HomeMy WebLinkAboutPermit Electrical 2010-4-12
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Commercial Electrical Authorization To Begin Work
69600-BEL-10-00163
Approval Code: 026503 4/12/2010 10:52 am
E-mailedTo:ryan@securitymonster.com
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfleld.or.us
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D New Construction IRI Add ition/a Iteration/replacement
Ire ,-,' '. "Yi::j\IEGORY.Oc:CONSTRUCTION ,::lj';:~)'y~< "
D 1 or 2 family dwelling D Multi-family IRI Commercial D Accessory
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, ",'''1!: ',\ !' JOB:::;ITE,INFORMATION'Ai,fo L<:lCATlor,j\: ~" ".);
Job Address: 950 INTERNATIONAL WAY
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. :
Project Name: Access Control
Cross Street/directions to job site:
Tax map/parcel no.: 1703153000201
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Adding one access control door
cd:,} J} c ,~ ,:.'t"t":.;:~sffECONTACT .:. ". ' 'c :'ii,. L"',,, i
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Name: Rvan Anderson
Phone: 541-342-8111 Fax: 541-610-1612
Email: .
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Elee lie. no.: CLE166 CCB lie. no.: 177268 , , .,
Business Name: ANOROK INC --
Contact:
Address: 2722 SW 327TH ST
City/State/ZIP: FEDERAL WAY, WA 98023
Phone: 5413428111 Fax: 5416101612
Email: RYAN@SECURITYMONSTER.COM
Metro lie. no.: City lie. no.: , ' .. .
Supervising Electrician's lie. no.: 4524lEA
Supervising Electrician's Name: ANDREW MORRIS
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 permit will
within one business day, with instructions on how to schedule your inspection.
be e.mailed or faxed
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is not ~;bt~j;;ed::::-'. /."
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The local building department' may determine that an Authorization To ~egLn. Work ;s null and
void if it does not meet applicable land use laws and local ordinances.
Please check all that apply:
D 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
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
Description
~jrt1ited,gn,ergy'.'-;''')>~;'c'':'
Stand-alone limited energy,
commercial
Elect'i-ical PEhmlt Fees ~
Subtotal
State surcharge {12% of permit
tolal
Technology fee (5% of permit total)
;".
TOTAL PERMIT FEE
~
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Com?O/O
/7rn
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1.2" or "1_3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply valls nominal
$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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00452
ISSUED: 04/12/2010
APPLIED: 04/12/2010
EXPIRES: 10/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 950 International Way
ASSESSOR'S PARCEL NO.: 1703153000201
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: low Voltage Electrical - One access control door
Commercial
Owner: NORTHBANK PROPERTY LLC
Address: PO BOX 529
EUGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage Electrical
Contractor
ANDROKINC
License
177268
BUILDING INFORMATION ~
Expiration Date
07/1 ]12011
Phone
541-342-8111
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpaney Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
"RiihgeType,
Energy Path:
Sprinkled'Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
u/a
I DEVELOPMENT ]NFORMATlON ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: NOTICE:
THIS PERMIT SHA
,\~ I nu - D UNDER THIS PER
'.~/~lY~ENCED OR IS ABANDONE
, ., f ~O DAY PERIOD.
Description Type of Construction
" ulo
I PUBLIC IMPROVEMENTS lit O'50\",O~ b~ ~h;Oregon Utlli'rtYh
. I adop BO 'I ale se 0
\o:\:."i,\l'I~O 'en\Sjd;r~iiflHU e: R 952-001-
\..:otlnG''.ilO~_~Oi _Q,01 0 tr\\ougR'\)tt\l~ rules bY
in OAR 95u may o'U(Ul'il'r"llg!lt~ tiifephone
OO~~\Ii:~ the cenler'e t~~t~ti~~Y NotilicaUOn
number lor Ihe. O~_~OO_332-2344).
Cenler IS
. ,';'.~
$ Per Sq'Ft
or multiplier
.f....
". Square Footage
or Bid Amount
Value
Date Calculated
Page] 01'2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
-.,:>
PERMIT NO: COM2010-00452
ISSUED: 04/12/2010
APPLIED: 04/12/2010
EXPIRES: 10/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
[,feesP~id~
~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
4/12/10
4/12/10
4/12/10
2201000000000000345
2201000000000000345
2201000000000000345
Total Amount Paid
$67.86
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.
Reouired Insoections ~
Low Voltage: Prior to cover.
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By signature, I state and agree, that I have carefulllexamined 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 withont permission of the Commnnity Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
] further agree to ensure that all required inspections arc 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
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.... Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000345
Date: 04/12/2010
II :27:28AM
Job/Journal Number
COM20 1 0-00452
COM20 1 0-00452
COM20 1 0-00452
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
6.96
2.90
$67.86
Description
Low Voltage - Commercial Indus
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Paid
njm
ONLINE androk, inc Online
Payment Total:
$67.86
$67.86
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4/12/2010