HomeMy WebLinkAboutPermit Electrical 2009-12-4
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City Of Springfield
2i5 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00267
Approval Code: 614084 12/4/2009 2:48 pm
E-mailedTo:jonette@newwayelectric.com
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I~r;. ,~~.',. ." -~::;:~::;<?~.>~3:(fYp'EOFWORK~r~w ~.~;'f~i'.,J~2;,t_.rfl-C:~'.~.~
o New Construction IRl Addition/alleration/r~placement
1"" , " . ~'~cATEGORY!OFC6NSTRUCTI5NP;""?'~;~'
I [RJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
II,.. '>~, .' ,""~ iOB SITEINFORMATION'AND:LoCATl6NJ:o;;:,:',,~'
I Job Address: 3530 GAME FARM RD
I Clty/StatefZIP: SPRINGFIELD, OR 97477
I Sulte/bldg.lapt.no.: 73
I Project Name:
I em.. St..eUdl",ct;on, to job ,Ite:
I Tax map/parcel no.: 1703154003100
. ,;fk\<:,.5:x~;':~~D"ESC8TF(f1(jN'9K W6RkJ,:~:~ 1,~::;~: .~-i~~~.J~, ~.ci;~' ~
replace main 200 amp breaker
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Name: Brvce Honer
I Phone: 541-501-1501
I Email:
Fax: 541-686-2715
11
~CONT~CT.OR ,
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I Elec lie. no.: 20-145C
I Business Name: NEW WAY ELECTRIC'INC
I Contact:
I Address: PO BOX 21503
I Clty/State/ZIP:EUO~' 97402
.wT....."'. , 'HE'VOR1{
I Phone: 5416862~~1S PERMIT SHAL~,I;,~~~t'~ I'IT I~ MnT
I Emell" iJTHUHILI:U UI~Ut" Tnl" r[nt., .. .. - .
, '-- '-""['" "" It' ^D^Mnn~lI:n I=O,R
I }UIVIIVICI''H.J l.J Vlt ... I~':' .
Metro lie. no.: ~l\l.; 110 n ^V 01=Q!fHl1ty hc. no.:
I \IV, '....'" --.
Supervising Electrician's Uc. no.: 5252S
I Supervising Electrician's Name: JUSTIN M PASLAY
eea lie. no.:
51088
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your pennlt will be e-malled or faxed
within one businelUl day, with Instructions on howto schedule your Ins pectlon.
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To Begin Wor1<: Is null and
void if It does not meet applicable land use laws and local ordinances.
I':::r;''';'~i. ',1;';~r ~...-.:~o"':'''''''':'FE'E''SCH'-E DU'-,,'E.",.., ,-
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I Description I Qty. I Ea.
IS,~.rvidj'S,.or~eder{< ~~if,"\~:i:~; ~:iE,'~ ';~ (;:'t ." '\,=~.'
I Services 200 amps or less J $81.00 I
IEle'ctricClI:PermitFl:Jes.;k: ::'?"~:y ~1t.' '_"~',.
I Subtotal
I State surcharge (12% of permit
totall
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
,',
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
c:q, /11;1.--'
o Hazardous locations
o A service or feeder rated at
600 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 Kl/A or
larger seperately derived sys
D "A" "E" or "1-2" or "1-3"
, ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
, "0'1
~."
F',', .~
'~
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
t9':"'/i32
Total
~::::II1l;I
$81,00 I
g:. ft11
$81.00 I
$9.721
$4,05 I
$94.77 I
~~ 12-\ylLA
ATTENTION: Oregon laW requlrelI YOU,-
follow rules adopted by the Oregon Utilltr
Hotil1eatlon Center. Those rules are set forth
In OAR 952.001.0010 through OAR 952-001-
0090. You may obtain copies of the rules br
calling the center. (Note:. the te . ':,,' .'
number for the Oregon Utility NotiIIGalIOft
Center 111-600-332 2314).
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01732
ISSUED: 12/0412009
APPLIED: 12/0412009
EXPIRES: 06/04/2010
VALUE:
..
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726,3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 3530 GAME FARM RD SPACE 73
ASSESSOR'S PARCEL NO.: 1703154003100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace main 200 amp breaker in residence.
Residential
Owner: NORMAN CINDY L
Address: 3530 GAME FARM RD SPACE 073
SPRINGFIELD OR 97477
I CON!RACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration 'Date
06/27/2011
Phone
541,686,2365
BUI~D1NG INFO~M;'-TWN'
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
H~ight of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, Sq Ft Garage/Carport
Sq Ft Other:
9ccupant Load:
n/a
REQUIRED PARKING
Frontyat{l(}l~~: ..",' O~,rlay Dist: AlTENTlON: Oregon 'aw.r~ you.~
Side I S11',S"PERMIT SHALL EXPIRE IF THE WOi~eet Trees R'l~II,ow "!lIeS adopted by th,e-!L~\>.!1l ~
Side 2 S~ . D UNDER THIS PERMIT IS NQted Drive Rqd~otlficatlon Center. Those NI '\\...~~ .
~BIZE . 0" fdOAR952-OO1-OO10thrOUghOARl -oat.
Rearyar" 'oi':CED ORIS ABANDONED FOR Yo of LotCovera '" btal' oftheNlesby
Solar SetblJ~~ , eN ' 90. ,au may 0 n caples
HIV 1 Rn nLlv PFRIOD. call1nll the center. \Note: the telephone
I PUBLIC IMPROVEMENT5'~..r tor lOe uregon UUIIIY I'IU"'",,"U""
, .. I Center Is 1-600-332-2344).
Sidewalk Type:
I ~EV~LOPMENT INFORMATION'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
... '...:'
Notes:
I Val~ation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
CITY VI' ~rK1j;jljNELD I
Building/Combination Permit
PERMIT NO: COM2009-01732
ISSUED: 12/04/2009
APPLIED: 12/0412009
EXPIRES: 06/0412010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Total Value of Project
F~es P3irl .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9,72
$4.05
$81.00
12/4/09
12/4/09
12/4/09
2200900000000001352
2200900000000001352
2200900000000001352
Total Amount Paid
$94.77
I Plan Reviews I
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 Reouir~d Insnections .'
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By siguature, I state 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 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 thai ollIy contractors and employees who are in compliance with ORS'701.005 will be used 011 this project.
I further agree to ensure that all required inspectiolls are requested at the proper time, that each address is readable from the
street. that the permit card is located at the front of the property, and the approved set of plans will remain 011 the site at all
times during construction.
Owner' or Contractors Signature
Date
':
Paee 2 01'2
215 Fifth Street
Springfield, Oreg~n 97477
541-726-3759 Phone,
Job/Journal Number
COM2009-0 1732
COM2009"0 I 732
COM2009-0 1732
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
~~'
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001352
Date: 12/04/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE NEW WAY Online
ELECTRIC
Paymen1 Total:
, ,Page 1 of 1
2:59:49PM
Amount Due
81.00
4,05
9,72
$94,77
Amount Paid
$94,77
$94.77
12/4/2009