The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-10-21 City of Springfield a~..." ~^ .':~.' I .~". < ........=:....._._. -;"o,t '''-"it>'" ,,~'. Electrical Authorization To Begin Work E-mailedTo:jonette@neww3)-.clectric.com Check on status of permit By Phone: 541.726.3753 or Email: pennitcentcr@ci.springfield.or.us 1~;,;.;~iif~~/1.~~:~~~4fr:s,';~;:rY~'E:OFkw.oRK%l:~~~i.~_~&~rL"(j"":;;'.,t~~~ I 0 New Construction 0 Addition/alteration/replacement ;""ji"~t"",WCA'fEGORY;OF'CONSTRUCTioN\, ;'-, ,~{0~1 I [~} "zrmn;lydwolH'. o MoI6.fmn;ly DCo~,,,;o' 0 A''''MY 1,.,'.wr;;,t-;;'~JoEtsiTEiNfORMATION'Ai-iD'i:OCAiloNf1'gy:<.. .".. I Job Address: 350 \12 17TH ST I City/State/ZIP: SPRINGFIELD, OR 97477 I SuitVbldgJapl.no.: Project Name: I Cross Slrcetldirecdons tojob site: 1 Turn'p/p.",""' \f)P'?ro~L~ O~\O{) ~~~t::;!,U~{r~.~pg~,c.Rlp,;TioN16~WQ~~~~~~!Z~~,.#:~:rt:1i~I '~"'I ':.L.S'\';', I 1 1 I I I change out service 1;t'fl!,~~~"j.!';~,\:~sTTE:CONT~CT I Name: Scott Koozer I Phone: 541.501-1593 I Email: jonette@newwayelectric.eom I;;',--~, I Elec lie. no.:20.145C I Business Name: NEW WAY ELECTRIC INC ,~ Fax: 541.686.2715 ~6~~yIW~~~J'c6N--r~~t:6R~~R'~~'1;:~:f~-~~~; ~':\j.-_~1t,:1 CCBlie.no.: 51088 I,Contacf: j Address: PO BOX 21503 I City/State/ZIP: EUGENE, OR 97402 I Phone: 541.686.2365 I Email: 1 Metro lie. no.: I Supervisini Electrician's lie. no.: I Supervisinl Electrician's Name: Number orinspeetions included in paid services: Residential Service: 4 Reconnect Only: I All Other Services: 2 Fax: City lie. no.: 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, (/ q . I '741 69600-BEL-09"00200 1012112009 4:43 pm Approval Code: 811273 ~C.I\,~..,,~PO\NREVIEW ",'i-v..e> ~::'''7''' Plcasc check all tllat apply: DHauroousloeations DAserviceorreederbeginninga14oo DAserviceorfeederratedal600 Amps where lilt available Faull amps 01 more cunenltx,eeds 10.000 Ampsal 150 Vohs or Icssto ground exceeds 14.000 Amps fOI all other inSlallations o Firepwnps o EmergencysySlems o Addition of anew motor load of 100 HPor more o Six or more residential uni15 in one structure DHealthcar~fadlilies DBuildingsmorethanlhreeslories DMarinas and boalyards DAoatingbuildings DCommercial-lIseagri,uhural buildings DlnstalllltionofalSOKVAorlarger seperately derived sys O"A","E",or"I-Z"or"'-3" DRecrelllionalVehidePllrks OSlIPplyvohageformorethan600 sllpJ>ly volts nominal II 1 I $81.00 I 1i:~~~'S:Ft''":'~:':~~.~~'')~EE'S:c:ttI:DUrE:t:~:,,/~, !OescriPtion I Qly. Ell. I~n'i~fsor,reede'rs~~~t. :i<~(7?' I Services 200 amps or less 1.:.lecirit.II:I~~rmft.Fecs:.'.~,,:"~;.. __. ISublotal ISI8te surcharge (12% of permit totnl) I I Technology fee (5% orpennit loral) I TOTAL PERMIT FEE 'I Total $81.00 """",1"> I $81.001 $9.72 I $4.05 I S94," 1 \ ~rv ~/jl' '\1"'.0 ~ (V 'V. 4 y-~ (}YY;2o-v ~ - r:9 /S 77 17 /Y) /0 /dOl);9 NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local building department may det&nnlne 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 Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01547 ISSUED: 10/22/2009 APPLIED: 10/22/2009 EXPIRES: 04/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection-Line -SITE ADDRESS: 3501/2 17TH ST . ASSESSOR'S PARCEL NO,: 1703362405100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service change out Owner: Address: BERRY EMIE K 3501/2 N 17TH SPRINGFIELD OR 97477 I, CONTRACTOR INFORMA nON . Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/27/2011 Phone '541-686-2365 BUILDING INFORMA TIONJ # of Units: Primary Occupancy Group: Secondary Occupaucy 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 Sq Ft Other: Occupant Load: n/a I DE~ELOPMENT lNFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Pav~d Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: ATTENTfOr-P.~~f1'1'!1!1fJlres you to Special Instrnction: foJlow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS In OAR 952-001-0010 through OAR952-001- / ,_ PERMIT SHAll FY.PIRr: Ir: TUi: "If.,,,,, 009q, You mav obtain copies of the ruies by nu I nUI'1/LtU UNDER THIS I 'tH/I!1/T IS r.i;"T' , ,vc'::'t''" the center, (Nate:Ine tel~~none CpfVlMENCED OR IS .4J:,"r' "V',a!u~ff01''' DescnntIwm er for the, Oregon Utility Notlflcalion ,\ i~:' : iU) i!f"J ""'-"''', ~ --, .. ---,.. , -. , Center IS 1-800-332-2344). , '. ,-' " , ~'.. '. -;, $ Per Sq Ft Square Footage - Type of Construction It' I' B-d A Value Date Calculated . or roo Ip ler or I mount Notes: Description , 'j Pace I of2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " , CITY OF I'lYKll"(jl'u;LD Building/Combination Permit PERMIT NO: COM2009-01547 ISSUED: 10/22/2009 APPLIED: 10/22/2009 EXPIRES: 04/22/2010 VALUE: Status Issued Total Valne of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9,72 $4.05 $81.00 10/22/09 10/22/09 10/22/09 3200900000000000719 3200900000000000719 3200900000000000719 Total Amount Paid $94,77 Plan Reviews I 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. R,eollire~ Insn~ction~ Electric Service: Approval required prior to utility company energizing service, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be doneIn accordance with the Ordinances of the City of Springfield and the Laws of the 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, I further certify that 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, thatthe 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 Coutractors Siguature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone _ Job/Journal Number COM2009-0 1547 COM2009:01547 COM2009-01547 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department. Public Works Department 3200900000000000719 Date: 10/22/2009 Description Penn ServlFdr 200 amps or less + 5% Technology Fee + 12% State SurchaJ'ge ' Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE new way Online Payment Total: Page 1 of I 7:19:34AM Amount Due 81.00 4,05 9,72 $94.77 Amount Paid $94,77 $94,77 10/22/2009