HomeMy WebLinkAboutPermit Electrical 2009-8-4
City of Springfield
Electrical Authorization To Begin Work
E--inailed To; dana@jbelectricinc.com
Check on status of permit
By Phone: 541 ~726-3753 or Email: permitcenter@ci.springfield.or.us
D NewConstruction
o Addition/alteration/replacement
D I or 2 family dwelling
D Multi-family
@commerCilll
DACCeSSOI)'
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City/Slate/ZIP: SPRINGFIELD, OR 97477 1
I
I
I
1
Suite/bldg./apt.no.:
Project Name: Gateway HS Parking Lot
Cross Street/din~ctiolu to job site: 6th & A Street
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Underground parking 101 conduit
Name: John Brumback
Pbone: 541-687-5770
Fax: 541-302-8296
[mail: dana@jbelectricinc.com
Elcelie. no.: 37-587C
Business Name: 1B ELECTRIC INC
CCBlic. no.: 104929
Contact:
Addreu: 4685 ISABELLE ST
City/State/ZIP: EUGENE - WEST. OR 974029765
Phone.: 54l-687-5770
Fa'll.: 54\_302_&296
Email: JOHN@JBELECTRIC1NC.COM
Metro lie. no.:
City lie. nO,:
Supervising Electrician's lie. no.:
Supen'ising EleCtrician's Name:
3872-S
lohnBrumback
Number orinspections inclutletl in paid services:
Residential Service: 4
Reconnect Only: I
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with i~structions 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
c 1--- /0/'0
69600- B E L-09-00056
8/4/2009 I :22 pm
i:
Approval Code: 0 \ 50&6
,
Please checkaJI Ihat apply:
o A service or feeder beginning al
400 Amps where the available fauh
currenlexceeds 10,000 Amps at
ISO Volts or less to ground
exceeds 14,000 Amps for all olhcr
installalions
o Fire pumps
DE~ergencysyslem:;
D,Addilionofanewmotorloadof
100 HPor more
o Six or more residenlialunilsin orie
structure
o Heahhcarefacililies
DUaZm"dousloc8lions
DA service or feeder rated at 600 amps
or more
Dauildings more than IhreeSlories
DMarinasandboatyards
DFloalingbuildings
DCommercial-useagricultural
buildings
Dlns,allationofal50KvAorl8rger
seperalelyderiwdsys
O"A" "E"or"I-Z"ol"I-3"
, "
DRecr~alional V~hicle Parks
DSuPl'ly voltage for more than 600
silpplyvoltsnominal
I Description
Total
l13ranChcifcllitsWithoutservieeor
feeder
I Branch circllilseach addilional
circuilwitholllservicl;:
I Stat!;: sllfcharge (12% of penn it
total}
I Technology fee (5% ofpermil total)
I TOTAl. PERMIT FEE
fr)X
$5.5.00
$55.001
$12.001
$6,00
-,
$3.351
$78.39 I
~~c5\
Ii 1J~~
'fLY
This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~
Com iirtY r {J / () / 0
1/ o~1 t!9 ' 17rY'v-
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Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
-if
Building/C()mbination Permit
PERMIT NO: COM2009-01010
ISSUED: 07/23/2009
APPLIED: . 07/09/2009
EXPIRES: 0'2104/2010
VALUE: $' 150,000.00
SITE ADDRESS: 665 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353110100
Springfield TYPE OF WORK: Paving
"
New.
Commercial
PROJECT DESCRIPTION: Parking lot paving project
Owner:
Address:
SPRINGFIELD SCHOOL DISTRICT 19
525 MILL ST
SPRINGFIELD OR 97477
TYPE OF USE:
Phone Number: 541-726-3246
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Sewer
Contractor
JB ELECTRIC
EGGE SAND & GRAVEL LLC
License
104929
150240
ExpjratjfIU Date
03/14/2010
.,
01124/2010
Phone
541-687-5770
541-485-1515
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
E'
Vlhr
, n/a
Lot Size:
Ii .
Sq Ft I~t Floor:
Sq Ft 2nd Floo'r:
Sq Ft Basement:
Sq Ft Qarage/Carport
Sq Ft Other:
J:
Occupant Load:
:!
I DEVELOPMENT I~FOR!"IATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:OTfCE'
Special Instruction: IV .
TIllS PERMIT SHAL
Notes: AUTIlORIZED UNDE~ ~~~t: IF THE WORK
COMMENCED OR IS ABAND ERMIT IS NOT
ANY 180 DAY PERIOD. ' ONED FOR
Paee I of 3
"
"
,; REQUIRED PARKING
:, Total:
Handicapped:
Compact:
~~~ll:~-1~I~~pe.'.Jr!fgDn law requires youto
". _", _ ^ ~c."tod by the Oregon Utility
'Downspouts/Drams: h 'I ^ are set forth
Notification Cent~r rose I u e~ c.
in OAR 952-001-0010 through OAR ,-,::>2-001-
0090. You may optain copies ot the rules by
calling the center. (Note: the telephone
number tor the bregon Utility Notification
Center i~ 1-800-332.2344).
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01010
ISSUED: 07/23/2009
APPLIED: 07/09/2009
EXPIRES: 02/0412010
VALUE: . $ 150,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Oescriotion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
150,000.00
Value
Date Calculated
Description
Total Value of Project
$150,000.00
$150,000.00
07/09/2009
~ J{pp, ~
Fee Description Amount Paid Date Paid Receipt Number
,;
Plan Review CommfIndlPublic $592.96 7/9/09 2200900000000000777
+ 12% State Surcbarge $20.52 7/23/09 1200900000000000829
+ 5% Technology Fee $54.16 7/23/09 1200900000000000829
Backtlow Device ' $19.00 7/23/09 1200900000000000829
Fixture $38.00 7/23/09 1200900000000000829
Paving $912.25 7/23/09 1200900000000000829
Storm Sewer - 1st 100' $76.00 7123/09 1200900000000000829
Storm Sewer Each AddtllOO' $38.00 7/23/09 1200900000000000829
+ 12% State Surcharge $8.04 8/4/09 3200900000000000564
+ 5% Technology Fee $3.35 8/4/09 3200900000000000564
Add, Alter, Extend Circ $55.00 8/4/09 3200900000000000564
,
Add, Alter, Extend Circ Ea Add $12.00 8/4/09 3200900000000000564
Total Amount Paid $1,829.28
Plan nine: Review
07/13/2009
Plan Reviews I
WI
Steve Hopkins, plannner on project,
waiting for response from Richard
in Transportation regarding
disabled parking space condition.
Initial Review
Plannin2 Review
07/10/2009
07/13/2009
07/13/2009
07/13/2009
APP LLH
APP EMM
No FinaJ'Site Plan required, it will
be covered under existing
Development Agreement for the
existing s:~hool. Steve Hopkins
Planner. "Please call Steve at
726-3649 for Final Site Inspection.
As noted on plans
;'
Structural Review
07/13/2009
07/13/2009
APP CJC
Public Works Review
07/13/2009
07/15/2009
APP EW
No new SDC's
Pa2e 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01010
ISSUED: 07/23/2009
APPLIED: 07/09/2009
EXPIRES: 02/04/2010
VALUE: $ 150,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Rl'ollirerJ Insnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Final Plumbing: When all plumbing work is complete.
Underground Electric: Prior to cover
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
Storm Sewer Line: Prior to filling trench.
Backtlow Device: Prior to covering and provide a copy of the test report on site at the time:of inspection.
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 pertainii.g 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 tbat 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
Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
8PRlNQF1tiELD. " I I 1
r.~~'i.
,-.:.,.. '.,
City of Springfield Official Receipt
Developme,nt Services Department
pJblic Works Department
Job/Journal Number
COM2009-01010
COM2009-01010
COM2009-01010
COM2009-01010
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000564
,
Date: 08/04/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number Ho~' Received
nJrn ONLINE jb electric ,Online
Payment Total:
Page I of I
I :40:05PM
Amount Due
55,00
12,00
3.35
8,04
$78.39
Amount Paid
$78.39
$78.39
8/4/2009