HomeMy WebLinkAboutPermit Electrical 2009-12-11
SP~I~:~~l~
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OREGON
City Of Springfield
,225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: .per.mitcenter@ci.spririgfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00279
Approval Code: ~0168B 12/11/2009 1:41 pm
E-mailed"To:info@think-electric.com
I 0 New Construction
[Kl Addition/alteration/replacement
I 0 1 or 2 family dW~lIing D MultHamily 0 Commercial IKI Accessory
Ik;A,~":1t""',,";JOB;SlfEjINj;'6RMATI6NrAN5r[Oi::ATiCiNl~,f..Jl'~Jl1M~
I Job Address: 398 S 72ND 8T
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg./apt.no.:
Project Name:
I e,o" St,ee"d;,e,';on, to job ,ite,
I Taxmap/parcel no.: 1702353405502
hook up electricity to shed
Name: Lou Maenz
I Phone: 541.741-6863
Fax:
Email:
I Elec lie. no.: 20-500C
I Business Name: THINK ELECTRIC
I Contact:
CCB lie. no.:
154326
,.......\"[.
I Add,e". PO ~m~4~;;~m SHALL EXPIRE IF TH~,'!I~tll\
I e;tylst"elZrp~~~tJRI'Z~UNDER THIS PttllVlI1 ~"DI.OT
, d_ JtrO c.
I Phone 54123uDMMENCED O!,_\~!!!?l\lm5930~5, . -'~
I Email' rNFo@.fH~'k'~l~!,IrM8Cd;;cn Clu.
I Metro lie. no.:
I Supervising Electrician's lie. no.:
I Supervising Electrician's Name:
City lie. no.:
5382S
STEPHEN E SCHMIECHEN
Number of inspections included in paid services;
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review ~nd approv~J by your 10c~1 jurisdiction, your permit will be e.malled or f~xed
within one business day, with instrtlctlons 01'1 how to schedule your inspection.
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 Work Is null and
vold lIlt does not meelapplicable land usclaws and local?rdlmm ces.
cQ'171b
I Description l Qty.. Ea.. Total
IS'e~ryT~~~rqlif~~~.eY~~F~L~~.~~:I?iif;~~S~2~t.:~ :':0~s': ~-~I
[services200ampsorless 1$81.00 J $81.00 I
Igi~ft![~-~i:~~rilijLE~~~~11.~'..~:;:j~:;[~ij;~~::::;"/,:~.,,:;f;~> :~.~;.
I Subtotal
I State surcharge (12%ofpermit
total)
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 currenl'exceeds
) 10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Firep~mps
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'--\\IO
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
o Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
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
$81.00
$9.72
$4.05
$94.77
\dL ILjlllCfl
.' ...-.';-:;.:-....,..,
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 Notification
Center is 1-800-332-2344).
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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
,
_",!\!~lf.olql'!l~!-:pi
I
Status
Issued
CITY OF ~rKll'lGFlELD
Building/Combination Permit
PERMIT NO: .COM2009-01770
ISSUED: 12/11/2009
APPLIED: 12/11/2009
EXPIRES: 06/] 1/20]0
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 398 S 72ND ST
ASSESSOR'S PARCEL NO.: 1702353405502
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Hook up electricity to shed.
Owner: MAENZ ALBERT C & SANDRA L
Address: 398 S 72ND ST
SPRINGFIELD OR 97478
I C()NTRACTOR INFORM,ATlON ,
Contractor Type
Electrical
Contractor
THINK ELECTRIC
License
154326
BUILDING ~NFORMATlO~ I
Expiration Date
02/11/2011
Phone
541-232-1212
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure'
Type of Heat:
Wafer Type:
Range Type:
, Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
.' Sq,f,f,Qther:
Occnpant Load:
n/a
NOTICE: I DEVELOPMENT INFORMATION I '
THIS PERMIT SHAll EXPIKt I~' Inc ",v,'" l"~1 ,~;."ON: Oregon'8IJ~~ING
Front yard SetbackfHORIZED UNDER THIS PERMh~J~~~1st: foil. ow rules adopted il' .Oregon Utllltyh
.' "V , ' Notification Center. Th II les are settort
S~de ] Setb~~k: COMMENC, ED OR IS ABANDONE~.~~fit ~rees Rq.d: In OAR 952.oo1~010th' "dlWf~52-001.
Side 2 Setback. A NY 180 DAY PERIOD. ~avcd Dllve Rqd. oo90, You may obtain c ~ U'l)flhe rules by
Rearyard SetbaCK: Vo of Lot Coverage: , Callin the center. (Note: the telephone
Solar Setbacks: nUmb~ lor the Oregon, Utility Notification
""tum:n 10 ,.,;I'Wv-~..:..a:.:...:--:.).
I PU~L1C IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
, Sidewalk Type:
Downspouts/Drains:
Nofes:
I Valuation DescriDtion I
Description
Type of Construcfion
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Valne
Date Calcnlated
Page] of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 'COM2009-01770
ISSUED: 12f11/2009 '
APPLIED: 12/11/2009
EXPIRES: 06/11/2010
, VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
Tofal Value of Project
Fees Paid I
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
12/11109
12/11/09
, 12/11/09
1200900000000001325
1200900000000001325
. 1200900000000001325
Total Amount Paid
$94.77
Plan Reviews ,
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 R~o.~ired Insnection,s ,
Electric Service: Approval required prior to utility company energizing service.
By signatnre, I state and agree, that I have carefully examined the complefed application and do hereby certify that all
information hereon is true and correct, and I fnrfher certify that any and all work performed shall be done in. accordance with
the Ordinances of the City of Springfield and the Laws or the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made. of any structnre without permission ofthe Commnnity Services Division, Building Safety.
I further certify that only contractors and employees \\;110 are in compliance with ORS 701.005 v,'iWbe used on this project.
I further agree to ensure ~hat aU required inspections are re(luested 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 on the site at all
times during construction~ . ,
Owner or Contractors Signafure
Date
.' Paee 2 of 2
22~ Fifth Street
Springfield, Oregon 97477
54l-726-3759 Phone
Job/Journal Number
COM2009-0 1770
COM2009-0 1770
COM2009-0 1770
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
~."...~~.t.....,,~.p...~.~".jI."'-.. ...;.'
~_...'
City of Springfield Official Rcccipt
Dcvelopment Services Department
Public Works Department
1200900000000001325
Datc: 12/11/2009
Description
Penn 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 THINK Online
ELECTRIC
Payment Total:
Page 1 of 1
2:] 4:29PM
Amount Due
81.00
4,05
9,72
$94.77
Amount Paid
$94,77
$94.77
1211 1/2009