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HomeMy WebLinkAboutPermit Electrical 2009-7-15 City of Springfield Electrical Authorization To Begin Work E-mlliled c.'a: awood@csclectric.org Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I D NewConSlTuction o Addition/llherationlrepJacement o J 'or 2 family dwelling DcommerCial DACCeSSOry DMUJti-thmilY I Job Address: 2]4 PIONEER PARKWAY WEST j CityfStateJZIP: SPRINGFIELD, OR 97477 I Suitc/bldg./apt.no.: I ProjeclName: Felix I Cross Street/directions tajabsitc: I T"m'PIP"'''""\'''/)'.?,;~~02.lp(T.J 1~~!bz~~~~1~bEscR~tioN'[OF-iW'ORK~~~7~-~- ;i"~'?~~,]1 houserenovmion Name: Melissa Gehrke Phone: 54J-741-2236 Fax: 54]-74]-2473 Email:awooct@cselectric.org CCB lie. no.: 3849 Business Name: C & SELECTRIC INC Contact: Address: PO BOX 1482 City/State/ZIP: SPRINGFIELD, OR 97477 Phone: 541-741-2236 Fax: 541-741-2473 Email: CSELECT@CALLATG.COM Metro lie. no,: City lie. no,: Supen-'i~ing Electrician's lie. no.: Supervising Electrician's Name: 48948 David Gehrke Number ofj~~pections included in paid services: Residential Service: 4 Reconnect Only: 1 A!lOtherServices: 2 Upon review and approval by your local jurisdiction, your permit will be e-maited 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. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws a.nd local ordinances I'leasecheck all thalupply: DAserviceorfeede.rbeginningat 400 Amps where the available fallll cllrrent exceeds'10,OOO Amps at 150Yoltsorlessloground- exceeds,14,000'Ampsforallolher in>lallalions DFirepuillp> DEmergenCYSYSlemS DAddilionofanewmOlorloadof 100 HP.ormore OSixormoreresidenlialUnitsinone structure DHealth care facililies 69600.BEL.09.00036 7/15/2009 12:47 pm Approval Code: 04528A \ \'}~ ~/ V DHazardouSlocations DA seri'ice or feeder raled al 600 amps or more DBliildingsmore than threeslories OMarinl\SaIldboalyards, ' DFloillingbuildings DCommercial.useagricul,ural buildings Dlnstallalionofal50KYAorlarger sepemlely derived sy> D"A","E",or"I.2" or "1-]" DRecreationalYehicleParks DSuppIYVOhageform(!rethan60~ supply volts nominal I Description Total $55.00 $55,00 I Branch circuitswithoul service or feeder I Brmich circllits each additional Cil'CUlt wilhoul service 19 $6_00 $114,001 !8ubtotal /Statt: surcharge (12% of penn it tOIIll) 1 Technology fce (5% of permit total) I TOTAL PERMIT FEE I ~ ~ ~(\.\.\Q 5169,001 $20,281 $8.451 $197,731 \A<0Q---" .cf\ ('(\~~ ~ \}.~ Cunc?OZfl- O/0.5y '-IS-Oct /JIYL This Authorization To Begin Work must be posted at the job site until replaced by a Permit _~~N,G,,};I~r,;2,:;, ,.11'1;0,1> ~" ' .. , '" ,,' ~JW II, '. .: '", .,' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009.01034 ISSUED: 07/15/2009 APPLIED: 07/15/2009 EXPIRES: 01/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 214 PIONEER PARKWAY WEST ASSESSOR'S PARCEL NO,: 1703353202600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: House renovation Owner: MAJOR DON H & CLEONE L Address: 85221 PIONEER RD EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical ,Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/01/2010 Phone 541.741.2236 # 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: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUB~IC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: DownsPClut~Dr~ir.~:reqLljres youto Special Instruction: ATTENTION', re ud'b the Oregon Utlltty NOTICE 1allow rules adopte y rules are set 1orth' Notes' : Notitication Center. Those hOAR 952-001. ,dlS PERMIT SHALL EXPIRE IF THE WORK ' OAR 952-001,0010 throug 'oj the rules by ^'ITJrnnl"'7r-I"\I'~I""'-"'.I"____ In .. ,_...."i"\ht:::\IncOples ,'-__,-, COMMEN'iiD OR~I~S"AB"A"NuD'OLlllV" I I L ....,': I' 'u"u\i' 'g-'\he center. (Nate:,l,"~ NV'\ifi~~tion NED FOIHValuation DescrilJtion ca 1f\ th Oregon Utility 0 ANY J8G'DAY PERIOD / , , 'number tor e 1 800,332,2344), , , Center IS ' Description Tvpe ofConstruciion $ PerlS,ql~t SquBa,rdeAFootage Value Date Calculated or mu tip leI" or I mount Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01034 ISSUED: '07/15/2009 APPLIED: 07/15/2009 EXPIRES: 01115/2010 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 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $20,28 ' $8,45 $55,00 $114,00 7/15/09 7/15/09 7/15/09 7/15/09 3200900000000000535 3200900000000000535 3200900000000000535 3200900000000000535 Total Amount Paid $197,73 Plan Reviews , 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 ReCJIl,i,re~. In~'1ec~tion~ I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application' and do hereby 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 work described herein, and that NO OCCUPANCY will be 'made of any structnre 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 Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009.0 1 034 COM2009.0 1 034 COM2009.0 1 034 COM2009.0 I 034 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000535 , Date: 07/15i2009 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 C & S Online ELECT Payment Total: ONLINE Page 1 of 1 1:24:05PM Amount Due 55,00 ] ]4,00 8,45 20.28 $197,73 Amount Paid $197,73 $197,73 7/15/2009