HomeMy WebLinkAboutPermit Electrical 2009-10-9
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dana@jbelectricinc.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
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10 NewConstruction
o Additionlalt,erationlreplllcement
o 1 or 2 family d~~:{~i~f.~;~~:. JO M~i;t:~~.il~ "~f0 Commercial
o ACCCS501)'
IliI!:. '.: ~ .-I~},3oB~SiTE1NFOFiMATioN1ANti'i:ocATION!Jjt~l:'tJ.'2.'fM\;:>~;<;
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'~Job Addre.'ls: liDO SWi~lEY si>:. :Ji:' . '~.
I City/StatcJZIP; SPRINGFIELD, OR 97477~ Xi
I SuiteJbldg.!apt.no.:
I Project Name; Turtle Mountain
I CrossStreetJdirections tojobsitc:
I Tn,p/p"''''',' }'10:.lj)'1DU (JU-=\9"L.-
'~F~Jr.~1ffi:i5[fESS;:RIeTtONlOF1W9BK~~~~~~1:':Z:~~~~
. Add4 brlUlch circuits i'l1",;" ~.
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Name: Toby M
'Phone: 54]-687-2841:'
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Fax: 541-343c6752
Email:
Elce lie. no.: 37-587C
Business Name: JB ELECTRIC INC
CCB Iic. no.:
Contact:
Address: 4685 ISABELLE ST
City/Stale/ZIP: EUGEt'lE - WEST,.oR 974029765 ":'~
Phone: 541-687-5770:'
"
Fax:-'54l-302.8296
Email: JOHN@J8ELECTRI<?INC.COM
Metrolic,no.:
Citylic.no.:
Supervising Electrician's lie, no.:
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential SelVice: 4
Reconnect Only: I
All OtherSelVices: 2
u
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
r schedule your insp~ftlon:.. .
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NOTE: This Authorizatlon'To Begin Work expires within 180 days if a permit is
not obtained.
69600-BEL-09-00172
10/9/2009 7,56 am
Approval Code: 032]39
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Plea.'l~ check allthal aPply:
OHazardousloca~ons
OAs~rviccorfeed~rraledaI600
~mpSOl mOre
. DBuildings more than Ihreestories
DMarinasandboatyards
OFlo3lingbuildings.
OComrnerciaJ.useagricul1ural
buildings
OInstaJlation of a 150 KY A or larg~r
seperately derived sys
D"A", "E", or "[.2" or "J-3"
O'RecreationaJYchicleparks
DSUpp'yvoltageformorcthan600
supply volts nominal
o Health care facilities
$55;00
$55,00
DAscrviceorfeederb~ginningat400
Ampswher~theavui]ablefault
curremcxceeds 10,000 Amps at
150Voltsorlesstoground~xc~d5
14,000,Amps for all (}ther
inslallalions
o fire pumps
D6mergcncysystems
o Addilion "fa new malor load.Qf
!OO HP or more
DSixormoreresidemialunilsinone
structure
Description
Bnmch\:ircuils.wl\hom,crvlccor
feeder
I Branch circlIitseachadditioilal circuit
withoutselVice
$6,00
$18,00
I Subtotal
I State surcharge (12% of permit total)
I Technology fee'(5% of per mil total)
'TOTAL PERMIT .'[1<:
$73,00
$8.76
$3.65
$85.41
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The local building department may determine that an Authorization To Begin
Work Is null and void If it does not meet a.pplic~ble land use laws and local
ordinances ;.;
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
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Issued' .
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0I393
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 04/07/2010
VALUE: $15,000.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .,
541-726-37691nspectionLine, ."';
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SITE ADDRESS:: :., 1100 SHELLEY ST
ASSESSOR'S PARC:EL:NO.: 1703270000902,
Springfield TYPE OF WORK: Com,mercial Miscellaneous
TYPE OF USE: Rem'odel
Commercial
PROJECT DESCRIPTION: Remodel QA Lab
Owner: TURTLE MOUNTAIN,LLC
Address: PO BOX 21938 ,,'" . . ,:,:'
EUGENE'OR 97402
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I ,CONTRACTOR INFORMA m.m, I
Contractor Type '
General
Electrical
Plumbing ,." . '. ..
Contractor
MCINTYRE CONSTRUCTION INC
JB ELECTRIC
, BAXTER PLUMBING & ROOTER LLC
License
3550
104929
169028
Expiration Date
10/08/2011
03/14/2010
03/13/2010
Phone
541-687-2841
541-687-5770
541-935-6696
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, BmLDING INFORMATION I
# of Units: J. "I;, ;
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
F2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ild Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: .
155
IIlB
I.. .~,
: 11'
No
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Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: "
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
., , i P~BLIC IMPROVEMENT~ I
Street Improv~i\ieiits"0N: Oregon'law re '
foi/ow ""e5 ad .. t " qUIres you to
Storm Sewer.,Available: C op ed J;iy the Oregon Utility
.'VVUIIVCttlUIJ enter Th . I
Special Instfll!g!~1\:952-001_00'1 ose lues are set forth
0090 You m 0 through OAR 952-001-
Notes: caliing th ay obtarn copies of the rules by
, ' ""'~ center. (N.ote: the telephone
nu~~e~fOf'the Oregon Utility Notification
, ,~:',' venter IS 1-800-332-2344),
Sidewalk type:
DownspoutsiDrains:
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NOTICE: .,
THiS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Paee I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax...< ..< }.t' '
541-726-3769 Inspec;iioD'Liri~"') "(
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Description
Tvoe of Construction
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Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit, ': 1',''':f 1j' 't:"
Fixture ,~~)r.;~; :;~
Minimnm/Adjustment Plumbing
Plan Revie~ CommlIud/Public
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+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amonnt Paid
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Structural Review' "
09/2112009
CITY OF SPRINlJl'lJ:<.LD .
Building/Combination Permit
PERMIT NO: COM2009-01393
ISSUED: 09/21/2009
APPLIED: 09/2112009
EXPIRES: 0'1/07/2010
VALUE: $115,000.00
I. y ~Iu,atio~ Desc':iDti~n.1
$ Per Sq Ft
,:;or multiplier
Square Footage
or Bid Amount
Value'l
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
ReceiptNumber
$29.13
. $12,14
$184.75
$19,00
$39,00
$120.09
$8,76
$3,65
$55.00
$18.00
9/21/09
9/21/09
9/21109
9/21/09
9/21109
9/21/09
10/9/09
10/9/09
10/9/09
10/9/09
2200900000000001071
2200900000000001071
2200900000000001071
2200900000000001071
2200900000000001071
2200900000000001071
3200900000000000701
3200900000000000701
3200900000000000701
3200900000000000701
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$489,52
I Plan Reviews 1
09/21/2009
APP CJC
Approved as noted on plans
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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. will be made the following
work day.
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L..Urr,,,ir~~ In~r}ections I
Framing Inspection': Prior t~ cover and after all rough in inspections have been approved,
Drywall: Prior to taping.
Rough Plumbing: Prior to cover and' including required testing.
Final Plumbing: Wben all plumbing work is complete,
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Rougli Electric: Prior to Cover
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Final Electric: When all electrical work is complete,
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Final Building: Aft'er all req\lired inspections have been requested and approved and the building is complete,
Paee 2 of3
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Status . Iss~~~;Uf,!f',
225 Fifth Street{Springfield, OR
,,541-726-37~3 Phone:, "
'541-726-3676 Fax ^",,", :.,:
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541-726-3769 Inspection Line',. '.."
CITY OF SPRINGFIELD
Building/C9mbination Permit
PERMIT NO: COM2009-01393
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 04/0712010
VALUE: $15,000.00
By signature, I state and agree, ti!~t) have carefully examined the completed application and do hereby certify that all
information bereon iS,true and'correct,and I furtber certify tbat any and all work performed sball be done in accordance witb
. ., . '~'". ,.'..- .. - . ,--. ~~-
tbe Ordinances'iif ilie(:itj> of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and
tbat NO OCCDi> ANCY' will be made of any structure without permission of tbe Community Services Division, Building Safety.
"lfurtber certify:,tba~"only coutractors and employees who are in compliance with ORS 701.005 wili be used on tbis project.
. Ifurtber agree 'treiisure thata(i're.quired inspections are requested at the proper time, that eacb address is readable from the
. ,'. - ' "'''"
street, tbat the permit card is locatell at tbe front ofthe property, and the approved set of plans will remain on the site at all
times during construction. ' ,
Owner or Contractors Signature
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Paee 3 of 3
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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RECEIPT #:
3200900000000000701
Job/Journal Nu';';b~r~;'c.:~; D'~~.C~ii>tiO~:~:', '.~'~~ ..
COM2009'01393. 'Add, Alter; Exte,ndCirc, .
COM2009-01393 Add, Alter, Extend CircEa Add
COM2009-01393 .+ 5% Technology Fee
COM2009-01393 ',+ 12% State.~ufcharge
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Payments:
Type of Payment
......;.;....
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'faid:By
ONLINE CHGS'" ''',ONLINE'PERMIT CHGS
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Check Number
Received By . Batch Number
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Page 1 of I
City of Spril.gfield Official Receipt
Development Services Department
Public Works Department
Date: 10/09/2009
Item Total,
Authorization
Number How Received
ONLiNE JB ELECT Online
Payment Total:
8:17:33AM
Amount Due
55,00
18.00
3,65
8,76
$85,41
Amount Paid
$85.41
$85.41
10/9/2009