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Home My WebLink AboutPermit Electrical 2009-8-20 City of Springfield , Electrical Authorization To Begin Work E-mailedTo;dana@jbelcctricinc.com Check on status of permit By'PhOJ1.e: 541-726-3753 or Email: permitccnter@ci.springfield.or.us o NewConstruction o Addition/alteration/replacement 10 1m2 '",,;Iy dw"li"" o Multi-ramily o Commercial D'Accessory JobAddress:415S AST City/StllteJZIP: SPRINGFIELD, OR 97477 SuiteJbldg.lapt.no.: ProjeclName:INstall2circuits I Cross Street/directiOlis to job site: Main Street I Tn.plp.",'"",: \')O?:>~~)~ ~ -=t;;H=S. '..f' "Yif0=,c'~~""""".'~~~~ ...~....,.,:...,~...""..._.- ""<""".0':",,,,,~:~ me,,".:.'. ", .......... 1!~"'""'J}i:t4'~22:01Jtt!tS:'7~iJ,;i',,i;,~DESCRIDJION'OFWORK~~:illi~}i$;}JiF~S:;Z0.~~,l ,., ,- -"-.""'~~""""'''''=..,.._ "'" r>" _, .___",,,,,,,~:;;WiQ?,,,-,:iidYb:'+&:?f!";\/'\ Install power for range and dryer Name: Susan Hammon Phone; 541-729.(1798 Fax; Email; Eleclic. no.; 37-587C CCBlic.no.: 104929 Business Name: JB ELECTRIC INC I Coo"'" NOll!;l:: I Add",,: 46~II~;g.~c~lj-lMIT SHALL EXPIKt: I~ I Ht VVUtll\ I CityISI"dz,iI'~EW!&~-!tim, Qh'lJl.i),~61 HIS PI::KIVIII I::' I~U I I Pho"d4l-\liXi11v1ENCED OR IS ~!JbiL\lliJJ ~Utl I Em.;"JOH~!B,EL"j;oo.llJ~c~RIOD. I Metro lie. no.: Citylic.no.; I Supervisin~ Electrician's lie. no.; 3872-5 I Supervising Electrician's Name: John Brumback Number of inspections included in paid services: Residential Service: 4 Reconnect Only: I All Other Services: 2 Up~n 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'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 Please check all lhatapply; o A service or fee4er beginning at 400 Amps where the available fault currenlexceeds 10,000 Ampsal 150 Volts or less to ground exceeds 14,000 Amps for all olher inslallations o Fircpumps o Emergencysysterns o Additio~ of a new motor load of 100 HP or more o Six or more residential unilS in one structure o Health care facililies I Description IBranChCiTCUi!SWithoutserViceor feeder I Branch c.ircuils each additional circuit wIthout service 69600~ BE L-09_00084 8/20/2009 12:tO pm I Approval Code: 057799 locations setYice or feeder raledal 600 limpS or more DBUildingsmorelhanLltreestories DMarinas and boat yards DFloa,ingbuildings DCommercial-useagricullural buildings DlnSlallationofal50KVAorJarger seperatelyderivedsys D"A","E".or"loZ" or "103" o Recreational Vehicle Parks OSupply vohage for rnore than 600 supplyvollsnominal I Qty, Ell. Total "r.'. ., ..,\ $55.00 555.00 $6.00 $6.00 I Subtotal !State surcharge (12% ofpelTllit loWl) ITechllologyfee(5%ofpermillotaJ) I TOTAL PERMIT FEE Cl1-Id.\~ ,r $61.00 $7.32 53.05 $71.37 .~ BI~lO') 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), ~lJ COflf O:v ~'6Q \j:' This Authorization To Begin Work must be posted at the job site' until replaced by a Permit ~ ~ ~~ ~>P ~~ , Status Issued CITY OF ~rKll''1GFIELD Building/Combination Permit PERMIT NO: COM2009-01216 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 415 S A St ASSESSOR'S PARCEL NO,: 1703353113200' Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: install 2 circnits for range and dryer Owner: SW AGGART LESTER C JR & M A Address: 3276 LAKEMONT DR EUGENE OR 97408 ',I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JB ELECTRIC License 104929 BUILDING INFO~MA TlON I Expiration Date 03/14/2010 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 DEYELOPMENT INFORMA TillIS," ' , , NOTICE' i" ION' Oregon I?'" '0,",''''00 "''''II~ " "REUJRED'P.A:R ING H C Ri=R n follow rules adopted by ul~ureyun bUill FrontylrdISetliac~:IT SHALL EXPIRE IF THE WO~erlaY'Dist: Notification Center. Thoifotiil:1S are set forth Side I sl!tlJa~k':RIZED UNDER THIS PERMIT IS N~'8treet Trees Rqd: in OAR 952-001-001 0 thrHanai2a^ppe<fi2-001- Side 2 S'tftIiack::NCED OR IS ABANDONED FOR Paved Drive Rqd: 0090, You may obtain C((liini)iiiH!1e ,utes by Rearya;,c;lJ~e\l[asI{}AY PERIOD. % of Lot Coverage: calling the center, (Note:tne telephone Solar Sethacks: . number for the Oregon Utility Notification r.",nt"" i, 1-800-332-2344\. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft , or multiplier Square Footage or Bid Amount Value, Date Calculated Page I of 2 _s,g~I!'I"ClIl!il~R; ,~' I -.... Status Issued CITY OF SPRINt:Jl'IELD Building/Combination Permit PERMIT NO: COM2009-01216 ISSUED: 08120/2009 APPLIED: 08120/2009 EXPIRES: 0212012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Pai~ I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7,32 $3.05 $55,00 $6,00 8/20/09 8/20/09 8/20/09 8/20/09 1200900000000000952 1200900000000000952 1200900000000000952 1200900000000000952 Total Amount Paid $71.37 r 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 Reouired Tnsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, By signature, I state and agree, that (have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I 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 Services 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 althe front of the property, and the approved set of plans wiil remain on the site at all times during construction. Owner ,or Contractors Signature Date Pa2e 2 01'2 225'Fifth Street Springfield, Oregon 97477 541.726-3759 Phone .Job/Journal Number COM2009-01216 COM2009-01216 COM2009-01216 COM2009-01216 Payments: Type of Payment ONLINE,CHGS cReceintl City of Spripgfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000000952 Date: 08/20/2009 1:10:4IPM Description Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55,00 6,00 3,05 7.32 $71.37 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR $71.3 7 $71.37 Page 1 of 1 8/20/2009