HomeMy WebLinkAboutPermit Electrical 2009-3-25
City. of Springfield
Electrical Authorization To Begin Work
E-mailedTo:jilll@vyanet.com
0\0
Receipt # EC54R939 /'9
3/25/20092:23:27 PM c; fA.
Check on status of permit
By Phone: (541)726-3753, or Emaii: permitcenter@ci.springfield.or.us
I D ] or 2 family dwelling
D Multi-family
IXJ Commercial.{ Industrial
I Description l Qty. I Ea. I Totlll
1'~RCSmeDWiJ'SING-lE:OR)nUlii~fam'jIY~dwelling'..unit:,-Includes ,.:r~,:\'1~....1
\'\l"0iS:S;;"'pc,;- :;"".,/-"J":~'~_:'? ~;,.~~~ ^':!. ,C',.';.'c "-.!,,;- '~---:-". ~--I;'-, ~-
,attached.garagep'/'.'t.:::to:. ~_ 4ti'10 ",;~...",~,."# j# '", v'", ,,,,.,,,.,,;'.0.4 1>"
~""""",,:,,"',.P'_._.."',~ .........", _.. n_ ...__.....""." ....... . '. ....,......... .. _', .......,. y .>."",... _~:.......'.,. . ._~ . ..
I 1.000 sq. fl. odess[4] I I I
I Ea. addl 500 sq. ft or portion I
I [i] New construction)
o Addition/alteration/replacement
IJob no.' IJob "dd"Q,~p, ..OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 97478
l Suite/bldgJapLno,:
IProjel.t name:
Cross street/directions to job site:
I Subdi,,'isioll: I Lot no.:
I Tax map/parcel no.: 1702300002] 05
I - Liniiled energy, residential
(with above SQ. n.) .
I . limited energy, multifamily
residential (with above SQ. ft.)
I-Limited energy, commercial
(with above SQ, [1.)
I - Stand~alone limited energy,
residential
I - Stand-alone limited energy,
multj-familv
I . St:md-alone limited energy,
commercial
not offered online allhis jurisdiction
$32,00
$32.001
THIS IS FOR LOW VOLTAGE SECURITY FOR 3773 OLYMPIC WAS TOLD TO
HiE 377IADDRESS TO SUBMIT
B~83 - e~ to{~ect---.
1200 amps or less [2]
1201 amps to 400 a.mps [2]
1401 amps to 599 amps!2J
~lj)
\ 200 amps or less [2] 1
120 I amps to 400 amps [2] I
Name: JASON 1401 amps to 599 amps 12J .
I)hom': (54l) 747-54] 3 I Fax: 747-54] 3 1~~~i~J~i#(tc~I~~iit,,~~;,;~~lRei?ff?~rr9]r€!~c~si~[;;:~r,;~;ri-~!::0~+~
Email: I A. Fee-for bniilchcircuils with I
.;;:,:;:^;"~~.,.::'7#;7'ifrff'(~'Y'._ '--":t.:*'~;flj4?*-coKffRActCiR~;i2;~i]jJ~;~'c:fp?-'-" _ ~~_1#:~;1 service o'r feeder fee, each
All;"'" ~ ". -:1N!)'FICE-:.~- - ,'W0"tr""",."",",,,, ,.- ,.,: fRJA~ 1,:2J:lF ,"-'-:"-.4~_'(,Y'-;'"m~"2:%"',=-'% ~~m;uiJ:'f\ITIf"'l'-'I' nro2 \n I~w+e ~ '}~ ~~ ~~
E1lk no.' ,!,.jf)~fifRMIT ~H.'\!.l E~'lttnQR~ 1 ~it~eIp1!~W;'t\fIr.II:~g,opte j by the )regon lltility
Iso>;n,,, Nn~,'UfHffR\tfB'l!:Nri~11 THI& PERMIT 1& ~T 1 r,'8t ~l),tjfiaidtiC\1l1.center. hose rul JS are se, torth
Icnnt"d' ':~~MM[rJC[D:)I1 IS .\BANDONE~ r:m 1111.::;~~f:;;~=~\~d~~jni~~p~~~:g~~e:r~~~~oJy~l,!'--1':11
1~;~~;;::~e~~~!~~:R1>>~F1r&:0~~~}7qD. . 1 (;e~~,-;;;~ij!iT~;y~r~;r.r\;~;;~~:.\te~~e~p~~)ne' '"'''1
I I I Each ltf~llnlb\1teJ'dtn'l6&hlr'I~':;:IVll ...iulll y f"UUIH.., "UII I
Phone: (541 }5212837 I Fax: Nom~ dwelling;serviceGafbt-Bife4$' 1 ~ mO-332-; ~344).
I Email: jiIlJ@vyam:t.com I 121
Metro lie. no.: 1 City lil'. no.: 1 I Pump or irrigalioncirc1e [2] I
I Supervising e1ectricilUl'S lie, no.: 3295LEA 1 Sign or outline lighting [2]
1 Signa] circlIit{s) or limited- I
I Supervising electrician's name: RON GERMAN energy pane], alteration, or
extension J2J
1.~.~~~~"~EL~CI8)9.~~~5~~_~MIIlt~~~:~:{"l:~;L ;;:;:'~~~,I
I SUbtotal, $32.00 I
I Minimum fee used instead of Subtotal $58.00 I
I State,SlIrcharge (12% of penn it ree) I $6.96 I
I City OrSpringfieJd fees * I $2.90 I
I TOTAL PERMIT FEE $67.86 I
* City Of Springfield fees: 5% Technology Fee
[Default number a/inspections allowed}
C.q<~f\ OIGe..
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 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 ,^ J
AuthOrizatIOn To Begin Work is null and void if it does not \~ y rlJ...
meet applicable land use laws and local ordmances '\ WV \
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
3\25[09
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00395
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 09/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691uspection Liue
SITE ADDRESS: 3783 Olympic St
ASSESSOR'S PARCEL NO.: 1702300002105
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Low voltage for securtity system
Owner: BFD INVESTMENTS LLC
Address: 5729 MAIN ST PMB 242
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
Low Voltage Electrical
Contractor
SECURE TECH INC
License
156618
Expiration Date
08/08/2009
Phone
541-521-2837
I 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 Buildiug:.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
uta
REQUIRED PARKING
Front yard Sethack: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage: ION' Oregon law requires youto
Solar Setbacks: ATTENT, . dopted by the Oregon Utility
flnT''''J;:" tallow ru es a , . ___ MHM'"
,THis 'PE~MIT SHAll EXPIR~~p~)~mOVEMENTS I ~0~1~a~~~_~;~~'~~'I~';h;;U:~-OAR952-001-
Street 1mprovMllMORIZED UNDER THIS PERMIT IS NO r OOESirl8W1I1tl111yplb.tain cOPI~~hO\thl:~~~~ebY
Storm Sewer Mo..MM~~CED OR IS ABANDONED FOR . c~g~M~uMW~~~~t~;ilit; Neotification
SpeciallnstruAI/''h:180 DAYPERIOD. n 11 Center is 1-800-332-2344).
'- ,
I DEVELOPMENT INFORMATION'
Notes:
I Valuation Descriotion I
. Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page t of 2
SP.AINOF!UilLO, .
~ ;i;r~ ,~..0' "<!,,, _m ,,"
'f
CITY OF SrKII'IlYt<lI'.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00395
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 09/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.l
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
3/25/09
3/25/09
3/25/09
2200900000000000296
2200900000000000296
2200900000000000296
Total Amount Paid,
$67.86
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.
Required Insnecti~ns ,
Low Voltage: Prior to cover. .
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation 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 Spriugfield and the Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees ,\-ho are in compliance with ORS 701.005 will he used on this project.
J 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 tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth, Street
. Springfield, Oregon 97477
54I-7~6-3759 Phone
Job/Journal Number
COM2009-00395
COM2009-00395
COM2009-00395
Payments:
Type of Paymeot
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000296
Date: 03/25/2009
Description
Low Voltage - Commercial Indus
+ 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 Secure Tech Online
Payment Total:
-'I
Page I of I
3:02:0SPM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
3/25/2009