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Home My WebLink AboutPermit Electrical 2009-6-1 City of Springfield Electrical Authorization To Begin Work .E-mailedTo:tena@orelectricservice.com Receipt # EC552666 611120098:25:22 AM 0f\ 0>.../'(( () Check on status of permit By Phone: (541)726-3753 or Email: permilcenter@ci.springfield.or.us I 0 New construction [K] Addition/alteration/replacement 10 I or 2 family dwelliilg D Multi-fam!ly [K] Commercial/Industrial '-'-. IJob no.: IJob address: 995 HAYDEN BRIDGE RD !City/StatcrLIP: SPRINGFIELD, OR 97477-]583 I Suite/bldg./apt.no.: I Project name: Cross streeUdirectiolls 10 job site: ISubdiyision: 'Tax mapJJlar~clllo,: 1703261200100 I Lotno.: 2 feeders & 20 circuits for remodel I Name: Jeff Brooks I Phone: (54\) 520-6034 I Emllil: IF." IEl.lk,no" e408 THlS-D",D~1IT('H~11~?~ ~ . I Bus;ness N.me: O'Wlq~~l-ffiii<-I6 ~~~}'r\~q.<,,' ,:",~...' '~: ~, ~! Ic, WOOf. I I'L MfLL :;I~J:"I i, 'v rt.r.fVl,f ,-s--N6i Cunl.et, T,,,. Bcooi"'mn~nr;:~l('~n "n '" ADA! 0 -- I --, JEt:t-;;;; dOMED Fun Add",,, PO BOX1t!?Jv i 20 !;-,W l'CnI:lD I City/StatelZlI': EUGENE OR 97402 . IPhone: (541)3431681 IFax: (541)3431683 I Email: tena@orelectricservice.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: ]3925 I Supcnisillg electrician's name: HERMAN OLLAR Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business day, with instructions on how to sche~ule ~our inspection. 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, (\\~~~ 0....\,'> ~ ~. , ~~ , ~0' I Description .I Qt)'. l Ea. I Total II){~~J~gU~I",$IN""q~~:;9JflgUIHf~~iIY~d~'CJli~.g:ii~it~Inclu~c~~ ~:? . :.~'I ta!t~c,~t~ig~rag~",:~, ;>~ !l?iv1'h;,z%.;::,~,: "".7~;ip~\~1:Y'<:: _ ; '11,Ooosql\orless[;I- " I 1 Ea. addl 500 sq. ft. or portion 1 ItLl~i"i~,~;Ellffjy~.* \ . Limited energy, residential (with above Sq. ft.) I - Liniiled energy, multifaiTiilv residential (with abovcsQ: ti.)' I-Limited energy, commerei,;l not offered online at this jurisdiction (WIth llbove sq. ft.) I . Stiuid-alone limitcd cnergy, residential I - Stand-alone limited energy, multI-family I - Stand~alone limited energy, commercial 1200 .mps or less [2] 21 $81.001 $162~~11 1201 amps to 400 amps [2] !40Iampsto599amps[2] \ J 1 1("1, 'I<:, M, ',)0, RA, ',R, Y",,~serviccs:Olffl>e'(,1 ers,,' :i1lst,", 1,1i:i-iion': alt~raiil)~t<,';);,;l}W,'~:;(,',',1 ~ABij/9~~j~ro,f~.H~!1#3~';~i::"~~~:~~~,;:+k{'1jl:;~~'-_~i}f~~:::';~_~::\ .;-;~ 1200 amps or less [2] 1201 amps to 400 amps [2] 1401 amps to 599 amps [2] I II~r~~{ti_~~~rc_u~t~. ~'E\Y;-~_~~:~~t~~~~i~~',~X.~~SiOi!~;pe'fpanC'":'\~t::.~ IA,reefor,,"M'h:md"il;l~'ihLJl1~ ,0 v~IVo ~~~i~~~1c~r~:~~~~~~,,~te~h~O '~II~~:~~ ~ lit B, Fee f?fbrhiltff'c\\t'rilt\ v-1_oCt'1 O'ih - h OAR ~52-001. w"ho., l,rGNi\J9iija-lil,Q rou ~ first bm~hlci"u;t'f?lt I mRV ot tain coP!es of the rules by ,,,,h addl b[<!,i'!iNFi~'il1e cent~r. (Note~ the tele.phone , Ir~'!s~el.~~Fl'iimtJePf9Ntl1~e..lOL~99Jl~g!~l~Y~I~:\l!!!,\,Q,i'fl~9,!l1." IServicereconnccton~'fiJter IS -I.OUU-v_'),-'v........). . 1 I Each mamli"acturtd or modular I dwellmg, service and/or feeder 121 I Pump or irrigaiion circle [21 1 I Sign or outline lighting [21 I I Signal circuit(s) or Ii,mited- 1 energy panel, alteratIon, or extension r21 ' I Subtotal I State Surcharge (12% ofpcnTiit fee) I City OrSpringlieJd fees * I TOTALPER,'"T FEE, * City or Springfield fees: 5% Technology Fee [Defaull number of in spec lions allowed! $282,00 I $33.84 I $14,10 I' $329.941 CCJ -15'1 lY l~l OCj K-Q.. This Authorization To Begin Work must.be posted at the job site until replaced by a Permit _6l'li1ll1fl!~,"IIilI:D_' 11 {\ Q.; /6' (/1 P' IJ) (' '&(1'.:...-' rnP CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: CQM2009-00757 ISSUED: 06/01/2009 APPLIED: 06/01/2009 EXPIRES: 12/01/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 995 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200100 Springfield TYPE OF WORK: Eleclrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: 2 feeders and 20 circuils for remodel Owner: REVOCABLE LIVING TRUST Address: 34725 DEVONSHIRE DR EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type Eleclrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Phone 541-343-1681 BUILDING INFORMATION' # of Unils: # of Slories: Lol Size: Primary Occupancy Group: Height of Slruclure Sq Fl Isl Floor: Secondary Occupancy Group: Type of Heat: i}!~l 2nd Floor: Primary ConsWGIfU:Erpe Waler Type: ATTENT'S! 'ICJi~~~h't':" requires you to Sec?ndary cOffii~~tRM'j!tCSHALL EXPIRE IF T~'\~()RWe: '~~~j~~a~~S ~P~'Aitl 0~!9~Y~~~~~~e~~~;ih # 01 BedroomsA' UTHORIZED UNDER THIS PERM~'m!f,Yrfl'lh:. . ~m AR 95~'b8f-&b~ ihr u hOAR 952-001- 1,J;\IIkled BUlldmg: ',aO Y c"nanl oam ,9 ('nMMj::~lr,i=n '1R I~ ARANDONED un "'. OU ay'ODlal copies of the rules by ANY 180 DAY PERIOD c~""" '\l"l~ c~mer. t'~OIe: me relepnone . I DEVELOPMENT INFORMATION "1Imber for the Oregon UtiliIv No,tjficaliDn Center is ~llW~Bt-~34'%f.KlN(; Overlay Disl: Tolal: # Slreet Trees Rqd: f!andicapped: Paved Drive Rqd: Compacl: % of Lol Coverage: Fronlyard Selback: ' Side I Selback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Slreel Improvemenls: Slorm Sewer Available: Special Inslruction: Sidewalk Type: Downspouts/Drains: Noles: I Valuation Descriotion I Description Tvpe of Construclion $ Per Sq Fl or multiplier Square Footage or Bid Amount Value Dale Calculaled Paee I 012 _SI~,J!lI,!tgl!'~,~, i' I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 In spec lion Line Fee Description + 12% Stale Surcharge + 5% Technology Fee Add, Alter, Exlend Circ Ea Add Perm Serv/Fdr 200 amps or less Amounl Paid $33.84 $14.10 $120.00 $162.00 Total Amount Paid $329.94 Tolal Value of Project fe,~~ P~~d I I Plan Reviews I Dale Paid 611109 6/1/09 6/1/09 6/1/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00757 ISSUED: 06/0112009 APPLIED: 06/01/2009 EXPIRES: 12/01/2009 VALUE: Receipl Number 2200900000000000581 2200900000000000581 2200900000000000581 2200900000000000581 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. Reouired [nsnectinns,l Rough Eleclric: Prior 10 Cover Final Eleclric: When all eleclrical work is complele. By signature, I slale and agree, lhal] have carefully examined lhe compleled applicalion and do hereby cerlify thaI all informalion hereon i'-lrue and correcl, and I further certify lhat any and all work performed shall be done in accordance wilh lhe Ordinances of the City of Springfield and lhe Laws of lhe Stale of Oregon perlaining 10 lhe work'described herein, and lhat NO OCCUPANCY will be made of any slruclure wilhoul permission of lhe Communily Services Division, Building Safely. I further ccrlify lhal only conlraclors and' employees who are in compliance wilh ORS 701.005 wilIbe used on lhis project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that lhe permil card is localed allhe fronl of the property, and lhe approved sel of plans will remain on lhe sile al all times during construction: Owner or Contraclors Signature Paee 2 of2 Dale 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00757 COM2009-00757 COM2009-00757, COM2009-00757 Payments: Type of Payment ONLINE CHGS 1 ./ cReceintl RECEIPT #: kki~ City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000581 Date: 06/01/2009 9:01 :SOAM Item Total: . , Check Number Author:izatioll . Received By Blitch Number Number How Received Amount Due 162,00 120,00 14,10 33,84 $329,94, Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Tech~ology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid KR ONLINE OREGON Online ELECTRIC SERVICE Payment Total: $329,94 $329,94 Page I of I 6/1/2009