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HomeMy WebLinkAboutPermit Electrical 2009-6-17 City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com R,:,ceipt # EC553R53 6/17/20099:14:26 AM f\\J n. /~ (j-\ Check on status of permit By Phone: (541)726.3753 or Email: permitcenter@ci.springfield.or.us I 0 New construction IX] Addition/alterationlr~placement 10 lor 2 family dwelling D Multi-family [K) Commercial/Industrial IJubllo.: IJob1tddress: 1051 28THST I City/State/ZIP: SPRINGFIELD, OR 97477~4318 I Suitc/bldg.lapt.no.: I Project name: Cross street/directions to job site: ISubdivision: ITax map/parcel no.: 1702312202000 ILot no;: Install 2 circuits for welders I Name: JefT Brooks ) l'hone: (54l) 520-6034 j Fax: 520-6034 I Ema;l, ATTENTION: Oregon law requires you,t,O follow !\!,le$~~(}Tc9R'~tne,<;,' \1.\J~!'Y;!'!!Y.. ,!ii'r,'~'f'j,. I . 1~5fIl'IGcuiu~c..~~ll'ta."~ ~u~c; ~;;';' .;-;'~~ .se~!~trth~' ~at" EI. he. no.: C408 He. no.: I 9~b at::'J nn1 ~1 ~'\~-3::r::: ~ I - - - I Bus;"" Nom" OR~El~ln};~lil\i\\q~iI+~r\nip. of the rilles bv I Contact, -ron. Brooks ,-,~llinn the center, (Note: the telephone [Add,,,,, PO BOX 223f1umber for. the Oregon ,utility Notification City/State/ZIP, EUGENE OR 97Gljlnter IS l-I;jUU-;j;j~-~J""). Iphou" (541)3431681 IFa" (541)3431683 I Emllil: tena@orelectricservice,com II\'letro lie. no.: I Supervising electrician's lie. no.: 1392S I Supen'ising eleCtrician's name: 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 days if a permit is not'obtained. ~ .\f' ~Q'\~t" ~~ 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. ~~~G\:~ " I Description Qty, [1,000 sq, ft. or less [4] I Ea. addl 500 sq. f1. or portion' I-Limited energy, residential (with above Sq. f1.) I-Limited energy, multifamily residential (with above sq. f1.) I - Liniitedenergy, commercia-t not offl::red online at this jurisdiction (with above so. f1.) I ~ Stand-alo11e liniited energy, . resIdential I - Stand~alone1imited energy, multi-family I - Stand-alone limited energy, commercial 1[~~~,~~~~*:!~lrs~~S!~!!A'!!?~iJt~~!jont.~Jip!(j!'x~ii~~~tj~li_,,~~j 1'200 amps or less [2] [201 amps to 400 amps [2 ] 140 I amps to 599 amps [2) 1200 amps or less [21 1201 amps to 400 amps [2] 1401 amps to 599 amps l2] 1;'B~,I~h:cftc~!~'~~~~J1fJ~~il)oiJJi:gBSxf!~'Bi~;:pc~~raJiel "'_~' " ~:I A. Fec. for branch circuits with I Me(tIDE~er fee, each ~hnc~CI[cUlt Bl-oo \J>f1!lt<V1~I,*n~i~!\LL t I\l-'lKt I~ I HlssWlb Hi<. $55001 mt~,a:f1:\~~p;\l1IJm:R 1 HIS PER Mil IS ~ or l(Odc\''\4M~[ibtJR IS A~ANOON:O FcmO $6001 ~1~1~&@iOA,*pPttRIQO$,c"";::':~;~:;';-c;;'~;;.:'~::, II Service reconnect only [2] , I Each rmmufactured or modular dwelling, service and/or feeder J (2J -11 Pump or irrigation circle [2] j I Sign or outline lighting [2] Signal circuit(s) or lirriited- energy panel, alteration, or extension (2)' , ~':<'.:'>> ,.:. .:' .. ..~ ..':..-.''f'''J'....... ... ..,' -,. ",- ..... .... ...,.'.,. ..: ""';.' " .... ,. ffi~~;;:;~~~:;f;~!?H~CTJ3~!8~,.F?ERMITj~FEESt::~,",'~ ' I Subtotal I I State Surcharge (12% of permit fee) I City Of Springfield fees "I I TOTAL PERJ\HT .FEE I .. City OfSpri11gfieJd fees: 5% TechilOJDgy Fee [DeJault number oJinspections alloil'edJ "~kf?JJ[ '. "- '*+~. 14,.; : i $6 LOO I $7,32 I $305 I $7137 I CYl '6l G> kL l.Q[nI01 / This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00876 ISSUED: 06/17/2009 APPLIED: 06/17/2009 EXPIRES: 12/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726~3769Inspection Line SITE ADDRESS: 1051 28TH ST ASSESSOR'S PARCEL NO,: 1702312202000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install 2 drcuits for welders Owner: Address: NORTHUP RANDY PO BOX 70624 EUGENE OR 97401 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 BUILDING INFORMATION I. # of Units: Primary Occupaucy 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Frontyard Setback: 'Ore on law requires9~\Of11!lY Dist: NOTICE: . Total: Side I Setback: ATTENT1ION, d ptged by the oregoM SJ!iMtTrees R~IIS PERMIT SHALL EXPIRfffltiI~~lipl\,lIORK , ~_ru~ao '., . Side 2 Setback~~ ifcation Center, Those rules areP,.;Y~drDnve Rq<jl,UTHORIZED UNDER THISiRf'ffi'.l'W\6 NOT Rearyard setbr~~lR 952-001-0010 through OAR ifo~olJllO! Covera~OMMENCED OR IS ABANDONED FOR Solar Setbacksb090, You may obtamcople~ of.t~:~~I::nbY ANY 1 fin nAY PERIOD, ". calling t11~ Lil;::llll:'l. \,........,...... ...- .- -, mber for tlie Oregon UtililP,ltB\tII<C<IM\'IROVEMENTS I nu 332 . , , Street Improvements: Center is 1.800- -""'....J, , I DEVELOPMENT I,NFORMATlON 1 Sidewalk Type: Storm Sewer Available: SpedaUnstruction: DownspoutslDrains: Notes: I Y~luation DescdDtion I Description Type of Construction $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Paee I of 2 CITY OF SPRINGFIELD Building/Combination Permit , Status Issued PERMIT NO: COM2009-00876 ISSUED: 06/17/2009 APPLIED: 06/17/2009 EXPIRES: 12/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line Total Value of Project Fees Paid I $7.32 $3.05 $55,00 $6.00 6/17/09 6/17/09 6/17/09 6/17/09 Receipt Number 1200900000000000697 1200900000000000697 1200900000000000697 1200900000000000697 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $71.37 Plan Reviews I 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. ' I Re'1uired InsnectionsJ Rough Electric: Prior to Cover Final Electric: When all electrical'work is complete, , By signature, I state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be 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 structure without permission of the Community Services Division, Building Safety, 1 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 pia liS will remaill 011 the site at all times during construction. j Owner or Contractors Signature Date Pa2e 2 of2 225'Fifth Street Springfield, Oregon 97477 541-'726_3759 Phone Job/Journal Number COM2009-00876 COM2009-00876 COM2009.00876 COM2009-00876 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 1200900000000000697' Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt. Development Services Department Public Works Department Date: 06/17/2009 Item Total: <":heck Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS KR Page I of I ONLINE OR Online ELECTRIC SERVICE Payment Total: 9:27:31AM Amount Due 55,00 6,00 3,05. 7.32 $71.37 Amount Paid $71.37 $71.37 6il7f2009