HomeMy WebLinkAboutPermit Electrical 2009-6-19
City of Springfield
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Electrical Anthorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
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Receipt # EC554024 a /1)
6/19120098:10:34 AM (j.'\
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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TvP.E OF.WORK ',:,
o Addition/alterution/replacemenl
I D New construction
I .._ - '..CATE~qRYOF"CONSTRUCT!bN":
D I or 2 family dwelling 0 Multi-family [K] Commercial/Industrial
',,"~JOB'SIT_~!NFoRMATION !\ND~OCAtI9N'"
IJobno,: ELI06694 IJobaddress: 3855 MARCOLARD
I City/Stater/,lp: SPRINGFIELD, OR 97477-7955
I SuiteJbldg.!llpt,no,:
Project name: Leavins Trucking
Cross street/directions to job site:
mlo MARCOLA RD.
Turn LEFT onto MOHAWK BLVD.Turn RIGHT
I Subdh"ision: I Lot no,:
ITax map/pllrcel no.: 1702300001910
~__: '~i = ." D~.SCRIPJIO~ OF ytOR~~~ ~
We are changing out a fuel dispensor
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,.:~., ,SITEC.O"Nl'ACT.
I Name: Beth Pcuijohn
Phone: (541) 345-2838 Ext: 316
1 Emai!: bethp@ehomecomfort.com
1:'i""N5TICEQ'-!~ONT~cTOR,iI:?~j': .
1':1. lic. no.: C357 TII'n ~r;r.1H-4J.I-,:"IFC'!\!~~ rt]~FIF-WJ',-
1 Business Nllme: HP'~SbK;.f!j,rtt 1-iE1\~'IN't:'ix: k11tttj~11~O~!~.!1'1~~~
IConlact: Belh P'll~~"f~L~E; UrJE;,~R,~~I,S!_ER~v~II.") ]~u I
IAdd"''' po'Box'24:\o'sIVIEfJvt:D OR I,) /'\D/'\'~UU]~t:u run
ICHy/Slah.rW': E&l~XE\JI,09~~y' PEniuu.
II)hone: (541 )3452838eX1.316 I FlU: (541 )3023069
II<:mail: bethp@ehomecomfort.com
1 Metro lic. no.:
1 Supervising c1ectr-ician's lie. no.: 5] 39$
I SupervisillJ,: electrician's nllDle: JAMES M CARTER
1 ~';n.: (54 I) 302-3069
ICitylic.llo.:
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 schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days If a pennit is not obtained,
The local buili::ling depart~ent may detennlne that an
Authorization To Begin Work is null and void if It does not
meet applicable land use laws and local ordinances.
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'II,,: "" '!JEE'S~iiEDULE"'", .'1
I I Description I Qly, I Ell, Total. I
1 RC,'Sid,--~ltial' SINGLE,.'_;/qR Dliilti:~lI,' rllil)':dWdlirig~U~I,it., In.C!Ud, e.~}: ' .\1
I a~ht~~eE-g~~~ge '; " . '"11 - .~ _' _'-;.~-
II ],OOOsq, ft. or less [4] I
lEa, addl 500 Sq, ft, 'or portion I
.,~I L:j_~i.ted~Dfrgy .-.'_. ., ~ "~, -~~'f' ~ _ ~,I
I - Limited energy, residential 1
I (with aoovesq, ft,)
I "Limited energy, multiflllnily 1
I residential (with above sq. ft,)
II . Limited energy, commercia"' 1 riot offered online at this jurisdiction 1
(\\'ith above SQ. ft,)
I . Stand-alone limited energy, 1
residentifll
I - Stand-alone limited energy, I
multi-tamilv
1 ~ Stand.~lonc limited ~nt..rgy, [' I'
commercial
I, S~7\~_OIff":~~~I1:!isJil,!utio~;1ti'era~~ori':;~~qJ.Q~"rel~~~~l?" .':. ~"I
1200 amps or less 12J I
1201 amps to 400 amps [2] 1
140] amps 10 599 amps [2J I
1':~~J\1P,Q~, \1{Y;'s~}-v,""~CCS OI~/eed~~i!!sillllllt}~H~:_alierat~?n;i27:'~';;;;"';' ~:'I
A~DJ~~relocllllOn:,,,- ,'" ': . .~~- .( _:... ",-:r,:
1200 amps 0' less [2] I
120] amps to 400 amps [21 I
140] amps 10 599 limps 121 I
I Br:imch circuit~ .:~~W, alte....ttion;g~ eJ.tens~o~.'per pll~c1 1
I A. Fee for bmnch circuits with I I I
service or feeder fee, each ,
branch circuit "
I U,F'~Q'lttllfithfuli)l~Ureg~] ,,,w 1t:I.U"C~5S'm' .'.u $55,001
I w;lh~eJllff\'i'~en[e;;J~IJ:!:>pte by the Oregon llity
llrS\Oral-iCh'CIfcUltr21:__tu r,--,:, ~"I~_~ ,.,..~f....rlh
1 eac~)~:djp.~~t;~J{c;~,t~~ I ;;~:-l;1 t';!-;"~ 1',;~rhiJ:l t.6:P~.I.n01_$6.001
1 !>Ijs.~~~@:~fo~~f;~~\;- ~Hf~r~~h2i8i~si"oftMe,rLiles~6v"-' ,::'.'j
II secv;''l'!:"M~~II~!l'd?Jnter. (Note: thle telephgne I
I I Each P1\:n~\'lSl!!re~&f 'l1qt1!']@re Jon Uti lit , NOll\lCa lion I
~~;Cllmg. """"c'iJdrloMrcft;' 1-: 100.332.: 344).
I
I I Pump or irrigation circle [21 I
I I Sign or outlin~ lighting [2J I
II Signal,Circllit(S) or limited. I
energy panel, t1lteration, or
extenSIon (21
r.~t~^c,_~J'.. .~.~ECTR_ISAF~PERNlIJeFEES i:;T' ~,;:. 1
I Subtotal I $61.00 I
I Stlltc Surcharge (I 2% of penn it reel I $7.32 I
I City Of Springfield fees .'1 $3,05 I
I TOTALPERl\-1ITFEE $71.371
. City Qf Springfield fe~s: 5% Technology Fee
(Defau!1 number ofinspeClions alfowedJ
Cq-'OQ3 KlL; lJIlgloC)
'-~';' -.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY VI' ~ndNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00893
ISSUED: 06/19/2009
APPLIED: 06/19/2009
EXPIRES: 12/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3855 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702300001910
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New,
Commercial
PROJECT DESCRIPTION: Changing ont a fnel dispensor
Owner: LEAVITT TERMINAL LLC
Address: 3855 MARCOLA RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
BUILDING INFORMATION I
Expiration Date
06/25/2011
Phone
(541) 345-2838
# of Units:
Primary Occnpancy Gronp: ,
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
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
i, Total:
, Handicapped:
Compact:
I~U I lilt: I PUBLIC IMPROVEMENTS I ATTENTlo"N: Oregon law requires you to
THIS PERMIT SHALL EA,,, 1~ ,,- ,nc ',un" follovy rules adopted by the Oregon Utility
Street Improvem9l.'i!PfHORIZED UNDER THIS PERMIT IS NOT Noti~t~ml'i~Jxn,~~ Those rules are set forth
Storm Sewer AvaOalMMENCED OR IS ABANDONED FOR in 01li\~~~p'.lglsrDl1li.;t:rough OAR 952-001-
SpeciallnstructioANY 180 DAY PERIOD 0090.. You may obtam copies of the rules by
. callmg the center. (Note: the telephone
Notes: number for the Oregon Utility Notification
Center is 1-800-332-2344).
I Valuation Descriotion I
Description
Type of Construction
. $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 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 Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7,32
$3.05
$55.00
$6,00
Total Amount Paid
$71.37
Total Value of Project
Fees Paid I
Date Paid
6/19/09
6/19/09
,6/19/09
6/19/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00893
ISSUED: 06/19/2009
APPLIED: 06/19/2009
EXPIRES: 12/19/2009
VALUE:
Receipt Number
1200900000000000711
1200900000000000711
1200900000000000711
1200900000000000711
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.
Required Insllecti?ns I
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I 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 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 ofany 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 tha,t 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 Signature
Pa2e 2 of 2
Date
22~ Fifth Street
Springfield, Oregon 97477
541'-726-3759 Phone
ii&i~
Job/Journal Number
COM2009-00893
COM2009-00893
COM2009-00893
COM2009-00893
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000711
Date: 06/19/2009
8:34:00AM
. Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Page I of 1
KR
Amount Due
55.00
6,00
3,05
7,32
$71.37
Amount Paid
ONLINE HOME Online
COMFORT
HEATING
Payment Total:
$7 J.3 7
$71.37
6/19/2009