HomeMy WebLinkAboutPermit Electrical 2009-9-4
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City of Springfield
Electrical Authorization To Begin Work
E-mailcdTo:kclly@builde~selectric.com
69600-BEL-09-00I21
9/4/2009 6:53 am
Approval Code: 804074
Check on status of permit
By Phone: 541~726-3753 or Email: permitcenter@ci.springfield.or.us
DHazllfdouslocatiolls
;DAserviceorfeederraledat6~
amps or more
PkasecheckaJ]thalnpply
,0 Addition/alteration/replacement
o A service or fecderbegi.nning at 400
Amps wheie Ihe availabJe fault
currcnlexceeds 10,000 Amps at
J50Vohsorlesstogroundexceeds
14,OOOAmpsforaJ1olher
installations
" I D I or 2 family dwelling
DBuildings more than three stones
DMariilasWldbos,yarw
DFlostingbuildings
o Commercial-use agricultural
buildings
'Olnslallationofsl50KYAorlarger
seper.atelyderivedsys
O"A". "E".or"I-2" or "1-3"
'DRecrestionalvehideparks
o Supply voltage for more than 600
<, supply volts nominal
DMulti-family
DACCesSOry
o Commercial
o Fiiepumps
D,Emergencysystems
o Addiliiin of anew motor load of
lDDHPQrmore
I Job Address: 1650 GLENWOOD BLVD
I City/State/ZIP: EUGENE, OR 97403
I Suite/bldg.lapt,no.:
I Project Name: Sanipac-'
I Cross Street/directions to jOb site:.
1;;;~~~FIT~i~o~}Woll;gif;/"J~~~l7j~1
DSix,ormoreresidentia'unitsinone.
structure
OHealthcarefaciljtjes
I Description
Qty. Ea,
2 circuits for storm wat~r conveyance com2009-01247
I Bfani:hcircuits without sen'iceOf
feeder
IBfanchcii-cuitseaCh additional circuit
without service
$55.001
$6.001
$55.00
S6,00
I Subtotal
1 State surchurge (12% of penn it tOlal)
I Tcchno1ogy fee (5% of permit totar)
TOTAL PERMIT FEE
$6LOO I
$7.]21
$3.05 I
571:371,
Phone: 541-485,0922
Fax:
Email: kelly@builderselec_tric.com
CCBlic. no.: 4296
Elee lie. no.: 20-12C
Business Name: BUILDERS ELECTRlC INC
Contact:
Address: 195 MADlSON ST
City/State/ZIP: EUGENE, OR 97402
Phone: 541-485-0922
Fax: 541-485-4055
Email: FRED@BUlLDERSELECTRIC.cOM
Metrolic,nQ.:
Citylic.no.:
Super"ising l!:leetridao's lie. DO.:
Supervising Electrician's Name:
Number orinspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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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.
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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 To Begin Work must be posted at the job site until replaced by a Permit
Com2J?;f -O/,;t /7
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Status
Issued
225 Fifth Street, Springfield, OR
\54]-726-3753 Phone
'54]-726-3676 Fax
,
541-726"3769 Inspection Line
SITE ADDRESS: ]650 GLENWOOD BLVD
ASSESSOR'S PARCEL NO.: ]703343300800
Eugene
CITY OF SPRINUCf<lELD
Building/Combination Permit
,
PERMIT NO: CWM2009-01247
ISSUED: 68/2512009
APPLIED: 08/2512009
EXPIRES: 02/04/2010
VALUE:
TYPE OF WORK: PIUlllbing Only
TYPE OF USE: Ne~
PROJECT DESCRIPTION: ]nstall sanitary and storm water conveyance
Owner: SANIPACJNC
Address: PO BOX ]0928 ATTN ACCT DEPT
EUGENE OR 97440
Commercial
I CONTRACTOR INFOAA:'ATION I
Contractor Type
Electrical
Plumbing
Contractor
BUILDERS ELECTRIC INC
TWIN RIVERS PLUMBING ]NC
License
4296
17695
Expiration Date
12/] 0120 II
03/11/20 II .
Phone
541-485-0922
54] -688-] 444
BU]LDlNG ]NFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft Isi Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENTlNFOAA:'ATION I
I PUBLIC I~PROVEMENTS I
Sidewalk Type: , . S you to
NT.'()N' Oreaon law reqUlfe . .
ATJE Downspouts/Drams: Oregon Utility
follow rUles aL:Uf""~ ~ ~e rules are set forth
Notification cente~i 6~~rough OAR 952-00i-
in OAR 952-001-0 . co ies oithe rules by
0090.. You may obtam Nofe: the telephone
callmg the cen~I.~ (on Utility Notification
number for the. Ii 8g00-332-2344).
Center IS -, .
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: .
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Paee ] of 3
REQUIRED PARKING
Total:
'. Handicapped:
Compact:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01247
ISSUED: 08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-37691nspection Line
',V~luatio~ Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Jlrn PiiliU
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each Addtl100'
Special Waste Connection
Storm Sewer - 1st 100'
Storm Sewer Each Addtl100'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$31.92
$13.30
$19,00
$76.00
$38.00
$19,00
$76.00
$38,00
$7.32
$3.05
$55.00
$6.00
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
9/4/09
9/4/09
9/4/09
9/4/09
2200900000000000959
2200900000000000959
2200900000000000959
.2209900000000000959
2200900000000000959
,
2200900000000000959
2200900000000000959
2200900000000000959
3200900000000000632
3200900000000000632
3200900000000000632
3200900000000000632
Total Amount Paid
$382,59
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r;equested before 7:00
a,m. will be made the same working day; inspections requested after 7:00 a.m. wili be made the following
work day,
I, R~fI'/;rp~
Underground Plumbing: Prior to filling the trench and including required testing,
Sanitary Sewer Line: Prior to filling trench and including required testing,
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When all plumbing work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
J
Paee 2 of 3
Status
Issued
CITY' OF SPRINGFIELD
lJuilding/C~!mbination Permit
PERMIT NO: COM2009-01247
ISSUED: 08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and 1 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 he made of any structure without permission of the Community Services Division, Building Safety,
1 further certify that only contractors aud employees who are in compliance with ORS 701.005 willibe 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 plaris will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
,
\
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2009-01247
COM2009-0 1247
COM2009-01247
COM2009-01247
Payments:
Type of Payment
ONLINE .CHGS
cReceintl
RECEIPT #:
3200900000000000632
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/04/2009
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
nJm
ONLINE
Pa.ge I of I
builde,s Online
Payment Total:
8:01 :34AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
9/412009