HomeMy WebLinkAboutPermit Electrical 2009-9-1
City of Springfield
'l'l'!~!'l!:t\l!~~
Electrical Authorization To Begin Work
E-mailedTo:info@think-electric.com
Check on status of permit
By Phone: 541~726-3753 or Email: pennitcenter@ci.springfield.or.us
69600-BEL-09-001 I2
9/112009 2:54 pm
App~oval Code: 551128
\)1\,0
G~{
AdditionJalterationlreplacement
New Construction
[;]
Please check all lhalapply
o A service or feeder beginning at 400
,\mps where rhe availabJe fault
currenlexceeds } 0,000 Amps at
150 Vohs or less 10 ground exceeds
14,000 Amps for allolher
installations
EJ I or 2 family dwelling
o Multi-family
o Commercial
o AcccS50ry
Job Address: 804 C ST
o Fire pumps
o Emergency systems
o Addition ofa new motor Joad of
100 HPormore
City/Stale/ZIP: SPRINGF1ELD, OR 97477
Suitelbldg.lllpt.DO.:
PmjcctName:
DSixormoieresiden1ialuf1it~if1on~
~lru"lule
Cross Street/direl:rions to job site:
o Health eare facilities
I Tunp/p",,"'" \ r").~ \~ .Q~\d::X)
1~~~~~lt~PES~C~f[Ti~N1.0E~W9R~~~~~::$;~~fr~ I Dtseription
Replace 200A panel. Add branch circuits 10 bathroom and office.
I Services 200 arnps or kss
I Subtotal
IState surcharge (12% of permit lOtI II)
1 Technology fee (5% of permit lotal)
I TOTAL PERMIT FEE
StephenSchmiechen
Phone: 541-232-1212
Fa:t: 54]-359-3065
Email: info@think-eleclric.com
Eleclit. no.: 20-500e
CCB lie. no.: 154326
Business Name: THINK ELECTRIC
Contaet:
Address: PO BOX 844
City/State/ZIP: EUGENE, OR 97440
Phone: 541-232-1212
Fax; 541~359-3065
Emllil:.INFO@THINK-ELECTRIC.COM
Metrolic.no.:
City lie. no.:
Supervising Electrician'! lie. no.:
Supervising Electrician's Name:
5382S
StephenSchmiechen
Number of inspections induded 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.
NOTE: This Authorization To Begin Work expires within 180 days ita pennit is
not obtained.
The local building department may determine that an Authorization To Begin
Work is null and void if It does not meet applica.ble land use laws and 10ca.1
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Cornbflfl~ ()/;J75
/7/?'? C////o '9
OHazardou~loeation>
DAselViceorfeederraledal6oo
amps or more
EJBuilding~ more than three slories
DMarinas and boar yards
DFloalingbuildings
DCommereia'.u~e agri,u1lural
buildings
Dlnslallation ofa 150KVA (If lar!:er
sep~ralely denved SY>
O"A", "E". or "f-Z" or "1.3"
DRe,realion~IVehicleParks
DSupp'Y vohage for more than 600
, supply volts nominal
$81.00
$9.72
$4.051
594.77 r
l\)~ If\
<\ .fL,' \=2-
~S<(
~
_~~f"N~~I~t?;
~'l <0
, '
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01275
ISSUED: 08/31/2009
APPLIED: 08/31/2009
EXPIRES: 03/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 804 C ST
ASSESSOR'S PARCEL NO,: 1703351309600
Springfield TYPE OF WORK: Use Initials
TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: Sanitary Sewer Line
Owner: OWNER UNKNOWN
Address: 125 E 8TH AVE STE 400
EUGENE OR 97401
Phone Number: 541-232-1212
I CONTRACTOR INFORMATION .1
Contractor Type
Plumbing
Contractor
RELIABLE PLUMBING & MECHANICAL
License
182964
Expiration Date
11/0112011
Phone
541-689-4235
BUILDING I~FORMATlON 1
# 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 Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nfa
I DEVELOPMENT INFORMATION 1
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o;'-of Lot Coverage:
REQUIRED PARKING
,'Total:
Handicapped:
'. Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I :,
.. f\ I I i:NTln.N: Oregon law'requires you to
I II W rul Sldewalli,Type: the Oreaon Utility
o 0 t;..., ClUVj..Jl"''- ~J oJ
'I t',I'lcat,'oD"-"'M Tr/D-co:i, i18S are set lorth
I' 0 ownspouts raIDS:
in OAR 952-001-U01 0 trlrougn OAR 952-001-
0090. You may obtain copies. 01 the rules by
calling iile center. (Note: the telephone
number lor the Oregon Utility Notification
~._ ... e;('C'. Q"..J'1_0'=!L1Ll\
Notes: NOTICE:
THIS prPflAIT C'" ,', .
AUTHORIZED U'" .~- ~", rnc Ir . .';~ ';,':';;-;;;
COMIvIENCED ONDER THIS PER~I.1Yiiluation DescriDtionl
A . R IS ABANDONED FOR
. ,NY 180 DAY pl'"Plnn, $ Per Sq Ft Square Footage
DescnptlOn Type of Construchon I' I' B'd A
Ofmu tip ler or I mount
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
Total Value of Project
Fees Paid I
Fee Description
+ 120/0 State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$9.12
$3.80
$6.98
$139.50
$76.00
$9.72
$4.05
$81.00
8/31/09
8/31/09
8/31/09
8/31/09
8/31/09
9/1/09
9/1/09
.9/1/09
Total Amount Paid
$330.17
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01275
ISSUED: 08/3112009
APPLIED: 08/31/2009
EXPIRES: 03/01/2010
VALUE:
Receipt Number
3200900000000000613
3200900000000000613
3200900000000000613
3200900000000000613
3209900000000000613
3200900000000000624
3200900000000000624
3200900000000000624
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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\'~; "ed J 1<nections .
11..li1..11 11rI1llIiiIiiiiiiiiiiI
Sanitary Sewer Line: Prior to filling trench and including required testing.
Encroachment: After item(s) have been removed to inspect condition of public right of way'.
Electric Service: ,Approval required prior to utility company energizing service.
"
By signature, I state and agree, that 1 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 shalf be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wo:rk described herein, and
that NO OCCUPANCY will be made of any strncture 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 a.ddress 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
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1275
COM2009-0 1275
COM2009-01275
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Developmellt Services, Department
Public Works Department
3200900000000000624
Date: 09/0112009
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
THINK Online
ELECT
Payment Total:
Page 1 of 1
3:06:44PM
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94.77
9/1/2009