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Home My WebLink AboutPermit Electrical 2009-8-31 " City of Springfield Electrical Anthorization To Begin Work E-mailedTo:tena@orelectricservicc.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us o NewConstructiOl1 o ^dditjonlalteration/feplaceme~t Please checkaJ.1 that apply: o A service or feeder beginning at400 AmpswherelheavailabJefaul1 curre'TI! ~~c"e,h 10,000 Amps at 150 Yoh,urless 10 ground exceeds 14,000 Amps for all other installations 10 I" 2 I;,m/ly dWolI/o,DM,,,/-r.ndY DCOlTI~ercia] o Accessory I JobAddress:205S 54THST I City/State/ZIP: SPRINGF1ELD, OR 97478 I Suite1bldg.lnpt.no.: 105. I Project Name: Debra Woller/HACSA I CrossStreetJ4irections tlijobsite: I Tn.p/p",,'oo., \ry.O'?,~~ CO ()\'4r::c> " 1~~~7~~4~~~Q~~~RIP,JH:[~iPFlw.9R~~dxt7'if[~~~~t*1 Rep]acepanel o Fire pumps o Emergency.>yslems o Addilion ofa new motor load of 100 HPor more o Six Qr mQre residential units in one structure o Heallh care facilities Oescription IScrviccs2QOampsor]ess I Nume:JelTBrooks I Phone: 541-343-]68] I Email:tcna@orc1cctricscrvicc.com I Subtotal ISI3tl:surchllrgl:(]2%ofpl:nl1itlOla]) ITl:chllologyfee(5%ofpl:nnillolal} ITOTAL PERMIT FEE Fax: 54]-343-1683 tCi-ICf7B ~ I Elee lie. no.: C408 CCB lie. no.: ]1l1997 I Business Name: OREGON ELECTR]C SERVICE LLC I Contact: I Address: PO BOX 2237 I CI'Y/S''''IZlP, EUGENE. OR 97402 .OOll:l3d AVO OB ~ ANV I Phoo" 541-343-1681 l:IO:l Q3N@GN-\f-l!JI;lI9~ l:IO 03JN3li\1li\10J Em.H, ION SIIlli\ll:l3d SIHIl:l30Nn 03Zll:IOHInlf 1 M""ti,.oo.' >180M 3Hl:lI ~1!I(;dJ€lllVHS llli\l1:l3d ~IH I I Supervising Electrician's lie. no.: 13925 :J''lll n ~I 1 Supervising Electrician's Name: Herman Ollar - - -- - - - Number ofinslleetions included in paid services: Residential5ervice: 4 Reconnect Only: I AIIOtherServiees 2 69600- BE L-09-00 108 8/31/2009 11:53 am Approval Code: 031169 "PL:AN REVIEW': - ..:~._,_ DHazardouslocations DA service or feeder rated at 600 amps or more DBUildingS more than three stories Dr.1arinas and ooalyards DFloalingbuildings DCommercia,-useagricuhura' buildings Dlnstallationofa'50KVAor'arger seperalelydefl\'edsys O"A"."E",OT"I.2"Or"[-3" DRecrealionalVehicleParks DSUpply wltage for more than bOO supply VOIIS l10minal Total $81.00 $8.00 I, 1>9.721 $4,05 594.771 co \31lcR 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). Upon 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. I#J ~ r'\0 C\. \\) \.:, tJ NOTE: This Authorization 10 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 ThiS Authorization To Begin Work must be posted at the job site until replaced by a Permit ~~ o....\~ ~~ 1!'lii~~I,~~l1:!~:!?:1." , ' \ \ . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01278 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 02/28/2010 VALUE: " 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 205 S 54TH ST SPACE 105 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace panel in existing residence. Owner: WOLTER DEBRA A & GORDON W Address: 205 S 54TH ST SPACE 105 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05109/2010 Phone 541-343-1681 BUILDING INFORMATION I # 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 GaragelCarport . Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: H~ndica~p~d: ATTENTION: Orego b'i.'f r;~ ,U1res you to follow rules adoPted~y \fle regon Utility Notification Center, Those rules are set forth 'OOlH3d Alia DB r ANIi in OAR 952-001-0010 through OAR 952-001- l:lU~ U:JNUUIWl:l\t "bU:1 JrWl~"'''I~~ uu~u YOU may ODlaln caples 01 me rUles oy I P Ilt:H::-IMPR(')VEMENTS I '. 'I h ION SIIlWH3d SIHl .:J=e;",~l'::::;=;~ J, ,-':1", .'" call~ng the center, (Note,. the te ep one Street Improvement~HOM 3HI :Ii 3HldX3 llliHS IlWH3d SIHI nUSHlefvmk ttypQ.regon U!llity Notification . Center IS 1-800-332-2344). Storm Sewer Available: :3::l110N Downspouts/Drains: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I 01'2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01278 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 02/2812010 VALUE: 225 Fifth Street, Springfielo, OR 541-726-3753 Phone 541_726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9,72 $4,05 $81.00 8/31109 8/31109 8/31109 3200900000000000614 3200900000000000614 3200900000000000614 Total Amount Paid $94,77 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~9,uirecll nsp~ct,i~n~ , 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 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, 1 further 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 Date Page 2 of 2 216 Fifth Street Springfield, Oregon 97477 54.1-726-3759 Phone Job/Journal Number COM2009-01278 COM2009-0 1278 COM2009-0 1278 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: ~,~~l~,~, " ~ .~": 3200900000000000614 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: 08/31/2009 Item Total: Check Number Authorization. Received By Batch Number Number How Received KR Page I of I ONLINE OREGON Online ELECTRIC SERVICE , Payment Total: 1:09:I3PM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94.77 8/31/2009