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
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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).
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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