HomeMy WebLinkAboutPermit Electrical 2010-4-9
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us.
c:'Q"l- I (PiP '6
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00155
Approval Code: 019010 4/9/2010 8:05 am
E-mailedTo:kshoemaker@scofield.net
o New Construction
IR] Addition/alteration/replacement
CA TEG08YOF, CQNSTRUCTION "
o 1 or 2 family dwelling
o Multi-family [Z] Commercial
o Accessory
JOB,siTEINF:ORMATIOWAND LOCATION: .;;":
Job Address: 2861 PIERCE PKWY
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City/State/ZIP: SPRINGFIELD, OR 97477
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Suite/btdg.lapt.no. :
Project Name: 2010-011 PLUMBERS & STEAMFITTERS
Cross Street/directions to job site: MARCOLA RD/28TH STI PIERCE
PARKWAY
Tax mapJparceJ no.:
1702302300102
.~-i<t.DESCRIPTjON OF W.oRK'-'t,. '.
EXTEND 1 OOAMP CIRCUIT AND EXISTING OUTLET CIRCUIT.
"SIl'E CONTACT;
Name: ERIC SCOFIELD
Phone: 541-686-8612
Fax: 541-686.8696
Email:
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Elec lie. no.: 20-1 C
38702
CCB lic. no.:
Business Name: SCOFIELD ELECTRIC CO
Contact:
Address: PO BOX 2765
City/State/ZIP: EUGENE, OR 97402
Phone; 5416868612
Fax:
Email: k.shoemaker@scofield.nel
Metro lie. no.:
City Iic. no.:
Supervising Electrician's lic. no.:
42185
Supervising Electrician's Name:
ERIC SCOFIELD
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Olher Services: 2
Upon review and approval by your local jurisdiction, your permit 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 nol obtained.
The local building department may ~etermine that an Authorization To B<:~i.'!.iY'l.or~., is. null and
void if it dOBS not meet applicable land use laws and local orctinances. ,:,/1::.. ,t.:. ,_
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Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available faull.current exceeds
10,000 Amps al150 Volts or
less 10 ground exceeds
14,000 Amps for all other
..1.
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
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA 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
1,,"<: " 'FEE'SCHEDULE;'
Services 200 amps or less
~ra'5c~~~:C!!~tJits;\
Branch circuits with service or
feeder each circuit
.Ele~tricaIJPerm!t~fees!~'~~.;;',,:
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permillotal)
TOTAL PERMIT FEE
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$6.00
$87.00
$10.44
$435
$101,79
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Inspections Ph'one: 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: COM2009-01668
ISSUED: 04/09/2010
APPLIED: 1111812009
EXPIRES: 10/09/2010
VALUE:
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2861 PIERCE PKWY
ASSESSOR'S PARCEL NO.: 1702302300102
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Low voltage electrical- 04/09/2010 Permit issued 04/09/2010 for Scolield Electric to
extend 100 AMP circnit and existing outlet circuit.
Owner: UNITED ASSN LOCAL 290 APPRENTICESHI
Address: 20220 SW TETON AVE
TUALATIN OR 97062
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Low Voltage Electrical
Contractor
SCOFIELD ELECTRIC
SECURETECHINC
License
38702
156618
Expiration Date
12/2112011
08/08/2011
Phone
541-686-8612
541-521-2837
BUILDING INFORMATION ,
# of Units:
Primary Occupancy Grnup:
Secondary Occupancy Group:
Primary Constructinn Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
_,Tl:Ue .o(~ ea t:
_)Vater Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Fr'ontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: _0 . Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: . law requires you.to
.' .., -rTENTION', Oregon the oregon Utility
,.......,. ,A" . otedbY" ttonh
PUBLIC IMPROVE ~t n cente~1'0 throUgh OJl,R 95~-0 'bY
Oil. o2-00~-O, ies otthe ru es
In y u m~<biWIlIR 1Y~~:the te\ep\1O~e
OO~~\iin~ the \WQ~@~~~~lillis\'lot)iticat\On
number tor t e, 1_800-332.-2.344. .
Center IS
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT
AUTHORIZED SHALL EXPIRE IF THE wQ'FiK' ,.,',"."
COMMEN UNDER THIS PERMIT IS~'~/ OJ ..:~.
4 "IY CED OR IS ABANDONED .._,..oT d'
I 180DAYPERWD, FO~
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01668
ISSUED: 04/0912010
APPLIED: 11/18/2009
EXPIRES: 10/09/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Description
Tvpe of Constrnction
I V aluat~on Descriotion I
""SJ.,'
$ Per,SAFt ,_ Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr' 200 amps or less
Amount Paid Date Paid Receipt Number
$6.96 ] 1/18/09 120090000000000]266
$2.90 i 1/18109 120090000000000]266
$58.00 11/] 8/09 120090000000000]266
$]0.44 : 4/9/10 3201000000000000]32
$4.35 4/9/]0 320]000000000000132
$6.00 4/9/10 320]000000000000132
$81.00 4/9/10 320]000000000000132
Total Amount Paid
$169.65
Plan Reviews ~
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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.
~eollireCUnsnection~ I
Low Voltage: Prior to cover.
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is ~oin'plete.
Electric Service: Approval required prior to utility company energizing service.
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Pa2e 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01668
ISSUED: 04/09/2010
APPLIED: 11/18/2009
EXPIRES: 10/09/2010
VALUE:
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By signature, I state and agree, that 1 have carefully'examiued 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 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 frout of the property, and the approved set of plans will remain ou the site at all
times during constn~ction.
Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000132 .
Date: 04/09/2010
8:17:59AM
Job/Journal Number
COM2009-0 1668
COM2009-0 1668
COM2009-0 1668
COM2009-0 1668
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
6.00
10,44
4.35
$101.79
Amount Paid
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ONLINE SCOFIELD Online
Payment Total:
$101.79
$101.79
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p'age I of I
4/9/20 I 0