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Home My WebLink AboutPermit Electrical 2009-12-9 ) S.P.11INGiIELD.~.".' L. . <. .,.h,.Ji' ~~" (~,:;'~j ~" t ,,~"::'. ':-O;{E'GOi-l City Of Springfield 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Emall: permitcenter@ci,springfield.or.us :' ~i'~':\::;'":;'...JJ~~ii1~f~~}rlp'E-.Ofl;WOffK!f~~~tf~2J:%}:'SV~:;':Jf~\];iD'~~ I 0 New ConWuction [R] Addition/alteration/replacement I. ':~~::'~~~';-:;'~;~!~ ~;'E~1';iftc~r~q'Qffj~:qE.lj~q~N:S:fB'Cj9Ji;ICi~~4tl~~~~l~'~[~l~~~i~ I D 1 or 2 fanlily dwelling 0 Multi-family [Xl Commercial 0 Accessory 1~:~I~<::;r~~::{~f0f~j:~:;JdBIsl'TEJN1'b'RMAmoNrANDiE6'CATI6N~~~::~~!~I~J!;~'~;{;] I JobAddress:4223 MAINST I City/State/ZIP: SPRINGFIELD, O'R 97478 SuitelbldgJa pt.no.: Project Name: Save A Lot I C'O" St",tJdi"cHo", to job ,it" 42NO & M,i" Tax map/parcel no,: 1702323201900 ',<, .:,?: ',,; /~;,}:" ~:'i;<~~.:~~~~\\~:6'~~~GF~JP.:f19~~~tQj:dW~}~'K::'Y(~i~~~~T:~rftrr~~;~~~1g:~~ Add outletlorATM machine, 1;~~'f;~~L',.~.?1!?~,i~~~f~~~~,ltEJ~Qiff~c;t~1:~~~~;:i;t~;~~~g;~~<~ I Name; Karin Eliasen I Phone; 541-4B1-0291 Fax; 541-461-2340 I Ema~:l"('i;:;/.'''1.'<i~,'';;i1:<t';;i\';'''?'''it.~';:lj':~'8j{. ~'. .~. ''''".'''' ";M'~"".':""".' ".'.". .~'\-'0';10jj.t3'~(lQjj~".:l;""'.:.l ,)"T,'f'~';~.~ ~:~:~ ( , "~, ~;".. 3~': k.\~',1?~5:"('.~.i1,:;,tt#X~.Q~.[f.{AC,T98~~Jt~~~~.,~1is~i~:i;; :~~:L~,,"l~1<<.%~'~ Elec lie, no,; 20-53C CCB lie, no,: 38497 'Business Name; BEACO,N ELECTRIC I Contact: I Address: 2585 ROOSEVELT BLVD . Inn" , --- 1\'..... HI'. I cityISta",zIPf'i!.b!~r,llf,.ll\'l"~~~ll F)(P\R~;~'f';." \~ MOl I PhO",541461~~~u'n~t:l;7ED UNOERFkNMA~OFOR' I Em'''' BEACO~twNi 'pTJ<Jc",ru;9E0R I~ ,,[l?,..~- T:TTiul\\ll~~u.. _1='\"" I 0 D"~ r\:l> v1..', Metro tic, no,: ANY i 8 "'! City lie, no,: I supe~ising Electrician's lie. no.,: '34855 I Su?ervising Electrician's Name: GARY E JOHNSEN Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 AJI Other Services: 2 Upon review and approval by your. local jurisdiction, your permit will be e-mailed or taled within one business day, with instructions on howto schedule you rlnllpection. NC?TE: This Authorization To 'Begln Work elplres within 180 days If a permllls not obtained, The local building department may determine that an Authorization To Begin Work ill nutl and void it It does not meel appticableland usclaws and local ordlnan cell. c q~ 115ft; Commercial Electrical Authorization To Begin Work 69600-BEL-09-00274 Approval Code: 08399C 12/9/2009 10:16 am E~mailed To: keliasen@att.net 1~~;:~~~~t;f"::~::T~~h1>..~]~1~ P"i:ANTREVIEW ~0~.<~'1.,;~~~~1:'J~~':~ :~'i Please check all that apply: o A service orleeder begin'ning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps lor all other o Hazardous locations o A service or leeder rated at 600 amps or more o Buildings more than three stor D Maril1asandboatya'rds o FJoatingbuildings' o Commercial-use agricultural buildings o Installation of a 150 !<:VA or larger seperately derived sys o "A","E",or"I-2"or"I-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal' o Fire pumps D 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 I"'. ""."'.'.:+.":W"" "->.~'"'.." ,-....~. -'." ",P"",-"",.""", ':0'-:~'\.'1 :":.~"j'r~~~~~~il}~i'~.!id~f~.~\S~Ij~P_U lJ;;!:R:~:~~~ ~,,( ~{;'~';'';;~ :'~'<. I Description ,I Qty. I Ea, I Total IEHanc'ti~iYC,~i(s:~J;~~~~~,~~f.:.,~tM=~:'~~3'~~~?; '~~/~'M:~.'S..~;:{~:I I Branch circuits without service or I $55,00 I $55.00 I leeder IM,is'~~IL~'5}i.o.~_S:~~;~~~1k~r7~:~:t~~~;f~'i~~t~;'f::,::~~~',ff:f~;*'~1 I Balance of permit fees J J J $3.00 I I~J~.~ti-(~~'I;p'erflIL(E'~~s~~~1f.~~~f:j~1~~if:;;..g~:;~~i~;r~,~:t~jl I Subtotal $58.00 I State surcharge (12% of permit" S6,96 total) I Technology fee (5% 01 permit total) $2.90 I TOTAL PERMIT FEE $67,86 CCl- \iSLP ~ ILler/DC) ATTENllON: Oregon laW reqU~~~ fonow rules adopted by th81~~e~e set lorth Notification Center. Ththose Nh Ou. 952-001. OAR 952-001-0010 roug "" .... In obtain copies of the Nles vr 0090. You may nter (Note: the telephone calling the C8 . Utility NotilicaliOA number for the pre~~~""').2344) 9\. Center III 1.....- &<.0 \<};\\9 ~ v-.9R ~. ~~ .\~\D ln~pections Phone: 541-726.3769 This Authori?ation To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01756 ISSUED: 12/09/2009 APPLIED: 12/09/2009 EXPIRES: 06/0912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4223 MAIN ST ASSESSOR'S PARCEL NO.: 170232320]900 Springfield .TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add one outlet for ATM machine Owner: PFEIFER VIRGINIA E TE Addrcss: 18]0 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR ]NFORMA TlO~ I Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 Expiration Date 01/]0120]0 Phone 54],461-0291 BUILDING INF?RMA TION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Constructiou Type Secoudary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Eil....g{P,ith: S,irinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ilia REQUIRED PARKING Front yard Setback: Overlay Dist: T01~1: Sidc I Setback: # Street Trees RqdATTENTlON: Oregon law ~~IfImKi~ Side 2 Setback: "::.' ><,'" Paved Drive Rqd:foll.ow ~Ie. adopted bYth~~'~~f~ ReU)'jIfPrS;clback: WORK % of Lot covCl'lllftlptiflcatlon Center. Those ru es Solll\~S~Iff'atk.s; L EXPIRE If THE 10 OAR 952.Q01..()()1 0 through OAR 952-001. TI-lIC, PtKIVIIT SHA~_ _\ II\' DCQM\T IS NOT QllaQ V?~I ms'{ obtain ceDiel oftherulea by AUTHORIZEU UIWC" 'BANDONED FOr;'UBLlC IMPROVEME~;.'" the center. (Note:.\!IB 'BI~l.lIlUlllt r:nMMENCED OR IS A '. /" .IIer for the Oregon Utility Notification StrtJ,t~~'tl''D'Aer\'ER\OD. CellIltIIbl~.2344). Storm Sewer Available: DownspoutslDrains: Special Instruction: I DEVELOPMENT INFORMATION I Notes: I Valuation Descriution , Description Type of Construction $ Per S'j 'Ft or multiplier Square Footage or Bid Amount Value Datc Calculated Pa2e I of2 ~S....;,~..N 9 !"i'1l'l"2,.,... ........... WR: . l' ~ " ~ ( ." ..~.,.....L co' . f ", r ~ '~, , . .r ,; ',.... ,'.., ."'-'0..,,, - Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01756 ISSUED: 12/09/2009 APPLIED: 12/09/2009 EXPIRES: 06/09/2010 VALUE: 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid I Fcc Description + 12(X, Stute Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number 56.96 52.90 558,00 12/9/09 12/9/09 12/9/09 1200900000000001318 1200900000000001318 1200900000000001318 Total Amount Paid 567.86 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. will be made the following work day. Reouired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is cOn1plete: By signature, I state and agree, that I have carefully examined the completed application and do hCl'eby certify that all information hereon is true and correct, and I further certify that any and nil work performed sh~1I be done in <lcconlllncc ",,'jth the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUI)ANCY will be made orany structure without permission of the Community Services Division, Buildirig Safety. I further certil)' fhnt only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure thut all ~'cquired inspections arc re(IUested atthe proper time, that each address is readable from the street, that the permit card is loc11ted at the front of the property, and the approved set of plans will remain on the site at all times during construction. O\\'nel" or Contractors Signature Date '" Paee 2 01'2 22'5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1756 COM2009-0 1756 COM2009-0 1756 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ".;!'I"'''~'.~_.'I.''.'''''..:',. ,AI...., : ~" ~ ' ',""',." ,,'--- - City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001318 Date: 12/09/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received kr ONLINE Beacon Online Electric Payment Total: Page J of J 10:54:00AM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 J 2/9/2009