HomeMy WebLinkAboutPermit Electrical 2009-3-23
City of Springlield
Electrical Authorization To Begi.n Work
E-mailedTo:debbie@newwayclectric.com
Receipt # RC54R730
3/23/200912:43:11 PM
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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
W Addition/alterCltionlreplacement
;~;;:'~9~i~G~o~YjfF.~9.st~~,tr{U~9TJ()~_,,~~:r ~;;'-3~:~;~~~:~~'~1
o 1 or 2 family dwelling 0 Multi-family [KJ Commercial J Industrial I
IJobno.: IJobaddress: 529 17THST
I City/Stllte/ZIP: SPRINGFIELD, OR 97477-4910
I Suite/hldg.lapt.no.:
I Project name:
Cross street/directions to job site:
ISubdivision:
ITax map/parcel no.: 1703362403200
I Lot no.:
Rcpl<lce service mast
Ii'\ame: Robin
I Phone: (541) 746-3121
I Emllil:
IFax: 746~3]21
IEl.lic.no.: 20-145C ICCBlic.no.: 51088
I Business Name: NEW \VA Y ELECTRIC INC
I Contact: 51088
!Address: PO BOX 21503
ICity/State/ZIP: EUGENE OR 97402
IPhone: (541)6862365 IF:IX: None
I Email: debbie@newwayelectric.com
I r\letro lie. no.: I City lie. no.: 409647
ISupen:ising c1ectrici:m's lie. no.: 5252S
ISupervising electrician's name: JUSTIN M PASLAY
Upon review and approval by your local jurisdiction, your
permit wilt be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
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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 arid void if it does not
meet applicable land use laws and local ordinances.
I Description J Qty. I Ea. J Total
:RcSidcntial,SING LE2i()lfmulti~fainily;i1~'ciling:'unit, "lnChllies'". A
~~Jt~i~e~5i~'fati~~;:~~~4~::..:rZ;~_:~~?;;"J~~~.'^:" 'I ~/'- ~-'"; ~
11,000 sq. ft. or less [4J I
I Ea. addl 500 sq. ft. or portion
I
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I
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1 - Limiwu energy, residential
(with above Sq, ft.)
1 - Limitl.:d energy, multifamily
residential (with above sa. ft.)
I-Limited energy, commercial
(with above sq. f1.)
1 - Stand-alone limited energy,
residential
1 - Stand-alone limited energy,
multi-family
1 . Stand-alone limited energy.
commercial
not oncrcu online at this jurisdiction
200 amps or less [2] $81.00 $81,001
1201 amps to 400 amps [2) I
1401 amps to 599 amps [2] I
I~ 'fE 1\;1 ~O jiXRY; se..vic-es: 0 It: fceders: iJi'Stlilliition;ralieraiio'ri~,~;:;-;R~/)'- ,;r;t I
;~tiQ!Q)~r~IO:~~ii~ r~:~~~:~~4.~,;j ,.:~-_~~:~~:~~~~;~~~~t~~y~:"~:\,
1200 amps or Jess [2J
) 201 amps to 400 amps [2]
1401 amps to 599 amps [2]
1~~r~~~i~c!lf~'t\s}~l)'~\Y,~lQJf~~tio~~1~~',~~En~!l!I!;'~~~;'~~~~et~4;;:* ~~"l
I A Fee for branch circuits with
service or feeder fee, each
branch circuit
I B. Fee for branch circuits
withOllt service or feeder lee,
first branch circuit f21
I each add I branch circuit
I ~en'icC' reconnect only [2J
I Each ~anuractured or modular
dwelling, service and/or feeder
r21
I Puinp or irrigation circle [2]
I Sign or outline lighting [2J
I Signal circuil(s) or limited- I
energy panel, alteration, or
extension J2J
1~~<7 ';"~~"'Y:gi<fELl'EctRICAU PERMit FEESy-\'~"'~:,i;>~i"~,~-:#iN~'f::h.i I
,. ,_...._,;n..:,,~,.,"'~ '.::.;..~-..,_"-.._....."-,._ ..,.......... ,_""""",,,,_,,,""~' ;;;....,;.~,,"".E't,..".-f"
I Subtotal I $81.00 I
I State Surcharge (12% ofpenl1it fee) $9.72 I
I City OfSpringneld fees ..1 $4.05 r
I TOTAL PEI~MIT FEE $94.77 I
.. City OfSpringneld fees: 5% Technology Fee
IDefaul/ nUll/bel' aliI/spec/ions allowed}
()yn;;;ct7J1 ~m27'7
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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: COM2009-00379
ISSUED: 03/23/2009
APPLIED: 03/23/2009
EXPIRES: 09/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 529 17TH ST
ASSESSOR'S PARCEL NO.:. ]703362403200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Replace service mast
Owner:
Address:
BREWER ARLlN W & LORETTA J
529 N 17TH
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Oate
0612712009
Phone
541-686-2365
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
'Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees R'ld:
Paved Drive Rqd:
0/0 of Lot Cover:;age:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Sidewalk Type:
Downsponts/Drains:
Notes:
I Valuation Oescriotion ,
Description
Type of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Valne
Date Calcnlated
Page I of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
p,ERMIT NO: COM2009-00379
ISSUED: 03/23/2009
APPLIED: 03/23/2009
EXPIRES: 09/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees P~id I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amonnt Paid '
Date Paid
Receipt Nnmber
$9.72
$4.05
$81.00
3123109
3123109
3/23/09
3200900000000000181
3200900000000000181
3200900000000000181
Total Amonnt Paid
$94.77
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 Reouired Insnections I
Electric Service: Approval required prior to utility company energizing service.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State 0" Oregon pertaining to the work described herein, .and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 011 the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone .
I
I RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000181
Date: 03/23/2009
I :45:34PM
Job/Jourml1 Number.1
COM2009-00379
COM2009-00379
COM2009-00379
Payments:
Type of Payment
ONLINE CHGS
Ipaid By
ONLINE PERMIT GIGS
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
njm ONLINE new way Online
elect
Payment Total:
Amount Due
81.00
4,05
9,72
$94.77
Description
Perm Serv/Fdr 200 amps.or less
+ 5% Technology Fee
+ 12% State Surcharge
Amount Paid
$94.77
$94.77
cReceintl
Page I of I
3/23/2009