HomeMy WebLinkAboutPermit Electrical 2010-3-18
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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'.,"_" ;-,..- .
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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
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,
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).
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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.
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REVIEW
, ~, '
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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
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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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,;~ ........
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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
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cReceintl
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3/18/20 I 0