HomeMy WebLinkAboutPermit Electrical 2009-1-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00022
ISSUED: 01107/2009
APPLIED: 01/07/2009
, EXPIRES: 07/07/2009
VALUE:
225 Fifth Street, Springtield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 6]0 Q ST
ASSESSOR'S PARCEL NO.: ]703262405502
Springfield TYPE OF WORK: Electrical Work Only
TYPE"OF USE: Alteration
PROJECT DESCRIPTION: Recounecl power after breaker replacement
Commercial
Owuer: ALPROP CO
Address: 6]49 S W SHATTUCK RD
PORTLAND OR 972]9
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
]8]997
Expiration Date
05/09/20] 0
Phone
54]-343-]68]
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
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:
Sprinkled Building.
Lot Size:
. Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
\
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:
"
ftlf)T'or'
- . .........
AT~IS PERMIT SHAll EXPIRE I Valuation Descri
. UTHORIZED UN
, . GOMMr~l(, _ DER T~/S PERWf'1!1'l1/U
DescnPtlO~ ,<E\l !fYp(fM O/>P~9"l!I!l~IIJDONf....nnl""liel
, "r 180 DAY PERIOD, VTUtf
I PUBLIC IMPROVEMENTJ1ilfENTION: Oregon law requires you,~o
, IUIl~W rLlles adtlP~d by the Oregon Utility
t\~ ) Notificati8~1lt~~llk Wliise rules are set forth
'0--'.(jJ.. in OAR 9!D'oMtJ;pm.UI1WalliSih OAR 952-001-
\}~.... 0090. You may obtain copies of the rules by
V\. ~ calling the center; (Note: the telephone
V>-~ number for the Oregon Utility Notification
, Center is 1-800-332-2344).
Street Improvements:
Storm Sewer A vail"ble:
Special Instruction:
Notes:
Square Footage
or Bid Amount
Value
Date Calculated
Page l'of2
CITY OF SPRINGFIELD
"
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00022
ISSUED: 01107/2009
APPLIED: 01107/2009
EXPIRES: 07/0712009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fees Pairl ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
]/7/09
1/7/09
1/7/09
3200900000000000006
3200900000000000006
3200900000000000006
Total Amount Paid
$73.7I
I Plan Reviews I
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. wiil be made the following
work day.
I Reouirerllnsnections I
Electric Service: Approval required prior to utility company energizing service.
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 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 Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou 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 in~pections 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 con~truction.
Owner or Contractors Signature
Date
Page 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.co~
Receipt # EC544689,
1/7/200912:04:03 PM'
Check on status of permit
By Phone: (541)726-3753 or Emai\: permitcenter@ci.springfield.or.us,
I 0 New construction
[K] Addition/alteration/replacement
I Description
Qty,
Ea,
Total
or 2 family dwelling
o Multi-family
~ Commercial I Industrial
I ],000 sq. ft. or less [4]
I Ea..addl 500 sq. ft. or portion
IJob no.: IJob address: 610 Q ST
I City/StatelZIP: SPRINGFIELD, OR 97477-2352
I Suitelbldg./apl.no.:
I Project name:
<:ross street/directions to job site:
I Subdivision: .
]Tax map/parcel no.: 1703262405502
[Lot no.:
I "Limited energy, residential
(with above sa. ft,)
I-Limited energy, multifamily
residential (with above Sq, ft.)
- Limited energy, commercial nOI offered online at this jurisdiction
(with above Sq, fU
- Stand-alone limited energy,
residential
I . Stand.alOne limited energy,
multi-family
I . Stand~al<ine'limited energy,
commercial
Reconnect power after breakerreplacement
1 200 amps or less [2]
1201 amps to 400 amps [2)
1401 amps to 599 amps [2]
Phone: (541) 520-6034
Email:
I Fa"
1 200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2] . 1
IWB.'raiiCh'rcfrcuitS~ NE'W,~aneraiio'nAolfexie~nsi'o'n;rpe~panefJ1I'~:~~.'" ,
'0_."'*""",.>4_".05'"" .~._",,'. "".d,'"",,"!_F".."'___".~- .-~l"", .........'., ="" .".....;.~",_.._'''''' ,.....{,-;;,
I A. Fee forbranch Circuits with I I
service or feeder fee, each
branch Circuit
lB. Fee for. branch circuits. I I
v::ithout service or feeder fcc,
first branch circuit r2l
1 each addl branch circuit 1 1
Name: Jeff Brooks
lEI. lie. no.: C408 ICCBlic.no.: 18]997
J Business Name: OREGON ELECTRIC SERVICE LLC
'Contact: Tena Brooks
IAddress: PO BOX 2237
\ City/StatelZIP: EUGENE OR 97402
!Phoo.: (541)343168] IFa" (541)3431683
I Email: tena@orelCctriCserviCe.com
I Metro lie. no.: 1 City lie. no.:
1 Supervising electrician's lie. no.: 1392$
1 Supervising electrician's name: HERMAN OLLAR
Upon review and approval by your localjurisdiction, your
permit will be e.mailed orfaxed'within one business day,'
with instructions on how to schedule your inspection.
1 Service reconnect only [2]
I Each manulactured or modular
dwelling, service and/or feeder
[2]
I Pump or irrigati'on circle (2)
Sign or outlme lightingl2]
I circuit(s) <ir limited-
alteration, or
'II
I
$63,00
$63.001
NOTE: This Authorization To Begin Work expires within 180
days If a pennit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
Subtotal I
State Surcharge (12% of penn it fee) 1
City or Springfield fees "'I
I TOTAL PERM]T FEE I
* City Of Springl1eldfees: 5% Technology Fcc
{Defaul' nu(nber of inspections ,allowed]
G:md-z"JCl-.l- COO'd.d-,
\-l -oS
'(\ fY\
$63.00 I
$7,56 I
$3,15 I
$73,71 i'
This Authorization To Begin Work must be posted at the' job'site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00022
COM2009-00022
COM2009-00022
Payments: ,
Type of P~yment
ONLINE CHGS
,
cReccintl
RECEIPT #:
Description
. Service Reconnect
+ 5% Technology.Fee
+ 12% State Surcharge'
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt,
Development Services Department'
Public Works Department
3200900000000000006
Date: 01/07/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njrn
ONLINE oregon elect Online
serv
Payment Total:
Page 1 of 1
12:28:23PM
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid.,
$73,71
$73.7]
1/7/2009