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Home My WebLink AboutPermit Electrical 2009-3-2 \ City of Springfield Electrical Authorization To Begin Work E-mailedTh:KELIASEN@AIT.NET Receipt # .EC547572 01 '? 3/212009 4:55:55 PM )- . I L~ Check on status of permit By Phone: (541)726-3753 or Email: pennilcenler@ci.springfieJdor.us 1.-4'i"'-ll"!;'"""-..~.~tYPE.O,,WORK!1'~~~~_! '~~~~'ii;'1,;:""'-"f;;t,,,ji~t'l.:;;~~~.S&~_:.,~..-.~.~"~>.._,...~,ili>t~~~~~o_'?;(,.~-it~ 10 New construction [K] AdditiotV'alterationlreplaeement . . !~~~~R,!\:O!~~![Q2fu5!i~~ [K] 1 or 2 family dweUing 0 Multi.family 0 Commecciall Industrial ~1i!lt*~~l'fjQii:siiEiNFORMATtON'ANifLocATioN;',"~~~~ ~;ffi'~j~~~~"........."""~"~,-"-,,._,,~...~~,,,,,..,.,._.,__._ -- ~''"'''''''.'..'_~'~~~~~~'~ !JobDD.: IJobaddress: .t852 SCOITRD I CitylSl".n:IP: SPRlNGFIEW. OR 97477-3470 I Suitelbldg./~pt.no.; jProject name: BELLREAL ESTATE Crou street/directions to job site: ~ OLYMPIC ST OFF I8TII STBETWEEN CENTENNIAL BLVD !Subdwi.ioD: I Lot DO.: I ITax map/parcel no.: 1703253400400 I :~- ~ 1-:""'~;'.- -: ..~;r;_~ -~.,~. -'DESCRn!noif6FLiiORK~~- .'::->"' "cir~il:-W;~'-: -~.'":;'- ,,"~~~~""""'dm~..'._.._..._~~~_.~ REPLACE IOOA SUB-PANEL. !"'~~-";"~siiE'-cONfAC;r:~-J-""~~~~ ~~~~~~~~~^,~;;:'>'_,->o."_~~_.L...,-~~a.i?':"~_~'!!'8:~~~;~", lNam~ ERICEIDE IPhone: (S41)968-42S~ I Eman: 1--=-~--~-CONTRACTOR:~~w;"~~' ~~~'t1[~~t~k~~~_"'~""_"""'''''-'<''A=-,~1J'4~~t~~~~~~ IFJ. lic. DO.: 20-S3C 'ICCBIic.-D~: '38497- I Business Name: BEACON ELECTRIC ICoDlad: ~~w IAddr...: 25 A~'jll~.1lIMlI-lAII EXPIRE IF THE WUMI\ ICitylSla1.n: : - ...... R l:HIS PERMIT IS NU I IPboDe: (541. ~t.[fI:(jEr 0[l1~ ~~@lroR tErn". KE1J.. NIl",{ pc:olnn . I " vv ;.1/\ -... 1 Metro lie. DO.: . City lie. no.: I Supervising electrician'. lie. ~o.: 34S5S Supervising elKi!ician's Dame: GARYE )Vl1l'll.:n:'.N IF..: 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: :n-is Authorization To Begin Work expire s within 1~0 days if a permit is not obtained'. \f\ The local building de.r"..."...... may determine that an Aulhoriza!ion To Begin Work is null and void ifit does not n..:\\' meet appllcabfe land use laws and local ordinances. J' ~ . '.' .~~. . ~ 1!;.-~""':--~F-EEfSCHE6ULEWi"""'::"':'1""5>."""".~.' ,~~~'Wk~;;&"~..,;,.",__,~".__~,,~_,~~;W~~~T~ I D.".,,;plioD .1 Qty. I Eo. I Total I~ReSidential'SINGI;Ei~~igramilfdwenmgunii?ID~jl!>~~ [~~i~I$li!~~~~~~~~~ 11,000. sq. ft. 0""'14] J j I I,Ea. addl 5~ sq. ft. or portion _ 1'~!!!'!1~~.!~iil1~~ I-Limited energy, residential (with above SQ. ft.) I . Limited energy. multifamily residential (with above SQ. ft.) I-Limited ....P.nrV. commercial I ot ffi~ online lb" . d' . ---OJ n o.....it at !SJum tCbon (with above SQ. it) I - Stand.alone limited enagy. residential I - Sta:nd-alone limited energy. muhi-familv I . Stand-done limited energy. commercial 1~~!~~[~1~~':'~1t~f!!LO!1~~~1i!~~~Rj,!~~fi~~Jft~1 1 200 amp. or I... [2] $81.00 $81.001 1201 amp. to 4110 amps [2] I 1401 amp. to 599 amps [2] I ~TEMPORARY sernces OR rftdeninstillatioD--:18h<<Btion:,'&~'" ~,{qIr~t!~> 0 ~ ~~ ' :~~$> :' " ,,'"' ,: 1200 amps or less [2] 1201 amps to 400 amps [2] I 401 amp' to 599 amp:> 12] I I I!Br8li"dt~Cii-'Clfib'?'NEW/8it:;aiio;~OoIi'~~iOD!~.~~~~-~1c.~ ~""",o-""~""-"_:"'="",'."""dl."",,,".~,_~.~_.,,.,,.....,."_' ''''''''''.,nP:!:~.-~~~ I A. Fee for br.mcb eirwils wilb 11 $6.001 $6.00 :~:~N'IWI~: On !9on.law reguires youto B.Fee/~~ QUUlll;;:U vy If t:: UI'dl:JU t GulllY wilboutNol;:fL.d;;~~ @ente'. Those ules are 3et forth I. f""t~.IJ.l;? 001 0' . 7. ':'.^.'C ':::' ':'9+- >~ _~h~tr'lq~l..ot t'.:lil"-"nfJ o.c:'.f"ltiho,rllle:>q hl',... IIMi;<;n"--"'''''"""",,,:~,,-",~,,,,~-,,,,-~ .. ."""'''1 :,...~_._'!!!~l\'Ilinn;th".i:p.nt\'r,"'mote'lth81te[e1iliohe_ II SCJVi", ".u...k eqIlfd?lthe Qregon U!i1ity Notification I II Eaeh?,anufactnred~tm;,.. iSI1-aOO-3::i2-2344). I dweUmg. serv:tce andToi fccdcr I [21 1 Pump or irrill"tion emole [2] I I I Sign or outline tigbting [2] i ! I Signal ein:ui~.) or funired- I I energy panel, alle:rabon. or extension 121 1~~_~@i!Y:i:~iJ1IlWlTi.~~~~Jj'!~! r - Subtotal 581.00 I . I State Surchan:te n2l'A. ofpennit fee) SIO.44 I [ Ci"iOfS~#.eiJf",,' $4.35/ , TOTALPERM1TFEE $101.79/ . City OfSpringfi~1d fcc8: S% Techri,ology Fcc [D~q~2:c;3tW",alKZ- 6\3 \Ot1 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. -iii' ,... .... II cf'\ \..~'6)- . }lY'l' ~ . f0 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00293 ISSUED: 03/03/2009 APPLIED: 03/03/2009 EXPIRES: 09/03/2009 VALUE: Status Issued 225 Fifth Street, Springlield, OR 54i-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1852 SCOTT RD ASSESSOR'S PARCEL NO.: .1703253400400 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace 100A Sub-panel Owner: BELL HELEN L TE Address: 4460 ALTURA ST. EUGENE OR 97404 I CONTRACTOR,INFORMATION , Contractor Type Electrical. Contractor BEACON ELECTRIC License 38497 Expiration Date 01110/20 I 0 Phone 541-461-0291 BUILDING m~O~ATION' # 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: Loi 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 INFORMATION' REQUIRED PARKING . Front yard Setback: Overlay Dist: Total: Side I Setbac\i:j : . . # Street Trees Rqd: ATTENTION: Oregon IHll'II'lffillijJjJ6dYOU to Side 2 Setbac~OT'CE: Paved Drive Rqd: follow rules adopted b~o\\ijJnlff!gon Utlltty . Rearyard Setiihli8: PERMIT SHAll EXP Yo of Lot Coverage: Notification Center. Those rules are set forth Solar Setbac\fli.:JTHOR/ZED UNDER T IRE IF THE WORK In OAR 952'001-0010 through OAR 952-001- - _' HIS PFRMIT 1(' ","T ____ \'_' __If-~hto;n Mn;~' nfthe rules bv \JUIVI/V/tN6tU OR IS ABANulIlIIl:IlIJlPOflIMPROVEMENTS -1"~;liing the center. (Note: the telepnone . ANY 180 DAY PERIOD. '. J. . . numbeLfor the Oregon Utility Notification Street Improvements: :. SI"e'?;M~ill~Pf;BOO-332-2344). I Storm Sewer Available:' Downspouts/Drains: Special Instruction: ;' Notes: Val~ation DescriDtion I DescriPtion Type.?f Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated Pa~e I of2 '_~".".'JlI.N,. .G.....p...........~.ifjJ.....i' '".. . .}C.. ..'.".... ~l~ . . ,., ~t : ".. " "~ K:. ,.,.., ~ " ~ . ' ,,\ ",' ;'. . .., . ".._~.- :y"./". ...<. Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description + 12% State Surcharge. + 5% Technology Fee ' Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less TotalAmount Paid I .' Amount Paid $10.44 $4.35 $6.00 $81.00 $101:79 Total Value of Project .Fe~~ ,IWd , I Plan Reviews , Date Paid 3/3/09 3/3/09 3/3/09 3/3/09 CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00293 ISSUED: 03/03/2009 APPLIED: 03/03/2009 EXPIRES: . 09/03/2009 VALUE: Receipt Number 1200900000000000149 1200900000000000149 1200900000000000149 '1200900000000000149 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made th:e same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough ElectriC: Prior'to Cover I. R,~\l,I~,ire,11 ~so.~~~.i,!~,~ , l . Final Electric: 'Yhen 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 I further. certify that any and all work performcd shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCY;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 "sed 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 Contr~ctors S,ignature Pa~e 2 of 2 Date , 225 Fifth Street' Spri~gfield, Oregon 9~477 541:726-3759 Phone j' Job/Journal Number COM2009-00293 COM2009-00293 COM2009-00293 COM2009-00293 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 'iZ"i E. ~ .. " -. ~...". City of Springfield Official Receipt Development Services Department Pu.blie Works Department 1200900000000000149 . Date: 03/03/2009 Desc~iption Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add , + 5% Technology Fee '" 12% State Surcharge Paid By ONLINE PERMIT CHGS I I Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE Beacon Online Electric Payment Total: " Page 1 of 1 8:32:41AM Amount Due 81.00 6.00 4.35 10.44 $101.7~ Amount Paid $101.79 $101.79 3/3/2009