HomeMy WebLinkAboutPermit Electrical 2009-6-2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:sde.mpsey@cherrycityelectric.com
Receipt # ~C552794
6/212009 10:20:26 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
0' Addition/alteration/replacement
10 I or2 family dwelling D Multi-family lliJ Commercial/Industrial
-,.. -, --~;J.~ ~7'"t~.~:>&';~ ~iJQ~,@lt~IN~o*'rt~ATJQN:~~pl~p~~jIO.~;~~:~::;i#_:~,<~ j~~'?il
IJobno.: 520933-1661 IJobaddress: 555 INTERNATIONAL WAY I
jCity/StaterLlP: SPRINGfiELD, OR 97477-1098 I
I Suite/bldg.!:lpt.no.: I
I Project name: Symanatec I
Cross street/directions to job site:
I S'ub~ivision:
I T;ix map/parc~'J no,: 1703154000700
I Lot no.:
Remodel mail room
.F",~.....il
,"'Ii",. n.,.,..,!
J Name: Eric Youngstrom
II'hone:
I Email:
I Fax:
I EUie. no.: 37-620C I CCB lie. no.: 91668
I Business N;lme: . CHERRY CITY ELECTRIC
I Contact: stephanie dempsey
IAddrcs~: l59622ND ST SE
I City/State/ZIP: SALEMOR 97302
I Phon" (503)5665600 I Fa" (503)5408147
I Email: sdcmpsey@cherrycityelectric.com
I Metro lie, no,: 2633 I City lie. no.:
I Supervising clcctrician'slic. no.: 3640S
Supervising electrician's name: DOUGLAS S HAYCOCK
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.
11,000 sq, ft. or less [4]
lEa, addl 500 sq, ft. or portion
I-Limited energy, residential
(with above SQ. ft,) .
I-Limited energy, multifamily
residential (with above sq, ft.)
I-Limited energy, commercial
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I - Stllnd-alone limited energy,
multi-fumily
I - Stand~alone limited energy,
commercial
vI\.
t1 }\
(J"\
not otTered online at this jurisdiction
1200 amps or less [2]
120 I amps to 400 amps [2]
)401 amps to 599 amps,{2]
1~1.,:~~I.J.IO~~. J:~'~~~:~c~f,,9~!~.' fr,s~.~r....!~~~!i~~"c~a~!~aQ~,~;."~~'f7,~~~"~:':
0!1I>~~B\t~l~t~~cl}"'~1y~~i?i0+i(/it, ':':'1 .._'_:;'o~~~>; :.::,<_:~y.""";~-J~~",~,?s. o;~
1200 limps or less [2] I
1201 amps 10 400 amps [2] I
li~~~[~~[~];:~~~~~;~li"'ati"09:.QR:ct~01l~na'r\J',aR:elt ;:~;'i,;;,
I A. Fee fo..r branch circuits with
servtce or feeder fee, each
branch Clfcuit
I B: Fee for branch circuits
without service or feeder fee,
first branch circuitf21
each addl branch circuit
$55.00
I Service reconnect only [2]
I E~ch inanufaClured or modular
dwelling, service lind/or feeder
f21
I Pump or irrigation circle [2]
I Sign or outl-ine lighting [2]
I Signal circuit(s) or liinited-
energy panel, alteration, or
extension r21' '
1
I
1
I TOTAL PER1\UT FE[ ,
* City Of Springfield fees: 5% Technology Fee
(Defauft number of inspections allowed)
Subtotal
Stale Surch3rge (12% of permit fee)
City Of Springfield fees *
torAuro'f - Oo7~7
NM b -I -OCJ
$6.00
$55.001
$18.00
NOTE: This Authorization To Begin Work expires within 180
day~ if a permit is not obtained. -')t
The local building department may determine that an . ~ .-fi.
Authorization To Begin Work is null and void if it doe. not ~'J.~
meet applicable land use laws and local ordinances.' \.9:~'
. ~~~ ~0'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
$8.76 I'
$3.651
$85.41 I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00767
ISSUED: 06/02/2009
APPLIED: 06/02/2009
EXPIRES: 12/02/2009
Y ALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
SITE ADDRESS: 555 INTERNATIONAL WAY
ASSESSOR'S PARCEL NO.: 1703154000700
Springlield TYPE OF WORK: Electl-ical Work Only
TYPE OF USE: Remodel
Commercial
PROJECT DESCRIPTION: Remodel mail room
Owner: SYMANTEC CORPORA TION
Address: 20300 STEVENS CREEK BLVD
CUPERTINO CA 95014
I. CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CHERRY CITY ELECTRIC
License
91668
Expiration Date
07/20/2009
Phone
sdempsey@chcr
BUILDING INF<?RM~ TION 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:
.Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATTJ:'t\I'T'I~~I' ("\
f Sictcwalli-Type:regon law requires you to
OllOW rUles adopIed b the 0 . .
NCOiiwnspouts/Drains:. y regon Utility
in OAR 952~OO; :001 0 ;~ose ~u~~~ ~qre set forth
0090 v rou,,,, v",R or,?001
. IOU m bt. .- _v~_
calling Ih ayot aln GOn/GS of the rViss by
. e cen er. (NGle: the 1111; r1~,'e
number lor the Orer"") I :C'.. . .", -'-
,c..elller /s 1-/,,,0<,, ...,., ,,) --......
........0::.....,'"". ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: '
NOTICE:
TUIC' ncnUIT C'UAI I cvnmc Ie TUC IAlnDV
Des~ription
AUTHORIZED UNEIF. yD T1HISt.PFP.Di,flIT IS ~tl.rn I
,..' _ - _ .. a ua ton' escrtn ton
"Oi\f1MtNCE!) OR , .. "'_'_"_~ , v,! '
, \'\/ .' r,r ..." . .
T t"c" !t"" 't'" ,. ,.$PerSq Ft Square Footage
YPC 0 OIlS rue 1011 . . .
. or multiplier or BId Amount
Value
Date Calculated
r
Page I 01"2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$8.76
$3.65
$55.00
$18.00
$85.4 I
Total Value of Project
Fees Pai,d,1
Date Paid
. 6/2109
612/09
6/2109
6/2/09
I Plan Reviews ~
'"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00767
ISSUED: 06/02/2009
APPLIED: 06/02/2009
EXPIRES: 12/02/2009
VALUE:
Receipt Number
2200900000000000595
2200900000000000595
2200900000000000595
2200900000000000595
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made !he same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insoectio~s.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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 he 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 strncture without permission of the Community Services Division, Bnilding 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 readablt; 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 co-nstruction.
Owner or Contractors Signature
Paee 2 of2
Date
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number.
COM2009-00767
COM2009-00767 .
COM2009c00767
COM2009-00767
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:' 2200900000000000595
Date: 06/02/2009
II :02:03AM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ ] 2% Stale Surcharge
Amount Due
55.00
]8.00
3.65
8.76
$85.41
Paid By
ONLINE PERMIT CHGS
Item Total:
Check'Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
ONLINE cherry city Online
Payment Total:
$85.41
$85.41
Page I of I
6/2/2009 .