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HomeMy WebLinkAboutPermit Electrical 2009-12-29 SPRINGFIELD 1\;,1'''''",.., ;l;JM.. ",',""~""."f' "Nt %fe' "" r~~ / ' '- OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us , C . Commercial Electrical Authorization To Begin wtk~'fj 69600-BEL-09-00309 Approval Code: 046532 12/29/2009 11,32 am o NewConstruclion [R] Addition/alteration/replacement o 1 or 2 family dwelling o Multi~family lKl Commercial D Accessory ,~:4it.,};,';~,c!!,;:fljOB'S,iE>INF!:jR/ljAJ:JON;,i;No::tfOjSATI6N~~"'Iki';;:'i I Job Address: 1815 MAIN 5T I City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldgJapt.no,; Project Name: Gena Baker Cross Street/directions to job site: Tax map/parcel no.: 1703363107401 temporary service Name: Kit Chan Phone: 541-579-4426 Fax: Emajl: Elee lie. no.: 20-462C CCB lie. no.: 156678 Business Name: ROBS ElECTRIC'INC Contact: Address: PO BOX 2821 City/StatefZIP: EUGENE, OR 97402 Phone: 5414619409 Fax: 5416865444 Email: ROBLAWLER440@HOTMAIl.COM I ~etro lic. no.: I Supervising Electrician's lic. no.: I S'upervising Electrician's Name: City lic. no.: 4744S DAVID R LAWLER E-mailed To: robselectric@hotmaiLcom Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14:000 Amps for all o!her o Fire pumps o Emergency syslems 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 Description o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150,KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Services 200 amps or less Subtotal [State surcharge (12% of permit total) I Technology fee (5% of permit lotal) I TOTAL PERMIT FEE 'vor ~~~ ~\h k ~~ fbX $81,00 $9.72 $4,05 $94.71 ~Y49't: \f(;- ~ ~-Y- Number of inspections included in paid services: Residential Service: 4 Reconnect Only' 1 AIl Other Services 2 UJ O~JLj3 Up,n "".w .nd .pp"'" by y'O' I,,,, 1001.d",",n, y,"' p"m" WI" b. ,~"J.d or t."d >mUO ~-;. 7/ ~ wlthm one busmess day, With instructions on how to schedule your Inspection /J /n /~ d9/ 0 I NOTE. nus Authom:atlOn To Begm Work expires withm 180 days If a permIt IS not obtamed, .'V The local building department may determine that an Authorization To Begin Work is null and void if it does not meet appljc~ble land use laws and local ordinances. Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -~~!~ti~,~I~:;.'J?,j::, f ~ . ':'q CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone ,541-726-3676 Fax 541-726-37691nspection Line PERMIT NO: COM2009-01843 ISSUED: APPLIED: EXPIRES: VALUE: 12/29/2009 06/29/2010 SITE ADDRESS: 1815 MAIN ST ASSESSOR'S PARCEL NO.:, 1703363107401 Springfield TYPE OF WORK: Use Initials TYPE OF USE: New Commercial PROJECT DESCRIPTION: Temporary Service Owner: Addrcss: KIT & KAREN CHAN FAMILY LLC 3881 MEADOW VIEW DR EUGENE OR 97408 ;', I C~NTRACT~,R INFORM~T10.N I Contractor Type Electrical Contractor ROBS ELECTRIC INC License 156678 Expiration Date 08/14/2011 Phone 541-686-5444 BUILDI~G I~FORMATlON,1 # 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: 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 I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Com pac': l; ;' , I PUBLIC IMPROVEMENTS It' , , .. ..' I reQuires you 0 Street Improvements: A1'iENTION: Oregon, laV\I,e ~~J8vJlII<JTiYf>~: II w rules adopted DY '. c rfl set forth Storm Sewer Available: "to o. lion Center. Those rUVo>\ln.sBg~!&~I:ains: Special Instruction: . ~otill~ 952.001 :001 0 through OA~ ules by NOnCE' In OA Y obtain copies of t e rh . " 0090. You ma Note: the telep one Notes. TillS PERMIT SHALL EXPIRE IF TH cal\inq the center. ( n Utility Notification ,\lln4()DI7'-~ "...._' E YilU,IJ;,j",the Orego .._~ MAA\.. ._.,...... VI'HJLf1 I nli) /-"" "n n...... :.,"1-. - " -'.. ., -lvv-",-",:; - . GOMMEN ., """ 'v I~U I """'" .- AN\' 180 DGED OR IS ABANDcI~N:aluation Description AY PERIOD. . " .". ' $ Per Sq Ft Square Footage or multiplier or Bid Amount Description Type of Construction Value Datc Calculated Page I 01'2 _"l:,e'''",'I.I\!AI!I~.iiij.. WIr'~J, . p ", .' : ~ ,~-.,- ..:~.,~,' , "'1",,, - !~_ ,.. i-'^ j, ~ '.. 't ,'_, ,'"' _',;__', ___:" ,..co...." , ~';,,',"',,"" -." CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541_726-3676 Fax 541,726-3769 Inspection Line PERMIT NO: COM2009-01843 ISSUED: APPLIED: EXPIRES: VALUE: 12/29/2009 06/2912010 Total Value of Project Fees P~id I . Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 12/29/09 12/29/09 12/29/09 1200900000000001363 1200900000000001363 1200900000000001363 To'al Amount Paid $94.77 Plan Reviews I .'f,~'. :. ,,<,' 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 Reollired Insoectioos I 1II11f 111111 11r Electric Service: Approval,.required prior to utility company energizing service. 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 Springlield and the Laws of the Stateof;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 tbe street, thai the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Y;;, . " Owner or Contractors Signat~re Date Pa2e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009,0 1843 COM2009.0 1843 COM2009-0 1843 Payments: Type of Payment ONLINE CHGS cRecciot] RECEIPT #: ;:~'NQFIIIU>,' ~.' :jA- 1Ii::- ,. City of Springfield Official Receipt Development Sen'ices Department Public Works Department 1200900000000001363 Date: 12/29/2009 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received nJn1 ONLINE robs elect Online Payment Total: Page I of I 1:56:43PM Amount Due 81.00 4.05 9,72 $94.77 Amount Pllid $94.77 $94.77 12/29/2009