HomeMy WebLinkAboutPermit Electrical 2009-7-13
City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:wciJandbo@msn.com
Check on status of permit
B)' Phone: 541-726.3753 or [mail: permitccnter@ci.sprillgfield.or.us
-':::.',"T'L o,~~~..;-f::, ~c~.;fYPE Of'WORK .
I 0 New Construction 0 Addition/alteration/replacement
1'''cCATEGORY~OF CONSTRUCTIoN"'., ,
101o<,rmnllYdW'lll"
o Muhi<family
DconunerCillJ
o Accessory
JOB STTE'iN"F.ORMA TI'bN AN'oLoCATION.""',;
I Job Address: 2417 16TH ST
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City/Stille/ZIP: SPRINGFIELD, OR 97477
Suite1bldg.lapl.no.:
Projeclllr;uml': Bathroom Remodel
CrossSlreel/directions tojobsite:
To. m.p/pm<l""' l '1 0fJQ.4~ OQ..OCX>
Z:~~1."f:!' "~A*~DESC'R-IP,TfON;OF;WbRK~$J'l;~5.._:,
Bathroom remodel
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I Name: wrango hm
I Phone: 54].747-770]
I Email: weilandbo@msn.com
I,
I Elee lie. no.: C277
I Business Name: WEILAND ELECTRIC DIV]SION LLC
I Conhlel:
I Addrus: 175 W B ST BLD H
I Cit)'fStlll~/ZIP: SPRINGFIELD, OR 97477
I Phone: 54].747.-7701
I Email: WElLANDBO@MSN.COM
I Melru lie. nu.:
I Supen'ising Eleelricilln'slic.nu.:
I Supen'i$ini: Electrician's Name:
"
. _';, "SITE CONTACT~. "'"
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Flll: 54]-747-7701
- 2"2;'" :'::CONTRACTOR:_
175373
CCBlic.no.:
Fill: 541-747.7701
city lie. no.:
Number ofimpeclions included in pllid scniccs:
Residentia] Service: 4
ReCOnneclOnly: I
All Other Services. 2
Upon review and approval by your local jurisdiction, your permit will be
e-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
pennit Is not obtained.
The locat building department may determine that an Authorization To
Beg]n Work is null and void if it does not meet applicable land use laws
and local ordinances
:;: ?;'<~,-:'~~-; "'~i.''..-::ijL~
Please ch~(k alllhal "l'ply:
DAservi(eorfe<:d~rbeginnillllat
400 Amps where the availabJefault
curr~nl~"ceeds 10,000 Amps 81
150 Voll5 Dr less lD ground
e"cudsI4,OOOAmpsforaJlolher
installalions
DFirePllmps
DEmergencysYSlems
DAddllionofanewmotorloaduf
100 HPor more
DSi"Olmorcresidenlialunilsinollc
SlIuClure
.~,;
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I liC;~:.,-
IVescriP;iun
IlJrall~~circuih~a1,:.L''''~~. :-'---"
I Branch circuits withoul service or
feeder
I Branch circuits each additional
circuit withuut se.-..ice
IElectrieaIPermit}e~i.. -. '".,..;i.,
ISubwtal
IState sllrchargc(12%orpcnnll
lolal)
I TechnoJogy fce(5%ot'permil lotaJ)
I TOTAL PERMIT FEE
,
69600-BEL-09-00033
7/13/2009 7021 pm
AJlJlr~nl.1 Code: 013457
,PLAN REViEW, '",' . ;c,,;
DH-az:dousJoc8tions
D~serviccorfecderr8Icdar600amps
'or more
DBuiJdings more than IhrecslDries
DMarinas:mdboa,yards
DFlolllingbuildings
DCommercial-uscagricllltural
;blliJdings
Drnslallalion uf;, I ~O "VA or larger
:seperslelyderivedsys
D"A"."E".or"'.Z"or"j-J"
DRec,ealionalVenicleparls
DSllPplyvollagefOlmorethan600
::suppJyvohsnominaJ
-;~EESCHEDULE .
n Q~
(,o(Y\~
1- tL{ -- Or
Ell.
$55.00
56.00
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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NM
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$55.00 I'
$6.001
'."1
$61,001
$7.321
$3,05 I
$71.37
Total
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CITYjiOF SPRINGFIELD
Building/colrbination Permit
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PERMIT NO: COM2009-00937
ISSUED: 07/14/2009
APPLIED: 06/25/2009
EXPIRES: 011ft4/2010
VALUE: $ 8,500.00
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Springfield TYPE OF WORK: Singl~ Family Residence
, II
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TYPE OF USE: Alter'ation Residential
Converting One Bathroom to Two Bathrooms II
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769, Inspection Line
SITE ADDRESS: 2417 16TH ST
ASSESSOR'S PARCEL NO.: 1703243402000
PROJECT DESCRIPTION:
Owner:
Address:
CARTER ANITA
2417 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Contractor
LAWRENCE PHILLIPS
WEILAND ELECTRIC DIVISION, LLC.
License
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Expiration Date
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04/06/2011
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ot Ize:
II
Sq Ft I ~t Floor:
Sq Ft 2nd Floor:
"
Sq Ft Basement:
"
Sq Ft Garage/Carport
Ie
Sq Ft Other:
"
Occupant Load:
II
175373
Phone
541-746-9680
541-747-7701
, BUlLDI,r." mrORMATION,
# 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:
R3
VB
No
I DEVELOPMENT INFORMATION I
liREQUIRED PARKING
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Overlay Dist: I'Total:
# Street Trees Rqd: "Handicapped:
Paved Drive Rqd: I'Compact:
% of Lot Coverage: "
ATTENTION: Oregon law requires you to
follnw rlllp.~ RrlontArl h" thp. ()rpnnn r lti!lhl
I PUBLIC IMPROVEMENTS:I'~ation Center, Those I'ules are set iorth
, :', '1952-001-0010 throu'gh OAR 952-001-
0090. YouSide,walkEType:pi~s of the rules by
calling tbD~ center. (/~DI')tP.: lhe telepr,o"e
b t ownspouts rams: . .
num er (:'r Hie, :.Jreyol1 U1JI!lY Notl:lcatIJi'J,
Center IS 1'800-3~2-2:J44),
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FroDtyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:,
Notes:
NOTICE: F THE WORK
THIS PERMIT SHALE~ ~~~~~RM\T IS NOT
AUTHORIZEO UNO \ 0 FOR
GOMmNCED OR IS ABANDONE
, '''' .' RrJ oW PERIOD,
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Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00937
ISSUED: 07/14/2009
APPLIED: 06/25/2009
EXPIRES: 01/14/2010
VALUE: $ 8,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion ,
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
8,500.00
Value
Date Calculated
Description
Total Value of Project
$8,500.00
$8,500.00
06/25/2009
F....,~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
7/]4/09
7/14/09
7/14/09
7/14/09
3200900000000000527
3200900000000000527
3200900000000000527
3200900000000000527
Total Amount Paid
$71.37
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 RellIJired InsnectionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety.
] 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
Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00937
COM2009-00937
COM2009-00937
COM2009-00937
Payments:
Type of Payment
ONLINE CHGS
cRcceinll
RECEIPT #:
3200900000000000527
Date: 07/14/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE
weiland Online
Payment Total:
Page I of I
7:44:19AM
Amount Due
55,00
'6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
7114/2009