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Home My WebLink AboutPermit Electrical 2009-6-9 City of Springfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Receipt # RC553354 6/9120093:28: 12 PM 1fJiJ> fJ q, r;:i Ill, I.,.. , Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us T ;~-~. .;; :'TY~EO!~WO~K.;i;t -'f~:"',:;,. .", lliJ Addilion/a]leratjonlrep]acel~lent 10 New construction r.,,:~ ;- c_" -, h CATEGORY OF;CONSTRUCTION. " 10 I or 2 family dwelling 0 Multi.family D Commercial/Industrial 1.2~ ."JOB'SITE'INF'ORMATlON ANlfLOCATlgii '.0'" IJob no.: IJob llddress: 921 LOCI'IAVEN AVE ICilY/StulcIZIP: SPRINGFIELD, OR 97477-1951 SuitefbldgJapt.no.: I Project name: MORSE Cross_street/directions 10 job site: INTERSECTION NEAR LOCHAVEN AVENUE & DON ST Subdh'ision: ITax mllp/pllr~el no.: 1 Lot no.: 1703272400200 , ,DESCRIPTION OF WORK, . . - . -. ~ -~ REPLACE 200A PANEL & ADD CIRCUIT FOR f10T TLIB, I ."', ,----".~,;.. 1 Name: DIANA KETTS I Phone: (54])461-0291 IEmail: .. .-,.~SITE ,SONTACr'. _ IF"" 'J"",'l~ ~'. "of f,CONJRACTOR;~o:~" I ceo lie. no.: 38497 IHIit'. no.: 20-53C I Business Name: BEACON ELECTRIC I Conlact: KARfN ELlASEN Address: 2585 ROOSEVELT BLVD I City/StIlle/ZIP: EUGENE OR 97402-2500 IPhone: (54]-)461029] [Email: KELIASEN@ATTNET I Metro lie. no.: I Supcnising electrician's lie. no.: 34855 I Supen'ising electrician's nllme: GARY E JOHNSEN IF"" (541)4612340 ICily lie. no.: Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed 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. .o;z' . "i;2.~ ~ \9' \\.Oq ~~~ 0--' ;;~" 1 k"~"~"o . , .,';:FEE:SCHEDUL!"/' , 1 Description '1i Qty. I Ea, Total ResidcntiafSING l.E~ OR Iniilti:famil)'"dl\'cHingullil In'cfude.o; ~= 1 ~"_~~}cdg~_rng~,~;' :-:-:;-~"<':'~~:-",;-:- "'-'\,,, ~-_, I I I I 1 I d. .,;" I; I I -.' .'1 .. ],000 sq. n. or less [4] Ea. add] 500 sq, ft. or portion L,imited, .E.iiergr,., --, , - Limited energy, residentiill (with ilbovc so. It) - Limited energy, multifamily residential (with above SQ. ft,) - Limited energy, commercia-l (with above SQ. ft,) - Stand-alone limited energy, residential -Stand-alone limited energy, multi-family - Stand-alone limited energy, commercial i;~~:~:s ~;I:;~;~ jPS1!I!iltiO~;I~~~,"!;on;'t~()/O~;~~:,"ijO";8 1001 1201 "mpsto 400 "mps [2J 1 I 1401 amps to 599umps [2] I: 1- T~,~IPORA~ys~n-iCE~"?R f~_ers)l1!tallllti~"n, llller.a,I!~~" A~D/OR !,~I~~atl~1I :~~ . ~_~. - .'c" ,', . I 200 amps or less [2] 120] amps 10 400 amps (2J 40] amps to 599 amps [2] F,~."'ch firru-i~'_:.-~E\'~~it~ra!!o~;'QR exte!ls,ion:l>~r panel - , I A. Fee for branch circuits with $6,00 service or feeder fee, each branch circuit lB. Fee for branch circuits without service or feeder fee, first bT<!llch circuit [21 1 each llddl branch circuit I'M!~e1I11~~~l~;~ - I Service n:connect only (2] I Each manufaclUrcd or modulur dwelling, service andlor feeder 121 I Pump or irrigation circle [2J 1 Sign or outline lighting (2J I Signal circuit(s) or limited- energy panel, alteration, or extension f21 ";\:, "" ~LEC.rRICA~~~!,RII!ITFEES Subtotal State Surcharge (12% of permit fee) City Of Springfield fees * I TOTA~ PERMIT FEE * City Of Springfidd fees: 5% Technology Fcc I DeJaul1 number oJinspeclions allowed] ,~ot offered online at'this jurisdiction , $6,00 -"c- ~ ' ,c I $87,00 I $10.44 I $4.351 $101.791 The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use la~nces, ~~fQ D"V \.~ T~is Authorization To Begin Work must be posted at the job site until replaced by a Permit ~2.ff;o'7'-- .8M~ ~ ~/tJ"c; 9 /J/.h..- Status Issued CIT~ OF SPRINtJJ:<lJ!,LD Building/Cqmbination Permit PERMIT NO: C.oM2009-00828 ISSUED: 06/10/2009 APPLIED: 06/1012009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 921 LOCHA VEN AVE ASSESSOR'S PARCEL NO.: 1703272400200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: Replace 200 amp panel & add circuit for hot tuh. New I Residential Owner: ,MCEVOY JENNIFER E Address: 92 I LOCHA VEN AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 Expiration Date 01110/2010 Phone 541.461.0291 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: L S'I' ot lze: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft 8ther: . 'i Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Set hack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rlld: Paved Drive Rqd: % of Lot Coverage: 'I I, REQUIRED PARKING , Total: I " Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: , Storm Sewer Available: Downspouts/Dra'ins: Special Instri\irifon'tTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notes: ~otification Center, Those rules are set forth NOrlCE' ~n_ ()AR 952-001-0010 through OAR 952.001. "n _~_' _. ' wvv', lUU ",ay uu,,,,,, copies 01' ,: ,~:oo "j TI,:." . ~r,f,lIl unl1LL tAI-'IHt 1/' I HI: WORK callmg the center, (Note: the t~Wa'lOation DescriDtioJl~THORIZED UNDER THIS PERMIT IS NOT number for the. Oregon Utility Nu""va"ulI uJMMENCED OR IS ABANDONED FOR Center IS 1.800-332-234'!ilPer Sq Ft SquarAllIl.'o'''''''' DAY p I Description Type of Cons tructi un I' I' B'd AY' ."'" ER/QlJue Date Calculated or mu tip ICf or I mount I Pa!!e I 0\'2 f CITY:; OF SPRINGFIELD Status Issued Ii Building/C~mbination Permit t . PERMIT NO: COM2009-00828 ISSUED: 06/1012009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541_726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project !'ees P.aid , $10.44 $4.35 $6.00 $81.00 6/10/09 6/1 0/09 6/10/09 6/10/09 Receipt Number 3200900000000000436 3200900000000000436 320~900000000000436 3200900000000000436 '1 ,- Fee Description + 12% State Surcharge + 5% Technolog)' Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Total Amount Paid $101.79 I, Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will!ibe made the following II work day. ' Reouired Jnsn,~ctjons . Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. I B)' signature, I state and agree, that I have carefully examined the completed application and do h~reby certify that all information hereon is true and correct, and 1 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 w4rk described herein, and that NO OCCUPANCY will be made ofany 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 wili 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, tbat the permit card is located at the front of the property, and the approved set of plans wi'll remain on the site at all times during construction. .:f I, I, .:1 I 'I Owner or Contractors Signature Date -Ii ': Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759Phone Job/Journal Number COM2009-00828 COM2009-00828 COM2009-00828 COM2009.00828 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: . 3200900000000000436 Description Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge " I: City of Springfield Official Receipt I Development Services Department Pu~lic Works Department l~ Date: 06/\0/2009 Item Total: Check Number Authorization Received By Batch Number Number How ~eceived Paid By ONLINE PERMIT CHGS NJM Page I of I ONLINE BEACON In Person II Payment Total: , , I: Ii , " 8:21:08AM Amount Due 6,00 81.00 4.35 10.44 $101.79 Amount Paid $101.79 $101.79 6/1 012009