HomeMy WebLinkAboutPermit Electrical 2009-9-17
City of Spriugfield
Qa__:
lit'
Electrical Authorization To Begin Work
E,mailed To: MEAGAN.MEDIBILL@GMAIL.COM
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
69600-BEL-09-00135
9/17/2009 9:10 am
Approval Code: 0 I 0518
I 0 New Construction
o Addition/alteration/replacement
DHazardousloc31ions
DAservi,eo'fe~derraledat600
amps or more
aJl thaI apply:
o A service or feeder beginning at 400
Amps ",here the available fault
currenloxceeds 10,000 Amps at
ISO Volt~ or less \0 ground exceeds
14,OOOAmpsforaJlOlher
installations
o 1 or ~ family dwelling
o Multi-family
o Commercial
o Accessory
Job Address: 3210 RALEIGHWOOD AVE
City/State/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
DAddilionofsl1eWm010rloadof
100 HP or more
Suitefbldg./llpt.no.:
ProjectNllme:
Cross Street/directions t(ijob site:
o Six or more residential units in one
Slructure
o Heahhcareracililies
Tax map/parcel no.:
I Description
1 Services 200 amps or less $81.00 I $81.00 I
'I
IBfanc~ cir,cuits with, service or feeder 6J $6.00 J $36.00 I
eachclrcUlt
IEiic:tB~'~E~~r;i~;F~~~-o"'~;r:::~*r4i'ti'~~~~~r[~@~ttM~1
ISubtolal $117.00 I
IStllle sUfcharge (12% of penn it total) 514.041
!Techllology fee (5% of perri lit total) $5.851
1 TOTAL PERMIT FEE $136.891
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952,001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
200 AMPS'OR LESS SERVICE AND 6 BRANCH CIRCUITS
Name: CHRIS LETURNO
Phone: 541-556-4913
Fax: 541-935-6601
Email: meagan.medibill@grnllil.com
Eleclic. no.: C232
Qq . \3UtJ
CCBlic.no.: 173]14
I Business Name: SUPERIOR ELECTRIC & CONSTRUCTION LLC
I Contact:
I Add",,, 85061 nfilfN~lE-:HWY
I CitylS",./Z1P, 'l'NI!l'IEp:JRR'1I1I1'r SHAI L EXPIRE IF THE WORK
I Phn.d41-556-mITHnRI7Fn IINnF'R"1f-11W'~MIT IS NOT
I Em.;', r:nMMFNr.Fn nR IS ABANDONED FOR
Metrolic.no,: Af\IV 1Rn nAY PI=RIFlffllic, no.:
Supervising Electrician'slic. no.:
Supervising Electrician's Name:
3207S
DIRK TAYLOR
Number of inspections included in paid services:
ResidenlialService: 4
Reconnect Only: I
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
e.maiJed or faxed within one business day, with instructions on how to
schodule your inspection.
\J)~ &-
O-:\.~Q..~
~
NOTE: This Authorization To Begin Work expires within 180 days if a 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 applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
DBuildingsmorethanthree,lories
DMarinas and boat yards
DFloatingbuildings
DCommerciaJ~use agricultural
buildings
Dlnslallationofa150KYAorlarger
seperatelyderivedsys
O"A","E",or"I-2'or"I-J"
DRecreaiionalVehicleParks
DSlIPply vollage rormore than 600
supply volts nOnlinal
I Qty.
E,.
\L~
q III ) D9
/
~. 0',-0
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Status
Issued
CITY OF SPRINGFIELD
Building/Combina!ion Permit
PERMIT NO: COM2009-0I365
ISSUED: 09/16/2009 .
APPLIED: . 09/16/2009
EXPIRES: 03/17/2010
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 Inspeclion Line
SITE ADDRESS: 3210 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221318300
Springfield TYPE OF WORK: Electrical Work Ouly
TYPE OF USE: New
PROJECT DESCRIPTION: Low volt - phone, cable and audio & 200 amp service aud 6 brauch circuits.
Residential
Owuer: BURNETT GARY R & NANCY A
Address: PO BOX 7547
EUGENE OR 97401
I CONT~CTOR INFO~MATION ,
Contractor Type
Eleclrical
Low Voltage Electrical
Contractor
SUPERIOR ELECTRIC & CONST. LLC
DEVLOGIC TECHNOLOGIES INC
License
1731.14
161458
Expiration Date
11/20/2010
09/16/2010'
Phone
541-556-4913
541-913-4487
BUILDING IN FORMA nON.
VB
# of Slories:
Height of Slructure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Spriukled Building:
Lot Size:
Sq Ft 1st Floor:
Sq FI 2ud Floor:
Sq FI Basement:
Sq FI Garage/Carport
Sq Ft Olher:
Occupant Load:
# of Units:
Primary Occupaucy Group:
Secoudary Occupancy Group:
Primary Coustructiou Type
Secondary Couslructiou Type:
# of Bedrooms:
R-3
uta
I DEVELOPMENT INFO~~ATION I
REQUIRED PARKING'
Frontyard Setback: Overlay Disl: Total:
Side 1 Setback':OTICE: # Street Trees Rqd: ATTENTION: OregolJI~IH1IC3~p'eli~ youto
Side 2 Setbacl';:jIS PERMIT SHALL EXPIRE IF THd'=' ive Rqd: lollow rules adoptedciohl~!ict:regon Utility
R d S b k 'oj. C Not'III'cation Center. Those rules are set lorth
earyar e~ll~ ,lORIZED UNDER THIS PERMIT IS . overage:
Solar Setbacks.;'M' U in OAR 952-001-0010 through OAR 952-001-
l,u MENCED OR IS ABANODNFD FDR nnq~ Yn\l mav obtain COp'ies 01 the rules by
ANY 180 DAY PERIOD I PUBLIC IMPROVEMENTS I calling the center. (Note: me lelepnone
. , number lor the Oregon Utility Notilication
Slreet Improvemeuls: Side~ktiF~ilI':1~800-332-2344).
Storm Sewer Available:
Specialluslructiou:
Dowuspouts/Draius:
Notes:
Pa2e 1 00
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: <:::OM2009-01365
ISSUED: 09/16/2009
APPLIED: 09/16/2009
EXPIRES: 03/17/2010
VALUE:
225 Fifth Slreet, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspectiou Liue
I ,valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amouut
Value
Date Calculated
Total Value ofProjecl
Fe.~.. Pa~rl ,
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
Low Voltage - Residential
Miuimum/Adjustment Electrical
+ 12% Stale Surcharge
+ 5% Techuology Fee
Add, Aller, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid'
Receipl Number
$6.96
$2.90
$32.00
$26.00
$14.04
$5.85
$36.00
$81.00
9/16/09
9/16/09
9/16/09
9/16/09
9/17/09 .
9/17109
9/17109
9/17/09
1200900000000001066
1200900000000001066
1200900000000001066
1200900000000001066
1200900000000001073
1200900000000001073
1200900000000001073
1200900000000001073
Total Amouut Paid
$204.75
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 ma~e the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I R~(j1~.irerl.I~'.lle~~.io~.'
Low Voltage: Prior to cover.
Rough Eleclric: Prior to Cover
Final Electric: Wheu all electrical work is complete.
Page 2 of 3
'~~',~~:~~9ig~)~)~F,;Hf44til h
, .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I365
ISSUED: 09/16/2009
APPLIED: 09/16/2009
EXPIRES: 03/17/2010
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 Inspection Line
By siguature, I state aud agree, that I have carefully examined the completed applicatiou and do hereby certify Ihat all
information hereon is lrue aud correct, aud I furtber certify tbat any aud all work performed shall be doue iu accordauce with
Ihe Ordinances of the City of Springfield aud the Laws of Ihe State of Oregou pertaiuiug to the work described hereiu, aud
Ihat NO OCCUPANCY will be made. of auy slruclure wilhout permission of the Community Services Divisiou, Building Safety.
I further certify Ihat ouly coutractors and employees who are iu compliauce witb ORS 701.005 will be used on this project.
I furtber agree to eustire that all required iuspectious are requested al the proper time, tbat eacb address is readable from Ihe
street, that the permit card is localed at the frout of tbe property, and Ihe approved sel of plaus will remain ou the site at all
times during construction.
Owuer or Coutraclors Signalure
Dale
Page 3 of 3
225 Fifth Street
~pringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1365
COM2009-0 1365
COM2009-01365
COM2009-01365
Paymeuts:
Type of Paymenl
ONLINE CHGS
cReceinll
RECEIPT #:
1200900000000001073
Description
Penn Serv/Fdr 200 amps or less
Add. Alter, Extend Circ Ea Add
+ 5% Technology Fee
,t 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page lot'I
ONLINE SUPERIOR Online
ELECTRIC
Payment Total:
9:55:36AM
Amount Due
81.00
36.00
5.85
14.04
$136.89
Amount Paid
$136.89
$136.89
.9/17/2009