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HomeMy WebLinkAboutPermit Electrical 2009-7-13 City of Springfield Electrical Authorization To Begin Work E-inailed To: tena@orelectricsen'ice.com 69600-BEL-09-00028 7/13/2009 11:29 am Approval Code: 013610 Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.oLus IS~f; ~ I D NcwConstJUction PI.asecheck all that apply . . ~ . +:~;;,'~1\;.;:P.L:ANTREVU~v,f ';;;."'=~. DHazardousloculions DA serv;<;e 01 feeder raled al 600 amps or.more o AddilionJalteTlIlion!replacemem o A servkeorfeeder beginning al 400 Amps where the available faull curr"n\e~ceed510.000 Ampsal 150Voltsor less to gr(lund excudsI4.000,\mpsroraJlollior installations 1 0' "".mllydw"",, DMuhi-ramiIY' DcommerCial DAcCeSSOry I Job Address: 1554 A ST I City/State/ZIP: SPRINGFIELD, OR 97477 I SuilefbldgJapt.no.: I Project NlIme: I. C""S!""Id;,,,rio", "job,;", I T..m.plp.",]no., \flIJ?:(~_O~ \ O~\~ Ifk~5-;rf'~p~~:":~7~~~ES'CRipJIONr6{wORK~~~:$~'";~~2~"$,~~',~t;4~bl Circuits for remodel DFir~pump> DErilergem;Y5ystems DAddilionofanewmolorloadof 100 HP or more D Six or more residenlial units in one structure o Health care facilities Branch circuits withouI servict: or feeder Name: Jt:ffBrooks Branch circuits each a;1dilional circuil Wilhoul service IElettri~aHie7i'nJ!j~~~_:~;'~: ~'lr.:i'_~ I Subtotal ISlatesurcharge(]2%OfP~rmil IOtal) 1 Technology fee (5% ofpermil t01a]) I TOTAL PERMIT FEE Phone: 541-343-1681 ATTFNT/(I~I. r"onn~ ,~... _h.. f ..., , -~... '~'1~'''''''''''' yvu lU allow rules addB~\.::t4h3^j'!?~~ nrn,...,,,,,,", Il~:r;+, cq -1 \ q }<'ax:541-343-]683 eil)' lie. no.: 1392S HemlanOllar Number of inspections included in Pllidservices: ResidcnlialService: 4 Reconnect Only: 1 All Other Services' 2 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. 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 This Authorization Tl? Begin Work must be posted at the job si1e uhtil replaced by a Permit DBUildings more than threeslOries DMarinasandbo31ynrds DFloalingbuildings DCommercial-useagricuhurnl building~ DlnslaJlalionofal50KVAorlalger seperatelydcrivcdsys O"A" "E"o'r"[-l"or"J-3" . . DRecreationalVehidcparks DSUpply voltage for morc lhan 600 supply volts nominal Qty. $79.00 I $9.481 $3.951 >92.431 ~\L11\3 \eA NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. -~ I'.\..~~ \0 'V-Y (}... Co $55.00 $55.00 4 $6,00 $24.00 \f\rcY\ ~~~~ .~V\ ,.../'J_ v~ 0'" jJ ,> " ,rJ.,. -1.' 'J{ f"C CITY OF SPRINvl' IJ'.,LD Building/Combination Permit PERMIT NO: COM2009-00719 ISSUED: OS/22/2009 APPLIED: OS/22/2009 EXPIRES: 01113/2010 VALUE: Status Iss u ed 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: Plumbing Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Relocate 3 fixtures and I circuit for remodel Residential Owner: . R & R PERKINS LLC Address: 1810 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor OREGON ELECTRIC SERVICE BAXTER PLUMBING & ROOTER LLC License 181997 169028 Expiration Date 05/09/2010 03/13120 I 0 Phone 541-343-1681 541-935-6696 L BUILDING INFORMATION. # of Units: T E~ITION. Oregon law requires j!-;ofStories: Primary occu~anIy. Gro~p'1J.' dopted R,3the OregorHeigl1t1of Structure allOW ni.~-, .....J .. L 1:. ..,j.' Secondary Ocl"upanc"I.]Group:ter Those rules are ffiypCloflHeat: "Guw;m I'll v...., I . - f'\ Primary Construction,r~RlU1_001 0 tiVt~ugh OAR SW'ail!r 1rype: In U"\n.~"- U . f h .'M "'" Secondary Constrljuct\onuT-ype:obtain caples 0 t e Range-Iype: . UUt1 U I."'J I ' # of Bedrooms: caliing the center. (Note: the te e!Elile?gy Path: number for the Oregon Utility Notl~pr1llifled Building: '_ A OAn ')")I)_'J~.1Ll\ 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 ....,........... .- I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: . Compact: NU lICE: I PUBLIC IMPROVEMENTS I Street Impr4~S~~RMIT SHALL EXPIRE IF THE WORK Ii/ZED UNDER THIS PERMIT IS NOT Storm SeweG&MlIl't'IfcED OR IS ABANDO Special Instl1\'i'itjof80 DAY PERIOD. NED FOR Sidewalk Type: Downspouts/Drains: Notes: Paee I on Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00719 ISSUED: OS/22/2009 APPLIED: OS/22/2009 EXPIRES: 01113/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line I V alu~tion Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fe,es Paid I Fee Description + 12 % State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.96 $2.90 $57.00 $1.00 $6.96 $2.90 $58,00 $9.48 $3,95 $55.00 $24.00 5/22/09 . 5/22/09 5/22/09 5/22/09 .6/4/09 6/4/09 6/4/09 7/J3/09 7/J3/09 7/J3/09 7/13/09 1200900000000000522 1200900000000000522 1200900000000000522 1200900000000000522 1200900000000000613 1200900000000000613 1200900000000000613 1200900000000000800 1200900000000000800 1200900000000000800 1200900000000000800 Total Amount Paid $228.15 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspectious 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 Refiillired I os ledioos I 1 ," r. Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all elcctrical work is complete. Page 2 of 3 '~~h~,~;;~~t!!;2J',; ;~ 1 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00719 ISSUED: OS/22/2009 APPLIED: OS/22/2009 EXPIRES: 01113/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-37691nspection Line 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 descrihed 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.readahle 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 Date Page 3 of 3 225 Fifth Street SIJringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00719 COM2009-00719 COM2009-00719 COM2009-00719 Payments: Type of Payment ONLINE CHGS cReceinll Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 1200900000000000800 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS KR Page I of I City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/13/2009 I I :47:30AM Amount Due 55.00 24.00 3.95 9.48 $92.43 Amount Paid ONLINE OR Online . ELECTRIC. SERVICE Payment Total: $92.43 $92.43 7/13/2009