HomeMy WebLinkAboutPermit Electrical 2010-6-4
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.oLuS
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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
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D New Construction IRl Add ition/alteration/replacement
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,. , '-;"'~":'-,,-, ~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
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Trane controls
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Name: Scott Olsen
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Phone: 541-228.1698 Fax: 541-988.9954 ,"-,...-..., ,
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Email: "'-'--' ~!:~~~:...
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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 ..
,
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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
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$58.00
$696
$2.90
$67.86
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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
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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
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Page 1 of 1
Amount Paid
ONLINE home Online
comfort htg
Payment Total:
$67.86
$67.86
6/4/20 I 0