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HomeMy WebLinkAboutPermit Electrical 2009-3-17 City of Springfield ) &PfUHGFlEi.D Electrical Authorization To Begin Work E-mailedTo:joey@hillsboroelectric.com Receipt # Ef.::S4R373 '90<1:> 3/17/200910:21:42 AM a...' . () Check on status of permit By'Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [KJ Addition/alteration/replacement I I ,Description I D ] or 2 family dwelling o Multi-family IKJ Commercial/Industrial 11,000 sq. ft. or less [4] I Ea. addl 500 sq. ft. or portion I Job no.: 6718 I Job address: 3545 GATEWAY ST ICily/Stille/ZIP: SPRINGFIELD, OR 97477-1059 I SuitcJbldg.lapt.no.: I Project IIllme: Cl1<1se G<lleway Plaza Cross street/directions to job site: I ~ Lill).ited energy, residential (with above SQ. ft.) I' - Limited em:rgy, mulLifamily residential (with above sq, ft.) I-Limited energy, commerCial nOI offered online at this jurisdiction (with above SQ, ru I' - Stand-alone liniitcd energy, resldential I - Stand-alone Iirriited energy, multl-familv I - Sl1Il1d-aJonc Jimiled energy, commercial IrcS~~J~c.SS"q)rtc:fjJc~'j~'soi~:lt~~,~~:,~F~f~ilp'!ii'~ri~1Si~!j!j~~!I~~~f: I I 200 amps or Jess [2] 1201 amps to 400 l1mps [2J 1401 amps to 599 amps [2] I~TE~n~ORARY'serVi~es'OR'-ft;e'deriiilstalhlii~li:'lilicration;1O\":~J~' ::J,i:. ;~\NbJq~-rerfc~~!~~:';" '~~ j"~f,.: ,\;~~lr;l'!/~if~:i;t~~~)'fi~(~~~i$?~ 1200 amps or Jess [2] 1201 amps,wAOO amps [2] ,1401 amps to 599 amps [2J If;~_rFI!~~h,:'ct~c~i~~~~.W;:aiier€ti~l!r9~cx.(~i~X?€{Jl:cJ:f~~~I?~~~x-~ ~ ~:I I A. Fee for br.anCh circuib with service or feeder fee, each branch circu1\ ~it~~:A~~=i IGreglln law r~'lu'reli'y8 I 10 $5500 I ~~~~~~~€I~' the I ),ecnrLl tilihl eacl~i!l .;.' '" . 'hose ru1,,~ ar~<'s'l!1 forllli200j It~!iMl'I'~~.952:Ob~1~OOlf0;tlir(fui'ih;El!)(8I~$.2,OOJ~,f:iiiJ I Ser.OOOOlnlVg\JI<1ln~ OblJn COPieS~f the rUI'3S oy 1 Each "'tJll'm!llle~nOO\l1ler. (NOle: I e lel~plll HI" dweIlIPfulfllJlfr'WF'Pief'Or gon Utili NotlflC~ tlon 121 -. . ~<";r ~'ll II Pumporirrigatio""l~JI~;~IIO.;;; -....~. _W"-~" . _I I Sign or outline lighting [2] II Signal cin:uit(s) or limited- I:nagy panel, alti;'ralion, or extension 12) . 1%~~'1?~~;&~~-,,\~~ ~;.z.:'.'ELECTR'IC-AL2'lfE-RMIT'\FKES$~~~;:';:;r..;i#':,:~~ ~=vc,_';n._".:r."""" """'.""_""'_" ','''..' ,.-,",'." ,,' """""""Ac, ...~,..,,' ",,;T;'-....,.,...,c ".11[,,'" I Subtotal $67,00 I I StateS\lfchar~e(12%ofpermitlce) $S,041 I CIty OfSpringlleJd fees + $3.35 I TOTAL PERMIT 1<'1<:1<: $78.39 * Cit}' Of Springfield fees: 5%Technology Fee {Default numbe: of in spec lions allowed] ISubdivision: ITax map/parcel no.: 1703153~OJ200 ILot no.: Add (2) eopier receptacles and pO\ver for blinds INamc: Andy I Phone: (503) 439-9666 IEmail: IF"" lEI. lic. no.: 34-499C ICCHlic, no.: 134481 Business Naill', t:Y1l1j~RO ELECTRIC LLC , I Contact: JoeY~i\<lS5O _ _ _ . . IAdd"'" 2118.1~~~yBWii~RN:Ji~Ulf)4PIRf II: THE 'NO~K Ic;ly/s'"te/zIP~~lj1s&t'l/#(Lll:JJi\WER THIS PERMIT IS NOT Il'honoo (503)f,~,~6'6VV'tl~L;tU OR IS A!}ANMmWI16~q I Em>>;I, joey@I,III,l,o,bI;1UI~lhld(nPER/OD. I i\Ictro lie, no.: 5958 !City lie. no.: I Supervising I'lcctrician's lie. no.: 4941 S I Supervising electrician's name: JOEY MICHAEL'yITACCO Upon review and approval by your local jurisdiction, your permit will be e.maiJed 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. The local building department may determine that an Authorization To Begin Work is null and void if it does n meet applicable land use laws and local ordinance ~ C'1-053 ~ 3/lll 0"1 _li!~"!""'.e"Ie:~, ! , 001 _nJ d/ C1~~J~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00358. ISSUED: 03/17/2009 APPLIED: 03/17/2009 EXPIRES: 09/17/2009 VALUE: Status Issued 225 'Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Liue SITE ADDRESS: 3545 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703]53301200 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Add -2 copicr receptacles aud power for blinds Commercial Owner: . WESTERN SERVICE CO Address: PO BOX 7788 NEWPORT BEACH CA 92658 I. CONT~CTOR INFORMATION 1 Contractor Type Electrical Contractor H1LLSBORO ELECTRIC LLC License 134481 Expiration Date 04/0912009 Phone 503-439~9666 BUILDING INFORMATION" # of Units: Primary Occupancy Gronp: 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: Spriukled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bascment: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT ]NFORMATION I. REQUIRED PARKING Frontyard Setback: Side 1 Setback: 'Sidc 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trecs Rqd: Pavcd Drive Rqd: % of Lot Covcrage: Total: Handicapped: Compact: ATTENTION: Oregon law requires you to IUllVWVIUIl;;'o::. aUVJ-1u::::u uy 1I1~ VI t::'::jVI I UUluy . NOTICE' . 1 PUBLIC IMPROVEMENTS INotification Center. Those rules are set forth StreetlmprQ>(~meJ\ts.. in O~W:ifiIPf9i\Q! 0 through OAR 952-001- I HI" t'tflMIT SHAll EXPIRE IF THE WORK 0090. You may obtain copies of the rules by Stor~ SeweM~l'i!JR\z:ED UNDER THIS PERMIT IS NOT cal>>,q1rl.Ji!e~~jQr.ai(f!ltlte:. the telephone Specla] InstruMfWI'ENCED ORIS ABANDONED FOR number for the. Oregon Utility Notlflcallon Notes: ANY 180 DAY PERIOD. Center IS 1-800-332-2344). . I Valuation Descriotion I Description Type of Construction $ Per Sq Ft . or multiplier. Squarc Footage or Bid Amount Valne Datc Calculated Pa~e 1 of2 . Status Issued CITY OF SPRINGFIELD Buildin~/Combination Permit PERMIT NO: COM2009-00358 ISSUED: 03/17/2009 APPLIED: 03/17/2009 EXPIRES: 09/1712009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Liue Total Value of Project Fees Paid. Fee Description + 12% State SurclIarge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.04 $3.35 $55.00 $12.00 3/17/09 . 3/17/09 3/17/09 3/17109 2200900000000000277 2200900000000000277 2200900000000000277 2200900000000000277 Total Amount'Paid $78.39 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. Re'luired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true aud 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 Oregon pertaining to the work described hereiu, and that NO OCCUPANCY will be madc. of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employecs who are in compliance with ORS 701.005 will be used on this project. I further agree to ens~re 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 thc site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00358 COM2009-00358 COM2009c00358 COM2009-00358 Payments: Type of Payment ONLINE CHGS cRecelntl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000277 Date: 03/] 7/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE Hillshoro Online Electric Payment Total: Page I of I 2:05:] 4PM Amount Due 55.00 12.00 3.35 8.04 $78.39 Amou'nt Paid $78.39 $78.39 < 3/1712009