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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 I (pO 1A,/~ () 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