HomeMy WebLinkAboutPermit Electrical 2010-6-23
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: pennitcenter@ci.springfield.of.us
c/o,gO g
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00281
Approval Code: 746064 6/2312010 9:51 am
law requires you'~
ATTENTION: OregOl'\, the Oregon Utility
follow rules adopted ~e rules are set forth
Notification Center. Tho hOAR 952-001-
fn OAR 952.o01-0~~~~h;~~i~S of the rules by
0090. you may 0 Note: the te'epho~e
calling the center. ( Utility Notification
number fOrtthe'so~e8gg~.332_2344).
Cen er I ,-
t,~S~
\.Q '-V tY
'V--'1F!.
..:?
Job Address: 123 INTERNATIONAL WAY
~Iease check all that apply:
o 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
City/StateJZIP: SPRINGFiElD, OR 97477
o Fire pumps
o Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Suite/bldgJapt.no.:
Project Name: PEACE HEALTH
Cross Street/directions to job site:
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Elec lie. no.: 26-497CLE
185024
C \ D. ~~
CCB lie. no.:
Business Name: ARONSON SECURITY GROUP INC
Contact
Address: 8089 SW CIRRUS DR
3161LEA
Supervising Electrician's Name:
JAMES WHITEHOUSE
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
~Q..~
rdP 1'-,'\
~,-J
Upon review and approval by your 10l;al Jurisdiction, your pennlt will be - e-malled or faxed
wtthln one business day, with Instructions on howto schedule your Inspealon.
NOTE: This Authorization To Begin Woril: expires within 180 days If a pennlt Is not obtained.
The local building department may detennine that an Authorization To Begin Woril: is null and
void If It does not meet applicable land use laws and local on:llmlhces.
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
D. Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
D "An, "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$58.00
$6.96
$2.90
$67.86
~ Gl63\\O
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00808
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 123 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154001100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install monitors for 2 exterior doors in tbe annex building.
Commercial
Owner:
Address:
PEACEHEALTH
123 INTERNATIONAL WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Low Voltage Electrical
Contractor License
ARONSON SECURITY GROUP INC 185024
BUILDING INFORMATION i
Expiration Date
02/05/2011
Phone
206-284-3553
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms :
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type: ,
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n1a
I DEVELOPMENT INFORMATION i
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total: to
Side I Setback: , # Street Trees Rqd: ATTENTION: Oregon latUlillJ@llll~~&\lty
Side 2 Setback: ,h ~ed Drive Rqd: folloW rules l1-dopted b~~I~~e set to,",
Rearyard S~~g.,: nlR\: \f 1\\~ 'l'l h\iji'f Lot Coverage: Notification centoeOI.1TOhtholsOeUQh OAR 952.001-
Solar Set!l!L~ut'. S\\f\\.\. ty,:r \:Rl-J',\1 \S " In OAR 952-001- 'the rules bY
,,\1\l'''(\-\ORI2ED \loa IS f\Bi'-NDO UBLlC IMPROVEMENT caliing the center. (Note:.t\~eNt ~~catiol'l
" '~lr,ED" lit \\18"Olegon Utll~ 0
Street Iml1f~v~MfG ~i'-'/ PERIOD. numl:!,ft'e'~'\Wt 'l"~800-332-2344).
Storm Sewe\>\";( v\~able: DowuspoutslDrains:
Special Instruction:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Foota!:e
or Bid Amount
Value
Date Calculated
Paee I on
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00808
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
l..J:wJ:iilU
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
6/23/1 0
6/23/1 0
6/23/1 0
1201000000000000745
1201000000000000745
1201000000000000745
Total Amount Paid
$67.86
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 requested after 7:00 a.m. will be made the following
workday.
UeouirelJJnsnec~
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and J further certify tbat any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont 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.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
strect, 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
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Gn~~;tM. .... '
~~...
~^
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000745
, ,
Date: 06/23/2010
10:12:05AM
Job/Journal Number
COM20 I 0-00808
COM20 I 0-00808
COM20 I 0-00808
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description : ~fL;1'. '<<., ,\:,'
Low Voltage ~ Commercial Indus,::;:.
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE ARONSON Online
SECURlTY
GROUP
Payment Total:
$67.86
$67.86
;~. . If,.
i~; .' '
1.'("
-.....
.~......_, ..~....;-"".
.'.'.
;~fi\
,.-,...... ..f.
Page 1 of 1
6/23/20 I 0