HomeMy WebLinkAboutPermit Electrical 2009-6-4
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.com
Reccipt # EC552997
6/4120098:39:21 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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CATE<tORYOFCONSTRUCTION ,C',
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Description I Qty, J Ea. I Total I
f~~CSi~c~ti~l. S!N 9 L E~' <? J{, i'!Ul~i:rlln! i ~y d;i';~lling' un it: i I iicll~d~s .~~~;r;~':; I
Ilttach~garag~~~."~" ,,' "'{;~':' f . ,-< ,';.," ',~7j;G:' "
II :;~~d~: ;~;:~e:: [~; porllon I' I : ,:
Limit~.Elle~y"'-~~ . ,'<, ~":;.. ....;;. I
I . Limited energy, residential I
(with above SQ, fi.)
I-Limited energy, mul1ifamily I
residential (with above SQ, ft.)
I-Limited energy, commercia-I not offered online at this jurisdiction I
(with above sq, f1.)
I . Stand-alone limited energy, I
residential
I . Stand~a]one limited energy, "
multi-family
, I I . Stand~~Jonc limited ent:rgy, I
commercIal
I I.Sc~.{~' 0I!1~de~,.0siut!~~~~,;'~lle_r~ti~~ZA~Dl8~lf.tlo~cati~~~' ,;' . 'I
I 200 amps or ]ess [2] I
120] amps to 400 a~ps [2J I
140] amps to 599 amps [2[ I
ITEl\-I.~,~RA",', ',H,y:serv,.~,i_~CSO~Jewe~,inS~I,!atiO~, alfe"i-ation; :1 :~I
~AND10R-reloca'tlon;" .. > .'. '::'::.. iI':,~,:;.~ "'(,"~ .'-'::.""; ,
1200'am~s ~-r less [2; ,.. -..... "", ..' ' I
, 120 I i'lmps to 400 <Imps [2] I
I 1401 ampsto 599 amps [2] I
I I.Ur!1-ncb~:ci'1<uits: ~_E\~', altenltiO~:~R'c~t,eDsion;pe!;i)aDel,": .~, I
II A, Fee for branch circuits with I
J'fl service or feeder fce, each
branch circuit
B f~hfor branch CIrcuitS
wiPf<lW- Tcl-ae~r feeder lee,
fiTAmCh CIrCUIt f21
lea:,;-:- ,~~~M~LnSHALL ~PI~~ ~ THE \M~K "I
I 1~I!s~II~~e.u..L{b.U LJNDER,THlS;PFRM[T:TC:,""'il" ...1
I sl,H.i'&'fl!mi;~~l>ms OR IS ,j,BA~lnOi lED Foir- I
I "dWii)\aq'W'V)l\qt <Jl>lllll!<w1 'r I
dwelling, service an'd/o~ l~cM~[.
I 121
I I Pump or irrigation circle (2] I
1 1 Sign or outline lighting [2} I
I Signal Clrcuit(s) or limited. I
,energy panel, alteration, or
extension '21
";':' eLE<<!RIC.4L PERMIT FEES ~;," . , , I
SublOLal $55.00 I
Minimum fee used instead of Subtotal $58,00 I
State Surchar,ge (12% of penn it fee) $6,96 I
City Of Springfield fCl:5;' $2,90 I
I TOTALPEI~l\lIT FU: $67,861
.. City Of Springfield fees: 5% Technology Fee
(Default number of inspections allowed)
kt
$5500
$55001
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[K] Addition/alterationlreplacement
F~(~diEDULE' ,}:
10 New construction
! W I or 2 family dwelling D Multi.family 0 Commercial/Industrial
I~~';' .. , ,; ". ~JqB SITEINfORMA"npN ANDL?>~ATIO~;;" , ."
IJob no.: I Job address: ] 554 A ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4962
I Suitelbldg.lapt.no.:
I Project name:
Cross streelldircctions to job site:
ISUbdiViSion:
, Tax map/parcel no.:
I Lot no,:
]70336]]04603
t -' "':9,$jCR!P.ti()ifOF,vi9RI(~:"\k,~~'l~:~'1;' ': .'~
Remodel circuits
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:~'SITE"CONTACT '4~"~;~
0~....... "--.. "",--,........ .=MO... ,~
I Name: Jeff Brooks
I Phone: (541) 343-168 I
I Email:
I-
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'.," , , '..>,,' AHENTIO ~,' O~RI<c:!OR '.'~"".._'~I '>:m1
1.,. Ik. no.. C408 follow rules adople;'Li:!i..o:i(~~,~)G o]J~0;; 10;,tl1l
!lusl."s Nam.. ijREW~V~l:1:Ri.~W!(\,v,IC;(((C;~hnAR 952-0Gn-
leontaet: Tena B~~~2.n YS~~ ;:~; ;ht~in' conies of th~ ru\eslt>8
IAddrcss: PO BOX' 27}]t];nf) Ihp. center. (I~ote: \I;e telepnD,~l",
IClty/S,atclZlP: Eu!ifiW;1sii\. n4ozl;e Oregon Ulll!\LI:'~"t"',-"'U~""
Phone: (541)343168'1 Center IS 1-'fjiax:""'(s'4'IW43'J'683'
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Email: Icna@orelectricservice.com
Metro lie. no,;
1 Supervising electricilln's lie, no.: 1392S
1 Supervising electrichm's nume: HERMAN OLLAR
I City lie. no.:
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 _1\ .j
days if a permit Is not obtained. ~
The local building department may determine that an ~ 11)
Authorization To Begin Work is null and void if it does not ~V-CA.
meet applicable land use laws and local ordinances. ~\)~ U_ "
Al\~ ~~~i1 \9.' ~~
~ fJO-:'W ~\P
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
ell -11 q
LQIL\I01
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00719
ISSUED: 05/22/2009
APPLIED: OS/22/2009
EXPIRES: 12/04/2009
VALUE: '
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1554 A ST
ASSESSOR'S PARCEL NO.: 1703363104603
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: 'Alleration
PROJECT DESCRIPTION: Relocate 3 fixtures and I circuit for remodel
Owner: R & R PERKINS LLC
Address: 1810 15TH ST
SPRINGFIELD OR 97477
I, CONTRACTORINFORMATlON I
Contractor Type
Electrical
Plumbing
Contractor
OREGON ELECTRIC SERVICE
BAXTER PLUMBING & ROOTER LLC
License
181997
169028
BUILDING INFORMATION I
# of Units: # of Slories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Waler Type:
Secondary Conslruclion Type: Range Type:
# of Bedrooms: NTION: Oregon law requires YO~~I~,yrgy Path:
ATTE les adopted by the Oregon Ut Sllr\inkled Building: nla
tollow ru _'- ___ ,,,100 Me se lUll I
~OotiIAiCRa~~~,~~;'-'O(;10;hrOugh c\.:-oiviil;Or.-MENT INFORMATION I '
m ' copIes U I .. ",
0090. You may obtam Note: the telephone .
Front yard Settiatk:1 the cen~r~~on Utility Notiiic20verlav Disl:
Side I SetbatlUmber for the r1 800.3,<?,2344). # Slreei Trees Rqd:
C nler IS' u_
Side 2 Selback: e Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Residential
Expiration Date
05/0912010
03/13/20 I 0
Phone
541-343-1681
541-935-6696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
, Sq Fl Basement:
Sq Fl Garage/Carport
Sq Fl Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compacl: ,
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk TY~: WORK
THIS PERMIT S~~,~ks~~~ ~~~TEIS NOT
AUTHORIZED UND'trll MI::J en
COMMENCED OR IS ABANDONED FOR
ANY i 80 DAY PERIOD.
Streel'lmprovements:
Storm Sewer Available:
Special Instruction:
Noles:
Paee I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
I V aluation Desc~iptio~ I
Description
$ Per Sq ft
or multiplier
Square footage
or Bid Amount
Type of Construction
Total Value of Project
Fees P~irl ,I
Fee Description
+ 12% State Surcharge
+ 5% Technology fee
fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
$6.96
$2.90
$57.00
$1.00
$6.96
$2.90
$58.00
, 5/22/09
5/22/09
5/22/09
5/22/09
6/4/09
6/4/09
6/4/09
Total Amount Paid
$\35.72
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00719
ISSUED: 05/22/2009
APPLIED: 05/2212009
EXPIRES: 12/04/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000522
1200900000000000522
1200900000000000522
1200900000000000522
1200900000000000613
1200900000000000613
1200900000000000613
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 followiflg
work day.
I Reouirerl Insnections 1
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: Wben all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete,
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00719
ISSUED: OS/22/2009
APPLIED: OS/22/2009
EXPIRES: 12/04/2009
VALUE:
By signature, 1 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 be done in accordance wit~
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 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 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 construction.
Owner or Contractors Signatnre
Pa2e 3 of 3
Date
215 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-00719
COM2009-00719
COM2009-00719
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
. RECEIPT #:
Description '
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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1200900000000000613
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/04/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
kr
Page 1 of I
ONLINE OREGON Online
ELECTRIC
SERVICE
LLC
Payment Total:
8:57:49AM
Amount Due
58.00
2.90
6,96
$67.86
Amount Paid
$67.86
$67.86
6/4/2009