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Home My WebLink AboutPermit Electrical 2010-1-11 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00016 Approval Code: 034604 1/11/2010 11:46am E-mailedTo:julie-dpe@comcast.net I 0 New Construction ~ Addition/alteration/replacement I~:; ~.~,<':'I}if:t:::,,~:i~::~9AJ:EG'ORyl(jj;;.GQ~$IR~JcT1QN17~~~~.~~!:;~t~~~ I 0 1. or 2 family dwelling 0 Multi.family [g] Commercial 0 Accessory Ii; '. if > J6Blsl'rEhN16RMAYi61\irANDfI!6cATioN;~~~,(ii",'!-l'\;~ I Job Address: 622 CLOVERLEAF LOOP City/StatelZIP: SPRINGFIELD, OR 97477 Suitelbldg./apt.no.: Project Name: I Cmss Streetldi'ecHoos to job site: I Tax map/parcel no.: 1703224206700 alter (2) circuits I Name: julie ford I Phone: 541-434-5600 I Emait: Fax: 541-762-1056 I Elec lie. no.: C263 eeB lie. no.: 181465 I Business Name: DOUG PALMER ELECTRIC LLC I Contact: I Address: 1368 BARRINGTO!'J AVE I City/State/ZIP: EUGENE, OR 97401 I Phone: 5414345600 Fax: 5417621056 I Emall: JUlINlpjW~~AST.NET . .~, I Metm'icnifHIS PERMIT SHALL EXqft\fl!(~~:THE WORK I supe"';sinJ\J,bJJi1Q.ruiIf);)'UND~4J!1I0!_t.~IV~llc~;:' I~U I I u'JllflJVII:J~',I:U Ut"l '8 "B""uu"E:u. v:1 Supervising-e.lectrlcian s Name: 0 UG AS G PAlMER l\~~Y ~ ~8 ':,./\Y r::::~':G::;. Number of inspections included in paid services; Residential Service; 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurlsdictlon, your permit win be e-mailed or faxed within one business day, with inslruclioM on howto schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit 15 not obtained. The local building department may determine that an Authorization To Begin Work is null andl void if It does nol meet applicable land I.lselaws and local ordinance s. 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 Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Cq I~:L(P o Hazardous locatiol'ls 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 agricuitural buildings o l~stallation of a 15q KVA or larger seperately derived sys o "A" "E" or "le2" or "1-3" o Recreational Vehicle Parks .0 Supply voltage for more than 600 supply volls nominai . / Description Total I Branch circuits without service or feeder I Branch circuits each additional circuit without service Qty. Ea. ., $55.00 $55.00 $6.00 $6.00 I S"blolal. $61.00 I I Stale surcharge (12% of permit $7.321 totall [ TechnOlogy fee (5% of permit total)' $3.05i I TOTALPERMITFmENTION: 0 egon. aw. req"JlIe~Jl,\~': fOllOW rUle5 "Ull-""U . Y '''V ~- . _ \ f{ottfibation Qeyrt~. ThoS,eI r~~g ,~et _fort~ iI<)GAW952-0~ thr6Vgh dAR-952 001 . 0090. You may obtain copies of the rules by calling the center, (Note: the tel~phone number for the Oregon Utility NotificatIOn Center is 1-800-332-2344). $~ ~~,\\J Pt" "< \~et.. ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit c/~ S$!RINOllllilLO" -~r'" .... . ". Status Issued CITY OF SPRINlIl'lI'..LD Building/Combination Permit PERMIT NO: COM2009-01826 ISSUED: 01108/2010 APPLIED: 12/22/2009 EXPIRES: 07/ll/2010 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 622 Cloverleaf Lp ASSESSOR'S PARCEL NO,: 1703224206700 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Interior remodel Owner: CLOVERLEAF PROPERTIES LLC Address: 61\ N CLOVERLEAF LOOP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor RICK FIELDER CONSTRUCTION LLC DOUG PALMER ELECTRIC LLC G & C VENTURES LLC License 164826 181465 157056 Expiration Date OS/24/201\ 04/14/2010 11103/2011 Phone 541-847-5200 541-434-5600 541-544-5258 BUILDING IN~ORMA TION I Wof Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: ,# of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . . _ _ _ _ l""~l rOQllires 'IOU to I DEVELOPMENT INFORMAT~6N.";~;~~'~d~Pled by the Oregon ~I~rir Notification Center. T\"RJg~IIJ'l~~~_tmS; '. 2001-0010 through'(jAR Frontyard Setback:.'-'''' Overlay Dist: . In OAR 95 - btainl6!:l~es of the rules by Side I SetbacK:\CE" Wt~Vfet Trees Rqd: 0090. You may Ot (tI::m!li~!lphOne Side 2 Set~i~ f'ERMIT SHALL EXPIRE IF "HE\Sp.~ffli Drive Rqd: , callin9r tro~ ~:; ~;~>f9~i1if11 Notification Rearyard ~n?ackRIZED UNDER THIS PERMII ~o of Lot Coverage: numbe Center is 1_800-332-2344). Solar setb~c~~h~FNCED OR IS ABANDONED FO . ANY 1 SO DAY Pt:\iIUU. I.PU~L1C IMPROVEMENTS I 2 SR-2 VN # of Stories: Height of Structure Type of H'eat: Water Type: Range Type: Energy Path: Sprinkled Building: Yes Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee I of 3' Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01826 ISSUED: 01/08/2010 APPLIED: 12/22/2009 EXPIRES: 07/1112010 VALVE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion , Estimate Type of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Value Date Calculated Description Total Value of Project $5,000.00 $5,000.00 12124/2009 r Fees Pair! I Fee Description Amount Paid Date Paid Receipt Number Plan Review CommfInd/Public $56,71 12/22/09 1200900000000001353 + 12% State Surcharge $17.43 1/8/10 3201000000000000004 + 5% Technology Fee $n21 1/8/10 3201000000000000004 Building Permit $87,25 1/8/1 0 3201000000000000004 Fixture $38,00 1/8/10 3201000000000000004 Minimum/Adjustment Plumbing $20,00 1/8/10 3201000000000000004 Plan Review Fire & Life Safety $34,90 1/8/10 3201000000000000004 Plan Review Minor - Planning $119.00 1/8/10 3201000000000000004 + 12% State Surcharge $7,32 1/11/10 3201000000000000006 + 5% Technology Fee $3.05 1/11/10 3201000000000000006 Add, Alter, Extend Circ $55.00 1/11/10 3201000000000000006 Add, Alter,Extend Circ 'Ea Add $6.00 1/1lI10 3201000000000000006 Total Amount Paid $457,87 . , I Plan Reviews I SUB Review 12/24/2009 Fire Department Review 12/24/2009 01/05/2009 APP GRG Plans Review: addition of a dividing . wall to split one room into two. Job #COM2009-01826, Occupany Classification: SR-2, Construction Type: v'n sprinklered, Contact Deputy Fire Marshal Gilbert Gordon (541-726-2293) for open cover inspection of relocation and addition of sprinklerheads. Initial Review Plannin2 Review Structural Review Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01826' ISSUED: 01/08/2010 APPLIED: 1i122/2009 EXPIRES: 07/11/2010 VALUE: $ 5,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 Inspection Line Public Works Review 12/24/2009 01/04/2010 DON CTM Structural Review 01/05/2010 01/05/2010 APPKLK 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.efi~ired Tn,?ectinn, I Framing Inspection: Prior to cover and after all rough iu 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 Plumbing: Prior to cover and including required testing. Final Plumbing: Wheu all plumbing work is complete, SUB Final: After all required energy inspections have been requested and approved. Fire Departmeut Sprinkler System: Prior to cover, Hydro pressure test, fire line flow test Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Final Fire Department After all requirements of the Fire Department have been met 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"lI information hereon is true and correct, and 1 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 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 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 Pa2e 3 01"3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0] 826 COM2009-0 1826 COM2009-0 1826 COM2009-0 1826 Payments: Type of Payment ONLINE CHGS cReceint I RECEIPT #: 3201000000000000006 Description . Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERM1T CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/11/2010 I: 16:33PM Amount Due 55.00 6.00 7.32 3.05 $7\.37 Item Total: Check;Number Authorization Received By Batch Number Number How Received kr :~K , " ,;1 T .i ~\ Page] of I Amount Paid ONLINE Doug Palmer Online Electric Payment Total: $71.37 $71.37 1111/2010