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HomeMy WebLinkAboutPermit Electrical 2009-4-14 ~ Elcctrical Authorization To Begin Work E-mailedTo:ddover@lantelservices.com Rcccipt # EC550079 4/14/20092:37:53 PM 00 t1/<:Y C -\ City of Springfield Check on status of permit By Phone: (541)726-3753 or Email:.permitcenter@ci.springficld.or.us I.. c' ".~ . . 10 New constmction .""':0;!y.~EtQF< W9-~...~~f:!:<ir;;'>ft,'~i'~:_J\,:)~~,:;:-~ o Addition/alteration/replacement ., i<..V ,,>1'.. ;~~:"':i!::~"F~~'~~CH~DlJJ..E' . -,-" Description I Qt)'. JEll. Totlll ,RCSidelltial_SINGl.E';OR'nll,llti:-tU':llily:q~'Clli~'~ unitlricludes. 'att"ach~(rgllrag~~:,:'-;'~' :E:h .": "~ . '~: ~ -,' ~ .. ~ ~. -.'- I 1,000 sq. n. or less [4] I Ea. addl 500 sq. ft. or portion l~iitlitc~Jfn,cl:gi;!\:,'_-_ I-Limited energy, residential (with above Sq. 1'1:.) I-Limited energy, multifamily residential (with above SQ. fU I-Limited energy, commercia-I not oOered online at this jurisdiction (with above SQ. fU I - Stand-alone limited energy, residential . I - Stand-alone limited energy, multi-family I - SLUnd.~loile limiLedcnergy, II $32.00 $32.001 commercial '1'~c,~j~.e~c~lt.~i€d!~' iiiJ~I.I~,~~o~L~Uei#ti~~; A~!l!~Rj~liJl:_H~i,on:.: ~;:.;~ ~,l 1 200 amps or less 12] I I I 1201 amps to 400 amps [2] 1 401 ampsto 599 amps [2J I I I ~r~MI'ORf\~t..y,~~,!.i~~~J~~ fL.e~~rS iiisiIlIJjltion;~Il~~e!ation" {t,~ . .~;, I '::\NDJOR're!o~lltlO..'I'.&:""" '."..._' "'~ ".'::"-. .; 1200 amps or ]css[2] 1 1201 amps to 400 amps 12] /1401 m~::~,~JJP)NI Or~?bn law "'~IIlrt'scY( '.'13 I 1.'!~"~l~~fu,tf~I~~f!i11e;:"fillid <l/.Ij1~S@/\R'jt.l!i'flfiliil' I ~:fAYSl1{:~~:'~~~'1 i ~~r~~~U~ ~:~e9~: ~orih I ,I braraf'MultVI"\I' ......':'.' '__'--~__ _. t:::. 01- I B. FeeW6Af\t.ri~hAltcuif.'i ........."'UII".UtJH::::.; JI me rVl ~s by I wilhou~""H\llibhl€\J61i\1aIer, (Note: th 9 !eleph( ne I first tllijllileeuiflJll thA OrA Jon Utili!' tJ c ,'" . II {"').-. "'.{lIvQ.IUII I ~ach ad~l_braJ.lc~~,~er IS ();()-189-'=. ?A~).._ II~I~s{'ell~neo,u's):f~~. "'" - H",' 'J~:.);;.:~,';:~" ..<!<. .~.,.. ," ',. .~I I 1 Service reconnect only [2] 1 I I Each manufactured or modular I dwelling, service and/or feeder 1m 1 I Pump or irrig,-llion drc1e [21 1 ! Sign or outline lighting (2] I I S.ignlll circuit(s) or limited- ent.'rgy panel, alteration, or extension PI li>~;f~-: " .E@C!RICj.L'PERMITF~ES '.rr 1 Subtotal I 1 Minimum fee used instead of Sub lola I I State Surcharge (12% of permit fee) I City OfSpringfidd fees *1 I nj.';\L PERMIT FEE 1 .. City Of Springfield fees: 5% Technology Fee ID'CSq':'s00QflO>~ L\ ~1L{' 0'1 " I' '--" ~-_. ~ -'.:;:':- , . cAtE<>6RYOF:cqNslRucj!6N':~:;<:::: o Multi-fami]y [Xl Commercial/Industrial 10 I or2 fhmily dwelling . "':JOBS!TEINF,ORM~!LON'~~D LOC~TION^: ':':Fi: . IJob no.: IJob address: 4396 MAIN ST ICily/State/ZIP: SPRINGFIELD, OR 97478-5900 1 Suile/bldg.lllpt.no.: I Project nalll{': Enterprise Rel1l-A-Car Cross str{'t't/direclions to job site: . ,'~j . 1 Subdi\"ision: ITax map/parcel no.: [702323100100 I~' , . ~.. . "i" I,. .':.:.*~_bE~fc~IPTI~NOf~o~~'~~.~ ,~:::":'''~~$'.- Low voltage voiee und data cabling.\ ILot no.: I ",'.. :,~ltE.C'ONTAjT. , ~F::~I'{.;.!:j:~: Nam{': Toby Phone: (541) 285-8275 Emllil: IF",: I. " L ~.' '.,.s ~. ,.~. "',:co~tRAcn)Rii ;;j'c . ,:'.?,', I CeB lic. no.: 9046] ~,. . --."1. 1 EI. lie. 110.: 20-353CLE I Business l~ame; LAN TEL SERVICES INC ICon'"," DAWN DOVER ll~lb"59 ~~J 6g ~l~-;N IAdd'''': 1900 IRVING RD BLtlMl, ,UjNuui~Ymi ~' _C1U_ u_::!_~if,~J 1C;'rIS,""rI.IP: EUGENd.blN9~luLIV~l:ljd ::iIH.L tljUI~11 U::!LIClUn.LI IV IPhon" (541)6881427 )ttlUM jHl jl jliIU!ili\~I\"'kY~ .i.iu~ci:ici iiinl !":lIlllil: ddover@hmtdservices,com .:1 J I.LU 1\1 1 Mt'tro lie. no.: 1 City lic. no.: ISupcn:isillg c1~ctricilln's lie. no.: 113LEB I Supervising e1eClricilln's 1I11me: ERIC C RUSSELL 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 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 laws and local ordinances. $32.00 I $58.00 I $6.96 i $2.90 [ $67.86 I This Auth,orization To Begin Work must be posted at the job site until replaced by a Permit. __.S..P-...~RIN. ....F!.lllJ,..ifii..!)' ............ ..'......... '~:AI I L ..'~..' _,. i, 1" ., "...,:.r' ....,....-...-"-.- -'.' CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2009-00500 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES: 10/14/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. SITE ADDRESS: 4396 MAIN ST ASSESSOR'S PARCEL NO.: 1702323100100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Low vollage voice and data cabling Owner: TTT RANCH LLC Address: PO BOX 2121 JASPER OR 97438 Owner: TTT RANCH LLC Address: PO BOX 2121 JASPER OR 97438 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LAN TEL SERVICES License 90461 Expiration Date 04/19120 10 Phone 541-688-1427 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: I)rimary 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla 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: . HO:l 03NOONV8~~;~J~, rn~:t;\'1EM ENTSfil;.~.~';~i~~ '~d~;red 'b;;'h'eo6~~;~~ U~i1i~y StreetlmprovemJ.GN SIIIL"lH3d SIHl H30Nn v ~~oliflc2sidQ#iiRtT(,p1~ose rules are set forth \I~n^^ 3Hl 03ZIHOHlnV In OAR 952-001-0010 through OAR 952-001- Storm Sewer AvailaflTe':' :l/3HldX31l\tHS llL"lH3d SIHl 0090. \QQ.Wl1~~iD.r:tin~es of the rules by Special Instruction: :3:JIION calling the center. (Note: the telephone number for 1he Oregon Utility Notification Notes: Center is 1-800-332-2344). Paee 1 of2 _SP-RU!'GI'IIILD ~lf ~! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00S00 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES: 10/14/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Description TVI)e of Constrnetion $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Caleulated Total Value of Project Fees Paid I $6.96 $2.90 $58.00 4/14/09 4/14/09 4/14/09 Receipt Number 2200900000000000385 2200900000000000385 2200900000000000385 Fee Description + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Total Amount Paid $67.86 Plan Reviews I . 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 Rellllired Insnectillns I Low Voltage: Prior to cover. By signature, 1 state and agree, that I have carefully examined the.completed application and do hereby certify that all information hereon is true and correct, and I further certify that any ~Hld all work performed shall be done in accordance with the Ordinances of the City of Springtield 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 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 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 Signature Dale Pa2e 2 of2 225 Fifth Strcet Springfield, Oregon 97477 541-726-3759 Phone iC4i City of Springfield Official Receipt Development "Services Department Public Works Dcpartment '. Job/Journnl Number COM2009-00500 COM2009-00500 COM2009-00500 Payments: Type of Pitymcnt ONLINE CHGS cRcccintl RECEIPT #: 2200900000000000385 Date: 04/14/2009 Description Low Voltage - Commercial indus + 5% Technoiogy Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number. How Received ONLINE Lan Tei Online Services Payment Total: KR Page 1 of 1 3:03:45PM Amount Due 58.00 2.90 6.96 $67.86 Amount I'llid $67.86 $67.86 4/14/2009