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Home My WebLink AboutPermit Electrical 2010-7-13 . CIO.qZq Commercial Electrical Authorization To Begin Work " ~. 69600-BEL-10-00324 Approval Code: 092609 7/13/2010 7:29 am E-mailedTo:julie-dpe@comcast.net ;,J!c-PLzAN\REViEW City Of Springfield 225 Fifth 5t Springfield, OR 97477 'i'~' Phone: 541~726-3753 ;.:l Email: permitcenler@d.springfield.or.us o New Construction lRl Addition/alteration/replacement Please check all that apply: o A service'of feeder beginning al 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volls or less to ground exceeds 14,000 Amps for all other o 1 or 2 family dwelling o Multi-family [Z] Commercial o ~c~essory F-:JOB,SITE INEORMA iIC)N'AND LOCATION'!;it .f;~" Job Address: 1843 PIONEER PARKWAY EAST " ,;1:,. !..~ ~.:: .:~ ,- t. . ll;l'; 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 struc~ure D Health ca're facilities City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bJdg./apt.no,: Project Name: Cross StreeUdirections to job site: 1703262302301 \, ~SITE'_CONT AC:r,-". "'::;._ ,,; "',}. Name: iulie ford E"ectrlcatPe~rmifFe9S' . .................... Phone: 541-434-5600 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Fax: 541-762-1056 Email: -CONT~CJ_6R:-- ;),;-..."," t);' . .,~ ^;'~-'--- Elec lic. no.: C263 181465 CCB Iic. no.: ,-j Business Name: DOUG PALMER ELECTRIC LLC ..I,: '-'" ~ .'t;--~-- 'f ~..-_::,:.. 'j Contact: Address: 1368 BARRINGTON AVE City/State/ZIP: EUGENE, OR 97401 Phone: 541-434-5600 Fax: 541-762-1056 Email: JULlE-DPE@COMCAST.NET .~ "1I~~ (V ~~'{Y' t>... ~ l><-.~ Metro Iic. no.: City Iic. no.: v Supervising Electrician's Iic. no,: 27425 Supervising Electrician's Name: DOUGLAS G PALMER 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 be a.mailed or faxed within ona business day, with instructions on how to schedule your inspection. o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boa! yards D Floating buildings o 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 volts nominal $18.00 $73.00 $8.76 $3.65 $85.41 ~~.\o f\~ ~~ ~ '.'., ,j" NOTE: This Authorization To Begin WorK expires within 180 days if a permitis not cibtaiiied;_:L.':_......" .' J.- '.:^~1'~:--~: "4.L ._,' '~~~.' The local building department may determine that an Authorization To Begin Wor1<is null. and void ;f it does not meet applicable land use laws and local ordinances. ::.<~~'" .. -.. ":. " 'cr""--'~' .' ,.~.". (b/YJ'UJ/tJ - (J() fClJ 7~!2,-/O /1r-'--' " /f, 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: COM2010-00929 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/13/2011 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 1843 PIONEER PARKWAY EAST Springlield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: ]70326230230] ',;,r'iY~ ,;?;"1;1;'"" : " ' ."",. f'l,., .,' , TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install four new cir~iiits''. ; ,;,j :,: i:~{' '. Owner: Address:- KRC PIONEER PLAZA LLC 3333 NEW HYDE PARK RD NEW HYDE PARK NY ] ]042 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License DOUG PALMER ELECTRIC LLC ]8]465 BUILillNG INFORMATION ~ Expiration Date 04/]4/2012 Phone 54] -434-5600 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path:' ' Spr'inkled Building:' '.(;f' ~,r:' ;(~ 'ld" ,",' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FIGarage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ ,.'i' " REQUIRED PARKING Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: , Sidewalk Type: t ' , ,.~ ~................ I~\M .reDuires YO~.';.O ,.- , . . ~,. ATTENTliDo ilpouts/DralDsOregoll Uo;,I\Y ':;' follow rules adopted b~~I~~\es are set'lorth NotilicatlOn Center. Tho hOAR 952-001. . OAR 952-001-0010 throug \ by T~~~ ,~~~_~IT SHALL EXPIRE IF THE WO In090. You may obtain ,~OP~~Sh~1 ;:\~~~~~e . ".~. "'"' IV E/1rvtlT IS IVV I y: mg 0 ~ 'on Utility NotlllCa\lOl 0MMENCED OR IS ABANDONI:rValulltion Descriptionnlmber for the. r _~00-332-2344). Y ; ,3D DAY PERIOD' Center IS 1 . $ Per SqH Square Footage Type of Construction or m~l,iiiJi!e...;L~~..::"J. or Bid.Amoimt. '~.:~.':~" ,:,;L,2~~, - . " -..: ' '-t:~g:~ :'>;,::{~;,,,~ ' .;i ." Storm Sewer Available: Special Instruction: NOTICE: ;~.;':: I ~.['i;TTi ~~:"!! I " Noles: Description Value Date Calculated ,'~ Page 1 of 2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ."~' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00929 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/13/201 I VALUE: Status Issued I ',' Total Value of Project Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add , ~ees Paid I , - : ,~;~J.H''''::il. Amount Paid,.:,,, " :i~tj $8.76",' ." $3.65' $55.00 $18.00 Ilate Paid Receipt Numher 7/13/10 7/13/10 7/13/10 7/13/10 3201000000000000429 3201000000000000429 3201000000000000429 3201000000000000429 Total Amount Paid $85.41 Plan Reviews I To Request an inspection call the 24 hour,:r;Tc~rding 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 Insnections I Rough Electric: Prior to Cover ,.\,., Final Electric: When all electrical work is co,j.iipjete: '1.\,,1t", , . I ' "':i"....-.-. _"'. ,i,' .~':< ':' " ,\:1" . -,..: . J.<,.~ .\'1 '. . i .' '. L.; ..J!,' . . By sIgnature, I state and agree, that I have carefully exammed 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 Oregoll pertaining to the work described herein, alld that NO OCCUPANCY will be made of any structure without permissioll of the Community Services Division, Building Safety. I further certify that only contractors and employces 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 011 the site at all times during construction. .1 . ",~ Owner or COli tractors Signature . "." I ~. : _,,;" i.'.;..,'J....1 " Date ".',' i.tt:;:i; . Ji.\." ,Page' 2 of2 ':;-:'~~'~U.' . t::!~. ~~." u ""'-"""''1' .)- - ,~~. J' , ,. . ~... ,..oj . ,,>,; 225 Fifth Street Springfield, Oregon 97477 , ,. 541-726-3759 Phone @.~..N~Q..-~~ELO.-.'.iiJ ......'........ WJr. . . , " .... .... . -- .. ~ . ' ",'.-.".",. .... ',' ... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ..... 3201000000000000429 Date: 07/13/2010 8:20:48AM Job/Journal Number COM2010-00929 COM20 I 0-00929 COM201O-00929 COM20 1 0-00929 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + ] 2% State Surcharge + 5% Technology Fee raid By ONLINE PERMIT CHGS -.-... Check Number R.~~?i~~d,~~~ ~-'''~)latch' Nu~ber Item Total: Authorization Number How Received Amount Due 55,00 18,00 8,76 3,65 $85.41 Payments: Type of Payment ONLINE CHGS Amount Paid NJM '~~;!l.,H' ~..,.d,_ ONLINE DOUG Online PALMER Payment Total: $85.41 $85.41 'JI, g .:i 'l:{:n'fd'~ ' I \li ;,,'1 !j.i:t"~h:, :(1~~~~:<'~.>:!" ,,;(> NJM ~c~t..,p - "'1""" .,.... ';,~ ,.,:~'H~ ;.,.. ,: J" ..1, :~<t.'.~ c, :._r~;~{( ~r'ii~F;:;;')~ r~J," .:,~:df;}\ ".~ ','. I,,, cRcceint 1 Page 1 of 1 7/13/20 I 0