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Home My WebLink AboutPermit Electrical 2009-10-14 c;ity of Springfield .aMSNGPJSJ,;,Qi ",,,~,,.,~,,,,,,,,,..',.~." 69600- BE L-09-00 185 10/14/2009 II :55 am Approval Code: 014192 Electrical Authorization To Begin Work . E-mailed To: tena@orelectricsen'ice.co-m Check on status of permit By Phone: 541-726-3753 or Email: pcr~itcenter@ci.springfield.or.us DH3.Zardouslocali(>~s DAserviceorf~ederraleda1600 amp5?'more DBuildingsmor~thanlhreeslories DMarinas and boat yards DFloatingbuildings DCommerciill-useagricultulal builrllOgs OInslallalionofaJSOKVAorlarger s"pera(~ly derived sys O"A"."E',or"I-2"ol"I-3' DRecrcll,ionaJVehideParks DSUpp,yvo'tag~formoTethWl600 supply vohs nom;nal Pleas~ ched:.alllhat apply: o A service or feeder beginning a 1400 Amps where the available faull currenlexceeds 10,000 Amps al ISO Vohs (lr less to ground exceeds ]4,000 Amps for all other installations o Addition/alteration/replacement o New Construction ,I o Multi-family o Commercial o I or 2 family dwelling o Accessory ~!~~lillI 'FOB'SITE'IN~6RM..riioNiAND:itOCATI6N;';:~:::~"I~I. Job Address: 5495 A ST r City/Stale/ZIP: SPRINGFIELD, OR 97478 1 Suite/bldg.lapt.no.: 41. 1 Project Name: Melcoi726-2400 o Fire pumps o Emergency systems o Addition ofa newmolor load of 100 HPOl more o Six or more residenlial unils in one structure Cross Street/directions to job site: o Health care facilities I Tn.p/..,,,,no,, \')r;tL/?)~/... rY~\ \~ I~ ~~",~tiM-'~'-~~"=-'~~"-~.';X'-'-'~'-tF!f"'''''' ( j!:!i~=+,gj:":J . ".qv; ,:,:'~00."^",,:'DES,~8J.I~IIQNjPIS,\v~Q~J<~%'iEiF462?\iL~E%d;;'ijJ'5I~~"L!"~ I Total E., Reconnectserviceaflermeterbasereattatchmt:nt only IEIectrif4i,rj~ffiiifF!~s';i:' 1 Subtotal I State surcharge (12% of penn it total) (Technology fee (5% 6fpennittotal) ITOTAl PERMIT HE $63.001 $7.561 $1151' 573.711 NlIme:JeffBrooks Fax: 541-343-1683 Phone: 54]-343';1681 lot \Lj-lDCl I~ tC1-ISI5 Email: tena@orelectricservice.com Elec lie. no.: C408 CCBlic.no.: ]81997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 I City/State/ZIP: $~!~b'402. _. .-.-;'i ...... 'E 'Nr:f?'!. I Phoo"'41-343-IWlIS PERIVIII ~HI\.i,J.: lM\f4~[j~31:. .:}.~ [' 'II)T Em.il, AUTHORIZED UNUtli I nli:l rEr"''' , Iv r - , - ""\ M.;Gl rsr. I M,,,.Ii,,",,: COMMENGtU UIi l:i:lyIM:j/i;\!'UUI I SupcrvisingElect~!~;'lif~~{ij: DA~9fSEKIUU. Supervising Electrician's Name: Herman Ollar ATTENTION: Oregon law requ'res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth. In OAR 952-001-0010 through OAR 952-001. 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). Number ofinspections included in paid services: RcsidentialService: 4 Reconnect Only: 1 All Other Services: 2 'V--'V~ &-- \\).\t6 ~ ~~ \}\ ~# ~,\) 0..: ~ Upon review and approval by your local jurisdiction, your permit will be e-mailed or taxed within one business day, with instructions o~ how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. Thelocal 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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued eITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01515 ISSUED: 10/14/2009 APPLIED: 10/14/2009 EXPIRES: 04/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5495 A ST APT 41 ASSESSOR'S PARCEL NO.: 1702334203114 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Reconnect service after neterbase reattachment , Residential Owner: CRAMER DERICK C & RHEA L Address: 1128 PLEASANT ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TION . Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Phone 541-343-1681 BUILDING INFORMATION. # 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: I Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING. Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: HandiC~~)jJed: S'd 2 S tb k P d D' R d ATTENTION: Oregon Ie,w, mRM p you to 1 e e ac: ave rove q: follow rules adopted bylRin:rregon Utility Rearyard ~ffbact;E' % of~ot Coverage: Notillcation Center, Those rules are setforth Solar Setb~c8~~ ID~~MIT SHAll EXPIRE ~~ :~~.~?~T In OAR 952-001-001 0 through OAR 952-001. AUTHORIZED UNDtK I HI" rr llr~RbocIMPROVEMENTSil.lI\J.. \".. ...",,' OOUlln copies 01 me rUles oy MCED OR IS ABANDOt I. , . - IJaIhng the center. (Note: the telephone Street Imp~Q~Ih~.fts: PERIOD numbflidowllm ~Belon Utility Notification ANY 180 DAY . Center Is f-a00-332-2344). Storm Sewer 'Available: . DownspoutslDrains: Special Instruction: Notes: I Valuation DescriDtion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 eITY OF ~t'Km'-'l'mLD I " Building/C6mbination Permit , Status Issued PERMIT NO: d'OM2009-01515 ISSUED: 10/1412009 APPLIED: 10/14/2009 EXPIRES: 04/14/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! ~ ,,17~ . Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 10/14/09 10/14/09 10/14/09 1200900000000001144 120~900000000001144 1200900000000001144 Total Amount Paid $73.71 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. . I B~r,I,J.~r~~ In,~~~~i?n,,~, I Electric Service, Approval required prior to utility company energizing service. Ii By signature, I state and agree, that I have carefully examined the completed application and do h~reby certify that all information bereon is true and correct, and I further 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 the w~rk described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety. I further certify tbat 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 Signature , Date Page 2 of2 225 -Fifth Street Springfield, Oregon 97477 541-]26-3759 Phone Job/Journal Number COM2009-0 ISIS COM2009-0 ISIS COM2009-0 1515 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Service Reconnect ,+ 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Spri:rgfield Official Receipt Development Services Department Public Works Department 1200900000000001144 'I Date: 10/14/2009 Received By Item Total: Check Number Authorization Batch Number Number How Received , KR ONLINE OR Online ELECTRIC SERVICE I; Payment Total: , , Page 1 of 1 1:17:37PM Amount Due 63,00 3,15 7,56 $73.71 Amount Paid $73,71 $73,71 10/14/2009