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Home My WebLink AboutPermit Electrical 2010-4-14 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C 10- 4-'=>'1 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00169 Approval Code: 014364 4/14/2010 9:05 am E-mailedTo:tena@orelectricservice.com f'~"+i~''k;;!;~''';-=:''''''''''",''~;'g,',oj..11.''~''''''''~'.''''~''''''f''''''''';--J"'O<--~f?l;E~ ~b~_~"~ \J&~~%fCcqiAn;:s~;r~&.~fETh~g;,;X,Rl:AN;REVIEW)lfi~:t:;\@"":~~~~1il"4"~'~~\~! Please check all that apply; 0 Hazardous locations o A service or feeder beginning 0 A service or feeder rated at , at 400 Amps where the 600 amps or more available faull current exceeds 0 Buildings more than three star 10,000 Amps at 150 Volls or less to ground exceeds 0 Marinas and boat yards 14,000 Amps for all other 0 Floating buildings D Commercial-use agricultural buildings o Installation ofa 150 KVAor larger seperately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal o 1 or 2 family dwelling . rI':;l!i~~~f1JoBlsi'r:E~NF:0RM.i\;Ti9HANbii:O:(;AifioN"~~f':.;l,t~~~~ Job Address: 456 HARLOW RD CityfStatefZIP: SPRINGFIELD, OR 97477 o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more Suitefbldg./apt.no. : Project Name: Dan Mart 541-747-6064 Cross Streetfdirections to job site: o Six or more residential units in one structure o Health care facilities Stale surcharge (12% of permit lotal Technology fee (5% of permit lotal) TOTAL PERMIT FEE Elee lie, no.: C408 181997 cee lie, no.: Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 CityfState/ZIP: EUGENE, OR 97402 , Phone: 5413431681 Fax: 5413431683 Email: Metro lie. no.: I SupelVising Electrician's lie, no,: SupelVising Electrician's Name: City lic. no.: o..:~ ~. 13925 HERMAN OLLAR Number of inspections included in paid selViees: Residential Service' 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-maiJed or faxed within one l:>usiness day, with instructions on how to sc:hedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, Co/YlUJ/O .L/~/~- /0 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. $162.00 $19.44 $810 $189.54 ~ A~ ~ OOL! <5 '1 /7 n-, 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: COM20IO-00459 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 456 HARLOW RD ASSESSOR'S PARCEL NO.: 1703220002705 Springfield TYPE OF WORK: Electrical Work Only . TYPE OF USE: New PROJECT DESCRIPTION: 200 AMP Service &..f;eeder relocation & Repair Commercial Owner: MCCABE INVESTMENT COMPANY Address: 125 E 6TH AVE JUNCTION CITY OR 97448 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License OREGON ELECTRIC SERVICE 181997 BUILDING INFORMATION ~ Expiration Date 05/09/20 J 0 Phone 541-343-1681 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: ~J "'\ ;,' ;. \ \. ,~ Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVEU)PMENTINFORMATlON ~ .' ., Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS ~ .-SiLl" '.a.Jk T . . ATTEN IluNl"oregOR'iaw requires you to .. ...... follow nalfo&.adppte"~lthliJ Oregon U1111ly Nollflcatlon Center. Those rules are 881 fottIa In OAR 952.001.0010 through OAR ll52-OOt. 0090. You may obtain copies oIlhe rulee .. calling the center. (NoIe: the telephone Center is 1-800-332.~). Storm Sewer Available: Specialtlmfrft.Jl: ." , Notes: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED ANY 180 DAY PERIOD. Description Type of Constrnction $ Per Sq Ft or mult;il>,t~er,. i,~..j;, ~.,.;J. :t-,: . Square Footage or Bid Amonnt Valne Date Calcnlated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00459 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Pa.id~.:~ri" $19.44_';':'- $8.li)'-'( $162.00 '0(;, : ~ate Paid 4/14/10 4/14/10 4/14/10 Receipt Number ..',>,. . ',- " ,: ~. . 2201000000000000352 2201000000000000352 2201000000000000352 Total Amount Paid $189.54 I 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 re-quested after 7:00 a.m. will be made the following work day. - - I ReQuired Insoections ~ Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefullyl#'amined,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 "a~~ 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 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 '~" '! Pa2e 2 of2 " .' ~ -, :,,; . f':.(!~;' if".. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "~R.:'!~.;~ ~.; ~. ....., .. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000352 Date: 04/14/2010 9: II :48AM Job/Journal Number COM20 I 0-00459 COM20 I 0-00459 COM20 I 0-00459 Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Totlll: Check Number Authorizntion Received By Batch Number Number How Received Amount Due 162.00 19.44 8.10 $189.54 Payments: Type of Payment ONLINE CHGS Amount Paid nJm ONLINE oregon elect Online serv Payment Total: $189.54 $189.54 ,:;'01,. 1 '>/1 ':' ~ ,;" . '; cRcccinll Page I of I 4114120 I 0