HomeMy WebLinkAboutPermit Electrical 2009-11-5
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SPRINGF,II:.';I' 225Fwth'St''', .",
'~_l\ ~ " . Spnngfield, OR 97477 .
~"';.of~~ - Phone 541-726-3753
~~ ~ :"It Emall permltcenter@clspringfield.or.us
....., 'OREGON -:';
11i.~lI1T;YP.E{OJ:":'WORK~~:_1/1.;.~'.;'-_~~;;1_:~f
I 0 New constru~io~:" : /~~.~\:;,:.~: '~-'. I&J A,ddition/alleration/replacement
11i!:1M1N'~c:;tEGJjRY~OFlc;pNsl'i>:uQtI6N~~s;:,-,""','~~.r~j
100 1 or2familydweli~~g:: ~!~;D;...Multtramil{ D Commercial D Accessory
I~JOBlSITE!INEORMAtiONTANDJEb:cA:ffoN;iM:;",J,~~:tl!
I Job Address: 1263 MA(N ST
I CitylStatelZlP: SPRINGFIELD, OR 97477 '.J
I Suite/bldgJaPtno.: 79' , " '~:
I Project Name: .:;. ;: . '.
I Cross Streetldir~ctiO':l:~' ~.Jo.b si~:,2nd entrance, ~rst one on the right (pink)
Spanish speaking hou~ehol~ '" }'"".- ,~" .:,: ":. .
I Tax mapfparcel no,: 1703354108700
Residential Electrical Authorization To Begin Work
69600-BEL-09-00228
Approval Code: 019201 11/5/2009 8:23 am
E~mailed To: arcelecor@aol.com
1~~lif-~t'-:1L~";~";- ~~~J?PLAN:'REVfEV\i.:];:-;~~f~'!-l~jl;~~~r~1
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
o Commercia'l-use agricultural
buildings
o Installation of a 150 KYA or
larger seperately derived sys
o ~A~, ~E~, or "1-2" or nl_3~
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Please check all that apply:
D 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
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
II~:~"t~~D4ff~;i~)~;S~~~~~SJ:Hi{QlJ-~E~~~~:~rgg,:,,:,.~~~t~:rd1
I Oem'ptlo" I Qty, I Ea. J Tota'
IService's o~!fe~d9ffi;~;',~~~ "l:'~~~;~P;~. t.~~J;:,~~:t~':~ ":<" .:J,1' ~~~" /.^~~I
I Services 200 amps or less .",) I $81.00 $81.00 I
Ifjaincn~c-'rclJ_it6;'L..j:: ~,4';':,;~fJ; ~~&~\,~<;ry' . c ,r-.i, ~ 'lJ"jl
I Branch circuits with service or I 2 $12.00 I
feeder each circuil
1~!~cJrJ~al,ii~!mit F.-ees~, !"f~-"";t~..; t}f~~": ~ "',:1
I Subtotal $93.00
I State surcharge (12% of permit $11.16
total)
I Technology fee (5% of permit total) $4.65
I TOTAL PERMIT FEE $108,81
Replace panel and add wall heaters.
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h:tF::~ti,~"ty;jQii~njit~&~;,.SITE~~()~IACJ",~~;'li' o'-,,'~,:1:'f..:::::~''4_-. ~"l~,,.~,.~;
Name: Virgil Hess I,
.'. Fax: 541-741-1685
Phone: 541.741~0494
Email:
~~~~CbNT.Mc;rOlf.o~~,)<k,,;,t,)\~~
Elec Iic. no,: 20-403C
eCB .lIc. no,:
115113
Business Name: ARC 'ELECTRIC INC
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Contact:
I Address: 85783 HWY 99 S-
I City/State/ZIP: SPfu!fj~~t 97478 "
I PhO""54174104~I.jIC OLO'B'T C'H..F"X;.k\g4J.1,28~ p .
I - - ...,:\.. ~ ,,,,- :..;r" ll!ur TII_ \VeRI,
Email, ARCELEC91{ljlffiffit1'~En , IMn~R Tl.jlC pr:l:iM1T I~ MnT
I M,rrollc, "0,' COMMENCED OR 18"!lcI!l9llNlJONED FOR
I SuOO""""9 Eloctl!l!.X,.\.t!l.lo!,JAY P~D.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notlficalloft
Center 18 1-800-332-2344).
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Superv~sing Electrician's Name:
Number of inspections Included In paid services:
Residential Service: 4
Re?Jnnect Only: 1
All Other Services: 2
STEPHEN M SEBASTIAN
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Upon review and approval by your local Jurtadictlon, your pennlt will be e-malled or faxed
within one business day, !,"h In~CtI.on. on how to ~ch~ule your Inspection,
NOTE: This Authonzatlon To Begin Wor1l: expIres within 180 days If a permit I, not obtained,
..
The local building "'~'" may determine that an Authortzatlon To Begin Work i$ null and
void if It doe. not meet applicable land usa I_WI and local ordlnancel.
Inspections Phone: 541.726-3769
This Authorization To B~gin Work must be posted at the job site until replaced by a Permit
~
"1""''11-
CITY OF SPRING!' IJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01618
ISSUED: 11/05/2009
APPLIED: 11/05/2009
EXPIRES: 05/05/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield;'OR
541-726-3753 Phone
541-726-3676 Fax ,:,'i
541-726.37691nspection Line
SITE ADDRESS: 1263 MAIN ST SPACE 79
ASSESSOR'S PARCEL NO;: 1703354108700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace panel and add wall heaters in residence.
Residential
Owner: ZA Y ALETA CRUZ GEORGINA
Address: 1263 MAIN ST SPACE 079
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
,BUILDING INFORMATION I
Expiration Date
07/29/2010
Phone
541-741-0494
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Se~ondary Construction Type:
# of Bedrooms:
# of Stories :
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
'.">;~ fila
Lot Size:
Sq Ftl st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
, Occupant Load:
..-
I DEVELOPMENT INFORMATION I
' REQUIRED PARKING
ATTENTION: OregO!\J8W ~'res you to
follow rules adopted ~-?'tt\~ Oregon UtIlity
Notification Center. TWO!lIl'#~ set forlll
In OAR 952-OOH)010 tfl~OAR 952-001-
0090. You may obtain COpiS8 of the rules bf
calling the center. .. (Note:, the telephone
......lIJa. ~"'" ~;Ig 31""='..... I:JtUir,- N9tiliGat~
I PUBLIC IMPROVEMENTS I Center Ii 1.a00-a32 aai4).
.: -",,~, i;,,;. ,.' ~;." , "
,I. ; I-
NOTICE:
Frontyardll~f'ERMIT SHAll EXPIRE IF1III~y Dist:
S~de 1 setblHORIZED UN' DER THIS PEAMJr. .'. ,t ~rees Rqd:
SIde 2 Set :. CE l\1 ve l>,nve Rqd:
Rearyard MEN 0 OR IS ABANIKl ED ,,!fLot Coverage:
Solar Setb : 1'80 DAY PERIOD..,...,.,' "'.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
; .
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'.
"
Paee 1 of 2
'.
Status
Issued;. ,;
225 Fifth Street; Springfield,.OR
541-726'3753 Phone
541-726'3676 F~x ., '''.
541-726"37691nspection Line
'.. !;
,". . ~
'~.' .;
Fe~ Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea..Add
Perm ServlFdr 200 amps Or less. ._
" . -... "':.-
Total Amount Paid
"
i;
4
"
Total Valne of Project
.F~es Pa~d I
Amount Paid
$11.16
$4,65
, $12.00
$81.00
$108,81
I Plan Reviews I
Date Paid
1lI5/09
1115/09
1115/09
1lI5/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0I618
ISSUED: 11/05/2009
APPLIED: 11/05/2009
EXPIRES: 05/05/2010
VALUE:
Receipt N umher
l20090000000000i233
1200900000000001233
1200900000000001233
1200900000000001233
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.
I Reouirerllnsnections I
1111
Rough Electric: Prior to Cover
Final Electric: Whe~ all electrical work is complete.
, '. ;'7 ~~ \.1, _ ,":!.
. . _ " . ." ,~T ~~~ ~i:t!"
By signature, 1 state'and agree, that I have c,aref~Q~ 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 Ord'inances of the City of Springfield and the Laws of the State of Oregon pertainingto the work described herein, and
that NO OCCUPANCY will he made of any structure withont permission of the Community Servi,ces Division, Building Safety,
1 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, that the permit card Is located atthe'front of the property, and the approved set of plans will remain on the site at all
times during construction. I ,
"
Owner or Contractors Signature"
r
Paee 2 of2
Date
215 Fifth Street
Springfield, Oregon 97477j:;
54-1-726-3759 Pho'nb':'!(."Y
.... ,.,::;:":;_.,'
Job/Jol;lrnal Number"
C0M2009-01618
COM2009-01618
COM2009-01618
COM2009-01618
Payments:
Type of Pay~ent
ONLINE CHGS
cReceintl
".. ~,.':..
".~' ~~;?,..:;}.;.;',;
~/'~::~~~~;}~ '::'~:
:' RE<::EIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001233
,
Date: 11/05/2009
Desc~ipii6ii"" ," "(:'::'
Penn Serv;Fdr 200 amps or less
Add, Alter, Extend Circ,Ea Add
t5o/~ T~chnql~gy Fee,'
:+,~f% State~jjrcharge
'.. . . ",
::!aidBy ;~:
ONLINE PERMIT,SHGS
, +"; (.
l.f -~ (
1:";'~ .
.~'" t
,
, "
. .. ii .~~!
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE ARC Online
E,LECT,
Payment Total:
(;.
"
"
Page 1 of 1
9:26:44AM
Amount Due
81.00
12,00
4,65
11.16
$]08,8]
Amount Paid
$108,81
$108,81
,
1115/2009