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Home My WebLink AboutPermit Electrical 2009-9-28 ;.:i City uf Spriugfield ~ Electrical Authurizatiun To. Begin Wurk 'E.mailed To: levimichaeI2722@hotmail.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New Construction Please check all lhalapply: o Addition/alterationJrepllicement 10 I or 2 family dwelling o Multi-family .;OCommercial 0 Accessory I' .~,~~~=",,~H.. ,..~.."",,,,w.~*'~""""""1 ID:ZE;;**.~J6B,SITE;INFORMATIONrANDl110CATION'~~i1~'1'\~.~~"~~$' I Job Address: 3270 OREGON AVE ' I I City/State/ZIP: SPRI~GFIELD, OR 97478. I I Suite/bldg.lapt.no.: I I Project Name: SKELTON I Ie.." S.","d;",".., to j,b ,;." I I T,mplpm,ln,: \fl.O'1-'D\~\ firQ:;)? I 1~!M~;~ll1l~'-ilJ~DESCRiP,:'TION[OF.1WQR1i~1i"{~~~~1 SERVICE CHANGE ~; Name: NICK SKELTON Phone: 541-868-6068 Email: Fax: CCBlic.no.: 185086 Elec/ie. no.; C455 Business Name: LMJ ELECTRIC LLC Contact; Address: 185 I GRANT ST City/Slate/ZIP: EUGENE, OR 97405 Phone: 54 I -729-8727 Email: levimichaeI2722@hotmail.com MefTolic.no.: Supervising Electrician's lie. no.: Supervising Electrician', Name: . Fax: City lie, no,: 543"4S ROBERT S YOUNG Number of inspections included in paid services: ResidentiB.l Service: 4 Reconnect Orily: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within o.ne business day, With_Instructions on how to schedule your insp~ction. o A service or feeder beginning at 400 Amps where the available fault currenlexceeds 10,000 Ampsal 150 VOIIS or less logtound exceeds 14,OOOAmpsforaJlOlher installations o Fire pumps o Emergem;ysySlems DAdditionofanewrnotorloadof 100 HPormorc DSixormoreresidentialunilsinone structure o Heahhcarefacihties 69600- B E L~09-00 153 9/28/2009 6:36 pm Approval Code: 046726 ~V(J q.\ [; [IHazardouslocalions DA servireor feeder raloo at 600 amps or more OBuildingsmoreth:mlhreeSlories o Marinas and bOal yards DFloatingbuilding.s DCommen;ial-useagricultura' buildings [jlnstallalionofa150KVAorlarger . seperaldyderivedsys O"A"."E".or"I-Z"or"I-3" ORecrealionalVehideParks DSupply vollage for more than 600 supply volts nominal Totlll I Description I Services ?OO amps Or less ISubtoml . LState s\lrcharge (12% of penn it tOlal) frechnology fee (5%ofpellnit total) I TOTAL PERMIT FEE ~~ .l'\.~ ,,-'- ~o-.: \: (h7;2-(n) 9 ('/Y'J NOTE: This AuthoriZ!ltion To B~gin Work explr_9s 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 $81.00 $81.00 $9,72 $4,05 $94.77 ~'V~ r:Y' .&:J \Q c...tQ. f:V ~0 . U {}/L/'VS 9/d-Q/o 9 This Authorization To Begin Work must be posted,at the job site until replaced by a Permft '" ., , " Status Issued' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01445 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: 225 Fifth Street, Spri.ugfield, OR ' 541-726-3753 Phune' 541-726"3676 Fax 541-726-3769Inspectiun Line SITE ADDRESS: 3270 OREGON AVE ASSESSOR'S PARCEL NO,: 1702313106003 Spri.ngfield TYPE OF WORK: Electrical Wurk Only TYPE OF USE: New Residential PROJECT DESCRIPTION: \)~ ., .~ - :.- Service chauge Owner: SKELTON NICK L Address: 3360WATERMARKDR SPRINGFIELD OR 97477 Phune Number: 541-868-6068 I CONTRACTOR IN,FORMATION I Contractor Type', ..Contractor Electrical ' ~ LMJ ELECTRICLLC License 185086 Expiration Date 01/09/2011 Phone 541'729-8727 . BUILDING INFORMATION I # ufUnits: Primary Occupancy Gruup: Secundary Occupancy Gruup: Primary Cunstructiun Type Secuudary Cunstructiuu Type: # uf Bedruums: '. # uf Sturies: Height uf Structure Type uf Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lut Size: Sq Ft 1st Fluur: Sq Ft 2nd Fluur: Sq Ft Basemeut: Sq Ft Garage/Carpurt Sq Ft Other: Occupant Luad: ilia I DEVELOPM~NT INFORMATION I REQUIRED PARKING Fruntyard Setback: Side I Setback: Side 2 Setback: . Rearyard Setback: Sular Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % uf Lut Cuverage: Tutal: Handicapped: Cumpact: ----. ...~ I ~UBLlC IMPROVEMENTS I AT1.E:.N IIU\\I: UleYUl1 If;lVV '-""'-ILH'-- ! - .. follow rules adopted by the Oregon Utility NS'~' . 'Ik'~~^~'er Those rules are set forth luewa ".'ype: . 01 . OAR 952-001-0010 through Ot,R 952.0 . OJnnuwuspuutslDrains:n copies' of the rules by Ut1u. I~U II"-'-J .........-.. calling the center. (Note: the telephone number for the Oregon Utility Notlilcalion Center is 1.800.332-2344). Street Impruvements: Sturm Sewer Available: Speciallnstructiun: Nutes: NOTICE: r nlc> C'tKIVIIT SHALL EXPIRE I'r, Tf!F wnR" I AUTI-IORIZED UNDER THIS p[_V~lu~tion'DescriDtion , COMMENCED OR IS Jl,BANOOr':;'~' 'r:u 'w I D "ANY iT>" ^ ~ 'f G ' $.fer ScllFt escnptlOD . ,v-pe) 0 / onstructlOll I' " . -... , ""'IlVLI. ormu tip ler Square Fuutage ur Bid Amuunt Value Date Calcuhited ~ Page 1 uf2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phune 541-726-3676 Fax . 541-726-3769 Inspectiuu Liue Fee Descriptiuu'; + 12% State Surcharge + 5% Technulugy Fee ' Perm ServlFdr 200 amps ur less Tutal Amuunt Paid .' Amuunt Paid $9.72 $4.05 $81.00 $94.77 Tutal Value uf Pruject Fees Plli~ I Date Paid I Plan Reviews , 9/29/09 9/29/09 9/29/09 CITY OF SPRINLd'lJ'..LD , Building/Combination Permit PERMIT NO: COM2009-01445 ISSUED: 09/29/2009 APPLIED: 09/29/2009 EXPIRES: 03/29/2010 VALUE: Receipt Number 3200900000000000678 3200900000000000678 3200900000000000678 To Request an inspection call the 24 hour recording at 726-3769. All inspections r,equested 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. ,Re(]II,i~e1 Insnections I Electric Service: Appruval required priur to. utility cumpany energizing service. By signature, I state and agree, that I have carefully examined the cumpleted applicatiun aud do. hereby certify that all infurmatiun hereuu is true and currect, and I further certify that anyaud all wurk perfurmed shall be dune in accurdance with the Ordinances uf the City uf Springfield and the Laws uf the State uf 9regun pertaining to. the wurk described herein, and that NO OCCUPANCY will be made ufany structure withuut permissiu'u ufthe,Cummunity Services Divisiun, Building Safety. I further certify that unly cuntracturs and empluyees who. are in cumpliance with ORS 701.005 will be used un this pruject. I further agree to. ensure that all required inspectiuns are requested at, the pruper time, that each address is readable frum the street, that the permit card is lucated at the frunt uf the pruperty, and the appruved set uf plans will remaiu un the site at all . . times during construction. . Owner ur Cuntracturs Siguature , Page 2 uf2 Date' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2009-01445 COM2009-01445 COM2009-01445 Payments: Type of Payment ONLINE CHGS cReceintl .,' , RECEIPT #: City of Springfield Official Receipt Developm~nt Services Department Public Wurks Department 3200900000000000678 Date: 09/29/2009 Description '.. ferm Sei-v/Fdr 200 amps ur less + 5% Technulugy Fee + 12% State Surcharge Paid By. PNUNE PERMIT CHGS ,,', ,. " Item Total: Check Number Authorization Received By Batch Number Number Ho~ Received NJM ONLINE LMJ ELECT Online Paym~nt Tutal: Page I of I 7:17:36AM Amount Due 81.00 4,05 9,72 $94.77 Amount Paid $94,77 $94.77 - 9/29/2009