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Home My WebLink AboutPermit Electrical 2009-3-25 City of Springfield Electrical AuthorizationTo Begin Work E-mailedTo:dana@jbelectricinc.com Receipt # EC548953 J ,;1; 3/25/20093:44:41 PM q / .G Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us le,-"" - ~<:: I Description Qty. I Ell, I Totlll IJRCsiJenii..fSINGJJE-~RJlifultj~'fllilliiY(j~:~j'li'ng'lIiiit. liicludes We, <[ t#I~Xl(~~f~~~~~q~~~i~( -}~:r:tSt:~i'~'~#A~~:c::~~?::" '~~ '1."~. 11,000 sq. ft. or less [4J I Ea. add] 500 sq. ft. or ponion I 0 New construction o Addition/alteration/replacement I D ] or 2 family dwelling D Multi-family IKJ Commercial/Industrial I I _~I IJob no.: 20-0445 IJob address: ]290 W CENTENNIAL BLVD I City/StateIZIP:SPRINGFIELD, OR 97477-3566 I Suitc/bldg./apt.no.: I Project name: John Larson Cruss street/directions to job sHe: ISubdivision: ITax map/parcclno;: I Lot' no.: - Limited energy, residential (with above Sq. it.) - Limited energy, multifamily residential (with above Sq.' ft.) I-Limited energy, commercia.1 not alTered online at this jurisdiction (with above Sq, ft,) I . Stand-alone limited energy, residentlal I - Sta.nd-alonelimited energy, multi-family I - Stand-alone limited energy, commercial It~~gJ~t~:q~~'?~!1~~(~!~ga~io:~i~~lt~rc~!_i~~1:~@!g~:t~i~f~!~i~~~}~~1 1200 amps or less [2] I 120 I amps to 400 amps [2] 40] ampst0599amps[~ I ~~R~Jb~~t{~li~~~~~t~~i:~~;~~~t~~~~~~~~:;7~1 1200 amps or 1,,, [2] 1 I I 1201 amps to 400 amps [2] I. 1 1401 amp;to 599 amps [2] 1 1 1 1[!l~1?~'~frc~~Hs:~t~~\Y"altfr~~o_n;l~~Jxte:~sion,iP'cr,'pan~i.-'-'''~~::: ~lt I A. Fee 1<tXtt. '~~1I'" ~t.. on law r~qUlres ~u 10 serv"'wfl9W lilIJers'adop d by thr Oregon Utility r;~E?k~~.:3-:g~;1 ~~~.r~~~ ;:~iifi ;}d~!oO first biGOlfiflircMrfWJ:IlA\I nhtbin t"'nnip . 1 each addOO!iHq~HIt1i!l cEmte~ JNoie:1lhe tel€! . .On,! 6.00 I 1~~!KffIiiWi)f:/;leW,fQi:tli~IQ[~9911;.Oli.ltly;~otificaiiohb,! I 1 Serv;cc reeo,neet r!.<@rtlifr IS l-liOO-332 '2344). I I I Each manufactured or modular I' d\vel1ing, service and/or feeder I .1 121 I I Pump or irrigation circle [2] I, I I Sign or outline lighting [2] I 1 I Signal Clfcuit(s) or Ji.m. ited- I alteration, or ~I $61.00 I $7.32 I 13.05 I $71371 1703273402919 3 Branch'circuits I Nllmc: John Brumback II)hone: !Email: 11.~j,.r'!'&'4IJ:J,\"$'~'~';:;'4~::,s.~;ffEt;i'~.-€'.JiLi~iA:c6NTRACTOR0w'g{.;#vw)+"";;~::';.~...\.~:i,,". ......;t-i :;"I.<~':/J:-I 'iJft,"l~_, tt1fi?T'~p,)t.:;:;);.~~.. r:.z5~.'h' ,__;,~_,'='~'"'~^,~"""';'.1,,S:0,i;>j;-\:;' ,-:~,:_.,,-._ "~' "rz~Q.J"'.ti'-:' IEl.kno., 37-587C NOTICE: ICCBlk.no., 104929 I Bos'n'" N"me: JB EilII~J6.1PI!RMIT SHALLEXPIR~ '~TI-I~ WnRI( I Coni"'" John Bnrmb~AJTHORIZED UNDFR TI-IIR PFRMIT I~ NnT IAdd"'" 4685 lSAB~OI$IMENr,FD OR IR ARANnONED FlUl IO'yIS'"',/ZII', EUGiAlllVWflJilJl<PlA\14""1'ffl,n .- I"hone: (541 )6875770 IF"" (541)3028296 r Email: dima@jbelectricinc.com. I~Hetro lic. 110.: ISupervising electrician's lie. no.: 3872S I Supervising electrician's name: JOHN BRUMBACK I""', I City lie. no.: 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 \ ~ I O~ days if a permit is not obtained. ~v (\' The local building department may determine that an ~ ~ Authorization To Begin Work is null and void if it does not ()..\ -. C\"" meet applicable land use laws and local ordinances. . J l..b" ~~ Subtotal I State Surclwrge (12% of penn it fee) City Of Springfield fees *1 L........... TOTAL PERMIT FEE 1 " CilY Of Springfield fees: 5% Technology Fee [Defalllt nllmber of inspections allowed} l<d2- C'1-3S3 3\2.<slo9 ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00353 ISSUED: 03/17/2009 APPLIED: 03/17/2009 EXPIRES: 09/25/2009 VALUE: $ 1,500.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: .1290 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703273402919 Springlield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Repnir PROJECT DESCRIPTION: Remove and replace med gas valves & branch circuits Commercial Owner: LARSON JOHN & MARY 1-3 Address: 1290 WEST CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electricn' Plumbing Contractor JB ELECTRIC PMSI LLC License 104929 158286 BUILDING INFORMATION I Expiration Date 03/14/2010 01/14/2012 Phone 541-687-5770 503-466-2222 # of Units: Primnry Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Hent: Water Type: Rnnge Type: Energy Pnth: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bnsement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/n Frontynrd Setbnck:- Side I Setbnck: Side 2 Setback: Rearyard Setback: Solnr Setbncks: ":') J t:'"l" ,IUI.." VIl:l!:jUII IGlV'" .11::!",!UIl t::';) yuu lU I DEVELOPMENT INFORM;'\419)l1~1Ies adopted by Ihe Or~99D. Utility.. . Notification Center. ThosIH'&tY.Jl"!;lel!.!\4&lWNG Overlny Dist: in OAR 952-001-001 ~ thr~liIpAR 952-001- # Street Trees Rqd: 0090.. You may obtam C~\!l ti\'UlIl1ew,les by Pnved Drive R d: calling the center. (No 6, l1j't~~:I'e~1ione "' I'L t C q number for the Oregon tl i\y"NotIf1catlon ;0 0 0 overage: Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS I Street Improvements: Sidewnlk Type: Downspouts/Drnins: Storm Sewer AVl\iI:WleiCE' :' '. SpeciallnstructiJif;U II . THIS PERMIT SHALL.EXPIRE IF THEWORK Notes: . AUTHORIZED UNDER THIS PERMIT IS NOT .~ COMMENCED OR IS;ABANDONED FOR .' ANY 180 DAY PERIOD. c Pn2e 1 of 3 Status Issued 225 Fiflh Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line I V ~Iuation Descriotion I Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 1,500.00 Total Value of Project Fees P?,i~ I Fee Description + 12% State Surcharge + 5% Technology Fee Medical Cas - Valuc + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter. Extend Circ Ea Add Amount Paid Date Paid $6.96 $2.90 $58.00 $7.32 $3.05 $55.00 $6.00 3/17/09 3/17/09 3/17/09 3/26/09 3/26/09 3/26/09 3/26/09 Total Amount Paid $139.23 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00353 ISSUED: 03/17/2009 APPLIED: 03/17/2009 EXPIRES: 09/25/2009 VALUE: $ 1,500.00 . Value Date Calculated $1,500.00 03/17/2009 $1,500.00 Receipt Numher 2200900000000000274 2200900000000000274 2200900000000000274 3200900000000000187 3200900000000000187 3200900000000000187 3200900000000000187 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 Renuired Insnections I Rough Medical Cas: Prior to cover and including required testing. Final Medical Gas: When all medical gas work is complete and certificate is provided to inspector from verifier. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00353 ISSUED: 03/17/2009 APPLIED: 03/17/2009 EXPIRES: 09/25/2009 VALUE: $ 1,500.00 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 further 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 of Oregon pertaining to the work described hereiu, 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 who arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections arc requested at the proper lime, that each address is readable from tbe street, that the permit card is located at the front of the property, aud the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pace 3 of3 Date 225 Fifth, Street Springfield, Oregon 97477 541-726'-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00353 COM2009-00353 COM2009-00353 COM2009-00353 Payments: Type of Payment ONLINE Cl-IGS cReceintl RECEIPT #: Date: 03/26/2009 3200900000000000187 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 N umber Authorization Received By Batch Number Number How Received KR ONLINE JB Electric Online Payment Total: Page 1 of 1 8:39:36AM Amount Due 55.00 6.00' 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 3/26/2009