HomeMy WebLinkAboutPermit Electrical 2009-10-28
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r.' ~r_RINGF!~~ (;;:225Fifth SI '.' ,,'
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/;~~i:~) :'j/{;}Phone:'541.i~~_F,_53,'
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1~'-'-=--""'!h""-r;yI!E'OE'WORIG!il!ii!:Glffl,,~-'lT"'ff<~'4',!-,,,
~Jft~~~$",~'-"'" ,,;J. . ,', _ ,_"_'~~:P,{,p0ft.-~,~~.lffi
10 New constructiO-'~,..;' .;" . :,::~;~,:'~dsl,i~on/alte~tiOn/rePI~cement
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I 00 1 or 2'famii~~d~el,\~r~;:~JU:;;]0:~41~f!~~i~!t.~!f4Y.b~~m~rCial 0 Accessory
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"I Clty/StatelZI p~ SP'R'N#Fi~ECQ;,;'.q~~~'~7.4~~X:}~('\:1{~i~'i )::~:.
I Suite/bldg./aplno.:' ;_;1'. ' :.'
I Project Name: ..' '(I
'Ic.'oss StreeVd:;~~~~1}~~;~~c2@ii~\f:~Jr~%fi':j.
I Tax map/parcel no.~.}"'..;70~d'33102900
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00209
Approval Code: 326146 10/28/2009 12:44 pm
E-mailedTo:sprinter5c@yahoo.com
o Hazardous locations
.0 A ~ervice or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
,0 Installation of a 150 KVA or .
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
,D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
P\ease check aU that apply:
D A service or feeder beginning
a~ 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,OOOAmps for all other
D Fire pumps
D Emergency ~ystems
D Addition of a new fOotor load
of 100 HP or more
D Six or more reside~tial units in
one str~cture
D Health care ~acilities
Total
, ,
Removing Aluminum service entrance cOnductors and installing copper service
entrance conductors per owners ";'1,. .1'.
request.
$81.00 I
Services 200 amps or less
I Subtotal
I. State surcharge (12% of permit
. total}
I.TeChnOIOgy fee (5% of permit total)
I TOTAL PERMIT FEE
$81.00
$9.72l
$4.051
$94.77 I
'~jDI2.BIDCj
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Name: Brad Frank . 1 " "_
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Fax:
, I Phone:,541-501-090~'
, Email: . ~t
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CCB .Uc. no.: '. 174458
I Elec Iic. no.: C256
I Business Name: SPRINTER ELECTRICINC
I Contact' NOTICE:
I Address, 829i4fJ!lSRl?~M.ll.SHALU~P~R~~~1 "!: ~Util\
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CltylStatefZlF: CR~Sl1VElr., OR"'972J2'6'" . F"O
I GO:.Hf.::n:::::[J }:1 iG ASf.fl:::8tl@ -,
Phone, 54189l\~ tililrn~y Di:Qlnrl"ax: 5418952207
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ATTENTION: Oregon law requires 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 lor the Oregon Utility Notification
Center is 1-800-332-2344).
Metro IIc.;no.:
,1 City lic. no;:
u
5407S.'~~'
Supervising Electrician's IIc. no.:
*6\
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JEREMY J COOPER
Supervising Electrlci~n'5 N,~me:c:
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Number of inspections Included In paid services:
Residential Service:. 4
..;.. l- ,
Reconnect Only: 4~"I'l1. ': :""".' ..,,'
All Other Services:. ,_t~!~ '2 '~'i..,. .--. ~
Upon review and approval by your local jurisdIction. your permit will be e.mailed or faxed
within one business day, with Instl\lctlon~ on how to schedule. your iI\s~ctkm.
NOTE: This Authorization To BegIn Wor1l: expires within 180 days If .'permlt Is not obtained.
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The local building department, may~determlne ,thati-an "Authorization To BegIn. Wor1l. Is null and
void If It does not meet appllcabl~ lan~'u.e laws and local~ ordinances.
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J:, _\~. Inspections Phone: 541-726-3769 .
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.~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
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CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01584
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
Issued
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225 Fifth StreetiSpringfield:'OR,~,"i!~;(:: .
541-726-3753 Ph'one,,,,,,'::",' '.',""-;'
541-726-3676 Fa,x; f: ..'.
. 541-726-3769 lIispectioQ Line
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SITE ADDRESS: " 345 52ND ST
ASSESSOR'S PARCEL NO.: .170p33102900
. -.:", ,.;:\,., (/ TYPE OF USE N
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PROJECT DE~CRIPTWN.:',M~~",;~i~g ai~minum service entrance conductors and installing copper service
"t.", ,~;,~t{jl;:':"; .~i entia"nee conductors per owner's request.
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Springfield TYPE OF WORK: Electrical Work Only
Residential
:; Qwner: '
" Address:
" WILLIE THOMAS D & CHRISTINE D
2307 BEVERLY"SP" .,'
. _ __ -. ._...~_':t-..
SPRINGFIELD 'OR97477
(') I CONTRACTOR INFORMATION I
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Contractor Type!:':~t1l.Contractor
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Electrical j' '0 r . SPRINTER ELECTRIC INC.
License
174458
Expiration Date
02/2012011
Phone
541-743-1213
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BUILDING INFORMATION'
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary ConstrnctionType:
# of Bedrooms:r' . .,.-. .
,M . '~:::'"
o
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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,0" r i.; I.DEVELO~ME.NT INFORMATION'
NOTICE: "..
Frontyar\llmtjllrnMIT SHAll EXPIRE IF THE Wa~lay Dist:
Side 1 SetmmORIZED UNDER THIS PERMIf~ NHeet Trees Rqd:
Side 2 se.~c EO~OR IS'ABJ\NDONED FORPaved Drive Rqd:
Rearyar !lll'. . ... "', ., . O' ""'-' % of Lot Coverage:
Solar Se s!P ,DAY,PERIO . '
J
Street Improveme!'ts:
Storm Sewer A vailahle:
Special Instrnction:
~"': ,ii'
REQUIRED PARKING
A'T'TI'" Total: .
,.. I ",NTI0N: Oregon 'MJaGWgll~dY.ou to
foll.ow r~les adopted bHW{ ,\llR90n' Utility
, NOllficalion Center. Those r'mes are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules bV
...",l(;II~ ";'0 ,",CllLt1l. \;..,uu::t. LfH::t lelepnone
I ~UBLIC IMPROVEMENTS,lumber for th~ Oregon Utility Notification
" SMMlRI< ifyMlOO-332-2344). , '
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Downspouts/Drains:
c.>
Notes:
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I Valuation Description I
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
,J
Square Footage
or Bid Amount
Value
Date Calculated
p.
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Palre 1 of2
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Status . Is~i~~d:";.:F:::)\~:t(1)&~;".'
225 Fifth Street, Springfield; OR'" I
541-726-3753 Phone
541-726-3676 Fax " . ~".::" ".
541-726-3769 Inspection\Line;j,'i'j,,;i,~;;'i,' "
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CITY OF ~nul~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01584
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
.;
<,y
Total Value of Project
,':
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FV' ~aid ,
.. ' .':', ':':-', .Amount Paid
Fee DescrIptIOn' .., ,.:,' "':',:"
+ 12% State Su;charge":';,:;'.Wi:fib"{:;"
"., . ," --',-;'. '-. ''-','- ".
+ 5% Technology Fee" '.' ','
Perm Serv/Fdr'200 amps or less
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Total Amount Paid i,
$9.72
$4.05
$81.00
10/28109
10/28109
10128109
Receipt Number
1200900000000001203
1200900000000001203
1200900000000001203
Date Paid
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$94.77
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Plan Reviews I
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To Request aD inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. willl:Je made the same working day, inspections requested after 7:00 a.m. will be, made the following
work day: ' ,; : , ,"
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,,~ RefJlJi~~d IJ1,n,ec.tio~,' ,
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Electric Service:.EApprovlll reqnired prior to utilitY company energizing service.
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By signature, I ~tate,and agree, that I have caref'l.\ly examined the completed application and do hereby certify that all
information her~on is true,and correct, and I f",rther, 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 work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensure that all required i~~pections are requested at the proper time, that each address is readahle 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 co~st!~cti<fn. ',.. ;,
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Owner or Contractor~ Signature. .
Date
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22~ Fifth Street,
Springfield,Oregon'97477
541;-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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,!,jii;':RECEIPT~ #:
1200900000000001203
Date: 10/28/2009
1:22:55PM
Jo~/Journal Nu.mber:,~F',:J?~s,cription
COM2009-01584 <::)/);;jPenn Serv/Fdr200 amps or less
COM2009.01584: '+'50/0 i~~Iin~lo~ Fee;.
, COM2009-01584 + 12% State Surcharge'"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE SPRINTER Online
ELECT.
Payment Total:
Amount Due
81.00
4,05
9.72
$94.77
Payments: .""' ~"." ,:,.~~.:,:,.,i,.,\:.';,~.~,;:.j.~.~,','~:,:::.~:,~",l,f:,~,;r;/ J,
Type of Payment . ,:PaWBy;X:: "
ONLINE CHGS ' ..,:ONLINE PERMIT CHGS
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Amount Paid
$94.77
$94.77
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