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Home My WebLink AboutPermit Electrical 2009-8-11 . , 'City of Springfield \ .<ig~!:!~i " ' Electrical Authorization To Begin Work E-mailcdTo:myelectricianinc@gmail.com Check on status of permit By Phone: 541-726-3753 orEmail: permilcenter@ci.springfic1d.or.us "",'I'i;"Sh1 69600-BEL-09-00070 8/11/2009 10:55 pm Approval Code: 027358 Please check all thaI apply I 0 New Construction o Addition/alteration/replacement o A service or feedcr beginning aI, 400 Amps Where the available fault curremexceeds 10,000 Ampsal ISO Voils or less 10 ground exceeds 14,000 Amps for all olher installations ~~"'f;,F1'~cArEGORY'OFj;6NSTR(jcfjONJ';~~,<,,',' : I [~} "<2 Imnily dwdHng o Mo'H-[,mily Dc"nm'~;'1 0 A,,",,"'Y Job Address: 3255 GATEWAY $1' o Fire pumps D.Emergencysystcms o Additioll ofa new mOlor load of IOOHPormore o Six or niore residential unilS in one struclure DHealthc~ef';cililies City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bltlg./apt.no.: 178 Pr~jett Name: Cross Slreet/t1irections to job site: I Tn'p/p""loo ,n.r:{?J(JJf) fJ (JUUXJ 1~~~:E5'~?;2~g,~ES'CRik,TloN~oFm6RR~~~!'jf'~~1?~~~:!b~:~~I Replace units damaged service Entrance Conductor from meterbase to panel IOescription Services 200 nmps or less ~lf~~JcalJ>~!:m~~ 'I!~e,<;::"~' Subtotal I State surcnarge (12% of penn it total) I Tecnnology fee (5% ofpemlit total) I TOTAL PERMIT FEE Name: Ed Guidry Phone: Fax: OHazaidouslocUlions DA,erviceor feeder raled lil 600 amps or more DBuildingsmOrelhMlhreestorics DMarinas and boalyards DFloalingbwldings DCommercial-useagricullural buildings o rnsl~lIalion of alSO KV A OI larger s~peralcly derived S)'s D"^"> "E".or"r.r or "'-3" ORecrCUlionlll Vehicle Parks DSupply vol1age for more IhM 600 ,upplyvollsnominal Total '''.'0.._ $162.00 $162,00 I $19.441 58.101, $189.541 Cq.;.1 tuv ~ 8\ Id-\O., NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .~~~Q~ ~ l\\\~ \\> VV Email: AI Il:N IIUN: \:IcIi'Glo.iJ)al'f,&!lgUlres you 10 I Elee lie. no.: 20-337C I Business Name: MY ELF"YR1~~XrJI~~t;;;:. aUVJJll::U uy lilt' VI t::~UI r ULIIILY ....'J:~hr.'.:......j......... ~.........j........ Th............. .."I"'.... ............ .........f +.......+h I Contact: I Add","'23 16 RILEY 0090. You may obtain copies of the rules by I City/StoldZIP, COITAGEel1<!J~glll.lW411enter. (Note: the telephone I Phone: 541-729-1454 numoer TOr Inpa:hlf4i8Mlo31sUIIlY I\lUlIIIGi::lUUn I \:,QII~\J1 ;;;:t I-c~c-~:'r-.::;..;..;.). Email: EJGUIDRY@MSN.COM I Metro lie. no.: I Supervisinl: Elettrician'slic, no.: I Supen'ising Electrician's Name: in ().6.t:l' Q~?nn1_nn1 n thr()llnh nA~ QFi?_nn1.. City lie, no.: 34235 EdwardNGuidry Number of inspections included in paid services: Residential Service: 4 Reconnect Only: I All Other Services: 2 Upon review and'approval by your local jurisdiction, yourperrriit 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 permit is not obtained. The local bullding department may determine that an Authorization To Begin Work is null and void if It 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 ~~~,cf-\ C(j'P ~ ~~ ~ .s~AINGF,IIILDI " _. ~,_"~"""","",,,.,,,,. -"""-'--1"1>4, ,,!; "" , ,!I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0Il66 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Lioe SITE ADDRESS: 3255 GA TEW A Y ST APT ri8 ASSESSOR'S PARCEL NO.: 1703222002200 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replace units damaged service Eotrance Conductor from meterbase to panel. Residential Owner: G VILLAGE LLC , Address: 16771 NE 80TH ST STE 208 REDMOND WA 98052 I CONTRACTOR INF?RMATION , Contractor Type Electrical Contractor MY ELECTRICIAN INC License 87506 Expiration Date 11/20/2009 Phone 541-729-1454 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secoodary 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupaot Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side I SetbackATTENTION: Oregon law requires Yb~tfoet Trees Rqd: Side 2Setbaclf;'lIow rules adopted by the OregonJUl,Y.1'IVDrive Rqd: Rearyard Se(ljai:Ii!:~ation Center. Those rules are sl'tpJl!f..1fpt Coverage: Solar Sethacbls:OAR 952-001-0010 through OAR 952-00,1- A(\O"" \/...... __.. _l...._~._ ___~,_ _ _"--'-'. _ , , . J --......_-('"._-_...._.~.~........t calling the center. (Note: th,~R,.{,JBj,ji6r~PROVEME~JJ."!lICE. ' , numbe! for the Oregon Utility "UIII'~""Un , . Street Implovements'Center is 1-800-332-2344). THIS PEF.5il1fv&:lIAUP!i1<PIRE IF THE WORK Storm Sewer Available: AUTHORIlf.,Q.u~Jlft8tl.t,jI~PERMIT IS NOT Special Instruction: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Total: Handicapped: Compact: Notes: I Valuation Desc;iption I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 _,S"'IilII)lQl'!Im.;~J '~Il. , ' - , , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0] ]66 ISSUED: 08/]2/2009 APPLIED: 08/12/2009 EXP]RES: 02/12/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~~~.~ P~,i1. I Fee Description + 12 % State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid $19.44 $8.10 $162.00 8/12/09 8/12/09 8/12/09 Receipt N umher 2200900000000000910 2200900000000000910 2200900000000000910 Total Amount Paid $189.54 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 R~{I'Iirr1 T~~n~~t!?n.~ I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed applicatioo and do hereby certify that all information hereon is true and correct, and I further certify that any aud all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaioing to the work described herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Servi.ces 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 duri~g construction. Owner or Contractors Signature Date Paee 2 of2 22~ Fifth Street Sp'ringfield, Oregon 97477 541-726-3759 Phone !, Job/Journal Number COM2009-01166 COM2009-01166 COM2009-0 1166 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000000910 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12%,State Surcharge Paid By, ONLINE PERMIT CHGS City of Springfield Official Receipt Developme~t Services Department Public Works Department Date: 08/i2/2009 9:31:IOAM Amount Due 162,00 8,10 19,44 $189.54 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page 1 of 1 Amount Paid ONLINE MY Online ELECTRICI AN $189.54 Payment Total: $189.54 8/12/2009