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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