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HomeMy WebLinkAboutPermit Electrical 2010-4-12 0. \0 - ~ ".:G- Commercial Electrical Authorization To Begin Work 69600-BEL-10-00163 Approval Code: 026503 4/12/2010 10:52 am E-mailedTo:ryan@securitymonster.com Rl.AN;REYIEW,4, , City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfleld.or.us i,c:". ,:;: """il 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 .. , ",'''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 I,,' '.' ..,,: , ~:'''::'''':~;,j'fi' " ,," :"''' Adding one access control door cd:,} J} c ,~ ,:.'t"t":.;:~sffECONTACT .:. ". ' 'c :'ii,. L"',,, i _. ... _. ........ ... ...... ....... .~.h^,.~',",^,~",,'" . . Name: Rvan Anderson Phone: 541-342-8111 Fax: 541-610-1612 Email: . , c .' ',i ';;',;,.",d" ., (\i',:';Cpt.l:r~c:fOR". '}., , ,;,:C:";..f"j~",, ::':, , ": 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 l' ~,~;;. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not ~;bt~j;;ed::::-'. /." .....1. 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 ~ ~~ <\~. 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 t; ~ \0 1>(.'(:5 (Y ~~ ~ - 00 <i-S~ <--j--j d. ---/6 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 .'. " 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 ~ . .~, ..,\' ~:.. 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. ;r':::~f~ Y"~.' \~!-i'.., ::-:") , 3 :[1 l' ~, '-1, 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 "1.h1.r": '," ::'tr~II~, ,~,.: ::':,h .... 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 F .'\1: ., . ~' '; ~ ~ .' > ' Page 1 of 1 , . 4/12/2010