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
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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