HomeMy WebLinkAboutPermit Electrical 2009-8-10
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Pleasecheckalllhatapply DHazardouslocations
o A service or feeder beginning at DA service or feeder raled al600 amps
400 Amps where the available fault or more
current exceeds 10,000 Amps at
150 Vohs or less 10 ground
ex~eeds 14,000 Amps f6r all other
installations
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
.~
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!:;ity of Springfield
Electrical Authorization To Begin Work
E-mailcdTo:tena@orelectricserYice.com
Check on status of permit
By Phone: 541-726.3753 or Email: permitcenter@ci.springJield.or.us
10 NewConstruction
o Addition/alteration/rep]acement
01 or 2 fami]y dwelling
o Muhi-fhmily
Dcommercia'
o Accessory
Job Address: 2150 LAURAST
I City/Slate/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapl.no.: 37
I Projett Name: Clair Mock
I Cross Streetldirection~ to job site:
I Tu'p/p",,'n,' \"O~'l. \\.J .()t>f\CV
1~,~~1~~~oEsT:Rfptf6NY6F:tV\loR~~~~~~~~~yi~~:1
Change out electric furnace with heat pump
DFirepumps
o Emergency systems
DAdditionl.1fllneWmOlorloadof
IOOHPormor~
DSixormoreresid~l1liRlunitsinone
Slructure
o Heahhcarefacilities
I Branch circuits wllhoUl service or
feeder
IBranChCircuitseaChll~ditional
clreuilWuhou(service
Nnme:JeffBrooks
ISubtota]
I State surcharge (!2%ofpcnnit
lutal) '.
ITcchllo]ogyfee(5%ofpermittota])
1 TOTAL PERMIT FEE
Phone: 541-343-16!lj
Fax: 54]-343-]683
Email; te\1..~r~e.c~cJ,:rvice.tom
"eo Ii,. ,bf'c4o,t'tKIVIIJ ~HI\LL tYC'<'~'itn\t 1,\Mj))7NORK
Business'N~rit~:lOfJ06NlEbEmRl{ll~R3/I&JfUh'i PERMIT IS NOt.
c,."",uurvrrVrtIVl.,tU UK 10 1\1:l1\1~UUNtU ~UK
Address:'PBIB'ox2237 UAY t-'tKIUU.
tC1-lluD
City/State/ZIP: EUOENE, OR 97402
LPhone: 541.343-1681
fEmail:
}<'ax:541"343-1683
Metro lie. no.;
City lit. no.:
Supervising Electrician's lit. no.:
Supervising Eleetrician's'Name:
1392S
HemJanOllar
Number ofinspectionsinduded in paid servites:
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 busil'less 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 I?cal building department may determine that an Authorization To
Begin Work.is null and void if it does not meet applicable land use taws
and local ordinances
This AuthorizationTo Begin Work must be posted at the job site until replaced by a Permit
69600-BEL-09_00068
8/10/20092:25 pm
Approval Code: 0 I 0435
DBuildings more lhanlhreestories
DMarinas and bcat yards
DFJoRtingbuildings
DCommercial-useagricuhural
buildings
DI~stallalion ofa 150 KVA or larger
seperalely derived sys
D"A","E",OT "J-2" or "l-J"
D~ecrealionalVehideParks
DSupplyvollage for more lhan600
supplyv~llSnomina]
Ell. I' Tohil
$55.00
$55.00
.$6.00
$6,001
$61.00 I
S7.32 1
53.051
$71.371
~
ellDjoC)
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<a~
~~
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2009-0 1160
COM2009-01160
COM2009-01160
COM2009-0 1160
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
.2200900000000000905
Description'
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
Page I of I
ONLINE or electric Phone
service
Payment Total:
2:32:57PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
. $71.37
$71.37
\
8/1 0/2009