HomeMy WebLinkAboutPermit Electrical 2009-3-13
,.
City of Springfield
'i ,
Electrical Authorization To Begin Work
E-mailedTo:BHMELECTRICCO@AOL.COM
Receipt # RC548190
3/13120098:27:09 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
!il Addition/alterat'jonJreplacement
I D 1 or 2 family dwelling
o Multi~family
lliJ Commercial/Industrial
l.Job no.: 720 IJobaddress: 720 35TH ST
ICily/State/ZIP: SPRINGFIELD, OR 97478-582\
Suite/bldg.hipt.llo. :
Project name: Dunk
Cross street/directions t,o job site:
I Subdivision:
I Tax lIl11pfparcelno,: 1702312102601
ILot no;:
Check wiring and clean lip wiring in panel
IName: Sparky Rose
I Phone: (54 I) 686-0905 I rax: (541) 686-3050 I
II ~~;~~:.~~~.M~~.,~,~*.~~'fJ~~,;~~:\~.c""O"""N'''-T''RA.. M"~"C""MT:""O":'R"'4!l:/;t~:\~;;t~'lo~' .k~z~~,;p.;?4t;j:'n7-J'. jtl.'l?:J
!'::~':~'::~'~:j{;i5'?ERr~I!-'~'~;,~~' ~prr:~fi~v~g~"'""""'""1
IBusillcssNamt"7\!B~Jttfi~!#i~~~~~N\' ~ cnlV I I I I
ICon'"", spllcks,lRll(\IVltl%tU un 1" ABAND,ONED FOR I
IAdd'"'' 4065.\\~HIITiV1<Hlf\Y t'tnIUU. '1
ICity/State/ZIP: ~UGENE OR 97402' I
I Phon" (541)9125121 IF." (541)6863050 I
! Email: BHMELECTRICCO@AOL.COM.' I
I Metru lie. no.: I City lie, no.:
I Supervising electrician's lie. no.: 15685 I
I Supervising electrician's name: PHIL S ROSE
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 permit is not obtained. '
~\\.\l\
~~Q/
,~
The local building department may determine that an
Authorization To Begin Worl( is null and void if it does not
meet applicable land use ,laws and local ordinances.
I Description
Q.y,
11,000 sq: n. or less [4]
1 Ea, addl 500 sq. ft, or portion
J
....'-"
IA
...,.,1)
w
t
,~ ~.
I-Limited energy, residential
(with above sq_,fT.,)
I-Limited energy, multifamily
residential (WIth above sq. ft,)
I-Limited energy, commercia-I not offered online at this jurisdiction
(with above sq. fU'
I - Stand-alone limited energy,
residential
I - Stund7ulone limited energy,
multi-family
I - Stund~alone limited energy,
commercial
11:~~gJJ,:gE;!~1~~ins!.~~uii"~~Lu}_~Zi~to,~~~~R?9,,l{'fetoCa,ti~~1~b'ty~.
1200 limps oc less [2J $8100 $81.00 I
1201 amps to 400 anips [2] I
1401 amps to 599 amps [2] I
1200 amps or less [2J
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
"'7~
I A. Fee lor bmnch circuits with 1 1
~::~I: ~t~mltl'j!j: Oremon law r~quires ~ JU to
lB. Fee IMIO<AWtJ-fdMilll1 aoop13o oy mE uregon utility I
':';lhmJtJ1!JtiiffialIS1'leOemter. Those n les are s It forth
11e51 blan~o"<)Wim O^" 00' ~ t', , ~>.., -- - -- ,
I t:vl'-'h~.JL. v-, ;.; "............, .....1\11 v....l::-VVI-
each aA9{~rcult ",v,
I. '~, ->--.. -.,'~ ~~';&:,'::_'J:~ ~~. zfthz,r~I:: ~
!!\'hscellaneous~. '1 h" '.',":.'" ..~".. \.'1'.2, "(~KI':'>; ";"W:' ,..,'" 'i~-,';5."',,:i i-2.ofd":ic"'j(' i j(
"=k..... ,rdtlijlln A'~Anfp(.,)' ntp'" ho:tQIL'q"lfj.l"\n~~"LA_ry;:
I SCCV;cerrolvltsipwrllhe OrJ)Q'on Util ty Noti/it Htion
I Elich ~l111m,f"\UceQp.I~pe~lq'S 1-800-3322344).
dwelllllg, service andTor feeder
[21 . .
I Pump or irrigCltibn circle [2J I
I Sign or outline lighting [2J
I SignClI circui!(s) or limited-
altemtion, or
Subtotal I
State Surcharge (12% of permit fee)
City Of Springfield fees. 1
I TOTAL IlER!\1JT n:E
.. City OfSpringlit'ld fees: 5% TechilOlogy Fee
It9:'339"iomo\&
:3\ 13lCA
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
'I.
I
I
$S1.00 I
$9.72 I
$4.05 I
$94.77 I
__A~Il:IIilI,I:I,
I
!
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00339
ISSUED: 03/1312009
APPLIED: 03~13/2009
EXPIRES: 09/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 720 35TH ST
ASSESSOR'S PARCEL NO.: 1702312102601
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: Check wiring and clean np wiring panel
Owner: DEXTER FOREST FIBRE INC
Address: PO BOX 400
DEXTER OR 97431
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Contractor
,
BHM ELECTRIC
License
184005
BUILDING INFORMATI,ON I
Expiration Date
09/19/20 I 0
Phone
541-686-0905
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Heighl of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft Is(:Floor:
Sq Ft 2n~ Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpan't Load:
nla
~EQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Sidc 2 Setback: Paved Drive Rqd: Compact:
Rearyard Set'tlfliDCE: % of Lot Coverage: ATTENTION: Oregon lav{ requires you to
Solar Setbac1~\Sn:ERMIT SHALL EXPIRE IF THF WnRI< .~~~I,~~~~~_I:~~~??te~" ~~~r,~,~~~g~~~Y~~tr\
COMME~~~~ UNUtR THIS Pf'i'i'muCllWlRoVEMENlISIAR 952-001-001 0 through OAR 952-001-
S I . "......."t'" OR IS ABANuui,eu ruK voJo. Ys,~maK\\lQ.\ain copies of the rules by
treel mprqVN"Tcru DAY PERIOD. calliniJ'L1Te'C" \'tMP~~ote: the telephone
Storlll Sewer Available: numbero'6Wt.~~o';lfSYi!lr.il.~!lity Notification
Special Instrnction: . Center is 1-800-332-2344).
I DEVELOPMENT INFORMA TlON ,
Notes:
I Valuation Descriotion I
Description
Type of Constru~tion
. $ Per Sq Fl
or mnltiplier
Sqnare Footage
or Bid Amonnt
Valne
Datc Calcnlated
Pa2e I of2
Status
Issued
225 Fifth Sti'eet, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Total Amonnt Paid
Amonnt Paid
$9.72
$4.05
$81.00
$94.77
Total Valne of Project
Fees P~id I
Date Paid
3113/09
3113/09
3113109
Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00339
ISSUED: 03/13/2009
APPLIED: 03/13/2009
EXPIRES: 09/13/2009
VALUE: '
Receipt!Nnmber
i200900000000000186
1200900000000000186
1200900000000000186
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 R~,ou,ir~d Insuections 1
Electric Service: Approval reqnired prior to ntility company energizing service.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information heJ'eon is trne and correct, and I fnrther 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 structnre without permission of the Community Service~ Division, Bnilding Safety.
I further certitYthat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all reqnired inspections are reqnested 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 temain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 2 of 2
Date
225 Fift6 Street
Sprin(!,fieId, Oregon 97477
541-7t6-3759 Phone
, Job/Journal Number
COM2009-00339
COM2009-00339
COM2009-00339
Payments:
Type of Payment
ONLINE CHGS
cReceioll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
!'
1200900000000000186
8:52:49AM
Date: 03/13/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
4,05
9.72
$94.77
DeSl'ription
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge'
Paid By
ONLINE PERMIT CHGS
Amount Paid
.KR
ONLINE
$94,77
BHM Online
Electric
Payment Total:
$94.77
Page I of 1
31\3/2009