HomeMy WebLinkAboutPermit Electrical 2009-11-3
':-':'
City ~~' ~~;i~gfield
225'Fifth St
Springfield, OR 97477
Phone: 541-726.3753
, f :' ~.rT)ail: p'.~rmit~~tir~:i.springfield,or.us
~,~Rl\t<-i':''l:.(:.,t; :,{.~;..~'':::',~'!';'~~':~
o New Constructio~ ~,~.
lKl Additionhllteration/replacement
001 or 2 family dwelling 0 Multt.iamily>\~ B C?mmercial 0 Accessory
~laW~~ElTSi't,Em>>~ORMA'nON'ANDNOcATioN~~'~~
Proje~t Name: '.
:;':. ."' ';.';'._ ...'_. .l'._,.,
Cross StreeUdirectlons to'job s!te:SpaCe,~~7;,.~?Qta Linda,Park
- , ,,;~:. ,:/. .
Tax map/parcel no.:
1703271102100
Replace panel in single wide mobile home Space ~97
:) r~l, (r. ,;,'ij'
Name: Can & Betty HarQrove
I Phone: 541-844-1700
I Emall:
IIr~~" r-~,()NIMRfQBl!lIIii~~j!(i~
I Elec lie, no,: 20--403C:<
Fax: ':
"
. ... ..i~" .-.
cea IIc. no,:
115113
,
Business Name: ARC ELECTRIC INC
Contact:
"
I Address: 85783 HWY 99. S
I City/StatelZlP: SPRINGFIELD, OR 97478
I Phone: 5417410494 Fax: 5417411685
I Emall: ARCEL~ef~:~OM, , , ' ~
1M r 'm5. rf:I;\IVIII ::lMflLL '<:MIlne I;> l'HIlWORIi
etto 'c, no,: ',~r;!'!:}:1I~::F; :J~tm TnIS' ~~AMIfIl NOl'
SU"Ni'in'E~'1t~i,ml=%~l'i_nJ:l1~'~RllMnONFn mR
SupeNi.ing ~i>WI'*'8(1j1af!lAY Pffi'em~~M SEBASTIAN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
. ;,:'..,tr-~I':"
~.~'=~i)'.~-
, ",0
<-',"
Upon review and approval by your local Jurisdiction, your permit will be, e-maHed or faxed
within one business day,. with Instructions on how to schedule your Inspection,
NOTE: This Authortzation,To Begin Wor1l expIres within 180 days If a permit Is not obtained,
, .~r.;:.fi "t',j. ':.. T. ;
The ]ocal building departme(lt may dete~fne that an Authorization ,.To Begin Work is null and
void If It does not meet applicable land use laWs'and local ordinances.
0"
, (J1\~\V
Residential Electrical Authorization To Begin Work
69600-BEL-09-00220
Approval Code: 028299 11/3/2009 8:34 am
E-mailedTo:arcelecor@aol.com
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Hazardous locations
o A seryice or feeder rated at
600 a'mps or more
'0 Buildings more than three stor
o Marin'as and boat yards
o Floating buildings
'; 0 Coml'flercial.use agricultura!
buildings
o Installation of a 150 KVA or
larger~seperately derived sys
D "A", "E". or "1-2" or "1-3"
~D Recre'ational Vehicle Parks
o Supply voltage for more than
600 s~pply volts nominal
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
I Description
[ Services 200 amps or less j' I l $81.00 I $81.00 I
1!;!ec~ri~~HRerffiffl[~{}s:~~,t'"4tA~~~~;t~i:~?_~~!f,t:;.~<;YJ}i~1
I Subtotal $81.00
I State surcharge (12% of permit $9.72
total)
I Technology fee (5% of permit total) $4,05
I TOTAL PERMIT FEE $94.77
C,Cl - \ \DDL\-
~,\'\ 13/09
Id2
ATTENTION: Oregon laW requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001 0 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 HI00-332-2344).
.. 0t'f)~..
~v'
~
\\ A.cA
~~9-'
~
'J Inspections Phone: 541-726-3769
This Authori3~~2r'! To Begin Work must be posted at the job site until replaced by a Permit
_,.~_. ~__..._u.,_. '
,~".~ ., f' ' ~ I:
\
'~f '
,
-,
.
t
CITY OF SPRINGFIELD
"',
."".-
:i
"
Building/Combination Permit
PERMIT NO: COM2009-01604
ISSUED: 11/03/2009
APPLIED: 1110312009
EXPIRES: 0510312010
VALUE:
Status Issued - ,,\.:Jt'~... . ,.~'
'..-, " ' . : ,..".,...t".,';,_\"(:,,::-r:,.:;'," ,;' ,<
225 Fifth StreetrSpri';gfield;'OR1"ti'~:'~'
541-726-3753 Phone''':'''''' ,',' ",
541-726-3676 F~~, I,: ,
, 541-726-3769,W"P~f,ti?_4+in~",{
" .-:~. - f:':. :.
, '
SITE ADDRESS: 2150 LAURA'ST SPACE 97 Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 17~~pl004400
C;:'" ,', ',', : :"~?'>',: ",' TYPE OF USE: New Residential
PROJECT DES6~~ti()]~:i!H R~pi~~,;:panel in single wide mobile home
'~~;:' :.{.t-~'~::c::~, ':,"';" : "'";~ '
! (lwner:, "
Address:
..~ "
,CARL&;'BET ,HARGROVE
, 2150r;A~~ ST:'{it::;, "
SPRINGFIELD' OR'97477 "
Phone Number: 541-844-1700
" I CONTRACTOl{ INFORMA~mN ,
Contractor Type\;~(~Contri~i~r
. ~ '~I ,0-:
Electrical ~, ; . , ARC ELECTRIC
, .;\~ ,"t_~~:' (,
,"
License
115113
BUILDING lNFORMA TlONI
Expiration Dat:e
07/29/2010
Phone
541-741-0494
# of Units: ~
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type ,
Secondary Cons.tructio'!,:Type:,":;;, f,":
# of Bedrooms:'!: .; "",c: ': ,. '.
~ .
"
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
,i
,
nla
~r I'
~ .'
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
q ";
Frontyard Setback: Overlay Dist: , Total:
Side 1 Setback: :, 'I " # Street Trees Rqd: 'Handicapped:
Side 2 Setback: ' ; ,; ',.. '" ,;~, " Paved Drive Rqd: ATTENTION: Oregc:'~~lres you,t,o
RearyatltllftWk: ;: :'] if: " ',,-,:' ";.' .. % of Lot Coverage: follow rules adoptep by'i1ie'Oregon Utility
Solar S~1~~~E~~~lt'sHALL EXPIRE IF THE WORK " Notification Center. Those rules are set forth
I I . "~ .~. In OAR 952-001-QQ1Qthrouo..h OAR 952-001-
i\UTHU~ILt:!J UNUtK I nl~ r-l:mv~i~dfLrc IMPROVEMENTS ,0090. You may obtain copies of the rUles oy
COMMENCED OR IS ABANDONEu' , calling the center. (Note: the telephone
Street ImW'nffl"ll~ PERIOD..' " nutWll6rvldl<~egon Utility Notification
Storm Sewer A vailable: Dow~\lVsif,r\-&~P-:332-2344).
Special Instruction: , ,,', ,<' ,:,<_ "
::~ :tt.
-ii.
Notes:
,~
~ I . \
" ,
iH.. ~l~i' ,!!'.'t
I Valuation Des~riDtion I
.fl ..
,',.
~j.
"
:
..
,; ~ ,;-:
..
'\- !'~.
,.,... .;~~-it~;' ,
$ Per Sq Ft
or multiplier
"
Square Footage
or Bid Amount
Value.
, Date Calculated
Description
Type of Construction
Pa!!e 1 of2
.
"
;~ . J-
__~II~~g~~~J~i:, ';'_,~
.., ,_C'''~ '"'' .. ..,
Ti:~:: :1:,-;",,', 't~:t,f;';Sr"'!'"
.-. :-'1~gr"
, Status ; Is~~~~I;::.;'~;~ :.. _'::', "
". ,'. ,"' c"
225 Fifth Street, Springfield; OR;;;'
i....
541-726-3753 Phone '
541-726-3676 Fax
,',.
541-726-3769 InspecHo~Lin~ )i;jji!ii
Total Value of Project
" '.::.(.,~, "/ "
Fe~~ Pai11
Amount Paid
F:~~;:~:~=~:rcharge,' ',}:,),~:,:,~..~,i,!,{:,(..;,':,;,:,:' $9.72
+ 5% Technology'Fee:3,".. .. " $4.05
Perm Serv/Fdr200 'amps or less $81.00
.
Date Paid
11f3/09
11/3/09
11f3/09
" ; ~ " l
TotaJ,Am'ount Paid
, : iT "..~...
$94.77
;
Plan Reviews I
:f
~)
:4- ,~:~ '
CITY Vi' ~rKH\itJFIELD
,
Building/CombilIation Permit
PERMIT NO: COM2009-01604
ISSUED: 11/03/2009
APPLIED: 11/03/2009
EXPIRES: 05/03/2010
VALUE:
Receipt Numher
2200900000000001248
2200900000000001248
2200900000000001248
To Request ap insp~~ti~n call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be ni,ade, th!l same working day, inspections requested after 7:00 a.m. wiWbe made the following
work day:' '~F') { '\. ~ - \," - ", ,"
. ,...w".....p;:." _~
.. ,
~.e'1~jrp11~s:,'~Hi?nS i
"
Electric Service: Approval required prior to utility company energizing service.
" .~: {L
j;
By signature, I ~taie '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 done in accordance with
the Ordinances 'oftlie 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 tliat 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 lime, that each a'ddress is readahle from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during co~structi~n. :~.,....~.~~:. '
! ji :-
'f:
" I' ..
Owner or Contractors Signature~
..... -
.
"
L":'li;' .
,. .:'~.~
, "
,
~I " ,
~;" ;;, ii" ~ ,.... ,,~ 4 I .
, i"
Paee 2 of2
...
(>
Date
\. . ~':
225 Fifth Street.' ,'.. .,
'f," ,
Springfield, ()re~on_ n~77
541-726-3759 PIlone~\H .
~. '
Job/Journal Number
COM2009-01604
COM2009-01604,
COM2009-0 1604
Payments:
Type of Payment
ONLINE CHGS
cReceintl
"
N
RECEIPT #:
Desc~ipt~~n. ...~;'~'::.~i:;::'..;,;-:.
,~' , "Perin SeiylEdj)OO amps or less
":'" ,<+,5'0/., Technology Fee
'{ " .
" '+ 12% State Surcharge
" ''''\:.'~>~f;.
ir"
Pa.id By
ONLINE PERMIT CHGS
~;
" '"
,. .. -
. ;j ~ '}'''' ...~"',-...' ..... '~'
.
.., ~, , "..
t. '1'(' hI:
,,"; t ""'i
. " \ ~ fl; , \
, - -
~: .: -r;t:.:~ ,
- -_._..~..-"
...~; ':;..t,
\
,.
-(
I'
~
, '
....'.-iFii-O.IfI"U>'....).,.,. ....
0,' . '
~r- -'
.'.. .
.. ,.'.".--:,: '...,.
.., ... .-..."","'C"" '
2200900000000001248
City of Springfiel4 Official Receipt
Development SerVices Department
Public Works Department
Date: 11/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How 'Received
KR
,-',
"'
""
"
..'. to:, '.
, )r; c-
" ? .
,
:
" ,
11 ,
" ,
" .
v
,1.. ,:;~
.- ~;
" .....
.
:
..
~f . ,
,
"
,~, .i~
~ ..
,.
.,
Page I of I
ONLINE ARC Online
ELECTRIC
Payment Total:
9:12:20AM
Amount Due
8LOO
4,05
9,72
$94.77
Amount Paid
$94,77
$94.77
11/3/2009