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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 _~Ii'II!4~I~\ ,~ .' - -, .'-~, I. ,,'i 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