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HomeMy WebLinkAboutPermit Electrical 2009-11-5 -;;.~ tq, 11/ 1 g '- J -<I. ;, . '~;",;. ::Cily,OfSpringfiold 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 $108,81 Replace panel and add wall heaters. :-;' ,. "",-,,,,,""~~.~~.,",..!L_ .... -- ,.. ,- ._~.", ""'".''''0''' , '-','" h:tF::~ti,~"ty;jQii~njit~&~;,.SITE~~()~IACJ",~~;'li' o'-,,'~,:1:'f..:::::~''4_-. ~"l~,,.~,.~; Name: Virgil Hess I, .'. Fax: 541-741-1685 Phone: 541.741~0494 Email: ~~~~CbNT.Mc;rOlf.o~~,)<k,,;,t,)\~~ Elec Iic. no,: 20-403C eCB .lIc. no,: 115113 Business Name: ARC 'ELECTRIC INC l\.\5ID~ C9-llQ1B ~ Contact: I Address: 85783 HWY 99 S- I City/State/ZIP: SPfu!fj~~t 97478 " I PhO""54174104~I.jIC OLO'B'T C'H..F"X;.k\g4J.1,28~ p . I - - ...,:\.. ~ ,,,,- :..;r" ll!ur TII_ \VeRI, Email, ARCELEC91{ljlffiffit1'~En , IMn~R Tl.jlC pr:l:iM1T I~ MnT I M,rrollc, "0,' COMMENCED OR 18"!lcI!l9llNlJONED FOR I SuOO""""9 Eloctl!l!.X,.\.t!l.lo!,JAY P~D. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlficalloft Center 18 1-800-332-2344). /6^ ~\9~ ~'" ~ " , Superv~sing Electrician's Name: Number of inspections Included In paid services: Residential Service: 4 Re?Jnnect Only: 1 All Other Services: 2 STEPHEN M SEBASTIAN .~ 3J~.~ \::) .A.:~ Upon review and approval by your local Jurtadictlon, your pennlt will be e-malled or faxed within one business day, !,"h In~CtI.on. on how to ~ch~ule your Inspection, NOTE: This Authonzatlon To Begin Wor1l: expIres within 180 days If a permit I, not obtained, .. The local building "'~'" may determine that an Authortzatlon To Begin Work i$ 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