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HomeMy WebLinkAboutPermit Electrical 2010-3-9 S.P~I.NGF.IE. ~., .... r=' (~"GO~ 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 Page I qf I 3/1 0/20 I 0