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Home My WebLink AboutPermit Electrical 2010-1-5 S (,10-1--7 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00003 Approval Code: 005150 1/5/2010 2:34 pm E-majled To; tena@orelectricservice.com City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci,springfield.or.u$ I"', 'C.." . f,-' ""'........ ID New Construction ~ A~dilion/altera1ion/replacement I 0 1 or 2 family dwelling 0 Multi-family lKl Commercial D Accessory I~, v, _ . .~ ::-5,'-.()613(Si:fE'iNWRMA'rj6N'ANbliIO:CAi'16N~;-~i;L; ,"'<{'FjI!.~ Job Address: 995 HAYDEN BRIDGE RD CitylStatefZlP: SPRINGFIELD, OR 97477 I Suitefbldg.lapt.no.: I ProjeCt Name: Dari MartlBob541-998-2388 I Cross S'reeUd;,.,';ons '0 Job s;le: I Tax mapfparcel no.: 1703261200100 '~~11~~~Etj~_$~RI_~rI6"_L9EJ\NPRiSl!~~~~~:~~::;~~,~ Wire furnaces Name: Jeff Brooks I Phone: 541-343-1681 Fax: 541-343-1683 Elee lie. no.: C408 181997 CCB lie. no.: Business Name: OREGON ELECTRIC SERVICE LLC I Contact: I Address: PO BOX 2237 I C;ty/Stat.fzlfi...._.,"R 97402 If TUI= WORK I': nT" ...". -.ll"[ I Phone, 541,ml5' PERMIT SI-l~~~ r.~~IJ:P"'WMrr IS N01 AUTI-lOF\IL;: u,~~~ -:R~NDONEO fOR. r'UI~IIVIr:IW~O e.. . Metrolic.no.~.l\' ..Inn n^V pi=RlOD.City lie. no.: I "'" 'V_-. Supervising (;;Iectrician's lie, no.: 1392S . I Supervising Electrician's Name: HERMAN OLLAR Emall: 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 permit will be e.malled or faxed within one business day, wlthlnstf1Jctjonsonhowtosched~leyourlnspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local b~lIdlng department may determine that an Authorization To Begin Worlt 15 nult and voidifitdoesnotmeelapplicablelanduselawsandlocalordlnances. 'JI 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 o Fire pumps o Emergency systems o Addilionof a new motor load of 100 HP or more o Six or more residential, units in one structure o Health care facilities I Description D 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 o Commercial-use agricultural buildings o Installation of a 150 KVA or larger se~erately 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 Qty. $55,00 $55.00 2 $12.00"1 .~ I Branch circuits without serVice or feeder ' I Branch circuits each additiC?nal circuit without seNice ' I Subtotal I State surcharge (12% of permit total\ I Technology fee (5% of permit total) I TOTAL PERMIT FEE j~fO~ I ...J 0VL $6.00 $67.00 $8.04 $3.35 $78.39 \ lcs\ \0 ATTENTION: Oregon law requires YOU.~ fonow rules adopted by the Oregon Utility NotifieationCenter. ThhOSe ruhleosAaRre :~_~~ OAR952..()()1-0010t roug ~90 You may obtain copies of the rules by caliin the center. (Note: the tele~ho~e num~r for the Oregon Utility Notification _ Center is 1-800-332-2344). . U ~\ -,.\'Q \, \Y (f' ..,.". ~ ~--\. \} Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted'at the job site until replaced by a Permit ~~ f..~~ o:.~ ~' ~. - -!~~!~e",~!~~~ ~~ll,WIt}~'I:I,~:t ' ~J - -, ^ Status Issued CITYUI' ~t'Kll~GFIELD ,Building/Combination Permit f'ERMIT NO: COM20IO-00023 ISSUED: 01/05/2010 APPLIED: 01/05/2010 EXPIRES: 07/05/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 995 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: 3 circuits to wire furnaces in existiug commercial building. Commercial Owner: REVOCABLE LIVING TRUST Address: 34725 DEVONSHIRE DR . EUGENE OR 97405 I CONT~CTOR INFORMATION I Contractor Type Electrical Contr.actor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone , 541-343-1681 B,UILDING 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: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occnpant Load: nla REQUIRED PARKING Front yard Setback: Overlay Dist: Total:- Side I Setback: _ . # Street Trees Rqd: Haudicapped: Side 2 Setback: \No~ved Drive Rqd: ...- . Compact: Rearyard Setback: l: W i\\'t. ~~of Lot Coverage: '. . Solar Setlxn:\tt: ,,\.1 f',\.\.. 't.~?\?; n\:I'oWlY\ \'2> ATTENTlON:'OregonlaW'l'9C!ulre9 YOUtu;to, NUl -~lft\'T,," _,~L1\C,r _,-(\?, . j '-~"'f..""nr"non I~ 1\'Ilb J~~\'i.\:D \lNU~~' ~\)f',~DOW-\'PIJBLIC IMPROVEMEN~~a;i~~c;ni;r:-ThOSe rules are 9s;~ ~01- JI,\)I" ~"rt.D 01'0 ., AR9,,-?.nn1;QQ.10thrDughOAR -, Street Imp~ol<~mennl': ,,?EI'oIOD. In 0 'slll-e~a~Mil\e60pies of the rules tw ., !". ,~f\ \11\, 0090. You may ""''''~' the telephone Storm Sewer,Avadame: cal\ingQ\1l9'B~IlI'IVr:rmS:r N tification Special Instruction: . number for the Oregon Ut2'lt2Y34~) Center is 1-800-33, - . Notes: I DEVELOPMENT INFORMATION I I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 :~': 'j': 'I _~~lj'~!J'I~I;:I~O; ..!" ~ '"r' " CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00023 ISSUED: 01/05/2010 APPLIED: 01/05/2010 EXPIRES: 07/05/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fef's Paicl I $8.04 $3.35 $55.00 $12.00 ,..;. 1/5/10 1/5/10 1/5/10 1/5/10 Receipt Number 2201000000000000003 2201000000000000003 2201000000000000003 2201000000000000003 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea. Add Amount Paid Date Paid Total Amount Paid $78.39 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 Reouirecllnsnections I Rough Electric: Prior to Cover 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 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 thework 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 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. Owner or Contractors Signature Date Paee 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone Job/Journal Number COM20 I 0-00023 COM20 I 0-00023 COM20 I 0-00023 COM20 I 0-00023 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Date: 01/05/20]0 2:59:58PM 220]000000000000003 Description Add, Alter, Extend Circ 'Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5%Technology Fee Amount Due 55.00 12.00 8.04 3.35 $78.39 Paid By .ONLlNE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid $78.39 KR . ONLINE OREGON Online ELECTRIC SERVICE Payment Total: $78.39' ,if ~ Page I of I 1/5/20 I 0