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HomeMy WebLinkAboutPermit Electrical 2009-8-14 . , City of Springfield. \. Electrical Anthorization To Begin Work E-mailedTo:dana@jbclectricinc.com Check on status of permit By Pbone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us ":"'ff'"" -_..,~--..l' I D New Construction [8] Addition/alteration/replacement IG]"!fillnilYdwell'" DMllltioramilY Dcommercia' DACCeSSOry I Job Addre~s; 36] S 43RD PL I City/SfatelZIP:,SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: Main Breaker Panel Cross Street/directions to job sile: Daisy & 43 Place Please ch~ck all thaI apply: DAscrviceorfeederbeginningal400 Amps where the available fauh current exceeds 10,000 Amps al 150 Volts or less to ground exceeds 14.000 Amps for all other installations DFirepurnps o Emergency systems o Addition ofa new motor load of IOOHl'ormore o Sixornlor~r~sid~ntialunilsinone structure DII~althcareracilities I T,mp/p'",]".' ,,1'J.{JJ..crz..~ (>!\~) 1~+>'iSt~~;:k:~t$E~~~I;?ES.C'Rif}fTQNiciELw~9RKtt~4j~%~f~~:,~~p~::';;; I Description Replace 150 Amp main breaker pane]. Name: Wayne Cochran ..~'.I j v, '~.~ I I I Phone: 541-52]-7475 Fax: Email: I Elcc lie. no,: 37-587C CCB lic. no.: 104929 I Business Name: JBELECTR]C INC I Con"~\lOTlCE: I Add"'HI'iR]f)Bl'lM1'V SHALL EXPIRE IF THE WORK C;ly/SWWJ\'Itw.rl.'cD"9He'ER''l'mS PERMIT IS NOT Pho"'~n~mi?17W-:Fn OR IS ABAfm81\1ffi'I'"JR Em';]'A'IWI'@1'1ffiE!1A'~]1l'NItO 0" Metro lie. no.: Citylic.no.: Supeniising Electrician's lie. no.: Supervising Electrician's Name: 3872-S 10hn Brumback Number ofinspeclions included in paid sen'ices: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your ]ocal jurisdiction, your permit will be e-mailed or faxed within orie 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 and local ordinances I Services 200 amps or less I Subtotal IStalt." surcharge (]2%ofpennil total) I Technology lee (5%ofp.:rmit tOlal) I TOTAL PERMIT l<'EE 69600-BEL-09-00077 8114/2009 1;22 pm Appro\'lIl Code: 017970 DHazardousJocalions DAservic~orreed~fratedat600 arnp, or more DBuildingsmor~thanthreeslories DMarinasandboatyards DFloatingb\lildjn~ DCommercial.useagricultural buildings DlnstaJlationofal50KVAorlar1;er s~perately d~nved sys O"A". 'E",or"I.Z" or "1.3" DRecreationalVehicleParks DSllPply voltage for more than 600 supply volts nominal $81.00 $9.72 $,tos $94,,,1 Cq -ll<fu ~rL ~\\L\lCA ATTENTION: Oregon law requires youto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 0 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). ;pP ~~-1~O 'v 'b~ \ltJ G\ \,\-0 ecr\ I A1~ ~ "6". 0-~ This Authorization To Begin Work must be posted at the,job site until replaced by a Permit CITY OF I'lYKll'lul'1ELD Status Issued Building/Combination Permit PERMIT NO: COM2009-0II86 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: i25 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 361 S 43RD PL ASSESSOR'S PARCEL NO.: 1702323404310 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Resident.ial, PROJECT DESCRIPTION: Replace 150 Amp main breaker panel Owner: COCHRAN WAYNE M & ARLENE S Address: PO BOX 25232 EUGENE OR 97402 Phone Number: 541-521-7475 I CONTRACTOR IN.F?RMATION I Contractor Type Electrical Contractor JB ELECTRIC License 104929 BUI~DI~G INFORMATION I Expiration Date 03/14/20 I 0 Phone 541-687-5770 # 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 1st 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 Total: , H;lDdicapped: ATTENTION: Oregor.C'"'^' rp?t""Jires you to f I oml!ac: o low rules adopted oy tde uregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- nu . JlIl:: VV;;;JU. IUU IIJaY UUlct1f1 (Juples Of me rUles DY THIS PERMIT SHALL EXP I PUBLIC IMPROVEMENTS I calling the center. (Note: the telephone Street Impro'!l'melmRIZED UNDER THIS1RplE'RrM' nIT"IS",ur\1\ nursllfl!J&lktlfyfe:egon Utility Notification '~; ~ '! NOT Center,s 1-800-332-2344). Storm SewerG.vail~tITeiGED OR IS ABANDONED FOR Downspouts/Drains:. Special InstnA-;til/n180 DAY PERIOD. Overlay Dist: # Street Trees'Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I V aluati.on Descri~tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amou'nt Value Date Calculated Page 1 of2 " Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description -+ 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project ~ Fres Paid I Amount Paid Date Paid 8/14/09 8/14/09 8/14/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01l86 ISSUED: 08/]4/2009 APPLIED: 08/]4/2009 EXPIRES: 02/]4/20]0 VALUE: Receipt Number 1200900000000000931 1200900000000000931 1200900000000000931 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. willbe made the following work day. $9.72 $4.05 $81.00 $94.77 Plan Reviews , I ~,~~Iuir~d Insnectiolls I Electric Service: Approval required prior to utility company energizing'service. By signature, 1 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety. 1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Pal!e 2 of2 Date' 225 Fifth Street Springfield, Oregon 97477 5<U -726-3759 Phone Job/Journal Number COM2009-0 1186 COM2009-0 1186 COM2009-0ll86 Payments: , Type of Paym.nt ONLINE CHGS cReceintl RECEIPT #: 1200900000000000931 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/14/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received . KR . Page 1 ofl ONLINE 1B Online ELECTRIC Payment Total: 2:02:58PM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94.77 8/14/2009