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Home My WebLink AboutPermit Electrical 2009-12-18 ~ SP~..I~~~E"L~D .,. ,I~-!; . 1>'l>.to:-",_ ,,,. ;:.. OREGON City 01 Springlield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci,spnngfield,or.u5 Commercial Electrical Authorization To Begin Work 69600-BEL-09-00295 Approval Code: 03396C 12/18/2009 12:54 pm E-mailed To: keliasen@attnet . ;:':,.' PLANREViEW'.,. ...'....:.. 1I I~~ fF ,:~".> .- ~~~;::~. . '~ ~iYp~OF=WORKr.:?:; .:-:~r4";,?'5\L:": '- :~?~-;-,~1 I 0 New Construction [[] Addition/alteration/replacement II". ;. :'f~;"c;\ .cAii;G'ORYLOFXCONSTRlJC'rION" ;~iiC;;:"';'*,,~'?3: I 0 1 or 2 family dwelling 0 Multi-family lRJ Commercial 0 Accessory It . .,~",JOB SiTE INF.ORMk.TION 'AND]i..OCATIOt(',..y-?',; I Job Address: 1376 MOHAWK BLVD I City/State/ZIP: SPRINGFIELD, O~ 97477 I Suite/bldg.lapt.no.: I Project Name: Mohawk Chevron I Cm.. St,eeUd,,.,t'on. to job .ite: Between 13th & 14th n Mohaw Blvd I Tax map/parcel no.; 1703253310003 . ~j,E:"j'lDESC'RIPJ'IQNlQF.,:1/V6~K '\;"" Replace canopy lighting "'1": ;:::?'Z- SITE:(G.qNJ ACt~~~);.~>~')f'~:~.t~:";:X' .:.~~~~i~,_ '1 Name: Mike Huahes I Phone: 541-461-0291 I Email: ItV' Fax: 541-461-2340 .Ii-, "'~f' CONTR.6,CTORC" I Elec lIc. no.: 20-53C I Business Name: BEACON ELECTRIC I Contact: I Address: 2585 ROOSEVELT BLVD I c'tyIState~1P,JEp!€~ OR 974022500 I Phone: 54TJ~jai,RERMIT SHALL EX~iR~ff6'>>E WORK I Email: BE..:6b~~l~CtlileJMtffi~R THIS PERMIT IS. NOT I . (:~.~~~~:;~c;:[, un i0 MDMI\JullI\lt"}J run. Metro hc, no.,; , 1"n n ^v ..... City Iic. "If.. -.,y;'( .. ~J~~!~r.. 3485S CCB Iic. no.: 38497 ._'~>;::'l" . SUlJ!lrv!sing Electrician's lic. no.: Supervising Electrician's Name: GA~Y E JOHNSEN Number of inspections Included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, your permit will b~ e-malled . or taxed withIn one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained, The local building - department may determine thai an AuthorizaUon To Begin Work Is null and void If it does nol meet applicable land use laws and local ordInances. ~~-:~ Hj Please check all that apply: D A serviee or feeder beginning at 400 Amps where the available faull eurrent exceeds 10,000 Amps at150 Volts or less to ground exceeds 14.000 Amps for all other (/q. I g ID o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings moie than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Inslallationofa 150 KVAor larger sepera,tely derived sys o ftA", "E", or "1-2" or "1-3" o Recreational Vehiele Parks o Supply voltage for more than 600 supply volts nominal Ea. J :. 1 ~,:;;,- . .~I ,I D Fire pumps D Emergeney systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure D Health eare facilities . > 1'i),,,FEESCHERlJLE~.. I Qty. I I Description IBra~-eh~clrcuit5:: .; ";~{~~ I Branch circuits without service or feeder I Branch circuits each additional circuit without service I!=Jearieal.Pe~jtFeesj~~::r' b I Subtotal I Stale surcharge (12% of permit total) I Technology fee (5% 01 permit total) I TOTAL PERMIT FEE c.q - \~\O Total ..,.;i--,,~ $55.00 $55.00 I $12.00 I I 2 $6.00 ....~,. :~,. $67.00 $8.04 $3.35 $78.39 '?t \ '} 1 \ ~lpq~ ATTeNTION: oregon laW ~es~:V follow rules adopted by the les~e set forth Notification Center. Those IUh OAR 952-001. 952-001-0010 throug In OAR btatn copies of the rules by 0090. You may ~er (Note: the telephone =r~::e Oregon UtlI"l:~~ Center 1lI1.j00.332- ." l/~ ~ \..V' t'>._/& ~ '(CT ~ ~~ Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~ 'vP ~~ 0 .'\; \.\0 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01810 ISSUED: 12/18/2009 i APPLIED: 12/18/2009' EXPIRES: 06/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1376 MOHA WK BLVD ASSESSOR'S P-:\RCEL NO.: 1703253310003 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residentiat PROJECT DESCRIPTION: 3 circuits to replace canopy lighting Owner: STULTS CARL JAMES II Address: 90142 HILL RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electricnl Contractor BEACON ELECTRIC License 38497 Expiration Date 01/10/2010 Phone 541-461-0291 BUILDING INFORMATION I # of Units: Primnry Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: . Energy Pnth: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a . I DEVELOPMENT INFORMATION. . . ATTENTION: Oregon law reqtlltlileYil8lW PARKING ~;:en?'~:~b~rg~~~~:MIT SHALL EXPIR~';~;;:~'~li ~:::~ I :lrc::~~~:~~~~e~h~~~h~I~I.r~~ Side 2 Setba'~k':THORIZED UNDER THIS PERMIT l&N@lDrive R'~' ~,,952'()01-OObta1~thrOulgeh ~t.s by- S 'b~"""ENCE . . 1" ,oumayo mcop S 'rule Rearyard . et,,~/ck. 0 OR IS ABANDONED FliR of Lot Cove, ling the center. (Note: the telephone . Solar Setbacks.. 180 DAY PERIOD. nurnberfor the Oregon UtilityNotificatlon ""lIlll:fl .. I-VV~.."'""""'I. ., I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoulslDrains: ,.- Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Catculated Paee I of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued , PERMIT NO: COM2009-01810 ISSUED: 12/18/2009 I APPLIED: 12/]8/2009 EXPIRES: 06/]8/20]0 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line .. ~.-; .' Total Value of Project Fees P.aid I Fee DescriPtion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.04 $3.35 $55.00 $12.00 12/18/09 12/18/09 12/18/09 12/18/09 1200900000000001349 1200900000000001349 1200900000000001349 1200900000000001349 Total Amount Paid $78.39 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. L " Re/lllired InSllections I 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 witbout 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 althe 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 Pa2e 2 01'2 2;)5 Fifth Street ~ Springfield, Oregon 97477 54J-726-3759 Phone Job/Journal Number COM2009-0 t 81 0 COM2009-0 181 0 COM2009-0 181 0 COM2009-0 181 0 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: ~~ ~,._- City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001349 Date: 12/18/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ lOa Add + 5% Technology Fee + 12% State Surcharge Pa id By ONLINE PERMIT CHGS Item Total: <":heck Number Authorization Received By Batch Number Number How Received KR ONLINE BEACON Online ELECTRIC Payment Total: .-,1_ Page 1 of 1 , I:09:14PM Amount Due 55.00 12.00 3.35 8.04 $78.39 Amount Paid $78.39 $78.39 12118/2009