HomeMy WebLinkAboutPermit Electrical 2009-3-26
City of Springfield
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Electrical Authorization To Begin Work
E;-mailed To: psa@peak.org
Receipt # RC549042
3/26120094:24:38 PM
Check on s~atus of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
W Addition/alteration/replacement
10 I or 2 family dwelling
"DMulti-farri.ily
[X] Commercial I Industrial
I ,Job no.: I Job nddrcss: 644 A ST
ICily/State/ZIP: SPRINGFIELD, OR 97477-4609
I Suitc/bldg.lapt.no.:
I Project name: 0DOT - District Ol1ice
Cross street/directions to job site:
I Subdivision:
map/llnreel no.: 1703353103500
1 Lot no.:
Install[llion of security alarm system
li'lllllle: Jim Archambault
I Phone:
[Email:
I:
IE!. lie. no.: 22-182CLE ICCBlic.llo.: 56147
I Business Name: PROFESSION,AL SECURITY ALARM CO
I Coufal'l: Dorthy Gibbs
[Address: PO BOX 848
I City/State/ZIP: LEBANON OR. 97355
I Phon 1': (541)9678]14 IFax: (541)9261809
I Email: psa@peak.org
I :\Ietro lie. no.: I City lie. no.:
!Supcn'ising c1eetricilln's lie. no.: 3879LEA
I Supervising c1eetricillll'S ll11me: DELBERT L FERREN, JR
I Fa"
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.
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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 and void if it does not
meet applicable land use la:vvs and local ordinances.
I Description Qty. Ell. I Total
I,' Residcntial'SIN-GEIi:::(jR'm,~, uitilfa'milfdw:'elij~g.uriTe, inel, Udes:tfJf,i~: "'.'f I
V&,~/,~~.J""''"'~l''x",,'~'',:''''''P.;~, ~,"'Li":'" ''f".+-\.:{~ f<:"-ilu..4,. -, "', 'i"~"':"",",,
;athiched:garagc,,,-'!ief..;';ji- :,.;.;;;,~~.;;,,->;: f' .'"~. ',,~:,,'l_5L~,-"~!Y.i:
,,,,,,"~:"=,\ .____"_ ...~.,,=. ;. 'T''''' ".J-"> __"'1D':;'~""~:t"'."".. - .~ :.."" _,~"
11,OOOsq.ft,orless[4] I
I Ea. addl 500 sq. ft, or portion
I . Limited energy, residential
(with above Sq. f1.)
I-Limited energy, multifamily
residential (with above sq. ft.)
I. - Limited energy, commercial
(with above Sq. ft,)
1 - St<lnd~alone limited enei'gy,
residential
1 - Stand-alone limited energy,
multi-familv
I - Stand-alone limited energy,
commercial .
1:~~i5". ;}cei:Q)iJt~~tte.ifi~li"~.!lli!!~~;..~Iff~a,"tjo~:z'\N.i)ib((p~L~s~H?,n~~";:;' ~;I
." ,,=-'F.... ," ....~..,. ....~ .".'-"."'_,'~'''_'''''M.'. .~_. . ,.,. 0 . -. .- . ,_... . .c. _' . .
1200 amps or less [2] I I
120] amps to 400 amps [2] I I
1401 amps to 599 amps [2] I I
~'"',I
.'
,
I
I
notofTered online at this jurisdiction
1200 amps or less [21
1201 amps to 400 amps [2]
140 I amps to 599 amps [2]
A. Fee for branch circuits with
service or feeder fee, each
branch.circuit
B. Fee for branch circuits
without service or feeder fee.
first branch circuit f21
I each addl branch circuit
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service and/or feeder
121
I Pump or irrigation circle [2J
1 Sign or outline lighting [2]
I Signal circuit(s) or limitcd-
energy panel, alteratIOn, or
extension
I
I
11
$63.00
I
I
I
I
$63.00 [
I Subtotal
I State Surcharge (12% Ofperinitfee)
I City Of Springfield fees.
I TOTAL PERMIT FEE,
. City Of Springfield fees: 5% Technology Fee
[Default number of inspections allowed}
t,q -" 00 ~O i l'1yvt
'3h&fO~
$63.00
$7.56 I
$3.151
$73.71
This Authorization To Begin Work must be posted at the job siie until replaced by a Permit
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00408
ISSLJED: 03/27/2009
APPLIED: 03/26/2009
EXPIRES: 09/27/2009
V ALLJE:
225 Fifth Street, Spring!ield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 644 A ST
ASSESSOR'S PARCEL NO.: 1703353103500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Security alarm installation
Owner: LANE COUNCIL OF GOVERNMENTS
Address: 859 WILLAMETTE ST STE 500
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
PROFESSIONAL SECURITY ALARM
. License
56147
Expiration Date
04/04/2010
Phone
541-451-1330
. BUILDING INFORMA T10~ I
# 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 Building:
Lot Size: .
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Haudicapped:
Compact:
Description
NOT!C~:, rXPIRE IF nIl'. WORK
TH\S PER1.J1\~ ~~~~~~ ;'1-11<; PERMIT IS NOT
AIIII'\Ur,ILCu U"-- --.-". .,-
u S AHA.\~UU"l.-U ,_.. I
COMMENCED OR \ D T Valuation Descriotion
AI~Y 180 DAY PERIO .
T I'C . $ Per Sq Ft Square Footage
Vile 0 onstructlOn I . ,. B'd A
or mll tip IeI' or I mount
I PUBLIC IMPROVEMENTS IATTENF)11. Orn~.'.;l :sw 19q'.lII'es youlO
. ,ollovl ,'!Ies adJp;ed by the Oregon Utility
Notli\GSJRS1r't!~rT:yp'e:I'hose I utes are set forth
'In O'A-IDn.n M1 MI'D'n ~hrnugh OAR 952-001-
ownspouts rams: I b
0090. You may obtain copies of the ru es y
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:,
Special Instruction:
Notes:
Value
Date Calculated
Page I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
Fce Description
+ 12% State Surcharge
+ 5% Technology Fee'
Traffic Signal - Panel,
Total Amount Paid
Amount Paid
$7.56
$3.15
$63.00
$73.71
Total Value of Project
.Fe~~ Paid I
Plan Reviews I
Date Paid
3/27/09
3/27/09
3/27/09
CITY OF SPRINGFIELD
Building/Combination J;>ermit
PERMIT NO: COM2009-00408
ISSUED: 03/27/2009
APPLIED: 03/26/2009
EXPIRES: 09/27/2009
VALUE:
Receipt Number
3200900000000000190
3200900000000000190
3200900000000000190
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,inspeetions requested after 7:00 a.m. will be made the following
work day.
Low Voltage: Prior to cover.
I Refl~ired In.~nedion~ I
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infurmation 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 'herein, and
that NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Buildiug Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will be used 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 c'ard is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of 2
Date
225 Fifth Slreet
Springfield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-00408
COM2009-00408
COM2009-00408
Payments:
Type of Payment
ONLINE CHGS
cRet;einll
RECE]PT #:
Desc,ription
Traffic Signal - Panel
+ 5,% Technology Fee
+ 12% State Surcharge
Paid By.
ONLINE PERMIT CHGS
Il~.
City of Springticld Official Receipt
Development Services Department
Public Works Department
3200900000000000]90
Date: 03/27/2009
7:13:59AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
3.15
7.56
$73.7]
Amount Paid
njm
ONLINE prof security Online
Payment Total:
$73.71
$73.7]
J
Page I of I
3/27/2009