HomeMy WebLinkAboutPermit Electrical 2009-5-26
City of Springficld
Elcctrical Authorization To Begin Work
E-mailedTo:bcelectric@cvcable.com
Rcceipt # EC552265
5/26/20098:47:55 AM 19'0
Cq/
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.spl'ingfield.or.ns
I 0 N~w construction
[K] Addition!alteration/replucemcnt
I [XJ 1 or 2 family dwelling
DMu]ti~family
D ComlTIcrcial/lnduSlrilll
IJob no.: IJob address: 4664 DAISY ST
ICily/Shire/ZIP: SPRINGFIELD, OR 97478-7588
I SuiteJbldg./apt.no.:
II)roject name:
Cross street/directions to job site::
I Subdivision:
I Lot !,-o.:
110.: 1702324306301
Install 2new branch circuits, Repair defective wiring, replace light fixtures and wiring
devices.' >
I Name: Robert Cook
II)honc: (541) 998-3736
" I Email:
I Fax: (541) 998-8082
cV\.;':'J':~~
I EI. lie. no.: 20-27JC leeR lie. no,: 66799
I Business Nllrnc: Be ELECTRIC co
I Contact: Robert Cook
IAdd"It'f(lj\jl'MlCm . . - '~W
IOty/siitSli'<'po\:1;l,Iji;!11J'.iflW4zUfXPIHt I~ I t!C.~v'~' ~
Iphonoi~i-l~;Wl\'m IINDER THI5 tFttllN\ln~ ~0_ {.8
I Em';!',o"lmri,@w.c'lb\"icf?R IS ABANDUNtU run
IM","~c~"~"~;n nLlY PFRIOD. IGtylk.no.,
I 1,.ll. "" .
Supervising dcclridlln'.~ lie. no.; '34625
I Supervising c1cctrician'.~ name: ROBERT D COOK
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 obtain~d.
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.
<<~
t:/Vt&~
~v\
Dcscripli.on
Qty.
11,000 sq. ft. or less [4J
lEa, add I 500 sq. n, or portion
I. . Limited energy, residential
(with above Sq. n.)
I-Limited energy, multifamily
residential (with above sq, ft.)
I - Limited energy, commercial not offered online at Ihisjurisdiclion
(with above Sq. ft.) .
I -Stand-llIone limited energy,
residential
I - Stand-alone limited cnergy,
multi-rim-iil\' .
I - Starid-alonelimited energy,
commercial
1~~'~P;*~~kQ~Yfc~~r~,!~~i;!~.lItiQji(Jil!E:I(i~~;./},~:-~2!~~fiIO:c,~b)~:~~' '~A_.
1200 amps or less [2]
120 I amps'to 400. m-nps [2]
140 I amps to 599 amps [2J
1~."!:~I'\'W~RARY;serviceZOlt;~ed el:s...':~~s.]i!!'atiOi:i,i!t~fa(!ifn,~,~1i:.."''''-.
:". i' .. -.'''''' "''':''''G,~'':',j'''.''0.,...\ti;,~..1".:..... ~""'-,'.';:i~~""'" '~:"':-r .,..{-:;;~..~,.
5~(O~ r~loJ.~t12~~~'~,,"'?4\ag4,;g;!~'~-o?..ti.,~~_ir~;:;~7~ lli~~</ 1
1200 amps or less [2J 1
1.20] amps to 400 amps [2] I
1401 amps to 599 amps [2]
1~~r}ln1ij~ljiUi:;:~~-~'~:W~~~i!~nl(f!if~~~~!o~"~!tRi~~~f.';;
I A Fee fl'nb1'!':.hl~il'CJiCl~ViE're~o n law fI qUires Y'llU 10. I
se"'''',~!l;;"uor fee, each dopLd by the Oregon Jtility
branch~lrcultN rUles a " ~I_
I B, Fe~'fQJtQTmlch~clr(llits-emer'll I1Utit:: 'j_lc.:> C"'Ss'5.Q]l r""i~~'OOI
witho~hSt7,!fFlo[jfe~e.!i!Y~~OO 0 throug 1 OAR 9", 2-001-
firstb~ilncnClrc\.IltY2J _I_J. .:~ -'"'Fi..... ^f+~~ rl,loa h~,
1 eHch~CJd{~~~(1~bI9~~\r:~ ::+~',r" ;t7~t C:.i -l~ ~.t~~P~ ,; n.n;$6.00
I:Mi~~[iii!i'e'Oii;:,~;;;: .:':--"'i'5~~\'.&"" ""';fJ.t,0l:iv'g~,w.JcaIl0r1~'i~
~^-'_ c.........' lr:n....cI'3I"\fr.tnp~h,1rFf'(:JOn.l: IIL.l>\."\iJAflJ... .. ."""'~_~
Smice ;;;0"''"'' 'I'l\l!r!?illi is i -800-332 .2344).
Each manufaCtured or modular
dwelling,-service and/or feeder
121
1 Pump or irrigation circk [2J
1 Sign or outline lighting (2]
I Signal Ciri.~lIi\(s) or limited- .
alterallon, or
1
1
I
I TOTAL PERMIT FEE
. City Of Springfield fees: 5% Technolci"gy Fcc
{Default nwnber ofinspecrions cd/owedl
$61
$732 I
$305 I
$71371
SllblOtal
State Sun.:hurge (12% of permit fee)
City or Springfield fees.
00 -1?p
k-(L
slLuloCl
~.#~-P
~\O
This AuthOrization To Begin Work must be posted at the job site until replaced by a Permit.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00730
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
VALUE:
225 Fifth Street, Springtield, OR
54]-726-3753 Phone,
541-726-3676 Fax
54]-726-3769 Inspection: Line.
SITE ADDRESS: 4664 DAISY ST
ASSESSDR'S PARCEL:NO.: ]702324306301
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
PROJECT DESCRIPTlDN: Install 2 new branch circnits, repair defective wiring, replace light tixtnres and wiring
devices
Owner:
Address:
DANDLlKER FAMILY TRUST
PO BOX 1338
EUGENE OR 97440
I CONTRACTOR INFORMATI.oN I
Contractor Type
Electrical
, Contractor
BC ELECTRIC CD
License
66799
BUILDING INFORMATION I
Expiration Date
06/04/2010
Phone
541-998-3736
# of Units:
Primary Occupancy Gronp:
Secondary Dccnpancy Gronp:
Primary Constrnction Type
Secondary Constroction'Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy'Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFDRMATlON I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Reary.rd Setback:
Solar Setbacks:
.overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact: '
I PUBLIC IMPRDVEMENTS I
Street Improvements:
Storm Sewer Available: ,
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I V alu~tion, Des~ription I
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage'
or Bid Amonnt
Valne
Date Calculated
Pa2e I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00730
ISSUED: OS/26/2009
APPLIED: OS/2612009
EXPIRES: 1112612009
VALUE:
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
F~!s Pait! I
Fee Description
+ 12% State Surcharge
+ 5'Y" Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Cire. Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
5/26109
5/26/09
5/26/09
5/26/09
1200900000000000532
1200900000000000532
1200900000000000532
1200900000000000532
Total Amount Paid
$71.37
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 ,R~\1\~~I~~ ,In,~r,e~t~~ns I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 corr~ct, and I further certify that any and all work periormed 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 OCCUP ANCY 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 pCl'mit 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 Signatnre
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-'726-3759 Phone
Job/Journal Number
COM2009-00730
COM2009-00730
COM2009-00730
COM2009-00730'
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000532
Date: OS/26/2009
Description
Add; Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 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 BC Electric Online
Payment Total:
Page 1 of I
9:07:35AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
5/26/2009