HomeMy WebLinkAboutPermit Electrical 2009-1-5
,.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00008
ISSUED: 0110512009
APPLIED: 01102/2009
EXPIRES: 07/05/2009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54] -726-3769'Inspection Line
SITE ADDRESS: 707 MAIN ST
ASSESSOR'S PARCEL NO.: ]703354208]00
Springfield TYPE OF WORK: El,ectrical Work Only
TYPE,OF USE: New
Commercial
PROJECT DESCRIPTION: Install new service feeders to bank
Owner: SIUSLA W VALLEY BANK
Address: PO BOX 280
FLORENCE OR 97439
I CONTRACTOR INFORM~TION .
Contractor Type
Electrical
Contractor
BUILDERS ELECTR]C INC
License
4296
Expiration Date
12/]0120]]
Phone
54] -485-0922
BUI~DING INFORMATION I
# 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:
Sprinkled Buildiug:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2n'd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~~~,
~~
I DEVELOPMENT INFORMATION 1
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
c
..---"
Street ImpnNGT~:
Storm SewelWllii~1T SHAll EXPIRE IF THE WORK
Special Inst'wifMGRIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. '
I PUBLIC IMPROV~MENTS I ,
ATTti~ ~flllPn taw requires you to
follow rules adop.ted,by the Oregon Utility
Notifi~~f\Se~I'iWP.'lWb'Se rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090: You may obtain copies of the rules by
calling the center: (Note: the telephone
number for the Ore,gon Utility Notification
Center is 1-800-33~-~44).
Notes:
I Valuation Descri~tion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page] of 2
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Status
Is;; u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00008
ISSUED: 01/05/2009
APPLIED: 01/02/2009
EXPIRES: 07/05/2009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone '
54] -726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
I. Fee., Paid .1
Fee Description
+ ] 2 % State Surcharge
+ 5% Technology Fee
Perm-8erv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9.72
$4.05
$81.00
1/5/09
1/5/09
'1/5/09
2200900000000000005
2200900000000000005
2200900000000000005
Total Amount Paid
$94.77
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. will be made the following
work day.
I Rem/ired In'n~~tions I
By signature, I state aud agree, that I have carefuily examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any aud all work performed shall be done in accordance with
the Ordinances oftheCity 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 permission of the Community Services Division, Building Safety.
I further certify that only contractors imd employees who are in compliance with ORS 701.005 will be used on this project.
] 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 approv'ed set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 012
'.
Electrical-Authorization To Begin Work
E-mailedTo:kelly@builderselectl"ic.com
Check on status of permit.
By Phone: (541)726'3753 or Email: permitcenter@ci.springfield.or.us
Receipt # EC544435
1/2/20094:14:35 PM ~
City of Springfield
~DescriPtion _ I Qty. I Ea." l Total
U~'ili~~t~~~:~~I~GgE:0:0RTiU~I(!:f~,in:~~'1~'l~llt~lf~,Il!i~1.nc!~de-"S .. '..~ -',,"",.,
,aUachcdga.'agc. """""~"""j"",,,~,,~<;llj " ,i"
__^,=",,",~'~'.'-' "..* " .,"-,,'&S._'rE~~4tt'~,j5,t~~... H
1',000sq,ftor'ess[4] I
I Ea. add] 500 sq, f1. or portion I
D New construction
[KJ, Addition/alterationJreplacemen.t
IP ) or 2 family dwelling
D Multi,family
[K] Commercial/Industrial
I Job no.: 09~3705-s I Job address: 707 MAIN ST
I City/State/ZIP: SPRINGFIELD, OR 97477-5474
I Suite/bJdg.lllpt.no.:
I Project name: Siuslaw Bank
Cross street/directions to job site:
I Subdivision:
!Tax map/parcel no.: 1703354208]00
I Lot no.:
I-Limited energy, residential
(with above Sq. ft)
I . Limited energy, multifarriily
residential (with above sq, ft.)
I ~ Limited'energy, commercial
(with above Sq, ft.)
I - Stan-d~al,one limited ene~gy,
residential
I - Stand-al.one limited energy,
multi-family
I - Stand-alone limited energy,
commercia]
not offered online at this jurisdiction
Install new service feeders to bank
1200 amps or less [2]
20] amps to 400 amps [2]
140] amps to 599 amps [2]
$81.00
1200 amps or less [2]
120] amps to 400 amps [i]
amps to 599 amps [2]
I
I
I
I Name: Steve Fountain
IPhone:
IEmail:
I Fax:
I A. Fee tor branch circuitswith
service or feeder fee, each
branch circuit
lB. Fee for branch Circuits
without service or feeder fee,
first branch circuit r21
leachap~' Q R la'''\'I''''~'''!'i''~
IfM----~.-.1 '~"';"'" ,,,_.~.,__._rO~~<004='_"',,,,,r;;.,.,,,,g~;ti,'".if''''":.'''''--''''''F'Gi,'dim,'"''
'"o~ _ ou"" ,.,"'O'.~ . ".~j fiil"Oi!!oal1iUtilny,c.!.ii'J
SCnli'llif'ifR'1!'f.ffIBI1' (fl\\nter. Those rUles are s; forth I
Each r !lID,Il{)O 0 throug OAR 95 -oUl-
, ~;;'1I11t1~'m~V15bt Ii COPie~ of the _ las by I
I PumporOIl!I!lli,l1lft Rjlme~ \NOle: "" ''''':~' VI.''' I
I Sign urQM~~;.!1:!'r1j'''. V~~\,lu" :.Jl;: 1;;;1 I
I Signal ,irouit(,j oN.liftW;r1 Ii' ,-aOl:Hl32 231 ). I I
alteratIOn, or I .
I EI. lie. no.: 20.12C ICCB lie. no.: 4296
I Business Name: BUILDERS ELECTRIC INC
I Contact: 08-2262s
IAdd"''' 195 MADlS\\~TIC!:: '
ICity/S,atcfLIP: EUG~~p~1T SHAL~ ~QJRi 11: T1-li= ~QIl
IPhono: (541)4850922 :!JTllOnI~[I) l.:N~!:'PJtWff9~~!: I~ NnT
I Email: k""ellY@bUildcrs;j~i~~:~~~ OfU8 ~BI'.N90NED F0~
I Metru ',",' uu,: "~ rrl'rl!i ~ uo,:
I Supervising l'lcctncmlti~"n.C'. nb~v5t1~~"
I Supervising l'lectrician's name: RUSSELL R ROBBINS
Upon review and approval by your local jurisdiction, your
permit will be e~mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To l3egln Work expires within 180
days If a permit is not ob~ined. .
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.
Subtotal
State Surcharge (12% of pennit fee)
City Of Springfield fees ...
I TOTAL PERMIT FEE,
* City Of Springfield fees: 5% Technology Fee
[Default number afinspections of/owed}
$81.00 I
$9,72 I
$4,05 I:
$94,77 I,
COM:'~0@'j:?gSO[)
RepT#" ~~)3DO~ ~~S
DATB PROCESSW' "" ",-
This Authorization To Begin Work must be posted at the j6bsite uilt1r replaced by a Per(Tl~
PROCESSlIDIW<K ,_okp " ,~
\
225 'Fifth Street
Springfield, Oregon 97477
541-'726-3759 Phone
Job/Journal Number
COM2009-00008
COM2009~00008
COM2009-00008
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000005
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt'
Development Services Department,
Public Works Department
Date: 01105/2009
Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
kr
ONLINE
\
Page 1 of 1
builders' Online
ele'ctric
Payment Total:
8:02:]OAM
Amount Due
81.00
4,05 '
9,72
$94.77
Amount Paid
$94,77,
$94.77
1/5/2009