HomeMy WebLinkAboutPermit Electrical 2009-9-18
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricscn.ice.com
Check on status of permit
By.Pi!onc: 541 ~ 726.3753 or Email: permitcenter@ci.spring~eld.or.us
I D New Construction
[] Additionfalterationfreplacement
Pleasechecic all lhalapply:
o Aserv;ceorfeederbeginningat400
Amps where the available fauh
currenlexceeds lO,OOOAmpsRI
150 Volts or Jess 10 ground exceeds
14,000 Amps for all Olher
installations
69600- B E L-09-00 138
9/1812009 12:49 pm
Approval Code: 018171
":J'b0
()./
(j
I D I ,,2 f=iiy dwdli"g
DMUlti.famil_~. ::;0 Commercial
DACl;eSSOry
Job Address: 3000 MAIN ST
City/StattJZIP: SPRINGFIELp. OR,97478
SuiteJbldgJapt.no.:
DFirepumps
DEmergencysystem~
o Addition ofa new motor load of
100 HPormlXC
DSixormoreresidemialuni,sinone
structure
Project Name: B & R Wrecking
Cross Street/directions to job site: South on Main St,just past 28th St.
o Health care faciJities
Total
I Tn.p/p""I""" \r')D1..~\.bO OCT\.O \
1~""L~_!il10ES(;RI~TT6ii[6E;VIORR~tf~l!!!1
Chg out 2 car hoists.
I Description
I Branch circuits without service or
feeder
I Branch circuits I:ach addilional circuit
withoutscrvicc
Name: Jeff Brooks
Pbone: 541-343-1681
Email: tena@orelectricservice.coffi
Fill.: 5417343-1683
I Subtotal
State surcharge (12% of penn it lotal)
Technology fee (5% ofpennil total)
TOTAL PERMIT FEE
CCB lie. no.: 181997
Eleclic. no.: C408
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
Address: PO BOX 2237
City/State/ZIP: EUGENE, OR 97402
I. Phone: 54]-343-1681
[mail:
Metro lie. no.:
Supervuing Electrician's lie. no.:
Supervising Electrician's Name:
Fax: 541-343-1683
City lie. no.:
JJ92S
HennanOllar
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
^~~
\Y'(;j
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with Instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a penn it is
not obtained.
The local bUilding department may .determine that an Authorization To Begin
WOR is null and void if it does not meet applicable land use laws and local
ordinances
1
ConC:-(f7) ?
q /1 cf-/cJ9
.... This Authorization To Begin Work must be posted at the job site until replaced by a Permit
. '. '~
0/.:1 g S
/? .h;)
DHaz.ardouslocalions
DA service or feeder raled a1600
WI1pS or more
DBujldingsmorelhanlhr~estories
DMarinasandlxJatyards
DFloalingbuildinlls
Dcommercial-useagricultura,
buildings
D]nstallationofalSOKVAorlarger
seperalelyderivedsys
D"A'....E",or"I-2" or "I-J"
DRecrealionalVehicleParks
DSUpp,y vo1!age for more thlU1600
supply volts nomina]
$55.00
$6,00
$6.00
$6LOO I
$7.321
$3.05 ,
171.371
~~~
~~~
~
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01385
ISSUED: 09/1812009
APPLIED: 09/18/2009
EXPIRES: 03/18/2010
VALUE:
SITE ADDRESS: '3000 MAIN ST
ASSESSOR'S PARCEL NO.: 1702310000701
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Change out two car hoists
Owuer: KONNIE M PERLENFEIN REVOC LI
Address: 3020 WILDWOOD DR
ALBANY OR 97321
TYPE OF USE: Alteration
Commercial
I CONTRACTORINFORMATION ,I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
BUILDI~G INFORMATIONJ
# 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:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION 1
COMMENCED OR IS ABI\I{PfI~~t90~UJjescriDtion
ANY 180 DAY PERIOD,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Frontyard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC I~PROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
^ IITIIr\n17rn Ilr...ncn TUIC DCDI'IIIIT IQ f\1f\T
Notes:
Description
Tvpe of Construction
Paee I 01"2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
, ATTENTION: OrAqQn law requires you to
f II Downs(!outslDrams: , ,
o C" I u".~ aUUf'It'U uy 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
call1na the centAr (f\]nfp. tho tp[onhnno
I number for the Oregon Utility Notification
, Center is 1-800-332-2344),
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01385
ISSUED: 09/18/2009
APPLIED: 09/18/2009
EXPIRES: 03/1812010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~s Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
9/18/09
9/18/09
9/18/09
9/18/09
3200900000000000655
3200900000000000655
3200900000000000655
3200900000000000655
Total Amount Paid
$71.37
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. witrbe made the following
work day.
I Reouired In1nections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 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 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
Page 2012
225 Fifth Street
Springfield; Or~gon 97477
541-726-3759 Phone
Job/Journal Number
cOM2009-0 1385
cOM2009-01385
cOM2009-01385
cOM2009-01385
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000655
Description
Add, Alter, Extend circ
: Add, Alter, Extend circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge'
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/18/2009
Item Total:
Check Number A.uthorization
Received By Batch Number Number How Received
nJm
Page I of I
ONLINE oregon elect Online,
serv
Payment Total:
1:49:20PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
9/1 8/2009