HomeMy WebLinkAboutPermit Electrical 2010-2-23
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
tlO-v{o
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00083
Approval Code: 613284 2/23/2010 2:48 pm
E-mailedTo:jonette@newwayelectric.com
D 1 or 2 family dwelling 0 Multi~family
1iv_~l~~oBsiJ'E!1N'F6rIMA:TlONrA'NBIiTo'CATJON~\.~!:s,~
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less 10 ground exceeds
14,000 Amps for all other
Job Address: 1650 CENTENNIAL BLVD
City/State/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six Of more residential units in
one structure
o Health care facilities
Sl..Iitelbldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
Phone: 541-686-2365
Fax: 541-686-2715
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
Email:
''''iJi\.f"",~{J&'"-''''~~"-- '-"'~"-"'1-"'';;}*"''"'\''-':~_1li'~
~~~~~~~r~?~,',~,:i~'io%'?"C~;1~9J~~IM9]9I'~0'i~&~~~5;lfL,. ; ,k'''' l\ .'"
Elec lic. no.: 20-145C
51088
TOTAL PERMIT FEE
cce Iic. no.:
Business Name: NEW WAY ELECTRIC INC
o Hazardous rocati.ons
o A service or feeder rated at
600 amps or more
o BUifdings more thEln three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
D Installationofa 150 KVAor
larger seperately derived sys
D "A" "E" or "1-2" or "f-3"
. ,
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
$58.00
$6.96
$2,90
$67.86
Contact:
CJO- dYO kJL..2-IL3/ID
AITENTlON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
. ~Center is 1-800-332-2344).
. - 0,-~" \ 't-1:Sf..\'J
\ri (r J~ c{((l<",
~
Address; PO BOX 21503
City/StatelZlP: EUGENE, OR 97402
'~:~;-'.' ~-".,
i
Em.n\.t RM\1 SHtlll
Me"o~tJ'1d(iOR\ZED
""I.E'n~ .
SupervIsing :!ectr Cl
- "'.... I
If)\] unl
Supervising Electrician's Name:
Fax;
P,l<
ISNOl
itMOR
Phone' ~
,
5252S
JUSTIN M PASLAY
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 j e-malle~
withIn lJfle buslm:ss oay, with lnslructlons on how to schedule your inspectIon. .
NOTE: This Authorization To Begin Work expires within 180 days If a permit IS not obtained.
The loul building department may determIne that an Authorization To Begin Won.: Is null and
void if it does not meet ilppllcable land use laws and local ordinances.
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
54.1-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00240
ISSUED: 02/23/2010
APPLIED: 02/23/2010
EXPIRES: 08/23/2010
VALUE:
SITE ADDRESS: 1650 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253403900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace damaged pole light. Re-ronte existing branch circuit.
Owner: MERCURY DIME, LLC
Address: PO BOX 26125 '
EUGENE OR 97402
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Expiration Date
06/27/2011
Phone
541-686-2365
Contractor License
NEW WAY ELECTRIC INC 51088
BUILDING INFORMATION q
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#01' Stories:
H~ight of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
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 INFORMATlO~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
.._,\..,i::iP:?j.''''~
ROVEMENTS
Street Impl<\'tl'{'~&!. "\-\r>.\.\. tiS'I\'I~~?WI\ .,
\~ co.Vlli v r:\'I i\,\IS t.~ fa"
Storm sewe'\1'\\@iRlt,le1tIl \l~\)<- B",~\)a~
Special Instru~~i{>\IIO\'l' 'C\) 0\'1 IS iii
,.()W\W\'C~C ,{ ?'C\'I,O\).
Notes: "I'( '\ Sa \)p;, .::,..
I v alu~tion D~scription I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Type of Construction
Page I of 2
REQUIRED PARKING
Total:
Handicapped:
. Compact:
N: Oregon law requires you fG
follow rules adopted by the Oregon Utility
Not~lCerPer. Those rules are setfortll
In O~~ 952-001 illQ1P l~rough OAA952,OOrt~
00917. V'O'dIfflIlVOOt'AWi copies of the rulesiby
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center isl-800-332-2344).
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.of,'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00240
ISSUED: 02/23/20]0
APPLIED: 02/23/20]0
EXPIRES: 08/23/20]0
VALUE:
Status
Issued
Total Value of Projcct
Fees Paid..._
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
2/23/10
2/23/10
2/23110
1201000000000000172
1201000000000000172
1201000000000000172
Total Amonnt Paid
$67.86
[ Plan Reviews ~
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, inspe,ctions requested after 7:00 a.m. will be made the following
work day.
Reouired InsDections I
Rough Electric: Prior to Cover
Final Electric: ","'hen all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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.
1 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 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
;:\
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000172
Date: 02/23/2010
3:14:54PM
Job/JournalNumher
COM20 I 0-00240
COM20 I 0-00240
COM20 I 0-00240
Payments:
Type of Pa}'ment
ONLINE CHGS
eReceintl
Description
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Recei.ved By Batch Number Number How Received
KR
';::.'.
'.- ,-..~...
Page I of I
Amount Paid
ONLINE NEW WAY Online
ELECT.
Payment Total:
$67.86
$67.86
2/23/20 I 0