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Home My WebLink AboutPermit Electrical 2009-5-4 City of Springfield' ,I ~R()jJ!flILD Electrical Authorization To Begin Work E-mailedTo:bcel~ctric@cvcable.com Receipt # ,EC551121 5/4/20094:28:25 PM \J\g )J GO\. Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction 1.-_ [K] Addition/ulterutionJreplacement I Description l Qty. l Ea. Total ItRCSidcllti,al,SIN"iG LE':~OR"ln'lIJiiita~iW'd;.~iii~-g uliit/ln:Clu(les';"~~'-Tj;1 ~~;I ,~tt~c~f~;'*~?igeJ~i~,:;~~~~~i1~~~~:'f"~'i.~~4t~~:~ j',OOOsq,flode;s[4] I I I Ea. addl 500 sq. ft. or po"hion I IlliJ I or 2 family dwelling D Multi-family 0 ,Commercial J Industrial 1\~"~~_::~&"-.;~:;!-~t::J~:-V9!iis)ff.I.NF6RMA!19N~~~gi~Pr~~tIR~~:;~~cr~~~~::$~~1 I Job no.: I Job ;,ddress: 4662 DAISY ST I I Cily/State/ZIP: SPRINGFIELD, OR 97478-7588 I I Suite/bldg./apt.no.: I IIJrojcct name: I 1 Subdivision:' !Taxmap/parcel no.: 1702324306301 ILot no.: I - Limited energy, residential (with above Sq, f1:.) I - Limited'energy, multifamily resident ill I (with above sq. ft.) I-Limited energy, coniiriercia-I not offered oriline at this jurisdiction (with above Sq. fl.) I - Starid-alorie limited energy, residential . , I - Stand-alone limited energy, multi:famlly , I - Stllnd-alori,l' limited energy, I commerCial I[S!riYtc'~~,:Q.!tf~~~~~1!~~~~lll1tion!~l!!rIll~~t~!iI?Z~R;~efg~ii~~t~t~~;1 1200 a'mps or less [2] - 120] amps to 400 amps [2] 140-\ amps to 599 amps [2] Cross .~treet/directiolls to job site: Install 2 ne.~ branch circuits, repair existing wiring 1 Namt': Robert Cook I PilOnt': (54]) 998-3736 I Fax: (54]) 998-8082 1~::,~li~~i~~.c;,~~~~:~:~~a,n'Ot~_~'~_n_. - - - -~-~-'~~~S ,.,_~' _ _ 0\ :,- t: _ -:t,"&"" ,J'" .~~'t?:"-,?, ,,'-0" i~"S:Mh't_*_,"",CONTRACTOR';:L*~Y~"'l""'-' ."'if","":;;;.,,,;,: , I 1:1"::0:: ;~_;73tJl~ F~h~v~~ SHA~~~Il~r~7TfJE WOKI\ I Bu,ine" ~amc: Jf}~Miff\~ ui'IDch I M1\> t'tKIVIII I\> NU I ICon"".: Rob'rtCj~,'VIIVltl~vtu VKI\> AtlANUUNtU l-UH IAddre,,: PO BOm1 HlU UAY t'ttiIUU. I City/State/ZIP: CHESHIRE OR 97419 IPbone: (54])9983736 I Email: bcelectric@cvcab]c.com I Metro lie. no,: . 1 Supervising eleCtrician's lie. no,: 34625 I Supervising electrician's name: ' ROBERT D COOK I Fax: (54l )9988082 I I 1401 amps to 599 amps [2] I 1~~ta~~~1ElfC,[(f!1~I\~eJ~tioi!i'OR:e,x,ie'~~!€~]~~j:p~:n~,~::{\.:~"~,:l I A, Fee lor<>rTntlSl1ldJG\\41hVrfgon raw reqUIres you to I "",ice 0.1~ll<lJllfeFUie's ado~ted by It e Oregoll Utility I ~"~~:'~g!\,qFtl,Ocnt~. . 71,uo"J ui~'$5'i5b,el''iJll~o "nho", ' ~e\-lilQ1-0 10 throu Jh OAR fS2-001- first brafikffifalft:uiMB11 moy" . ~~in -;op.i ~:~ ~~: 'bliss E'L II,e~::~d~ ~!libllt!~"'e~ ".er,tJ,:, !Nrt..~.th~l~~~_~r:~:-b~1 ,!'l!!,:elt~'RlIll,n, .er..,TQrthe;Oreqbn,Utilitv.:N otific;'ati5rj;:'i I Servoce rcconnect o.!l;ep:ller is 1-800-332-2344). I I Each manutuctured or modular I dwelling, service and/ol'feeder 121 I Pump ~r irrigation Circle [2] I I I 1200 amps or less [2] 1201 amps to 400 amps [2] I City lie. no.: Sign or outline lighting [2] Signal,circuit(S) or Iimitcd- I energy panel, alteration, or extension f21 I~. ~;\:~:'<~~,~'i:~''<<:~''~~r'E.~~~t.RICA~,~'E_~M,IT:~EES; :' I Subtotal I I State Surcharge (12~o of penn it fee) 'I City Of Springfield fees * I TOTAL PERMIT 1<'1<:1<: I ~ * City Of Springfield fees: 5% Technology Fee The local building department may determine that an Authorization To Begin Work is null and void if it does not _~".....oo ."_'00 ,..,-...- . ~ 'C:~":'L:DG'.'a 515' ( 09 ~ '_,q)> ~ ~~ rf. " ,~ ~'\:t..- )<.. 'd\9 " This AuthOrization ~egin Work must be posted at the job site until replaced by a Permit 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. . $67,001 $8,041 $3,35 I $7839 I CITY OF SPRINGFIELD Building/Combination Permit Status Issued , PERMIT NO: COM2009-00606 ISSUED: 05/05/2009 APPLIED: 05/04/2009 EXPIRES: ll/05/2009 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4662 DAISY ST ASSESSOR'S PARCEL NO.: 1702324306301 Springfield TYPE OF WORK: Electrical Work Only TYPE OF U'SE: New PROJECT DESCRIPTION: Install 2 new branch circuits & repair existing wiriug. Residential Owner: DANDLlKER FAMILY TRUST Address: PO BOX 1338 EUGENE OR 97440 I CONTRACTOR INFORMA nON .J Contractor Type Electrical Contractor BC ELECTRIC CO License 66799 BUILDING INFORMATION I Expiration Date 06/0412010 Phone 541-998-3736 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Eliergy Path: Spriukled Building: , u/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' REQUIRED PARKING Strect.lmprovements: Frontyar<l.~~t. Overlay Dist: Total: Side I Se~Jt!Jt~v . ' # Street Trees Rqd: Handicapped: Side 2 Seib\ltk:PERMIT SHALL EXPIRE IF THE Wfi\lKd Drive Rqd: ATTENTION: Oregon laVCmn;p.3t!tS you to Rearyanli\S.ef~i@<;IZED UNDER THIS PERMIT IS M1V Lot Coverage: fa How rules adopted by the Oregon Utility Solar Settl'!l=!i~V1ENCED OR IS ABANDONED FOR ~otlflcatlon Center. Those rules are set forth , . In olll1 Q"9-nn1-f1nl n th"",nh n6P a~"_nn< M" I I oU.Uf-IY t'tIiIUU. I PUBLIC IMPROVEMENTS,'a. You may oblain copies of the rules by . .tHing the center. (Note: the lelephone numbeISI!Jr'<'lll!I(J.~~ltin Utility Notification \jijUl,yld8u ls%1P.iW -2344). Storm Sewer Available: Special Instruction: ' Notes: I Valuation Descri}tion I Description Type of Construction $ Per Sq Ft or multiplier . Square Footage or Bid Amount Value Date Calculated .Paee 1 of 2 -~..f!JiACR.'.~.,.,..G....~'.'~~.-iil.j T j 0, ......' ", }," --,' .., ~>" II " ,,;, "'~, ,~. - - " "~:; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00606 ISSUED: 05/05/2009 APPLIED: 05/04/2009 EXPIRES: 11/05/2009 VALUE: ' 225 Fifth Street, Springfield,OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-37691nspection Liue Total Value of Project Fees paidJ $8.04. $3.35 $55.00 $]2.00 5/5109 5/5/09 5/5/09 5/5/09 Receipt Number 3200900000000000303 3200900000000000303 3200900000000000303 3200900000000000303 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Exteud Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $78.39 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 Re\,~ired In~llections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, ] state and agree, that 1 have carefully examined the completed application and do hereby certify 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 Springtield and the Laws of the State of Oregon pertaining to the. "Cork described herein, and that NO OCCUP ANC:Y 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 a,ddress 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 Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541,;.726-3759 Phone ']:G>C~~ IE City .of Springfield Official Receipt Development Services Department Pu!>lic Works Department Job/Journal Number COM2009-00606 COM2009-00606 COM2009-00606 COM2009-00606 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Date: 05/05/2009 8:06:20AM 3200900000000000303 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge ArilOunt Due 55,00 12,00 3,35 8.04 $78.39 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Biltch Number Number How,,'Receivcd Amount Paid KR ONLINE BC Electric Online Paym~nt Total: $78.39 $78.39 Page I of I 5/5/2009