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Home My WebLink AboutPermit Electrical 2009-6-22 City of Springfield El.ectrical Authorization To Begin \\:ork [-mailed To: tena@oreJectricsen'icc.com Check on status of permit By Ilhone: 541-72.6~3753 or Enlllil: permitcenter@ci.springfield.or.us I D New Construction 0 Addition/alteration/n:placement L. "': ,'~<'( :'~:,.. ~~~1l:i:7?:~CATE'G\)Ry~"(fF"CON'STRUCTION70fr?~"~^~.;~~~~"~-h:==1 101 oc 2 fm,;'y dwd]"g OM""'.f'''''Y OCann"",;,] 0 Acomo'Y I _ ;i~?~;,.~~~idS:s{TEiNF6'RMATroNfAt\iO:LOCATIONS"'~>"'"~~,':'F~.~ .}t,l.';";~1 I I I I I I Job Address: 580 FLAMINGO AVE Cit)'/State/ZII'; SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: Project NlIme: Scn'icc Change Cross Slreet/directions to job site: Game farlll Road TaxmilIl/IJarcelno,; Tree dmnagt:-service change N:lme:JeffBrooks Phone: 541-343-1681 FIl.1: 541-343-1683 Emilil: lenil@orclcctricservice,com Elee lie, no,: C408 CCBlic.no.: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 Phone: 541-343-1681 Fax: 541-343-1683 Email: Metru lie, nu,: City lie. nu,: Supervising Electrician's lie. no,: Supen'ising Eleetrieian'sNDnle: 1392S Hennan Ollar Numberofinspeetiuns inclutled in paitl services: Resitlenlilll Servke: 4 Reconnect Only: I AIIOtherServiees' 2 Upon review'and approval by your local jurisdiction, your permit will be e-malled 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 pennit is not obtained. The local building deparbnent may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances ( ~:t~f."~~':;,;'~!':5;~;'~1BbAN;R'EVfEW~",~' -:.,'" ?Ieasecheck all thai apply: []H:l.lardousloeations []JA service or fe~der rat~dal600amps ii or more []Jl3uildingsmorethaothree,tories [!]Marinas and boat yards []JFloatingbuildings []]Commercial-useagricuhuraJ ~t buil dings ;, [JJlnStaJlationofa 150 KVA or larger IJseperatelydenvedsys m"A". "E",or "I.2"or"I-3" mRccreillionalVehicleParks [EJSupplyvuhageformo,elhan600 ~: supp.ly volts nominal DAserviceorfeederbegin,ningal 400 Amps where the availfible fault currenle\ceeds 10,000 Amps "I ISO Vollsorless to ground exceeds J4.000 Amps for a1101her installaticns DFirepumps DEmergencysys,ems DAddilionofanewmOlorloadof 100 HP or more DSixormoreresiden1ialunilsinone ,lrUC!ure DHealthcarefacililies 69600-BEL-09-0000 I h 6/22/2009 9:25 am " oqS e" q.1) Ea. I Q'Y I Description IServi~es200ampsor less I Subtotal I Stille surcharge (12% of penn it total) ITei;hnology fee (5% of pen nil total) I TOTAL PEHMIT n:E . .~,~. , ~'. ! ,~'b ~Y0 "'Y <F/: 9''4' .~. " II $81.00 rt" r ,I T J, $81.00 $9.72 ~~.~ \9X~ . ~.s ClOn0LCJ~Cl ~ oor,Q5 . t Cp /2.2..-1 0 Cj' n rv\ :' " This Authorization To Begin Work must be posted at the job site until replaced by a Permif~ t r L- P' '- .,-,(;, 1"-- , \0-",...,,- ~\r^,r/'V ~0~ {l~\-'- II ! eIT\\. OF SPRINGFIELD Ii Building/Combination Permit II PERMIT NO: C.oM2009-00895 ISSUED: 06/22/2009 APPLIED: 06/22/2009 EXPIRES: 12/22/2009 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 580 FLAMINGO AVE ASSESSOR'S PARCEL NO,: 1703221316600 I: II Springfield TYPE OF WORK: Eleq,rical Work Only TYPE OF USE: I New! Residential PROJECT DESCRIPTION: Service change due to tree damage Owner: NAGAO CYNTHIA M Address: 580 FLAMINGO AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date , ]' 05/09(2010 II Phone 541-343-1681 BUILDING INFORMATION I. # 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: I' Lot Size: " Sq Ft 1st Floor: Sq Ft 2Ad Floor: I, Sq Ft Basement: Sq Ft GaragelCarport ,. Sq Ft Other: Occup~nt Load: nla I DEVELOPMENT INFORMATION' . REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar'Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: I Handicapped: t Compact: I PUBLIC IMPROVEMENTS I ATTENTH"i1'" ~I'-m A . I II '" ewa "'~ }'jlc:IW, requires you to o ow rules adOPted hV t~" 0 . , NotilicatioDOwns(louts/DrainS: reg on Utility in OAR 952~OO"'~" "lUs8,rUles are setforth 00 . 1-0010 through OAR 952-001- 90,. You may obtain copies 01 the rules b calling the center, (Note! the telephone Y 'F~\' . number lor the Orennn litH;,,, "n""~_", Nonet: I-IJl.LL EXPIRE IF IE'::' ~I~T. , , I \jenter is 1-800-332-2344), ....-.. 11-1\S PERM\1 S 11-1\5 PERM'\\l1IIUllt'ion DescrmtlOn II ORIZED UNDER ONED rUh I, D ,~U1r\ END\i:D 0-tUC.mI\BJl.tI':lD $ Per Sq Ft Square Footage ' escnp{w,o.... "" G1'(';t\'lI rue IOn , , , vU"'''' W PERIO . or multIplIer or BId Amount Value I: Jl.NY 180 D" Street Improvements: Storm Sewer Available: Spedallnstruction: Notes: Date Calculated Paee I 01'2 CITY: OF SPRINGFIELD I Building/C~mbination Permit Status Issued " PERMIT NO: COM2009-00895 ISSUED: 06/22/2009 APPLIED: 06/22/2009 EXPIRES: 12/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I $9,72 $4,05 $81.00 6/22/09 6/22/09 6/22/09 Recei~t Nnmber 3200900000000000473 3200900000000000473 3200900000000000473 Ii Fee Description + 12% State Surcbarge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Total Amonnt Paid $94,77 j! I Plan Reviews , ]i To Request an inspection call the 24 hour recording at 726-3769, All inspections rJquested before 7:00 . . a,m. will be made the same working day, inspections requested after 7:00 a.m. willlbe made the following work day. I Reouired Insnectinns I Electric Service: Approval required prior to utility company energizing service, I~ Ir. By signature, I state and agree, that 1 have carefully examined tbe completed application and do he'reby certify that all information hereon is true and correct, and 1 further certify that any and all work performed sha1l1ibe done in accordance with the.Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the wd~k described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servites Division, Building Safety; 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will'lbe 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 wiil remain on the site at all times during construction. I'. i Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone I' " City of Spri~gtield Official Receipt Development Services Department PuIllic Works Department I', I: Date: 06/~2/2009 9:43: 19AM RECEIPT #: 3200900000000000473 Payments: Type of Payment ONLINE CHGS Received By NJM Item Total: Check Number Authorization Batch Number Number How keceived , Amount Due 81.00 4.05 9.72 $94,77 Job/Journal Number COM2009-00895 COM2009-00895 COM2009-00895 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid ONLINE OREGON Onl!re ELECT ii SRVC I Payment Total: 1 $94.77 $94,77 cReccil1tl Page 1 of 1 Ii Ii I 'I ,. I. t II !: I~ 6/22/2009