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HomeMy WebLinkAboutPermit Electrical 2009-6-1 City of Springfield ,Electrical Authorization To Begin Work [-mailed To: tena@orelectricservice.com Receipt # EC55267R 6/1120099:29:20 AM ~0'b rA./ V Check on status of permit By Phone: (541)726-3753 or Email:,pcrmilcenter@ci.springfield.or.ns I D New construction [X] Addition/alteration/replacement I Descdplion I: Qly, 1 Eo. I' Tot.1 I l'il{eS,:i,d,'cniiafSINGl~E,;'3"(jR;m,uiti,,:,',r,ilm,' iljtid'W, ""C),I,in,iUliii:~liidU,tl,' CS, ,. "t"~~" 'I ;~ft~ch~d.gafag~t~~1.~:~',~$<~1:':":~{&j3~y:~~~t<;4,'~~ P-'i,r2f"-~~':'~ b': ,;." I ] ,000 sq, t\, oc less [4] I, I E<I. add! 500 sq, ft. or portion "I Subdivision: l'l~x map/parcel no.: 1 ~ Limited energy, residential (with above sq. fU Ie Limited'energy, multifamily residential (wIth above sq. ft.) I-Limited energy, commerCial not offered online at this jurisdiction (with above 5g. f1.) I - Stand-alone limited energy, residential I - Stand-alone liniited energy, multi-family I. - Stand-alone limited energy, commercial 1:}ln:iili:6'lf.'feC1!et~instal'!atjon~alie~i()ll;:;\f;iDj(ji~Tr~!Q~~ii~'~;:)S;:--'.:1 .._~~, .."..."..~_. ,,^""'01'._ '--<_.'E "O~ "",.,....~.~"''''.......,...0:00i'~'''' '_~" ,,__.~. ,. w_. *' /F ...:.,'.7\.' 1200 amps or less [2J 120] amps to 400 amps[2J 140]amp~ to 599 amps[2J 1~[~,,'~!~,O'I0.~Y,~~~ic~s.,p,:~,~,;t~~,'i:~<; ~!J1},~Jl~li_O,~i~!tfJ.~j~i,.~~:;";~~,'~,-',', ;,}'f,~; ::'1NW9R relocl!!i?I~~~:.~_Ji"'<0:s~~:~;{fJj~;: .':t~-;:~tj:.41'~~*'1'Li.~ i(~ 1200 amps or less [2] 1201 amps to 400 amps [2J I Name: leffBrooks 1401 amps 10 599 amps [2J Illhone: (541) 520~6034 I Fin: '~~~~-~:f~T~!~Ii~::_'~~;~~i;;_~fteta~fo1Eg~~'ff~~~~~::P,~!:"'~~~~eT~'~~i:;1-, i E:~::~'t,~,; ;;;.' ';if(~\~;;;~~~~~;d:~1~:0r~::~~jl;~""~il;8;: I ~~;~i~~ ~~:~~S:chr~;'Ce~;~With I". . .....t.I IV...."U.I V~ll~c;-.I .hI I( !>:It' I ~w-.....iiLe ::>EH lonn I EI. he. no.. C408 in ()6C O~f'\rl"1 (\n-h\-P,)~c.:..~.o'::L.I1t!:~C)." ....r-p1 I-B..-FeeJor branCh, circLlits - - - - - . - . - \J -X. - without service or feeder fee, lOusiness Name: ORSQ,Q~_E[)~;<;WW;;~~~-XI,~]i!--.L,Cn"'ni~~' ~I t'~ ~ >Jr, ~,..,,, h., I firs! branch circUlt r21 IContnet' T"" Bmoks' callinQ the center. INoie: the t~lenh~~"-' 1 I ench .ddl bcnnch cicc,it I I IAddms: pO BOX 2237umber for the Oregon Utility Notification N IOty/St.le/ZIP, EUGENE OR 9j402~ler IS l-tlU~-;j;j;<-;<344). ~HIRcp4<I'tM~iferSl~]AIP+ ti\t'llit: _ ,1_ :-1'" f'31 IPhone: (54])3431681 IF." (541)343]683 t ~fn~J!l'FL\O~HtJ't\1?&Il\I]<tHI) t't:nlvlll v . , 1 ng, W(ee .no or e<!ehA "DONED FOR I Em.ii, ten.@ocelectricsmice,enm r rQlMi=~Ir.Fn OR I I\t) · I Metro lie. no.: l ) City lic. no.: J,~~~~~~}imVt>rp.fr~QD. I Supervising e1cctrician'.~ lie. no.: 13925 Sign or outline lighting [2] I Signal circuit(s) or lImited- Supen'ising electrician's IIllme: HERMAN OLLAR energy pane], alteration,.or' extension f21 _ 1~~~~~'\~i~{~i[~9T~2Al~i~~~~.i.r.::F..~-E~- I Subtotal I I Minimum fee used instead of Subtotal I I State5urcharge{12%-ofpermit fee) I I City Of5pringfield fees oj< I - TOTAL PERMIT fEE '" City Of Springfield fees: 5% Technology Fee [Defi11l1r nl/mber oJiiHpeclions ai/owed} cq - ~-\i:) ~ ~iL ;i~j} \ DC] I D 1 or 2 [amily dwelling 0 Multi-family lliJ Commercial I Industrial ,".~ 1;''':joBsl'i'g IN~6RMAiION'ANb:EoC:ATjON _ " .,,,. _".....-.. .'..."_ __ .,.', .. '.'..., "m.."'''.~'~'''m''-' ._. I Job no.: I Job address: 5280 HIGH BANKS RD ICity/St<tteIZIP: SPRINGFIELD, OR 97478-6]76 I Suite/~ldgJapt.no.: I Project name: Cross street/directions 10 job site: I Lotno.: 1 ] 702:!S000040 1 Rehook motor I $5500 $55.00 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. '~ ~~ ~~A:\O _ ~~~ \!/\i~~ ~~ $55,00 I $5800 I $6,96 I $2,90 I $67,86 ] 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. lxVL:l5 \\J ~\ ref) ~~&, CITY OF SPRINGFIELD Building/C(,imbination j>ermit PERMIT NO: COM2009-00758 ISSUED: 06/01/2009 APPLIED: 06/01/2009 EXPIRES: 12/01/2009 VALUE: . Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeClion Line SITE ADDRESS: 5280 HIGH BANKS RD ASSESSOR'S PARCEL NO.: 1702280000401 Springfield TYPE OF WORK: Eleclrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Rehook motor Owner: DEFOE RONALD MAJOR Address: 90751 PRAIRIE RD EUGENE OR 97402 I CONTRACTOR INFORMA nON I Contractor Type EleClrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 J ~ BUILDING INFORMATION I # of Units: # of Slories: Primary Occupanc)\Wl!1llltlON: Oregon law requi[I,,~i gt of Slructure Se~ondary OCCUP'f~fThi~'ill.~lJi; adopted by the Ore;t;Y. eiJ lr.eal: Primary Conslru\llmmiEYI1!ln Center, Those rules a' ~Jgf uk Secondary Consti1u~iQ!\ 1illll"001-0010 through OA~'Y'JlZ-M'~!: # of Bedrooms: 0090. You may obtain copies of t/j:gR~{I'l!)1: , calling the center. (Note: the tl~e~\'1b1teI Building: ...,,~\...__.I.__. ""_ - ,.,. "'."..'... -. --. ...- -.-.:;:1...... .......u...t ."'.'ll'n..n....\~U Center is 1-800-~:DFN-i1U,OPME~T INFORMATION I Lot Size: Sq Fl I stFloor: Sq Ft 2~d Floor: Sq Ft Basemenl: Sq Ft Garage/Carport Sq Ft Olher: Occupant Load: I n/a Front yard Selback: Side I Selback: Side 2 Selback: Rearyard Selback: Solar Selbacks: REQUIRED PARKING Overlay Dist: ' NOTICE:' 'Total:, # Slreel Trees Rqd: THIS PERMIT SHALL EXJlJ!ndlc=!'p'p'ed: Paved Drive Rqd: r~li..ijicifiE WORK % of Lol Coverage: AUTHORIZED UNDER THIS PtRMIT IS NOT COMMENCED OR IS ABANDONED FOR . ^ ~I\I .oj nn t,\/I\' rr-n.,........ ..1_ ~,. ....r1.\........ I PUBLIC IMPROVEMENTS I Slreel Improvements: Slorm Sewer Available: Special Instruction: Sidewalk Type: DownspoulslDrains: Noles: I Valuation DescriDtio~ I Description Tvpe of Conslruction $ Per Sq Fl or multiplier Square Foolage or Bid Amount . Value ~' I Date Calculaled Page I of2 , ! Status Issued CITY VI' ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-00758 ISSUED: 06/01/2009 APPLIED: 06/01/2009' EXPIRES: 12/01/2009 VALUE: 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line Tolal Value of projecl Fees Pair! I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Dale Paid Receipl N umher $6.96 $2.90 $58.00 6/1109 6/1109 6/1/09 2200900000000000584 2200900000000000584 ' 2200900000000000584 Tolal Amount Paid $67.86 . I Plan Reviews, I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. Re(pJi.rer!lnsnec~jn~s I Rough Eleclric: Prior 10 Cover Final Eleclric: When all eleclrical work is complele. By signalure, I slate and agree, lhat I have carefully examined the completed application and do hereby cerlify lhat all information hereon is lrue and correcl, and I furlher certify lhal any and all work performed shall:be done in accordance with the Ordinances of lhe Cily of Springfield and the Laws of lheSlale of Oregon pe~laining 10 lhe work described herein, and , ' that NO OCCUPANCY will he made of any slrnctnre wilhoul permission of lhe Commnnily Services Division, Building Safety. I fnrlher cerlify that only contraclors and employee~ who are in compliance with ORS 701.005 will'he ~sed ~n lhis projecl, I fnrlher agree 10 ensnre that all required in spec lions are requesled al the proper lime, lhal each addr'ess is,readable from lhe slreel, lhallhe permil card is localed allhe fronl of lhe property, and lhe approved sel of plans will remain on the sile al all times during construction. Owner or Conlraclors Signatnre Date Pae:e 2 01'2 , , t 225 Fifth Street Springfield, Oregon 97477 541.-726-3759 Phone Job/Journal Number COM2009-00758 COM2009-00758 COM2009-00758 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Spripgfield Official Receipt Development Services Department. Public Works Department , ' 2200900000000000584 Date: 06/01/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE OREGON Online ELECTRIC SERVICE ,Payment Total: Page I of I 9:46:58AM Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 6/1 /2009