HomeMy WebLinkAboutPermit Electrical 2009-1-23
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00112
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 07/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 980 KRUSE WAY
ASSESSOR'S PARCEL NO.: 1703222000912
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installing 6 circnits fir 5 new signs
Owner:
Address:
SKEENS SAM A
980 KRUSE WAY
SPRINGFIELD OR 97477
I CONTRACTORINFORMA!ION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
. License
4296
Expiration Date
12110/2011
Phone
54 I -485-0922
BUILDING INFO~MATION'
# 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 Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Betback:
Solar Setbacks:
% ~.
,0
\'\Yr:-~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Av'l~~' AI rb~'I'lmq~~~'faw requires you to
Special InstructiA"'!J I ICE:. follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001.
r.nMM~Mr.Fn OR I~ ARANDONED FOR 0090. You may obtain copies of the rules bv
ANY 180 DAY PERIOD . I J calling tne center. (Nofe: me telepnone
. Valuation Descrintion number for the Oregon Utility Notification
. Center is 1-800-332-2344). .
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated
Pa2e I of2
Status
Iss u ed
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$10.20
$4.25
$55.00
$30.00
Total Amount Paid
$99.45
Total Value of Project
Fees Pai11
I Plan Reviews ~
Date Paid
1/23/09
1/23/09
1/23/09
1/23/09
CITY OF SPRINGFIJ):LD
Building/Combination Permit
PERMIT NO: COM2009-00112
ISSUED: 01123/2009
APPLIED: 01123/2009
EXPIRES: 07/23/2009
VALUE:
Receipt Number
2200900000000000090.
2200900000000000090
2200900000000000090
2200900000000000090
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.
Ren,uired T nS'l~c~in~.s I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 corred, 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 wiff be made of any structure without permission ofthe 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 addrcss 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
Paee 2 of 2
Date
Electrical Authorization To Begin Work
E-mailedTo:kelly@buildersefectric.com
Receipt # EC545630
1/23/200910:22:58 AM
. City of Springfield
. .
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I 0 New construction
W Addition/alteration/replacement
I 0 I or 2 family dwelling
],000 sq. ft, or less [4]
I Ea. addl 500 sq. ft, or portion
D Multi-family
[KJ Commercial/Industrial
IJob no.:. 09-0905-s I Job address: 98q KRUSE WAY
ICity/StateJZIP: SPRINGFIELD, OR 97477-1073
I Suite/bldg./apt.no.: ,
I Project name: .
Cross street/directions to job site: .
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I-Limited energy, commercia-]
(with above sa. ft.)
- Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi-family ,
\ - Stand-alone limited energy, I
commercial
tSifu~;r6ftJfewerSTjnstajiaii'o'iif.'aTieraiion:WNDlQRfl?ei6cirt-iifuw~~1
,_'''.8+r'k;;;:*''__~;t;,=.-,;..",-,,,,,u,.'W..__..~ _ ""-W-=x=~,_~
1200 amps or less [2]
/201 amps to 400 amps [2]
401 amps to 599 amps [2]
I~TEMPORKRY.~i'Sen;Jce~fOjffffiters"iiis.taiiaii.On.~aiferaiiOn"
,,:<.~-,~~"q'"'--"':M;"""; , - ""~,~rr;;~0,~~"i _.#.",
rA~t.9.,~,!~.!~atI~Il" ~ , , , ;r ,~~;;"_'_ . ~L_~
I 200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [21'
I
I
I
I
I
Jnot offered online at this jurisdiction
I Subdivision:
ITax map/parcel no.:
li.ot no.:
1703222000912
Installing 6 circuits for 5 new signs .~o-c
0rrw;~ C/
BoP\JGL,\.~e."1
I Name: Russ Crane
I Phone:
!Emai.:
I Fax:
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit
lB. Fee for branch circuits 1 $55.00
without seI1i~L(e~r.1~e. .'
fi,,, b,,"d~ih:bIr.f"j]IIUN: Ol9gon la\\ requires you to
I each addl m\\€llIl{;d;L\leS_ ad~pte~ by jre uri6@ojn UT~Ij~)jo
i~;~l~J~~1
Pomp 0' irrigation ci'OtlfIJter is 1-800-3 12-2344)~ I
I Sign or outline lighting [21 I I
I Signal circuit(s) or Ii,mited- I I
alteratIOn, or
I CCB lie, no.: 4296
lEI. lie. no.: 20-12C
I Busincss Name: BUILDERS ELECTRIC INC
I Contact: 08-2262s __
IAdd"": 195 MADlsohlJi 11c-E:
I City/Slate/ZIP: EUGE~ #lllklMIT SHALL EXPIRE IF THE WORK
jPhone: (541)4850922 AU I HUKILl:D UllIDfijs4liWi~d3fRMIT IS NOT
I Emoii: kelly@buildec"J.;JJMMENCED OR IS ABANDONED FOR
I Met... "c. no.: ANY 180 DAY p~<<la..o.:
I Supcn-ising e1~ct.-idan's lie. no.: 5275S
I Supen-ising electrician's name: RUSSELL R ROBBINS
$55.00
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.
Subtotal I
State Surcharge (12% of permit fee)
CityOfSpringfieJd fees.
I TOl"L PERMIT FEE I
. City Of Springfield fees: 5% Technology Fce
[DeJau'.-"1ftfm'. s'"',,~, ".."';n.." ~11"'N>n.l
COM: ;:{f){)Cj - ()O j I ::l
RCPT#" ~ ~DC1- qD
DATE PROCESSED:' I b.~ I ()Cj
This Authorization To Begin Work must be PQsted at the ob site until rePI;:? '0 a Permit.
.. . . PROCESSED BY: f\ .
. . "Q.o ':::!(
$85.00
$10.20
$425
$99.45 I
NOTE: This Authorization To Begin Work expires within 180-
days if a permit is not obtained.
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.
fl
225 Fifth Street
Springfield, Oregon 97477
5d -726-3759 Phone
Job/Journal Number
COM2009-00112
C0M2009-00112
COM2009-00112
COM2009-00112
Payments:
Type of Payment
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000090
Date: 01/2312009
. Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Tecltnology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cRecejptJ
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
builders Online
electric
Payment Total:
ONLINE
Page I of 1
. 1l:48:13AM
Amount Due
55.00
30.00
4.25
10.20
$99.45
Amount Paid.
$99.45
$99.45
1/23/2009