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Home My WebLink AboutPermit Electrical 2009-7-21 (tCity of Springfield Electrical Authorization To Begin Work E-mailed To: awood@cselectric.org Check on status of permit By Phone: 54 ] -726~3753 or Email: permitce!lter@ci.springfield.or.us 10 NewCollstruction o AdditionJaltemtionlreplacement Please check all that 3pply; o A s"ervice or feeder beginning at 400 Amps where the avwlable fauh currente:>>ceeds 10,000 Ampsal 150 VOI1S or kss 10 groilnd exceeds 14.000 Amps for aJI other inslallations I 0 I" 2 r""'ily dwelli", OM""i"""'ilY 0C,mm,,",' o A",,,,,,, I,..;. <~:;7t;;~Ot~~~OBTSiTEI'iNFORM..tiloN1A'No/D1f6CAiTION";~~f:<;,~,_ I Job Address: 253 S 15TlIST I City/State/ZIP: SPRINGFIELD, OR 97477 I SuiteJbldg.hlpt.no.: I Project Nllme: Smith Sheet Metal I Cr05sStreet/directions tojubsite: I O"1ctO '~~~. o Fjrepumps o Emergencysyslems o Addilionofanewmol0rloadl,lf JOO HPOI more DSixormoreresidenlial~nitsinone structure DH~althcarefaci1ities I Description replacee1ectricalpanel 200 amps or less Subtotal State surcharge (12% afpermit tatal) Technology lee (5% afpermit total) I TOTAL PERMIT FEE Name: Melissa Gehrke Phone: 541-741.2236 Fax: 541-741-2473 Emili!: aWQOd@csc1ectric_org 69600-BEL-09-00047 7/2112009 2:09 pm Appro'nll Code: 937391 ~;-':;Iff~:}" DHai:ardouSlocations DA service or fecdcr rated at 600 amps or more DBuilding.smoreth'lJlthrecslories DMarinas and boalyards OFloatingbuildings DComnlen;ial"useagricultural buildings Dlnstallalionofal50KvAorlarger seperaldyderivedsys ~l'A"."E",-or"r.2"or"r-3" DRecrcalionalVehiclePurks DSupplyvoltage for more Ihan600 supply volts l10minal 1181.001 :,1 '81.00 I 119.721 54.051 ,94,771 QC1-\(Eb). ~ IlZdD1 vonCE: "H/S PERMIT SHALL EXPIRE IF THE WORK ,~UTHORIZED UNDER THIS. PERMIT IS NOT t.OMMENCED OR IS ABANDONED FOR } .NY 180 DAY PERIOD. _. ~;;.- - - ,--' E.h.e lie. no.: 20.....4qlnIM rlll&lo~ Arlnnt~'l(~V'I)it~--n.o.:()~,Mg.nn lltilihl "",in.., Nnm,N,::4isiijJ;E.W;!c(",Qlter, Those rules are set forih ConI"" In UAH i:!o:'!-UU1-UUl U tnrougn UAH i:!O:'!.UU1- Address: PO B8:.!Ji~f:_ T~~(.I~ I~: ~.<~~ctll ~t. ~~~~I.t::A~L. ~I..l~:~ '.~ ~I~~ _ uy .............,.., ,.,,,, '"'~.......,. \.............. ........ ............1"........... Cit}'/Slute!ZIP: ~N.N.Sj~!S:1-l{rg.Rtg"M7hranrm Iltilihl t\l,....tifj,...~ti"n Phane: 541-741-2236 Center is 1-Ef385.1!Jl"J2:\7~4 \. Emai!;CSELECT@CALLATG.COM Metrolie,no.: Cit}'lie.no.: Super\'ising Electricinn's lie. no.: SUllervisingEleetrieinn'sName: 48945 David Gehrke Number urinspections included in paid sen-iees: Residential Service: 4 Reconnect Only: 1 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 lfa permit is not obtained. The local building department may determine that an Authorization To Begin Work Is null and void ifit does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~ 'Y lJ'. C\~~~ V"-,t Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: dOM2009-01052 ISSUED: 07/2112009 APPLIED: 07/2112009 EXPIRES: 01/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa. 541-726-3769 Inspection Line SITE ADDRESS: 253 S ]5TH ST ASSESSOR'S PARCEL NO,: 1703363207000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replace electrical panel in at Smith Sheet Metal Commercial Owner: WEBB JOINT TRUST Address: 253 S 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFO~ATION I Contractor Type Electrical Contractor' C & SELECTRIC License 3849 ~ BUILDING INFORMATION I Expiration Date 09101/2010 Phone 54]-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!t Floor: Sq Ft 2hd Floor: Sq Ft B'asement: Sq Ft Garage/Carport Sq Ft Other: . Occupant Load: n/a ^TTl:'I\ITlr'I'd. r'\~____ 1_ -~- --...._..,~..~.....~'-''-'~'-' I follow rules adopted by the OI'ED13ME/!'Oltt'\1ENT INl:10RN.IA:rION I ' . . , ~otification Center. Those rules are set Tolin .fHIS PcKIVil1 til-lALL EXPIRE IIRI~lUWiBIi>ARKING m OAR ~52-001-0010 through OAR 952801- , . ,AUTHORIZED UNDER THIS PE~m.IS NOT F~ontyard@stl1i!clf:Ju may obtam copies of the rul s~r1ay Dlsl. . . T<llal. SIde I SetbaG!<Jlling the center, (Note: the telePho~lg1~eet Trees(t(i\IIIMENCED OR IS ABANDOtlW.d'1\!Jl,ped: Side 2 Setb>w!imber for the Oregon Utiiity Notifica!.'6'f'(ed Drive ,R,q~1' 180 DAY PERIOD. ' Compact: Rearyard Setback: Center is 1-800-332-2344). % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEME~TS I Street Improvements: Storm Sewer A vai'able: Special Instruction: Sidewalk Type: DownspoutSfDra!Rs: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value;. Date Calculated Page I of2 ,! Status Issued CITY VI' ~ndNGFIELD Building/Combination Permit PERMIT NO: COM2009-01OS2 ISSUED: 07/21/2009 APPLIED: 07/21/2009 EXPIRES: 01/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fa. 541-726-3769 Inspection Line Total Value of Project Fees r~id ,I $9,72 $4,05 $81.00 7/21109 7/21109 7/21109 Receipt Numher 2200900000000000826 2200900000000000826 2200900000000000826 Fee Description + 12% State Surcharge + 5% Technology Fee Perm Sen'/Fdr 200 amps or less Amount Paid Date Paid Total Amonnt Paid . $94.77 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, wilEbe made the following , , work day. I. Re'll'iredl!",sn~cti~,~.s 1 Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully e.amined the completed application and do h~rehy certify that all information hereon is true and co....ect, 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 structure without permission of the Community Servi~es Division, Building Safety. 1 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759Phone Job/Journal Number COM2009-01052 COM2009-01052 COM2009-0 I 052 Payments: Type of Payment ONLINE CHGS J cRcccioll RECEIPT #: City of Springfield Official Receipt, Development Services Department Public Works Department 2200900000000000826 Date: 07/2112009 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE C&S Online ELECTRIC Payment Total: Page I of I 2:20:]9PM Amount Due 81.00 4,05 9,72 $94.77 Amount Paid $94,77 $94.77 7/21/2009