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Home My WebLink AboutPermit Electrical 2009-8-14 .- " ~ity of Springfield . Electrical Authorization To Begin Work E-mailedTo:kelly@builderselectric.com 69~OO-BEL-09-00075 8/13/2009 4;37 pm Approval Code~ 813 \ 23 Check on status of permit By Phone: 541-726-3753 or El!lail: permitcenter@ci.springfield,or.us o o Addition/alteration/replacement NewConS\ruction I D I or 2 family dwelling o Multi-family o Commercial DAccessory I Job Address: 1401 21ST ST I City/Stale/ZIP: SPRINGFIELD, OR 97477 I Suitelbldg.lllpt.no.: I Project Name: Jcrrys I Cross Street/directions to job site: I Tum.p/p"""". I 'l,03gt;yy) __J};J'tJJ!:::-:. ~..~__ 1~'~0~5);e;f'~1~~~~~5ESCRI~ffbN:01=:rw~:iRK?,;:~~~:Y~~',~~~:;~~ connect sIgn I Name: Kelly O'Brien I Phone: 541-485-0922 I EmaiJ: kelly@buildcrselcclric.com I'''. i "- I [Ice lie. no.: 20-I2C I I I I I I I Me'rolic.no.: I Supervising Electrician's lie. no.: I Supervising Electrician's Name: Fax: CCBlic.no.: 4296 Business Name: BUILDERS ELECTRIC INC '::lOIC::;':; ;NJ (i;;; M g' Contact: UnJ n'~I"IJ.J\.!Yfl\J""" C' "':1_"_' -~- .,j..:lI\CJrr'V'1J"V ../. ~u 3.:Jj/l.J.JLllJVlJUJ Address:J95MAP}~If;lJ"l~ 11")11'-' 0.JlI 1'.......,:1 .....~_...- " . -~j -. ....~ VII 1 w..J\..IPlll \l:JL.IOUN.1IIV C"y/S'ol<lZIP, %~ll'f02" ':.JIJXJ ~ .....~ . Phone: 541.485-09E. - _....).... Fax:lI~UttJ5~i]J\la.Ja ~IH.L .jJ'LUN Email: FRED@BUILDERSELECTRIC.COM City lic. no.: / Number of inspections included 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.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOlE: This Authorization To Begi,:" 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 Please check all Ihal apply: DHazardooslocalions DAserviceorfeederraledal600amps DAserviceorf~derbeginningal 400 Amps wheie the available faull currenl ex,'eed, 10.000 Amp~ a1 150 Volts or1c~~ 10 ground exeeed~14,OOO Amps for all other ins\allalion~ or more DBuilding>",[jrelhanthreeSlOrie~ DMarina~andbcatyard~ DFI,;>atingbuildjng~ DConJme,eial-useagrieuhuraJ buildings Dlnslallationofa150KVAorJarger seperatelyderivedsys O"A." "E"or"1-l"or"I-3" , . ORecreationalVehidePalks Dsupplyvohage for more thilll600 supplyvollSnonJinaJ Dfirepump~ DEmergenCY5YSlem~ D ~ddilion of a n~w mOlor load ~f IOOHPormore DSixo'morere~jdentialunit~inone structure DHealthc'w-efacilities I Description 1~~~~u~'_IC'o_1I1~- oroutlinelig.hting ISublotul I State surchargc (12% of penn it total) !Technology fee (5% ofpenilit total) . I TOTAL PERMIT FEE I '.'1 $63.001 ,I $63.00 I $7.561 $lIS 1 S73.71( KQ. 'b 114-1 D1 '''''., '.'~', cg .llW .(17178G"G88-008"> S! l8\U.8Q UOIIB811110N AI!l!ln u068l0 a~1 lOj Jaqwnu 8uo~dala\ a~\ :8\ON) 'J8\U8::l a~\ 5u!lIB::l Aq S81nl 8~\ jO S8!d08 U!B\qO ABW no" '0600 _ \00-('.96l::l'i0 ~5noJ~\ 0 \00" \00"1:961::1\10 U! ~\JOI \8S 8m S81nJ aso~l 'Ja\U8Q UOI\BOlj!\ON A\ljI\n u05aJO 8~\ Aq pa\dOpB salnl MOllOj o.I'noA saJ!nbal M1J1 uo5aJO :NOI1N311'i .\.\n ( ~~ ~~, ' 9J~rf'. \~.,\)" ~ 'fX.{V ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit: _'~~~~;~~I,~'~.-,_,;;,~"til:l~,~' ';l;, '" ~a' . , ! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01180 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 21ST ST ASSESSOR'S PARCEL NO.: 1703250000802 SPRINGFIETYPE OF WORK: Elec,trical Work Only TYPE OF USE: Ne>>' Commercial PROJECT DESCRIPTION: Connect sign Owner: OLYMPIC LLC Address: PO BOX 26125 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/Hi/2011 Phone 541-485-0922 BUILDING INFORMA nON I # of Units: Primary Occupancy 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 I DEVELOPMENT INFORMATION I . (vV8Z-ZREQillREnJpA]g/<}.!'&wnu A\I[I1[1 Uo58JO 84\ Uj 0 UOi\B8W\ON . Total:) 'J8\U88 84\ 5U!lIB8 8uo"d8\8\ 84\ .v+~.. , '060C ~ , ,Handicapped:.BW no" Aq S8\nJ 84\ 10 S'C~;;'-p'~~1:0'0-IOO-G96 tWO U -100-Z96 1:1\10 4~, ;;~o4i' 'J8\U80 UOi\B8!1'\O~ 4\JOl \85 8~B S81,~J4\ Aq p8\dopB salnJ MOIIOI A\!\lln UD 8J9, . .._. "A'b"... '''''11 N'lll\f Frontyard Setback: 'aOI\:l3d ^\f@mIN"..!~~t: S~de I Setback: \:10:1 03NOON\f8\f SI\:IO 03~I~~rb~~f\IT)'jes Rqd: SIde 2 Setback: Ija~ed Rr~'J1 Rqd: Rearyard SetbaclPN SIllll\l\:l3d SIHll:J30Nn 03o/J~fJt!ot'coverage: Solar Setbacks: >l\:lOM 3Hl:l1 3\:11dX3 ll\iHS 1lll\lCJ3d SIHl .~::~.:~~~ I PUBLIC IMP~OVEMENTS I u~ \\1.)/\ ~U"!' .~;_. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: .' DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01180 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: . 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee, P3id I Fee Description + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 8/14/09 8/14/09 8/14/09 1200900000000000925 1200900000000000925 1200900000000000925 Total Amount Paid $73.71 I 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/lllired Inslleetion, I Sign Electrical: After connection is made but prior to energizing 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 of any structure without permission of the Community Scrvices Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou this project. 1 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 plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Sp'~ingfield, Oregon 97477 541,-726-3759 Phone Job/Journal Number COM2009-0 1180 COM2009-0 1180 COM2009-0 1180 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description Sign - Outline Lighting Each + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 8U:~".PF.~~."_1 '.. k~; -': 1200900000000000925 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/1412009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE BUILDERS Online ELECTRIC Payment Total: 9:26:32AM Amount Due 63,00 3,15 7,56 $73.71 Amount Paid $73,71 $73.71 8114/2009