HomeMy WebLinkAboutPermit Electrical 2009-9-21
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: kshoemaker@scofield.nct
Check on s~atus of permit
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I 0 New Conslru~~on 0 .0dditionlalterlltionlreplllcement
I*~ ;~',,:;'f~,,"t~L~CATEG6R~{OFlc'6N-STRUCTI6~if~"1:'::'~~'i.;'~. i ~~''",1';~
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Job Address: 2073 OL YMPi.9 ST ".: '
CityfStatelZIP: SPRINGFIELD,'OR 97477
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SuitelbldgJapt.DO.:
Project Name: LANE.CO: B~~K~R TEST "
Cross Street/direction.; to job site:
Tn m.p/p.ml no,' ' L '7.f;f3r1. ~ C) ~ \tV)
1~~f~~Des:c~I_~fi9~7o~WQ8~~{C~'[g:k~~~1~4';L~~1~,~
REMOVED MAIN BREAKER. OWNER (LANE CO.) HAD BREAKER TESTED.
SCOFIELED ELECTRIC RE-INST ALLED BREAKER.
Name: ERIC SCOFIELD
Phone: 541-686.8612
Fa~:'S41-686-86%
Email: kshoemaker@Scofield.net
~~~~,~~~C6NTAACTOR~1:4~"'!.:;.?:~~'~~~,~nO:~-::~ '~;},?:I
Eleelic. no.: 20.-]C
Business Nllme: SCOFIELD ELECTRIC CO
CCl;llic. no.: 38702
Conlact:
Address: PO BOX 2765
City/State/ZIP: EUGENE, OR 97402
Phone: 54]-686-86]2:
Fax:
Email:kshoemaker@scofield.llet
Metro lie. no.:
City lie. no.:
Supervisinll Electrician's lie. DO.:
Supervuinll Electrician's Name:
42185
ERIC SCOFIELD
Number of inspections included in paid services:
ResidelltialService: 4
Reconnect On]y: I
All gther Services: 2
Upo.n 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 wjthln 180 days If a pennlt Is
not obtained. .
The local building department may determine that an Authorization To Begin
Won is null and void If it does not meet applicable land use laws and local
ordinances
69600- BE L-09-00 143
9/21/2009 4,07 pm
Approval Code: 811210
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Please check BII lhatapply: DHllL3I"doUSlocBtions
DAserviceorfeederbelllnnlngB1400 OAserviceorfeederraledal600
Amps wh~re the available faull amps or more
currentellceeds 10.OOOAmpsal
ISO VolLs or less to ground exceeds
14,OOOAmpsforallOlher
installations
DFir~pumps
o Em~rllency systems
o Addition ofa new motor Joad of
IOOHPormor~
o SIx or more residenlial units in one
structure
o Healthcarefacililies
OBuildinllsrnol~thanlhreeslories
o Marinas and boal yarlls
DFIQatinllbuildings
DCommerclal.useagricuJlural
buildings
DJnslallationofal50KVAorlarger
seperalelydenvedsys
O"A","E".or"'.2"Or"I-l"
DRecrealionalVehicleparks
OSupplyvollagefo~morethan600
supply volts nominal
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1~~~~!:~~-i~.,J$"~~0~~f~~~S~CHEb(ji$~~~~tz::~~~~-'~~-.:~~ ~:'\~,
I Description Ell. Total
IReconllccton]y
1f:!ec.t!_ifll!:...e'rrEltj~e_~s~:~~ '_~~,:~ :~'?1~,.
ISubtolal
I State surcharge (12% ofpcnnjt total)
I Techno]ogy fee (5% of penn it Iota])
. !TOTAL PERMIT FEE
11
$63,00 J
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
~Dllf\ L(j---o=t .:.. () \~,cj 1
\\(y") q )') -0 c.,
$63.00
:P:,:",J- ~,
$63,00 I
$7.561
$3.151
$73,,,1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01397
ISSUED: 09/22/2009
APPLIED: 09/22/2009
EXPIRES: 09/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: '2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Removed main breaker.
Owner: LANE COUNTY
Address: 125 E 8TH AVE
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SCOFIELD ELECTRIC
License
38702
Expiration Date
12121/2009
Phone
541-686-8612
BUILDING INFORMATION'
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
, Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
.J)o~n""""t./Rr.aiWi' I '. t
KT I L.;1'frn.)l:.r.vh:;;~un aw requires you 0
follow rules adopted by the Oregon, Utility'
Notification Center. Those rules are set forth
in OAR 952-.0.01-.0.01.0 through OAR 952-.0.01-
0090, You may obtain cooies of the rules bv
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-8.0.0-332-2344).
Notes:
NOII~i~MIT SHALL EXPIRE IF T~EW\\~ll'dtion DescriDtion I
THI ER THIS PERMII 10 I~U I
.1\UTHORIZED UNO NED ~r Sq Ft Square Footage
Descr1PCtlPv1MENGe\!l~~~tl"AWi9ll or multiplier or Bid Amount
ANY 180 DAY PERIOD.
Value
Date Calculated
Page 1 of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01397
ISSUED: 09/22/2009
APPLIED: 09/22/2009
EXPIRES: 09/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Ph'one'
541-726-3676 Fax' ;
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
9122/09
9122/09,
9/22/09
3200900000000000659
3200900000000000659
3200900000000000659
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 workibg day, inspections requested after 7:00 a.m. will be made the following
work day.
I Repuired Insnections I
Electric Service: Approval required prior to utility company energizing service.
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 ofthe 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 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 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #;
Job/Journal Number ':
COM2009-0l397 .
COM2009-01397
COM2009-0 1397
Description
, Sendee Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
, Paid By.',
ONLINE PERMIT CHGS
,.
cReceintl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000659
Date: 09/22/2009
Item Total,
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE SCOFIELD Online
Payment Total:
Page I of I
9:03:34AM
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid
$73,71
$73.71
9/22/2009