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