HomeMy WebLinkAboutPermit Electrical 2009-3-3
Receipt # EC547619
3/3/200912:07:44 PM
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:debbie@newwayelectric.com
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I ~ New construction
[KJ Addition/alteration/replacement
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Total
) D 1 or 2 family dwelling
DMlllti-family
~ Commercial I Industrial
IJob no.: IJob a~dress: 1001 MAIN ST
I City/State/ZIP: SPRINGflELD,':OR 97477~4819
I Suite/bldg./apt.no.:
I Project name: Sprigfiled Utility Board
Cross street/directions to job site: 10th and mainsteet
I Subdivision:
ITll.'!: map/parcel no.: ]703354105.300
ILot no.:
Add reep! - plug mod +
I Name: Keith Lockhart
/PJwne:
IEmail:
IF",,'
lEI. lie. no.: 20-145C ICCBlic. no.: 5]088
I Business Name: NEW WAY ELE'CTRIC"INC
I Contact: 5\ 088
IAddress: POBOX21503
I City/State/ZIP: EUGENE OR 97402
1 Phone: (541 )6862365 I Fax: None
I Emaif:. debbie@newwayelectrk.cbm
I Metrolic. no.: I City lie. no.: .409647
1 Supen1ising electrician's lie. no.: : 5252S
I Supervising electrician's nil me: :JUSTIN M PASLAY
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
NOTE: This Authorization To Begin Work expires within 180
days if a permit is.not obtain'ed.
f
The Jocal building department may determine that an
Authorization To Begin Work is null and void if It does not
meet applicable land.use lav!s and local ordinances.
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11,000 sq. ft,-or '(css [4]
Ea. addl 500 sq:ft. or portion
I-Limited energy, residcntial
(with above Sq~ ft.) .
I - Limited energy, multifamily
residential (with above sq. ft,)
I "Limited energy"commercial. not'ofTered online ilt this jurisdiction
(with above Sq: ft.)
I - Stand-alone limitcd cnergy,
reSIdential
I - Stand~alone limited energy,
. multi-family
I - Standcalone1iri1ited energy,
commercial
1200 amps or less [2] I
1201 amps to 400 amps[21 1
1401 amps to 599 amps [21 1
ICTEMP,OIURY;'services,OR';feedl:"rS"il'i';Hilllai!onl'iilieration;' -~;..-'j;~~. .....;:..1
~~~7QJ!1~1_~~.u~~ff;i,,~:~2!z~~t~-:~~i~~-:;;'".;^"{.1y.~~~-~ i,-.~. .
1200 amps or less [2] I
1201 amps to 400 amps [2J 1
1401 amps to 599 amps [2] I
J(~,~CitcJi;51'~ii!i~,il~:~WJ~~!iCI~iftri~q~"eJt,~~Si?n.;I~er~llel~' ~~;:,.. 'lLs.'1~\,1
I A. Fee for brmich circuits with
servIce or feeder fee, each
branch circuit .
lB. Fce for bnmch,cii'cuits
without servic? or fe~der fee,
lirst branch circuit f21
I,each addl branch circuit
$55.00
$55.00
$6001
I Service reconnect only [2]
Each manufactured or modular
dwelling, service and/or fcedt'r
121 .
Pump oriiTigation circle [2]
I Sign or outline lighting [2]
I. Signal ciicuit(s)or liri1iled-
alteration, or
I
I Subtotal
I State Surcharge (12% of permit fee)
I City Of Springfield fees"
I j' TOTAL I~[RMIT FEE,
" City Of Springl1eld fees: 5% Technology'Fee
[DefaulT number afinspections allowed) .
~z.lr0 q - 002'qCp
03-0:3.-0'1 N~
$61.00 I
$732 I
$3051
$71.37
i
I
This Authorization To Begin Work must be posted at the job si~e until replaced by a Permit.
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CITY OF SPRINGFIELD
. Bqilding/Combination .Permit
PERMIT NO: COM2009-00296
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009
VALUE: .
Status Issued I
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 10~1 MAIN ST
ASSESSOR'S PARCEL NO:: 1703354105300
,
Springlield TYPE OF WORK: Ele~trical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Add recpt-plugmod
Owner: CITY OF SPRINGFIELD
Address: PO BOX 300
SPRINGFIELD' OR 97477
I CONTRACTOR INFORMA nON .
Contractor Type
Electrical
'Contractor
I NEW WAY ELECTRIC INC
License
51088 '
Expiration Date
06/27/2009
Phone
541-686-2365
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy G~oup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure,
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
. Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
,
i
NOT,ICE:
THISIPERMIT SHALL t.;J';';,~ ,; :1110. 'I\'S'f~r.
AUTlmRIZED UNDER llf.jVllltfa1i61{ lFe~rDtion ,
COM;ivlENCED OR IS AB$I\~B~~~ FOR Square Footage
. Type.ofQ'onstrlictiOfi'IOD . .
:...1 .,'...... .....,. . ...... .ormultIpher or' Bid Amount
i .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
, . ou to
^TTF'NTION: Oregon law re<3-u1f('1:.Y' ";'it,,
I PUBLIC IMPROVEMcEN-TS ~JleScaaOt PrlUT"hUO~q~ ;'~I;~ 'are set forth
, on en e, ". 001-
,~...... - .< ,",,,-I'"' tl.-nillqn OAR 952-
in OAR 952-0Sldewalk TY[le: oj the rules by
90 You m'W obtain cuples
00 '. Downspouts/Dniiiis:te1ephone
call1ng the t"hV' "OV~eg'on Util1ty NotIfication
number for e 344)
Center is 1.800-332-2 .
Total:
Handicapped:
Compact:
Street improvements:
t
Storm Sewer Available: '
Special Instruction:
'.
Description
Value
Date Calculated
Pa~e I of 2
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee:
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
'Total Amount Paid
$71.37
Total Value of Project
Fe~.~ Paid.
Date Paid
3/3/09
3/3/09
3/3/09
3/3/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00296
ISSUED: . 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009'
VALUE:
Receipt Nnmber
2200900000000000214
2200900000000000214
2200900000000000214
2200900000000000214
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 Relluired Insne~~i~~.~ ,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
. ,
By signature, I state and 'agree, that 1 have carefnlly 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 accordilllce 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 structnre 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 readabie from the
street, that the permit card is located at the front of the property, and the app'roved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pa~e 2 of2
Date
225 Fifth Street
SpriIigficld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00296
COM2009-00296
COM2009-00296
COM2009-00296
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000214
Date: 03/03/2009
.Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization.
Received By Batch Number Nl!rnber How Re'ceived
njm
ONLINE
new way Online
Payment Total:
Page I of I
12:57:33PM
Amount Due
55.00
6:00
3.05
7.32
$71.37
Amount Paid
$71.3 7
. $71.37
3/3/2009