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