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HomeMy WebLinkAboutPermit Electrical 2010-3-18 \"'.:~;: Cily Of Springfield 225 Fifth St Springfield, OR 97477 . Phone: 541.726-3753 Email: permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00121 Approval Code: 970635 3/18/2010 10:41 am E-mailedTo:erin.butrico@aronsonsecurity.com --ty~E_OF WORK'.,"_" ;-,..- . _ .~ ~'1 _1 o New Construction IKJ Addition/alteration/replacement 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 CA TEGORY..OF-CONSTRUj:;TION ~ < , o Multi-family lXl Commercial' 0 Accessory o 1 or 2 family dwelling JOB SITEINEORMATIONAND.l(jCATION. Job Address: 353 DEADMOND FERRY RD 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 or more residential units in one structure o Health care facilities Suite/bldg.lapt.no.: Project Name: Sacred Heart Hospital Cross Street/directions to job site: Tax map/parcel no.: 1703154003700 .- ,:.- ..~. -;~ iicfEfsCHEDULE Qty. Total ATTENTlON: Oregon law requlres lOU III follow rules adopted by the Oregon Util/J.y Notification Center. Those rules are set fOldl In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules br calling the center. (Note: the telephone number for the Oregon Utility NotificallOll " Center is 1-800-332-2344). \ .\0 ~ i '. - .~,':. . - bESCRIf'Tl6N'oF'vil08K~.. ~..,,-'" ADD BURG AND ACCESS CONTROL TO BIRTHING CENTER EUG-323? , ; SITE CO~TACT.' Stand-alone limited energy. commercial Eledric~I~~~~ifFees ,;~ 'c.' Subtotal ".; Name: JON THOMPSON Phone: 503-639-9988 State surcharge (12% of permit total Technology' fee (5% of permit total) Fax: 503-684-4357 Email: ,- CONTRAcTOR ~,:t TOTAL PERMIT FEE Elec lie. no.: 26-497CLE 185024 CJ 0- 3?fi CCB lie. no.: Business Name: ARONSON SECURITY GROUP INC Contact: Address: 8089 SWCIRRUS DR City/State/ZIP: Email: ERIN.B M,tm II,. nO.1 ANY 180 DAY PERIO[J:.'ty I". nO.1 Supervising Electrician's lie. no.: ..)'; 3161LEA Supervising Electrician's Name: JAMES WHITEHOUSE 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 permil will be e-mailed or faxed wilhln one business day, with Inslruclions on howto schedule your I nspectlon. NOTE: This Authorl~atlon To Begin Work expires within 180 days if a pennlt is not obtained. The local building department may detennine that an Authorization To Begin Wor1< Is null and void If It does not meet applicable lami use laws and local ordinances. c,\\)- ?~'1 REVIEW , ~, ' , ~; D Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 IWA 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 $58.00 $58.00 $6.96 $2.90 $67.86 ~ 3\ 1<6\ \D Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit I" :( CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00339 ISSUED: 03/18/2010 APPLIED: 03/18/2010 EXPIRES: 09/1812010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 353 DEADMOND FERRY RD ASSESSOR'S PARCEL NO.: 1703154003700 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Add burg and access control to birthing center Commercial Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION ~ Contractor Type Low Voltage Electrical Contractor "" License ARONSON SECURITY GROUP INC 185024 BuiLDING'lNFORMATION ~ Expiration Date 02/05/2011 Phone 206,284-3553 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture 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 REQUIRED PARKING Front yard Setback: Overlay Dist: ATTENTION: Oregon talNMiuires.\(OU to Side I Setback: . ..'" # Street Trees Rqd: foll.o.w rules adopted byIifl!l<&iiMWl'illlJtility SIde 2 Setback:' . Pa.~ed Dme Rqd: NotIfIcation Center. Tho~'1mll~'ilre set forth Rearyar. ~"(~ EXPIRE If lHE WOOlhf Lot Coverage: In OAR 952-001-0010 through OAR 952-001- Solar Se !S''V'ERMli SH~\l PERMIT IS NOT 0090.. You may obtain copies of the rules by AUTH NeED OR \S ABANDON LlC IMPROVEMENT mber for the Or~gon Uiil~y Notification COMME \00' Center is..1-800-332'2344) Street ImRffY'''re\Y~:JI.'{ PER . , . ~('.:. ., SIdewalk Type: . Storm Sewer Available: .",..." ." Downspouts/Drains: Special Instruction: H - I DEVELOPMENT INFORMATIO~ Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated : j':'i' "., Page I of 2 225 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: COM2010-00339 ISSUED: 03/1812010 APPLIED: 03/18/2010 EXPIRES: 09/18/2010 VALUE: Status Issued ;;!'" Total Value of Project L Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $6.96 $2;90- $58.00 3/18/10 3/18/10 3/18/10 2201000000000000253 2201000000000000253 2201000000000000253 Total Amount 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, iri~p~ction~ requested after 7:00 a.m. will be made the following work day. L Reuuired InsDections I Low Voltage: Prior to cover. By signature, 1 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 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struCtnre without permission of the Community Services 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 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 . ..V, Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a'JNlQ..Fl,;~ ........ ~.,."'. . ' . ^"_.".....".~_......_. City of Springfield Ofticial Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000253 Date: 03/18/2010 11:11:00AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 58.00 6.96 2.90 $67.86 Job/Journal Number COM20 I 0-00339 COM20 I 0-00339 COM2010-00339 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fe,? Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE ARONSON Online SECURITY GROUP Payment Total: $67.86 $67.86 r~:;' ;. .~.\ ., .,'-\- : ~ ,tJ1.f. ~< '- ;; t' . ~.".', ' cReceintl Page I of I 3/18/20 I 0