HomeMy WebLinkAboutPermit Electrical 2009-4-6
"City of Springfield
Electrical Authorization To Bcgin Work
E-mailedTo:robselectric@hotmail.com
Receipt # EC549597 XV\:)
4/6/20093:36:01 PM '\ /
G
Check on status of permit
!ly Phone: (541)726-3753 or.Email: permitcenter@ci.springfield.or.us
I 0 New conslruction
IKJ Addition/alteration/replacement
I W I or 2 family dwelling
o Multi-family
D Commercial J Industrial
I Job no.: 5067 IJob addr('ss: 2380 A ST
I City/State/ZIP: SPRINGFIELD, OR 97477-5167
I Suite/bldg.lapt.no,: APT 1
I Project name: A-] Commercial
Cross strcet/directions to job site:
!Sllbdivision:
ITax map/pafl,'el no.: 1703361409600
ILol no.:
TOlal re-wire
I,
I Name: A-I CommerCitll/Rob
jPhollc: (541)521-5108
jEmail:
IFax:
I EI. lie. 110.: 20-462C IceD lie. no.: 156678
I Business Name: ROBS ELECTRIC INC
IContact: Gena \\l\rTICE~
IAddm>: 1'0 B~'rERMIT SH.'\:":" ::xrrn~ IF TII~ W::mK
I City/Slate/ZIP: .'!;\ffl~bffiz'rtf~tlE:::n I W' .. t.1.. IS NST
I~hon,e: (54l)68~D (Y.lIG I, " , I 10n
I [mall: .robse!ec, I . 0 .C ~I r:::nloo. .
) Metro he. no,; 'ft.ty he. no.:
I Supervising electrician's lie. 110.: 47445
I Supervising electrician's name: DAVID R LAWLER
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection. ~
NOTE: This Authorization To Begin Work expires within 180 \~ A
days if a permit is not obtained. ~ ~ .v "
The local building department may determine that an \1\..:' r'\ ~
Authorization To Begin Work is null and void if it does not ",", ~[\'t'
meet applicable land use laws and local ordinances. 1/\ ~
~~
,1
Description Qty. Ea. Total I
;~tf~~~;i~{~~:~~~~?:~~::~L:~~"~~~:~.~~;:t~:~~&C~I:~~~'5~~:~i'l
/1,OOOSq.1i. urJessf4] $)34.001 $\34,00)
1 Ea. addl 50'0 sq, ft. or ponion 1
;;1
I
1
not offered online at this jllrisdiction I
1
I
I
1 -,Limited energy, residential
(wah (lbove suo fl.)
I-Limited energy, multifamily
residential (with above SQ, f1.)
- Limited energy, commercia-I
(with above SQ, f1.)
- Stand-alone limited energy,
residential
I - Stand.,.alone limited energy,
multi-family
I - Stand~alone li~ited energy,
commercial
1,~e.~:~~~~&IU~ei[~~iEsf[[~!Ii~L~lt~AitJi~l[~!~fRlf"#:@A~!~i::;i~%~1
120'0 amps or less [2]
120' 1 amps to 40'0' amps (2]
140'1 amps to 599 amps [2]
1200' amps or less [2]
1.201 amps to 400 amps [2]
1401 amp-s to 599 amps [2]
i~fa~l~c~'i~~uj~::'~~~Wf!~jJ~!it~o1i;~<?R';~~~!iii~l-P~! 1!~!"~;'<~' ~.:~;;!
A. Fee for brunch circuits with I
scrvlce or feeder fee, each
branch circuit
lB. Fee for branch circuits J
without s~!i.t;l,l'bQl\I/, OrE gon law 'equires ou to
first bra~~t~mitJ~h~(!, o1ogrorl hy th::l ()rp.~n .lltility
I each adt\p{~~ f.f!I1\"J, Trose ~ules are get forth
1;~lji~'t!IJW'~F!t95'2'.o6.1:oo~o!th'to@fil~:a.8\95g\(tQ1;;i;1
I SmiceOO61(jkciYUlil1{l!)3.yob~ain copi' IS 01 the Wles by I
Each mamtli&lIm'!}JtJ1ed(JlliltllE r. II~Ole: me teler clone I
dwellmg'I'i'iftllEl~flfOfet1lfe C regon Ul Iity Nolif cation
f21 .... J . 1 ~^^ 3^' ,,^ I ')
.. . V'l::iI~)'1 I,", -"",,,,t..- w _ .:;;-....- ... . I
Pump or IrrigatIOn CIrCle L
[ Sign or outline lighling [2]
I Signal circuit(s) or limitcd-
energy panel, alteration, or
e:-.:lension
-;~)~:~~-_ECT,iliq~k~-E_~MIT;-~E~~:1;k"..~'C~: ~~~~
Subtotal I $1J4.o'O I
Slale Sllrchargl:' (J2% ofpenniI It-c) $16.08 j
City Of Springfield fees * I $6,70 I
l TOTAL PERMIT FEE I $15678 I
*'City Of Spring!1eld fees: 5% Technology Fee
C~I:"~~D"'io~'dJ y I ~ { 09
j
This Authorization To Begin Work must be posted at the job site until replaced by a Permi!
'fY\(I.V ,;"ti\
I' t/v .
,; / ?,- ,}
~ ''to-{(Y
(f\,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 FllX
541-726-3769 Inspection Line
SITE ADDRESS: 2380 A ST APT I
ASSESSOR'S PARCEL NO.: 1703361409600
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00460
ISSUED: 04/07/2009
APPLIED: 04/0612009
EXPIRES: 10/07/2009
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Totll're-wire
Owner:
Address:
KENT WILLIAMS JANET J
PO BOX 1499
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date
08/14/2011
Phone
5~ 1-686-5444
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primllry Construction Type
Secondllry Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Hellt:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Real')'ard Setback:
Solar Selbacks: '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification c;Ant~r Th()QQ rr doc: '.::Ira e~t -F"..th
NOTICE' I PUBLIC IMPROVEMENTS~' OAR 952-001-0010 through OAR 952-001-
, , 1i090. You may obtain copies of the rules by
SlrelHi.h~bf'tMl;,5HALL EXPIRE IF THE WORK . caIlSi!!e,~l}I~ili)\B'; (Note: the telephone
StolP.\VJ~Q~JmnJ.lM1?ER THIS PERMIT IS NOT numB5~Wll!bhu1s~\!:\m~: Utility Notification
Spe~;ftll1MF.fil~~Q:OR IS ABANDONED FOR \Jer,ler Is'1-tsUu-332-2344).
ANY 180 DAY PERIOD.
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Type of Construction
~I
lIl..l
Page I of2
Value
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00460
ISSUED: 04/07/2009
APPLIED: 04/06/2009
EXPIRES: 10/07/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
F~es Paid I
Fee Description
+' 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Amount Paid
Date Paid
Receipt Nnmher
$16.08
$6.70
$134.00
4/7/09
4/7/09
4/7/09
1200900000000000238
1200900000000000238
1200900000000000238
Tolal Amount Paid
$156.78
, I Plan Reviews ,
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 Reouired Tnsnections ~
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
,
By signature, 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 J further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the Stale of Oregon pertaining to lhe work de'scrihed herein, and
thaI NO OCCUPANCY will he made of any strtrclure 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 be nsed 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 card is located at the front of the property, and the approved sel of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2009-00460
COM2009-00460
COM2009-00460
Payments;
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
City of Springfield Official Receipt
Development Services -Department.
Public Works Department
1200900000000000238
Date: 04/07/2009
Description
Residence Wiring 1000 Sq Ft
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMITCHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Robs Online
Electric
Payment Total:
ONLINE
Page 1 of 1
8:17:11AM
Amount Due
134,00
6,70
16,08
$156.78
Amount Paid
$156,78
$156.7H
4/7/2009