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Home My WebLink AboutPermit Electrical 2009-10-16 .. City of Springfield 'Electrical Authorization To Begin Work [-mailed To: julie-dpe@comcast.net 69600- BEL-09-00 197 10/1612009 2:01 pm Approval Code: 055600 Check on status of permit By Phone: 541-726~3753 or Email: pcrmitcenter@ci.springfield.or.us . PCAi'fR~VIEWri..~~~~~.':~_.: .a~';J,~~,,~ '~. DHazardcuslocalions DA service or feeder mrcd a1600 amps or mor~ I D NewConstrucuon Plea.<:echeckaJllhalapply: o Addition/alteration/replacement DAserviceorf~ederbeginningat400 Ampswherclheavailablefaull currenlcxceeds 10,000 Amps at 150 Volts or less 10 ground exceeds 14,000 Amps for aJl olher installations DnUildings more than threc slories DMarinas and boal yards DFJoatingbuildings DCommercia'-useagricuhural bulldlngs D,nstaJlationofa'50KVAor,arger seperalclydenvedsys D"A","E".or"I-2"or"I-3" DRecreationalVehicleParks DSUpplyvollagc for more lhlU1600 sopplyvoltsnominaJ I D 1 ,,2 f=ily dwel!;". DACceSSOry DMulti-familY o Commercial o Fire pumps o Emergencysyslcms DAddilionOfanewmo,orloadof JOO HPor more Job Address: 1870 MAIN ST City/State/ZIP: SPRINGFIELD, OR 97477 Suife/bldg.lapt.no.: DSi~ormoreresidentialunitsinone srruclure Project Name: burrito boy Cross Street/directions to job site: o Healthcarefacililies I Tax map/parcel no.: I Description Tot~1 circuilforsign I Branch circuits without service or feeder $55,00 I Balllnce ofpcnnit fees J 3 J I ~lectFi~;i1 '~~;~i~"F;~_~ ~~'?&\'/-:\W':J.11:\1ff';~ -: ;1"?~:<}Jt::~ I Subtotal IStatcsllrchargc(12%ofpcl1nitlotaI) I Technology fee (5% ofpemliltutnl) 1 TOTAL PERMIT FEE $3.00 $58.00 I $6.96i $2.90 ( $67.861. Name:julieford Phone: 541-434-5600 Fax: 541-762-1056 Emili!: julie-dpe@comcast.net !l) IILD \D9 CCf - \3LD2. I Elec lie. no:: C263 CCO lie. no.: 181465 I Business Name: DOUG PALMER ELECTRIC LLC I Coo,,,,: NOTICE: I Add",,, 1368 "ffiIO"t'tl1'MlT SHAlt EXPIRE IF ltIt WUI1I\ " I CUy/S"'e/Z'P ~Ifl'WRIZ€D UNDER THIS PERMIT 15 NUl Phoo" 541,434'f!flMMENCED OR ISaABAtiIOOOED fUR' Em""' JULlE,DA'M'f''l'lID~AV PERIOD. \~ ...j ]:'.--;:.,-".. 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), City lie. no.: MefTolic.no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: Number of inspections included in pllid services: Residential Service: 4 Reconnect Only: ] All Other Services' 2 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. ~_o ,,~?- ~. ~ 1'" %<v0\ ~,c...: ~~ 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 , -~~,@Iifl~'lit,t" Ii ,'r~,'" ~*"~'-t '-'-~;; , ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1870 MAIN ST ASSESSOR'S PARCEL NO,: 1703364200800 PROJECT DESCRIPTION: Sign electric Owner: SUPER POLLO GRILL LLC Address: 1870 MAIN ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01362 ISSUED: 09/1512009 APPLIED: 09/1512009 EXPIRES: 04/16/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor E S & A SIGN CORP License 163470 Expiration Date 03/16/2011 Phone 541-485-5546 BUILDING I~FORMA TION I # 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 I . " . ,~". REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setlj,i'*"",.E' Paved Drive Rqd: ATTENTION: Oregon lilWrliT>g~l~es you to Rearyard !;'I,'tI,L~k', . ..o/!'.llf.Lot Coverage: Nfoll,OW r~les adopted byfhe Oregon Utility Solar SetbUlJS PERMIT SHALL EXPIRE IF THE WlItll\ otlficallon Center. Those rules are set forth . ^blTJ./QRIZ[C 'Jl'''''9 TU'C! DSWAIT Ie:. NQT In OAR 952-001-0010throu9h OAR 952-001- , CO MMENCED OR is ABANPON~ 1IQ1f{' IMPROVEMENTsj':iin';~h~:~t~~~'(~~fel:e:h~'t~:;~~~eDY Street Imp9c~.l100DAY PERIOD. numb~UI~~gon Utility Notification Center is 1-800-332-2344). Downspouts/Drains: Storm Sewer Available: Special Instruction: . Notes: _.1:'... I Valuation DescriDtion I Description $ Per Sq Ft Type of Construction ' or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01362 ISSUED: 09/15/2009 APPLIED: 09/15/2009 EXPIRES: 04/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P,,:id I Fee Description + 12% State Surcharge + 5% Technology Fee Sign - Outline Lighting Each + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number $15,12 $6,30 $126,00 $6,96 $2,90 $58,00 9/15/09 9/15/09 9/15/09 10/16/09 10/16/09 10/16/09 1200900000000001063 1200900000000001063 1200900000000001063 2200900000000001191 2200900000000001191 2200900000000001191 Total Amount Paid $215,28 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, will be made the following work day, I Reonired Insnections I Sign Electrical: After connection is made but prior to energizing Rough Electric: Prior to Cover. Final Electric: When all electrical work is complete. 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 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construct.ion. Owner or Contractors Sign~ture Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01362. COM2009-0 1362 COM2009-0 1362 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001191 Date: 10/16/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received kr ONLINE DPE Online Payment Total: Page I of I . 2:27:32PM Amount Due 58,00 6,96 2,90 $67,86 Amount Paid $67.86 $67,86 10/16/2009