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HomeMy WebLinkAboutPermit Electrical 2009-3-26 City of Springfield \~i fJ~/ 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. ~~~O\ ~gJ Q/ ~~ \P 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