HomeMy WebLinkAboutPermit Electrical 2009-4-14
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Elcctrical Authorization To Begin Work
E-mailedTo:ddover@lantelservices.com
Rcccipt # EC550079
4/14/20092:37:53 PM
00
t1/<:Y
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City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email:.permitcenter@ci.springficld.or.us
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10 New constmction
.""':0;!y.~EtQF< W9-~...~~f:!:<ir;;'>ft,'~i'~:_J\,:)~~,:;:-~
o Addition/alteration/replacement
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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 $32.001
commercial
'1'~c,~j~.e~c~lt.~i€d!~' iiiJ~I.I~,~~o~L~Uei#ti~~; A~!l!~Rj~liJl:_H~i,on:.: ~;:.;~ ~,l
1 200 amps or less 12] I I I
1201 amps to 400 amps [2] 1
401 ampsto 599 amps [2J I I I
~r~MI'ORf\~t..y,~~,!.i~~~J~~ fL.e~~rS iiisiIlIJjltion;~Il~~e!ation" {t,~ . .~;, I
'::\NDJOR're!o~lltlO..'I'.&:""" '."..._' "'~ ".'::"-. .;
1200 amps or ]css[2] 1
1201 amps to 400 amps 12]
/1401 m~::~,~JJP)NI Or~?bn law "'~IIlrt'scY( '.'13
I 1.'!~"~l~~fu,tf~I~~f!i11e;:"fillid <l/.Ij1~S@/\R'jt.l!i'flfiliil'
I ~:fAYSl1{:~~:'~~~'1 i ~~r~~~U~ ~:~e9~: ~orih I
,I braraf'MultVI"\I' ......':'.' '__'--~__ _. t:::. 01-
I B. FeeW6Af\t.ri~hAltcuif.'i ........."'UII".UtJH::::.; JI me rVl ~s by I
wilhou~""H\llibhl€\J61i\1aIer, (Note: th 9 !eleph( ne
I first tllijllileeuiflJll thA OrA Jon Utili!' tJ c ,'" .
II {"').-. "'.{lIvQ.IUII I
~ach ad~l_braJ.lc~~,~er IS ();()-189-'=. ?A~).._
II~I~s{'ell~neo,u's):f~~. "'" - H",' 'J~:.);;.:~,';:~" ..<!<. .~.,.. ," ',. .~I
I 1 Service reconnect only [2] 1
I I Each manufactured or modular I
dwelling, service and/or feeder
1m
1 I Pump or irrig,-llion drc1e [21
1 ! Sign or outline lighting (2]
I I S.ignlll circuit(s) or limited-
ent.'rgy panel, alteration, or
extension PI
li>~;f~-: " .E@C!RICj.L'PERMITF~ES '.rr
1 Subtotal I
1 Minimum fee used instead of Sub lola I
I State Surcharge (12% of permit fee)
I City OfSpringfidd fees *1
I nj.';\L PERMIT FEE 1
.. City Of Springfield fees: 5% Technology Fee
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o Multi-fami]y [Xl Commercial/Industrial
10 I or2 fhmily dwelling
. "':JOBS!TEINF,ORM~!LON'~~D LOC~TION^: ':':Fi: .
IJob no.: IJob address: 4396 MAIN ST
ICily/State/ZIP: SPRINGFIELD, OR 97478-5900
1 Suile/bldg.lllpt.no.:
I Project nalll{': Enterprise Rel1l-A-Car
Cross str{'t't/direclions to job site:
. ,'~j .
1 Subdi\"ision:
ITax map/parcel no.: [702323100100
I~' , . ~.. . "i" I,. .':.:.*~_bE~fc~IPTI~NOf~o~~'~~.~ ,~:::":'''~~$'.-
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]
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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.
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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