HomeMy WebLinkAboutPermit Electrical 2009-3-6
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:weilandbo@msn.com
Receipt # EC547R46
3/6/200911:32:41 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
-'F,;. FE_~_~S.PI:4EDU~E.:~~-
I Description I Qly. I ":1', Tolfll
I~~esi~cni.hd ~~NG._-LE~ ORWlulii,~.r~n!i~)"~w~lli.ngUnit. In.c~ud~ _
'~t.t~~hcd.~_~~age_ ".- "",-:;'. - .' ~ _?--, _
11,000,q.n.oclmI4] I I I
Ea. addl 500 sq, ft. or portion
1':t~,iji:~ted,.E,~_e~y~:~;i::.< ,~~rr::-.-. .
I-Limited energy,'residential
(with above SQ. ft.)
I-Limited energy, mul1ifamily
residential (with above sq. ti.)
I-Limited energy, commercia-) not olTered online at this jurisdiction
(with above SQ. ft.)
I ~ Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I . Stand-aJone limited energy,
commercial
1.~,f~'Jcfs:~~:f~ers;insta_11~t;1i;-~It'e~Btlo~?A~1?1Q~ rel~cat!?ri. .
.~' ~~i~~i~~'~~J,::1 1200 amps or less [2] $81.00 $81.00 I
1201 amps to 400 !lmps [2] I
1401 amps to 599 amps [21 I
l~tE.~lP..,9I~A~Y.~i~[V..,!ces.9.J:tti..e!de~~i.~~tll,ll~ti?~;],!.teri1tiO!1'::-."~~<4~.' ~ ,'. ..1
r!\~~J<?}.~ [eI9ca,!!.?!1 .;' :i~ ~'W:..:' ";~:;Pd'~"'" ',;,- :~~~.~. :: ~ ~ ';,}<
~~~"t~::1 : ;~::::\~i~~~;;d~n ~~';~~ l~~~~~~b:i;yl
1 )1...i"'N8!tH~rrnro!!rniJi'ln:jqlt~r!.ir1!tI'men9v!f!f6ith;.
:J';:'.\"';\ . f.,1 I f::~~~~~~~~~~t~~nt~~~~: ~~~9r~~~~O~;
I B. Fee foWa\1cWJiUMtsl,;~IIl~I, tl"Ult': flt'lt'lepfnone
w;thoutm:M~f'f9vftl'e Ol9gon Utilty Noti/ic ation
llrstbranchclrcult~cntcr io ~ ::C~ :-81"1 ~11).
I'each addl branch circuit I
liMi.s~eUll.p~~!l~ 3~\.~1;/b1;i.;;' ':=3i~'!':1-~,' ..:f,"'!<>:~~~';:'t-;~?'~~
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,..~ '~~':"~~TY. P.E.OF. W..O'R.K:n;''':'~ 7~w" .--:,....:;:'.:'>":.",. I;.,' ~, r,~ .1
. '<,__'":i_~"", ','. ;__" ",."'" ,..,;,-,--"',;S;"t '",~, ~",,,,,'\l~, ",,_ ,". ",
I D New construction 0 Addition/alteration/replacement I
,.,~,... ,.. CATEGQ~:r OF. CON~TR[jCTION;:~t. ..,+;~,~ . ,31
10 I or 2 family dwelling [K] Multi-ramily 0 Commercial/Industrial I
',.'r..~~-??jp~, sIt'~ 1~f'9~M~i_l.d~~;~~~i lO.CATtQ~'~ ,~,~jj7.Y!i!:~?~'7 ~ +?I
jJob no,: 09-0024 jJob llddress: 6238 MAIN ST I
jCity/StaterLIP: SPRINGFIELD, OR 97478-6925 I
I Suitc/bldg.lapl.no.: APT II I
I Project name: Panel Change I
I,
Cross street/directions to job site:
MainSt.
ILot no.:
I Subdivision:
ITa\ map/parcel no.: 1702343103101
I~: '?:- - .~/:'[':.<,'~-i. t;~f.,~.'~:CJi,7:~"~',DEsc'RIp.T{oN6j:'wo'RK,:,'1"
)'J.-I, ,~,__,c__,,__,__ ". .'W' ~,il.J..~.,.;,."',""'~".f"____L- 'u__'"''''__'','' -_ -" . ",'. __~","._.'"v". t , ~,
Punel Change
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. .
;"-~ITECOii.!ACf:.
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INam" Bo HllNOTIGE:
II>hoo" (541)~IJ1r11.~2~FRMIT SHAll F1rIl'lRF IF THF WORK
IEmaH..A '.ITH nR.'?Fn J.J IIl~FR TH I,'\PFR M lTlt N"qr
.. "L i;m,1r,~F;IIlr.>=n'm,C~~i'JffilNFn FOR.;.
In Ik. "0.' Q\1tY 1 An nllY p>=Rlnn CCB Ik. "0.' 175373
I Business Nllme: WEILAND ELECTRIC DIVISION LLC
I Contact: 80 Hun
IAddress: PMB 204 5729 MAIN ST
I City/Stater-LIP: SPRINGFIELD OR 97478~5426
1 Phon" (541)7477701 IFa" (541)7477701
I Emllil: weilandbo@msn.com
1J\lelro Iic. no.:
I Supervising electrician's lie. no.: 2560S
I Supt'n'ising t'lt'ctrician's name: JACK L WEILAND
I City lie. no.:
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 Begin Work expires within 180
days if a pennit 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.
,
I
I
.."--
',.',.".
'3".<',.
Service reconnect only [2]
Each manufactured or modular
dwelling, service and/or reeder
'21
I Pump or irrigation circle [2]
Sign or outline lighting [2J
Signal circuit(s) or limited.
energy panel, alteration, or
extension (21
,: %.~.:'?~~~_~,L~~T~I2~i)~~~!v'}J~F,E~:~~:;;.l5,;.:~~~~ ~~~- . .:,1
Subtotal I $81.00 I
State Surch(lrge (12% ofpcrmil fee) I $9.721
City OfSpringlleld fees ~ $4.05
I TOTAL PERMIT FEE I $94.77
.. City Of Springfield rees: 5% Technology Fee
[Default number of inspections allowed}
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CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00310
ISSUED: 03/06/2009
APPLIED: 03/06/2009
EXPIRES: 09/06/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3'753 Phone
541-726-3676 Fax
541'726-3769 Inspection Line
SITE ADDRESS: 6238 MAIN ST APT 11
ASSESSOR'S PARCEL NO.: 1702343103101
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Panel Change
Owner: MCKENZIE MANOR LLC
Address: 621 SW MORRISON STE 800
PORTLAND OR 97205
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
WEILAND ELECTRIC DIVISION, LLC.
License
175373
Expiration Date
04/06/2009
Phone
541-747-7701
BUILDING 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 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 INFORMATlON......ENTION. 0 I '. . .
NOTICE' ir II' . regfJ\!-;w.Mi\~!Ni\f;.{lR'R.~~
",'''<' DF~~ IT SHALL EXPIRE IF THE WORK foUow rules adopte'U'by1fleuregon Utility
Frontya~~,*~!baCk~ UNDER THIS PERMIT IS N<Herlay Dist: . ~otlflcatlon Center. 'fbooe rules are set forth
Side 1 Setback,?RIZED NED FOR # Street Trees Rqd: In OAR 952-001-001qJJlttflU~gjlp:8d:R 952-001-
Side 2 SeWiick:ENCED OR IS ABANDO .. Paved Drive Rqd: 0090.. You may ob1a0Jmpll6tl of the rules by
Rearyard S~tb([cJ<:J/W PERIOD. % of Lot Coverage: calling the center.. (Note: the telephone
Solar Setbacks: number for the Oregon Utility Notification
Center is 1-800.:i:i;>.".144\
IPUBLIC IMPROVEMENTS I
Street Improvements: .
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq.Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Paee I of 2
_"l~RtHqp,t~J,.9.! ,
a' .
I
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description.
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less .
Amount Paid
$9.72
$4.05
$81.00
Total Amount Paid
$94.77
Total Value of Project
Fees Paid 1
I Plan Reviews I
Date Paid
3/6/09
3/6/09
3/6/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00310
ISSUED: 03/06/2009
APPLIED: 03/06/2009
EXPIRES: 09/06/2009
VALUE:
Receipt Number
1200900000000000163
1200900000000000163
1200900000000000163
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.
Reouired Insnections 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 correct, and 1 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.
1 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 wilrremain on the site at all
times during construction.
Owner or Contractors Signatnre
Pa2e 2 of2 .
Date
225 Fifth Street
Springfield, Oregon 97477
54].726-3759 Phone
ifM
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
]200900000000000]63
Date: 03/06/2009
11:44:19AM
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number Authorization
Received By Batch Number Nurn~er How Received
Amount Due
81.00
4.05
9.72
$94.77
Job/Journal Number
COM2009-00310
COM2009-00310
COM2009-003 1 0
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
KR
ONLINE
Weiland Online
Electric
Payment Total:
$94.77
$94.77
cReceintl
Page I of I
3/6/2009