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Home My WebLink AboutPermit Electrical 2010-1-28 CIO.gD City Of Springfield 225 Fifth 51 Springfield, OR 97477' Phone: 541-726-3753 Email: permilcenter@cLspringfield.or.us . Commercial Electrical Authorization To Begin Work 69600-BEl,10-00038 Approval Code: 028174 1/28/2010 12:02 pm S~R IN',G, FIEL~D,; , :iJr'\!l._.''. J" . .,~.~, ~~ ' "" '{, , 7f ,,"-:- ~ _"1" <,:,;".\.. OREGON E~mailed To: tena@orelectricservice.com I~~>~-,\~~-~':~':~'~~~'~:;:';~~j,: ,_~:;~t"B'PEOF.,;WORK''<~i..;:''''~~~~~~~~':'4~..f;;;~-~~~1 I~~~"':k';~'" "~.,,'Mt :J,~EAN;REViEW:'" ~ )'- ,.~ <,;':. ,;",-" I 0 New Construction IR] Addition/alteration/replacement I~;'~"t ~:.< A'" ':;':,~CATEG6Ry;oF.iC()NStRU.cTi6N~'. I 0 1 or 2 family dwelling 0 Multi.family [RJ Commercial D Accessory 1[,.'1~::..'y:f'?"I_,'J()B.SltETNF'6RMATION ANDL6cATI6N~~~~" }'~.,;t.'{:I-j I Job Address: 1410 MOHAWK BLVD I CitylStatelZlP: SPRINGFIELD, qR 97477 I Suite/bldgJaptno.: I Project Name: Kuraya's/541-746.2951/AH I em.. Stro,Ud;"et;ons to job ,;te, I Tax map/parcel no.: 1703253310004 1:~~~'~'~:''J~~~~~~~:~~~;li. "QES:CRip"riQNtO~WPRK:2~tC~J;i,~t:;:;,~;:~~'J o Hazardous locations o A service or feeder raled at 600 amps or more D Buildings more than three star D Marinas and boat yards o ~Ioating'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 Please check all that 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 0", D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure o Health care facilities I Description Reconnect roof unit I Branch circuits without service or feeder l~i~ceH~n.;,<?Ys~'~~': I Balance of permit fees lElecfric~al:P'ermi(t;ees ~ "':;:~~. I Subtotal I State surcharge (12% of permit Iota)) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $55.00 11 $3.00 I .:_:;;S~ltE~_CQ~Nf~_G~~~1,}~~~l< ,:C.T...t...._ . -- '-.-'~ ':.1 "::i-"= I .; :'0~$\: I Name: Jeff Brooks I Phone: 541-343-1681 I Email: Fax: 541-343-1683 $58,00 I $6.961 $2,90 I $67,8' I I Elec lie. no.: C40B CCB lie. no.: I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: Address:-PO BOX 2237 181997 l{tg(ID IdC 00- ED ..... City/State/ZIP: EUGENE, OR 97402 Phon" 541oNOIf'CE~ I Em.;I' THIS PERMIT SHAllEXElRI: II: lllE ltI'ODK I M",o lie. n~U! H~~'ZEO UNDER TH~IiPfRMIT IS. Nor I sup.~;';n~~~~b~M%1~E~:~JWANOONED FOR I Supervising Electrician's Name: R ~AN OLLAR Fax: 5413431683 A'TTEN11ON: Oregon law requIreI,." tDIIow nil.. ,".. ." ,1 by the Oregon UlI1Ilf NoIIlIcalIon Center. Th0881U1eI8I'818t IortIt In OAR 95NQ1-G010through OAR 952.001- ooso. You may 0bI8In copies 01 the ruI8I br oaIIlng the center. (Note: the t81ephone aumbIr for the Oregon UtIlity NotIlIoatIaft Center 111-800-332.2344)- . g>{Ro-oP ~ 0...,\0 vy 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.malle~ or faxed within one business day,w1lh Instructions on howto schedule your In spection. ~~~ v:~ Inspections Phone: 541.726,3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit! ; , NOTE: This Authorization To Begin Work expires 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 llppllcable land use laws and local ordInances.' ~ CITY VI' .:'lYKm\..rJ1IELD Building/Combination Permit , .~~; Status OK to Issue PERMIT NO: COM2010-00080 ISSUED: APPLIED: EXPIRES: VALUE: 01/20/2010 07/29/2010 $ 7,192.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection line SITE ADDRESS: 1410 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310004 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair PROJECT DESCRIPTION: Replace existing HV AC with gas ac package unit Commercial Owner: JAMES M BROWN REVOCABLE TRUST Address: 1406 MOHAWK BLVD 175 SPRINGFIELD OR 97477 I C,ONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE.. ASSOCIATED HEATING'&, AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING 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 Garage/Carport Sq Ft Other: Occupant'Load: n/a I DEVELOPMENT INFORMATION I . REQUIRED PARKING Front yard set~WICE: -;.. 6~~'rlay Dist:, ATTErmON: orego.:.~YOUto Side I Setback. HIS PERMIT SHAll EXPIRE IF THaWORfrees Rqd: follow rules adopte lli"el'liDon Utility Side 2 SetbaclAUTHORIZED UNDER THIS PERMI1'4&1II0iive Rqd: Notification Center. mfflJlfis are sat forth . Rearyard Seltiilf.1MMENCED OR IS ABANDONED fOf{ lot Coverage: In OAR 952-001-0010 through OAR 952-001- Solar Setback11NY 180 DAY PERIOD. . 0090. You may obtain copies of the ~es bV I PUBLIC IMPROVEMENTS I :=; th~'O;~g~;~~~ :tlfi. Street Improvements: .. '.' Side~~"~llt1.aoo-332-2344). :.~ t;.~. " Storm Sewer Available: Special Instruction: " Downspouts/Drains: Notes: . Paee 1 of 3 _S",E!~,IN', G,.I'!I,.,e:.L.'!?; ,."" ',I,' ~i' '! ," 0,1! ....'..," III "..' I . .c. . '., ,,,,i,.jr ,.. ... .,' ,', ...., '_", .. .~'_ .,' .. 0 ,. Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Bid Amount Use Bid Amount Fec Description + 12% State Surcharge + 5% Technology Fee Add; Alter, Extend Circ Total Amount Paid SUB Review 01/20/2010 .) ,.;, I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 7,192.00 CITY (JJ1 I'lrKl1"GFIELD Building/Combination Permit PERMIT NO: COM2010-00080 ISSUED: APPLIED: EXPIRES: VALUE: 01/20/2010 07/29/20 I 0 $ 7,192.00 Value Date Calculated Total Value of Project Fees P3id I Amount Paid Date Paid $7,192.00 $7,192.00 01/20/2010 $6.96 $2.90 $58.00 1/29/10 1/29/1 0 1/29/10 Receipt Number 1201000000000000084 1201000000000000084 1201000000000000084 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. $67.86 I Plan Reviews I .. '...c' 01/~~/2010 ' . APP DJB I Rep"ired Insnections I 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 cumplete. .' -~.;.:;. j~.., " . I:~:' >; Pa2e 2 00 _8,l'!ii1iIiCA.',N".-""o;l""I,;,'.I~,.!?,' .,..,,' ,"..,... WJr. '. \ ' ij , .~ " 11 l .' 'I! ."~' ,}~". :; ....,..,....."_..,.,,......_._ ....._,1" f CITY OF ~rtHj'\iu"lJ!.LD Building/Combination Permit Status OK to Issue PERMIT NO: COM2010-00080 ISSUED: APPLIED: EXPIRES: VALUE: 01/20/2010 07/29/2010 $ 7,192.00 "- 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection line By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all 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 th~ State of Oregon pertaining to the work described herein, and .,'~~ that NO OCCUPANCY will he made of any strnctur~ ~~ithoutpermission 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. 1 further agree to ensure that all required inspections are requ'ested 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 .,' ':',\ ,,\.i- v; ., , . . Pa2e3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20] 0-00080 COM20 I 0-00080 COM20 I 0-00080 Payments: Type of. Payment ONLINE CHGS cRcceintl ~~: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000084 Date: 01/29/2010 Description Add, Alter, Extend Circ + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ~1 ! ...' KR ONLINE OREGON Online ELECTRIC SERVICE Payment Total: ~1,~~.~' .~, "~... j\ , ,~"'i .,' ./' , Page I of I 8:30:42AM Amount Due 58.00 6.96 2.90 $67.86 Amount Paid $67.86 $67.86 1/29/2010