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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 .t/~:' :i. ~'..'. City/State/ZIP: SPRINGFIELD, OR 97477 ,-.' 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: _'!C," ~1~^"CONf~pOR .,'-;' d 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.:. ,_ t"" "'1 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 '-~ " ~~\:~ w~~ ,~.,. ~,j $6.00 $87.00 $10.44 $435 $101,79 . c0-'- 0 \)\();~~ \-s~ ::fr Com2()ZJr~ O/66~ /} /h L//9// 0 .".... .. Inspections Ph'one: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit WIi:~~t~gF!I~:: & ! \ ..........-. 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 ~ . '~"":!~~<: '~,'111,- !;~':.. j . -, .' ",;,jJ~ ....:. 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. ; , ~Eifl~; .. hr.", ,;.'.~; ~~..'r" ~: '.~" j.1'..: ' .,;.l.1' ,,~. . . Pa2e 2 of 3 'c" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t;)':.r'<'; ,;,'0.':':'. F,.;rt CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01668 ISSUED: 04/09/2010 APPLIED: 11/18/2009 EXPIRES: 10/09/2010 VALUE: '", 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 '" i n ~'l;" .- il" 1.' ~...." "'"" ". .., Pa2e3 of 3 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 NJM :' ", ..;", l'.,'!' : \ ONLINE SCOFIELD Online Payment Total: $101.79 $101.79 .:'.. ",F:\:J" ~,<'::i'; '",' / .. .1;.' -',' j' cReceintl p'age I of I 4/9/20 I 0