HomeMy WebLinkAboutPermit Electrical 2009-12-29
SPRINGFIELD
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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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
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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
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$81,00
$9.72
$4,05
$94.71
~Y49't:
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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,
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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
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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
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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
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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
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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 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.
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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 #:
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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