HomeMy WebLinkAboutPermit Electrical 2009-10-9
Electrical Authorization To Begin Work
E-mailedTo:dana@jbclectricinc.com
Check on status of permit
By Phone: 541~726-3753 or Email: permitcenter@cLspringfield.or.us
I 0 New construc~{in_ :
~. . . E1'~f~dditionlalleratiOnlrep]acement
IE} .<2 '=','Y d~'!t~j[J M,lt'-',mily ,Oc.mm",','
"0 AccessoTY
Job Address: 423 55TH ST
City/Slate/ZIP: SPRIN~FIELD, OR 97478
SuiteJbldg.lapt.no.:
l'roject Name: Add sub panel;
Crl?ss Street/directions to job site:'
Tnm"I,,,,,,..., 1'/v-l.'u6r~
Add sub panel and RVclrcuils
Name: Ellen Hanon :
Phone: 541-337-3959.:
Fax:
Email:
Elee lie. no.: 37-587C
CCOlic. no.: 104929
Business Name: 18 ELECTRIC INC
Contact:
Address: 4685 ISABELLE ST .
CitylSta1efZIP: EUGENE - WEST, OR 974029765
Phone: 541-687-5770.
Email: JOHN@JBELECTRICINC.COM
Fa:.; 54]-302-8296
Metro lie. no.:
City'lic. no.:
Supenising.Eleetrician's lie. no.:
Su-pen'isiag E'ectfjdaa'~ Name:
Number of inspections included in paid services:
Residential Service: '_ ':4,. ':: _.' .dl,:t:
Reconnect Only: ij I '";""".
All Other Services: 2
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. ."
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 applicable land use laws and local
ordinances ;: "
-,
"
'"
.
c. q I f4J '--
69600,BEL-09-00173
10/9/2009 10:15 am
Approval Code; 000285
Please check aJl lhalapply'
o Ascl>';cewfeederbellinningat400
Amps where lhe available fault
currcntex:ceeds 10,000 Ampsal
J50Voltsorlesslollroundex:ceeds
14,OOOAmpsforaJlolher
installations
Ofircplimps
o Emerllcncysyslcms
o Addiliol1ofanewmolOrlo8dof
lOOHPormore
O'Six:or mClre residential unilS in one
struClurc
DHe~thcarefacililics
l)escriptiul1
Services200ampsor1ess
Branch circi;'ils with service or fe\lder
exhcircuil
Subtotal
State surcharge (12% ofpermil tOlal}
Ter;hnology lee (5% ofp~rmillOtal)
TOTAL PERMIT FEE'
.~
~eQ
\D'{
OornZtJD 9
/I rYJ
DHa;wrdous'ocli,ions
DA servicc or fecderraled at 600
amps or more
DBuildingsmoreth8nlhreeslories
DMarinasandboalyard.;
Dfloalingbuildings
DCommcrcin'.useagricultural
burldmgs
OInSlallationofa 150 KVA orlarg~r
sep~ralely d~lIv~d sys'
O"t''', "E". or "1.2" or"l-l"
DRecrealional Vchide Parks
DSUpp,y voltage for rnore than 600
supplyvollSriominal
Sl0500 I
$12,601
S5.25
SI22.8S(
~'b.cf\
. \C" ~
~~
,,~
0/ ~9 .J..,
/0/0'1/0'7
1"
This Authorization To Begin Work, must be posted at the job site until replaced by a Permit
.,
~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 In_spectio~,.Line
......<.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01492
ISSUED: 10/09/2009
APPLIED: 10/09/2009
EXPIRES: 04/09/2010
VALUE:
Status . Issued .,
'i:
. ,.
,SITE ADDRES~: . \ 423 55TH ST
ASSESSOR'S PARCEC NO;: 1702331300118
Springfield TYPE OF WORK: Electrical Work Only
" .;.
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Add sub-panel and RV circuits
Owner: COOPER SHANNONS & TIM A JR
Address: 423.N 55TH ST' ".
SPRINGFIELD OR 97478
"
;., ~"j '.'
Contractor TYlie
Electrical
Contractor
JB ELECTRIC
I CONTRACTOR INFORMA TION .
License
104929
BUILDING INFORMATION I
Expiration Date
03/14/20 I 0
Phone
541-687-5770
"
# 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
S'I Ft Other:
Occupant Load:
n/a
, -
J DEVELOPMENT INFORMATION I
REQUIRED PARKING
,,/ ;
. Frontyard Setback: "
Side 1 Setback: '
Side 2 Setback: .
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I.
Street Improvements:
Sidewalk Type:
. Storm Sewer Available:' Downspouts/Drains: .
Speciallnstructi~(~178Z'Gi8:008_ ~ ~! JalUaO
Notes' UO!lBO!I!ION A\II!ln 1I0BaJO a41 lOI Jaqwnu ,
, au04dalal a41 :aloN) 'JalUao a41 BU!\IBO l:iO:l 03N OOIl:i3d NdO De i ANt'
. __. _". ,~~~,rlM "''''''1n ''''U nOA 'OROO ,_.. OON\t9\t q, un n-'n..~..
. ~'~O~~S6H'io.qBnoJ410~OO-IOO-(.'I':'uv0_~::. ., 1\18''' "'1.IVV~:id SIHll:i30Nn a3zi'~'''>UJ
41JOj laS'8J\1 S81TU aS041 'JilIUaO u< I\ValuatlOn DescnntlOn ,. OM 3Hl :II 3l:i/dX3 ll\tHS i:JOHlnV
A\II!ln !ucJ\3~Jb' 841 Aq paldopB sallu 1V'~II~f' IlljV.l:i3d SIHl
Descriptionl nOb LTyji.hofCouns't'PSl,ili'bi. :NOJ1$.I~er-I'~ql~t squBa.rdeAFootage . Value Datl<flMJia't'ed
u or mu tip ler or I mount -
Paee I of 2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax. ,:.' _-:~ .:.'i
541-726-37691n:SpeCti~nLirie
.'
CITY OF SPRINlIt!.J!,LD
Building/Combination Permit
PERMIT NO: COM2009-01492
ISSUED: 10/09/2009
APPLIED: 10/09/2009
EXPIRES: 04/09/2010
VALUE:
Status
-. ..- -. -. -.--
Iss u ed
--, _. <'
,'.'
'i'
"
Total Value of Project
Fees Paid.
Fee Description}:"~' ;ii ,:;
+ 12% State Srircharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
. ;",,"
".
Amount Paid
Date Paid
Receipt Number
$12.60
$5.25
$24.00
$81.00
10/9/09
10/9/09
10/9/09
10/9/09
2200900000000001164
2200900000000001164
2200900000000001164
2200900000000001164
Total Amount Paid
$122.85
r,. :~
I Plan Reviews I
j,l .1.. ~>. v. ;;:.
.'., "
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.
-
4 if_
I. .R.eo,l!ired ~~~ne~~jons I
,
Electric Service: Approval required prior to utility company energizing service,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is tr~e and correct, and I further certify that any and all work performed shall be done io accordance with
the Ordinances of the City of Springfield and the Laws ofthe 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,
" Ifurther certifY,fh~t.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 Signatnre
. ,1 ~. '.
Date
,,'
~; i
Paee 2 01'2
"
~. ..
225 Fifth Stree( . ,.
Springfield, Or~gon 97477
541 ~ 726-3759 PIion~.;'
Job/Journal Number. .
COM2009-01492
COM2009-0] 492
COM2009-0 1492
C9t:'l2009-0 14Q2 .
RECEIPT #:
~,r'!!'!'<;!p!~~,I'I!.'o/I", '.".
:; A,,~ ' .
JIlt""..'
::;" " ,
. '. r ~
. .....,... ,'."
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001164
Date: 10/09/2009
'.
Descriptio." . ,,'
:, Penn S~rv/Fdr'200 amps or less
.,:.;. >;Add, Aller, EXlend Circ Ea Add
. ~ : ,. '+' 5% Technology Fee
<li >'.7 J7% State~urcharge
..~;:~.~':;~: "', \. :,', I, ,1;
Payments:
Type of Payment . Paid By
,;:
ONLINE CHGS
cReceintl
ONLINE PERM]T CHGS
. 1 ".' .
: '.:~~:;:.,'J:,;
" -:
....,4. ,.,
,.
"I ,\
,
" \'
'I
1 ~
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE JB Online
ELECTRIC
Payment Total:
Page I of I
11:16:43AM
Amount Due
81.00
24.00
5.25
]2.60
$122.85
Amount Paid
$122.85
$122,85
10/9/2009