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Home My WebLink AboutPermit Electrical 2010-2-16 City Of Springfield 225 Fifth 5t . Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@d.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00075 Approval Code: 516125 2/16/2010 ,1:52 pm E.mailed To: sd~mpsey@cherrycityelectric,com ,\, :i-:g ~r,':.~'~~t~_"''''';'Pl:AN:REVIE\fi '. -j' s,~ R..'. N. G FIEL~O. ~1" .....-.. ' ~. - "l'< (i!:t . ,-.:-.' \. OREGON Ir61~~;~n~~;,::::.r:~;:C" :TYPE;OF'W:~d:::~alteratiOn/'e~l~eemenl o Hazardous locations o A service or feeder rated al 600 amps or more o Buildings more than three slOt o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "En, or "1-2" or "J-3" o Recreational Vehicle Parks o Supply voltage for !!lore than 600 supply volts nominal Please check all that apply: o A service Of 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 ~C.A.TEGORYcOF CONsfRUCTIOi,j;-;" t", ~" o 1 or 2 family dwelling o Multi-family [R) Commercial o Accessory 'JOB SITE INFORMATION AND LOCATION'...., Job Address: 3106 PIERCE PKWY D Fire pumps' o Emergency systems o Addition of a new motor load of100 HP or more o Six or more residential units in one structure o Health care facilities City/State/ZIP: SPRINGFIELD, OR 97477 5uite/bldg./aptno.: D I Project Name: 3521031-0761 I Cm.. St..eUdl,eetions to Job slta: Tax map/parcel no.: 1702300001000 I~~~:'~ '. }:~FE'EI$,9HEDULg,'e';,;?~: . - ' I Description I Qty. I Ea. l IBr~_~'ch:circuJts.''7f~'. ~r~L' "-~-..,~'" ~..,.' _ _ I Branch circuits without service or $55.00 feeder I Branch circuits each additional circuit without servlce It:!~ctrical Pefmjt'F,~~s. "'. \;.=~ I Subtotal I State surcharge (12% of permit total) I Technology fee (5% 01 permit total) I TOTAL PERMIT FEE ;.. ,',' ''''''''1, YOESCRIPTION'OFvilo~K,r,'<:;'..~?'; -i-"~J " ~> " .,"":", , Total install,new circuits for door openers $55,00 ~' .. I I Name: Jeff Kiddoo I Phone: I Email: -';;'SITEcONTAc:..T'<,.;'C ~( $6.00 $6.00 ,'" , - ~ $61.00 $7.32 Fax: I' , cONTR)\CTO~, -,,:;~~ '. '~. ".:I~i:- ~~' A\- $3.05 $71.37 I Etec lie. no.: 37-620C I Business Name: CHERRY CITY ELECTRIC I Contact: I Address: 1596 22ND ST SE I City/State/ZIP: SALEM, OR 97302 I Phone: 5035665600 I Emall: .y".zle@N.Q.TM~i~eeom I Mat'o lie, no ! ~~ ,~~R~II SHALL~PcJI.'.E IFTHE WORK I Supe<vlslng E'e'd~eiap,'{~'n~~U U'~M~!} I nlil 1"1:11"",1. .,) AU I '-''..':',~_fl~2n I.,) .\l3AND3I!EE roo Supervising E'eAtf~crnr..trrl11.AY ~ S HAYCOCK eCB lie. no.: 91668 olJ/.J11D fL (2ID- (}/3 Fax: 5035408147 AnENTlON: Oregon law requlres you to follow rules adopted by the Oregon UtIlity Notification Center. Those rules are set foIth In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules bJ calling the center. (Note: the telephone number for the Oregon Utility NotIlIcatIOn Center 111-800-332-2344). # ~~ . \.\ ",,\1.0 Number of Inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ~\ ~{\.\~ ~~ Inspections Phone: 541-726-3769 ~ This Authorization To Begin Work must be posted at the job site u!"!til replaced by a Permit Upon review and approval by your focal jurisdiction, your pennlt will be e-malled or taxed within one buslnesa day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days If II permit Is not obtained. The local building department may determIne that an Authorizatlon To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. I' ii ti il Ii CIT)'jI OF SPRINGFIELD Building/Combination Permit II II PERMIT NO: COM2010-00213 ISSUED: 02/16/2010 APPLIED: 02/16/2010 EXPIRES: 08/16/2010 VALUE: ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3106 PIERCE PKWY D ASSESSOR'S PARCEL NO.: 1702300001000 II l' SPRINGFIETYPE OF WORK: Elect'rical Work Only " TYPE OF USE: New'. ~' Commercial PROJECT DESCRIPTION: Install new circuits for door openers Owner: STATE OF OREGON MILITARY DEPARTMENT Address: PO BOX 14350 SALEM OR 97309 Contractor Type Electrical Contractor CHERRY CITY ELECTRIC License 91668 Ii I, , I ' E . .If D XplratIOn ate I' 07120!2011 Phone sdempsey@cher I CONTRACTOR 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 T)'pe: Energy Path: Sprinkled Building: nla ~ Lot Size: " Sq Ft 1st Floor: l' Sq Ft 2Dd Floor: 'i Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 'f Occupant Load: e BUILDING INFORMATION I I DEVELOPMENT INFORMATION I y :, REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard SetbackNOTICE: % of Lot Coverage: Solar Setbacks: THIS PERMIT ~HALb ~PIRE IF THE WORK AUTHORIZED UNDER T~MENTS I S I COMMENCED OR IS AbAI,uv",..u I L,\ treet mprovemem~y 180 DAY PERIOD. Storm Sewer Available: Speciallustruction: Total: ATTENTlON: Ore~bb98in~ vau to follow rutes adopt~:Oregon UIIIIty Notification Center} Those ruin are set foI1b In OAR 952-oG1.oo1 0 through OAR 952-001. 1l0ll0. 'illY Illfiljl' 9IItaIA =11100 of Ill; R doft '":1 calling the center. (Note: the telephone IIWIIblII' fllrJhe oregon UIIlity NoIIfIoaIIon --';IOew~~1i j -800 ~~.2344). I . Downspouts/Dra~ns: / Notes: . ~ t:1 I ,', " 1, Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Ii Ii Value I: Date Calculated I Valuil'tion Descrintion I Pa~e I 01'2 I' 11 Status Issued CITY;: OF St'Kl1"L.-FIELD Building/C9mbination Permit PERMIT NO: CbM20IO-00213 ISSUED: 02/16/201'0 APPLIED: 02/16/2010 EXPIRES: 08/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,'fotal y ~!n.e of Project Fe~s Paid J $7.32 $3.05 $55.00 , $6.00 2/16/10 2/16/10 2/16/10 2/16110 Recei~t Nnmber Ii 1201000000000000144 1201000000000000144 " 1201000000000000144 " 1201000000000000144 II Ii I: !' Fee Description + 12% State Snrcbarge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt Paid Date Paid Total Amonnt raid $71.37 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. willllbe made the following I ~~d~ , Reouired T~snedions I 'R><' ., "!.., ,~. J Rongh Electric: Prior to Cover' Final Electric: When all electrical work is complete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all ., information hereon is true and correct, and I further certi(y that any and all work performed shall be done in accordance with the Ordinances of the Ciiy of Springfield and the Laws of the State of Oregon pertaining to the wrirk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commnnity Servi~es Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all reqnired inspections are reqnested at the proper time, that each ~adress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiiI remain on the site at all times during construction. . ' II Owner or Contractors Signature Date t:~:,U" '"" . ~'1 ...~;- .,d,;.. :;" Paee 2 012 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 1 0-00213 COM20 1 0-00213 COM2010-00213 COM20 1 0-00213 Payments: Type of Payment ONLINE CHGS cRec~intl RECEIPT #: 1201000000000000144 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Received By KR Page I of I Check Number Batch Number Ii City of Sprihgfield Official Receipt DevelopmeJt Services Department jl Public Works Department II Date: 02/11~/2010 2:53:46PM " Item Total: Authorization Number Amount Due 55,00 6,00 7,32 3,05 $71.37 I " How Received " A~ount Paid $71.37 ONLINE CHERRY Online CITY r ELECT, Payment Total: $71.37 ji 2/16/2010