HomeMy WebLinkAboutPermit Electrical 2009-3-17
.
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:crowvalleyelectric@comcast.net
Receipt # I RC54R427
3/17/20094:09:03 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitceuter@ci.spriugfield.or.us
I D New constrllction
[X] Addition/alteration/replacement
I D I or 2 family dwelling
o Multi-family
o Commercial/Industrial
IJob no.: IJob address: 942 28TH ST
ICily/State/ZIP: SPRINGFIELD, OR 97477-4315
'I Suitc/bldg.lapt.no.:
'1I'roject name:
Cross street/directions to job site:
ISubdivision:
ITax-mllp/Ilarcelno,: 1703361109600
ILot no.:
extension 01'.1 circuit, hanging to egress lights.
I Name: marty gray
IPho.ne: (541)501-6842
I [mail:
IFo"
IEl.lic,llo.: 20-317C ICCBlic.no.: ]49834
I Bush"" Nom" cIIl<0TiUEt:Y ELECTRIC
Coutacl: MARTY1JIjtS PERMIT SHALL EXPIRE IF THE WORK
IAdd"''' 2952ALMN1t40~~!m UNDER THIS PERMIT IS NOT
ICity/Statc/ZIP: EOOMi\l'lI'f\lOroC(7ffi I~ ABANDONED FOR
Iphou", (54I)46]O~NY 180 DAY PERldID" (54])4614062
[mail: crowvil.lleyelectric@colllcast.nl.l
Metrolic. no.:
ICily lie. no.:
Supervising electrician's lie. no.: 4742S
I Supen'ising electrician's naml': MARTIN ALAN GRAY,
Upon review and approval by your local jurisdiction, your
permit will be e.mailed orfaxed 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.
The local building department may determine that an ~
Authorization To Begin Work is null and void if it does not ,...(1
- OW",,,. ..,.. ,- 0.. "., ."'~"- 2:>~
11,000 sq. ft. or less [4]
I Ea. add! 500 sq. ft, or portion
I "Limited energy, residential
(with above sa. [1.)
I-Limited energy, multifamily
residential (with above Sll. ft.)
I . Limited energy, commerciiil not olTered online at this jurisdiction
(withabovesq.fU
I - Stand-alone limited energy,
residential .
I . Stand-alone limited en-ergy,
multi-family
I - Stand-alone limited energy, .
commercial
1'~~:~~lfO,l!'1~!~_t~Qt~~II~~~i~:~Il!!€!;~D!i!';'~B,~7.:(f~:~~~~~C~~~~.f;;F~
1'200 amps or less [2] I
120] amps to 400 amps [2] I
1401 amps to 599 amps [2J I
1200 amps or.less [2]
120 I llmps to 400 amps [2J
140] amps to 599 amps [2]
1~~r1!J!y)~u_j~~~~))~~I~iiOlr;,q':(~_~t~sl~~~;p~!J~~~!:,:?~~~I
I A. l:'ee for bnmch circLiits with
servIce or feeder fee, each
, branch circuitATTI="(Tln
liB. Feefo' b'fI\1~,\jIPlil~1 d bl 01 .t&5
w"hollt se 1 ~ ~tJ1Hel'f&S a opte 1 the e on UTlI
I "cst bmnc;t:[ntlIIGlltion'Ce ter. Tho~ e rules a P. ~"tfnrt 1
II each addI bflih.liJPJilo952-001l0010 thr~ugh OA. 952-001-
I I Mi;;'eII8ne\,\\j~.u;6.rOU.maj(iQ.otalnf:copiesl0f!the1rUJesDI'
: 11.'~:~::~~i~fiJ!~~~~~~~J~,~r~J}f:;~e~'" ~~::I'
dwelling, service and/o~mer IS 1-800-132-234 .
I ]21
1 I Pump or irrigation circle [2] I
I I Sign or outlinelightmg [2]
I I Sign<lI.Circuit(S) or limited-
energy panel, alteratwn, or
extenslOn
I Subtotal
I Minimum fee used instead of Sublutal
I State Surcharge (]2% of permit fee)
I City Of Springfield fees *
I TOTAL PERMIT FEE I
* City Of Springfield lees: 5% Technology Fcc
[DeJallll number ojinspeclions allowed}
C'1-3LPO
$55.00 I
$58.00 I
$696 I
$2.90 I
$67.86 I
kQ 311~D9
This Authorization To Begin Work must be posted at the job site until replaced bya Permit.
\~~/ d)}
j' ci (~
~~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009c00360
ISSUED: 03/18/2009
APPLIED: 03/1812009
EXPIRES: 09/1812009
VALUE:
Status
Issued
225 Fifth Street, Spriuglicld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 942 28TH ST
ASSESSOR'S PARCEL NO.: 1703361109600
Spriugfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Extension or 1 circuit, hangiug to egress lights
Co~mercial
Owner: CROSSFIRE WORLD OUTREACH MINISTlRES
Address: 942 28TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
CROW VALLEY ELECTRIC
License
149834
Expiration Date Phone
12/1312009 crowvalleyelectr
,BUILDING INFORMATION,.
# or Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# or Bedrooms:
# or Stories:
Height or Structure
Type or Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frnntyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% or Lot Coverage:
Total:
. Handicapped:
Compact:
ATTENTION: Oregon law requires YOUIO
NUIIl.;t:, TOIIOW rUles aUUfJlt1U uy lilt: VIt::\::IVII vw'~y
THIS PERMIT SHALL EXPIREI\~IWJ..I~)WVEMENTS ~otifi~atiOn Center. Those rules are set fort~
Street Improxements;, IS PERMIT IS NOT In O~1IlO1s9!Q! 0 through OAR 952-001
MU I nut'llZED UNDER TH 0090. You may obtain copies of the rules by
Storm SewerOOjll1tii@:jCED OR IS ABANDONED FOR caiRll~W\I!l\!\!fl!kai(NtJte: the telephone
Speciallnstr",~!ip"l:80 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
I Valuation Descriotion I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
. or Bid Amount
Value
Date Calculated
Page 1 on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
:+- 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
$6.96
$2.90
$58.00
Total Amount Paid
$67.86
Total Value of Project
Fees P:,id ,
Date Paid
I Plan Reviews I
3/18109
3/18/09
3/18/09
CITY OF~rKll~uFIELD
Building/Combination Permit
PERMIT NO: COM2009-00360
ISSUED: 03/18/2009
APPLIED: 03/18/2009
EXPIRES: 09/18/2009
VALUE:
Receipt Number
2200900000000000280
2200900000000000280
2200900000000000280
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 'nsnections ,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby. certify that all
information h~reon 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 Springfield aud the Laws of the State of Oregou pertaining to the work described herein. and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug 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 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 cOllstruction.
Owner or Contractors Signature.
Pa2e 2 01'2
Date
225 Fifth Strect
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00360
COM2009-00360
COM2009-00360
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
. RECEIPT #:
- Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
ii"
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000280
Date: 03/18/2009
8:37:14AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
KR
ONLINE Crow Valley Online
Electric
Payment Tolal:
$67.86
$67.~6
Page 1 of I
3/1 8/2009