The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-3-19 (2) City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcent~r@ci.springfield.or.us r::,:.,,' .:~ \\f" : ...~' o New Construction lKJ Addition/alteration/replacement cA TEGORY,di<qQ~SfRDcTION' o Multi-family [Z] Commercial ~.~ o 1 or 2 family dwelling o Accessory .- 'JOB S'ITE iNF6RM~ TION AND LOCATION Job Address: 110 INTERNATIONAL WAY CitylStatefZ1P: SPRtNGFIElD, OR 97477 SuitelbldgJapt.no. : Project Name: Pacific Source Cross Street/directions to job site: Tax map/parcel no.: 1703154000100 i',J:iE'SCRiPTIONOFW9Rk, ,,".'C."'N. Install new 400a feeder and 225 amp feeder and 32 circuits for new stand by UPS .;if.i'i" . + I,)' ""1.," " 'SITE COr:.JTACT~' " ',.-" Name: Rovle Johnson 1,1 Phone: 541-485-0922 Fax: Email: ,CONTRACtOR" Elee lie. no.: 20-12C 4296 CCB lie. no.: Business Name: BUILDERS ELECTRIC lNC Contact: Address: 195 MADISON ST City/State/ZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Email: FRED@BUILDERSElECTRIC.COM Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 3290S Supervising Electrician's Name: RUSSEL W CRANE Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .,. '., Upon review and approval by your IQcal Jurisdiction, your permi! will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. e\O-d~D Commercial Electrical Authorization To Begin Work 69600-BEL-10-00122 Approval Code: 019195 3/19/2010 9:03 am E-mailedTo:johnr@builderselectric.com ,I .,,,ic:,' ;;V; -, .,;< . " " PLAtij'REVIEW '.: ,. . , ,'.. , Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 0 Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds 0 Marinas and boat yards 14,000 Amps for all other 0 Floating buildings 0 Fire pumps 0 Commercial-use agricultural buildings o Emergency systems o Installation ofa 150 KVA or D Addition of a new motor load larger separately derived sys .of 100 HP or more D "A", "E", or "1-2" or "1-3" D Six or more residential units in o Recreational Vehicle Parks one structure 0 Health care facilities o Supply voltage for more than 600 supply volts nominal "",'~I~'",t}:t: SCHEDULE' '1"; , 1 Description I aty, Ea, Total Services:odeeciirrs ".., ':""""" . ',' Services 201 to 400 amps 2 $9500 $190.00 Branch"ircuits,' . 4:"'~~" 1 "'".' , , Branch circuits with service or 32 $600 $192,00 feeder each circuit EI~9trical;Ffermh:F,e~s-. ' C', .,"1',', .' ;. :",' Subtotal $382.00 State surcharge (12% of permit $45.84 total) Technology fee (5% of permit total) $19.10 TOTAL PERMIT FEE $446.94 .~ ~"y J.~ \ ~~~ ~~{J" i.J ~~ '\ ~~ Ca--n20ID - 002- c; ~ 3-\'1-)0 n('y) Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status In Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00298 ISSUED: APPLIED: 03/09/2010 EXPIRES: 09/09/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 INTERNATIONAL WAY ASSESSOR'S PARCEL NO,: 1703154000100 Sl'ringfield TYPE OF WORK: Electrical Work Only "".' TYPE OF USE: Addition PROJECT DESCRIPTION: Electrical to back np generators in case offaHnre Commercial Owner: PACIFIC HOSPITAL ASSOCIATION Address: PO BOX 7068 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License BUILDERS ELECTRIC INC 4296 BUiiOING INF'ORMATlON I Expiration Date 12/10/2011 Phone 541-485-0922 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Fr Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I . 10' ,rlW.y,lres you to Street Improvements: ATTENTION: Ore~W':nKl~egon Utility Storm Sewer Available: ; follOW rules adopt~ by t~~I~llhMtforth Notification Center;,ylf~ll hOAR 952-001- Special Instruction: I 010010throug In OAR 952-0 - bt 'n copies of the rules by Notes: 0090, You may 0 al ote' the telephone nT calling the ce~~:~ci~n uiility Notification THIS P ler is 1- AUTHO~RMIT SHALL EXPIRE IF THE Yaluation Descri ~Q^~ME~~i~NDER THIS PERMIT ISsN{gqsq Ft Square Footage DescnPtlO!ln ul'V.lUlf~~"'IOf\D FO.... It' I' , '.01 '\ . B'd A Value Date Calculated . DAY PERIOD, (flOC fl' mu ,,'.~,:el:,"" or I mount . "-li '':'',:"''", "'1 " Paee I of 2 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2010-00298 ISSUED: APPLIED: EXPIRES: VALUE: 03/09/2010 09/09/2010 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid" Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 201 to 400 amps Amount Paid'P',,,, . 1:'1,< Date Paid Receipt Number ''-. ~, $45.84: . ',f $19.10 ' $192.00 $190.00 3/19/10 3/19/10 3/19/10 3119/10 3201000000000000093 3201000000000000093 3201000000000000093 3201000000000000093 Total Amount Paid $446.94 Plan Reviews ~ Electrical Plan Review . 03/09/2010 Initial Review 03/09/2010 03/09/20 I 0 API' LLH 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. L Reuuired InsDections ~ Electric Service: Approval required prior to':UXi'lity.~o~'pany energizing service. 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 application and do hereby certify that all information hereon is true and correct, and I 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readahle 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 ...;.~'nf Paee 2 of 2 i1' .. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000093 Date: 03/19/2010 9:49:59AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 190.00 192.00 45.84 19.10 $446.94 Job/Journal Number COM20 1 0-00298 COM20 I 0-00298 COM20 1 0-00298 COM20 1 0-00298 Description Penn Serv/Fdr 20 1 to 400 amps Add, Alter, Extend Circ Ea Add + 12% State Surcharge .. <.. + 5% Technology Fee Payments: . Type of Payment ONLINE CHGS Amount Paid njm ONLINE . builders In Person Payment Total: $446.94 $446.94 >.(.l! .~' ...... ;' ~ ,. cReceintl Page 1 of I 3119/2010