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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