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Home My WebLink AboutPermit Electrical 2010-3-3 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Ernail: permilcenter@ci.springfield.or:us G~:'_; ~ ~i .,,':,:-:'::0-\~lY=~"'_~-' <!~' ili./ ~ ""'-?O", " ',TYPE'OFWORK D New Construction IKJ Addition/alteration/replacement ,;,;+;i':,A;Al:gGORYOF~CONSTRUCTION : "~ " o 1 or 2 family dwelling D Multi-family [Z] Commercial 0 Accessory "'JOB SITEINFORMATIONAND'l(lCATION Job Address: 1501 MOHAWK BLVD City/State/ZIP: SPRINGFIELD, OR 97477 Suitelbldg./apt.no.: Project Name: Cross Street/directions to job site: Tax mapfparcel no.: 1703253404401 "~';,, DEl1CRlp.,TIONOF WORK~"~ Install branch circuits for outdoor smoke room 'SITE CONTACT Name: Justin Paslav Phone: 541-686-2365 Fax: 541-686.2715 Email: CONTRACTOR P"" . Elec lie. no.: 20-145C CCB lie. no.: 51088 Business Name: NEW WAY ELECTRIC INC Contact: Address: PO BOX 21503 AUTHORIZE DER THIS PERMIT IS NOT. Metmlio.no.,COMMENCED OR IS Ail~~OONED FOR Email: Supervising Supervising Electrician's Name: JUSTIN M PASLAY Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services' 2 elf}. J1( Commercial Electrical Authorization To Begin Work 69600-BEL-10-00099 Approval Code: 613073 3/3/2010 2:37 pm E.mailed To: jonette@newwayelectric.com ,"! "c..i"r, '.,' , ~Pt'ANREVIEW. . " ~ ,', . 'J Please check all that apply: 0 Hazardous locaUons D A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 0 Buildings more than three stor 10,000 Amps al150 Volts or less to ground exceeds 0 Marinas and boat yards 14,000 Amps for all other 0 Floating buildings 0 Fire pumps D Commercial-use agricultural buildings 0 Emergency systems 0 Inslallation of a 150 IWA or D Addition of a new molor load larger seperately derived sys of 100 HP or more D "A", "E", or "1-2" or "1-3" 0 Six or more residential units in 0 Recreational Vehicle Parks one structure 0 Health care facilities o Supply vOltage for more than 600 supply volts nominal ,. i>' ','-:>:i;FEE SGHEDUlE " ,'.' Description I Qty. I E.. I Total I,3ran~h' ~Ir~~j!~.~ ' '''-;'~''- :~...: .';:- -,.;;.e". ~ ,-,' ,.r:'" . . '",,!- .~: "'" . .... - Branch circ,lils without service or 1 $55.00 $55.00 feeder Branch circuils each additional 2 $6,00 $12.00 circuitwithoul service eiectHcaFPerrpit Fees "_J)". - .,:.., .. '. , Subtotal $67.00 Slate surcharge {12% of permit $8.04 lotal\ Technology fee (5% of permit lotal) $3.35 TOTAL PERMIT FEE $78.39 ~ 3-3-10 t\ D - ~ '1\ ~ ~~ ~~ jt: \)QJ>c~ ()o ~ :d-'.s Jt~ Vl ~~;F ~ A~N: Oregon la:'tes you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952.()O1. 0090. You may obtain copies of the rules b!7 calling the center. (Note: the telephono number for the Oregon Utility NlltilkmIttiiJ Center is 1-800-332'2344). Upon review and approval by your local Jurisdiction, your permit will be e-mailed within one busincss day, with instructions on how to schedule your Inspect ion. The local building department may determine that an Authorization To Begin Work Is void if it does not meet applicable land use laws and local ordinances. \.\ null andt\^,' \[)"V NOTE: This Authorization To Begin Work expires within 180 days If a pennit 15 not obtained. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00271 ISSUED: 03/03/2010 APPLIED: 03/03/2010 EXPIRES: 09/03/2010 VALUE: SITE ADDRESS: 1501 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253404401 Springfield TYPE OF WORK: Miscellaneous . TYPE OF USE: PROJECT DESCRIPTION: Added Smoking Room without Permits/lnspections. All fees are doubled I CONTRACTOR INFORMATION I Contractor License NEW WAY ELECTRIC INC 51088 BUILDING INFORMATION ~ Owner: OM LID BRENDA E Address: PO BOX 214 SPRINGFIELD OR 97477 Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Expiration Date 06/27/2011 Phone 541-686-2365 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATIO~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay'Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: ,I PUBLIC IMPROVEMENTS I Street Improvemeif$l:lS PERMIT SHALL EXPIRE IF T~I\ Storm Sewer Avaihl!,1il;!-IORIZED UNDER THIS PERMIT IS NOT Speciallnstruction80MMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of 2 ,'i;'] '. 'i,.> '., ,..0 REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law requires you f9,IJow rules adopted by the Oregon Utility N6i~l\:ffifi~r;Ii.!l!~ter. Those rules are set forth In6lAJilAANQ9D;l;\9.1P. through OAR 952-001- '0090. You may oorain copies of the rules by calling the center. (Note: the teleph~e number for the Oregon Utility Notification Center is 1-800-332-2344). Value Date Calculated ,',. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00271 ISSUED: 03/03/2010 APPLIED: 03/03/20]0 EXPIRES: 09/03/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I_Fees Paid-l $8.04 $3.35 $55.00 $12.00.~.,:. 3/3/10 3/3/10 3/3/10 3/3/10 Receipt Number 1201000000000000198 1201000000000000198 1201000000000000198 1201000000000000198 Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid "'> Total Amonnt Paid $78.39 , 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. LReauired InsDections 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 applicatiou and do hereby certify that all information hereon is true and correct, and I fnrther 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, Bnilding 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 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "!'.~'IJIlNO....".....'"""."..BU)".": '.. ...'.. W;L' t ";" '*. i ,". '/ ...."~ ...............;.....n.~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000198 Date: 03/03/2010 3:03:'11 PM Job/Journal Number COM20 I 0-0027 I COM20 I 0-0027 I COM20 I 0-00271 COM20 I 0-00271 Payments: Type'of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 12.00 8.04 3.35 $78.39 Description Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Paid KR ONLINE NEW WAY Online Payment Total: $78.39 $78.39 ., .~,.. i; ..;1.8.".- , ., , ,. '.i'.: .".'l\ Page 1 of 1 3/3/20 I 0