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HomeMy WebLinkAboutPermit Electrical 2009-12-10 Gq.11&7 . Residential Electrical Authorization To Begin Work 69600-BEL-09-00277 Approval Code: 010107 12/10/2009 1:43 pm City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us SP:~.I~~:,L~~,.. .. iI,. ',h >.\>~ ;"'$7 ^ , " -" OREGOf~ E-mailedTo:tena@orelectricservice.com '<il I 0 New Construction IRJ Addition/alteration/replacement 1r;-1J!~:)'9~;~;J-~~':::1;;~;CAiEG,bRYi'Q~IC~bN.~fR.'UGJ[(f~''~4~:~~k'.;tf(~~t~i 1001 or 2 family dwelling 0 Multi-family 0 Commercial' 0 Accessory ,l~;;l;'.~",; 't'jOB:SiTE!rN~ORMAtION:ANDjt6CATf6N'1f1lo2";~~lit;:,' I Job Add~es5: 243 F 5T I City/State/ZIP: SPRINGFIELD, OR 97477 o Hazar~ous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1~2" or "1-3" D 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 D Six or more residential units in one structure D Health care facilities Suite/bldg./apt.no,: Project Name: Melco/GFCI I C'OSS 5t"."dl,.ctlo" '0 job ,It.: Pion..' Pkwy W I Tax map/parcel no.: 1703352300100 1~:~:~<~~~~~ErS~flED~~;E'f";:~;'1 Tot.r 2 GFCI's in 33 different aprtments, I Branch circuits with~ut service or feeder I Branch circuits each additional circUli without seliflce I ~lec1,h~]!)e"~]lII~,e:a:sro I Subtotal I State surcharge (12% of permit total} r Technology fee (5'% of permit total) I TOTAL PERMIT FEE $55.00 $55,00 ''''''''''j ;i.C!,. ::,~::,^,,,.- <,,,..-:>'.t'<"o. Ii:'; I Name: Jeff Brooks I Phone: 541-343-1681 I Email: f:".~if 65 $6.00 $390.00 ~;~j\4'~~"' ~~, .~;. Fax: 541-343-1683 $445.00 $53.40 $22.25 $520.65 CCB lie. no.: 181997 Elec lie. no.: C408 Business Name: OREGON ELECTRIC SERVICE LLC C/i-llLP3 ILI1DlD9 !& Contact: Address: PO BOX 2237 .-.,.,.,..."....~.. City/State/ZIP: EUGENE, OR 97402 ., ~'--;~,. Phone: 54134316140TICE: Fax: 5413431683-' -"." I HIt; f'tKIVIII t>HALL t:At-iriEif-71 i[ \'JSRl( "JTllc;r;;ZE;:; UiJJ::1 TI m: rE[)~n1T I~ MnT M.tm He, no.: ~r;',,,,n:.,CW-0Q I~'~NED FOR ,.. 5up.",I,ln9 EI.et1fI~"i' j'RI'f'DAY P!:flfOD. Email: memON: t .. .,.tawrequtrel':1;' follow rules 8csopted by the Oregon set fo1'Il Notification Center. those IVgh\eaOARare 952-00'- In OAR 952.()01-ClO10thrOU 0090 You may obtain copies of the rvle8'" Caliln9 the center. (Note: the tele': IIUlIIber for the oregon Utility Notill ~ Center II , llOO ~-2344). r . 1( ~ (\' \0. #,\,.:'1 v'V(X'~ V ~. HERMAN OLLAR Supervising Electrician's Name: Number of inspections included in paid services: Residential Selifice: 4 Reconnect Only: 1 All Other Selifices' 2 ~\)v d': ~~\9~ Q/ Inspections Phone: 541.726.3769 ~ ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed within one business day, wilh Instruclionson hOWl? schedule you rlnspectlon. ; NOTE: This Authorization To !;Jegln Work expires within 180 days If a permit IS. not obtained. The local building department may determine that an Authorll:allon To Begin Work is null and void if il does not meet applieable land ulIlllaws and loealordlnan ellS, CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01763 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726"3676 Fax 541,726-3769 Inspection Line SITE ADDRESS: 243 F ST ASSESSOR'S PARCEL NO.: 1703352300100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DE'SCRIPTlON: 2 GFCI's in 33 different apartments- see inspector BAR Residential Owner: CASTLE TERRACE LLC Address: 3136 TANNER PARK DR EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 54 I -343-1681 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary CO'llstruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Palh: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:'''..... n/a REQUIRED PARKING Front yard Setback: . Overlay Dist:. . on ern you to Side I Setback: .... # s..tre..e. ITrees Rqd:, ATTENTION, ~reped ' ''0N'3dn Utility Side 2 Setback: . ';., ~,,,':'.f.~,Y,~,1!?rive Rqd: fo"~W rule~~nto:,. Th 'aresetlol1h Rearyard Setba<N:OTICE: .' % of Lot ~9verage: NOtificatIO~-OOHI010throughOAR952-OO1. Solar Setbacks: 'THIS PERMIT SHAll. EXPIRE 1FT HE WORI\, , InOQ9OOAR..ss ay obtain copies of the rulea br '-"I~f~"lnIT'''MnT . .oum I" \ ,'t~""lft""_" AUIHUKILtU UI~ucn 111'1 ,.."1',, ~O. CBlllnglllll...."'.... iC\.... ,- COMMENCED OR IS ABA~ROVEMENTS I number for the Oregon Uti~~ Street Improvem,'(I~tr= 180 DAY PERIOD. . ," " Sid~~e~-800 33 ). Storm Sewer Available: Speciallnslruclion: I DEVELOPMENT INFORMATION, I Downspouts/Drains: 'Y':i~"- .;.... Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount 'Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-0I763 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line i'" Total Value of Project ~ees P~id I Fee Description + 12%State Surcharge + 5% Technology Fcc Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $53.40 $22.25 $55.00 $390.00 12110/09 12/10/09 12/10/09 12110/09 1200900000000001323 1200900000000001323 1200900000000001323 1200900000000001323 Total Amount Paid $520,65 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 Reouired 'nsneetions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is truc'and correct, and I further certify that any and all worl\ performed shall be done in accordance with the Ordinances of the City of Springfield :lUd 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 arc in compliance with ORS 701.005 will be used on this project. J further agree to ensure that all r'equired inspections 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 on the site at all times during construction. Owner or Contractors Signature Date Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2009-0 1763 COM2009-0 1763 COM2009-0 1763 COM2009-0 1763 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000001323 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT GIGS KR d" ,.t Page 1 of I ONLINE OREGON Online ELECTRIC SERVICE Payment Total: 3:04:08PM Amount Due 55.00 390,00 22.25 53.40 $520,65 Amount Paid $520.65 $520.65 12/1 0/2009