HomeMy WebLinkAboutPermit Electrical 2009-3-17
City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:joey@hillsboroelectric.com
Receipt # Ef.::S4R373 '90<1:>
3/17/200910:21:42 AM a...'
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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
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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