HomeMy WebLinkAboutPermit Electrical 2009-12-3
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
'Phone; 541-726-3753
Email: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00265
Approval Code: 337288 12/3/2009 12:40 pm
E-mailedTo:info@think-electric.com
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'. OREGON
I~ ~', :'-~:-:,::'~"~T T,~-T;YPEOF:~WORK'~:~~:"~, ;~;<.:-~fT~~r.;-"::;~",:~'>~
I 0 New Construction I&J Addition/alteration/replacement
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I 00 1 or 2 family dwelling
I',.'..' .",' ,'., JOB,SITEINFORMATIONAND'C.Oc:AiioN),:-,;..;:s.';',:P>'l
I Job Address: 632 NICHOLAS' DR
I City/State/ZIP: SPRINGFIELD, OR 97477
I Sulte/btdg.Japt.no,:
I Project Name:
I C,oss S"eeUd;"cHons to job sit"
I Tax map/parcel no.: 1703221201318
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,CATEGClRY,OF c:6NSTRUciI6N,,:;":.~;/r;;,:,
D Multi-family 0 Commercial 0 Accessory
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'\_:!QESC'RI~tiatr6J=.WOR~~~~~~"ii:},.?-;~{~~:~:tf;:,~~-h~1
"move a couple of outlets in the kitchen to allow for a larger window to be installed.
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I Name: Vita Lucido
I Phone: 541-735-5773
I EmaH:
Fax:
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I Elec lie. no.: 20-500C
I Business Name: THINK ELECTRIC
I Contact:
I Addr~ss: PO BOX 844
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N'c6NTRACr6R~,:fjt-:.2':'.,
CCB lie. no.:
154326
I CityIState/ZINnl1~R~ 97440 ; '"""""':"'<;l~'~'l.>
I Phone 5412~S PERMIT SHAll ~~~~'".ffio~rll: WORKn tIer
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Email: INFO{g?>UlINW-SUB~~9..:.ae;lM.... I'l n",,,-,cn w:nR
yUIVIIVICI~vCU Uh I" ';S"tJw'-I,n .
Metro lie. nOuA ~l\1 -1 n n^\I PED1nn City he. no.:
In..' ,-00 "", \I ..'--
Supervising Electrician's lie. no.: 5382S
I Supervising Electrician's Name: STEPHEN E SCHMIECHEN
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
AU Other Services: 2
Upon review and approval by your local jurisdictIon, your permit will be e.mailed or faxed
within one bUllness day, with Instructlom. on how to schedule your Inspection.
NOTE: This Authorllatlon To Begin Wor\!. expires within 180 d.ys II. pennlt Is not obtained.
The lo<:al building dep.rtment may detennine that an AuthorilaUon To Begin Wor\!. Is null and
void II It does not meet applicable land use laws and localordlnanc es.
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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 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
D
Health care facilities
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o Hazardous locations
o A service or feeder rated' at
500 amps or more
o Buildings more than three stor
o .Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA O,r
largerseperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Oem;ptlon '. .,. \~~:ESPH1D~~t;::1';:~oter _"I
I~.rahch~circuits-. ;'~":!L~"f"t~..:.,~-:,;'.,,:""."....l:-:~~~":: .,' ..e~~.:.~~.:;C'-i:" -''''''',~.. t-~:Z ~~'
I Branch circuits without service or I I $55.00 J 555.00 'I
leeder
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IElectrlcaIPeimltFees.!!', ,"'; '; '" :~~:~~?_,,:,:~~:.<;:\,,; ;'JI
I Subtotal $58.00 I
I State surcharge (12% of permit $5,96 I
total)
I Technology fee (5% of permit total) $2.90 I
I TOTAL PERMIT FEE $67.86 I
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ATTENTION: Oregon law requIree you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952~1'()010through OAR 952.()O1.
0090. You may obtain copies of the rulea br
calling the center. (Note: the telephone
number for the Oregon Utility NotIficaIIorl
Center II 1-600-332-2344).
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Inspections Phone: 541,726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2009-01727
ISSUED: 12103/2009
APPLIED: 12/03/2009
EXPIRES: 06/03/2010
VALUE:
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 632 NICHOLAS DR
ASSESSOR'S PARCEL NO.: 1703221201318
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
PROJECT DESCRIP....ION: Move a couple of outlets in the kitchen to allow for a larger window to be installed.
Owner: LUCIDO VITA G
Address: 632 NICHOLAS DR
SPRINGFIELD OR 97477
Phone Number: 541-736-5773
I CONT~CTOR INFORMATION I
Contractor Type
Electrical
Contractor
THINK ELECTRIC
License
154326
BUILDING INFORMATION I
Expiration Date
02/11120 II
Phone
541-232-1212
# of Units:
Primary Occupancy Group:
Secondary Occupallcy Group:
Primary Construction Type
Secondary COllstruction Type:
# of Bedrooms:
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
ATTENTION: OregotffttilJyequlres you.t.o
follow rules adoPted~;el'edonsetU~%t
Notification Center. T~..."n/1s are
In OAR 952.()()1-0010through OAR 952-001-
0090 You may obtain copies of the Nles by
. r I \ -.., ..... . & ,.',phnnD
n~a;;:r ,;' th~'~eg~~ Utility Notifioatlon
sideJd\llfpfJ@:1-800-332-2344).
Frolltyard Setback: , ' ..' ,....Overlay Dist:
Side I Setbt~\9TICE: " ;"',;o":""""i(S'treei Trees Rqd:
Side 2 SetbmiS PERMIT SHALL EXPIRE IF THE WOOJl4lrive Rqd:
Rearyard S iii;\i.:,RIZED UNDER THIS PERMIT IS>NOIfot.Coverage:
Solar Setba i HU DONED FOR ' .
r.mflM~~Ir.Fn p~ I.S ABAN ' .',.
ANY 180 DAY PERIOD. IPUBLlC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Specinl Instruction:
,
" Downspouts/Drains:
. ..,'. ':~!''''-:
Notes:
, ,,,, -.,
I Valuation Descriution I
Description
Type of Constrllction
$ 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 Fox
541,726-3769 Inspection Line
Total Valne of Project
Fe~s Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter. Extend Circ
Amount Paid
$6,96
$2.90
$58.00
Total Amount Paid
$67.86
Plan Reviews II
I
Date Paid
12/3/09
12/3/09
12/3/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01727
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: 06/03/2010
VALUE:
Receipt Number
1200900000000001299
1200900000000001299
1200900000000001299
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 Reo u,ir~d I ,\snections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further 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 be made of any structure without permission of the Community Services Division, Building Safety.
I 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 thc permit card is located at the frout of the property, and the approved set of plans will remi.in on the site at all
times during construction. I:: .
Owner or Contractors Signature
Pa2e 2 01'2
Date
215 Fifth Street
Springfield, Oregon 97477
5\11-726-3759 Phone
Job/Journal Number
COM2009-0 1727
COM2009-0 1727
COM2009,O 1727
Payments:
Type of Payment
RECEIPT #:
Description
Add, Alter, Ex1end Circ
+5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceinll
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1200900000000001299
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number l'low Received
KR
I.,.
Page I of I
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ONLINE THINK Online
ELECTRIC
Payment Total:
1:15:55PM
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
$67,86
$67.86
12/3/2009