HomeMy WebLinkAboutPermit Electrical 2010-3-9
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City Of Sprin9field
225 Fifth 51
Springfield. OR 97477
Phone: 541-726-3753
Emsil: permitcenler@cLspringfield.or.us
o New Construction
. TYPE OF WORK
~ Addition/alteration/replacement
I CATEGORY OF CONSTRUCTION
D 1 or 2 family dwelling 0 Multi-family [RJ Commercial D Accessory
JOB SITE INFORMATION AND'LOCATION
Job Addrass: 209~ LAURA 5T
City/StatefZIP: SPRINGFIELD. OR 97477
Suite/bldg.Japt.no.:
Project Name:
Cross Street/directions to job site:
Tax map/parcol no.:
1703271002117
DESCRiPTION,OF'WORK,
Add sub-panel, install circuits for printing machines
SITE CONTACT
Name: Steven Ericson
Phone: 541-998-5848
Fax: 541-998-5987
Email:
CONTRACTOR
Elec lie. no.: 20-364C
eea lie. no.:
95909
Business Name: ERICSON ELECTRIC INC
Contact:
Address: 94710 HWY 99 E
City/State/ZIP:
Phone: 541998
Email: ericson
Supervising Electrician's lie. no.:
3927S
Supervising Electrician's Name:
STEVEN LEWIS ERICSON
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 permil will be e-mailed or fned
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Wor1l ellplrcs within 180 days If a pennit Is not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If It doel not meet applicable land uBelawl and local ordinances.
e" /0 - :300
Commercial Electrical Authorization To Begin Work
69600-BEL-1 0-001 03
Approval Code: 003804 3/9/2010 3:17 pm
E-mailedTo:ericson@pcinw.com
.' , ,PLAN REVIEW
Please check alllhat apply: D Hazardous locations
D A service'or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three slor
10,000 Amps at 150 Volts or
less to ground exceeds DMarinas and boat yards
14.000 Amps for all other D Floating buildings
0 Fire pumps o Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or"I-3"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
.- ',':.,,' .. FEE.SCHEDULE "
Description I Qty. I E.. I Total
Services,or feeders - ,
Services 200 amps or less I 1 I $81.00 I $81.00
Branch circuits .
Branch circuits with service or 30 $6.00 $180.00
feeder each circuit
~Iectrlcal Permit Fees . , .
Subtotal $261.00
State surcharge (12% of permIt $31.32
total)
Technology fee (5% of permit total) $13.05
TOTAL PERMIT FEE $305.37
C\0-3OO
3/10/10
kJL
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are sat forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notiflcalion
. ~enter Is 1-800-332-2344).
~ ~\\ry
, C'\.\ ~1.\\.\O
\.~ v ~~
~'v~
Inspecti.~ns p'hone: 541-726.3769
This Authorization To Begin Work ~.ust be posted atthe job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00300
ISSUED: 03/10/2010
APPLIED: 03/09/2010
EXPIRES: 09/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2095 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002117
'.,".
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Add sub-panel & install circuits for printing machines.
Residential
Owner: CROWDER JOHN W & NATALIE G
Address: 300 DlBBLEE LN
EUGENE OR 97404
Contractor Type
Electrical
I CONTRACTOR INFORMATION .
Contractor License
ERICSON ELECTRIC INC 95909
BUILDING INFORMATION ~
Expiration Date
01/20/2011
Phone
541-998-5848
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
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 GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: r~ved Drive Rqd:
Rearyard Se~UflCE. % oIhl{l Coverage:
Solar Setbac'ffiIS PERMIT SMAll EXPIRE IF THE WO
AUTHO I
COMMENCED OR IS ABAMD
Street Impro)\9W~~b DAY PERIOD.
Storm Se",,'er Available:
Special Instruction:
Total:
Handicapped:
ATTENTION: Oregon ~~t'll6 you to
follow rules adopted by the Oregon ~~'%.
otification Center. Those rulll6 are .....
o -
MPROVEMENTS 90. You may obtain copies of the ruleo b>>'
call19@&M~: (Note: ~e telephone
number for 'the 'ofegon UtIlity NotIf\o8IIlm
""?oCIUlllrIPiItI$OOO32-2344).
Notes:
.--.~.
Description
Type of Construction
I Valuation Description ~
$ Per Sq Ft Square Footage
or multiplier' ,. f i . or Bid Amount
Value
Date Calculated
. ';;'
Page I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00300
ISSUED: 03/10/2010
APPLIED: 03/0912010
EXPIRES: 09/1012010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3769 Inspection Line
Total Value of Project
Fees Paid .
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Pai~,N'
$31.32 ...;
$13.05. .
$180.00
$81.00
Date Paid
Receipt Numher
31]0110
31]0110
31101]0
31]0110
22010000000000002]7
220]0000000000002]7
220]0000000000002]7
220]0000000000002]7
Total Amount Paid
$305.37
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.
I Reouired InsDections .
Rough Electric: Prior to Cover
Final Electric: When all electrical work is CO~I~.lete;.
By signature, I state and agree, that I have carefully examined. the completed application and do herehy certify that all
information hereon is true and correct, and I furth'er 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 descrihed 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 the
street, that 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.
Owner or Contractors Signature
Date
Page 2 01'2
,., ")-r'~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
T);~~;_,
1Ir- .
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000217
Date: 03/10/2010
9:18:41AM
Job/Journal Number
COM20 I 0-00300
COM20 I 0-00300
COM20 I 0-00300
COM20 I 0-00300
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
180.00
31.32
13.05
$305.37
Amount Paid
,",
ONLINE ERICSON Online
ELECTRIC
Payment Total:
$305.37
KR
$305.37
,./-
cRcceiotl
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