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Home My WebLink AboutPermit Electrical 2009-4-1 EC549343 }\ '(' ~~/ City of Springfield Electrical Authorization To Begin Work E-mailedTo:dana@jbelectriciric.com Receipt # 4/1/20092:45:17 PM Check on status of perm,it By Phone: (541)726-3753 or Email: permilcenler@ci.springfield.or.us o NCWconSITllction . [X] Addition/alteration/replacement }':I :1 Description I Qt}'. I Ea. I Total I I }~C.~,i~_c!!jj~I'~(~,$f~~~~SH(ii~u~f~/j1i1)/d""JI4:~g'i1nii '(~Iud~:s,~~,~ ,;:,[ ~~t1i$~J.gai~g~V:j;.i7'3o'~~:i~'3:_j, J, :';;" ',:_~~,.'., ,;;t ..~,,.: I 1,000 sq. ft. orless[4j I I I I Ea. addl 50Q.sq. n. or portion I 1:~iPi~!'~_~:~neriv' ,;,"<;" ;1 I-Limited energy, residential I (with above Sq, (1.) I-Limited energy, Tnultiramily I . residential (with above sq. ft.) I-Limited energy, commercial nol alTered onlin\:' allhis jurisdiClion ] (wah above sq. n,) I - ~tal1d.-alone limited energy, I resldentllll I - Stand-alone limiled energy, I multi.family - Slanci-alone limited energy, I commercial /~~~Jfes:,?~; r~~,~~l&~~>,{Jf{jLOiiril(f?in6,~, 'j~~~Dj(5)l:.,fel?c!t-t~!{~~,\}:";:) 1200 amps or less [2] I 1201 mnps to 400 amps [2] 1 I 40 I amps to 599.amps [2] I "':~~'1f9Aj]~9~RY:OF:'q9.tfst~g2'!LQN..~~;N~~~!'?Ai::~~~,,~i.~ I D I or:2 family dwelling I, D Multi-family lliJ Commercial/Industrial I I Job no,: 20-0428 I Job address: 869 W CENTENNIAL BL VO ,I City/Stllte/ZIP: SPR1NGFlr~LD, OR 97477-2835 I Suite/bldg.lapt.no.: I Project nume: Carefree Carwash Cross street/directions to job site: )SUbdivision: !TllX map/parcel no.: ]703274305806 1 Lot no.: /~ Add circuit for dog washing machine Name: Tom )Vhone: (54J) 285-4543 IEmail: It ' rE;~;2 no 37587C I Busincss Nllnw: 18 ELECTRIC iNC I Con'",I, N1\il'n,liii~ _ u . IAdd"''' T~1~~~li SHALL EXPIKt I~ I Nt VYOni< I CitY/Slatcf(jlrrOOlllillf@lijWli)f~4liWSsPEf:lMII' 1~1\IU I IPhon" (SM~11iYJl~NCED OR IS ABAf1lDOilllilJofilm I Em.;), dutl>CiWleIN<<Hl,iWlPERIOD. jMetrolic.llo.: ISup{'rvisin~ elcctricilln's lie. 110.: 3872S I Supen'ising electrician's name: .JOHN BRUMBACK I Fa" no.: 104929 ICi1)' 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 days if a permit is not obtained. Th'e local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. ~c9': k~ ~o/ ~~ 1200 amps or less [2] 120] amps to 400 [Imps [2] 1401 amps to 599 limps [2] 1;B.t~!lc~:5'~~lIit~'~N,E:~Y~'alteiii~i~~}~~ _'CXie:~ISioD2'pe_r1f~-~eJ: ~;y. . :'1}1 A. Fee for branch circuits with h I service or feeder fee, each . . to branch~tmJll'I\ITlm-J: Drea n law re jUlres yo J. .. B.. F'~'~I~\,r<;l\\l..l!!t"dopie d by the JreQ\JfM ,,,1"'l;5500 I :;~~1~~~~;~~;~i~:;:;~ I Service ~~MRJ~}2!J:~i(fA ,< '0nn lItil tv Notiliotion 1 Each ~,.,"'"erortu bY In6aS" ~ 1 .8-00-3322344). I dwellmg, service ~~J? 121 . I I I 1>"~;~,,>.,~~~;'.j~%ELECiRiCA~P-ERNIITFEEi'~:~#',)1 -', ,q' -I ...""... ',_,',,,-.'.,"~-"--' ,.. ~._~'"'..~._,_.."'- "'.,"=' ,,-.'~ . I Subtotal I $61.00 I I Slate Surcharge {J2% of permit fee) I $7.32 I I CitL9f Springfield fees" I $3.05 I I .TOTAL PERMIT FEE $71.37 I .. City Of Springfield fees: 5% Technology Fee (~aq':b2\"2:'o"'a Purnp.or irrigatio"n circle [2J I Sign or OUlline lighting [2] I Signal circuit(s) or limited, energy panel, alteration, or . eXLension [21 (t\ \ \Oq This Autnorization To Begin Work must be posted at the job site until replaced by a Permit. , Status Issued CITY OF SPRINtJl' II<,LD Building/Combination Permit PERMIT NO: COM2009-00212 ISSUED: 02/23/2009 APPLIED: 02/13/2009 EXPIRES: 09/30/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 869 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305806 Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Addition PROJECT DESCRIPTION: Install awning and wash .station for dog wash Commercial Owner: FULTON INTERNATIONAL LLC Address: 2473 DALTON DR. EUGENE OR 97404 I CONTRACTOR INFOR~:~TION I Contractor Type Contractor License Expiration Date Phone General OWNER Electrical JB ELECTRIC 104929 03/1 4120 I 0 541-687-5770 Plumbing OWNER Sign METRO WESTERN SIGN & AWNING 160384 09/22/20 I 0 541-746-3312 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction.Type: # of Bedrooms: B # of Stories: Height of Strncture 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: . Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street .Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: .Compact: . I PUBLIC IMPROVEMENTS I ATTENTION: Orego.n law requires you to NOTICE:. . follow rules adopled by the Oregon Utility Street Improvement$' N ."id6~...J1,..,Ty.I"" Th I I HIS PERMIT SHALL EXPIRE IF THE WORK otlflv"WTlve,ICcT, ose ru es are set forth Storm Sewer Av~!lI1\e:--oRIZED UNDER THIS PERMIT IS. NOT In OW,~R~QQt\~j,~,~rough OAR 952-001- Special Instrncti'{ffi . 0090, You may obtain caples of the rules by MMENCED OR IS ABANDONED FOR calling the center, (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line Description Type of Construction Fee Description ***+ 100/0 Administrative Fee*** + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Plan Review Comm/lnd/Public Sanitary Sewer - 1st 100 Feet Sign 0-35 Square Feet Sign Plan Review + 12'Vo State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00212 ISSUED: 02/23/2009 APPLIED: 02/13/2009 EXPIRES: 09/30/2009 VALUE: $ 5,000.00 I ValiIation Descrintlon I $ PerSq Ft or multiplier Square Footage or Bid Amonnt Valne Date Calculated Total Value of Project Fe~. ~~id .1 Amount Paid Date Paid Receipt Number $8.00 $21.87 $13.11 $87.25 $19.00 $56.71 .$76.00 $80.00 $42.00 $7.32 $3.05 $55.00 $6.00 2/23/09 2/23/09 2/23/09 2/23/09 2/23/09 2/23/09 2/23/09 2/23/09 2/23/09 4/1/09 4/1/09 . 4/1/09 4/1/09 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000202 2200900000000000320 2200900000000000320 2200900000000000320 2200900000000000320 $475.31 I Plan Reviews I l).anlline Review 02/13/2009 02/18/2009 APP TAJ Originally approved as carwash bay. Change does not alter original agreement per Donovan. Public Works Review 02/13/2009 02/18/2009 APP CTM Original SDC's refer to carwash. Modification for pet station does not incur additional SDC's per MS. Structural Review 02/13/2009 02/18/2009 APP DJB Sign/awning and station phlcement 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 Repuired I~.~vecti~~'.1 Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Pa2e 2 of 3 CITY OF SPRI1~vN.I'-LU Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-00212 ISSUED: .02/23/2009 APPLIED: 02/13/2009 EXPIRES: 09/30/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumhing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all reqnired inspections have been requested and approved and the huilding is complete. By signatnre, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 of Oregon pertaining to the work described herein, and . 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 are in compliance with ORS 701.005 will bc used on this project. I fnrther 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 the site at all times during construction. Owner or Contractors Signat'ure Date Page 3 of 3 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 . 54-1- 726-3759 Phone Job/Journal Number COM2009-00212 COM2009-002l2 COM2009-00212 COM2009-002n Payments: Type. of Payment ONLINE CHGS 'cReceinll RECEIPT #: Date: 04/01/2009 2:56:32PM 2200900000000000320 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55.00 6.00 3.05 7:32 $71.37 Paid By ONLINE PERMIT CHGS Item Total: <":heck Number Authorization Received By Batch Number Number How Received Amount Paid KR ONLINE JB Electric Online Payment Total: $7 \.37 $71.37 Page I of r 4/1 /2009