HomeMy WebLinkAboutPermit Electrical 2009-3-20
Receipt# EC54R634 \
3/20/200910:59:56 AM q /1;'\
G
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:KELIASEN@ATT.NET
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New constnl~tion
lliJ Addition/alteration/replacement
I ~ I or 2 family dwelling
o Multi-family
o Commercial/Industrial
,-~~_.;t'!l
;-"'''- ",~;i'
I Job no.: I Job lIddress: 345 S 44TH S1'
I City/State/~IP: SPRINGFIELD, OR 97478-5926
I SuitcJbldgJapt.no.:
I Project name: eLA Y ~ULLIVA!'J
Cross .street/directions to jo~ site: MA!N STREET & S 44TH STREET
ISubdivision:
!Tax map/parcel no.: 170232340440]
I tot no.:
REPLACE 200A PANEL
I Name: BEN JOHNSEN
I Phone: (54!) 556-2] 53 I Fax:
I[mail:
1~~~i;::;';~~~~I;i~~~~ogf~~f~~~E~!\~f'J;;~"~tjr
IB",i"mNamc: JWVrq<f@li1~jj~D"tJNDER I HI::> t'tn~V~IT_lv r. I
le""'aC" KARr'f!{l)I~/?i'tNCED OR \S AtlANUUNCU rJfl
IAdd"''' 2585 Rjl.WVYfR(JI3!}M' PERIOD.
!City/StateIZIP: EUGENE OR 97402-2500
IPhon.e: (541)461029] !Fax: (541)46]2340.
I [mail: KELlASEN@ATTNET
1 Metro lie. no.: [City lie. no.:
ISupen'ising electrician's Iie.lio.: 34858
1 Supervising electrician's II1IDI('; GARY E JOHNSEN
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 ioopection. 0\
NOTE: This Authorization To Begin Work expires within 1~O ('..j
days if a permit is not obtained. . F\J~
The 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. .~~
I Description
Ea.
Total
Q'y.
11,000 sq. ft. or less [41
I Ea. llddl 500 sq. ft. {If portion
I-Limited energy, residential
(with above SQ. ft.)
I - Li1l1it~d energy: multifamily
residential (with llbove sq, ft.)
I-Limited energy, commercia-I not offered online al this jurisdiction
(with above SQ. ft.)
- Stano-alone limited energy,
residential
~ Stand-alone limited energy,
multi-familv
- S\<lnd~alone limited energy, j
commercial
1~~~;!~::~I;~~e<J~~l2(i]E~2~i;a!!$h,l1!€~~D/Q;;e;~.'iiill~;~~~
]201 amps to 400 amps'[2]
1401 amps to 599 <Imps [2]
1200 <Imps or less [2J
120] amps to 400 amps [2]
140] amps to 599 amps [2] .L 1. I
;!!i'""Cb_qIffiIi'l;tflil(il,!"lnla!tilli1~~w"!~~'P&]>~Ol,I~r'I':';'~: ~
A Fee IflJIJi@WhW!/ilB",llopeu uy lll~ VI ~",,;1 ~tr...)-
serv"'N'cfrff1!!alldl'l'€enter Those r les are f ~t forth
branchflrc.u.ll,...,... ........,..v'134--9--G ~ () +1-11"....... h r'lAR ~ 12-001-
I B Fee Ibtbfliiltll tftflri:<' : - 'r f th I b
w"h""OO9O: o1(lillJI<fiITiIeY ob arn cop, s 0 e lues y
",,' b'"",....l\1!'Ig'lhA ""nt. r. (Note: the teler hone
l.ee~~~d~l~r!!1'~"f~~rth~.s_r~gon.Utp'ty NOu~~:u~n _. I
1';:~;:~:~~~::~e~fE!I~I.sjil;~Q9'~~i~~r.t''V';;4;F;'-J\~'\
I Each manufactured or modular I
dwelllllg, serVice and/or feeder
-[21
I Pump or irrigation circle '[2] I
1 Sign oroutlinelighting [2] I
I'signal circuit(s) or Iiniited- I
energy Pllnel, alteration, or
extension [21 .
I;:j?~ .7f~~Z~~'~Tj!It~~~~~t~Ift~'~~~.~1:~.,"'~~("J.:f:~~
I Subtotal $81,00
i Slate Surcharge (12% of per mil fee) $9.72
I CityOfSprlnglicld fees * $4.05
I TOTAL PERMIT FEE $94,77 I
* City Of Springfield fees: 5% Technology pee
ICq':'~1CPeeIiO~'dJ 3 \201 09
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00371
. ISSUED: 03/20/2009
APPLIED: 03/20/2009
EXPIRES: 09/20/2009'
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectiou Line
SITE ADDRESS: 345 S 44TH ST
ASSESSOR'S PARCEL NO.: 1702323404401
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Replace 200A Panel
Owner: SULLIVAN CLAY R & JANET M
Address: 345 S 44TH ST
SPRINGFIELD OR 97478
I CONT,RACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BEACON ELECTRIC
License
38497
Expiration Date
01/10/2010
Phone
541-461-0291
BUILDING INFORMATION'
# of Units:
-Primary Occupancy Group:
Secondary Occupancy Group:
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback"OTIC'E' # Street Trees Rqd:
Side 2 Setbac~~' Paved Drive Rqd:
Rearyard Set~~~k<; PERMIT SHALL EXPIRE IF TH~WOOkCoverag.e:
Solar Setback~:~:.~?_~'~~D UNDER THIS PERMIT IS NOT
ANY';';;-O'D~Y ~EnR;~;IlANU~lli~~MPROVEMENTS'
Street Improvements:
Storm Sewcr Available:
Special Instruction:
Total:
Handicapped:
Compact. .
. ATTENTION: Oregon law requires you to
. follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
III UMM "o<:-uu jCUUIU mrougn UAH !,lO~-UU1-
0090. You may obtain copies of the rules by
. Sfi!JJjy'1fl~I'JEy~@{1ter. (Note: the telephone
number for the Oregon Utility Notification
DownsR!lIl/f{.!lrili"Ml00-332-2344 ).
Notes:
. I V aluation Des~riDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
-~.,'"
Paee 1 012
Status
Issued
CITY OF ~rKll~ul' IELD
Building/Combination Permit
PERMIT NO: COM2009-0037I
ISSUED: 03/20/2009
APPLIED: 0312012009
EXPIRES: 09/2012009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-.726-3676 Fax
541'726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or. less
Amount Paid
Date Paid
Receipt Number
$9.72
$4.05
$81.00
3/20/09
3120109
3120/09
1200900000000000202
1200900000000000202
1200900000000000202
Total Amount Paid
$94.77
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 Re'1uired Insnections .
Electric Service: Approval reqnired prior to utility company energizing service.
By signature, I state and 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 Springtieldalld the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisiou, Buildiug Safety.
1 further certify that only contractors aud employees who are ill 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 construction.
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2009-00371 .
COM2009-0037I
COM2009-0037I
Payments:
Type of Payment
ONLINE CHGS
c\{eceintl
RECEIPT #:
City of Springfield Official Reccipt
Development Services Department
Public Works Department
1200900000000000202
11:16:34AM
Date: 03/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
4.05
9.72
$94.77
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS.
Amount Paid
KR
ONLINE
$94.77
Beacon Online
Electric
Payment Total:
$94.77
Page I of I
3/20/2009