HomeMy WebLinkAboutPermit Electrical 2009-9-29
. City uf Springfield
Electrical Authurizatiun To. Begin Wurk
E-mailedTo:te~a@orelectricservice.com
69600-BEL-09-00155
9/29/2009 8:41 am
Approval Code: 029111
Check on status of permit .
:. By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
o New Construction
o 'AddirionlalteratiOliJreplacemenl
I [~}OC2f"""Ydw,U;,g OM'h;.rwnllyOcOmm~"i'l 0 A"""'Y
r,::~,:,,: 5~U~~~,B1SITE1INEoRMA~rON1'AN01I!OCATI0~~~~~~1
I City/State/ZIP: SPRINGFIELD, OR 97478 I
I Suite/bldgJapt.no.: I
I PrujectName: AssocJKelly/654-01l5 I.
Ie.." s,,,'v.;"'.,",,, j,b ,it, I
I Taxmap/parcelno.:
Wire electric furnace, condensate pump & r~ceptacle
Name: Jeff Brooks
Phone: 541-343.1681
Fax: 541-343-1683
Email: tena@orelectriCservice.com
I
I
I CO""": THIS PERMIT SHALL EXPIRE IF 1 HE WOKK
I Add",,: P,QIJiq~1VRIZED UNDER THIS PERMIT IS NO r
I ciO'/s'''~I!::Mi9i@igH}4@R IS ABANDONED FOR
I Ph,", 54~;\I2V6~180 DAY PERIOD.",,: 54!.343.1683
I Email: /
I Metro lie. no.: City lie. no.:
Elec Iic. no.: C408 CCO lic. no.:
Business W;!?1o;lQl{lt{iQNELECTRIC SERVICE LLC
181997
Supervising Electrician's Iic. no.:
I. Supervising Electrician's Name:
1392S
HennanOllar
Number ofinspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
"\
Upon review and approval by your focal jurisdiction, your permit will be
a-mailed or faxed wrthln one business day, with Instructions on how to
schedule your inspection.
NOTE: This Autho~tion To Begin Work expires within 180 days If a pennit Is
not obtained.
The local building deparbnent may detennine that an Authorization To Begin
Work is null and v.oid if it does not meet applicable land use laws and -local
ordinances
apply:
DHazardouslocali?ns
DA service or feeder rated a1600
amps or more
o A service or feeder beginning al400
Amps where lhe availablefaul1
current exceeds 10,000 Amps at
150 Volts or less to ground exceeds
14,000Ampsforallolher
installations
DBuildings mOle than three stories
DMarinas and boat yards
DFloatingbuildings
DCommercial-use ~,griruJtufaJ
buildings
[] Installation ofa 150 KV A or larger
seperalelyderivedsys
O"A". "E",OT "1-2" or"I-J"
o ReCrealional Vehicle Parks
DSUpplyvoltage for more than 600
supply vohs n(lminal
o Firepump5
o Emergency systems
o AdditionofanewmolOrloadof
100 HP or more
o Six or more residemial unils in one
structure
o Heahhcarefacililies
I Branch circuits without service or
feeder
I Branch circuits each additional circuit
withOlllservice
Suhtolal
State sllrcharge(12% of permit total)
Technology fee (5% of penn it total)
TOTAL PERl\lITFEE
$73.DO I
$8.761
$3.651
S85,4t I
CC1 (LIllY
q I()~ 109
~
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Center. Those rUhle~t~e ;;~_f~~~~
in OAR 952-001-0010 throug
.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 BeginWork must be posted at the job site until replaced by a Permit
22~ Fifth Street ~.
Springfield, Oregon 97477
54-1-726-3759 Phone '
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RECEIPT #:. 2200900000000001106
Date: 09/29/2009
9:50:20AM
Job/Journal Number
COM2009-0 1444
COM2009-0 ]444
COM2009-0 1444
COM2009-0 1444
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number HowlReceived.
Amount Due
55,00
18,00
3,65
8,76
$85.41
Description
Add, Alter, Extend Circ
. Add, Alter, Extend CiTC Ea Add
+' 5% Technulogy Fee
,+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE OR Online
ELECTR]C
SERVICE
Paymeut Tutal:
$85.41
$85.41
~': '" '.
cReceintl
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