORY:OF"'CONsTRlic.t16Ni~:~;*,,';:,,~,,,;'e~1 o 1 or 2 family dwelling D Multi-family [KJ Commercial D Accessory ,,' ~J6BiSITE INFORMMioNANl')."1.0CATioN'I'. ~:.Slf";C.i1 Job Address: 1007 HARlOWRD CitylStatefZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: I Project Name: Gateway Medical Slider Door lock Cross Street/directions to job site: Tax map/parcel no.: 1703223300400 I:-,~~'~k.}: .::';~; ~,l!,~~~";_:":Q_~sG-Rlp,tl_ciN~OF,'W~QBI(.~;"/~B~g~~~~'::~;.,,~-!/i~~.~7i Install slider door lock <\:.; +'.~$iT!='G9:Nt~~:rf#!~',Y,j' I Name: Jen Uebersbach I Phone: 541-485-4456 I Email: H~' " : ~',-_~- ;_;~;;.>t1i~:"; :'~CONt{~ACJQ~l;~:~~="~::5r::,t.:~:;~>'"- I Elec lic. no.: 20~552CLE CCB lic. no.: 165599 I Business Name: INTEGRATED ELECTRONIC SYSTEMS INC Fax: "::~-~):~,~'~ Contact: Address: PO BOX 708 I C;tyIStatVf'5t~~~. OR 97440' '" ,.,',;,' I Phone 5'1'~4~~-RMIT !;HALL EXPl<RE IF THE WO~~ I E!"'r1 acAt:Jef~~lilt!D UNDER THIS PE.R~II_I:> I~U I I M;'fo I;c,l;.OMMENCED OR I::; AI:lAI:WIrcI~~P 13:1 I AI\lVJ'''' ui-il' ra;\oc. Supervisihg~19c itiil'h'!--hc. no.: 1953lEA I Supervising Electrician's Na~e: AARON JAMES CRO'NLEY Number of Inspections included in paid servIces: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 . ;., Upon review and approvlIl by your local Jurisdiction, your permit will be e-mlllled or faxed within one bU81ness day, with lnslructlons on howto schedule your in specllon. NOTE: This Authori.ullon To Begin Woril expires within 180 days If a pennit Is not obtained. The local building department may detennlne that an Authorization To Begin Woril Is nutl and void If It does nol meel applicable land u.elaws and local ordinance.. I ..<",,'"' . '> " -c- .-'" --"'.'" l::,.t~~~~_,~<:'_:iJ,~?"F.:_EE~S~Hf;DU~!;. cr,;.+~_:.~- ~-",:' I Description I Qty, I Ea. ILlmft~~~l;rJergy"~t"~~::.~'..~~"~fF~- ~ -'''l.:!-:IJf! .... ~-}- I Stand-alone limited energy, $58.00 commercial IEIElcti:i2~1: !:?~erm ,it:F.:ees'f/1': ,.\t,' j Subtotal I State surcharge {12% of permit total\ I Technology fee (5% of permit total) I TOTAL PERMIT FEE Please check alllhat 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 01100 HP or more o Six or more residential units' in one structure o Health care facilities c'9-liQO -,", o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more t~an three star o Marinas and ba'at yards o 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 '.,'",.; " I I )jr- ,., ;;1 $58.00 I :",;,:1 Total $58,00 $6.96 $2,90 I $67.86 I lGQ., \1-\ l'5lD1 .. ATTENTION: Oregon ~lawnqtllreB\youtbl foDow rules adopted,by theOregonlllltll1\r Notification Center. Those rulesaruetifotlh In OAR 952:()o1:0010through OAR952;QD1. 009(). You may obtain copies of thulllesliB' calling the center. (Note: the tele,,,:.'" number farths Oregon UtilityiNotilicallml :Center:18 ,1-800:a32-2344). ~tl~~'b" ,,'- ~~ t_ O' ~.~ \~~~ ~\}\ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF ~rJ(ll~\.Jl'lJ!.LD Status Issued Building/Combination Permit PERMIT NO: COM2009-0]790 ISSUED: ]2/]5/2009 APPLIED: 12/15/2009 EXPIRES: 06/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 HARLOW RD ASSESSOR'S PARCEL NO.: 1703223300400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: install slider door lock Owner: WILLAMETTE MEDICAL CENTER LLC Address: 541 WILLAMETTE ST #106 EUGENE OR 97401 I CONTRACTOR INFORMA TlON , Contractor Type Low V oltage Electrical Contractor INTEGRATED ELECTRONIC SYSTEMS License 165599 Expiration Date 07/13/2011 Phone 541-485-4456 ~UILDlNG INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , # 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: n/a I DEVELOPMENT INFORMATION I." ,,_ -'....;,.,.. " REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: . fl'\iiSilOOiYou to Side 2 Setback: ," , ' ',' ",;","<,PavedDrive Rqd: ATTENTION. Oregan b 'lIRfl!li\igon UtIlity Rearyard SetbaN-OTICE' %",~~verage: fonow rulea adopted, set forth Solar Setbacks:THIS PERMIT SHAll EXPIRE IF THI:,.. NOT NOtlliAlcatR95io2n 2.~':1~~~U~h~:r:952'()()1. --- v.\r'~'" Tllte' DctlMIT '" LIlO '\IV . . -'- J-\UlnUnILl:..lJ 1...........1 .... ~ ao9o YoU'maYODUlIlIWlJll'i~Ql"'I'Ut",."".....IJ. , COMMENCED OR IS ABANI!1IJ~l;.u:tIMPROVEMENTS I oaIilng the center. (Note: the telephone Street ImproveI1J.ll1J\s:180 DAY PERIOD. . numlillf_dtllf~gon Utility Notification , ' Center 1I1~2-2344), ,Storm Sewer Available: DownspoutslDrains: Special Instruction: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq' Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 . _eI!'RIN,~P:I"" 1;>, . P Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01790 ISSUED: 12/15/2009 APPLIED: 12/15/2009 EXPIRES: 06/15/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,S Paid" Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid, Date Paid $6,96 $2.90 $58.00 12115109 12115109 12115109 Receipt Number 1200900000000001334 1200900000000001334 1200900000000001334 Total Amount Paid $67,86 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 R"nli'red !.sflections. -i.I.111 I I II I '" Low Voltage: Prior to cover. By signature, I state and agree, that I have carefully'examined the completed application and do herehy 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 Springtield 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. I further agree to eusure that all required inspections are requested at the proper time, that each ~ddress 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 Contractors Signature Date Paee 2 of 2 :,' 225 Fifth Street Sprillgfield, Oregon 97477 541"726-3759 Phone City of Springfield Official Receipt Development Services Department, Pulilic Works Department RECEIPT #: 1200900000000001334 Date: 12115/2009 1I:44:47AM Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 58,00 2,90 6,96 , $67,86 Job/Journal Number COM2009-0 1790 COM2009-0) 790 COM2009-0 1790 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge ONLINE GIGS ONLINE PERMIT CHGS KR ONLINE INTEG RAT Online ED ELECTRON ICS SYSTEMS 'Payment Total: Amount Paid $67,86 $67.86 cReceioll , Page I of I 12/1 5/2009