HomeMy WebLinkAboutPermit Electrical 2009-1-13
Status
Issued
CITY OF ~rKll'\jGFIELD'
. Building/Combination Permit
PERMIT NO: COM2009-00056
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: . 07/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2255 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: 1703254305506
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace feeder
Owner: RA Y JOE RONIE & JUDY KAY
Address: 2255 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-746-1390
I. CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORM A TION I
Expiration Date
09/01/2010
Phone
541-741-2236
# of U uits:
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 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
1 DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
_ Handicapped:
Compact:
Street Improvements:
1 ~UBLIC IMPROVEMEN~'SJI:NTION: ore~eo; ~~~;:6L;~~~~U\iii;y
,.':' .. follOW rulS~adoFk 11- 'e rules are setforth
Notilicatlo"lv"'~'~_" 'YP:: 'h OAf1952-001-
- M1 001r)II"oug b
in OAR 95Downsp~1~tl~(I?,U'~r.J~ of the rules y
0090. You may uO." 'Note: ,the telephone
calling the cenle!. ( I ""rlt\' Noiilicatlon
t Or-,,"\' .J...
number for t 18. "t';~o' ;-;,.0344).
Center IS \ ~0U -.)..,:- 0:...
Storm Sewer Available:
Speciallnstruction:NOTiCE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: A'UTHORIZED UNDER THIS PERMIT IS NOT
_ _ _ .,.., ~.... 1\ 111"",,",'\1[:11 cnQ
l..UlV'iVIt:I'H.JCLI UII IV A....., ,,'.... -. .--
cjjJ1180 DAY PERIODj'Valuation Descriotion ~
Descr,'otl'on \)t ~t t" . - $ Per Sq Ft Square Footage
voe 0 s rue IOn I' I' B'd A .
: . \'''~. . 'QI/\ or mu tIp ler or I mount
~~ Paeelof2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00056
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: 07/13/2009
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541"726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P~i~ I
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9,72
$4,05
. $81.00
1/13/09
1/13/09
1/13/09
2200900000000000045
2200900000000000045
2200900000000000045
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.
1 Reouired T nsneetions 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 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.
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 on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-000S6
COM2009-000S6
COM2009-000S6
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public, Works Department
2200900000000000045
Date: 01/13/2009
Description
Perm Serv/Fdr 200 amps ?r less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number' How Received
njm
. ONLINE C & S Elect Online
Paymeut Total:
Page I of I
1:37:45PM
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94,77
1/13/2009
City of Springfield
Electrical Authorization To Begiu Work
E-mailed To: awood@cselect.ric.org
Receipt # RC545032
1/13)200912:52:50 PM
Chec~ on ~tatus of permit
By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us
I [X] 1 or 2 family dwelling
D Multi-family
o Commercial/lndu~trial
11,000 sq. 11: or less [4]
I Ea. add] 500 sq. ft. or portion
I D New construction
fX] AdditionJalterationJreplaccment
IJob no.: 7268 IJob address: 2255 CENTENNIAL BLVD
I City/StatelZIP: SPRINGFIELD, OR 9747?-4357
I Suitelbldg.laptno.:
I Project name: Ray
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no,: 1703254305506
ILot no;:
I -Limited
(with above SQ.
I-Limited energy, multifamily
residential (with above SQ. n.)
I-Limited energy, commercii;! not offered online at this jurisdiction
(with above SQ. ft.)
I - Stand-alone limited eile-rgy,
residential
I - Stand-alone liTriiteu energy,
multi-family .
I - Stand-alone limited energy,
commercial
I Name: JUdy Ray
I Phone: (541) 746-1390
\Fax: 746.1390
1200 amps or less (2] $81.00 $81.00
1201 amps to 409 amps [2]
1401 amps to 599 amps [2]
I~TAN.!~D1/Po;~'~~-I~~~~lX~{~~~O~1:~dj1~~[t!~J~~~~r;l!i~1~~~~~
"".-'-' ~Lt:2Sil~1?!!~~t.~Wl.:~~~'..""\'~X::J~~4$V-~;:-:'ll,;ixlW:~-;;:;.,...j
I zoo amps or less [2J I I
1201 amps to 400 amps [2] I
1401 ampsto 599 amps [2J I I
replace
lEI. lie. no.: 20-14C ICCBlie.no.: 3849
I Business Name: C & SELECTRIC INC
1 Contact: Dave Gehrke
IAddress: PO BOX 1482
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541)74]2236 IFax: (541)7412473
I Email: awood@cselectric.org
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4894S
1 Supervising electrician's name: DAVID E GE~
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit f21
1 each addl branch circuit
I'
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.
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service and/or feeder
]21
1 Pump or irrigation circle [2]
I Sign or outline lighting [2]
I Signal circuit(s) or limited-
alteration, or
I'
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
~he local building department may determine thatan
Authorization To Begin Work is null and void ifit does not
meet applicable land use laws and local ordinances.
Subtotal I
State Surcharge (12% ofpennlt fee)
City Of Springfield fees *'
I TOTAL PER:\UT FEE
* City Of Springfield fees: 5% Technology Fce
[Defaull number of inspections allowedl
$8100 I
$9.721
$4.05
$94.77
Com'UnJ'1 - oeaS 0
.1-1.3-0")
N "'^'-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.