HomeMy WebLinkAboutPermit Electrical 2009-9-22
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City of Springfield
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Electrical Authorization To Begin Work
.. E-mailedTo:levimichaeI2722@hotmail.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcentcr@ci.springfield.or.us
I 0 New Construction
[] f\dditionlaltcrationlrep1acement
G I or 2 family dwelling
[]MUlti.fWniIY
. o Commercial
DA~cessory
1!ttll'J~,*7i'I~JOBiSITEiINE.ORMATIONrAi,i6'i!OCA'TION1;~~'!f.''''',!!i~~0Ii
I Job Address: 3268 ,~REOON ~ VE
I City/State/ZIP: SPRIN.GFIE~D;:OR 97478
I Suite/bldg.lapt.no.: ;.
I Project Name: SKELTON
I C"" S""ud'","on"o job "!" I
I Tn.p/p",,) no.' \ '1:0'J..'b\ ~ '}. O\a,W~ I
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INSTALL ADDlTION.AL MET~R ON HOUSE FOR DWELLING IN BACK
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Name: NICK SKELTON
Phone: 541-868-6068
Fax:
Email:
Elee lie. no.: C455
Business Name: LMJ ELECTRI~ LtC
CCB lie. no.: 185086
Contact:
Address: 1851 GRANTST
City/State/ZIP: EUGENE, OR' 97405
Phone: 541-729-8727 II
Fal::
Emlllil: levimichael2722@hotm~l,com
Metrolic.no.:
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City lie. no.:
Supervising Electrichm'slic. no,:
Sqpervisiog Ele(:triclan'J Nann.:
54345
ROBERT S YOUNG
Number of inspections included in paid services:
Residential5ervice: 4
Reconnect Only: . 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit will be
e-mailed or faxed within ~nellbuslness day, with Instructions on how to
schedule your inspection., Ii
NOTE: This Authorization To Begin VVork expires within',180 days if a pennit is
not obtained.
The local building department may determine that an A~thorization To a.egin
Work Is null and void if it does not meet applicable land use laws and local
ordinances " .
69600- BE L-09-00 146
9/22/2009 3,12 pm
Approval Code: 013~ 1-14-0r'
Please check all that apply:
o Aserviccorfeederbeginning&1400
Ampswhcrc the available fault
curr~texccedsl0,000Ampsal
150 Yolts or less 10 ground exceeds
14,000 Amps for alJ other
installations
o Fire pumps
o Emergency systems
o Addirion of anew mOlor Joad of
100 HP or more
o Six or more residenlial unilS in one
structure
o Health care facilities
DHazardou~localions
DAserviceorfeederratcdat600
amp~ormore
DBuildingsmorelhanthreeslOries
DMarinas 3lId boat yards
DFloa,ingbuildings
DCommercial-useagriculturaJ
buildings
Dlns,aJ'ationofal50KYAor'arger
seperately derived sys
O"A","E".or"I-2" or "1-3"
DRecreationa'Vehideparks
Dsupply vol1age for more lh3ll 600
supply volts nominal
Total
Description
ISer.;ices200 amps or less
I Subtotal
1 State surcharge(12%ofpemlit total)
1 Technology Jee (5% of per mil total)
II'OTAI. PERMIT I<'EE
~
~ CA.'~
\.
$81.00
$8LOO I
$9.721
$4.051
$94.771
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
"
Issued ,,'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01407
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
. ~
225 Fifth Street, Springfield, OR.
541-726-3753 Ph'one i"
541-726-3676 Fax
. 541-726-3769 Inspection Line
'. .'" '"
SITE ADDRESS: . 3268 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702313106003
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: install additional meter on house for dwelling in back
.- il',
Residential
Owner: SKELTON NICK L
Address: 3360 WATERMARK DR
SPRINGF~LD OR 97477
Phone Number: 541-868-8608
I CONTRACT~R INFORMATION I
Contractor Type
Electrical
Contractor
i,l.
" LMJ ELECTRIC LLC
License
185086
Expiration Date
01109/20 II
Phone
541-729-8727
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BUILDING I~FORMA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy'Group:
Primary Construction 'Type
Secondary Construction Type:
# of Bedrooms: " " .
#'01' Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setb~ck: \".
Sol"r Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.' 'I
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
. . . law requires youto
Notes: ATTENTION:. Oregeo~ b the Oregon Ut\llty
. "_,,. ...I,,~ adopt y,__ M" <Atjorth
~;\ijication c"en~~1~';hr-;;u'gh OARI":~ :~,~ _ . '~:;I:! [l;E: .
in OAR952,001 ain copies oj th , MaluatlOn De~cnDtlO~~ ) PERMIT SHALL EXPIRE IF THE
0090. You may obt Note' the telepnu'."" . AIITHnR/7ED U WORK
II' g 'hA,center. ( :' .,. \-lo"$ieer1Sq Ft. Square'::Foota~e- NOER THIS PERMIT IS ~lnT
Descriptionca \n Type of,EonstructiorilV ." 'It' I' B!d'(A;~f1l1f1ICT't'CEO OR IsValueNOONEOUatl'-,CaIculated
number 101"tI'~. ~'-BOO,332,234L.~r mu Ip ler or I moun 1-101-1 tUIi
Center \s 1- ". ANY 180 DAY PERIOD. _
)
Paee 1 of 2
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CITY VI' :SYKmLil'lELD
Status
Isstied~ Ii
Building/Combination Permit
PERMIT NO: COM2009-01407
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
225 Fifth Street,'Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
. ,
541-726-3769 Inspecti~n Line
,
Total Value of Project
.r
Fe~s P~.id I
Fee Description
"
+ 12% State Surcharge
+ 5% Technology Fee. I
Perm ServlFdr 200 a.rip~ or less
Amount Paid
Date Paid
$9.72
$4.05
$81.00
9/23/09
9/23/09
9/23/09
Receipt Number
3200900000000000662
3200900000000000662
3200900000000000662
Total Amo~nt Paid
$94.77
,
,t
': t-
Plan Reviews I
To Request lin inspection call the 24 hour recording at 726-3769. All inspedions 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.
Relluired rn~nections I
Electric Service: Approval required prior to utility company energizing service.
II
By signature, r state a~d agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 tbe work described herein, and
that NO OCCUPANq~ 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 tbe
street, that the,permiticard is located at the front of the property, and the approved set of plans will remain on the site at all
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times during clmstruc~ion.
Owner or Contractors Signature
" '
Date
Paee 2 of2
225 Fifth Street' ',' .'
Springfield, Oregon 97477
541c726-3759 Phone' .
Job/Journal Number
COM2009-0 1407
COM2009-0 1407
COM2009~0 1407
Payments:
Type of Payment
ONLINE CHGS
cReceintl
.
': RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000662
Date: 09/23/2009
7:47:37AM
De'kcription
. Herin ServlFdr 200 amps or less
"1-' .I.... ..
;,'" 5.% Technology Fee
.+ 12% State Surcharge
" "
'.
Paid Il'Y
ONLINE PERMIT CHGS
. "
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~ .q
<.... '. f"
. .
Received By
NJM
,":
Page I of I
Item Total:
Check Number Authorization
Batch Number Number ".ow Received
ONLINE LMJ Online
ELECTRIC
Payment Total:
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94,77
9/23/2009