HomeMy WebLinkAboutPermit Electrical 2009-5-6
,
City of Springfield
'v\)0
fAl
G
Electrical Anthorization To Begin Work
E-mailedTo:crowvalleyelectric@comcast.net
Receipt # RC551263
5/6/20093, II :31 PM
Check on status of pernlit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
The local building department may detenninethat an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local O:din~
. \;~ d'
\~\'b
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I D New construction
[K] Addition/alteration/replacement
10 I or 2 fs.mily dwelling
o Multi-family
[K] Commercial/Industrial
IJobaddress: 141 5THST
I City/StllterLlP: SPRINGFIELD, OR 97477-5458
I Suite/bldg./apt.no.:
Project name:
Cross street/directions to job site:
ISubdivision:
I Tax map/parcel no.: 1703353105000
I Lot no.:
WATER DAMAGE REPLACING SURFACE MOUNT PIPE.
I Name: MARTY ORA Y
I Phone:
IF."
lEI. Ik. no.' 20-3;li'Hc: P~RMIT C:1-l4LL1E'ilJllillp'0IFl"fflPWnRK
I Bn,;n", N"m"8trArO'AtiE'()El:J1\!~ TI-lI~ PFRMIT I~ MOT
ICont"," MARJ;'~1i~t~ C'i:1lc:WAMnnMm-EQR
[Add"'" 2952'l<{i1<JNf~~'t\~y P~i:1IC'':'_ .
!City/State/ZIP: EUGENE OR 97402-2077
I Phone: (541)4610387 11'",' (541)4614062
I Email: crowval]eyelectric@comcast.net
I Metro lie. no.:
I Supervising electrician's lie. no.: 47425
ISupcn-;ising c1ectrichlll'S flame: MARTIN ALAN GRAY
I City lie. no.:
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.
6ff
~~
NOTE: This Authorization To Begin Work expires within 180
days if a permit is nof obtained.
~
I Description , Qty. I Ea. I Total
Rcsidelltiill SINGUE:'OR millti.familtdwelling unit~lncludes f^";,
"atiaciied"ga~gi/tit!;;jfZJ/4h~'''~+-''::lJ: ,,-rc- ~~r'::.." ~~: - /'", "'" . '"
_ ,,_--,__ ~ ~ 7'""J:"^~",,~ '-'<".. _." '""' ...;1" Jj-t,
1,000 sq, ft. or less [4] I
lEa, addl 500 sq. n, <;Jr portion
I~In~}i~~j~i!e~y~ -:'.
I-Limited energy, residential
(with above SQ. Jt)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I - I.imited energy, commercial not olfered online at this jurisdiction
(WIth above Sq, fl.)
I - Stand-alone limited energy,
residential
I - Stand~a\one limited energy,
multl-familv
I - Stand-~lonelimited energy,
commerCial
1~~m~X2~~';t~1!f1ffi~!~3J~~~fi~1I::1~DJ2~,;,~~C?;tiWiWt~
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
l;t,~~r,Q!~~~;~4~r5~ce,s:o~!t~~e:r~!InJ~~}lattO:~i~li~r~[!O~;l~~~ifr:';'~,;.1
i~~ Dlq~' r~'~~_at!MI;_:~:~:~::;~!;"if~;~:~lf~t; ~~ -,~{ ~:t,~<J,,)<:4
1200 amps 0: less [21 I I
1201 amps to 400 amps 121 I
1401 amps to 599 ainps [2) I I
I
I
J
I
I
I
I
I A. Fee ror branch circuits with I
,,:vice 0: feedeAifi\5b!TION: Oregon aw requi .es you t,)
branchcircui.tfnll/"\\^' rll~lc-.....t~d ~y th~ Or" -_.- Hr"
I B.Feefo:b:'l{f,Q.,i\S1'M\: -,.- -- 1 l~OO "~"$5:\~oiJY
wilh,,1 se:v't~\lill1ed\!f. Ifl,~ Ce nter. Th se ru es re seIfor lh
":51 hmnch ciFl.tIilI1lR. 952-00; -001 0 th nltllh n R Qt:;?_nf 1-
I coch add! bnOO90,,,,You ma~obtain 3Jopie~ J.. he rf}I?;\lP lY
IJ~I;l!~~lt~Ei~S~I,\\n(),\~~~.~~IjjJ.\1Ii''';(!;fQlew!h eRe.IElR.h.on'e
I se:v;c.e:econn~l'r'bl!iY'IitOrtr e. urefjo1" UI1111y 1\ otltlcatio~
I Each manufactured or mo'tfUFJrHC' 10 I-OV -vv.c::;-'::~Lj 'iJ. I
dwell mg, service and/or feeder
121
I Pump or irrigation eirele [2] I I
I Sign or outline lighting [2] I
I Signal.circllit(S)Or Iimited- I
energy panel, alteration, or
cxtenslOn
I Subtotal I
I State Surcharge (12% of per mil fee)
I City Of Springfield fees "I
I TOTAL PERMIT FEE I
.. City or Springfield fees: 5% Technology Fee
{Default number afinspections a!!oll'edJ
C9 -l.QD5
$67.00 I
$8.04 I
$3.35 I
$7U91
lGI2
,
5111D9
,
.,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection .Lin~
SITE ADDRESS: 141 5TH ST
ASSESSOR'S PARCEL NO.: 1703353105000
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0060S
ISSUED: 05/04/2009
APPLIED: 05/04/2009
EXPIRES: 11/07/2009
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Office
PROJECT DESCRIPTION: Repair ceiling
Owner:
Address:
SHARI R HIATT LIVING TRUST
663 NORTH RIDGE AVE
SPRINGFIELD OR 97477
TYPE OF USE: Repair
Commercial
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
EHLERS CONSTRUCTION INC
CROW V ALLEY ELECTRIC
License
04231
149834
Expiratio~ Date
11/19/2010
12/13/2009
Phone
541-689-6177
crowvaUeyelectr
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
B
V1hr
nla
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 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A JoJ;'il.1;I.G E:
Speciallnstruct1an!S PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR.
ANY 180 DAY PERIOD.
Paee 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon 'ilw requires you to
folSidelValMRypepted by the Oregon Utility
NotLfication ce~r.. Those rules are set forth
. :Downsoo,nW 'lUns. hOAR 952 001
In OAn ""l::-vv 1- v I v 111roug -.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
,-
~FlJ~GErI~,~}
-~tr" ,~,~.",. .'.~'~
1 t:
, ..
Status
. Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Estimate
Tvpe of Construction
Estimate
Fee Description
. + 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Total Value of Project
Fees Pair! I
Amount Paid
$6:96
$2.90
$58.00
$8.04
$3.35
$55.00
$12.00
$146.25
Date Paid
5/4/09
5/4/09
5/4/09
5/7/09
5/7/09
5/7/09
5/7/09
I Plan Reviews ,
CITY .OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00605
ISSUED: 05/04/2009
APPLIED: 05/04/2009
EXPIRES: I i!07/2009
VALUE: $ 2,000.00
Value
Date Calculated
$2,000.00
$2,000.00
05/04/2009
ReceiptiNumher
1200900000000000335
1200900000000000335
1200900000000000335
2200900000000000488
2200900000000000488
2200900000000000488
2200900000000000488
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 Reouirer!lnsnections I
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
'"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF ;:,rKll'lGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00605
ISSUED: 05/04/2009
APPLIED: 05i04/2009
EXPIRES: 11/0712009
VALUE: $ 2,000.00
By signature, I 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 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 Commuuity Services Division, Buildiug Safety.
I further certify that only contractors aud employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
Page 3 of 3
Date
"
225 Fifth Street
Springfield, Oregon 97477
..
541" 726-3759 Phone
Job/Journal Number
COM2009-00605
COM2009-00605
COM2009-00605
COM2009-00605
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of SpriilgfieldOfficial Receipt
Devclopmcnt Services Department
Public Works Department
RECEIPT #:
2200900000000000488
Date: 05/07/2009
8:34:16AM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
55.00
12.00 .
3.35
8.04
$78.39
Paid By
ONLINE PERMITCHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
Amount Paid
KR
,ONLINE Crow Valley Online
Payment Total:
$78.39
. $78.39
Page I of I
5/7/2009