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Home My WebLink AboutPermit Electrical 2009-8-27 ~~.t~~~r;lflPl!.AN.REV1EWP\~: ~,:'" ~~ e";"~:"$~?V~+,: Pleasecheck;lIlhalapp:ly DHazardouslocations o A service or feeder beginning at 400 DA s~rvice or feeder raled al600 Amps where the available fault amps or mor~ currenlexceeds ]1),000 Amps at 150 Vohsor less 10 ground exceeds 14,000 Amps ioralJ other installations ATTENTION: Oregon law requiresyou.to follow rules adopted by the Oregon Utility Notification Center, Those rules are set fortla in OAR 952-001-0010 through OAR 952,00"- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification I Center is 1-800-332,2344), / ~ ~ . ~:-: ! City of Springfield t!~.~a~~lmet j\i,," . . lfi.. Electrical Authorization To Begin Work E~mailed To: mgchrke@cselectric.org Check on status of permit By Phone: 54] ~726.3753 or Email: permitcentcr@ci.springfield.or.us o NewConstruction "0 Addition/alteration/replacement I EJ' M 2 f=;'y dwclHng Dcoml~ercial o Accessory o Multi-family Job Address: 1135 CENTENNIAL BLVD o fire pumps o Emergencysyslems o Addilion ofa new motot load of 100 HPor more City/Slat.../ZIP: SPRINGFIELD, OR 97477 Suile/bldg.lapl.no.: Project Nam...: EdsOll Cross Str......tldireerions tojobsite: o Six or more residemial llni\sinone structure o Healthc:uefacililies Ta;.: map/pare...1 no.: ID...scriPtion service change I Services 200 amps or less I Branch circuils with service or feed...r eachcircoit Nam...:.SusanEdson I Subtotal State surcharge(12%ofpermil IOtal) Technologyfce(5%ofpermittotlll) TOTAL PERJ\lIT FEE Phon...: 541-744-1701 Fa:s:: [mail; [Ice lie. no.: 20-14C C-C) -I ~LoB CCB lie. no.: 3849 Business Name: C & SELECTRIC INC Contact: sun.,.,,..,._ Addr...ss: PO BOX. r,482 . ....ri... r I~t; ""....._... ChylS""/Z'P, S~~]HM!~~~~~k"MALl EXPIRE IF THF Wnr:H( Phond4l.741-{1,3)(: ::::-;dLCU UI~UIEJH'Hffi-~RM'T I~ ~lnT Em,;',csELE0'!~~'i!sWfd'C~U UK IS ABANDONED FOR Merrolie.no.: ,.../ I.U.) UIi.Y ~tMltJn:Jlie.no.: Supervising Electrician's lie. no.: Supen'ising Electrician's Name: 4894S David Gehrke Numb...r ofinsp...ctions included in paid s"'n'ices: ResidentiaiService: 4 Reconnect Only: I All Other Services: 2 Upon review and approval by your local jurlsdictio~, 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 appllcable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit 69600- BE L-09-00 105 8/27/2009 3:04 pm Approval Code: 164287 DBuildingsnlorethanlhr~eslOries DMarinas and boat yards- D!'loalingbuildi~gs DCommercial-useagricultural buildings Dlnstallationofa'50KVA.orlarger seperalelydenvedsys D"A. "E" "]-'" "]-3" , ,or ~ (lr DRecreationalVehideParks o Supply voltage for more than 600 supplyvohsnominal $105.00 $12.60 $5.25 SIn.liS k-IL b I dB r 0'1 h 'W ~,,8"~ G--: '-?~ ~& Status Issued CITY OF SPRIN&l'lJ!,LD' Building/Combination Permit PERMIT NO: COM2009-01268 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02128/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,SITE ADDRESS: 1135 CENTENNIAL BLVD ASSESSOR'S PARCEL NO,: 1703264412200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service change in residence Owner: EDSON SUSAN J Address: ,1135 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Numher: 541-744-1701 I CONTRACTOR INFORMATION. Contractor Type ElectriCal Contractor C & SELECTRIC License 3849 B.UILDlNG INFORMATlO~ I Expiration Date 09/01/2010 Phone 541-741-2236 # 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 Frontyard Sethack: Overlay'Dist: Total: Side 1 Setback: # Street Trees Rqd: ATTENTION: OregoiH\mdicl(Jl!l'ed~ youto Side 2 Setback:OT/C Paved Drive Rqd: follow rules adopteC:Gl!mpact:regon Utility Rearyard Setb\c]{: E: . % of Lot Coverage: Notification Center. Those rules are set forth Solar Setbac~,~~Su~~~~~~ ,S~~ll EXPIRE IF THE WORK ~nA~~R,~~2~?,:-~~t~?}t;:~~~~ ~~~,,9~~~~O~~ COMMENCEDO'Rw,"SnA, HI~ : 'j-rj1BLI€ FMmOVEMENTS,- -c~lIing the center. (Note:,the tele~hone A~'V i 0 SANDe.. ,~oJ 'vn . numher for the Oregon Utility Notification Street Improvements? DAY PERIOD. siaet,aJKtbYP.l':1-BOO-332-2344), Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01268 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726:3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,~ P~id I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend.Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $12.60 $5;25 $24,00 $81.00 8/28/09 8/28/09 8/28/09 8/28/09 1200900000000001000 1200900000000001000 1200900000000001000 1200900000000001000 Total Amount Paid $122.85 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 workday. I R~ollired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I 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 oflhe 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 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 54l-726-3759 Phone Job/Journal Number COM2009-0 1268 COM2009-0 1268 COM2009-0 1268 COM2009-0 1268 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000001000 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/28/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS KR Page I of I ONLINE C & S Online ELECTRIC Payment Total: 8:33:06AM Amount Due 81.00' 24,00 5.25 12,60 $122.85 Amount Paid; $122.85 $122.85 8/28/2009