HomeMy WebLinkAboutPermit Electrical 2009-4-16
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00S10
ISSUED: 04/16/2009
APPLIED: 04/16/2009
EXPIRES: 10/16/2009
VALUE:
225 Fifth Slreet,Springfield, OR
54 1.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line"
SITE ADDRESS: 3957 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702190003300
Springfield TYPE OF WORK: Eleetrieal Work OliIy
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Electrical for Eweb
Owner: CITY OF EUGENE
Address: CITY HALL
EUGENE OR 97401
I CONTRACTOR INFORM~TION ,
Contractor Type
Electrical
Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
, BUILDING, INFORMATION I
Expiration Date
07/0 1/20 JO
Phone
503-234-9900, I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary ConslructioIl Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
{, -'li/-cl)~Ft Basement:
Iv. allow SqlJ:),Garage/Carport
0/.', r'" 'v r:-.
II) 0 IfJOi1tSqlfft,pth'tl~
C!J~a ~R 9;l(.jc\:~~\(n",I1&a'iUi1w r.
a. l~ 2~n~' fA.. _ 11,., ~,...,
I DEVELOPMENT INFORMATIcm'J'lliJ.9~~ Ir]fI;~-~070, ~ZOse~~~^6r;~~~YOll~
~er {, 19 019 <Jti1REOGIRED\g>;\,'RKI'NGO
_ C or Iile 1)1191; . ,"'Dpie"" I OJ!j , C! Set ,,""ty
Overlay Dist: el)ter ' Ores;/rolaJ; /Ofth R 95<_0 Ort!,
# Street Trees Rqd: '8 7'8r>R?andicgpped:e rlllF'~ 07,
. ' VU "'l_ '1'IIb" .....'Bpl-. \;'06
Paved Dnve Rqd: 06n.H~dIOft{" '/01)19 :v
% of Lot Coverage: '3'1'1), 'Ofilia/}
# of Stories:
Height of Slructure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Fronlyard Setback:
Side I Setbaq'!for. ' "
Side 2 Selb''-ck' ICE.'
7nl~ .
Rearyard 'l,'1tlfacll!ERfv1
Solar Set't;c,,kf,'iORIZF 1T SHALL
UAA~._ ell 1'1' /:''',\,
, ANy 180"'OVi-'EO O~~SI:R THitpl: /F1ffl'$J.!C 1M, PROVEMENTS I
>qy 1'.48 'ERM/" v '
Street Improvements: PERIOO 'ANOON,c 1 TIS Noo"/(
, <::0 Fa r
Storm Sewer Available: R,
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
VaJue
Date Calculated
Page I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00S10
ISSUED: 04/16/2009
APPLIED: 04/16/2009
EXPIRES: 10/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Tolal Value of Project
Fe~:' Pa.i~ I
Fce Description
+ 12%,State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$19.44
$8,10
$162.00
4/16/09
4/16109
4116109
1200900000000000266
1200900000000000266
1200900000000000266
Total Amount Paid
$189.54
I 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 Reouired . s.nections I
I I .... ~I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby cerlify that all
information 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 OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certity that Oilly 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 Ihe proper time, that each address is readable from the
street, that the permit card is located al the front uf the property, and the appruved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 01'2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:S.A.LANS@OREGON-ELECTRIC.COM
Receipt # EC550200
4/16/2009 9:23: 11 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 I or 2 family dwelling
o MuJti-family
o Commercial/Industrial
11,000 sq, f\, or less [4]
I Ell, addl' 500 sq. f\, or portion
I 0 New construction
[K] Addition/alteration/replacement
IJoboo.: 18697 !Jobllddress: 3957 HAYDEN BRIDGERD
ICily/State/ZIP: SPRINGFIELD, OR 97477-1860
) Suite/bldg./llpl,no.;
I Project name: EWEB HAYDEN BRIDGE
'{,,'"'
:",r,.
I-Limited energy, residential
(with above sq, Ii.)
I-Limited energy, ll1ultifamjly
residential (with above Sq. ft.)
I-Limited energy, commercia'] not olTered online at this jurisdiction
(with abovesq, f1.)
- Stand-alone limited energy,
residential
- Stand-rllone limited energy,
multi-family
- Stand-alone limited energy,
commercial
;"Scrylces4"OR:f€td~ts;iDSiaffaBon;aiter3tion;':~NO~bl~'reiOcaiio<n;
~'--:+00;0'_," :,A'''k'<'~''""'''^;;C'"'",,#--:,dCC''6'~'_"' ':-,"V'~__"''',".,_~''''',~.=- ~"-" _",
1~00ampsorless[2] 2 $81,00
1201 amps to 400 amps [2]
1401 amps 10 599 amps'[2]
IN~~EMJ'9ffi\J~!0~e~iCes \~~.:rffij~~~HII~!i.o~;;~I~!t:tt,!~~i;
~:~~PP,~~l!jl,!~~!!oI!t~~:7~:~~,t.,:,' ,:;,r~('i~,/:-=- ;.,~.=,';;'f4--.::;~ ,';
I 200 amps or Jess [2] I I
12DJ~10400ampsr2J . I
: ~,~::. ~~I~~4~A~:~'YExt 114 I F", IH~::'J5~~~S;~;altf[~lioli;.9~exl~~SiO"iPCi'p~nel"';" '{'::
II t:.;~a:ijl: ;*~~:~~~~ EY.~~~"~~~~.-;:~~~'~::C.O~., ". '7dj5:V'''iit''7P-%'.~~t~ :h,l''''" __ ;;:;-t ,'S, 'jjJ-~ 1~1 t~1~' eR:t'tdn,~~li~~~~/] Ic 'I~- I
",,,<,,1' ,!!:-""'+'-" r+-V~+"''1''''''<+;;~CONTRACTOR'''-''''''~'' ,-~.,,,,,,.~~......_...,tt'~.;~,., ,~"j;:E~ 4:1' ~.l\!)c:"O '11. "'0'6 'Vr,
0.,t_';,;.".....y:-t"' "f>5.^'i,,:It''':#W4'ip+^,''d''='.~'~"= ,"':::~;:;P;0 ,:::-1Ctv".~,;",,">[">1%~++~,t1b0~,,: ". ,brbil l.n;iJcul n:t er "':: l~.: s,...._
lEI. lie, no,. 26.95C 7-:U1'/" Iceo,'k,no,.203 1)/" Ylf<J"JJlrl\ly~J1sliOii9\i~"]os "<9d~/r<91 I
' - I v"' '.QYllnOlf~C(' UDleedt4!fllA S '"1. is YO
Ilin,ln", Nnme. OI%~~~ilitttCONSTRUCTION INC n~If"'n'h'ffi"'it rl91'n '7rOl;( ~/<98 ~:S)O 7 I (~ to
I V,/,.J., <'''''A. I L'"- "I '.1, 'U VI' 0 -'", -"II' I
Cont"". SHIRLE10MN'm~'"V//,._e"~'1'WLb tint,>,"e"l!l/~ ,:O'e~.I<1t:> .09;,< {y ,', '. .
IAdd"". 1010 S!/AiYW4Y.l.>; )/<'E'Il'. Oij.... li,H~,ll~~~L,"~,~~~,GiliWf,,~lh~':'{;tli~::f~~~;rli~~~l"(;il
ICit}'/State/ZIP: PORTlt'WP~2~~449}.:.{ !,j,,, Service reconnect~M~\L'?r~llly IJ(6/e/)~""/~s A. ... I
IPhone: (503)2349900 - v,qy VI? / -t..1F)'N.N~ Eal;h ~lJanurac~uredor 1ll0db~a'i! ..VlJ/jc. '~i. 9 j I
.^~ E ~^ ,~- ,~ dwclllllg, serYlce and/or feeder lj~ ElI10
I Em,,;I. SA,LANS@OREGON'ELE"'~01l!Y..dk" P,c-(l. ;:/.1f. I. 121 ," , , ,]
I Metro lie. IIQ,: ,~ rCitf4tGmh~~/l'( WOll _ I Pump or JmglltJOnClfcle[2J I
ISupcr\'ising electrician's lie. nu.: 3006S t.1.I!:i .iJ tZtn ." I Sign orolltltne lighting (2) .1
, , . . ~i ;", Signal circuit(s) or Ilmited- I
1 Supen'lsmg eleclnCllln's name: GARY LEE PEOPLES energy, panel, alteration. or
extension
Upon review and approval by your localju'risdiction, your
permit will be e-mailed or faxed within one business day.
with instructions on how to schedule your inspection.
Cross slrcet/directions'to job site:
Subdivision:
ILot no.:
ITax map/parcel no.: 1702190003300
$162,00
-,
ELECTRICAL
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.
Subtotal I
State Surcharge (12% of per mil fee) I
City or Springfield fees"
1 TOTAL PERMIT FEE
" City Of Springl1eld fees: 5% Technology Fce
[Ddjall!(number ajinspections a!fowedj
CC1-'SlO
$162,001
$19.441
$8,101
$189,541
/L..(2.
'i/lLJlI 0'1
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
;
225 Fifth Street
Springfield, Oregon 97477
54)-726-3759 Phone
Job/Journal Number
COM2009-00510
COM2009-00510
COM2009-00510
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000266
Date: 04/16/2009
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Oregon Online
Electric
Constr.
Payment Total:
Page I of I
9:39:02AM
Amount Due
162,00
8,10
19.44
$189.54
Amount Paid
$189,54
$189.54
4/16/2009