HomeMy WebLinkAboutPermit Electrical 2009-11-5
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City Of Springiield
225 Fifth St
Springfield. OR 97~77.
Phone:;,541~7,26~3753
Email: .p~ermi~n:~.r@Ci.Springfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-09-00229
Approval Code: 073007 11/5/2009 8:38 am
E.mailed To: ~rowvalleyelectric@comcast.net
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I 0 New Construction: . IKI Addition/alteration/replacement
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1010r2familYdWelling 0 MUI~~f~miIY: l&l Commercial 0 Accessory
1~~'i~JOB:,SITE!INFORMATf6NfANomOC~TiON~li~k~i!I!l:il
I Job Address: 760 14TH ST '.;
I Clty/State/Z!P: SPRIN~FIE~.D: OR' 97~77' '. .~;
I suitefbldgJapLno.:
I Project Na~e:
I em.. S"eeUdl.ec1l0ns;' )~b sits; ,
I Tax mapfparcel no.: 1703362205200
repair electrical circuit due to car wreck in building
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I Name: Kathv Gleason
I Phone: 541-689-6177
I Email:
Fax:
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I Elec lic. n~.: 20~317C CCB IIc. no.:
I Business Name: CROW VALLEY ELE~TRIC
I Contact:
I Address: 2952 ALLANE LN STEe
I Ci~-'StateJZIP: EUGENE, OR 974022077
I Phone: 5414<!\~9rICE: Fax:
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Ema,1: MAGDBAV\<EIalA€)".mJM '~~ T' nrp,'119\S ~"T
tlUTHOFlIZW UfJE;~" ,I liE I 'to /,. H-
Mo"ollc, nO':::::~!!mn'.:tp O~ IS Ll13l'lRltmNFD FOR
S",",,,,','nll E~\<jC"~r'lcl1'e.v PERlUi}. .
149834
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Supervising Electrician's Name:
'MARTIN ALAN GRAY
Number of inspections included in paid se'rvices:
Residential'Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon'~ review and approval by your local Jurisdiction, your permit will be e.malled or faxed
within one business day, ~th Instructions on ~ow to schedule your inspection.
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NOTE: this AuthorizatIon To Be~ln W~rk expires Wit,hln 180 days If a permit hi not obtained.
The IDeal bulldln9 department may detennlne that an Authorization To Begin Work is. null and
void If it doeanot meet appllc!,ble land use laws and loca.' ordinances.
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Ploase check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial~use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1.2" or "1-3"
o Recreational Vehicle Parks
D Supply voltage for more than
SOD supply volts nominal
I Description Qty, Total
I Branch circuits without service or $55.00
feeder
I Balance of permit fees I $3,00 I
I Subtotal $58,00 I
I State surcharge (12% of permit $S.96 1
total)
I Technology fee (5% of permit total) $2,90 I
I TOTAL PERMIT FEE $67.86 I
CCi -1533 ~ 11/5)V9
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 bV
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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" Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax .
541-726,37691nspection Line
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01533
ISSUED: 11/03/2009
APPLIED: 10/20/2009
EXPIRES: 05/05/2010
VALUE: $ 10,000,00
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Status
Issued
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SITE ADDRESS': 760 14TH'ST
ASSESSOR'S PARCEL NO,: 1703362205200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Car drove into honse - see attached police report from 10/16/09 Structural and
electfical permits required, Also aNew business sign permit required
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Owner: BRYSON MELVIN PERRY JR
Address: 46833 GOODPASTURE RD
, VIDA OR 97488
I CONTRACTOR lNFORMA T10N I
Contractor Type
General
Electrical
Contractor
, EHLERS CONSTRUCTION INC
" CROW VALLEY ELECTRIC
License
04231
149834
Expiration Date
11119/2010
1211312009
Phone
541-689"6177
crowvalleyelectr
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BUILDING INFORMATION I
# of Stories: Lot Size:
Height of Structure Sq Ftlst Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
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NOTICE: ' I DEVELOPMENT INFORM~I,~~[tles adopted by the Oregon UtIlity
THIS PERMIT SHAll EXPIRE If lftl: """'\ Noi,~c81lon Center. ThOSlllqlQJIIl~NG
, PE M..JIlltnT InOAR952'(){)1'(){)10thriug~OAR952'()()"
F~ontyard s-AmKORIZED UNDER THIS R U~lIY Dist: 0090. You may obtain cWpfthe t;Ules bf
S~d~ 1 Setbacr.OMMENCED OR IS ABANDONED toRreet Torees Rqd: calling the center. (N .~'Ul.j;;~l'" '"
Sld~ 2 Setbac~:\IV 180 DAY PERIOD. Paved DrIve Rqd:. number for the Oregon<U\mlY'N~
Rearyard Set\J!ick: ,', ' % of Lot Cov,erage: Center 181-800-332-2344)-
Solar Setbacks:
# of Units:
Primary Occupancy Group:'
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type: ,',
# of Bedrooms: ,
, B
VB
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Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Notes:
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Page 1 of 3
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01533
ISSUED: 11/03/2009
APPLIED: 10/20/2009
EXPIRES: 05/05/2010
VALUE: $ 10,000,00
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Status ,IssNed,:'
225 Fifth Street,' Springfield; OR;,
541-726'3753 Phone '-;'
541-726-3676 Fax'
541-726,3769 Inspection Line
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I Valuation Descriotion I
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Description T;pe of Const~~c,!!,on
Estimate Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
Total Value of Project
$10,000,00
$10,000,00
11/03/2009
Fees P~id I
Fee DescriPtion , ,
, 1, i
+ 12 % State Surcharge
+ 5% Technology, Fee
Building Permit
Plan Review CommlIndlPublic
+ 12% State Surcharge
+ 5% Tecbnology Fee
Add, Aller, Ext,end Circ
Total Amount Paid
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Amount Paid
Date Paid
Receipt Number
$16,32
$6.80
$136,00
$88.40
$6.96
$2,90
$58,00
11/3/09
11/3/09
11/3/09
1113/09
11/5/09
11/5/09
11/5/09
1200900000000001223
1200900000000001223
1200900000000001223
t200900000000001223
1200900000000001234
1200900000000001234
1200900000000001234
$315,38
Plan Reviews I
St'~uctural Review
11/03/2009
11/03/2009
APP DJB
Engineered repairs, No change of
use, structural or footprint mods.
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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 th,e same ,working day, inspections requested after 7:00 a.m, will be made the following
work day. ' , .
",I Relluired Ins"eefions I
Shear Wall Nailing: Before covering sheathing with finish materials.
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Framing Inspection: ,Prior to cover and after all rough in inspections have been approved.
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Wall Insulation: Prior to cover,
Ceiling Insulation: r'rior to <;over,
Drywall: Prior to taping,
Final Building: After all required inspections have been requested and approved and the building is complete.
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Rough Electric: Prior to Cover
Final Electric: When. all electrical work is complete.
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Status
Issued
Ul i' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01533
ISSUED: 11/03/2009
APPLIED: 10/20/2009
EXPIRES: 05/05/2010
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR. C
541-726-3753 ~hone
541-726,3676 Fax
541-726-3769 Inspection Line 't';'
Bysignatnre, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and c~rrect, and 1 fnrther certify that.any and all work performed shall be done in accordance with
the Ordinances oflheCity of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO'OCCUPANCY willbe 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 nn this project.
1 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'atthe front of the property, and the approved set of plans will remain on the site at all
times during coilstructio..., r .':
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Owner or ContractnrsSignature
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Date
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Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
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541-726-3759 Phone
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RECEIPT #:
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1200900000000001234
Job/Journal Number:'::'-'~ -"i>e~c~ip~i~'~ '1:,
COM2009-01533 Add, Alter, Extend Circ
COM2009-01533 + 5% Technology Fee
C0M2009-01533 + 12% State Surch""ge ,',
Payments:
Type of Payment .
ONLINE CHGS
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cRecei~tl
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'Paid By
. ONLINE PERMIT CHGS
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Received By
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/05/2009
Item Total:
Check Number Authorization
Batch Number Number How Received
ONLINE CROW Online
V ALLEY
ELECTRIC
Payment Total:
9:40:I6AM
Amount Due
58.00
2,90
6,96
$67,86
Amount Paid
$67,86
$67,86
11/5/2009