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HomeMy WebLinkAboutPermit Electrical 2010-6-4 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.oLuS COq. lle:o Commercial Electrical Authorization To Begin Work 69600-BEL-10-00244 Approval Code: 06441 D 6/4/2010 9:49 am E-mailedTo:melany@comfortf1ow.com r's+'..' .,; ._ .i +f i~ D New Construction IRl Add ition/alteration/replacement .. ... ,. , '-;"'~":'-,,-, ~fEGOR~OF~GOJljSTRU!:-TICrw-;SS~~'.~~;:C . ~~7; , D 1 or 2 family dwelling D Multi-family IRl Commercial [] A~ces~Ory . .> '7,_.JOBSITE INFORMATION AND. LOCA'f7oNt - " - Job Address: 445 HARLOW RD City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bJdg.lapt.no.: Project Name: Radiology Associates Cross Street/directions to job site: Laura St. & Harlow Rd. Tax map/parcel no.: 1703224407200 :' ;. c'~'f4i_~_J - '; - i., .dDESCRr~'fI(,)N'6F'\NQRK!9;"'0.~"..,C; -- "'>,; .1 Trane controls h~ ,.,C,', ", i',;. ; - .~.". -S'iTECONTAGTt "; " , ',.' ,., ,'; , " Name: Scott Olsen , Phone: 541-228.1698 Fax: 541-988.9954 ,"-,...-..., , ....,"... Email: "'-'--' ~!:~~~:... i ,,' . , """, 4 'F,COJljTgAcfQR:':i;A, ,J:';I;;,~ ,J\ " ! ,';'. Elec lie. no.: 20-431CRE GeB lie. no.: 460 Business Name: COMFORT FLOW HEATING CO Contact: Address: 1951 DON 5T STE 0 City/State/ZIP: SPRINGFIELD, OR 97477 Phone: 541726010Q Fax: 5417477274 ... E~ail: TAMMYK@COMFORTFLOW.COM . Metro lie. no.: City lie. no.: . Supervising Electrician's lie. no.: 1147LEB Supervising Electrician's Name: SCOTT D OLSEN Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .. , "_w".. .- Please check all that apply: D A service or feeder beginning al 400 Amps where the available fault cUrrent'exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 A':"1Ps for all other 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 D Health care facilities D Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 Kl/A 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 volts nominal ; :'4 ::. 7 'FEE SCHEDLi~E Description Q'!li!~~ ,Er'lergy Stand-alone limited energy, commercial !;,t~,~tri~al Perinit:fee~:;~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE . ~ .~ ~~~. $58.00 $696 $2.90 $67.86 ~ \g,q.\O ~~ \}-\ " UpO" ,,,'ow oed .pp,"'" by yo", '000' ju".d',lio". you, p.=1I wlli;b'~,,~',m;!~~~ \,o.,r;'~T~~ed/1' ........... '\ ~1q""- tr\ \10-0 within one Duslnoss day, with Instructions on how to schedule your inspection. '.~; .f.':; . '_- __". . ~(y\ U-JJI ~ NOTE' Th'. Autho,;,oI'o" To B.g'" Wo""'p'''' with'" 180 d.y. ,to p"m;ti,"oi~;;;'""d.. ,!' (0 ~ 4 ___ I 0 (\ n^-----" 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. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Sprin::field,.oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000636 Date: 06/04/2010 12:15:27PM Job/Journal Number COM2009-0 1700 COM2009-0 1700 COM2009-0 1700 Description Low Voltage - Commercial Indus + 12% State Surcharge + 5% Technology Fee ~.- .'(0".1 , . Item Total: Amount Due 58.00 6.96 2.90 $67.86 Payments: Type of Payment ONLINE CHGS cReccintl Paid By ONLINE PERMIT CHGS Check Number Authorization Received By Batch Number Number How Received nJm ,.~;""." . . '1( :t' . ,~~, -', ."'1. 4 J". ,:i . I. ~. : to" f' Page 1 of 1 Amount Paid ONLINE home Online comfort htg Payment Total: $67.86 $67.86 6/4/20 I 0