HomeMy WebLinkAboutPermit Electrical 2009-3-18
Receipt # RC54R450
3/18/20098:47:12 AM 1:11;\
CG\/
. City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kelly@builderselectric.com
Check on status of permit
By Phoue: (541)726-3753 or Iemail: permitcenter@Ci.springfield.or.us
r 0 New construction
o Addition/alteration/replacement
10 1 or 2 family dwelling
DMulti-family
o Commercial/Industrial
IJob no.: IJob address: 400 INTERNATIONAL WAY
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suile/bldg./apt.no.:
II'roject name: Hawes
Cross strcct!dire~tions 10 job site:
I Subdivision:
ITax map/parcel no.: 1703]54000590
I Lot no.:
Electric to sign installed under permit com20Q/i-01718
I Name: fred wittkop
I Phone:
I Emaii:
IFa"
IceR lie. no.: 4296
B\fjljl$~I)RMlifi<SIH\f\LL EXPIRE IF THE WORK
leoalae! 08-2262sAUTHORIZED UNDER THIS PERMIT IS NOT
IAddress: 195 MAI~MMENCED OR IS ABANDONED FOR
ICily/S"H,/ZIP, EuJliW<I>R07/1J1AY PEBlQIl
I Pholle: (54l )4850922 I Fax: (541 )4854055
I Enlllil: kelly@builderselectric:com
!Mdrolic.no.:
I Supervising electrician's lie. no.: 5275S
1 Supervising c1ectricilln's nllme: RUSSELL R ROBBINS'
I El.lie, no.:
I Business Nllme:
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
~-y cf'
. ^I?
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+l$.
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NOTE: This Authorization To Be'gin Work expires within 180
days if a pennit is not obtained.
rhe 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,
[1;000 sq. ft. or less [4]
I Ea. addl 500 sq. ft. or portion
1
,[ - Limited energy, residential
I (with above Sq. ft,)
- Limited energy. multifamily
1 residential (with above Sq. ft.)
II . Limited energy, commercial nOI offered onlin'e at lhisjurisdittion
(with above sq. 1'1.)
I - Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi-family
- Stand-alone limited energy,
commercial
1[~fn:!fes;.()it'f&lie,sin,s!'lIl~tio\!t~!I€!;@onf;'~WgRlr~}g1ij!O'[i,jf]j7t+i
: ~~~ :::: ~~ :~~ ;~PS [2J I I
1401 amps to 599 amps [2J
I 200 lllnpsor less [2J
120] amps to 400 amps [2J
!401ampslo.599ampsf2] ~;
1!!r!iiih+'5J~i,tt!~~E~x:~i~irat!2IJ,.~~R'~~I~:~~~o]l:;r~'~,fi~~~il~:~i::3,,:~.;
I A. Fee for branch circuits with 'I' 1
'service or feeder fee, e<lch
branch c.o:qnn::-"'I',!"I .. ':'~ ~?\':--;' :q'uircJ y::..: t-
I B. Fee !o..{IP,r.anch ~tlflllts .. "" 1
w;thouISlWI~~o~'tWd~Rf!Opt ,d by the Oregon Utility
first b~h\t1fbilidrlJn Center. Th()~p. n Ip.~ ~rp c::~t fnrtn
I each ~<ll1lffirlln<'J,!il",,";001-00' 0 throuq 1 OAR 9512-001- I
li~1")~i4J~\qw~1,~gHY'!]ilY'9_bt"inic5.(;j'pl~~jQjilti!1lFuji;isiby;;;,,1 .
I Serv;cec~{,H~R'ilol{tl9[2jen~r (l~ote:J1ne telep~One
I Each mlll1tlfiit.tt'ir:etl bflinotllmir'-'r :yur r Ulll lY, I\lUllll( auo~
dwelling. se",,, di>W\fQ!ldqs 1 .800-332 2344).
121
I Pump or irrigation circle [2] .
I Sign oroutline lighting [2J
1 Signal circuit(s) or limited-
energy panel, alteration, or
extensiun
$63.00
I
$63001
I
Subtotal)
State Surcharge (]2% ofpcmlit fee) I
City OfSpringfie]d fees *
I TOTAL PERMIT FEE
* City or Springfield fees: 5% Technology Fee '
[C~w:c3~et"'aI8T I g I ~
$6300
$7.56
$315
$7371 .
L.d?..
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD .
B uilding/ Comb ina tio nPermit
PERMIT NO: COM2009-00361
ISSUED: 03/18/2009
APPLIED: 03/18/2009.
EXPIRES: 09/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 400 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154000500
Springfield TYPE OF WORK: Electrical Work,only
TYPE OF USE: New
PROJECT DESCRIPTION: Electric to sign installed under permit #COM2009-01718 (fianled)
Commercial
Owner: HA WES'INVESTMENTS LLC
Address: PO BOX 7548 .
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Confractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date "Phone
Ii
12/1012011 .541-485-0922
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 Hcat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Car~prt
Sq Ft Other: . 'I .
Occupant Load: :1
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: Ovcrlay Dist:
Side I Setback: # Street Trees Rqd:
Sidc 2 Setback: Paved Drive Rqd:
Rearyard SetbUf!l.: %' of Lot Coverage:
Solar SetbacksNUTICE:ATTENTI "
TIII~ nrnl\llT ("'II A} 1 rvnU1f"'." ~I;I~ HJ"rl,~ . ON: Oregon law reHuim~ "r" f/"lo
.. dO . _. d\ .. L... .-- -'.. d'_ d ..'-'- " IU""" lUll!:; aaopted by th 0 U . .
AUTHORIZED UNDER THIS ~VEMENTS ~Notlfication Center. Thase r~le;~~~~et ~~;rh
Street ImprovtGUMMENCED OR IS ABANDONED FOR n OPf~-/iOf~10thrOUgh OAR 952-001-
Storm Sewer A~~Ya~~P DAY PERIOD. . OO;~~~;;:;:~t,~m~alc.i?PieS of,the rules by
. . " ~'"a' ""T11t1r, \"ote: the telephane
SpCClal lustructlOn: number for the. Oregon Utility Notification
Center IS 1,800-332-2344).
Total:
-Handicapped:
Compact:';
Notes:
I Valuation D~scrintion ~ .
Description
Tvne of Constructiou
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouui
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF, SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00361
ISSUED: 03/1812009
APPLIED: 03/1812009
EXPIRES: 09/1812009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
54 J -726-3769.1nspection Line
Total Value of Project
Fees Pa~
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
Sign - Outline Lighting Each
.Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
3/18/09
3/18/09
3/18/09
2200900000000900281
2200900000000900281
2200900000000000281
Total Amount Paid
$73.71
I Plan Reviews I
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 Reouired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state aud 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 performed shall be done in accordance with
the Ordinances of the City of SpringJield and the Laws of the State of Oregou pertaining to the work described hereiu, aud
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 iu compliance with ORS 701.005 will be used on this project.
I further agree to el~sure 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 Contractors.8ignature
Date
Page 2 on
225 F'ifth Street
Spl'ingfield, Oregon 97477
54'1-726-3759 Phone
City of Springfield Official Receipt
Development Service's Department
Public Works Department
'RECEIPT #:
2200900000000000281
Date: 03/18/2009
9:01:03AM
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number Authorization
.Received By Batch Number Number How Received
Amount Due
63.00
3.15
7.56
$73.7\
Job/Journal Number
COM2009-00361
COM2009-0036I
COM2009-00361
Description
Sign - Outline Lighting Each
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE
Builders Online
Electric
Payment Total:
$73.71
$73.71 .
.1
,
I
cReceintl
Page ] of 1
3/18/2009